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Psychological and behavioral moderators of the relationship between trauma severity and HIV transmission risk behavior among MSM with a history of childhood sexual abuse
Childhood sexual abuse (CSA) is associated with post-traumatic stress disorder (PTSD), which can be associated with condomless sex among men who have sex with men (MSM). However, the impact of moderating factors on the relationship between PTSD symptom severity and condomless sex is poorly understoo...
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| Published in: | Journal of behavioral medicine 2017-10, Vol.40 (5), p.794-802 |
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| cites | cdi_FETCH-LOGICAL-c608t-bfbae813598217ac0d0a2e48ee3ffe83ef9e31317066033b4d49839e94af2d2d3 |
| container_end_page | 802 |
| container_issue | 5 |
| container_start_page | 794 |
| container_title | Journal of behavioral medicine |
| container_volume | 40 |
| creator | Batchelder, Abigail W. Ehlinger, Peter P. Boroughs, Michael S. Shipherd, Jillian C. Safren, Steven A. Ironson, Gail H. O’Cleirigh, Conall |
| description | Childhood sexual abuse (CSA) is associated with post-traumatic stress disorder (PTSD), which can be associated with condomless sex among men who have sex with men (MSM). However, the impact of moderating factors on the relationship between PTSD symptom severity and condomless sex is poorly understood. We examined whether PTSD symptom severity was associated with condomless sex among MSM with CSA histories, and whether substance dependence, self-esteem, and distress tolerance moderated that relationship (n = 288). Notably, no direct relationship between PTSD symptom severity and condomless sex was found. Adjusted models indicated that condomless sex was differentially impacted by PTSD symptom severity among those without substance dependence (ΔR
2
= 0.03,
p
= 0.034) and, counterintuitively, those with high self-esteem (ΔR
2
= 0.07,
p
= 0.005). PTSD symptom severity was associated with condomless sex across levels of distress tolerance. Findings indicate that substance use, self-esteem, and distress tolerance should be targeted in high-risk MSM with CSA even if they do not have PTSD. |
| doi_str_mv | 10.1007/s10865-017-9848-9 |
| format | article |
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2
= 0.03,
p
= 0.034) and, counterintuitively, those with high self-esteem (ΔR
2
= 0.07,
p
= 0.005). PTSD symptom severity was associated with condomless sex across levels of distress tolerance. Findings indicate that substance use, self-esteem, and distress tolerance should be targeted in high-risk MSM with CSA even if they do not have PTSD.</description><identifier>ISSN: 0160-7715</identifier><identifier>EISSN: 1573-3521</identifier><identifier>DOI: 10.1007/s10865-017-9848-9</identifier><identifier>PMID: 28396969</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abuse ; Child abuse & neglect ; Child sexual abuse ; Childhood ; Children ; Disease transmission ; Drug tolerance ; Family Medicine ; General Practice ; Health Psychology ; High risk ; HIV ; HIV infections ; Homosexuality ; Human immunodeficiency virus ; Immunological tolerance ; Influence ; Medicine ; Medicine & Public Health ; Men ; Men who have sex with men ; Moderators ; MSM (Men who have sex with men) ; Post traumatic stress disorder ; Psychological aspects ; Psychological distress ; Psychological trauma ; Risk behavior ; Risk factors ; Self esteem ; Severity ; Sex crimes ; Sexual behavior ; Substance abuse ; Substance use ; Symptoms ; Tolerance ; Trauma</subject><ispartof>Journal of behavioral medicine, 2017-10, Vol.40 (5), p.794-802</ispartof><rights>Springer Science+Business Media New York 2017</rights><rights>COPYRIGHT 2017 Springer</rights><rights>Journal of Behavioral Medicine is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c608t-bfbae813598217ac0d0a2e48ee3ffe83ef9e31317066033b4d49839e94af2d2d3</citedby><cites>FETCH-LOGICAL-c608t-bfbae813598217ac0d0a2e48ee3ffe83ef9e31317066033b4d49839e94af2d2d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1942511436/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1942511436?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,776,780,881,12825,21373,21374,27321,27901,27902,30976,33588,33589,33751,34507,34508,43709,44091,73964,74382</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28396969$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Batchelder, Abigail W.</creatorcontrib><creatorcontrib>Ehlinger, Peter P.</creatorcontrib><creatorcontrib>Boroughs, Michael S.</creatorcontrib><creatorcontrib>Shipherd, Jillian C.</creatorcontrib><creatorcontrib>Safren, Steven A.</creatorcontrib><creatorcontrib>Ironson, Gail H.</creatorcontrib><creatorcontrib>O’Cleirigh, Conall</creatorcontrib><title>Psychological and behavioral moderators of the relationship between trauma severity and HIV transmission risk behavior among MSM with a history of childhood sexual abuse</title><title>Journal of behavioral medicine</title><addtitle>J Behav Med</addtitle><addtitle>J Behav Med</addtitle><description>Childhood sexual abuse (CSA) is associated with post-traumatic stress disorder (PTSD), which can be associated with condomless sex among men who have sex with men (MSM). However, the impact of moderating factors on the relationship between PTSD symptom severity and condomless sex is poorly understood. We examined whether PTSD symptom severity was associated with condomless sex among MSM with CSA histories, and whether substance dependence, self-esteem, and distress tolerance moderated that relationship (n = 288). Notably, no direct relationship between PTSD symptom severity and condomless sex was found. Adjusted models indicated that condomless sex was differentially impacted by PTSD symptom severity among those without substance dependence (ΔR
2
= 0.03,
p
= 0.034) and, counterintuitively, those with high self-esteem (ΔR
2
= 0.07,
p
= 0.005). PTSD symptom severity was associated with condomless sex across levels of distress tolerance. Findings indicate that substance use, self-esteem, and distress tolerance should be targeted in high-risk MSM with CSA even if they do not have PTSD.</description><subject>Abuse</subject><subject>Child abuse & neglect</subject><subject>Child sexual abuse</subject><subject>Childhood</subject><subject>Children</subject><subject>Disease transmission</subject><subject>Drug tolerance</subject><subject>Family Medicine</subject><subject>General Practice</subject><subject>Health Psychology</subject><subject>High risk</subject><subject>HIV</subject><subject>HIV infections</subject><subject>Homosexuality</subject><subject>Human immunodeficiency virus</subject><subject>Immunological tolerance</subject><subject>Influence</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Men</subject><subject>Men who have sex with men</subject><subject>Moderators</subject><subject>MSM (Men who have sex with men)</subject><subject>Post traumatic stress disorder</subject><subject>Psychological aspects</subject><subject>Psychological distress</subject><subject>Psychological trauma</subject><subject>Risk behavior</subject><subject>Risk factors</subject><subject>Self esteem</subject><subject>Severity</subject><subject>Sex crimes</subject><subject>Sexual behavior</subject><subject>Substance abuse</subject><subject>Substance 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behavioral moderators of the relationship between trauma severity and HIV transmission risk behavior among MSM with a history of childhood sexual abuse</title><author>Batchelder, Abigail W. ; Ehlinger, Peter P. ; Boroughs, Michael S. ; Shipherd, Jillian C. ; Safren, Steven A. ; Ironson, Gail H. ; O’Cleirigh, Conall</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c608t-bfbae813598217ac0d0a2e48ee3ffe83ef9e31317066033b4d49839e94af2d2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abuse</topic><topic>Child abuse & neglect</topic><topic>Child sexual abuse</topic><topic>Childhood</topic><topic>Children</topic><topic>Disease transmission</topic><topic>Drug tolerance</topic><topic>Family Medicine</topic><topic>General Practice</topic><topic>Health Psychology</topic><topic>High risk</topic><topic>HIV</topic><topic>HIV infections</topic><topic>Homosexuality</topic><topic>Human immunodeficiency virus</topic><topic>Immunological tolerance</topic><topic>Influence</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Men</topic><topic>Men who have sex with men</topic><topic>Moderators</topic><topic>MSM (Men who have sex with men)</topic><topic>Post traumatic stress disorder</topic><topic>Psychological aspects</topic><topic>Psychological distress</topic><topic>Psychological trauma</topic><topic>Risk behavior</topic><topic>Risk factors</topic><topic>Self esteem</topic><topic>Severity</topic><topic>Sex crimes</topic><topic>Sexual behavior</topic><topic>Substance abuse</topic><topic>Substance use</topic><topic>Symptoms</topic><topic>Tolerance</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Batchelder, Abigail W.</creatorcontrib><creatorcontrib>Ehlinger, Peter P.</creatorcontrib><creatorcontrib>Boroughs, Michael S.</creatorcontrib><creatorcontrib>Shipherd, Jillian 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C.</au><au>Safren, Steven A.</au><au>Ironson, Gail H.</au><au>O’Cleirigh, Conall</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychological and behavioral moderators of the relationship between trauma severity and HIV transmission risk behavior among MSM with a history of childhood sexual abuse</atitle><jtitle>Journal of behavioral medicine</jtitle><stitle>J Behav Med</stitle><addtitle>J Behav Med</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>40</volume><issue>5</issue><spage>794</spage><epage>802</epage><pages>794-802</pages><issn>0160-7715</issn><eissn>1573-3521</eissn><abstract>Childhood sexual abuse (CSA) is associated with post-traumatic stress disorder (PTSD), which can be associated with condomless sex among men who have sex with men (MSM). However, the impact of moderating factors on the relationship between PTSD symptom severity and condomless sex is poorly understood. We examined whether PTSD symptom severity was associated with condomless sex among MSM with CSA histories, and whether substance dependence, self-esteem, and distress tolerance moderated that relationship (n = 288). Notably, no direct relationship between PTSD symptom severity and condomless sex was found. Adjusted models indicated that condomless sex was differentially impacted by PTSD symptom severity among those without substance dependence (ΔR
2
= 0.03,
p
= 0.034) and, counterintuitively, those with high self-esteem (ΔR
2
= 0.07,
p
= 0.005). PTSD symptom severity was associated with condomless sex across levels of distress tolerance. Findings indicate that substance use, self-esteem, and distress tolerance should be targeted in high-risk MSM with CSA even if they do not have PTSD.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28396969</pmid><doi>10.1007/s10865-017-9848-9</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of behavioral medicine, 2017-10, Vol.40 (5), p.794-802 |
| issn | 0160-7715 1573-3521 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5901662 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; Sociology Collection; Springer Link; Sociological Abstracts |
| subjects | Abuse Child abuse & neglect Child sexual abuse Childhood Children Disease transmission Drug tolerance Family Medicine General Practice Health Psychology High risk HIV HIV infections Homosexuality Human immunodeficiency virus Immunological tolerance Influence Medicine Medicine & Public Health Men Men who have sex with men Moderators MSM (Men who have sex with men) Post traumatic stress disorder Psychological aspects Psychological distress Psychological trauma Risk behavior Risk factors Self esteem Severity Sex crimes Sexual behavior Substance abuse Substance use Symptoms Tolerance Trauma |
| title | Psychological and behavioral moderators of the relationship between trauma severity and HIV transmission risk behavior among MSM with a history of childhood sexual abuse |
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