The Indirect Effect of Coping Self-Efficacy on the Relation Between Sexual Violence and PTSD Symptoms.

Abstract

One in five women experience rape and one in four experience unwanted sexual contact, incurring significant risk of negative psychological outcomes such as posttraumatic stress disorder (PTSD). Given this heightened risk, it is imperative to examine factors that can inhibit the development of PTSD symptoms in response to sexual violence in women. Perceived coping self-efficacy (CSE) is a cognitive appraisal ability utilized to regulate internal and external stressors that arise from traumatic events and is crucial for effective adaptation after traumas such as sexual violence. This study investigated CSE as a potential protective factor against trauma-related psychopathology in female rape survivors. In this study, 518 female undergraduate students (M age = 22.71 years, SD = 8.33 years; 82.4% Caucasian) completed self-report measures of nonconsensual sexual experiences, CSE, and PTSD symptom severity. Of those, 375 women (M age = 22.89 years, SD = 6.91 years; 83.7% Caucasian) reported at least one incident of a nonconsensual sexual experience. We hypothesized that CSE would indirectly affect the relationship between sexual violence and PTSD symptom severity, such that CSE would be protective against PTSD symptoms. In line with our hypothesis, there was evidence of a significant indirect effect, 95% confidence interval (CI) = [0.18, 0.44]. This evidence suggests that CSE may be an important protective factor given women's increased risk of developing PTSD symptoms following sexual violence. Furthermore, this finding suggests that programs targeting the development of CSE may prevent or lessen risk of PTSD symptoms following sexual violence.