Posttraumatic Stress Symptoms and Emerging Adult Sexual Minority Men: Implications for Assessment and Treatment of Childhood Sexual Abuse

Michael S. Boroughs, Peter P. Ehlinger, Abigail W. Batchelder, Steven Safren, Conall O'Cleirigh

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Emerging adulthood (EA) is a developmental period marked by unique challenges that affect health including burgeoning occupational, relational, and financial stability; and increased risk taking in terms of sexual behavior(s) and substance use. Data were collected from 296 HIV-uninfected sexual minority men with childhood sexual abuse (CSA) histories. We analyzed baseline assessment data from a multisite randomized controlled trial that tested the efficaciousness of an experimental psychosocial treatment and examined vulnerabilities known to be linked with CSA. Our analyses compared EA sexual minority men, aged 18–29, with older sexual minority men (OSMM) on posttraumatic stress disorder (PTSD) and other mental health and substance use outcomes. We found higher odds of PTSD, odds ratio (OR) = 0.57, 95% CI [0.33, 0.96]; panic disorder or panic disorder with agoraphobia, OR = 0.36, 95% CI [0.16, 0.85]; and cocaine use, OR = 0.50, 95% CI [0.25, 0.97], among OSMM and higher odds of alcohol intoxication, OR = 5.60, 95% CI [3.20, 9.82]; cannabis use, OR = 3.09, 95% CI [1.83, 5.21]; and non-HIV sexually transmitted infections, OR = 3.03, 95% CI [1.29, 7.13], among the EA men. These results present a complex picture of health risks among sexual minority men in general and EA sexual minority men in particular. HIV seroconversion linked health risk behaviors, among sexual minority men, may be better addressed via increased attention to treating trauma and comorbid mental health and substance use problems using evidence-based psychosocial assessments and integrated treatment platforms that are tailored to this population.

Original languageEnglish (US)
Pages (from-to)665-675
Number of pages11
JournalJournal of Traumatic Stress
Volume31
Issue number5
DOIs
StatePublished - Oct 1 2018

Fingerprint

Sex Offenses
Odds Ratio
Panic Disorder
Therapeutics
Post-Traumatic Stress Disorders
Risk-Taking
Mental Health
Health
HIV Seropositivity
Agoraphobia
Alcoholic Intoxication
Sexual Minorities
Cannabis
Sexually Transmitted Diseases
Cocaine
Sexual Behavior
Randomized Controlled Trials
HIV
Wounds and Injuries
Population

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Posttraumatic Stress Symptoms and Emerging Adult Sexual Minority Men : Implications for Assessment and Treatment of Childhood Sexual Abuse. / Boroughs, Michael S.; Ehlinger, Peter P.; Batchelder, Abigail W.; Safren, Steven; O'Cleirigh, Conall.

In: Journal of Traumatic Stress, Vol. 31, No. 5, 01.10.2018, p. 665-675.

Research output: Contribution to journalArticle

Boroughs, Michael S. ; Ehlinger, Peter P. ; Batchelder, Abigail W. ; Safren, Steven ; O'Cleirigh, Conall. / Posttraumatic Stress Symptoms and Emerging Adult Sexual Minority Men : Implications for Assessment and Treatment of Childhood Sexual Abuse. In: Journal of Traumatic Stress. 2018 ; Vol. 31, No. 5. pp. 665-675.
@article{c35cd9dfd70240d7b69b56608afb09a9,
title = "Posttraumatic Stress Symptoms and Emerging Adult Sexual Minority Men: Implications for Assessment and Treatment of Childhood Sexual Abuse",
abstract = "Emerging adulthood (EA) is a developmental period marked by unique challenges that affect health including burgeoning occupational, relational, and financial stability; and increased risk taking in terms of sexual behavior(s) and substance use. Data were collected from 296 HIV-uninfected sexual minority men with childhood sexual abuse (CSA) histories. We analyzed baseline assessment data from a multisite randomized controlled trial that tested the efficaciousness of an experimental psychosocial treatment and examined vulnerabilities known to be linked with CSA. Our analyses compared EA sexual minority men, aged 18–29, with older sexual minority men (OSMM) on posttraumatic stress disorder (PTSD) and other mental health and substance use outcomes. We found higher odds of PTSD, odds ratio (OR) = 0.57, 95{\%} CI [0.33, 0.96]; panic disorder or panic disorder with agoraphobia, OR = 0.36, 95{\%} CI [0.16, 0.85]; and cocaine use, OR = 0.50, 95{\%} CI [0.25, 0.97], among OSMM and higher odds of alcohol intoxication, OR = 5.60, 95{\%} CI [3.20, 9.82]; cannabis use, OR = 3.09, 95{\%} CI [1.83, 5.21]; and non-HIV sexually transmitted infections, OR = 3.03, 95{\%} CI [1.29, 7.13], among the EA men. These results present a complex picture of health risks among sexual minority men in general and EA sexual minority men in particular. HIV seroconversion linked health risk behaviors, among sexual minority men, may be better addressed via increased attention to treating trauma and comorbid mental health and substance use problems using evidence-based psychosocial assessments and integrated treatment platforms that are tailored to this population.",
author = "Boroughs, {Michael S.} and Ehlinger, {Peter P.} and Batchelder, {Abigail W.} and Steven Safren and Conall O'Cleirigh",
year = "2018",
month = "10",
day = "1",
doi = "10.1002/jts.22335",
language = "English (US)",
volume = "31",
pages = "665--675",
journal = "Journal of Traumatic Stress",
issn = "0894-9867",
publisher = "John Wiley and Sons Inc.",
number = "5",

}

TY - JOUR

T1 - Posttraumatic Stress Symptoms and Emerging Adult Sexual Minority Men

T2 - Implications for Assessment and Treatment of Childhood Sexual Abuse

AU - Boroughs, Michael S.

AU - Ehlinger, Peter P.

AU - Batchelder, Abigail W.

AU - Safren, Steven

AU - O'Cleirigh, Conall

PY - 2018/10/1

Y1 - 2018/10/1

N2 - Emerging adulthood (EA) is a developmental period marked by unique challenges that affect health including burgeoning occupational, relational, and financial stability; and increased risk taking in terms of sexual behavior(s) and substance use. Data were collected from 296 HIV-uninfected sexual minority men with childhood sexual abuse (CSA) histories. We analyzed baseline assessment data from a multisite randomized controlled trial that tested the efficaciousness of an experimental psychosocial treatment and examined vulnerabilities known to be linked with CSA. Our analyses compared EA sexual minority men, aged 18–29, with older sexual minority men (OSMM) on posttraumatic stress disorder (PTSD) and other mental health and substance use outcomes. We found higher odds of PTSD, odds ratio (OR) = 0.57, 95% CI [0.33, 0.96]; panic disorder or panic disorder with agoraphobia, OR = 0.36, 95% CI [0.16, 0.85]; and cocaine use, OR = 0.50, 95% CI [0.25, 0.97], among OSMM and higher odds of alcohol intoxication, OR = 5.60, 95% CI [3.20, 9.82]; cannabis use, OR = 3.09, 95% CI [1.83, 5.21]; and non-HIV sexually transmitted infections, OR = 3.03, 95% CI [1.29, 7.13], among the EA men. These results present a complex picture of health risks among sexual minority men in general and EA sexual minority men in particular. HIV seroconversion linked health risk behaviors, among sexual minority men, may be better addressed via increased attention to treating trauma and comorbid mental health and substance use problems using evidence-based psychosocial assessments and integrated treatment platforms that are tailored to this population.

AB - Emerging adulthood (EA) is a developmental period marked by unique challenges that affect health including burgeoning occupational, relational, and financial stability; and increased risk taking in terms of sexual behavior(s) and substance use. Data were collected from 296 HIV-uninfected sexual minority men with childhood sexual abuse (CSA) histories. We analyzed baseline assessment data from a multisite randomized controlled trial that tested the efficaciousness of an experimental psychosocial treatment and examined vulnerabilities known to be linked with CSA. Our analyses compared EA sexual minority men, aged 18–29, with older sexual minority men (OSMM) on posttraumatic stress disorder (PTSD) and other mental health and substance use outcomes. We found higher odds of PTSD, odds ratio (OR) = 0.57, 95% CI [0.33, 0.96]; panic disorder or panic disorder with agoraphobia, OR = 0.36, 95% CI [0.16, 0.85]; and cocaine use, OR = 0.50, 95% CI [0.25, 0.97], among OSMM and higher odds of alcohol intoxication, OR = 5.60, 95% CI [3.20, 9.82]; cannabis use, OR = 3.09, 95% CI [1.83, 5.21]; and non-HIV sexually transmitted infections, OR = 3.03, 95% CI [1.29, 7.13], among the EA men. These results present a complex picture of health risks among sexual minority men in general and EA sexual minority men in particular. HIV seroconversion linked health risk behaviors, among sexual minority men, may be better addressed via increased attention to treating trauma and comorbid mental health and substance use problems using evidence-based psychosocial assessments and integrated treatment platforms that are tailored to this population.

UR - http://www.scopus.com/inward/record.url?scp=85055171280&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85055171280&partnerID=8YFLogxK

U2 - 10.1002/jts.22335

DO - 10.1002/jts.22335

M3 - Article

C2 - 30338584

AN - SCOPUS:85055171280

VL - 31

SP - 665

EP - 675

JO - Journal of Traumatic Stress

JF - Journal of Traumatic Stress

SN - 0894-9867

IS - 5

ER -