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.     

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.     

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.     

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.     

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.     

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.     

A LABORATORY ANALOGUE FOR THE STUDY OF PEER SEXUAL HARASSMENT

The purpose of this study was to develop a laboratory analogue for the study of peer sexual harassment, and to examine person and situational factors associated with male on female peer sexual harassment. One hundred twenty-two male participants were given the opportunity to tell jokes to a female confederate from a joke list that included sexually offensive jokes, as well as other types of jokes. Participants were exposed to either a sexist laboratory environment or a neutral laboratory environment during the study. Eighty percent of participants told at least one sexually offensive joke to a female confederate. Higher scores on a measure of adversarial sexual beliefs were associated with telling a greater number of sexually offensive jokes. The results suggest that the joke-telling analogue may be a useful means for laboratory explorations of person and situational factors associated with peer sexual harassment.     

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.     

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 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.     

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.     

THE BEHAVIOR OBSERVATION INSTRUMENT: A METHOD OF DIRECT OBSERVATION FOR PROGRAM EVALUATION1

The background and development of a multicategory direct observation system, the Behavior Observation Instrument (BOI), is described. This time-sampling procedure for recording the behavior of persons is demonstrated in several treatment settings and the results applied to issues of program evaluation. Elements that have prevented direct observation from being widely adopted, such as costs, manpower, and training requirements, are systematically analyzed. A basic psychometric analysis of the instrument is used to determine optimum frequency and duration of observation intervals as well as observer agreement. The results imply that direct observation methods, once assumed by some to belong to the special province of the single-subject design, can be used to assess the effects of programs on groups of psychiatric clients in an efficient and economic manner.     

DEVELOPMENT AND PSYCHOMETRIC EVALUATION OF THE INTERPERSONAL SEXUAL OBJECTIFICATION SCALE

This study reports on the development and psychometric evaluation of the Interpersonal Sexual Objectification Scale (ISOS). Data from 576 college women were collected in three studies. Exploratory factor analysis uncovered two factors: Body Evaluation and Unwanted Explicit Sexual Advances; confirmatory factor analysis supported this factor structure. ISOS scores were internally consistent and stable over a 3-week period. Supporting its construct validity, ISOS scores were (a) strongly related to sexist degradation; (b) slightly to moderately related to other sexist events, self-objectification (i.e., body surveillance and internalization of the thin-ideal), and body shame; and (c) unrelated to socially desirable responding. The relationship between ISOS scores and body shame was fully mediated by self-objectification, providing additional evidence for its construct validity. Furthermore, the ISOS garnered incremental validity, as it predicted self-objectification above and beyond the variance accounted for by sexist events.     

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.