Author ORCID Identifier

https://orcid.org/0000-0002-5551-7942

Date Available

11-12-2023

Year of Publication

2023

Degree Name

Master of Science (MS)

Document Type

Master's Thesis

College

Arts and Sciences

Department/School/Program

Psychology

First Advisor

Dr. Christal L. Badour

Abstract

Violence victimization and posttraumatic stress disorder (PTSD) are prevalent among individuals with substance use disorders (SUDs). Current evidence is mixed regarding the impact they have on substance use-related treatment outcomes and few studies have examined victimization and PTSD symptoms together in the same model. The current study will evaluate whether there is an indirect effect of past year victimization on substance use-related treatment outcomes through the pathway of PTSD symptom severity, among a subsample of 1,613 adult men and women reporting a lifetime history of victimization who participated in the Kentucky Treatment Outcome Study (KTOS), a statewide study evaluating federally- and state-funded substance use treatment programs. Gender will be examined as a moderator. It is expected that past year victimization and PTSD symptoms will be highly prevalent in our sample and will be associated with poorer substance use-related treatment outcomes. It is also expected that there will be an indirect effect of past year victimization on substance use-related treatment outcomes through the pathway of PTSD symptom severity and that the relationship between past year victimization and PTSD symptom severity will be stronger in women than in men.

Funding Information

Lyman T. Johnson Fellowship 2020-2023, The UNited In True Equity Predoctoral Research Enhancement Program 2022-2023

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