Psychological Distress and Intimate Physical and Sexual Abuse among Women in Methadone Maintenance Treatment Programs

Abstract

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Age and HIV Sexual Risk among Women in Methadone Treatment

“…Gender analyses of the Marsh et al [80] findings suggest that mental health and concrete services play a greater role for women than men in reducing post-treatment substance use. Taken together with the large number of women with substance use problems who experience depression and PTSD, and the complex ways in which PTSD and psychological distress influence HIV sexual risk behavior, this body of research and our findings reinforce the value of integrated mental health assessment and intervention strategies in substance use treatment to support women's well-being and to reduce their HIV risk [78,82,83]. Additionally, our findings, in conjunction with prior studies [36,78], suggest that emerging research regarding gender-specific, integrated substance abuse and mental health treatment for women [84][85][86][87] is a priority because of its potential to affect not only substance use and mental health outcomes, but also HIV sexual risk and exposure to intimate partner violence.…”

The connections between childhood sexual abuse and human immunodeficiency virus infection: Implications for interventions

“…Studies suggest that adults who experience CSA are at greater risk of sexual revictimization (Simoni & Ng, 2002), development of PTSD (Schiff, El-Bassel, Engstrom, & Gilbert, 2002), experiencing of psychological problems (depression, anxiety) (Browne & Finkelhor, 1986), and difficulty in intimate relationships (Romans, Martin, & Mullen, 1997). However, not all women who experience CSA report negative outcomes (Beitchman et al, 1992;Di Palma, 1994).…”

“…Between 32% and 76% of HIV-infected women report childhood sexual abuse across various studies (Liebschutz, Feinman, Sullivan, Stein, & Samet, 2000;Schiff et al, 2002). According to Kalichman and colleagues (2002), 35% of men and 68% of women who have HIV reported a history of sexual assault since the age of 15; many of them also experienced abuse as children.…”

The Effect of Early Maltreatment, Victimization, and Partner Violence on HIV Risk Behavior Among Homeless Young Adults

“…Homeless youth and young adults are at higher risk for contracting HIV as a result of their lifestyles and participation in high risk behaviors. Failure to identify various forms of victimization among this population, including partner violence, may result in inadequate treatment and continued exposure, which may have long-term effects, including psychological distress and substance abuse [38,39].…”