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.     

SEXUAL ASSAULT VICTIMS' ACKNOWLEDGMENT STATUS AND REVICTIMIZATION RISK

How a victim of rape characterizes her assault has potential implications for her postassault experiences and revictimization risk. Prior research has identified several potential benefits to not conceptualizing one's experience as a form of victimization. The current study sought to identify whether there are costs to not acknowledging rape as well, specifically whether unacknowledged victims are at elevated risk of revictimization. The revictimization risk behaviors of 334 acknowledged and unacknowledged female college rape victims were compared. Unacknowledged victims reported more hazardous alcohol use and were more likely to report that they continued a relationship with the assailant after the assault. A subsample of 105 victims completed a 6-month follow-up survey regarding sexual victimization during the follow-up period. Unacknowledged victims were nearly twice as likely to report having experienced an attempted rape during the 6-month follow-up period. Implications of the results for future work evaluating rape acknowledgment, rape recovery, and revictimization are discussed.     

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.     

LABELING OF ABUSE EXPERIENCES AND RATES OF VICTIMIZATION

Research has consistently found that a history of previous sexual victimization increases risk for future sexual assault, which might be due to women with a history of sexual victimization having difficulty identifying risky cues and not perceiving their own vulnerability for future assaults. This study investigated how acknowledgment of previous experiences with interpersonal violence is related to risk perception and rates of victimization. Participants were 198 college women who completed assessments of victimization, personal risk appraisal, and acknowledgment. Analyses indicated differences in rates of victimization based on labeling of experiences and differences in efforts to change behaviors to reduce risk for future assaults based on level of acknowledgment. Also, there were a number of situational factors significantly related to likelihood of acknowledgment. The findings differed for physical and sexual violence. This study suggests that acknowledgment is an important factor to consider in studies of sexual and physical revictimization.     

Risk of sexual revictimization: A theoretical model

Survivors of child sexual abuse suffer serious short- and long-term psychological consequences. Sexual revictimization as an adult is one of the consequences that has been reported. At present, there is no theoretical model identifying the risk factors that result in child sexual abuse survivors being at greater risk of experiencing an adult sexual assault. The proposed model is designed to integrate existing research, stimulate further empirical work, and eventually aid in the development of a program to prevent revictimization. The variables hypothesized to play a mediating role in the pathway to revictimization include: severe psychological symptoms as a consequence of the child sexual abuse, poor coping styles, an insecure attachment style, hyperfemininity, delinquent behavior, drug use, and high risk sexual behavior.     

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.     

RISK FACTORS FOR SEXUAL VICTIMIZATION IN DATING A Longitudinal Study of College Women

In this longitudinal study of college women, nine risk characteristics assessed prior to the start of college were examined in the effort to identify predictors of sexual victimization in college dating. A total of 100 women were followed for 32 months, with information about personal history, behaviors, and attitudes collected at Time 1 and information about subsequent sexual victimization collected at Time 2. Although four risk factors were significantly associated with victimization, a logistic regression analysis revealed that the best prediction model contained only two variables: Precollege sexual victimization in dating was positively correlated with college victimization, and sexual conservatism was negatively correlated with college victimization. Discussion focused on the needs for improved sex education for teenagers, prevention programs aimed at the precollege level, and increased research and clinical attention to the phenomenon of revictimization.     

A coping theory framework toward preventing sexual revictimization

A substantial body of research demonstrates the problem of repeated sexual victimization. However, what is less clear is what can be done to prevent revictimization. The most pressing needs in the development of revictimization knowledge are for prevention theories and interventions to address this problem. Building on theoretical and empirical research, this paper helps to address this critical knowledge gap by presenting a coping theoretical framework toward revictimization prevention. This framework, which is composed of three related coping theories, adaptive, proactive, and resistive-defensive, can be used to form the basis of interventions to prevent revictimization. In combination, the three coping theories provide a framework to organize and sequence women's coping efforts in the aftermath of sexual victimization in order to mitigate the negative aspects of the assault and reduce the likelihood of revictimization. The framework described here provides an organizing heuristic that will help guide coping-based revictimization prevention efforts.     

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.     

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.     

Alcohol Consumption, Outcome Expectancies, and Victimization Status Among Female College Students

The present study examined differences in the extent of alcohol consumption and endorsement of alcohol-related outcome expectancies between victims of alcohol- or drug-related sexual assault, victims of non-alcohol- or non-drug-related sexual assault, and nonvictim controls. The alcohol consumption patterns alcohol outcome expectancies and victimization status of 176 female college students were assessed. Results indicated that relative to nonvictims and victims of non-alcohol- or non-drug-related sexual assault, victims of alcohol- or drug-related sexual assault reported more frequent and greater alcohol consumption and a greater extent of endorsement of alcohol outcome expectancies. Furthermore. extent of alcohol consumption was associated with different alcohol expectancy outcomes for each group. Implications for the prevention of sexual assault and directions for future research are discussed.     

Self-Blame Among Sexual Assault Victims Prospectively Predicts Revictimization: A Perceived Sociolegal Context Model of Risk

This investigation focused on relationships among sexual assault, self-blame, and sexual revictimization. Among a female undergraduate sample of adolescent sexual assault victims, those endorsing greater self-blame following sexual assault were at increased risk for sexual revictimization during a 4.2-month follow-up period. Moreover, to the extent that sexual assault victims perceived nonconsensual sex is permitted by law, they were more likely to blame themselves for their own assaults. Discussion focuses on situating victim-based risk factors within sociocultural context.     

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.     

Understanding Sexual Revictimization of Women Through Metaphors: A Qualitative Research

The aim of this study was to contribute to the phenomenological understanding of revictimization through metaphors used by women when describing their revictimization experiences. Data were collected through in-depth semistructured interviews with 9 women regarding their repeated sexual victimization. Content analysis focused on metaphors used by the women when describing revictimization. Analysis of the metaphors revealed vulnerability in relation to the self and to interpersonal relationships. The metaphors relating to the self are portrayed through images of imprisonment, homelessness, contamination, and disability. Interpersonal relationships are described through the image of boundaries. These metaphors reflect duality: the profound need for security and the perception of boundaries as limiting and confining. Metaphors can be useful as a heuristic instrument for understanding women’s experience of the duality and the contradictions in coping with revictimization, and for intervention.     

Testing Posttraumatic Stress as a Mediator of Childhood Trauma and Adult Intimate Partner Violence Victimization

This study examined whether potential posttraumatic stress disorder (PTSD) mediated the relationships between different forms of childhood trauma (sexual abuse, physical abuse, violence between caregivers) and intimate partner violence (IPV) victimization (psychological, physical, sexual). Participants were 1,150 female nurses and nursing personnel. Path analytic findings revealed potential PTSD partially mediated the relationships between childhood sexual abuse and psychological IPV and childhood sexual abuse and sexual IPV. Potential PTSD did not mediate the relationship between other types of childhood trauma and IPV. This study adds to the literature indicating PTSD as a risk factor for revictimization in the form of adult IPV among women. Screening for and treatment of PTSD among female child sexual abuse survivors could prevent future IPV victimization.     

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.     

Sexual victimization in relation to perceptions of risk: mediation, generalization, and temporal stability

There is evidence that personal experience with trauma is associated with increases in both personal and comparative risk perception. This study investigates this relation in terms of sexual victimization among women, focusing on three potential mediators: perceived control over sexual assault, perceived similarity to a typical sexual assault victim, and psychological distress. Mediational analyses were investigated using structural equation modeling. Although victimization experience was not related to comparative risk perception, it was associated with greater personal risk perception. This relation was mediated by perceived similarity to a typical sexual assault victim. Prospective analyses indicated that personal risk perception does change in response to sexual victimization but also indicated that heightened risk perception may be an accurate assessment of risk that actually precedes victimization experience. Implications for the meaning of perceived similarity and perceptions of risk for sexual assault victims are discussed.     

Consequences of Child and Adult Sexual and Physical Trauma among Deaf Adults

The purpose of this study was to evaluate the consequences of sexual and physical trauma among a sample of deaf adults. Thirty-two men and 45 women completed the Life Event Checklist (LEC), the Clinician Administered PTSD Scale (CAPS), the Trauma Symptom Inventory (TSI), the Somatoform Dissociation Questionnaire–20 (SDQ–20) and a sociodemographic questionnaire. In this sample, 40.6% of the male participants and 53.3% of the female participants had experienced some type of sexual trauma during their lifetimes. Physical trauma was reported by 75% of males and 71.1% of female participants. For those who had experienced childhood sexual trauma, the odds ratio of revictimization in adulthood was 6.69. Sexual trauma also rarely occurred by itself. Two thirds of all participants with sexual trauma histories also reported some type of physical abuse. Participants with sexual trauma histories displayed significantly more symptoms of PTSD and depression than people without such trauma history. Physical and sexual abuse represent significant problems in the deaf community. The authors include a call for the development of targeted intervention attempts to prevent further victimization in deaf child and adolescent populations.     

SEXUAL AGGRESSION AMONG ADOLESCENTS

This study examines the prevalence of sexual aggression among adolescents from both former East and West Germany. Koss and Oros'(1982) Sexual Experiences Survey (SES) was employed to measure sexual aggression (male version) and sexual victimization (female version). Almost 17% of female respondents reported forced sexual experiences that qualify as criminal offenses under German law. The total percentage including all forms of unwanted sexual contacts amounted to over 50%. Among male respondents, almost 15% admitted sexual behaviors that qualify as criminal offenses, with an overall rate of coercive sexual behaviors of over 44%. Token resistance and number of sexual partners were associated with a higher risk of sexual victimization in the female sample. Among male respondents, peer pressure, self-reported rape proclivity, anger, and disinhibition predicted sexually aggressive behaviors.