Historique
Périodique
An acute post-rape intervention to prevent substance use and abuse
(Une intervention intensive après-viol pour prévenir l'usage et l'abus de substances psychoactives)
Auteur(s) :
ACIERNO, R. ;
RESNICK, H. S. ;
FLOOD, A. ;
HOLMES, M.
Année :
2003
Page(s) :
1701-1715
Langue(s) :
Anglais
Refs biblio. :
35
Domaine :
Plusieurs produits / Several products
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus mots-clés
ABUS SEXUEL
;
TROUBLE DE STRESS POST-TRAUMATIQUE
;
INTERVENTION
;
PREVENTION
;
ABUS
Thésaurus géographique
ETATS-UNIS
Note générale :
Addictive Behaviors, 2003, 28, (9), 1701-1715
Résumé :
The trauma of rape is routinely associated with extreme acute distress. Such peri-event anxiety increases risk of developing psychopathology and substance use or abuse post-rape, with the degree of initial distress positively predicting future problems. Unfortunately, the nature of post-rape forensic evidence collection procedures may exacerbate initial distress, thereby potentiating post-rape negative emotional sequelae. Consequently, substance use may increase in an effort to ameliorate this distress. To address this, a two-part video intervention was developed for use in acute post-rape time frames to (a) minimize anxiety during forensic rape examinations, thereby reducing risk of future emotional problems, and (b) prevent increased post-rape substance use and abuse. Pilot study data with 124 rape victims indicated that the low-cost, easily administered intervention was effective in reducing risk of marijuana abuse at 6 weeks. Nonstatistically significant trends also were evident for reduced marijuana use. Trends were also noted in favor of the intervention in the subgroup of women who were actively using substances pre-rape (among pre-rape alcohol users, 28% viewers vs. 43% nonviewers met criteria for post-rape alcohol abuse ; among pre-rape marijuana users, the rates of post-marijuana use were 17% vs. 43%). (Editor's abstract.)
Affiliation :
Dept. Psychiat. Behav. Sciences, Med. Univ. South Carolina, 171 Ashley Ave., Charleston, SC 29425-0742.
Etats-Unis. United States.
Etats-Unis. United States.