THE SEXUAL WELL-BEING OF WOMEN WHO HAVE EXPERIENCED CHILD SEXUAL ABUSE

The present study examined the association between child sexual abuse (CSA) and a range of positive and negative aspects of women's sexual well-being. We also investigated the extent to which women's cognitive-affective sexual appraisals mediated these relationships. Participants were 272 female community college and university students. CSA involving fondling only was generally not associated with adverse sexual outcomes. However, the women who had experienced CSA involving sexual penetration or attempted sexual penetration were (a) more likely to be sexually revictimized in adulthood; (b) more likely to have engaged in casual sex, unprotected sex, and voluntary sexual abstinence; and (c) reported fewer sexual rewards, more sexual costs, and lower sexual self-esteem. These findings held over and above the effects of nonsexual abuse in childhood, and as predicted, sexual self-esteem partially or fully mediated most of these relationships. Nonsexual abuse in childhood and adult sexual victimization were also uniquely associated with a number of adverse sexual outcomes. However, outcomes were not worse for women who had experienced CSA involving actual or attempted sexual penetration and sexual assault in adulthood. The results highlight the fact that CSA is a serious and widespread problem with significant implications for adult women's sexual functioning.     

Disinhibition as a Mechanism in Sexual Victimization: A Prospective Study

Disinhibition was examined as a mechanism in revictimization using a prospective research design. Of the sample of 211 young adult women, 43.1% reported prior sexual victimization (birth to the time of our initial assessment) and 32.2% reported sexual assault during the 6-month follow-up. The findings suggest that disinhibition was a partial mediator. Prior sexual victimization was associated with increased disinhibition as well as increased future sexual assault. Greater disinhibition was associated with increased future sexual assault. Once disinhibition was accounted for, the original relationship between prior and future sexual assault was reduced. Disinhibition partially explained revictimization and these behaviors might serve as possible targets of change in sexual victimization prevention work.     

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.     

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.     

Assertiveness and Attributions of Blame toward Victims of Sexual Assault

This study investigated the influence of assertiveness on women's attributions of blame toward a victim of sexual assault. Women (N = 211) completed questionnaires assessing general and sexual assertiveness, viewed a video vignette of an acquaintance rape, and were asked to rate the degree of the woman's responsibility for the assault at three points during the video. Results indicated that the rater's level of assertiveness predicted the amount of blame she assigned to the victim of a sexual assault when the victim engaged in unassertive nonverbal resistance and assertive verbal resistance. Implications for prevention programming and forensic psychology (e.g., jury selection) are discussed.     

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.     

WOMEN'S SOCIAL BEHAVIOR WHEN MEETING NEW MEN: THE INFLUENCE OF ALCOHOL AND CHILDHOOD SEXUAL ABUSE

Heavy alcohol consumption ( Testa & Parks, 1996 ) and childhood sexual abuse (CSA; Messman-Moore & Long, 2003 ) have been associated with adult sexual victimization. We examined the social behavior of 42 women under two alcohol conditions (high dose and low dose) in a bar laboratory. Women were videotaped interacting with a man they had just met. Women in the higher dose condition engaged in more open body position and talked, stood, and walked more than women in the lower dose condition. These behaviors are consistent with signs of intoxication or romantic interest. The women in the high-dose condition also frowned more than women in the low-dose condition. An increase in frowning could indicate less comfort or may be considered consistent with an increase in animation during the social interaction given the concomitant increase in other behaviors. Thus, the nonverbal behavior of women in the high-dose condition could be interpreted as mixed signals. CSA victims exhibited fewer head movements (e.g., nods), were less animated, and frowned more than non-CSA victims. These behaviors convey reticence or possibly even anxiety or discomfort during the social interaction. Thus, the nonverbal behavior of women with a history of CSA may convey an unease that could be viewed by a potential perpetrator as vulnerability. Our findings suggest that both acute alcohol consumption and history of CSA may influence nonverbal social behavior and may influence risk for sexual assault by sending mixed cues of romantic interest or signs of vulnerability to potential perpetrators.     

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.     

Interpersonal Violence Victimization and Sexual Harassment: A Prospective Study of Revictimization

This study examined associations between past interpersonal victimization (including both child and adult victimization) and sexual harassment (SH); and it examined intervening and moderating variables of the association of past victimization with SH, including posttraumatic stress symptoms (PTSS) and job-gender context. In addition, we examined an alternative hypothesis for revictimization that abuse survivors are hyper-sensitive to perceptions of sexual harassment. Employed women residing in Kentucky (U.S.) who had received an order of protection from a male partner and who were followed-up 12 months later (n?=?445, 78 % White, mean age?=?31.98, SD?=?8.60) were selected for this analysis. SH experienced between baseline and follow-up interviews was associated with baseline assessments of child nonsexual assault experiences (r?=?0.24, p?<?0.001) and intimate partner violence victimization (r?=?0.20, p?<?0.000), demonstrating a revictimization effect. PTSS mediated the relationship between child sexual assault, child nonsexual assault and subsequent SH. Further, working in a job with a male supervisor or in a male-dominated workgroup increased associations between child nonsexual abuse and subsequent SH. No support was found for the hyper-sensitivity hypothesis. Findings are consistent with prior research that identifies sexual harassment as a form of interpersonal violence that mental health and victim service providers and researchers should include in their assessment and treatment strategies. Employers should also understand that working in male-dominated work environments compound the risk of sexual harassment for those with prior abuse histories and should be vigilant to reducing these risks.     

A PROSPECTIVE ANALYSIS OF THE RELATIONSHIPS AMONG SEXUAL ASSAULT EXPERIENCES An Extension of Previous Findings

Research has indicated that sexual assault on college campuses is pervasive (Koss, Gidycz, & Wisniewski, 1987) and that a history of sexual victimization serves as a risk factor for future victimization (Gidycz, Coble, Latham, & Layman, 1993). The purpose of the present investigation was to extend the findings of Gidycz et al. (1993) in examining the link among sexual victimization experiences. College women were evaluated for child and adolescent sexual victimization, family adjustment, alcohol use, psychological adjustment, interpersonal functioning, and sexual behavior. Women were reevaluated at 3, 5–6, and 9 months for adult victimization, psychological adjustment, interpersonal functioning, and sexual behavior. Loglinear analysis indicated that chances of being victimized in one time period increased with greater severity of victimization in the preceding time period. The path analysis assessing the mediating effects of these variables on victimization experiences was partially supported. Implications for future research and preventative efforts are discussed.     

Risk Factors,Self-Attributions,and Adjustment Problems Among Victims of Sexual Coercion1

College women (N= 125) were surveyed about their experiences with sexual coercion. Forty-two percent of the sample reported one or more coercive incidents involving completed intercourse (26%) or attempted intercourse (16%). Only 6% of these incidents were reported to police or campus authorities. Of the victims, 92% knew their assailants, at least casually. A combination of demographic, sexual history, and personality characteristics predicted 21 % of the variance in experience with sexual coercion. The variables most highly associated with reported victimization were frequency of sexual activity and religiosity; women who were more sexually active and who attended religious services less often were more likely to report experiencing sexual coercion than were women who were less sexually active and who attended religious services more often. A combination of situational and attitudinal variables predicted 52% of the variance in victim attributions. The variables most highly correlated with attributions were degree of victim assertiveness and the type of force used by the assailant; less assertive women and women who had been coerced by the use of economic or psychological force made relatively more internal attributions about the coercion incidents they had been involved in than did women who were more assertive and women who had been coerced by means of physical force. Finally, a combination of situational and attitudinal variables predicted 34% of the variance in victim-reported adjustment problems following the coercion incident. The use of economic or psychological force, greater physical injury, and relative acceptance of interpersonal violence were associated with more severe adjustment problems, whereas the use of physical force, less physical injury, and relative rejection of interpersonal violence were associated with less severe adjustment problems. The implications of these results for the reduction of acquaintance assault and for the counseling of victims are discussed.     

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.     

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.     

A critical review of field studies on the link of alcohol and adult sexual assault in women

This article reviews field studies examining two central questions regarding the link between alcohol and sexual assault. First, evidence is reviewed to evaluate whether there is a distal relationship between alcohol and risk of sexual assault victimization. Specifically, studies are examined to determine whether drinking may affect the risk of being victimized and how victimization may contribute to subsequent drinking. Second, evidence for a proximal role of drinking prior to a sexual assault victimization incident (by either victim and/or offender) is examined to determine alcohol's role in rape and injury outcomes to victims. Critical theoretical and methodological issues in these two types of studies are discussed with regard to the extant literature. Paralleling the two areas of research reviewed, two theoretical models are proposed to guide future research on (1) the global associations of drinking and sexual assault risk across the life span (macrolevel model) and (2) the role of drinking in the outcomes of actual sexual assault incidents (microlevel model). Suggestions are made for future research and intervention in this area.     

Gender differences in victimized homeless adolescents

Most of what we know about sexual abuse comes from efforts to examine female children victimized by men. Although some researchers have identified similarities between male and female victims of sexual abuse, few studies have examined gender-specific factors associated with sexual health practices among homeless adolescents. The aim of this study was to explore how gender and history of sexual abuse influence cognitive-perceptual and behavioral factors associated with sexual health practices of homeless adolescents. This study was a secondary analysis of data collected for a cross-sectional study of the sexual health practices of homeless adolescents. The sample consisted of 414 youths (104 males who reported sexual abuse and 124 who did not; and 95 females who reported sexual abuse and 75 who did not; 16 did not provide these data). Homeless adolescent females with a history of sexual abuse scored higher (indicating a shorter perspective) on a measure of future time perspective than females with no sexual abuse. Males who reported no sexual abuse scored higher than abused females on perceived health status and higher than abused males on assertive communication. With respect to perceived health status, males who reported no sexual abuse scored significantly higher than females who reported sexual abuse (p = .04). Males with no sexual abuse had significantly higher assertive communication scores than did males who had experienced sexual abuse (p = .015). We found that male and female abuse victims differ in terms of their cognitive-perceptual and behavioral factors associated with sexual health practices. Early identification of those who have been abused is critical so that interventions can be developed. Effective short-term interventions are needed for the adolescent victims of Child Sexual Abuse (CSA), particularly those who are homeless and prone to further sexual victimization.     

General And Culturally Specific Factors Influencing Black And White Rape Survivors' Self-Esteem

Grounded in a culturally inclusive ecological model of sexual assault recovery framework, the influence of personal (e.g., prior victimization), rape context (e.g., degree of injury during last assault), and postrape response factors (e.g., general and cultural attributions, rape related coping) on self-esteem of Black and White college women, who were survivors of attempted and completed rape, were examined. As predicted, Black and White women identified similar general variables (e.g., general attributions) as important in the recovery process. Black women, however, identified a cultural factor (i.e., cultural attributions) as more important in influencing their reactions to the last rape compared to their White counterparts. Using path analysis, findings from this cross-sectional study indicated that severity of the last assault and prior victimization were related to lower self-esteem indirectly through avoidance coping strategies, and victim blame attributions for the latter. Results also suggested that the link between cultural attributions and self-esteem was explained through victim blame attributions, primarily for Black participants. The model accounted for 26% of variance in self-esteem.     

Challenges to Doing Sexual Violence Work

Sexual assault victims experience a number of effects as a result of their victimization. Sexual assault crisis workers are assigned the responsibility of trying to minimize the negative consequences of sexual assault. In their efforts to serve sexual assault victims, it is likely that certain problems make it difficult to adequately help victims. This study considers how 43 sexual assault crisis workers (27 directors of sexual assault crisis centers and 16 workers) define the challenges of serving sexual assault victims. Major challenges reported included a lack of awareness about sexual assault, victim blaming, and a lack of resources. Implications are provided.     

Psychophysiological Reactivity to Abuse-Related Stimuli in Sexually Revictimized Women

Prior research shows discrepant findings in relation to psychophysiological reactivity to threat in women with histories of sexual victimization. Women ages 18 to 22 (N?=?123) with histories of sexual abuse were categorized into child sexual abuse (CSA), adult sexual victimization, revictimization, or nonvictimization groups. Low- and high-frequency heart rate variability were measured at baseline and during an Emotional Stroop task of abuse-related words. Revictimized women showed a significant decrease from baseline to task in both parasympathetic and sympathetic measures when compared to the CSA group. The CSA group demonstrated chronic sympathetic activation at both baseline and task, relative to the revictimization group. Groups did not differ on performance (i.e., reaction time) on the Emotional Stroop task (i.e., more threatening stimuli, slower performance). Cardiovascular responses reported might point to biological reactivity patterns needed for women with a history of sexual abuse to cope with abuse-related stimuli.     

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.