Childhood Sexual Abuse and Revictimization In Adolescence and Adulthood

Post-traumatic stress disorder and related factors among female victims of sexual assault required to attend a University Hospital in Turkey: A cross-sectional cohort study

BACKGROUND

Post-traumatic stress disorder (PTSD) is one of the most common consequences of sexual assault, but it is not invariable.

AIM

Our aim was to investigate pre-, peri- and post-traumatic factors associated with post-traumatic stress disorder among adult women who had been sexually assaulted.

METHODS

All women attending a specialist university clinic for victims of sexual assault referred by the courts for a mental health assessment were invited to participate. At the time, the Turkish penal code required such referral (the year up to September 2015). Consenting women completed a sociodemographic information form, the Traumatic Stress Symptom Checklist, the Multidimensional Scale of Perceived Social Support, the Short Form-36 reflecting perceived quality of life, the Beck Depression Scale and the Beck Anxiety Scale.

RESULTS

Sixty women were eligible and agreed to participate. Two-thirds of them (41, 68%) reported features of PTSD. In bivariate analyses, the women with PTSD also rated themselves as having a wide range of health and social disadvantages. Self-perceived poverty of social support and having suicidal thoughts were independently associated with PTSD.

CONCLUSIONS

Although the rate of mental health and social problems among the women with PTSD were high, less than a third had actually sought help for their difficulties. While a requirement in the penal code that such women should have a psychiatric assessment seems over-intrusive and has since been dropped, our findings suggest that more efforts should be made to ensure that such women have help available if they want it.

Attributions of Blame among Victims of Child Sexual Abuse: Findings from a Community Sample

According to the attribution theory, negative outcomes of child sexual abuse (CSA) are thought to vary depending on whether CSA victims attribute the abuse to internal or external factors, respectively, self-blame and perpetrator-blame. Therefore, the purpose of this study was to identify abuse characteristics and attitudes that influence blame attributions among CSA victims from a community sample. Data from respondents with a history of CSA (N = 1,496) have been used in predicting blame attributions; perpetrator-blame, self-blame, or both. Results from a multinomial logistic regression analysis showed that attitudes toward gender roles had a significant effect on blame: victims were more likely to blame themselves when they endorsed more conservative gender attitudes than victims with more liberal attitudes. Implications for this finding are discussed.

Vulnerability to Sexual Victimization in Female and Male College Students in Brazil: Cross-Sectional and Prospective Evidence

Using both cross-sectional and prospective analyses, this study examined vulnerability factors for sexual victimization in 541 female and male Brazilian college students, of whom a subgroup of 250 took part in two measurements 6 months apart. Risk factors for sexual victimization (alcohol consumption, casual sex, and ambiguous communication) in participants' cognitive scripts for consensual sex were linked to sexual victimization via their translation into risky sexual behavior. Pornography use was indirectly linked to sexual victimization through its influence on risky sexual scripts and sexual behavior. Child sexual abuse predicted sexual victimization in the cross-sectional analysis, and victimization since age 14 predicted revictimization in the six months covered by the prospective period. Few gender differences were found. This study is the first prospective investigation of vulnerability factors for sexual victimization in Brazil, and similarities to evidence from North America are discussed.