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.     

Assessment of anger and aggression in male offenders with developmental disabilities

Systematic assessment of anger among people with developmental disabilities has been lacking, especially for hospital inpatients. Reliability and validity of anger self-report psychometric scales were investigated with 129 male patients, mostly forensic. Anger prevalence and its relationship to demographic, cognitive, and personality variables and to hospital assaultive behavior were examined. High internal and intermeasure consistency, and some concurrent validity with staff ratings, were found. Retrospective validity regarding physically assaultive behavior in the hospital was obtained. Hierarchical regressions revealed that patient-reported anger was a significant predictor of assaults postadmission, controlling for age, length of stay, IQ, violence offense history, and personality variables.     

Is the curve relating temperature to aggression linear or curvilinear? A response to Bell (2005) and to Cohn and Rotton (2005)

P. Bell recommended examining the relationship between temperature and assaults during the hottest times of day and during the hottest months of the year. The authors' analyses of these data show a linear rather than inverted U-shaped relationship between temperature and assault during the hottest times of day and in the hottest months of the year. E. Cohn and J. Rotton recommended analyzing the 6 hr with the highest assaults versus the 6 hr with the lowest assaults. During high assault periods, there is a strong positive linear relationship between temperature and assault. During low assault periods, there is no relationship between temperature and assaults. Assaults and other violent crimes might decrease when temperatures are very hot, but the Minneapolis data set does not allow for testing of this hypothesis because Minneapolis is too cold.     

Sexual-Assault History and Long-Term Physical Health Problems: Evidence From Clinical and Population Epidemiology

Having a history of sexual assault is associated with both poor general health and limitations in physical functioning, as well as with specific health problems such as chronic pelvic pain, premenstrual disturbance, other gynecologic symptoms, fibromyalgia, headache, other pain syndromes, and gastrointestinal disorders. In studies evaluating the possible role of depression in these associations, depression among sexually assaulted persons did not account for their poorer health. Although there are unanswered questions in the literature on the associations between sexual assault and health, existing findings are consistent with standard criteria for inferring causal relationships from observational data. For example, many assault-health associations are supported by multiple, independent studies, and many demonstrate dose-response relationships (i.e., more incidents of sexual assault, or more severe assaults, are associated with more adverse health outcomes).     

The impact of institutional factors on officially reported sexual assaults in prisons

Not only has research on prison sexual assault been rather scarce the past four decades, but few of these studies have ascertained the number of officially reported inmate-on-inmate sexual assaults. In addiition, no study exists which has rigorously examined which, if any, institutional factors impact the number of officially reported inmate-on-inmate sexual assaults in prisons. Using data from a national sample of 226 prison wardens, this study examines the impact of institutional factors on officially reported sexual assaults. The most salient variables in the study were current number of inmates and wardens’ perceptions of inmate fear of sexual assault. Wardens overseeing institutions with higher numbers of inmates were more likely to report that inmates had been sexually assaulted and those who ran minimum-security prisons were less likely to report sexual assaults within their facilities.     

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.     

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.     

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.     

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.     

Exploring Correlates of Alcohol-Specific Social Reactions in Alcohol-Involved Sexual Assaults

This exploratory study examined demographic, assault, and disclosure factors as predictors of survivors’ decisions to disclose preassault alcohol use and social reactions to their preassault alcohol use. Of survivors drinking prior to assault, those with more education and greater alcohol impairment or resistance during assault were more likely to disclose preassault drinking. Of women disclosing preassault drinking, those with more education and more violent assaults received more negative social reactions specific to their preassault drinking. Such negative reactions were more common for those telling parents, police, or medical professionals. Women with less education received more positive and negative social reactions specific to their preassault drinking. Disclosing preassault drinking in greater detail was related to positive social reactions specific to preassault drinking and greater alcohol impairment during assault was associated with both positive and negative social reactions specific to preassault drinking. Implications for research and intervention are provided for survivors disclosing alcohol-related sexual assaults.     

The effect of multiple childhood sexual assaults on mock-jurors' perceptions of repressed memories

The effect of multiple childhood sexual assaults on the believability of a repressed memory of the assault was assessed using mock jurors. Participants read a fictional civil trial summary about a child sexual assault case presented in one of three reporting conditions: (a) immediate condition-the alleged victim testified immediately after the assault(s); (b) repressed condition-the alleged victim reported the assault(s) 20 years later, after remembering it/them for the first time; or (c) no-repressed condition-the alleged victim reported the assault(s) 20 years later, but the memory of the assault(s) had been present for those years. The number of assaults was either one or 30. The results showed that for all reporting conditions 30 alleged assaults led to relatively more decisions for the plaintiff than the defendant, and greater believability of the plaintiff. The increases in decisions rendered and believability were also generally true for the immediate condition compared to when there was a delay in reporting. The results are discussed in terms of mock jurors' perceptions of child sexual assault, both those reported immediately and those reported after many years.     

Some Results from an Automated Statewide Comparison among Attempted,Committed, and Nonsuicidal Patients

ABSTRACT: In the Missouri Division of Mental Health statewide automated Standard System of Psychiatry, 151 patients who had attempted suicide were compared with 424 who had not and with 97 who had committed suicide. Much of the data was provided from relatives using an automated history. Compared with nonattempters, attempters were younger and more often female, depressed, assaultive, and had a family history of suicide. Actual suicides were more often male, better educated, and in general more resembled the attempters than nonattempters.     

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.     

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.     

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.     

Is the curve relating temperature to aggression linear or curvilinear? Assaults and temperature in minneapolis reexamined

Using archival data from Minneapolis recorded in 3-hr time intervals, E. G. Cohn and J. Rotton concluded that there is an inverted U-shaped relationship between temperature and assault, with the maximum assault rate occurring at 74.9 degrees F. They depicted this relationship by plotting temperature against assault. This plot, however, fails to take into account time of day. Time of day was strongly related to both temperature and assault, but in opposite directions. Between 9:00 p.m. and 2:59 a.m. of the next day, when most assaults occurred, there was a positive linear relationship between temperature and assault. The Minneapolis data actually provide stronger support of a positive linear (or monotonic) relationship between temperature and assault than of an inverted U-shaped relationship.     

THE EFFICACY OF WOMEN'S RESISTANCE STRATEGIES IN RAPE SITUATIONS

The effectiveness of women's resistance strategies for reducing the severity of sexual abuse and physical injury during sexual assaults was analyzed in a variety of assault circumstances. Data were obtained from police reports and court testimonies of 274 women (96% White, 4% Black) who either were raped or avoided rape by subsequently incarcerated violent stranger rapists. Statistical analyses showed that particular resistance strategies were effective in specific situations. Women who fought back forcefully were more likely to avoid rape than women who did not fight back, regardles of whether a waepon was present. Forceful fighting resistance was related to increased physical injury when a weapon was present, but most physical injury was caused by nonlethal weapons. Women who screamed or fled when confronted with weapons experienced less severe sexual abuse. Increased physical injury was associated with pleading, crying, or reasoning indoors. Women who used drugs or alcohol experienced more severe sexual abuse and physical injury.