An Examination of Disclosure,Mental Health Treatment use,and Posttraumatic Growth Among College Women Who Experienced Sexual Victimization

Few investigations have sought to identify factors associated with posttraumatic growth among survivors of sexual victimization. The present study examined the relationship between posttraumatic growth, disclosure, and mental health treatment use following sexual assault. Undergraduate female psychology students (N = 85), who reported a prior history of sexual victimization, completed measures assessing trauma exposure, posttraumatic growth, disclosure, and mental health treatment use. Results revealed that degree of disclosure of the assault to support sources and mental health treatment use following sexual assault was related to increased posttraumatic growth. Findings have valuable implications for treatment interventions for survivors of sexual trauma.     

Mediators of Posttraumatic Mental Health in Sexual Assault Survivors

The development of posttraumatic growth (PTG) and the relationship between PTG and distress outcomes in sexual assault is an important area of investigation. Recent research suggests that some forms of cognitive processing might be critical in the development, maintenance, and resolution of posttraumatic mental health among sexual assault survivors. The objective of this study was to examine factors associated with posttraumatic mental health among sexual assault survivors. Seventy-three participants who experienced sexual assault completed measures of trauma symptoms, PTG, changes in outlook, cognitive processing, and support and coping. Results revealed that significant levels of posttraumatic symptomatology and low levels of PTG were reported 3 years following sexual assault. A weak relationship was found between symptoms of distress and growth. Contrary to predictions, only ratings of hope and brooding rumination were mediators of the relationship between posttraumatic symptoms and PTG. Reflective rumination was not related to the development of PTG.     

Sexual preference, gender, and blame attributions in adolescent sexual assault

The study investigated the impact of victim sexual orientation, perpetrator gender, and participant gender on judgements toward a 15-year-old male victim of a depicted sexual assault. One hundred and eight-eight participants (97 male, 91 female) read a hypothetical scenario depicting the sexual assault of a 15-year-old male victim where the victim's sexual orientation and the perpetrator's gender were varied between subjects. Participants then completed a questionnaire assessing their attributions toward both the victim and the perpetrator. Results revealed that male participants blamed the victim more than female participants when the victim was both gay and attacked by a male perpetrator. All participants, regardless of gender, made more positive judgements toward the female as opposed to male perpetrator. Results are discussed in relation to gender role stereotypes and homophobia.     

Sexual Assault Training in the Military: Evaluating Efforts to End the “Invisible War”

Sexual assault is an insidious problem in the United States military. In 2005 the Department of Defense (DoD) created the Sexual Assault Prevention and Response Office, which centralizes responsibility for sexual assault training. However, this training initiative has undergone little evaluation by outside researchers. Addressing this need, we analyzed responses from over 24,000 active duty personnel who completed the 2010 DoD Workplace and Gender Relations Survey. We assessed whether sexual assault training exposure (None, Minimal, Partial, or Comprehensive) predicted accurate knowledge of sexual assault resources and protocols. Using a social-ecological framework, we investigated whether institutional and individual factors influenced Service members’ training exposure and judgment of training effectiveness. According to our results, exposure to comprehensive training predicted lower sexual assault incidence and superior knowledge. However, comprehensive training differed as a function of military branch, rank, gender, and sexual assault history. Judgments of training effectiveness also varied across these dimensions. Our results highlight the importance of considering context, gender, and victimization history when evaluating institutional efforts to end sexual violence. The DoD’s 2010 annual report on military sexual assault concluded that “most Active Duty members receive effective training on sexual assault” (p. 104). Our results cast doubt on that assertion.     

The importance of distinguishing between harassment-only and assault military sexual trauma during screening

Extant research demonstrates that a history of military sexual trauma (MST) is associated with PTSD and depression diagnoses as well as heightened risk for suicidal ideation and death by suicide. Past studies of MST and its sequelae typically collapse harassment-only and assault MST screening items into a single response, recorded as positive or negative for a history of MST. It is presently unclear whether assault is associated with poorer mental health outcomes relative to harassment-only MST. Female service members/Veterans (n = 656) completed an online survey assessing history (present, absent) and type (harassment-only, assault) of MST, PTSD, depression, sexual satisfaction and function symptoms, as well as suicidal ideation. Findings revealed that those who reported a history of MST, and assault more specifically, were more likely to report higher PTSD symptoms and probable PTSD diagnosis, higher depression symptoms and probable depression diagnosis, worse sexual function and probable sexual function diagnosis, lower sexual satisfaction, and presence of suicidal ideation. Those who reported harassment-only MST also reported higher PTSD severity and probable PTSD diagnosis, but the magnitude of the association of harassment-only MST and PTSD severity relative to assault MST and PTSD severity was substantially lower. Findings suggest it is critical to distinguish between history and type of MST during screening as a combined screening item loses sensitivity to identify those at heightened risk for distress and dysfunction.     

Sexual Preference,Gender, and Blame Attributions in Adolescent Sexual Assault

ABSTRACT

The study investigated the impact of victim sexual orientation, perpetrator gender, and participant gender on judgements toward a 15-year-old male victim of a depicted sexual assault. One hundred and eight-eight participants (97 male, 91 female) read a hypothetical scenario depicting the sexual assault of a 15-year-old male victim where the victim's sexual orientation and the perpetrator's gender were varied between subjects. Participants then completed a questionnaire assessing their attributions toward both the victim and the perpetrator. Results revealed that male participants blamed the victim more than female participants when the victim was both gay and attacked by a male perpetrator. All participants, regardless of gender, made more positive judgements toward the female as opposed to male perpetrator. Results are discussed in relation to gender role stereotypes and homophobia.     

Intimate Partner Violence and Drinking among Victims of Adult Sexual Assault

Intimate partner violence (IPV) is associated with problem drinking. Correlates of alcohol consumption frequency and problem drinking were examined among female sexual assault survivors (N = 1,863). Data were analyzed with blockwise multiple regressions. Results show heavy alcohol consumption and problem drinking were associated with IPV history, sexual assault by strangers or acquaintances, and maladaptive coping. Physical IPV history and partner sexual assault showed distinct effects on drinking outcomes among women. Physical IPV history partially mediated the effect of childhood sexual abuse (CSA) on problem drinking. Research is needed to examine the relationship between victimization histories and drinking among female sexual assault victims. This might enable treatments and interventions to be tailored to the trauma histories of female victims.     

Complainant Sexual History Evidence: Its Impact On Mock Jurors' Decisions

The current study examined the impact of complainant sexual history evidence on mock jurors' judgements in a sexual assault trial. One hundred and sixty–nine undergraduates listened to an audiotape of a sexual assault trial in which the sexual history between the complainant and defendant was systematically varied to include either sexual intercourse, kissing and petting, or no history information. The effectiveness of judicial limiting instructions that accompany the introduction of sexual history evidence at trial was also examined. Compared to the control condition, those who heard evidence involving prior sexual intercourse between the complainant and defendant were less likely to find the complainant credible, more likely to find her blameworthy, and more likely to believe she consented. The information failed, however, to influence participants' judgements about the defendant's belief in consent. As well, the presence of limiting instructions did little to curb the prejudicial influence of this information.     

Language Impairment and Sexual Assault of Girls and Women: Findings from a Community Sample

Both children and adults with disabilities face increased prevalence of abuse and assault, including sexual assault. Women and girls are disproportionately the victims of sexual assault in both disabled and nondisabled populations. Communication difficulties have been identified as a factor that may increase the vulnerability of individuals with disabilities to sexual assault. However, few studies have examined whether language impairment increases risk for sexual assault. This study reports on a community sample of children with speech or language impairment, followed to age 25. Sexual assault history was assessed based on two questions from the Composite International Diagnostic Interview Posttraumatic Stress Disorder module. Women with language impairment (n = 33) were more likely than women with unimpaired language (n = 59) to report sexual abuse/assault, controlled for socioeconomic status. Sexual assault was associated with higher rates of psychiatric disorders and poorer functioning. Women with neither language impairment nor a history of sexual assault had fewer psychiatric disorders and higher functioning than women with language impairment and/or a history of sexual assault.     

Predictors of Sexual Consent Attitudes,Beliefs, and Behaviors Among Sexual Minority Cisgender and Nonbinary Young Adults

Sexual assault is a major public health concern in the United States that disproportionately affects sexual minority cisgender and nonbinary young adults. Although sexual assault is influenced by a myriad of societal and interpersonal factors, misunderstandings during the communication and interpretation of sexual consent signals likely contribute to this public health crisis. Unfortunately, research on sexual consent miscommunication has been heavily informed by heteronormative theories and conducted primarily with cisgender heterosexual men and women. The present study attempted to help address this gap in the literature by exploring factors that contribute to sexual consent attitudes, beliefs, and behaviors in a sample of 251 cisgender and nonbinary sexual minority young adults. Nonbinary participants reported more proactive sexual consent attitudes, beliefs, and behaviors than cisgender participants. Sexual assertiveness was also a robust and unique predictor of adaptive sexual consent, particularly among those who identified as more traditionally masculine. Findings from the current study may help guide the development of more inclusive, research-informed sexual consent and sexual violence prevention programs.

     

Men's and Women's Reactions to Hypothetical Sexual Advances: The Role of Initiator Socioeconomic Status and Level of Coercion

Research on sexual coercion has revealed a beauty bias in that participants judge coercive sexual advances committed by attractive individuals as more acceptable than coercive advances committed by unattractive individuals. In this study, we examined the extent to which there exists a similar socioeconomic status bias in people's perceptions. Participants (N = 160) read 1 of 8 vignettes that depicted sexual advances and responded to several questions about the acceptability of the initiator's behavior. The coerciveness of the advance was manipulated by varying whether the touch occurred in a gentle manner with no threat or in a forceful manner with a threat of harm. Male participants always received a vignette that portrayed a woman initiating a sexual advance, and female participants always received a vignette that portrayed a man initiating a sexual advance. Socioeconomic status of the initiator was manipulated by what type of clothing he/she wore (shabby or expensive) and the car he/she drove (old or new). Results indicated that a gentle touch was more acceptable than a forceful touch, and men found sexual advances more acceptable than did women. Participants rated sexual advances by wealthy individuals as more acceptable than sexual advances by poor individuals. However, the greater acceptability of advances by wealthy individuals appeared to hold up only in the case of a gentle touch. In addition, men appeared to be more prone to the socioeconomic status bias than were women. Methodological limitations and future directions are discussed.     

Does a Truck Driver See What a Nurse Sees? The Effects of Occupation Type on Perceptions of Sexual Harassment

Previous researchers have demonstrated differential prevalence of harassment of men and women in men’s traditional, women’s traditional, and neutral occupation types, but they have not looked at differences in harassment judgments among these occupations. Our hypotheses rely on the assumption that people who have observed frequent sexual harassment of others in their work environments react differently to new cases than do those who have witnessed fewer of these episodes in the past. Participants watched videos of two cases and made judgments about the presence or absence of sexual harassment. We categorized the participants based on their occupations—men’s traditional, women’s traditional, and neutral, and compared responses among groups. A gender by occupation type interaction emerged. Men in men’s traditional occupation types provided the highest ratings of harassment, followed by men in neutral occupations; men in women’s traditional occupation types provided the lowest ratings. Conversely, women in women’s traditional occupations provided the highest ratings of harassment, followed by women in neutral occupations; women in men’s traditional occupations provided the lowest ratings of sexual harassment.     

ACCEPTANCE AND EXPECTATION OF SEXUAL AGGRESSION IN COLLEGE STUDENTS

This study examines college students' acceptance and expectations of sexual aggression in common dating situations. Five hundred and forty-six college students completed a measure of rape acceptance beliefs to explore the "campus climate" regarding sexual assault. Results suggest that consensus on definitions of unacceptable behavior in dating situations is emerging: young college men and women overwhelmingly rejected the use of violent and coercive behavior. A surprisingly high number, however, expected this type of behavior in a variety of situations, for example, on dates involving the use of drugs or alcohol. Women's expectations of sexual aggression generally surpassed men's. Yet, in several situations, participants, regardless of their gender, expected the use of verbal threats of harm in order to obtain intercourse. Students expected the use of force to obtain sexual intercourse the least. Results are discussed in relation to the reporting behavior of sexual assault victims and the development of primary prevention techniques.     

Correlates of Postassault Self-Defense/Assertiveness Training Participation for Sexual Assault Survivors

Past research has shown that self-defense/assertiveness training may have positive implications for sexual assault survivors. However, little is known about the correlates of self-defense/assertiveness training participation for sexually victimized women. In this study we examined the assault characteristics and experiences that relate to women's enrollment in postassault training using data from 1,623 female college sexual assault survivors. It appears that more violent attacks may lead survivors to enroll in postassault training, especially when their resistance was less effective. Postassault training participants were marginally more likely to have told someone about their assault, experienced less supportive reactions from others, exhibited marginally less current anxiety, and reported more postassault suicidal ideation than nonparticipants. These survivors may enroll in training to exercise control over future assaults occurring and as a way of healing from sexual assault. Suggestions for future research and the development of self-defense training programs for sexual assault survivors are presented.     

Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research

Meta-analyses of studies yielding sex-specific risk of potentially traumatic events (PTEs) and posttraumatic stress disorder (PTSD) indicated that female participants were more likely than male participants to meet criteria for PTSD, although they were less likely to experience PTEs. Female participants were more likely than male participants to experience sexual assault and child sexual abuse, but less likely to experience accidents, nonsexual assaults, witnessing death or injury, disaster or fire, and combat or war. Among victims of specific PTEs (excluding sexual assault or abuse), female participants exhibited greater PTSD. Thus, sex differences in risk of exposure to particular types of PTE can only partially account for the differential PTSD risk in male and female participants.     

Reactions to a survey among those who were and were not sexually assaulted while serving in the military

Surveys are among the most common methods for evaluating military sexual assault experiences among members of the U.S. military; however, little research has examined how receiving surveys about such sexual assaults might affect recipients. In the present sample of 530 active duty and veteran military personnel, just 10% reported unexpected upset, 11% reported regretting participation in the survey, and 22% reported benefitting from that participation overall. A minority of respondents with a history of sexual assault while in the military reported unexpected upset, although the prevalence was three times higher than that of participants without such history (24% vs 8%). There were no statistically significant differences in perceived regret and benefit of participation in the survey between those with and without a history of sexual assault while in the military. Although limited in number, male military sexual assault survivors (n = 8) were significantly more likely than female survivors to report being more upset by the survey than they had anticipated. Implications for future research are discussed.     

Loneliness under assault: Understanding the impact of sexual assault on the relation between loneliness and suicidal risk in college students

The present study sought to examine for how loneliness and sexual assault are involved in predicting suicidal risk (viz., hopelessness & suicide probability) in a sample of 334 college students. Specifically, we were interested in examining whether sexual assault may play an additive as well as interactive role in the prediction of suicidal risk above and beyond loneliness. Results from regression analyses indicated that both loneliness and sexual assault were important and unique predictors of suicidal risk in students. Moreover, consistent with expectations, we found support for a Loneliness × Sexual Assault interaction in predicting both hopelessness and suicide probability. Inspection of the interactions indicated that the highest levels of suicidal risk were present for lonely students who had experienced some form of sexual assault. Some important implications of the present findings are discussed.