TY  - JOUR
PY  - 2013//
TI  - Modeling the relationship between trauma and psychological distress among HIV-positive and HIV-negative women
JO  - Psychological trauma: theory, research, practice, and policy
A1  - Delany-Brumsey, Ayesha
A1  - Joseph, Nataria T.
A1  - Myers, Hector F.
A1  - Ullman, Jodie B.
A1  - Wyatt, Gail Elizabeth
SP  - 69
EP  - 76
VL  - 5
IS  - 1
N2  - This study investigated the association between cumulative exposure to multiple traumatic events and psychological distress, as mediated by problematic substance use and impaired psychosocial resources. A sample of HIV-positive and HIV-negative women were assessed for a history of childhood and adult sexual abuse and nonsexual trauma as predictors of psychological distress (i.e., depression, nonspecific anxiety, and posttraumatic stress), as mediated by problematic alcohol and drug use and psychosocial resources (i.e., social support, self-esteem, and optimism). Structural equation modeling confirmed that cumulative trauma exposure is positively associated with greater psychological distress and that this association is partially mediated through impaired psychosocial resources. However, although cumulative trauma was associated with greater problematic substance use, substance use did not mediate the relationship between trauma and psychological distress.<p />
LA  - 
SN  - 1942-9681
UR  - http://dx.doi.org/10.1037/a0022381
ID  - ref1
ER  -