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Association of depression, pain, resilience, social support with post-traumatic stress in sexual abuse: A quantile regression approach

Authors
 Sunah Kim  ;  Suin Park  ;  Go-Un Kim 
Citation
 NURSING & HEALTH SCIENCES, Vol.23(3) : 611-619, 2021-09 
Journal Title
NURSING & HEALTH SCIENCES
ISSN
 1441-0745 
Issue Date
2021-09
MeSH
Adolescent ; Adult ; Child Abuse, Sexual / psychology* ; Cross-Sectional Studies ; Depression / psychology* ; Humans ; Pain / psychology* ; Resilience, Psychological* ; Sex Offenses / psychology* ; Social Support* ; Stress Disorders, Post-Traumatic / epidemiology ; Stress Disorders, Post-Traumatic / psychology* ; Young Adult
Keywords
child abuse ; post-traumatic stress ; sex offenses ; sexual abuse resilience
Abstract
Post-traumatic stress levels and factors influencing the sexual abuse period may differ between victims. This cross-sectional study conducted a secondary analysis of primary online survey data extracted from a previous study. We examined the extent of trauma (types, timing) and depression, pain, resilience, and social support associated with post-traumatic stress affecting the post-traumatic stress percentile. Among 3000 adults aged 19-65 years, 1223 adults experienced childhood sexual abuse, adulthood sexual abuse, or childhood and adulthood sexual abuse. We conducted descriptive statistics, multiple linear regression, and simultaneous quantile regression. Quantile regression analysis showed the 80th percentile groups in childhood sexual abuse, education, depression, and social support were significantly associated with post-traumatic stress. Depression was significantly and positively associated with post-traumatic stress. Resilience was significantly and negatively associated with post-traumatic stress in adulthood sexual abuse victims. Depression and pain were significantly and positively associated with post-traumatic stress in childhood and adulthood sexual abuse victims. Post-traumatic stress severity and influencing factors differed according to victims' age when the sexual abuse occurred, implying interventions should be tailored to each victim's post-traumatic stress level.
Full Text
https://onlinelibrary.wiley.com/doi/10.1111/nhs.12815
DOI
10.1111/nhs.12815
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Go-Un(김고운) ORCID logo https://orcid.org/0000-0001-7191-5134
Kim, Sun Ah(김선아) ORCID logo https://orcid.org/0000-0001-5922-6598
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187809
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