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Associations between sexual abuse and family conflict/violence, self-injurious behavior, and substance use: The mediating role of depressed mood and anger

Results/discussion

  • Depressed mood may explain, at least in part, the relationship between stressful life events and self-injurious behavior
  • The effects of sexual abuse and family conflict/violence on substance use were much stronger through anger than through depressed mood.
  • Depressed mood did not exert significant effects on substance use among females and males, after the effects of anger had been accounted for.
  • Studies manifesting depressed mood as an important predictor for substance use among stressed youth, but have not taken the effects of anger into account in the same model, may have overestimated the effects of depressed mood as opposed to anger on this form of delinquency
  • The direct effects of sexual abuse on self-injurious behaviour were stronger for females than males
  • Direct effects of family conflict/violence on substance use were stronger for males than females.
  • These results are in accordance with previous studies;
  • Females are more likely than males to respond to stressful life events, including sexual abuse, with internalizing symptoms
  • Males may be more likely to exhibit externalizing symptoms in reaction to certain stressful events

Aims

Hypotheses

  • Depressed mood, related to sexual abuse and family conflict/violence, would be a stronger predictor of self-injurious behaviour than anger.
  • Anger related to sexual abuse and family conflict/violence, however, was hypothesised to be a stronger predictor of substance use than depressed mood.
  • Females would be more likely to respond to sexual abuse and family conflict/violence with internalizing problems while males would be more likely to respond to these events with externalizing problems.

In general

  • To examine the indirect effects of sexual abuse and family conflict/violence on substance use and self-injurious behavior through the emotional reactions of anger and depressed mood.
  • To test whether the relationships under study differed by gender.
  • These results indicate that family conflict/violence exacerbates externalizing problems among males, while sexual abuse exacerbates internalizing problems among females.
  • These results are in line with the suggestions that males and females may react differently to particular stressors
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