Pathways Linking Cumulative Maltreatment and Revictimization: Posttraumatic Stress Symptoms, Anger, and Substance Use Among Women

Abstract

ABSTRACT Maltreatment survivors are at a heightened risk for revictimization during adulthood. Yet, existing work has specifically focused on sexual revictimization, and it is unclear what factors increase one’s risk for revictimization more broadly. Posttraumatic stress symptoms (PTSS), anger, and substance use have been identified as factors associated with sexual revictimization; the function of these variables is ambiguous in the broader revictimization framework. There is also a lack of understanding regarding the roles of the DSM-5 posttraumatic stress disorder (PTSD) symptom clusters and revictimization. This study aimed to 1) examine the links between maltreatment and revictimization and three factors (i.e., PTSS, anger, and substance use), 2) determine whether there are indirect effects between maltreatment and revictimization through each factor, and 3) investigate whether PTSD clusters have indirect effects on the relationship between maltreatment and revictimization. The sample included 350 maltreated college women (M age = 21.96, SD = 5.31; 54.2% White) from two universities. Findings indicated that maltreatment and revictimization were linked with PTSS (B = 4.65, B = 0.03, respectively). Only maltreatment was related to anger, B = 1.70, and revictimization was tied to substance use, B = 0.08. Only PTSS had an indirect effect on the link between maltreatment and revictimization (B = 0.13). Maltreatment was related to each of the four PTSD symptom clusters, but the clusters had no indirect effects on the association between maltreatment and revictimization. These findings indicate that PTSS may be uniquely important in increasing the risk for revictimization among women.