Prior Sexual Victimization Research Articles

Understanding Date Rape Attitudes and Behaviors: Exploring the Influence of Race, Gender, and Prior Sexual Victimization

This exploratory investigation examines the influence of race, gender, and prior sexual victimization on attitudes and behaviors related to date rape from a large sample of college students (n = 3,084) in the United States. The results of this study indicate that gender was a salient factor, with males more likely to subscribe to undesirable attitudes toward date rape and to engage in behaviors that increase the risk of both men and women perpetrating date rape. Findings also indicate that racial differences exist in that black students were less likely to subscribe to undesirable attitudes and to engage in sexual behaviors that increase the risk of perpetrating date rape than were white students. Finally, the analyses found previous sexual victimization experiences unexpectedly increased undesirable attitudes toward and behaviors associated with date rape. Implications of the results are discussed.

There are no "innocent victims": the influence of just world beliefs and prior victimization on rape myth acceptance.

Utilizing data from an online survey of 979 university students, this study explores the relationship between prior sexual assault victimization experiences, belief in a just world, and acceptance of rape myths. Results indicated that men, younger respondents, and those with less education were more likely to support rape myths. Support for just world beliefs and rape myths were also positively associated, while rape victims exhibited less support for rape myths than non-victims. Implications for future studies are discussed.

Disinhibition as a Mechanism in Sexual Victimization: A Prospective Study

Disinhibition was examined as a mechanism in revictimization using a prospective research design. Of the sample of 211 young adult women, 43.1% reported prior sexual victimization (birth to the time of our initial assessment) and 32.2% reported sexual assault during the 6-month follow-up. The findings suggest that disinhibition was a partial mediator. Prior sexual victimization was associated with increased disinhibition as well as increased future sexual assault. Greater disinhibition was associated with increased future sexual assault. Once disinhibition was accounted for, the original relationship between prior and future sexual assault was reduced. Disinhibition partially explained revictimization and these behaviors might serve as possible targets of change in sexual victimization prevention work.

Women’s expression of anger in response to unwanted sexual advances: Associations with sexual victimization.

OBJECTIVE: To examine the association between women's prior sexual victimization and their expression of anger in response to unwanted sexual advances. METHOD: Sixty-five female undergraduate students participated in role plays with male actors. During the role plays, which were conducted using virtual reality technology, the male actor made unwanted sexual advances toward the participant. Participants' expression of anger in response to these advances was coded and analyzed. RESULTS: Women with a history of sexual victimization were observed to be less angry and used fewer anger words in response to initial unwanted sexual advances, compared with women with no history of sexual victimization. CONCLUSION: This study highlights the potential importance of women's expression of anger in response to unwanted sexual advances. Specifically, anger expression might be important to consider in understanding women's vulnerability to victimization and revictimization, and as an intervention target for programs designed to help women resist sexual violence. Finally, this study illustrates the potential benefits of a unique methodology--role plays conducted using virtual reality--for investigating women's responses to unwanted sexual advances.

Factors Associated With College Women’s Labeling of Sexual Victimization

Despite high rates of sexual assault among college women, most victims do not label the experience as sexual assault or rape. Prior research examining labeling of sexual victimization has focused on women's characterization of rape experiences as either not victimization or victimization. This study extends prior research by exploring factors associated with labeling various forms of sexual victimization as "not victimization," a "serious miscommunication," or a "sexual assault, date rape, rape, or crime." A sample of 1,060 college women reported on their experiences of sexual victimization since the age of 14 years. Women who reported experiences of prior sexual victimization (n = 371) indicated their level of acquaintance with the assailant, assault disclosure, substance use at time of assault, attributions of self- and perpetrator-blame for the assault, and labeling of the experience. Most women who reported experiences of sexual victimization did not self-identify as victims, and 38% labeled sexual victimization as a serious miscommunication. Greater acquaintance with the perpetrator, higher behavioral self-blame, and victim substance use at the time of the assault were associated with labeling sexual assault experiences as a serious miscommunication. Implications are discussed.

Bachelor of Social Work (BSW) Students' Prior Sexual Abuse Victimization

This paper reports findings of an exploratory study surveying 61 students about their prior child sexual abuse victimization. Bachelor of Social Work (BSW) students were surveyed at the beginning and end of a child abuse course and results indicated that 19.7 % of the students reported being sexually abused during childhood. Results also indicated that taking a child abuse course may increase BSW students' self‐awareness regarding prior victimization. The paper discusses how prior child sexual abuse victimization can affect social work students, education, and practice.

Effects of Alcohol Intoxication and Victimization History on Women's Sexual Assault Resistance Intentions: The Role of Secondary Cognitive Appraisals

This study used an experimental paradigm to investigate the role of secondary cognitive appraisals in women's sexual assault resistance and whether these appraisals mediated influences of alcohol and prior victimization. After consuming a beverage (control, placebo, moderate, or high dose), 351 women projected themselves into a simulated interaction with a sexually aggressive man. Four types of secondary appraisals (shock at the man's behavior, concern about his feelings, uncertainty in the situation, conflict about what to do) and three resistance strategies (assertive, polite, passive) were examined. Path modeling revealed that, as expected, intoxication and prior sexual victimization influenced secondary appraisals, which in turn influenced intended resistance. Prior adult sexual assault (ASA) and childhood sexual abuse (CSA) also had direct effects: ASA negatively predicted assertive resistance and CSA positively predicted passivity. Findings suggest that secondary appraisals are key targets for intervention to facilitate effective resistance, thereby reducing the risk of adult sexual victimization.

Alcohol Consumption and Females’ Recognition in Response to Date Rape Risk: The Role of Sex-Related Alcohol Expectancies

This study examined the pharmacological and psychological effects of alcohol on women’s recognition of and response to dating sexual aggression. Female participants completed measures of prior sexual victimization experiences, sex related alcohol expectancies, general alcohol expectancies, and drinking habits. Using a 2 (alcohol) × 2 (expectancy) balanced placebo research design, women were exposed to an audiotape date rape vignette and asked to press a button when the man’s sexual advances had gone to far. Upon pressing the button, the tape was stopped and participants were instructed to imagine themselves in the same situation and generate a response describing what they would say and/or do at that point. Results indicated that although alcohol and expectancy were not related to risk perception, individuals who consumed alcohol displayed significantly less resistant role play refusals. A significant interaction between expectancy set and pre-existing sex-related alcohol expectancies was observed indicating participants believing alcohol affects sexual behavior generated less resistant refusal responses when they expected to receive alcohol. Moreover, for those who expected to receive alcohol, stronger pre-existing sex-related alcohol expectancies predicted less resistant refusal responses over above the effects of blood alcohol level and general alcohol expectancies. The implications of these findings are discussed.

Sexual and Physical Victimization as Predictors of HIV Risk Among Felony Drug Offenders

Injection and other drug use and high-risk sexual behaviors put criminal offenders at increased risk for HIV infection. Studies in other populations, especially females, have found that a history of sexual or physical victimization increases engagement in HIV-risk behaviors, and drug-involved offenders have high rates of such prior victimization. However, there has been little research among male offenders. In a sample of 247 male felony drug offenders in New York City, prior sexual victimization was related to a higher number of sex partners and lower proportion of protected sex acts in the 30 days before arrest. Prior physical abuse was related to cocaine injection, but not heroin injection or high-risk sex behaviors. These results suggest a complex relationship between sexual and physical abuse and HIV risk among male offenders. Assessing for specific prior abuse histories of offenders and providing targeted interventions may be useful for developing more effective primary and secondary HIV prevention services for this high-risk population.

BEING PURSUED: STALKING VICTIMIZATION IN A NATIONAL STUDY OF COLLEGE WOMEN*

Research Summary: We provide the results of a 1997 national‐level study of stalking among college women. Over an approximately seven‐month period, 13.1% of the women reported being stalked. Although physical harm was not common, the incidents typically lasted two months, involved frequent contact by offenders, and prompted victims to take protective actions. Lifestyle‐routine activities, prior sexual victimization, and demographic characteristics affected the risk of victimization.Policy Implications: Due to its prevalence, college and university administrators need to rectify their current neglect of stalking. Interventions may include educational programs, crime prevention seminars, reducing opportunities for stalking, and increasing informal and formal controls over stalkers.

Rape Myth Acceptance Among College Women

Using data from a survey of 623 undergraduate college women, this study explores the impact of race and prior sexual assault victimization on the acceptance of rape myths. No substantial differences emerged between Black and White women. This finding differs from earlier studies that found more support for rape myths among Blacks. Victims and nonvictims also revealed very similar attitudes, suggesting that socialization patterns or belief in a “just world” may encourage victims to retain their support of some rape myths. The findings suggest that although most college women reject rape myths, a substantial minority continue to support them. Continued educational efforts are recommended.

Prior interpersonal trauma: The contribution to current PTSD symptoms in female rape victims.

The purpose of the current study was to disentangle the relationship of childhood sexual abuse and childhood physical abuse from prior adult sexual and physical victimization in predicting current posttraumatic stress disorder (PTSD) symptoms in recent rape victims. The participants were a community sample of 117 adult rape victims assessed within 1 month of a recent index rape for a history of child sexual abuse, child physical abuse, other adult sexual and physical victimization, and current PTSD symptoms. Results from path analyses showed that a history of child sexual abuse seems to increase vulnerability for adult sexual and physical victimization and appears to contribute to current PTSD symptoms within the cumulative context of other adult trauma.

The molecular target of antidepressants: J. Perez 1, S. Mori 2, D. Tardito 3, R. Zanardi 1, E. Smeraldi 1, M. Popoli 2, G. Racagni 2,3. 1Istituto Scientifico H. San Raffaele, Dep. of Neuropsychiatry, School of Medicine, University of Milan; 2Center of Neuropharmacology, University of Milan; 3I.R.C.C.S. Centro San Giovanni di Dio-Fratebenefratelli, Brescia, Italy

Adolescents and young adults are four times more likely to be victims of sexual assault than women in all other age groups. In the vast majority of these cases, the perpetrator is an acquaintance of the victim. Date rape is a subset of acquaintance rape where nonconsensual sex occurs between two people who are in a romantic relationship.We conducted a MEDLINE and Current Concepts search for articles relating to date rape and then systematically reviewed all relevant articles.Lifetime prevalence of date or acquaintance rape ranges from 13% to 27% among college-age women and 20% to a high of 68% among adolescents. Demographic characteristics that increase vulnerability to date rape include younger age at first date, early sexual activity, earlier age of menarche, a past history of sexual abuse or prior sexual victimization, and being more accepting of rape myths and violence toward women. Other risk factors include date-specific behaviors such as who initiated, who paid expenses, who drove, date location and activity, as well as the use of alcohol or illicit drugs such a flunitrazepam (Rohypnol). Alcohol use that occurs within the context of the date can lead to: the misinterpretation of friendly cues as sexual invitations, diminished coping responses, and the female's inability to ward off a potential attack.Longitudinal research designs are needed to further our understanding of sexual violence among adolescents and young adults and the most effective ways to eliminate it. Understanding and comparing research findings would be easier if consensus regarding the definitions of date rape, sexual aggression, and sexual assault was obtained. Finally, primary and secondary date and acquaintance rape prevention programs must be developed and systematically evaluated.

Date Rape Among Adolescents and Young Adults

BackgroundAdolescents and young adults are four times more likely to be victims of sexual assault than women in all other age groups. In the vast majority of these cases, the perpetrator is an acquaintance of the victim. Date rape is a subset of acquaintance rape where nonconsensual sex occurs between two people who are in a romantic relationship. MethodsWe conducted a MEDLINE and Current Concepts search for articles relating to date rape and then systematically reviewed all relevant articles. ResultsLifetime prevalence of date or acquaintance rape ranges from 13% to 27% among college-age women and 20% to a high of 68% among adolescents. Demographic characteristics that increase vulnerability to date rape include younger age at first date, early sexual activity, earlier age of menarche, a past history of sexual abuse or prior sexual victimization, and being more accepting of rape myths and violence toward women. Other risk factors include date-specific behaviors such as who initiated, who paid expenses, who drove, date location and activity, as well as the use of alcohol or illicit drugs such a flunitrazepam (Rohypnol). Alcohol use that occurs within the context of the date can lead to: the misinterpretation of friendly cues as sexual invitations, diminished coping responses, and the female's inability to ward off a potential attack. ConclusionsLongitudinal research designs are needed to further our understanding of sexual violence among adolescents and young adults and the most effective ways to eliminate it. Understanding and comparing research findings would be easier if consensus regarding the definitions of date rape, sexual aggression, and sexual assault was obtained. Finally, primary and secondary date and acquaintance rape prevention programs must be developed and systematically evaluated.

Does the study of victimization revictimize the victims?

Although the number of questionnaire surveys examining the sequelae of prior sexual and physical victimization has increased over the last decade, little attention has been given to understanding the impact of such studies on participants. As part of a larger study of long-term effects of prior sexual and physical victimization, 500 randomly selected women in an HMO received a comprehensive questionnaire including multiple symptomatic distress measures and several items inquiring into previous history of sexual, physical, and emotional abuse and neglect. They also completed a short rating scale asking about their reactions to completing the questionnaire. Despite the sensitive content, the women who participated generally found the experience to be a positive one. Only a small number of women were more upset than they had anticipated, but the vast majority felt they would have completed the survey even if they had known in advance how they would feel. The subset of women who did express distress was significantly different from the group that did not, with respect to other measures of symptomatic distress and trauma exposure. These data suggest that surveys that inquire into prior episodes of childhood victimization are generally well tolerated by women who participate, and that, although a small number may be disturbed by these investigations, in general, adverse reactions may be less common than previously anticipated.

The relationship of current psychiatric disorder to functional disability and distress in patients with inflammatory bowel disease

Although prior theories about psychiatric disorders causing inflammatory bowel disease (IBD) have largely been discredited, these same disorders have at times been associated with functional gastrointestinal symptoms such as those found in irritable bowel syndrome. Since functional gastrointestinal symptoms can also occur in patients with organic pathology, we hypothesized that a current psychiatric disorder might amplify or produce additional gastrointestinal symptoms in patients with organic gastrointestinal diseases such as IBD, leading to additive functional disability and decreased quality of life. This pilot study evaluated a sequential sample of 40 IBD patients using the NIMH Diagnostic Interview Schedule, structured interviews for functional gastrointestinal symptoms, and prior episodes of emotional, physical, and sexual abuse as well as self-report measures of personality and disability. We compared IBD patients with and without a current psychiatric disorder while controlling for disease severity. Eight patients with major depression were treated with antidepressants. Patients with a current psychiatric disorder had significantly higher 1) mean number of lifetime psychiatric diagnoses, 2) prevalence rates of prior sexual and physical victimization, and, 3) mean numbers of both gastrointestinal and other medically unexplained symptoms despite no differences in severity of IBD. Significant and trend level differences were apparent on several measures of functional disability. A regression analysis showed that number of psychiatric diagnoses, number of functional gastrointestinal symptoms, and dissociation scale scores significantly discriminated the groups. Treatment of current major depression decreased functional disability despite no objective changes in gastrointestinal disease severity. It was concluded that the presence of a current psychiatric disorder appears to alter the perception of disease severity in patients with IBD. Nonrecognition of the psychiatric disorder may lead to unnecessary and aggressive interventions for IBD patients such as medication changes, invasive testing, or surgery. The presence of a current psychiatric illness also appears to be associated with increased functional disability. Psychiatric evaluation and treatment, therefore, have an important role in the ongoing management of IBD patients with distressing gastrointestinal symptoms not directly attributable to their IBD.

Incarcerated Female Sexual Offenders: A Comparison of Sexual Histories with Eleven Female Nonsexual Offenders

Although there is a body of literature on male sexual offenders, there is a paucity of data on female sexual offenders. In this study, 11 incarcerated female sexual offenders against children were matched with a comparison group of 11 female offenders incarcerated for nonsexual crimes regarding their own prior sexual and physical victimization experiences and sexual histories. Results indicated that the sexual offenders demonstrated a higher incidence of childhood sexual abuse and were victimized exclusively within the family. The sexual offender group also demonstrated a higher incidence of physical abuse. Additional descriptions of psychiatric status are presented. In comparing sex histories between groups, the sexual offenders reported that most sexual activity was initiated at later ages than the nonsexual offenders. Although the sample is small, there also were differences within the groups. The sexually abused sexual offenders had a later age of first masturbation, first orgasm, and satisfaction with adult partners. Prior victimization, regardless of group, played a common role in preventing sexual satisfaction in adulthood. Regarding the sexual offenses, there was a great deal of denial and minimization as well as denial of atypical sexual fantasy. Both groups were given a self-report sexual interest card sort. Four offenders from each group endorsed various atypical sexual scenes. A case study is presented to illustrate the complex nature of a female sexual offender in this study. Recommendations for future research in the assessment of female sexual offenders are discussed.

Medical and psychiatric symptoms in female gastroenterology clinic patients with histories of sexual victimization

Several recent retrospective reports have associated prior sexual victimization and long-term medical sequelae such as increased medical clinic utilization and reports of physical symptoms. However, methodological constraints have limited the generalizability of these findings. Our study was designed using structured interviews with a sequential sample of 89 female gastroenterology clinic patients, who were classified by severity of sexual trauma and studied for differences in lifetime psychiatric diagnoses, physical abuse, and medically unexplained symptom patterns. Compared with the 46 women who had experienced less severe or no prior sexual trauma, the 43 patients with severe victimization had significantly higher lifetime and current rates of several selected psychiatric disorders as well as significantly higher mean numbers of lifetime psychiatric disorders, medically unexplained physical and anxiety symptoms, greater harm avoidance and dissociation scores, and increased functional disability. A logistic regression showed that the main predictors of a history of severe sexual abuse were the number of medically unexplained symptoms, adult physical abuse, and lifetime dysthymic disorder. We concluded that women with prior severe sexual trauma episodes may express medically unexplained physical symptoms as part of the long-term adaptation to their victimization.

Comparative effects of sexual assault on sexual functioning of child sexual abuse survivors and others

This study quantitatively and qualitatively examined the effects of sexual assault on the sexual functioning of 37 sexually active women an average of 8.21 years postevent (Mdn = 4.08 years). More than 80% of the sample reported some sexual dysfunction with a partner as a result of the assault. Greatest impairment was reported by subjects who either had a history of child sexual abuse or had no prior sexual victimization before the current assault as compared with subjects who had prior sexual assaults. When data were examined by type of perpetrator, adverse effects were greatest for subjects assaulted by a health care professional. Qualitative analysis revealed that, for the total sample, greatest effects were in the area of adverse feeling states (part of desire dysfunction) as early response inhibitors, with subjects who had a history of child sexual abuse being the only group to report orgasmic dysfunction and guilt. There was no statistically significant difference in sexual dysfunction between subjects who filed civil suits and those who did not. Implications for treatment are discussed.