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Archives of Sexual Behavior

, Volume 48, Issue 3, pp 975–986 | Cite as

A Longitudinal Examination of Posttraumatic Stress Disorder Symptoms and Risky Sexual Behavior: Evaluating Emotion Dysregulation Dimensions as Mediators

  • Nicole H. Weiss
  • Kate Walsh
  • David D. DiLillo
  • Terri L. Messman-Moore
  • Kim L. GratzEmail author
Original Paper

Abstract

Posttraumatic stress disorder (PTSD) has been linked to a wide array of risky and health-compromising behaviors, including risky sexual behavior (RSB). Cross-sectional studies reveal positive associations between emotion dysregulation and both PTSD and RSB. This study extended that work by exploring whether intermediate levels of emotion dysregulation across multiple dimensions account for the relation between baseline PTSD symptoms and RSB (i.e., number of vaginal sex partners, number of instances of condomless sex, and number of instances of risky/impulsive sex) 16 months later. Participants were 447 trauma-exposed young adult women from the community (60.0% White; M age = 21.80 years) who completed five assessments (separated by 4-month increments) over a 16-month period. Baseline PTSD symptoms were significantly positively associated with all emotion dysregulation dimensions at 8 months and the number of instances of risky/impulsive sex at 16 months. Further, results revealed significant indirect effects of baseline PTSD symptoms on (1) 16-month vaginal sex partners through both the nonacceptance of negative emotions and difficulties controlling impulsive behaviors when distressed at 8-month and (2) 16-month risky/impulsive sex through difficulties engaging in goal-directed behaviors when distressed at 8 months. Results provide support for the mediating roles of nonacceptance of negative emotions and difficulties controlling behaviors when distressed in the relation between PTSD symptoms and later RSB.

Keywords

Posttraumatic stress disorder Emotion dysregulation Emotion regulation Emotional nonacceptance Risky sexual behavior 

Notes

Acknowledgements

This research was supported by National Institute of Child Health and Human Development Grant R01 HD062226, awarded to the third author (DD). Work on this paper by the first author (NHW) was supported by National Institute on Drug Abuse Grants K23 DA039327, T32 DA019426, and L30 DA038349.

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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of Rhode IslandKingstonUSA
  2. 2.Department of PsychologyYeshiva UniversityBronxUSA
  3. 3.Department of PsychologyUniversity of Nebraska-LincolnLincolnUSA
  4. 4.Department of PsychologyMiami UniversityOxfordUSA
  5. 5.Department of PsychologyUniversity of ToledoToledoUSA

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