ALCOHOL AND DATING RISK FACTORS FOR SEXUAL ASSAULT AMONG COLLEGE WOMEN

American societal norms frequently link alcohol, dating, and sexuality. This cross-sectional study examined the role of alcohol and dating risk factors for sexual assault among a representative sample of female students at a large urban university. Over half of the 1,160 women had experienced some form of sexual assault. Ninety-five percent of these assaults were committed by someone the woman knew and almost half of these assaults involved alcohol consumption by either the man, the woman, or both. Discriminant function analyses indicated that dating, sexual, and misperception experiences and alcohol consumption during these experiences predicted assault group status. Furthermore, alcohol consumption during consensual sex and sexual misperceptions were positively related to alcohol consumption during the sexual assault. The predictors of assault group status were similar for African American and Caucasian women. Theoretical implications are discussed and suggestions are made for combining alcohol and sexual assault prevention programming.     

SEXUAL HARASSMENT AND ASSAULT

An extensive body of literature has documented the widespread and damaging nature of sexual harassment and assault on college campuses, yet little research has investigated the impact of such victimization on the academic climate. This study examined experiences of sexual harassment and assault among 1,037 female undergraduate and graduate students, with a particular focus on educational outcomes. Multivariate analyses of variance revealed significant negative effects of harassment and assault on perceptions of academic climate. We also investigated the extent and effects of double victimization (i.e., experiences of both harassment and assault), as well as the relationships among sexual harassment types, incidence rates, and frequencies. Issues of sexual orientation and race/ethnicity are explored throughout the article, with membership in different groups affecting victimization incidence rates as well as harassment labeling.     

SEXUAL ASSAULT HISTORY AND WOMEN'S REPRODUCTIVE AND SEXUAL HEALTH

Associations of sexual assault history with reproductive and sexual symptoms were evaluated in 3,419 women randomly selected from two communities. Sexual assault was associated with excessive menstrual bleeding, genital burning, and painful intercourse (whether or not attributable to disease or injury), medically explained missing two menstrual periods, and medically unexplained dysmenorrhea, menstrual irregularity, and lack of sexual pleasure. Physically violent assaults and those committed by strangers were most strongly related to reproductive symptoms. Multiple assaults, assaults accomplished by persuasion, spouse assault, and completed intercourse were most strongly related to sexual symptoms. Assault was occasionally associated more strongly with reproductive symptoms among women with lower income or less education, possibly because of economic stress or differences in assault circumstances. Associations with unexplained menstrual irregularity were strongest among African American women; ethnic differences in reported circumstances of assault appeared to account for these differences. Assault was associated with sexual indifference only among Latinas.     

RISK PERCEPTION, RAPE, AND SEXUAL REVICTIMIZATION: A PROSPECTIVE STUDY OF COLLEGE WOMEN

Risk perception was examined in relation to sexual victimization among 262 college women. Participants were presented with written vignettes that described hypothetical situations with a stranger and with an acquaintance. Participants' hypothetical decision to leave a potentially risky situation with an acquaintance predicted rape and revictimization during an 8-month follow-up period. Revictimized participants had significantly delayed responses compared to previously victimized respondents who were not revictimized. Multivariate models indicated that prior victimization and delayed risk response increased vulnerability for rape and other forms of sexual victimization. Results highlight the need to assess multiple aspects of risk perception, including threat identification and behavioral responses to hypothetical or real situations. Findings suggest that delayed response to danger cues might be one factor that increases vulnerability for revictimization by acquaintances.     

EVALUATION OF A SEXUAL ASSAULT RISK REDUCTION AND SELF-DEFENSE PROGRAM: A PROSPECTIVE ANALYSIS OF A REVISED PROTOCOL

The current study extends the development and evaluation of an existing and previously evaluated sexual assault risk reduction program with a self-defense component for college women ( N = 300). The program protocol was revised to address psychological barriers to responding assertively to risky dating situations, and a placebo-control group was utilized rather than a wait-list control group. Relative to the placebo-control group, the program was effective in increasing levels of self-protective behaviors, self-efficacy in resisting against potential attackers, and use of assertive sexual communication over a 4-month interim. Results also suggested reduction of incidence of rape among program participants over the 2-month follow-up. Implications for future development and evaluation of sexual assault risk reduction programming are presented.     

PSYCHOTHERAPISTS'KNOWLEDGE ABOUT AND ATTITUDES TOWARD SEXUAL ASSAULT VICTIM CLIENTS

The present research investigated the question of how therapists'attitudes toward sexual assault victims predict their inferences about and treatment of clients. In addition, this study asked the following questions: (a) What percentage of female psychotherapy clients have been victims of sexual assault? (b) What treatment approaches are therapists using with victims and what attitudes toward victims do these therapists hold? (c) On the average, which demographic groups of therapists hold the most positive views of victims and are the most knowledgeable about working with victims? The results of the study indicated that therapists who held negative attitudes toward victims were more likely to endorse victim-blaming themes and therapeutic treatments which blame victims for sexual assault. Of therapists'current female clients, 18.5% ( n = 257) had been sexually assaulted at some point in their lives. On the average, therapists were knowledgeable about working with victims and showed positive attitudes toward victims.     

SEXUAL ASSAULT EXPERIENCE IN ADULTHOOD AND PRIOR VICTIMIZATION EXPERIENCES

Several retrospective investigations of sexual assault have assessed the extent to which a sexual victimization experience early in life is a risk factor for a subsequent victimization experience. The present investigation was an attempt to extend previous work by conducting a prospective analysis of sexual assault in a sample of 857 college women to assess the pathways through which victimization experiences become linked. The design was such that both victims'and nonvictims'history of child and adolescent sexual victimization experiences were assessed prior to their most recent assault experience. Psychological functioning was also assessed utilizing standardized measures of depression and anxiety. After the assault experience, psychological functioning of victims was reassessed, and nonvictims were reassessed after a comparable period of time. Results of the path analysis indicated that a sexual victimization early in life is a risk factor for an adult victimization experience. Furthermore, the results revealed a link between psychological functioning and victimization experiences. The discussion emphasizes clinical implications of these findings and suggested avenues for future research.     

A COMPARISON OF GROUP AND INDIVIDUAL SEXUAL ASSAULT VICTIMS

The experiences of 44 group sexual assault victims (multiple offenders, one victim) were compared with 44 individual sexual assault victims (one offender, one victim). Sexual assaults included various degrees of sexual victimization ranging from verbal coercion to rape. Participants were located from among a national sample of 3,187 college women. Group sexual assaults, compared to individual sexual assaults, were in general more violent, involved greater resistance from the victims, and were more likely to be perpetrated by strangers or relatives and to involve an experience which met the legal definition of rape. Group sexual assaults were less likely to involve multiple episodes by the same offender(s). Group sexual assault victims were more likely than individual sexual assault victims to seek police and crisis services, to have contemplated suicide, and to have sought therapy postassault. Despite these differences, the two groups were similar in the amount of drinking and drug use during the assault and their scores on standardized measures of psychological symptoms.     

SEVERITY OF CHILD SEXUAL ABUSE AND REVICTIMIZATION: THE MEDIATING ROLE OF COPING AND TRAUMA SYMPTOMS

Child sexual abuse (CSA) has consistently been associated with the use of avoidant coping; these coping methods have been associated with increased trauma symptoms, which have, in turn, been linked to increased risk for adult sexual revictimization. Given these previous findings, the purpose of the current study was to test a model that conceptualized the relationships among these variables. Specifically, CSA severity was conceptualized as leading to the use of avoidant coping, which was proposed to lead to maintenance of trauma symptoms, which would, in turn, impact severity of revictimization indirectly. This comprehensive model was tested in a cross-sectional study of a large, geographically diverse sample of college women. Participants were 99 female undergraduates classified as having experienced CSA who completed measures of abuse history, coping style, current levels of trauma symptoms, and adult sexual revictimization. Multivariate path analysis indicated that the data fit the hypothesized model for verbally coercive, but not physically aggressive, revictimization. Specifically, increased CSA severity was associated with the use of avoidant coping, which, in turn, predicted greater levels of trauma symptomatology and severity of sexual coercion in adulthood. Although cross-sectional in nature, findings from this study suggest that coping strategies and trauma symptoms may represent modifiable factors that place women at increased risk for verbally coercive sexual revictimization.     

THE EFFECTS OF DEFENDANT AND COMPLAINANT INTOXICATION ON MOCK JURORS' JUDGMENTS OF SEXUAL ASSAULT

The present study investigates the impact of participant gender, rape-myth beliefs, and alcohol intoxication on the part of either the defendant and/or alleged victim on mock jurors' decisions within the context of a sexual-assault trial. Participants ( N = 152) were exposed to a sexual-assault case in which the beverage consumption (alcohol, cola) on the part of both the defendant and complainant prior to the sexual intercourse was varied systematically. Results indicated that when the defendant had consumed alcohol, as opposed to cola, participants were more likely to view the case as one of assault, to perceive the defendant as less credible, and to find the defendant guilty. When the complainant had consumed alcohol, as opposed to cola, participants found the complainant's claim less credible and were less likely to view the defendant as guilty. In addition, participants' rape-myth acceptance, which was related to guilt, mediated the relation between gender of participant and guilt.     

SIMILARITIES AND DIFFERENCES IN WOMEN'S SEXUAL ASSAULT EXPERIENCES BASED ON TACTICS USED BY THE PERPETRATOR

Only a few studies have examined the characteristics of sexual assault based on the tactics used by the perpetrator. In this study we compared the experiences of women who were forced to engage in vaginal, anal, or oral intercourse due to verbal coercion, physical force, or intoxication. Random-digit dialing was used to obtain a sample of 272 single African American and Caucasian women between the ages of 18 and 49 from the Detroit metropolitan area. Participants completed a computer-assisted self-interview that asked detailed questions about a past sexual assault and their reactions to it. Among the 139 women who were forced to engage in vaginal, anal, or oral intercourse, sexual assaults that involved physical force produced the most severe negative outcomes. Situations that involved the woman being too intoxicated to resist differed from others primarily in terms of how much alcohol the man and woman consumed. Although all types of sexual assault were perceived as being at least moderately serious, verbally coerced assaults were on average perceived as being least serious. These findings suggest that the perpetrators' tactics affect women's responses to sexual assault.     

STRUCTURAL MODELS OF THE RELATIONS OF ASSAULT SEVERITY, SOCIAL SUPPORT, AVOIDANCE COPING, SELF-BLAME, AND PTSD AMONG SEXUAL ASSAULT SURVIVORS

A number of studies have identified which survivors of sexual assault are more likely to develop symptoms of posttraumatic stress disorder (PTSD). Most correlates that have been identified have been at the individual level. Insufficient attention has been given to whether survivors' social interactions impact their individual responses to assault and subsequent levels of psychological symptomatology. In this study, a large, diverse sample of community-residing women ( N = 636) was surveyed. Structural equation modeling was used to examine the relationships between assault severity, global support, negative social reactions, avoidance coping, self-blame, traumatic life experiences, and PTSD symptoms. The results suggest that negative social reactions and avoidance coping are the strongest correlates of PTSD symptoms and that the association typically observed between victim self-blame and PTSD symptoms may be partially due to the effect of negative social reactions from others. These reactions may contribute to both self-blame and PTSD. Implications for future research and clinical practice are discussed.     

SOCIAL REACTIONS, COPING STRATEGIES, AND SELF-BLAME ATTRIBUTIONS IN ADJUSTMENT TO SEXUAL ASSAULT

The present study investigated the impact of social reactions of others to sexual-assault victims on disclosure of their victimization. A convenience sample of adult sexual-assault victims (N = 155) completed a mail survey in which they reported information about their sexual assaults and postassault experiences. As expected, all negative social reactions were strongly associated with increased psychological symptoms, whereas most positive social reactions were unrelated to adjustment. The only social reactions related to better adjustment were being believed and being listened to by others. Victims experiencing negative social reactions also reported poorer adjustment even when other variables known to affect psychological recovery were controlled. Avoidance coping mediated the association of negative social reactions with adjustment. Implications of these findings for research and treatment of sexual-assault survivors are discussed.     

THE EFFECTS OF FRAME OF REFERENCE ON RESPONSES TO QUESTIONS ABOUT SEXUAL ASSAULT VICTIMIZATION AND PERPETRATION

Self-reports of sexual assault are affected by a variety of factors including the number of questions, question phrasing, and context. Participants (307 women, 166 men) were randomly assigned to one of two forms of a questionnaire. One form had the tactics used to obtain forced sex as the initial frame of reference, whereas the other form had the type of sex that was forced as the initial frame of reference. Seventy-five percent of the women who received the tactics-first version reported that they had at least one victimization experience since the age of 14, as compared to 62% of the women who received the type-of-sex-first version. Sixty-nine percent of the men who received the tactics-first version reported that they had at least one perpetration experience since the age of 14, as compared to 36% of the men who received the type-of-sex-first version. These findings have implications for how questionnaires should be designed to maximize reporting of sexual assault incidents.     

THE SEXUAL ASSAULT AND SECONDARY VICTIMIZATION OF FEMALE VETERANS: HELP-SEEKING EXPERIENCES WITH MILITARY AND CIVILIAN SOCIAL SYSTEMS

A sample of predominantly low-income, African American female veterans and reservists seeking health care in a Veterans' Administration medical clinic was screened for a history of sexual assault since age 18. Overall, 39% had been sexually assaulted in adulthood. Those who had been sexually victimized were asked to describe one assault incident in detail: 38% described an assault that occurred during military service and 62% described one that occurred before or after military service. This study also examined victims' postassault help-seeking experiences and the degree to which they encountered "secondary victimization" (i.e., victim-blaming behaviors and practices engaged in by legal and medical personnel, which exacerbates victims' trauma). Most victims who sought help from the legal or medical systems (military or civilian) reported that this contact made them feel guilty, depressed, anxious, distrustful of others, and reluctant to seek further help. Secondary victimization was significantly positively correlated with posttraumatic stress symptomatology.     

SEXUAL ASSAULT EDUCATION PROGRAMS: A META-ANALYTIC EXAMINATION OF THEIR EFFECTIVENESS

Meta-analyses of the effectiveness of college sexual assault education programs on seven outcome measure categories were conducted using 69 studies that involved 102 treatment interventions and 18,172 participants. Five of the outcome categories had significant average effect sizes (i.e., rape attitudes, rape-related attitudes, rape knowledge, behavioral intent, and incidence of sexual assault), while the outcome areas of rape empathy and rape awareness behaviors did not have average effect sizes that differed from zero. A significant finding of this study is that longer interventions are more effective than brief interventions in altering both rape attitudes and rape-related attitudes. Moderator analyses also suggest that the content of programming, type of presenter, gender of the audience, and type of audience may also be associated with greater program effectiveness. Implications for research and practice are discussed.     

THE EVALUATION OF A SEXUAL ASSAULT SELF-DEFENSE AND RISK-REDUCTION PROGRAM FOR COLLEGE WOMEN: A PROSPECTIVE STUDY

The present study evaluated the efficacy of a sexual assault risk-reduction program that included a physical self-defense component for college women ( N = 500). Program group women significantly increased their protective behaviors over the 6-month follow-up period compared to the waiting-list control group. However, there were no significant differences between the two groups regarding rates of sexual victimization, assertive communication, or feelings of self-efficacy over the follow-up periods. Program group women who were victimized during the 3-month follow-up period evidenced less self-blame and greater offender blame for their assaults than control group women who were victimized following the program. Given that program women evidenced a greater awareness of sexual assault at the end of the study than control group women, the difficulty in addressing the impact of programming on rates of sexual victimization is discussed.     

PTSD SYMPTOMS AND SELF-RATED RECOVERY AMONG ADULT SEXUAL ASSAULT SURVIVORS: THE EFFECTS OF TRAUMATIC LIFE EVENTS AND PSYCHOSOCIAL VARIABLES

Prior research has demonstrated that self-blame is predictive of more posttraumatic stress disorder (PTSD) symptoms and poorer recovery ( Frazier, 2003 ; Koss, Figueredo, & Prince, 2002 ), and perceived control over recovery is associated with less distress ( Frazier, 2003 ) in adult sexual assault (ASA) survivors. A structural equation model was tested to examine the role of traumatic events, self-blame, perceived control over recovery, and coping strategies on PTSD symptoms and self-rated recovery in women ASA survivors. Adaptive coping partially mediated the effects of other traumas, self-blame, and perceived control over recovery on PTSD symptoms and showed a small positive association with increased PTSD symptoms. As hypothesized, maladaptive coping partially mediated the effects of other traumas, self-blame, and perceived control over recovery on both PTSD symptoms and self-rated recovery; greater maladaptive coping was associated with increased PTSD symptoms and lower self-rated recovery. Implications and directions for future research are discussed.