@article {1978, title = {Testing posttraumatic stress as a mediator of physical, sexual, and psychological intimate partner violence and substance problems among women.}, journal = {Journal of traumatic stress}, volume = {22}, year = {2009}, month = {2009 Dec}, pages = {575-84}, abstract = {This study examined whether posttraumatic stress specifically resulting from intimate partner violence (IPV-related posttraumatic stress) mediated relationships between types of IPV and drug and alcohol problems among 212 women currently experiencing IPV. Six-month prevalence was high for drug use (48\%) and alcohol use (59\%). Structural equation modeling revealed that the frequency of physical, sexual, and psychological IPV were significantly and positively related to greater IPV-related posttraumatic stress, and IPV-related posttraumatic stress was significantly and positively related to drug problems. Further, IPV-related posttraumatic stress mediated the relationships between physical IPV and drug problems and psychological IPV and drug problems. Findings suggest that prevention and intervention efforts targeting posttraumatic stress among IPV-exposed women may reduce drug problems in this population.}, keywords = {Adult, Alcoholism, Causality, Coercion, Cross-Sectional Studies, Female, Humans, Interview, Psychological, Middle Aged, Models, Psychological, Rape, Risk Factors, Sex Offenses, Spouse Abuse, Statistics as Topic, Street Drugs, Stress Disorders, Post-Traumatic, Substance-Related Disorders}, issn = {1573-6598}, author = {Sullivan, Tami P and Cavanaugh, Courtenay E and Buckner, Julia D and Edmondson, Donald} }