Child Abuse, Early Maladaptive Schemas, and Risky Sexual Behavior in College Women

Roemmele, Melissa; Messman-Moore, Terri L.

doi:10.1080/10538712.2011.575445

Cited by 61 publications

(53 citation statements)

References 32 publications

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“…These associations persist even when the models control for the demographic variables of ever married, never pregnant, religion, and wealth, although the association between childhood sexual violence and multiple partners was of borderline statistical significance. The association between a history of childhood sexual violence and sexual risk-taking behaviors among young adult Tanzanian females is consistent with research that has been done in other geographic and cultural contexts (Bensley et al, 2003; Felitti et al, 1998; Lalor & McElvaney, 2010; Roemmele & Messman-Moore, 2011; Senn & Carey, 2010; Wilson & Widom, 2008). …”

Section: Discussionsupporting

confidence: 86%

“…In addition to the immediate risks of childhood sexual violence, many studies have established a strong association between experiences of childhood sexual violence and later engagement in sexual risk-taking behaviors such as having multiple sexual partners, inconsistent condom use, and participation in intergenerational and transactional sex (Bensley, Van Eenwyk, & Wynkoop Simmons, 2003Felitti et al, 1998; Lalor & McElvaney, 2010; Roemmele & Messman-Moore, 2011; Senn & Carey, 2010; Wilson & Widom, 2008). Severe or recurrent exposure to stress during childhood, such as sexual violence victimization, can profoundly impact brain circuits and hormonal systems that regulate stress, leading to alterations in the brain architecture and damaged stress regulatory response (Adler & Ostrove, 1999; Herringa et al, 2013; McEwen & Seeman, 1999; National Scientific Council on the Developing Child, 2014).…”

mentioning

confidence: 99%

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HIV and Childhood Sexual Violence: Implications for Sexual Risk Behaviors and HIV Testing in Tanzania

Chiang¹,

Chen²,

Gladden³

et al. 2015

AIDS Education and Prevention

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Prior research has established an association between sexual violence and HIV. Exposure to sexual violence during childhood can profoundly impact brain architecture and stress regulatory response. As a result, individuals who have experienced such trauma may engage in sexual risk-taking behavior and could benefit from targeted interventions. In 2009, nationally representative data were collected on violence against children in Tanzania from 13–24 year old respondents (n = 3,739). Analyses show that females aged 19–24 (n = 579) who experienced childhood sexual violence, were more likely to report no/infrequent condom use in the past 12 months (AOR = 3.0, CI [1.5, 6.1], p = 0.0017) and multiple sex partners in the past 12 months (AOR = 2.3, CI [1.0, 5.1], p = 0.0491), but no more likely to know where to get HIV testing or to have ever been tested. Victims of childhood sexual violence could benefit from targeted interventions to mitigate impacts of violence and prevent HIV.

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Section: Discussionsupporting

confidence: 86%

mentioning

confidence: 99%

HIV and Childhood Sexual Violence: Implications for Sexual Risk Behaviors and HIV Testing in Tanzania

Chiang¹,

Chen²,

Gladden³

et al. 2015

AIDS Education and Prevention

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show abstract

“…Finally, few studies have examined the link between emotion dysregulation and STI risk among incarcerated women. Other studies exploring emotion management as a mechanism linked to sexual risk have focused on adolescents (Brown et al 2008; DiClemente et al 2001), or college women in relation to HIV (Roemmele and Messman-Moore 2011). Expanding our understanding of emotion dysregulation and STI risk among a high risk population of women such as incarcerated women with histories of interpersonal violence can offer additional insight into this relationship.…”

Section: Discussionmentioning

confidence: 99%

Emotional Dysregulation and Risky Sex Among Incarcerated Women with a History of Interpersonal Violence

et al. 2014

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Incarcerated women, in comparison to non-incarcerated women, are at high risk for sexually transmitted infections (STIs) and many have experienced interpersonal violence. The psychological construct of emotional dysregulation – which includes heightened intensity of emotions, poor understanding of emotions, negative reactivity to emotion state, inability to control behaviors when experiencing emotional distress, and maladaptive emotion management responses – is a possible pathway to explain the link between interpersonal violence exposure and STI risk. The present study examined maladaptive emotion management responses for emotional dysregulation (i.e., avoidance and numbing, and dissociation) occurring in the context of risky sexual behavior. We collected qualitative data from 4 focus groups with a sample of n=21 incarcerated women (18+ years) from facilities in urban New England. Qualitative data were analyzed using a thematic analysis approach. Findings indicated that incarcerated women reported engaging in a variety of maladaptive responses for emotion management during sexual encounters. These maladaptive responses for emotion management appear to increase sexual risk behaviors and alter women's ability to implement STI protective behaviors such as sexual negotiation and condom use. Preventive interventions to reduce sexual risk behaviors should incorporate strategies to promote emotional regulation among incarcerated women with histories of interpersonal violence.

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“…Substance use has also been found to mediate the association between CSA and risky sexual behaviors (Senn et al, 2008). Roemmele and Messman-Moore (2011) found that early maladaptive schemas 6 including disconnection and rejection, defectiveness/shame, and abandonment schemas were associated with risky sexual behavior among those with histories of CSA and childhood physical abuse. Self-hatred was strongly linked to self-harming (β = .45, p < .001) in a study of 782 adolescents (Xavier et al, 2016).…”

Section: Shame Linked To Revictimization Health Risk Behaviors and mentioning

confidence: 99%

The Imprint of Childhood Abuse on Trauma-Related Shame in Adulthood

Reid¹

2018

Dignity

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Research has consistently linked residual trauma-related shame among child sexual abuse (CSA) survivors to sexual revictimization, health risk behaviors, and poorer response to mental health treatment. However, questions remain regarding the imprint of childhood maltreatment on trauma-related shame including which CSA characteristics or types of childhood maltreatment contribute to residual shame in adulthood. Using data drawn from a prospective study of 174 primarily African American women with histories of CSA and a matched comparison group, this study explores whether specific characteristics of CSA (familial CSA, CSA with penetration, force used by CSA perpetrator), repeat sexual victimization in adolescence, childhood physical abuse, childhood neglect, and childhood commercial sexual exploitation contribute to the level of trauma-related psychosexual shame reported during adulthood. Ordinal logistic regression revealed that the analyzed characteristics of CSA did not result in higher levels of shame. However, repeated sexual victimization during adolescence, childhood physical abuse, childhood neglect, and childhood commercial sexual exploitation resulted in higher levels of trauma-related shame reported in adulthood. For treatment providers, these findings highlight the critical need to address and treat trauma-related shame with clients who have experienced maltreatment or sexual exploitation during childhood.

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Child Abuse, Early Maladaptive Schemas, and Risky Sexual Behavior in College Women

Cited by 61 publications

References 32 publications

HIV and Childhood Sexual Violence: Implications for Sexual Risk Behaviors and HIV Testing in Tanzania

HIV and Childhood Sexual Violence: Implications for Sexual Risk Behaviors and HIV Testing in Tanzania

Emotional Dysregulation and Risky Sex Among Incarcerated Women with a History of Interpersonal Violence

The Imprint of Childhood Abuse on Trauma-Related Shame in Adulthood

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