Posttraumatic stress disorder mediating associations between child sexual abuse and substance use among transgender adults in the United States

Bibliographic Data

ID9054444
AuthorsCaitlin I Laughney (0000-0002-7304-9943, Gender Studies), Yong Gun Lee (0000-0002-5838-3337, Rutgers Sexual and Reproductive Health and Rights), Emily Allen Paine (0000-0002-6177-2835, Gender Studies), Elwin Wu (0000-0003-4253-3430, Human Computer Interaction (Switzerland))
Year2025
Volume95
Issue1
Pages45-51
Publication date2025-01-01
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Orthopsychiatry (JOURNAL)
Journal identifiersISSN: 0002-9432 • E-ISSN: 1939-0025
PublisherAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/ort0000761
PMID38829335
OpenAlexW4399290472
LanguageEN
Citations received2

screening tool. Substance use was determined by lifetime binge drinking, polydrug use, and the Drug Use Disorders Identification Test. Baron and Kenny's approach was used to assess PTSD as a mediator between CSA and substance use. Within our sample, nearly half (45%) of the transgender adults experienced CSA. Lifetime binge drinking (40%), polydrug use (20%), and indications of drug-use-related problems (Drug Use Disorders Identification Test x ̄ = 4.52) were frequently reported. Transgender adults who have experienced CSA had increased risk of PTSD and substance use, and PTSD was a mediator in all models. Results suggest that adult transgender CSA survivors are at increased risk of drug and alcohol use, and that PTSD may be an important contextual factor for substance use. (PsycInfo Database Record (c) 2025 APA, all rights reserved)

Child sexual abuse · Domestic violence · Injury prevention · Medical emergency · Poison control · Posttraumatic stress · Psychiatry · Sexual abuse · Substance abuse · Substance use · Transgender · Clinical Psychology · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Sexuality, Behavior, and Technology

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