A sample of 531 self-identitied adult and adolescent survivors of sexual abuse were sent or given a 686 item Post-Traumatic Sh.ess Ouestionnaire. Each res~ondent described between 1-3 different sexudy abusive experien&s with different perpetrators, in detail, for a total of 1140 ex~eriences. A series of statistical analyses exambed the correlations &d relationships between aspects of the abuse (including perceived severe impact, duration, frequency, type of abuse, use of force, age of onset) and scores on a variety of standardized instruments. Results of these analyses of the Impact of Events Scale, the 'Tkauma Symptom Checklist-33, and the MMPI-PTSD scale revealed that the cognitive variable of perceived severity of impact accounted for the most variance in scores on the instruments. Other variables which influenced higher scores were greater number of abusers, greater intrusiveness of abuse with force, and greater intrusiveness of abuse without force.

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Research objective To test the relative efficacy of adaptive and fixed simulator training vs. adaptive and fixed computer-based training (CBT) vs. traditional lecture. Methods Ninety-two board certified Family Physicians were given a pretest, followed by training under one of five randomly assigned training conditions: (i) adaptive CBT; (ii) non-adaptive CBT; (iii) adaptive simulator; (iv) non-adaptive simulator; and (v) lecture. Subjects were given a post-test immediately after training and again in 6 weeks. In the adaptive groups, the content presented to subjects was a function of the subjects’ knowledge and performance, under control of a MOODLE LMS. In the lecture component, a physician projected images identical to the images in the CBT component of the study. Results No significant differences (p = 0.89 for ANOVA) in baseline knowledge between the five groups, based on pretest scores; In each of the five groups, our intervention resulted in immediate changes in knowledge (95% CI), based on analysis of pretest and PostTest1 scores; and, with the exception of subjects with non-adaptive, simulator intervention, all groups had significant decay in knowledge between the first and second post-tests (95% CI). Conclusion Periodic simulator intervention could result in significant knowledge retention over extended periods of time.