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No abstract

Objectification has been conceptualized as a form of insidious trauma, but the specific relationships among objectification experiences, self-objectification, and trauma symptoms have not yet been investigated. Participants were women with (n = 136) and without (n = 201) a history of sexual trauma. They completed a survey measuring trauma history, objectification experiences (body evaluation and unwanted sexual advances), constructs associated with self-objectification (body surveillance and body shame), and trauma symptoms. The relationships among the variables were consistent for both women with and without a history of sexual trauma. Our hypothesized path model fit equally well for both groups. Examination of the indirect effects showed that experiencing unwanted sexual advances was indirectly related to trauma symptoms through body shame for those with and without a history of sexual trauma. Additionally, for women with a history of sexual trauma, the experience of body evaluation was indirectly related to trauma symptoms through the mediating variables of body surveillance and body shame. The data indicate that the experience of sexual objectification is a type of gender-based discrimination with sequelae that can be conceptualized as insidious trauma. Clinicians may consider the impact of these everyday traumatic experiences when working with women who have clinical symptoms but no overt trauma history.

This study sought to: (1) determine the prevalence of gambling disorder using the Diagnostic and Statistical Manual of Mental Disorders Version 5 (DSM-5; American Psychiatric Association in Diagnostic and statistical manual of mental disorders, American Psychiatric Publishing, Arlington, 2013) criteria; (2) identify the frequency and amount of money spent on gambling behaviors; and (3) determine demographic and treatment related predictors associated with gambling disorder in a substance using population. People receiving methadone maintenance treatment (N = 185) in an urban medical center consented to participate in the study. We used DSM-5 criteria to assess the 12-month prevalence of gambling disorder. Questions adapted from a previously developed measure were used to identify, describe and quantify the frequency of use and amount of money spent on gambling behaviors. Most participants were African-American (71.4 %), male (54.1 %), unmarried (76.8 %), unemployed (88.1 %) and had an income of <$20,000 (88.5 %). On average, participants were receiving 81.0 mg of methadone (SD: 22.8) daily. Nearly half (46.2 %) of participants met DSM-5 criteria for gambling disorder. Compared to those without gambling disorder, those with gambling disorder did not differ significantly with respect to demographic characteristics nor methadone dose. However, those with gambling disorder had been in methadone maintenance treatment for significantly less time. Those with gambling disorder were significantly more likely to report engaging in a variety of gambling behaviors. Given that the 12-month prevalence of DSM-5 defined gambling disorder was nearly 50 % future efforts to screen and treat gambling disorder in the context of methadone maintenance treatment are clearly warranted.

Commonly used brief screens for Gambling Disorder appear to be associated with good diagnostic accuracy when used in substance use treatment settings. The choice of which brief screen to use may best be decided by the needs of the clinical setting.