PTSD Symptoms Mediate the Relationship Between Sexual Abuse and Substance Use Risk in Juvenile Justice–Involved Youth

Jasmyn Sanders, Alexandra R. Hershberger, Haley M. Kolp, Miji Um, Matthew Aalsma, Melissa A. Cyders

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Juvenile justice–involved youth face disproportionate rates of sexual abuse, which increases the risk of post-traumatic stress disorder (PTSD) and substance use disorders (SUDs), both of which are associated with poor long-term outcomes. The present study tested two mediation and moderation models, controlling for age, race, and history of physical abuse, with gender as a moderator, to determine whether PTSD symptoms serve as a risk factor and/or mechanism in the relationship between sexual abuse and substance use. Data were examined for 197 juvenile justice–involved youth (mean age = 15.45, 68.9% non-White, 78.4% male) that completed court-ordered psychological assessments. Results indicated that PTSD symptoms significantly mediated the relationship between sexual abuse and drug (β = 3.44, confidence interval [CI] [0.26, 7.41]; test for indirect effect z = 2.41, p =.02) and alcohol use (β = 1.42, CI [0.20, 3.46]; test for indirect effect z = 2.23, p =.03). PTSD symptoms and gender were not significant moderators. Overall, PTSD symptoms mediate the relationship between sexual abuse and SUDs in juvenile justice–involved youth, which suggests viability of targeting PTSD symptoms as a modifiable risk factor to reduce the effects of sexual abuse on substance use in this high-risk population.

Original languageEnglish (US)
JournalChild Maltreatment
DOIs
StateAccepted/In press - Jan 1 2017

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Sex Offenses
Post-Traumatic Stress Disorders
Substance-Related Disorders
Confidence Intervals
Alcohols
Psychology
Pharmaceutical Preparations
Population

Keywords

  • juvenile justice
  • PTSD
  • sexual abuse
  • substance use
  • youth

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

Cite this

PTSD Symptoms Mediate the Relationship Between Sexual Abuse and Substance Use Risk in Juvenile Justice–Involved Youth. / Sanders, Jasmyn; Hershberger, Alexandra R.; Kolp, Haley M.; Um, Miji; Aalsma, Matthew; Cyders, Melissa A.

In: Child Maltreatment, 01.01.2017.

Research output: Contribution to journalArticle

Sanders, Jasmyn ; Hershberger, Alexandra R. ; Kolp, Haley M. ; Um, Miji ; Aalsma, Matthew ; Cyders, Melissa A. / PTSD Symptoms Mediate the Relationship Between Sexual Abuse and Substance Use Risk in Juvenile Justice–Involved Youth. In: Child Maltreatment. 2017.
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