Positive and negative life changes following sexual assault.

A longitudinal study was conducted to investigate (a) the timing and course of posttraumatic growth and (b) the relations between positive and negative life changes and posttraumatic distress among recent female sexual assault survivors (N=171). Most survivors reported positive change even at 2 weeks postassault. Positive changes generally increased over time and negative changes decreased, although change in different domains followed different courses and there was significant individual variability in change patterns. Both positive and negative changes were associated with distress in expected ways, although the relations with negative changes were stronger. The least distress at 12 months was reported by those who noted positive life changes at both 2 weeks and 12 months postassault. Implications for theory and research on posttraumatic growth are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived control and distress following sexual assault: A longitudinal test of a new model.

Longitudinal data were collected from female sexual assault survivors (N=171) at 4 points postassault. Consistent with the predictions of the temporal model (P. Frazier, M. Berman, & J. Steward, 2002), past, present, and future control were differentially related to posttrauma distress. Both personal past (behavioral self-blame) and vicarious past (rapist blame) control were associated with higher distress levels. In addition, the belief that future assaults are less likely was more strongly associated with lower distress levels than was future control. Present control (i.e., control over the recovery process) was most adaptive. Hierarchical linear modeling analyses revealed that changes in perceived control were associated with changes in distress after linear change in distress over time was accounted for. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceptions of peer rape myth acceptance and disclosure in a sample of college sexual assault survivors.

There are many empirically supported treatments available to help sexual assault survivors improve their postassault outcomes. Unfortunately, many survivors do not disclose their assault to others or seek formal treatment services and thus are not able to benefit from these treatments. This study examines the relations between survivors’ perceptions of peer rape myth acceptance (RMA), disclosure behaviors, and psychological well-being. Sixty-four sexually assaulted college undergraduates and 159 of their nonassaulted peers participated in this study. Survivors significantly overestimated their peers’ RMA, and this overestimation predicted posttraumatic symptoms. Contrary to hypotheses, the relation between estimated peer RMA and posttraumatic distress was not mediated by assault disclosure variables. As estimated peer RMA increased, survivors reported disclosing fewer assault details. These findings have implications for both sexual assault survivors and the general population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correlates of Levels and Patterns of Positive Life Changes Following Sexual Assault.

This study builds on previous work suggesting that many survivors report positive life changes soon after a sexual assault and that those who retain those changes over time report the least distress 1 year post-assault (P. Frazier, A. Conlon, & T. Glaser, 2001). The purposes of this study were to assess correlates of early reports of positive life changes and individual trajectories of self-reported positive changes over time among female sexual assault survivors (n = 171) using hierarchical linear modeling. The factors most related to reporting positive life change soon after the assault were social support, approach and religious coping, and perceived control over the recovery process. Increases in these factors also were associated with increases in self-reported positive life changes over time. The relations between social support and positive change also were mediated by coping strategies and control appraisals, particularly perceived control over the recovery process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evaluation of a brief cognitive-behavioral program for the prevention of chronic PTSD in recent assault victims.

The efficacy of a brief prevention program (BP) aimed at arresting the development of chronic posttraumatic stress disorder (PTSD) was examined with 10 recent female victims of sexual and nonsexual assault who received 4 sessions of a cognitive-behavioral program shortly after the assault. Their PTSD and depression severity was compared with that of 10 matched recent female assault victims who received repeated assessments of their trauma-related psychopathology (assessment control; AC). The BP program consisted of education about common reactions to assault and cognitive-behavioral procedures. Two months postassault, victims who received the BP program had significantly less severe PTSD symptoms than victims in the control condition; 10% of the former group met criteria for PTSD versus 70% of the latter group. Five and a half months postassault, victims in the BP group were significantly less depressed than victims in the AC group and had significantly less severe reexperiencing symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Traumatic events among undergraduate students: Prevalence and associated symptoms.

This multisite study assessed the prevalence of exposure to traumatic events and associated symptoms among undergraduate students (N = 1,528) using online surveys. Most students (85%) reported having experienced a traumatic event in their lifetime (Time 1) and 21% reported experiencing an event over a 2-month period during college (Time 2). The most common event reported at both time points was the unexpected death of a loved one. Lifetime exposures to family violence, unwanted sexual attention, and sexual assault were associated with higher current distress levels. When nominated as a worst event, sexual assault was associated with the most posttraumatic stress disorder symptoms. Events that caused intense fear, helplessness, or horror and those that were intentionally caused were associated with higher distress levels. Total number of lifetime traumas consistently had the highest associations with distress levels. Implications for counseling psychology practice, training, and research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual behavior at work: Fun or folly?

Sexual behavior at work (e.g., sexual jokes and propositions) has been largely portrayed as offensive and harmful. The current research represents the first studies to test whether this is typically the case. Study 1 surveyed manufacturing and social service workers (N = 238) about their psychological well-being, work withdrawal, and exposure to sexual behavior at work. Respondents indicated how often they were exposed to different sexual behaviors and how much they enjoyed or were bothered by them. Study 2 surveyed university staff (N = 1,004) about their psychological well-being, drug use, feelings of being valued at work, and exposure to sexual behavior at work. Fifty-eight percent of employees in Study 1 were exposed to sexual behavior in the past 2 years; 40% of employees in Study 2 were exposed to sexual behavior in the past year. Some women and many men reported enjoying sexual behavior at work. Despite this, exposure to sexual behavior at work predicted negative employee work and psychological well-being, even for employees who said they enjoyed the experience. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effects of sexual victimization on sexual satisfaction: A study of the negative-association hypothesis.

Investigated the negative-association explanation of behaviorally specific decreases in postrape sexual satisfaction via retrospective ratings in 4 groups of women representing different degrees of sexual assault. Ss were 116 college women preselected on the basis of their scores on a women's sexual experiences survey. All groups of sexually victimized Ss except those who experienced pressure and/or coercion to engage in sexual intercourse were currently less sexually satisfied on all sexual behaviors than nonvictimized Ss. No behaviorally specific postassault decreases in sexual satisfaction emerged for any group of victimized Ss. Thus, support was not found for the negative-association hypothesis. (2 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development and validation of a modified version of the Peritraumatic Dissociative Experiences Questionnaire.

This article reports results from 3 studies conducted to develop and validate a modified version of the self-administered form of the Peritraumatic Dissociative Experiences Questionnaire (PDEQ; C. R. Marmar, D. S. Weiss, & T. J. Metzler, 1997). The objective was to develop an instrument suitable for use with persons from diverse ethnic and socioeconomic backgrounds. In Study 1, the original PDEQ was administered to a small sample (N=15) recruited from among men admitted to the hospital for physical injuries stemming from exposure to community violence. Results led to modifications aimed at improving the utility of the instrument. In Study 2, the modified PDEQ was subjected to structural equation modeling and item response theory analyses to assess its psychometric properties in a larger, primarily male, sample of community violence survivors (N=294). In Study 3, the reliability and validity of the modified instrument were further assessed in a sample of female survivors of sexual assault (N=90). Results attest to the psychometric properties as well as the reliability and validity of the modified 8-item PDEQ. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Trauma reactivity, avoidant coping, and PTSD symptoms: A moderating relationship?

In the immediate aftermath of a traumatic event, many individuals experience physiological reactivity in response to reminders of the traumatic event that typically lessens over time. However, an overreliance on avoidant coping strategies may interfere with the natural recovery process, particularly for those who are highly reactive to trauma reminders. In the current investigation, we examined avoidant coping as a moderator of the association between heart rate reactivity to a trauma monologue measured shortly after a traumatic event and severity of posttraumatic stress disorder (PTSD) symptoms measured several months later. Fifty-five female survivors of assault completed PTSD diagnostic interviews and a self-report coping measure and participated in a trauma monologue procedure that included continuous heart rate measurement. These procedures were completed within 1 month of the assault and again 3 months postassault. After we controlled for the effect of initial symptom levels, the interaction of heart rate reactivity to the trauma monologue and avoidant coping measured at Time 1 was associated with PTSD symptom severity at Time 2. Individuals who are relatively highly reliant on avoidant coping strategies and relatively highly reactive to trauma reminders may be at greatest risk of maintaining or potentially increasing their PTSD symptoms within the first few months following the trauma. These findings may help inform early intervention efforts for survivors of traumatic events. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Expected responses to assault: The effects of circumstance and locus of control.

94 female and 48 male undergraduates were asked to imagine themselves in a hypothetical assault situation and to describe their expectations about their behavior during the assault as well as their postassault adjustment. These expectations were examined as a function of the S's score on the Nowicki-Strickland Internal–External Control Scale for Adults and 2 situational variables: whether the assault motive was rape or theft and whether the assailant was described as armed or unarmed. Results indicate that the situational variables influenced Ss' expectations about their level of resistance during an assault. Specifically, females who imagined themselves coping with the threat of rape expected to be more active in resisting their assailants than the females and males in the theft condition. All Ss expected to resist an unarmed more than an armed assailant. Expectations for postassault adjustment were influenced by the nature of the assault and by Ss' locus of control. Females in the rape condition expected to make a worse postassault adjustment than those in the theft condition and externally controlled Ss expected to have a more difficult time adjusting following the assault than those who were internally controlled. (French abstract) (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The psychological impact of rape victims.

This review article examines rape victims' experiences seeking postassault assistance from the legal, medical, and mental health systems and how those interactions impact their psychological well-being. This literature suggests that although some rape victims have positive, helpful experiences with social system personnel, for many victims, postassault help seeking becomes a "second rape," a secondary victimization to the initial trauma. Most reported rapes are not prosecuted, victims treated in hospital emergency departments do not receive comprehensive medical care, and many victims do not have access to quality mental health services. In response to growing concerns about the community response to rape, new interventions and programs have emerged that seek to improve services and prevent secondary victimization. The contributions of rape crisis centers, restorative justice programs, and sexual assault nurse examiner programs are examined. Strategies for creating more visible and impactful roles for psychologists and allied professionals are also discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Patterns of recovery from trauma: The use of intraindividual analysis.

Patterns of recovery from sexual and nonsexual assault were examined. Two studies containing data from female victims of these assaults were analyzed. In Study 1, victims (N?=?101) underwent 12 weekly assessments with measures of posttraumatic stress disorder (PTSD), depression, and state anxiety. In Study 2, victims (N?=?108) underwent monthly assessments on the same measures. The authors examined the effects of type of trauma and time of peak reaction on long-term recovery using intraindividual analysis of change. In both studies, initial and peak reactions of rape victims were more severe than were those of nonsexual assault victims on all measures of psychopathology. Victims with delayed peak reaction exhibited more severe pathology at the final assessment than did victims with early peak reaction. Results of Study 2 indicated a slower recovery rate from sexual than nonsexual assault; in Study 1 a similar pattern of recovery emerged. The advantages of an individual-focused, longitudinal approach to recovery from a trauma are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A longitudinal examination of fear reactions in victims of rape.

Investigated fear reactions in rape victims for 1 yr following their assaults. 150 female victims, over 15 yrs of age, seen approximately 2 wks after the assault and at 1, 2, 4, 8, and 12 mo postrape, were compared with a matched control group of nonvictims seen at the same intervals. To control for the effects of repeated testing, 3 additional groups of victims were assessed only once at either 2, 4, or 8 mo postrape. All participants completed the Modified Fear Survey Schedule (MFS), which yielded a total fearfulness index as well as 6 subscale scores: rape fears, animal fears, classical fears, social–interpersonal fears, tissue-damage fears, and miscellaneous fears. Following the assault, victims were significantly more fearful than nonvictim controls as indicated by their overall MFS score and most of the subscale scores. Although their overall fearfulness declined somewhat and stabilized by 2 mo postassault, victims remained significantly more fearful than nonvictim controls at 12 mo postassault. The rape fears and classical fears subscales seemed to contribute most to this elevation. Results from the single-testing victim groups indicated that repeated assessment had no effect on participants' scores. (23 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correction to Frazier et al. (2011).

Reports an error in "Perceived past, present, and future control and adjustment to stressful life events" by Patricia Frazier, Nora Keenan, Samantha Anders, Sulani Perera, Sandra Shallcross and Samuel Hintz (Journal of Personality and Social Psychology, Vol 100[4], 749-765). There is an error on page 758. In the sentence “Present control predicted later event-specific distress in Sample 1(β = .17, p 2011-02001-001.) Perceived control is a central construct in psychology and is key to understanding individual differences in poststress outcomes (Frazier, Berman, & Steward, 2001). The goals of the current studies (using 4 samples of undergraduate students, total N = 1,421) were to examine the relations between different aspects of perceived control and poststress outcomes and to differentiate perceived control over specific events from related constructs (i.e., general control beliefs, coping strategies). To accomplish these goals, we first developed a new measure of perceived past, present, and future control over stressful life events. The data supported the content validity, factor structure, internal consistency and test–retest reliability, and convergent and discriminant validity of the new measure. Consistent with the temporal model of control (Frazier et al., 2001), these 3 forms of control had very different relations with adjustment. Present control was consistently related to lower distress levels in cross-sectional, longitudinal, and prospective analyses. Present control also predicted outcomes beyond the effects of general control beliefs and coping strategies. Past and future control had nonsignificant or positive relations with distress, although future control was associated with better outcomes (i.e., course grades) when the stressor was controllable. Thus, our measure can be used to assess the relations between perceived past, present, and future control and outcomes across a range of stressors. Because the relations between these 3 forms of control and outcomes differ markedly, measures that combine these aspects of control hinder the understanding of the important role of perceived control in adjustment to stress. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A Longitudinal Examination of Male College Students' Perpetration of Sexual Assault.

Self-administered surveys were completed by 197 men in college at 2 time points, 1 year apart. Men who committed sexual assault at multiple time points (repeat assaulters) had the most extreme scores on measures of hostility toward women, past sexual experiences, drinking in sexual situations, and adolescent delinquency. Nonassaulters had the least extreme scores and men who committed sexual assault at only 1 time point had scores that tended to fall in between. Repeat assaulters also expressed significantly less remorse when they described their sexual assault at Time 1 than did past assaulters who committed sexual assault only at the initial time point. These findings demonstrate the importance of initiating prevention and treatment programs in early adolescence, before longstanding attitudes and behaviors tolerant of sexual assault are established. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Somatic symptoms, social support, and treatment seeking among sexual assault victims.

In an effort to clarify the relationship between the experience of sexual assault and physical health, rape victims and a matched comparison group were repeatedly assessed for somatic symptoms, psychological distress, health care use, and self-rated health perceptions during the year immediately after the assault. Women who experienced sexual assault reported more somatic complaints, poorer perceptions of physical health, greater psychological distress, and increased use of medical services. However, victims did not show a significantly higher use of mental health services and continued to seek medical attention at the end of the year after the assault, when health perceptions and somatic symptoms were no longer significantly elevated. The use of mental health services and social support as moderating variables are examined, and implications for the medical and psychological treatment of sexual assault victims are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping strategies and posttraumatic stress disorder in female victims of sexual and nonsexual assault.

The coping behaviors and (posttraumatic stress disorder [PTSD]) symptoms of 215 female assault victims (103 rape victims and 112 nonsexual assault victims) were assessed within 2 weeks following the assault (Time I), and 133 of them (62%) were followed up 3 mo later (Time 2). Posttrauma symptom severity significantly decreased during the 3-mo study period, but PTSD severity levels at Times I and 2 were highly correlated. Three coping scales were constructed on the basis of exploratory factor analyses: Mobilizing Support, Positive Distancing, and Wishful Thinking. Three mo postassault, rape victims showed higher levels of wishful thinking and PTSD than nonsexual assault victims. Wishful thinking showed a positive association and positive distancing a negative association with PTSD severity, controlling for assault type, initial levels of PTSD severity, and other coping strategies. The clinical relevance of these findings is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychosocial sequelae of violent victimization in a national youth sample.

In a national telephone sample of youths aged 10–16 years, over one third reported having been the victims of an assault. Victimized respondents displayed significantly more psychological and behavioral symptomatology than did non victimized respondents (more symptomatology related to post traumatic stress disorder, more sadness, and more school difficulties), even after controlling for some other possible sources of distress. Sexual assault was associated with particularly high levels of symptomatology. However, victims of other forms of assault—nonfamily assaults involving weapons or physical injury (aggravated assaults), assaults by parents, violence to genitals, and attempted kidnappings—also evidenced levels of distress that were not statistically lower than those suffered by victims of sexual assault. The findings suggest that substantial mental health morbidity in the general child and adolescent population is associated with victimization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)