Strategies for Coping With Individual PTSD Symptoms: Experiences of African American Victims of Intimate Partner Violence (original) (raw)

Mediated Effects of Coping on Mental Health Outcomes of African American Women Exposed to Physical and Psychological Abuse

Violence Against Women, 2017

Few studies have assessed the individual symptoms of posttraumatic stress disorder (PTSD) as separate mental health consequences of intimate partner abuse (IPA). This study examined the role of coping strategies associated with symptoms of PTSD in a community sample of African American women who have experienced abuse ( N = 128). The results revealed that nonphysical abuse was more prevalent than physical abuse. Specific symptoms of PTSD expressed depended on the type of abuse experienced and the type of coping strategies utilized. The findings have multiple implications on how IPA is studied as well as its clinical screening and treatment processes.

The association of substance use disorders with trauma exposure and PTSD among African American drug users

Addictive Behaviors, 2006

The present study examined the influence of ethnicity on the effectiveness of cognitive behavioral treatment for PTSD in female victims of sexual and nonsexual assault. Ninety-five women with chronic PTSD (60 Caucasian and 35 African American) were randomly assigned to either active cognitive behavioral treatment or wait list control. Active treatment consisted of nine, twice-weekly, individual sessions of prolonged exposure, stress inoculation training, or a combination. Independent evaluations were conducted at pretreatment, posttreatment, and 12-month follow-up. African Americans and Caucasians did not differ in terms of pretreatment psychopathology or general functioning, dropout rates from treatment, or overall treatment efficacy. These results are discussed within the context of the need for future exploration of ethnocultural factors in the treatment of PTSD.

Examining cultural correlates of active coping among African American female trauma survivors

Psychological Trauma: Theory, Research, Practice, and Policy, 2014

African American women are at a greater risk for exposure to multiple traumatic events and are less likely to seek mental health services than White women. Many women report avoidant and passive coping strategies placing them at an increased risk for lower psychological adjustment. Thus, the purpose of the current study is to examine the role of culturally relevant factors such as spirituality, self-esteem, and social support as significant correlates of John Henryism Active Coping among African American female trauma survivors. The study utilized secondary data from the B-WISE project (Black Women in a Study of Epidemics) with a sample of 161 communitybased African American women with a self-reported history of trauma. Results indicate that participants with higher self-esteem and existential well-being were more likely to cope actively with daily life stressors. However, socio-demographics were not significant correlates of John Henryism Active Coping at the multivariate level. Implications for clinical practice are discussed along with the Strong Black Woman (SBW) ideology, which may explain over-reporting of positive attributes such as self-esteem and existential well-being. Limitations of the study and directions of future research are also discussed.

Surviving the Storm: The Role of Social Support and Religious Coping in Sexual Assault Recovery of African American Women

Violence Against Women, 2011

African American women are at high risk for sexual assault. In addition, many African American women endorse the use of social support and religiosity to cope with trauma. The current study investigates the relationship between these two coping strategies and posttrauma symptoms in a sample of 413 African American female sexual assault survivors using confirmatory factor analysis and structural equation modeling. Findings indicated that survivors with greater social support were less likely to endorse the symptoms of depression and PTSD. Conversely, increased use of religious coping was related to greater endorsement of depression and PTSD symptoms. Counseling and research implications are explored.

PTSD and Daily Co-Occurrence of Drug and Alcohol Use Among Women Experiencing Intimate Partner Violence

Journal of dual diagnosis, 2016

People with posttraumatic stress disorder (PTSD) are at high risk for substance use, and PTSD is common among women experiencing intimate partner violence. Considering the effects of both PTSD and substance use, such as poorer treatment outcomes and greater health/behavior problems, women experiencing intimate partner violence are a high-risk, under-researched group. We utilized a micro-longitudinal study design to assess daily drug and alcohol use over 21 days among 41 women experiencing intimate partner violence recruited from the community. Participants were about 45 years old (M = 45.1, SD = 8.5) and mostly African American (n = 32, 78%). Co-occurrence of drug and alcohol use was reported on 19.0% of days, while drug use alone occurred on 13.4% of days and alcohol use on 12.1%. Fifteen percent of participants met current PTSD criteria, with a mean symptom severity rating of 15.90 (SD = 10.94, range 0 to 47). Women with PTSD, compared to those without, were nearly 15 times more l...

PTSD symptom clusters are differentially related to substance use among community women exposed to intimate partner violence

Journal of Traumatic Stress, 2008

Women who experience intimate partner violence (IPV) have higher rates of posttraumatic stress disorder (PTSD) and substance abuse compared to women who do not experience IPV. However, the extent to which IPV-related PTSD symptoms are related to women's substance use involvement largely has been unexplored. The current study investigated PTSD symptomatology and substance use in a community sample of 212 IPV-exposed women. Drug-using women reported higher PTSD severity scores compared to women who reported no substance use or alcohol use only. Moreover, the reexperiencing, avoidance and numbing, and arousal clusters demonstrated unique associations with substance use involvement. Findings not only elucidate the associations among IPV-related PTSD symptoms and substance use, but they also can inform community-based preventive interventions.

Response of African American and Caucasian women to cognitive behavioral therapy for PTSD

Behavior Therapy, 1999

The present study examined the influence of ethnicity on the effectiveness of cognitive behavioral treatment for PTSD in female victims of sexual and nonsexual assault. Ninety-five women with chronic PTSD (60 Caucasian and 35 African American) were randomly assigned to either active cognitive behavioral treatment or wait list control. Active treatment consisted of nine, twice-weekly, individual sessions of prolonged exposure, stress inoculation training, or a combination. Independent evaluations were conducted at pretreatment, posttreatment, and 12-month follow-up. African Americans and Caucasians did not differ in terms of pretreatment psychopathology or general functioning, dropout rates from treatment, or overall treatment efficacy. These results are discussed within the context of the need for future exploration of ethnocultural factors in the treatment of PTSD.

Understanding Help Seeking Among Black Women With Clinically Significant Posttraumatic Stress Symptoms

2017

Understanding the help seeking decision making process and experiences of health disparity populations with posttraumatic stress disorder (PTSD) is central to development of trauma-informed, culturally centered, and patient focused services. Yet, little is known about the decision making process among adult Black women who are non-treatment seekers as they are, by definition, not engaged in services. Methods: Audiotaped interviews were conducted with 30 African American adult women with clinically significant PTSD symptoms who were engaged in primary care, but not in treatment for PTSD despite symptom burden. A qualitative interview guide was used to elucidate key themes. Independent coding of themes mapped to theory and identification of emergent themes were conducted using qualitative methods. An existing quantitative dataset was analyzed to contextualize responses and provide a descriptive summary of the sample. Results: Emergent themes revealed that active mental avoidance, the ...

Trauma history in African-American women living with HIV: effects on psychiatric symptom severity and religious coping

AIDS care, 2015

Women living with HIV (WLHIV) have rates of post-traumatic stress disorder (PTSD) up to 5 times higher than the general population. Individuals living with HIV and a concurrent diagnosis of PTSD have poorer HIV-related outcomes; however, the prevalence and impact of PTSD on African-American WLHIV seeking mental health treatment is unknown. The aim of this study is to examine the associations between PTSD symptoms with psychiatric symptom severity and psychological/religious coping strategies in African-American WLHIV who are seeking mental health treatment. This is a cross-sectional study of 235 African-American WLHIV attending an urban community mental health clinic. Bivariate analyses were conducted to evaluate associations between a PTSD symptoms scale (PSS ≥ 21 versus PSS < 21) and (1) psychiatric severity, (2) coping strategies, and (3) religious coping strategies. Thirty-six percent reported symptoms consistent with PTSD (PSS ≥ 21). These women were significantly more likel...

Changes in coping strategies, relationship to the perpetrator, and posttraumatic distress in female crime victims

Journal of Traumatic Stress, 2006

This study examined the relationship between changes in coping and posttraumatic stress disorder (PTSD) symptomatology among recent female rape and physical assault victims as a function of assault type and perpetrator status. Participants were assessed within 1 month after trauma and again at 3 months after trauma. Results indicate that changes in coping strategies over time are associated with the severity of the PTSD symptoms. Assault type was not a significant factor in the association between changes in coping and PTSD, but perpetrator status was. Victims with known perpetrators, who coped more by social withdrawal, had more severe PTSD symptoms over time. The importance of examining the dynamic nature of coping in the development of PTSD is discussed.