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Sexual assault increases the risk for psychopathology. Despite the availability of effective interventions, relatively few victims who need treatment receive care in the months following an assault. Prior work identified several factors associated with utilizing care, including ethnicity, insurance, and posttraumatic stress disorder (PTSD) symptoms. Few studies, however, have examined predictors of treatment utilization prospectively from the time of assault. The present study hypothesized that White racial status, younger age, being partnered, having health insurance, having previously received mental health treatment, and having more PTSD and depression symptoms would predict utilization of care in the 6 months postassault. This was examined in a sample of 266 female sexual assault victims with an average age of 26.2 years, of whom 62.0% were White and 38.0% were African American assessed at 1.5 and 6 months postassault. Available information on utilizing care varied across assessments (1.5 months, n = 214; 3 months, n = 126; 6 months, n = 204). Significant predictors included having previously received mental health treatment (OR = 4.09), 1 day depressive symptoms (OR = 1.06), and having private insurance (OR = 2.24) or Medicaid (OR = 2.19). Alcohol abuse and prior mental health care were associated with a substantial increase in treatment utilization (OR = 4.07). The findings highlight the need to help victims at risk obtain treatment after sexual assault.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:性侵犯後精神健康服務使用的預測因素。

撮要:性侵犯增加精神病理學風險。雖然現存有效介入治療,但相對而言只有少量需要治療的受害者在侵犯後數月內接受治療。以往研究發現使用服務的許多因素,包括種族、保險和創傷後壓力症(PTSD)症狀。但少數研究前瞻性從侵犯時檢視使用治療的預測因素。本研究假設:白種人,年輕,有伴侶,有醫療保險,曾接受精神治療,和較多PTSD及抑鬱症狀都預測在侵犯後半年內使用服務。樣本為266名性侵犯女受害人,平均年齡26.2歲,62.0% 白人而38.0%非裔美國人,她們分別在侵犯後1.5個月, 3個月及6個月接受評估,而在不同評估期間內使用服務率有所不同(1.5個月,n = 214;3個月,n = 126;6個月,n = 204)。顯著預測因素是:曾接受精神治療(OR = 4.09),抑鬱症狀(OR = 1.06),和有私人保險(OR = 2.24)或醫療補助(OR = 2.19)。但濫用酒精和以往曾接受精神健康服務則與明顯較高使用治療有關(OR = 4.07)。結論突顯在性侵犯後我們需要協助高危受害者接受治療。

标题:性侵犯后精神健康服务使用的预测因素。

撮要:性侵犯增加精神病理学风险。虽然现存有效介入治疗,但相对而言只有少量需要治疗的受害者在侵犯后数月内接受治疗。以往研究发现使用服务的许多因素,包括种族、保险和创伤后压力症(PTSD)症状。但少数研究前瞻性从侵犯时检视使用治疗的预测因素。本研究假设:白种人,年轻,有伴侣,有医疗保险,曾接受精神治疗,和较多PTSD及抑郁症状都预测在侵犯后半年内使用服务。样本为266名性侵犯女受害人,平均年龄26.2岁,62.0% 白人而38.0%非裔美国人,她们分别在侵犯后1.5个月, 3个月及6个月接受评估,而在不同评估期间内使用服务率有所不同(1.5个月,n = 214;3个月,n = 126;6个月,n = 204)。显著预测因素是:曾接受精神治疗(OR = 4.09),抑郁症状(OR = 1.06),和有私人保险(OR = 2.24)或医疗补助(OR = 2.19)。但滥用酒精和以往曾接受精神健康服务则与明显较高使用治疗有关(OR = 4.07)。结论突显在性侵犯后我们需要协助高危受害者接受治疗。