ArticlePsychological trauma : theory, research, practice and policy2017
The role of substance use coping in the relation between childhood sexual abuse and depression among methamphetamine users in South Africa.
Article in Psychological trauma : theory, research, practice and policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Key risk factors for substance use among female sex workers in Soweto and Klerksdorp, South Africa: A cross-sectional study.PloS one · 2022Trial
- Sexual assault experience, depression, and heavy substance use among German adults: an exploratory mediation analysis.BMC public health · 2025Article
- Trauma as a mediator of childhood adversity and mental illness in South Africa: A path analysis.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Exploring hypermasculinity as a moderator between sexual violence victimization and adverse mental health effects among sentenced incarcerated men.Journal of men's health · 2024Article
- Depression and Substance Use as Consequences of Exposure to Family Violence: A Moderation Mediation and Self-Medication Hypothesis Study.Journal of child & adolescent trauma · 2023Article
- Understanding Repeat Positive HIV Testing in South Africa Under Changing Treatment Guidelines.AIDS and behavior · 2022Article
- Amphetamine-type stimulant use and self-harm: protocol for a systematic review of observational studies.BMJ open · 2022Article
- Correlates of Aggression in Men With Methamphetamine Use Disorder: Childhood Trauma and Methamphetamine-Use Characteristics.Frontiers in psychiatry · 2022Article
- Article
- Service providers' perceptions of barriers to the implementation of trauma-focused substance use services for women in Cape Town, South Africa.The International journal on drug policy · 2020Article
- Article
- Burden of depressive symptoms and non-alcohol substance abuse; and their association with alcohol use and partner violence: a cross-sectional study in four sub-Saharan Africa countries.Global mental health (Cambridge, England) · 2018Article
- Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women.Patient preference and adherence · 2018Article
- Effects of social and spatial contexts on young latinas' methamphetamine use initiation.Journal of ethnicity in substance abuseArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveChildhood sexual abuse (CSA) is a critical global health issue associated with poor psychosocial outcomes. Individuals with CSA histories are at risk for drug use, which is a growing problem in the Western Cape of South Africa. The present study of methamphetamine users in this region examined whether substance use coping, a contextually relevant type of avoidance-based coping, mediates the relation between CSA and depressive symptoms.
methodParticipants included 161 men and 108 women seeking treatment for methamphetamine use. Participants completed a computer-assisted survey and a face-to-face interview with clinic staff to evaluate history of CSA, current substance use severity and coping, and current depressive symptoms.
resultsNearly a third of participants reported a history of CSA, and the average methamphetamine use severity score exceeded the threshold of high risk. A history of CSA was significantly associated with higher substance use coping and more depression symptoms. Substance use coping was a significant mediator of the association between CSA and depression symptoms.
conclusionsIn this study of high-risk methamphetamine users, substance use coping emerged as a common means of managing stress, especially for those with a history of CSA, which was further linked to depressive symptoms. These findings underscore the potential benefit of integrating coping interventions and mental health treatment into substance abuse treatment programs, particularly for those with a history of childhood abuse and violence. (PsycINFO Database Record
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