Read-react-respond: An integrative model for understanding sexual revictimization.

Females who have been sexually abused in childhood are at significantly higher risk to be revictimized in adolescence and adulthood. Revictimization is associated with a raft of adverse mental and physical health outcomes, and so understanding why victims of childhood sexual abuse are more vulnerable to later sexual assaults has critical implications for their development. It has been hypothesized that sexual abuse in childhood results in reduced ability to recognize and/or respond effectively to sexual threats later in life, but studies examining these ideas have produced inconsistent results. Further, this research has failed to incorporate the powerful physiological reaction elicited by threats of imminent harm to the self, which has the potential to disrupt cognitive processing and coping behavior. In the present paper, we propose a model of revictimization that integrates contemporary theory and research on the biological stress response with cognitive, affective, and behavioral factors believed to be involved in adaptive responding to sexual threats. The model provides a conceptual guide for understanding why females with a history of sexual abuse are more vulnerable to revictimization and offers ideas for improving prevention programs designed to strengthen females' ability to resist sexual coercion. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Child Sexual Abuse and Number of Sexual Partners in Young Women: The Role of Abuse Severity, Coping Style, and Sexual Functioning.

The authors proposed and tested a model describing distinct pathways through which childhood sexual abuse (CSA) may lead to relatively low or high numbers of sexual partners in adulthood. Path analyses were conducted on survey responses of young female US Navy recruits who reported CSA (N=547). Use of avoidant strategies to cope with CSA was expected to produce higher levels of sexual problems and fewer heterosexual sex partners, whereas use of self-destructive coping strategies was expected to result in more dysfunctional sexual behavior and more heterosexual sex partners. As predicted, the effect of CSA on number of sex partners was largely mediated by coping strategies and dysfunctional sexual behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping with sexual harassment: Personal, environmental, and cognitive determinants.

A multidimensional coping typology and a process model of coping were used to examine coping strategies in response to sexual harassment, the personal and environmental determinants of these strategies, and the cognitive processes underlying strategy choice. Survey responses of 15,404 military members who reported unwanted sex-related attention were analyzed. Strong support was found for the usefulness of both the typology and the model. Choice of specific coping strategies used in response to sexual harassment varied significantly depending on occupational status, gender, climate, harassment severity, and power differential. Cognitive appraisal mediated the determinant-coping relationship. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Internal and external mediators of women's sexual abuse in childhood.

A community sample of 111 women's retrospective reports of childhood sexual abuse was examined in an effort to understand the circumstances and coping strategies that mediated the immediate and lasting effects of those stressful experiences. Aspects of single or multiple abuse incidents were captured in 11 variables, each reflecting 1 of 3 domains: circumstances of abuse, mediators, and outcomes (the negative effects of abuse). Observed variable simultaneous path analysis models revealed several direct and mediated influences on the outcomes. Long-term negative outcomes of abuse were directly affected by a close relationship to the perpetrator and severity of abuse from the circumstances of abuse domain, and immediate negative responses, self-blame, and nondisclosure regarding the incident from the mediational domain. The importance of examining factors that mediate the negative effects of child sexual abuse is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Measuring abuse stress and negative cognitive appraisals in child sexual abuse: validity data on two new scales

The validity of two measures assessing degree of stress associated with sexual abuse was examined in a sample of 48 girls who had been sexually abused. The Checklist of Sexual Abuse and Related Stressors (C-SARS) assessed negative life events that were part of or were related to the abuse, and the Negative Appraisals of Sexual Abuse Scale (NASAS) assessed negative cognitive appraisals of threat, harm, or loss associated with the abuse. Total scores for victim reports of both stressful events and negative appraisals were positively and significantly related to two other measures of abuse severity: therapist ratings of abuse stress and the number of types of sexual abuse reported. Stressful event scores were also related to aggressive behavior problems, sexual concerns, and total symptom scores on the Child Behavior Checklist. Negative cognitive appraisal scores were related to victims' self-reports of depression, anxiety, and posttraumatic stress symptoms, and to parents reports of child depression and total symptoms. Regression analyses indicated that there were significant effects of negative appraisals on internalizing symptoms when controlling for the level of stressful events experienced. The results suggest that negative life events and negative appraisals associated with sexual abuse are valid constructs that help account for variability in mental health outcomes among child victims. The implications of these results and future research directions in examining variable outcomes among sexual abuse victims are discussed.     

The comparison of individuals with recurrent tension-type headache and headache-free controls in physiological response, appraisal, and coping with stressors: a review of the literature

It is widely accepted that stress plays an important role in the experience of tension-type headache. This article reviews the literature in which individuals with recurrent tension-type headache are compared to headache-free controls in the experience and appraisal of stress, psychophysiological response to stress, and coping with stress. A modified and extended version of the transactional model of stress as it might apply to tension-type headache is used to organize the relevant literature. In summary, there is evidence to suggest that individuals with recurrent tension-type headache experience more stressful events and are more sensitive and have a lower threshold to pain. There are some suggestions that headache sufferers may use different coping strategies for stress and pain. There is little evidence of differences in physiological responses to stressful events. The shortcomings of this body of literature are addressed and directions for future research are identified.     

Negative life events, coping responses, and combat-related psychopathology: A prospective study.

This study examined the relations of life events and coping responses to combat-related psychopathology among 255 Israeli soldiers who suffered a combat stress reaction episode during the 1982 Lebanon War. Follow-ups 1 and 2 years after their participation in combat found (a) significant effects of psychopathology at 1 year after the war on the occurrence of negative life events and the choice of coping responses during the following year; (b) unique and significant effects of negative life events and coping responses on psychopathology at 2 years after the war; (c) a significant interaction between life events and coping responses on psychopathology; and (d) a significant indirect effect of negative life events on psychopathology via the choice of coping responses. Theoretical implications of the findings were discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relation between methods of coping during adulthood with a history of childhood sexual abuse and current psychological adjustment.

With a community sample of 192 women who had been sexually abused during childhood, the investigators determined if methods of coping in adulthood with the aftermath of child sexual abuse were associated with current symptoms of psychological distress. Multiple regression analyses indicated that disengagement methods of coping with the sexual abuse accounted for unique variance in general psychological distress even after controlling for characteristics of the abuse and methods of coping with other stressors. Disengagement methods of coping were also used more often to deal with the stressful aspects of having been sexually abused than to deal with other stressful events. In contrast, engagement methods of coping were used more often to deal with the other stressors than with sexual abuse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping, stress, and social resources among adults with unipolar depression.

Used a stress and coping paradigm to guide the development of indices of coping responses and to explore the roles of stress, social resources, and coping among 424 men and women (mean age 40.7 yrs) entering treatment for depression. An expanded concept of multiple domains of life stress was used to develop several indices of ongoing life strains. A variety of measures were obtained from Ss, family members, and treatment staff. Two questionnaires completed by Ss included the Health and Daily Living Form and the Work Environment Scale. Although most prior studies have focused on acute life events, results of the present study show that chronic strains were somewhat more strongly and consistently related to the severity of dysfunction. The coping indices generally showed acceptable conceptual and psychometric characteristics and only moderate relationships to Ss' sociodemographic characteristics or to the severity of the stressful event for which coping was sampled. Coping responses directed toward problem solving and affective regulation were associated with less severe dysfunction, whereas emotional-discharge responses, more frequently used by women, were linked to greater dysfunction. Stressors, social resources, and coping were additively predictive of an S's functioning, but coping and social resources did not have stress-attenuation or buffering effects. (72 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress, expectancies, and vulnerability to substance abuse: A test of a model among homosexual men.

We hypothesize that specific attitudes or expectancies make people vulnerable to responding to stress via alcohol or drugs. This "stress-vulnerability" model was tested among homosexual men, who show elevated rates of substance abuse and have culturally specific stressors and vulnerability. Tension reduction expectancies of alcohol effects had a substantial effect on alcohol and marijuana/drug abuse, as did the use of bars as a social resource. Two stress variables—negative affectivity and discrimination attributable to sexual orientation—also had significant, though more moderate effects. Interactions of the vulnerability measures with the stress variables had significant effects on substance abuse beyond the main effects, supporting the central hypothesis. In a second analysis both simple consumption levels and "high-risk" styles of alcohol or drug use predicted alcohol or drug problems better among vulnerable than among nonvulnerable respondents. These findings strongly supported a general stress-vulnerability model of substance abuse and illustrated several important risk factors in homosexual culture. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relationship of victimization experiences to psychological well-being among homeless women and low-income housed women.

Stressful experiences and their effects on the psychological well-being of 113 homeless women and 116 low-income housed women were investigated. Measures of victimization assessed multiple dimensions of this construct, including criminal victimization, sexual harassment, and sexual abuse. Measures of current daily environmental hassles and quality of family environment while growing up also were included. Additional measures assessed positive and negative interpersonal exchanges, sense of coherence, and overall psychological distress. Regression analyses indicated that victimization experiences were significant predictors of psychological well-being for both samples. Results also highlighted the importance of investigating both the positive and negative dimensions of interpersonal influences as well as internal resources, and suggested that these resources for coping with stress may be differentially perceived and utilized by these groups. These findings also suggest the need for specific preventive and remedial interventions to empower homeless and low-income housed women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stressors in highly valued roles, religious coping, and mortality

This study examines the relationships among stress, religious coping, and mortality. It is hypothesized that religious coping will offset the effects of stressors arising in highly valued roles on mortality, but similar stress-buffering effects will not emerge with events in less important roles. It is further predicted that the beneficial properties of religious coping will be especially evident among older adults with less education. Data from a nationwide survey of older adults (N = 819; M age = 73.8 years; 41% male) indicate that religious coping offsets the effects of stressors in highly valued roles on mortality, but only among older adults with less educational attainment (p < .05). In contrast, events in roles that are not valued highly do not have significant additive effects on mortality or significant interaction effects with religious coping.     

Emotional intelligence, personality, and task-induced stress.

Emotional intelligence (EI) may predict stress responses and coping strategies in a variety of applied settings. This study compares EI and the personality factors of the Five Factor Model (FFM) as predictors of task-induced stress responses. Participants (N = 200) were randomly assigned to 1 of 4 task conditions, 3 of which were designed to be stressful. Results confirmed that low EI was related to worry states and avoidance coping, even with the FFM statistically controlled. However, EI was not specifically related to task-induced changes in stress state. Results also confirmed that Neuroticism related to distress, worry, and emotion-focused coping, and Conscientiousness predicted use of task-focused coping. The applied utility of EI and personality measures is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clarifying the effects of parental substance abuse, child sexual abuse, and parental caregiving on adult adjustment.

Parental alcoholism, childhood sexual abuse, and other forms of child maltreatment are generally viewed as contributing to adult adjustment problems. The long-term effects of these various factors, however, are actually not well understood. The present study found that the largest amount of variance in 255 college students' psychological distress was explained by parental emotional abuse and neglect, with child sexual abuse, parental substance abuse, and other factors explaining additional but smaller amounts of variance in distress. This suggests that comprehensive conceptualizations of family influences on development will result in a more complete understanding of long-term adjustment outcomes than merely focusing on particular childhood risk factors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive appraisals and emotions predict cortisol and immune responses: A meta-analysis of acute laboratory social stressors and emotion inductions.

Models of stress and health suggest that emotions mediate the effects of stress on health; yet meta-analytic reviews have not confirmed these relationships. Categorizations of emotions along broad dimensions such as valence (e.g., positive and negative affect) may obscure important information about the effects of specific emotions on physiology. Within the context of the integrated specificity model, we present a novel theoretical framework that posits that specific emotional responses associated with specific types of environmental demands influence cortisol and immune outcomes in a manner that would have likely promoted the survival of our ancestors. We analyzed experiments from 66 journal articles that directly manipulated social stress or emotions and measured subsequent cortisol or immune responses. Judges rated experiments for the extent to which participants would experience theoretically relevant cognition and affect clustered around five categories: (a) cognitive appraisals, (b) basic emotions, (c) rumination and worry, (d) social threat, and (e) global mood states. As expected, global mood states were unassociated with the effect sizes, whereas exemplars from the other categories were generally associated with effect sizes in the expected manner. The present research suggests that coping strategies that alter appraisals and emotional responses may improve long-term health outcomes. This might be especially relevant for stressors that are acute or imminent, threaten one’s social status, or require extended effort. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

War zone stress, personal resources, and PTSD in Persian Gulf War returnees.

Posttraumatic stress disorder (PTSD) can occur subsequent to war stress, but not all troops are negatively affected. A discriminant function model was used to study associations between personal and environmental resources and psychological outcomes subsequent to war zone stress. Among 775 Persian Gulf War exposed troops, 2 subsets were identified: 97 with PTSD diagnoses and 484 who had no psychological distress. A discriminant function, double cross-validated in random subsamples, classified 87% of troops, and demographic and stress severity variables did not alter results significantly. Personality hardiness commitment, avoidance coping, and perceived family cohesion emerged as consistent predictors of PTSD diagnosis. Findings suggest personal characteristics and environmental factors may alter vulnerability to negative war stress outcomes. Work is needed to identify mechanisms and causal pathways by which resource factors enhance or lower stress resistance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The association between daily stress and sexual activity.

Research has shown that stressors and experienced stress are negatively correlated with sexual activity (i.e., behavior and satisfaction) within couples. Thus far, most studies have been cross-sectional and report correlations only. This study is one of the first to examine the covariation between self-perceived stress and daily sexual activity within a time period of 3 months by collecting data on stress, sexual activity, sexual satisfaction, and sexual fulfillment as well as individual and dyadic coping. The association among these variables was tested in a multilevel model that included cyclical terms to capture the regular variation of sexual behavior over the days of the week. One hundred and three female students completed questionnaires and diaries 12 times during a 3-month period just prior to a major exam. Findings suggest that higher self-reported stress in daily life was associated with lower levels of sexual activity and satisfaction and a decrease in relationship satisfaction. In addition, dyadic coping was positively associated with sexual outcomes but did not moderate the association of experienced stress and sexuality. Implications for sexuality research in close relationships and methods for studying cyclical processes are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship of childhood sexual, physical, and combined sexual and physical abuse to adult victimization and posttraumatic stress disorder

OBJECTIVE: Prior research has suggested that women who experience childhood sexual abuse are at increased risk for sexual victimization and Posttraumatic Stress Disorder (PTSD) in adulthood. However, previous studies have paid insufficient attention to the overlap of childhood sexual and physical abuse. In the present study we disentangled the separate and combined effects of childhood sexual and physical abuse by comparing groups of participants who reported contact childhood sexual abuse only (SA), sequelae of childhood physical abuse only (PA), combined childhood sexual and physical abuse (CA), or no child abuse (NA). METHOD: A sample of 475 female college students completed measures of sexual and physical abuse in childhood (before age 15) and adulthood (after age 15), PTSD and trauma symptoms, and demographic variables. Of these participants, 27 were assigned to the SA group, 53 to the PA group, 31 to the CA group, and 211 to the NA group. RESULTS: The highest rate of adult sexual and/or physical victimization was reported by the CA group, followed by the PA group, with lower rates reported by the SA and NA groups. Using adult victimization as a covariate, the analyses revealed that the CA group reported significantly higher rates of PTSD and trauma symptoms compared to the NA group. CONCLUSIONS: The results suggest that prior reports of differences in rates of adult victimization and PTSD between women who experienced childhood sexual abuse and women who did not may be attributable to the inclusion of participants with a history of combined childhood sexual and physical abuse in childhood sexual abuse groups. The importance of separating physical and combined forms of victimization from sexual abuse is discussed.     

A relationship between childhood sexual abuse and professional sexual misconduct.

This article identifies specific factors that place therapists at risk for engaging in sexual activity with clients and provides guidelines to minimize the likelihood of such behavior. In a national, randomly drawn sample of 323 mental health practitioners, 3 of 5 men who reported severe childhood sexual abuse and whose psychological symptoms met the criteria for a high degree of psychological distress reported sexual boundary violations with clients. High-risk clinicians should avoid the isolation of private practice, closely monitor their boundaries with clients, obtain ongoing professional supervision, and seek personal psychotherapy to address any remaining abuse-related issues. (PsycINFO Database Record (c) 2010 APA, all rights reserved)