Perceived sexual control, sex-related alcohol expectancies and behavior predict substance-related sexual revictimization

Walsh, Kate; Messman-Moore, Terri L.; Zerubavel, Noga; Chandley, Rachel Burgard; DeNardi, Kathleen A.; Walker, Dave

doi:10.1016/j.chiabu.2012.11.009

Cited by 42 publications

(34 citation statements)

References 34 publications

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“…That is, the beliefs or expectancies that victims hold regarding sexual experiences (e.g., if I have sex I will feel better) likely motivate engagement in sexual behavior. In line with this view, Walsh and colleagues (2013) found that low perceived sexual control resultant from CSA influenced college women’s sex-related alcohol expectancies, which was associated with a higher likelihood of risky sexual behavior and revictimization. Thus, one potential avenue for future research is investigating whether participants’ forecasting of hypothetical sexual behavior reliably predicts future behavior.…”

Section: Discussionmentioning

confidence: 67%

Pathways from childhood abuse to prospective revictimization: Depression, sex to reduce negative affect, and forecasted sexual behavior

Miron¹,

Orcutt²

2014

Child Abuse & Neglect

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Research suggests that adverse events in childhood, such as childhood physical, sexual, and emotional abuse, confer risk for later sexual assault. Psychological distress, coping strategies, and sexual behavior may help explain the path from childhood abuse to revictimization. The present study explored how the use of sex to regulate negative affect (SRNA) operates independently, and in combination with other psychosocial factors to increase college women’s (N = 541) risk of experiencing prospective adult sexual assault (ASA). Sequential multiple mediator models in Mplus were used to assess the effect of three different forms of childhood abuse on prospective ASA, both independently and while controlling for other forms of childhood abuse. The indirect effect of adolescent sexual assault (AdolSA), depressive symptoms, SRNA, and participants’ response to a sex-related vignette was tested using bias-corrected bootstrapping. In the full path model, childhood emotional abuse and AdolSA predicted ASA, while childhood physical and sexual abuse were directly associated with AdolSA, but not ASA. Additionally, depressive symptoms and participants’ estimate of their likely behavior in a sex-related vignette directly predicted prospective ASA. Results using bootstrapping revealed that a history of childhood abuse predicted prospective ASA via diverse direct and indirect paths, as well as through a similar multiple mediator path. Overall, findings suggest that a combination of affective, coping, and sexual expectancy factors contribute to risk for revictimization in adult survivors of childhood abuse. Future research directions and targets for risk-reduction programming will be discussed.

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Section: Discussionmentioning

confidence: 67%

Pathways from childhood abuse to prospective revictimization: Depression, sex to reduce negative affect, and forecasted sexual behavior

Miron¹,

Orcutt²

2014

Child Abuse & Neglect

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“…These feelings of betrayal, powerlessness and stigmatization may persist into adulthood. In addition, research has shown that feelings of powerlessness can be a factor contributing to engaging in risky sexual behavior [42]. We also propose that feelings of betrayal and stigmatization that may occur due to these adverse events may contribute to mental health disorders and maladaptive behaviors, and hence, an increase in the likelihood of being diagnosed with HIV and/or an STI.…”

Section: Introductionmentioning

confidence: 92%

Sex Disparities in Adverse Childhood Experiences and HIV/STIs: Mediation of Psychopathology and Sexual Behaviors

et al. 2016

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HIV and other sexually transmitted infections (STIs) are important public health challenges in the US. Adverse childhood experiences (ACEs), including abuse (emotional, physical or sexual), witnessing violence among household members, may have an effect on sexual behaviors, which increase the risk of HIV/STIs. The aim of this study was to examine the sex differences in the role of posttraumatic stress disorder (PTSD), major depression (MD), substance use disorders (SUDs), early sexual debut, and intimate partner violence (IPV) perpetration as mediators in the association between ACEs and HIV/STIs. Data were obtained from Wave 2 (2004–2005) of the National Epidemiologic Survey on Alcohol and Related Conditions. Structural equation modeling was used to determine the role of PTSD, MD, SUDs, early sexual debut, and IPV perpetration as mediators in the relationships between ACEs and HIV/STIs. Differences and similarities existed in the mediational roles of psychopathology and sexual behaviors. For example, among men, MD fully mediated physical/psychological abuse (β = 0.0002; p = 0.012) and sexual abuse (β = 0.0002; p = 0.006), and HIV/STIs while among women, MD fully mediated physical/psychological abuse (β = 0.0005; p < 0.001) and parental violence (β = −0.0002; p = 0.012). Among men, IPV perpetration fully mediated sexual abuse (β = −0.0005; p = 0.012) and HIV/STIs while among women, IPV perpetration was not a statistically significant mediator. HIV/STI prevention and intervention programs should use a life course approach by addressing adverse childhood events among men and women and consider the sex differences in the roles of psychopathology and sexual behaviors.

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“…Typically, studies tackle this issue in one of two ways. One way is to create non-mutually exclusive groups (i.e., rapes characterized by both force and substance-involvement are placed in both the forcible and substance-involved groups; Walsh et al, 2013;Zinzow et al, 2010). A second, more common method largely disregards the overlap, treating them in a mutually exclusive or dichotomous manner (i.e., rapes are classified as either forcible or substance-involved, based on a researcherdefined coding hierarchy; Griffin & Read, 2012;Krebs et al, 2009;Lawyer et al, 2010;Mohler-Kuo et al, 2004;Ullman & Najdowski, 2010).…”

Section: A Non-dichotomous Conceptualization Of Rapementioning

confidence: 99%

Beyond the Force–Substance Dichotomy: Examining the Experience of Combined and Incapacitated Type Rapes and Their Relation to PTSD Symptoms

McConnell

Messman-Moore

Gratz

et al. 2017

J Interpers Violence

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Prior research has examined how posttraumatic stress disorder (PTSD) symptoms are influenced by the experience of different types of rape, defined according to the method of coercion used. This work, which classifies rape experiences as either forcible or substance-involved, has yielded mixed findings regarding differences in PTSD symptoms as a function of rape type. Based on recent evidence indicating significant heterogeneity within substance-involved rapes, the present study utilized a novel four-group conceptualization of rape type to examine differences in PTSD symptom severity and associated factors across rape type. Using a sample of 161 community women with experiences of adult rape, we examined four rape types based on method of coercion: forcible-only rape (i.e., involving only force/threat of force; n = 48), impaired rape (i.e., substance-related impairment was present, but the participant remained conscious; n = 56), combined rape (i.e., both force/threat of force and substance-related impairment were present; n = 29), and incapacitated rape (i.e., the participant was intoxicated to the point of unconsciousness; n = 28). We compared these groups on PTSD symptom severity within each symptom cluster, as well as on assault characteristics and consequences, including peritraumatic fear and injury, acknowledgment, and self-blame. Combined type rapes were associated with significantly more severe PTSD symptoms than forcible-only and impaired type rapes. Differences among the groups were also found for peritraumatic fear and injury, and rape acknowledgment. Utilizing a dichotomous approach to rape type overlooks the complexity of women's experiences. Differences in PTSD symptom severity as a function of the proposed four-group conceptualization of rape type highlight the importance of assessing method of coercion when treating rape-related PTSD. Likewise, differences across rape types in peritraumatic fear and rape acknowledgment highlight the potential utility of type-specific targets of intervention.

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Perceived sexual control, sex-related alcohol expectancies and behavior predict substance-related sexual revictimization

Cited by 42 publications

References 34 publications

Pathways from childhood abuse to prospective revictimization: Depression, sex to reduce negative affect, and forecasted sexual behavior

Pathways from childhood abuse to prospective revictimization: Depression, sex to reduce negative affect, and forecasted sexual behavior

Sex Disparities in Adverse Childhood Experiences and HIV/STIs: Mediation of Psychopathology and Sexual Behaviors

Beyond the Force–Substance Dichotomy: Examining the Experience of Combined and Incapacitated Type Rapes and Their Relation to PTSD Symptoms

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