1
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Nightingale SD. An exploratory analysis of factors related to reporting sexual assault to college officials by LGBTQ student survivors. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1805-1813. [PMID: 35737966 DOI: 10.1080/07448481.2022.2090843] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2021] [Revised: 05/08/2022] [Accepted: 06/09/2022] [Indexed: 06/15/2023]
Abstract
Sexual assault is a persistent problem on college campuses that disproportionately impacts sexual and gender minority identified students. Objective: This study explores how circumstances of the crime, disclosure to informal sources, training and campus climate are associated with reporting sexual assault to college officials by these students. Participants: A total of 409 lesbian, gay, bisexual, transgender and queer/questioning college students who experienced sexual assault while attending their current four-year college. Results: Chi-square and t-test analysis found that reporting to college officials was significantly associated with the type of assault experienced, disclosure to a campus advocates, disclosure to a parent/guardian, and the campus climate for LGBTQ students. Conclusion: These findings suggest that practitioners and college officials may support reporting behavior amongst sexual and gender minority identified students through enhanced campus support systems and strategic educational efforts.
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Affiliation(s)
- Sarah D Nightingale
- Department of Sociology, Anthropology, Criminal Justice, and Social Work, Eastern Connecticut State University, Willimantic, Connecticut, USA
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2
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Lippert A, Baker D, Hawk G, Gongora N, Golding J. Whom Would You Help? The Impact of Perpetrator and Victim Gender on Bystander Behavior During a Sexual Assault. Violence Against Women 2024:10778012241263104. [PMID: 39043120 DOI: 10.1177/10778012241263104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2024]
Abstract
We examined the impact of perpetrator and victim gender on bystander helping choices and assault perceptions. Participants (32 females, 37 males) read about two simultaneously occurring sexual assaults, indicated which victim they would help, and gave their perceptions of the assaults. We used a within-participants design that fully manipulated the perpetrator and victim gender for both assaults. Results showed female victims of male perpetrators and male victims of female perpetrators were most and least likely to be chosen for help, respectively. Cognitive networks derived from open-ended responses provided insight into the rationale used by participants to make helping decisions in ways that differed by perpetrator and victim gender.
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Affiliation(s)
- Anne Lippert
- Department of Psychology, Prairie View A & M University, Prairie View, TX, USA
| | - Dylan Baker
- Department of Economics, University of Chicago, Chicago, IL, USA
| | - Gregory Hawk
- Department of Statistics, University of Kentucky, Lexington, KY, USA
| | - Nissa Gongora
- Department of Psychology, Prairie View A & M University, Prairie View, TX, USA
| | - Jonathan Golding
- Department of Psychology, University of Kentucky, Lexington, KY, USA
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3
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Stockman D, Van Parys H, Uzieblo K, Littleton H, Keygnaert I, Lemmens G, Verhofstadt L. Coping with sexual violence as a post-assault formed couple: A dyadic phenomenological interview analysis. JOURNAL OF SEX & MARITAL THERAPY 2024:1-24. [PMID: 38962932 DOI: 10.1080/0092623x.2024.2374245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/05/2024]
Abstract
Increasing evidence shows that survivors of sexual violence frequently experience relationship difficulties following their victimization. Little is known regarding how couples which formed post-assault cope with the impact of the prior assault. Hence, the aim of the current study was to gain insight into post-assault formed couples' experiences in coping with the impact of sexual violence. To this end, an interview study was conducted with five female survivors and their male partners who began their romantic relationship post-assault. A dyadic phenomenological interview analysis revealed that sexual victimization is a dyadic stressor but is not always considered as such by the couple. In addition, disclosure is described as a potential bonding experience. Flexibility and creativity from both partners are required as they adapt to the post-assault impact. In addition, meaningful communication and considering the perspective of one's partner seemed to be key to dyadically cope successfully. The current study also identified challenges couples had to manage, including caregiver burden and role confusion. Results suggest that interventions supporting couples in their continuous efforts toward mutual understanding can foster trust and growth.
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Affiliation(s)
- Dagmar Stockman
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
- Expertise Network People and Society, Artevelde University College of Applied Sciences, Ghent, Belgium
- Faculty of Psychology and Educational Sciences Campus Kulak, Catholic University Leuven, Kortrijk, Belgium
| | - Hanna Van Parys
- Department of Psychiatry, Ghent University Hospital, Ghent, Belgium
| | - Kasia Uzieblo
- Department of Criminology, Vrije Universiteit Brussel, Brussels, Belgium
- Helpline 1712, Centre for General Well-being, Leuven, Belgium
| | - Heather Littleton
- Lyda Hill Institute for Human Resilience, University of Colorado, Colorado Springs, USA
| | - Ines Keygnaert
- International Centre for Reproductive Health, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
- Women's clinic, Ghent University Hospital, Ghent, Belgium
| | - Gilbert Lemmens
- Department of Psychiatry, Ghent University Hospital, Ghent, Belgium
- Department Head and Skin - Psychiatry, Ghent University, Ghent, Belgium
| | - Lesley Verhofstadt
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
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4
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Hirai M, Vernon LL, Dials AE. A serial Mediation Model of Depression and Drinking Motives Underlying Problem Drinking Among Hispanic College Women Following Rape. JOURNAL OF INTERPERSONAL VIOLENCE 2024; 39:2997-3015. [PMID: 38279685 DOI: 10.1177/08862605241226636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/28/2024]
Abstract
Problem drinking and depression are common following sexual assault. The current study applied a coping motives model of drinking and examined the association between rape experiences and problem drinking serially mediated by depression symptoms and coping-depression drinking motives among Hispanic college women. A total of 330 college women were classified into a single rape experience (SGL) group (n = 44), a multiple rape experiences (MLT) group (n = 70), and a no sexual assault experience group (n = 221). Participants completed self-report measures online. Serial mediation analyses with multi-categorical predictors found that significantly increased alcohol consumptions in rape survivors compared to individuals with no sexual assault experience were largely explained by the serially connected underlying mechanisms of depression symptoms and coping-depression drinking motives. The prevalence rates of rape experiences in this Hispanic female sample are alarming, suggesting Hispanic college women as a particularly vulnerable group for rape. The current results contribute to a greater understanding of the effects of rape experiences on behavioral and emotional outcomes among young Hispanic women who have been underrepresented in sexual victimization research. The findings emphasize the importance of assessing depression symptoms and coping-depression drinking motives in Hispanic rape survivors to reduce risks for hazardous drinking behavior.
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Affiliation(s)
- Michiyo Hirai
- University of Texas Rio Grande Valley, Edinburg, TX, USA
| | | | - Andrew E Dials
- University of Texas Rio Grande Valley, Edinburg, TX, USA
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5
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McKenney EE, Cucchiara CL, Senanayake A, Gotham KO. "I Don't Care if it Would Kill the Mood. I'm Going to Use My Words": Perceptions and Use of Explicit Verbal Sexual Consent in Neurodiverse Undergraduate Students. JOURNAL OF SEX RESEARCH 2024:1-16. [PMID: 38904652 DOI: 10.1080/00224499.2024.2365273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/22/2024]
Abstract
Adults entering college, especially autistic individuals, may have a higher likelihood of unwanted or distressing sexual experiences. Additionally, autistic adults appear to endorse dissatisfying sexual education experiences and difficulties with consent cues. The current mixed-methods study examined the types of consent cues college students rely on and potential barriers to seeking sexual consent. We combined data from two studies of undergraduate students: 1) an in-person cross-sectional study exploring conceptualizations and interpretations of consent in autistic and non-autistic young adults (n = 30), and 2) an online, short-term longitudinal study examining predictors of mood concerns in neurodiverse students transitioning into their first semester at 4 northeastern United States university systems in Fall 2022 and 2023 (n = 230). In-person participants completed a semi-structured interview asking about consent expression and interpretation. Participants from both studies completed self-report surveys measuring autistic traits, attitudes and perceptions toward sexual consent, and sexual education history. Qualitative analysis suggested students preferred to rely on explicit verbal consent, but felt they were unusual for doing so. In contrast, quantitatively, students across both studies expressed comfort with explicit verbal consent, to a high and similar degree. Further research may benefit from investigating differences between young adults' perceived and actual sexual consent preferences of peers, with attention to neurodivergent individuals.
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6
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Kane D, Kennedy KM, Flood K, Eogan M. General practice trainees' understanding of post-sexual assault care: the impact of a specialist educational intervention. Ir J Med Sci 2024; 193:1331-1336. [PMID: 38055147 DOI: 10.1007/s11845-023-03576-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 11/20/2023] [Indexed: 12/07/2023]
Abstract
BACKGROUND Sexual assault (SA) is a highly prevalent issue, with significant adverse health sequelae. Given that general practitioners (GPs) may serve as the first point of contact for many SA victims, their awareness of post-SA care and appropriate understanding of referral pathways to a sexual assault treatment unit (SATU) are critically important. This study evaluated GP trainees' knowledge of and comfort with post-SA care. METHODS Educational intervention study using a didactic teaching session was delivered by a specialist forensic examiner on post-SA care. A pre and post-study questionnaire was implemented to assess participants' knowledge and comfort levels with subject material. Significance was set at p-value below 0.05. RESULTS Seventy-five GP-trainees attended the teaching session. Fifty-three completed the pre-teaching questionnaire and 50 completed the post-teaching questionnaire. Only a minority of trainees had received prior teaching in post-SA care as a medical student (13.2% n = 7) or as a postgraduate (28.3% n = 15). After the teaching session, there was a significant improvement trainees' comfort levels in explaining a forensic examination (p < 0.0001), referral pathways to a SATU (p < 0.0001) and offering advice in relation to emergency contraception (p < 0.0001). There was also a significant improvement in understanding HIV post-exposure prophylaxis (PEP) (p < 0.001) and forensic examination (FE) time-lines (p < 0.001). CONCLUSION This study reveals that GP-trainees have had limited exposure to teaching on post-SA care. Additionally, significant improvements were observed following a 1-h didactic teaching session on post-SA care. Trainees demonstrated increased understanding of SATU referral pathways, understanding of immediate medical care after SA, including PEP and FE timelines.
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Affiliation(s)
- Daniel Kane
- Department of Obstetrics & Gynaecology, Royal College of Surgeons in Ireland, St Stephens Green, Dublin 2, Ireland.
- Sexual Assault Treatment Unit, Rotunda Hospital, Parnell Square, Dublin 1, Ireland.
| | - Kieran M Kennedy
- School of Medicine, University of Galway, Newcastle Road, Galway, Ireland
| | - Karen Flood
- Department of Obstetrics & Gynaecology, Royal College of Surgeons in Ireland, St Stephens Green, Dublin 2, Ireland
| | - Maeve Eogan
- Department of Obstetrics & Gynaecology, Royal College of Surgeons in Ireland, St Stephens Green, Dublin 2, Ireland
- Sexual Assault Treatment Unit, Rotunda Hospital, Parnell Square, Dublin 1, Ireland
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7
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Trierweiler EJ, Pashak TJ, Bradley SM. Yes, It's that Common and Yes, It's that Bad: An Estimation of the Prevalence and Psychological Correlates of Rape and Sexual Assault in College Women. Psychol Rep 2024; 127:1201-1213. [PMID: 36317938 DOI: 10.1177/00332941221137232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Rape myths play a role in rape denialism, in which individuals deny the prevalence and severity of sexual assault. This project aimed to address two common rape myths: that rape is uncommon and its effects are exaggerated. To test these claims, we explored two archival samples consisting of undergraduate women. Study 1, a 5-year chart review of university counseling center intake forms (n = 883), demonstrated that 30.2% of clients had experienced "sexual violence," "sexual contact without consent," or both. Study 2, a re-analysis of an emerging adulthood resilience survey dataset (n = 359), demonstrated that 20.6% of subjects had a history of sexual assault, and that those women reported lower life satisfaction and more severe psychological symptoms than those who did not. These findings are in line with previous literature debunking harmful rape myths that contribute to the perpetuation of rape culture. Our data help validate these rape notions as mythical; rape is indeed common and devastating.
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8
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Coates Quezada CA, Armstrong L, Kilmer R, Quinlan M, Reeve C. Trauma of the Shared Environment: A Qualitative Analysis of the Experiences of Survivors of College Campus Sexual Assault. Violence Against Women 2024; 30:1538-1563. [PMID: 36942422 DOI: 10.1177/10778012231163573] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
Survivors of campus sexual assault are often tasked with healing while sharing an environment with their perpetrators. However, little is known about the effects of a shared environment on survivor well-being. A qualitative thematic analysis design was employed to address this gap. We conducted semi-structured interviews with nine female survivors who identified their perpetrators as fellow students at a large state university in the southeastern U.S. The five themes that emerged are situated within an ecological framework, which is also used to guide our recommendations for supporting survivors' well-being within higher education.
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Affiliation(s)
- C Austin Coates Quezada
- Department of Psychological Science, University of North Carolina Charlotte, Charlotte, NC, USA
| | - Laura Armstrong
- Department of Psychological Science, University of North Carolina Charlotte, Charlotte, NC, USA
| | - Ryan Kilmer
- Department of Psychological Science, University of North Carolina Charlotte, Charlotte, NC, USA
| | - Margaret Quinlan
- Department of Psychological Science, University of North Carolina Charlotte, Charlotte, NC, USA
| | - Charlie Reeve
- Department of Psychological Science, University of North Carolina Charlotte, Charlotte, NC, USA
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9
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Fleming CE, Giff ST, Forkus SR, Flanagan JC. Psychosocial Sequalae of Sexual Assault in a Sample of Partnered Adults Experiencing Alcohol Use Disorder and Intimate Partner Violence. JOURNAL OF INTERPERSONAL VIOLENCE 2024:8862605241243335. [PMID: 38591145 DOI: 10.1177/08862605241243335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/10/2024]
Abstract
Research has shown that experiencing a sexual assault results in significant and lasting effects in many psychosocial domains. However, most studies on the impact of sexual assault examine university samples or the immediate aftermath of the assault, not taking into account the longer-term complexities and contexts of life for many victims. The current study seeks to evaluate the role of lifetime sexual assault history on several psychosocial outcomes in adults who are in intimate relationships that have included both intimate partner violence (IPV) and alcohol use disorder. The study included 100 adult romantic couples who were part of a larger project addressing violence and alcohol use. A majority of participants were Caucasian (74.3%) and female (53%). Participants reported on lifetime sexual assault history, depression, perceived stress, maladaptive cognitive emotion regulation, and perceived intimate relationship functioning. Multilevel analyses controlled for couple interdependence as well as current levels of alcohol use and IPV. Results indicated that the presence/absence of sexual assault was only related to perceived life stress (p = .016), while the total number of lifetime assault experiences was related to depression symptoms (p < .001), perceived life stress (p = .052), maladaptive cognitive emotion regulation (p = .048), and dyadic adjustment (p = .003). These findings underscore the importance of investigating sexual assault outcomes in complex populations, as well as the need for more thorough and regular assessment of sexual assault history. Focusing on empowerment and recovery for sexual assault victims of any age is an important tool to prevent the detrimental outcomes that particularly accompany multiple victimizations.
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Affiliation(s)
| | - Sarah T Giff
- Medical University of South Carolina, Charleston, SC, USA
- Ralph H. Johnson Veterans Affairs Healthcare System, Charleston, SC, USA
| | - Shannon R Forkus
- Medical University of South Carolina, Charleston, SC, USA
- Ralph H. Johnson Veterans Affairs Healthcare System, Charleston, SC, USA
| | - Julianne C Flanagan
- Medical University of South Carolina, Charleston, SC, USA
- Ralph H. Johnson Veterans Affairs Healthcare System, Charleston, SC, USA
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10
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Geppert AB, Shah AH, Hirsch JS. "Hardly Able to Move, Much Less Open a Book": A Systematic Review of the Impact of Sexual and Gender-Based Violence Victimization on Educational Trajectories. TRAUMA, VIOLENCE & ABUSE 2024; 25:1129-1149. [PMID: 37232565 DOI: 10.1177/15248380231173430] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Sexual and gender-based violence (SGBV) is a highly prevalent issue, both in North America and globally, with well-recognized adverse impact on survivors' physical, emotional, and economic well-being. The objective of this systematic review is to collect and synthesize empirical work on the effects of SGBV victimization on educational trajectories, goals, attainment, and outcomes. The review summarizes what is known about factors associated with victimization that affect survivors' educational trajectories and highlights gaps in the literature pertaining to the effects of victimization on education. Five databases were searched for this review: Web of Science, Sociological Abstracts, PubMed, APA PsycInfo, and ERIC. For inclusion, the articles must present research on the academic impact of any form of SGBV experienced in higher education and must have been conducted in the United States or Canada. The 68 studies that met these criteria presented research on six key areas of educational outcomes: impacts on academic performance and motivation; attendance, dropout, and avoidance; changes in major/field of study; academic disengagement; educational attitudes and satisfaction; and academic climate and institutional relationships. Research also revealed factors mediating the relationship between SGBV exposure and educational outcomes such as mental health, physical health, social support, socioeconomic status, and resiliency, which we summarize in a pathway model. The research reviewed had significant limitations, including weak study designs, limited generalizability, and diversity concerns. We offer recommendations for future research on this topic.
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Affiliation(s)
- Angela B Geppert
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Aarushi H Shah
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Jennifer S Hirsch
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA
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11
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Spencer CM, Rivas-Koehl M, Astle S, Toews ML, McAlister P, Anders KM. Factors Correlated With Sexual Assault Victimization Among College Students in the United States: A Meta-Analysis. TRAUMA, VIOLENCE & ABUSE 2024; 25:246-259. [PMID: 36722372 DOI: 10.1177/15248380221146800] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Sexual assault (SA) continues to be a serious problem on college campuses in the United States. This meta-analysis sought to identify correlates for SA victimization on college campuses, as well as examine if there were any differences in correlates for men and women. Database searches utilizing Boolean search terms were used to identify studies to be included in the meta-analysis. Studies were included if they provided quantitative data on correlates for SA victimization among college students. A total of 118 studies yielding 405 unique effect sizes were included in this study. The strongest correlates for SA victimization among college students were physical intimate partner violence (IPV) perpetration, physical IPV victimization, emotional IPV victimization, and prior SA victimization. Other significant correlates were related to mental health (e.g., hopelessness, suicidal ideation, trauma symptoms, anxiety symptoms, depressive symptoms), and factors related to a campus party culture (e.g., binge drinking, alcohol use, drug use, Greek membership). We were able to compare seven correlates between men and women. Results of the meta-analysis also highlight the need for future research to examine additional correlates for SA victimization, as well as examine race/ethnicity and gender as separate categories when trying to further understand correlates for SA victimization.
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12
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Tarzia L, Henderson-Brooks K, Baloch S, Hegarty K. Women Higher Education Students' Experiences of Sexual Violence: A Scoping Review and Thematic Synthesis of Qualitative Studies. TRAUMA, VIOLENCE & ABUSE 2024; 25:704-720. [PMID: 37036144 PMCID: PMC10666468 DOI: 10.1177/15248380231162976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
Sexual violence (SV) against women is common in higher education settings, causing serious harm to the health, well-being, and academic outcomes of victim/survivors. There have been numerous systematic reviews of the quantitative evidence on this topic, highlighting the prevalence, health impacts, and barriers and facilitators to help-seeking after SV. To date, however, qualitative research exploring the lived experience of women higher education students has not been synthesized. This scoping review and thematic synthesis of qualitative studies aims to map the global evidence on women higher education students' experiences of SV and explore how they understand and make sense of their experiences. We searched five databases (CinAHL, Academic Search Complete, Medline, PsychInfo, and SocIndex) in January 2023 for relevant articles. Eligible articles needed to be published in English and describe qualitative or mixed-methods primary research on the lived experiences of women higher education students who were victim/survivors of SV. In all, 34 articles describing 32 studies met these inclusion criteria. Thematic analysis of data extracted from the included studies suggests that, for women higher education students, the experience of SV is characterized by profound shame, with often-irreversible impacts on hopes and plans for the future. Yet, at the same time, SV is normalized and expected as a part of the "student experience." Furthermore, an imagined "specter" of "real violence" is held up as a constant comparison that serves to minimize and trivialize their experiences. These findings have important implications for higher education providers seeking to improve programs to address SV.
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Affiliation(s)
- Laura Tarzia
- The University of Melbourne, VIC, Australia
- Centre for Family Violence Prevention, The Royal Women’s Hospital, Australia
| | | | | | - Kelsey Hegarty
- The University of Melbourne, VIC, Australia
- Centre for Family Violence Prevention, The Royal Women’s Hospital, Australia
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13
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Kiefer R, Peterson R, Orchowski LM. Correlates of College Women's Sexual Assault Resistance Self-Efficacy. Violence Against Women 2023:10778012231222492. [PMID: 38146200 PMCID: PMC11332363 DOI: 10.1177/10778012231222492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2023]
Abstract
Studies suggest that actively fighting back against an attacker is effective in decreasing the severity and completion of a sexual assault, yet little is known about the factors that contribute to women's confidence in fighting back. Accordingly, the present study examines correlates of college women's self-efficacy in resisting unwanted sexual advances (N = 650). Results suggest that fewer psychological barriers to resistance, greater sexual communication, increased use of dating self-protective behaviors, and greater sexual assertiveness were associated with increased sexual resistance self-efficacy. Findings underscore the importance of developing sexual assault prevention programs that increase women's confidence in fighting back.
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Affiliation(s)
- Reina Kiefer
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
| | - Roselyn Peterson
- Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University, Providence, RI, USA
| | - Lindsay M Orchowski
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI, USA
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14
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Pratt AA, Sadler AG, Thomas EBK, Syrop CH, Ryan GL, Mengeling MA. Incidence and risk factors for postpartum mood and anxiety disorders among women veterans. Gen Hosp Psychiatry 2023; 84:112-124. [PMID: 37433239 DOI: 10.1016/j.genhosppsych.2023.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 06/15/2023] [Accepted: 06/23/2023] [Indexed: 07/13/2023]
Abstract
BACKGROUND Our aim was to determine rates of postpartum mood and anxiety disorders (PMADs) among U.S. women Veterans and the overlap among PMADs. We further sought to identify PMAD risk factors, including those unique to military service. METHODS A national sample of women Veterans completed a computer-assisted telephone interview (N = 1414). Eligible participants were aged 20-45 and had separated from service within the last 10 years. Self-report measures included demographics, general health, reproductive health, military exposures, sexual assault, childhood trauma, and posttraumatic stress disorder (PTSD). The PMADs of interest were postpartum depression (PPD), postpartum anxiety (PPA) and postpartum PTSD (PPPTSD). This analysis included 1039 women Veterans who had ever been pregnant and who answered questions about PPMDs related to their most recent pregnancy. RESULTS A third (340/1039, 32.7%) of participants were diagnosed with at least one PMAD and one-fifth (215/1039, 20.7%) with two or more. Risk factors common for developing a PMAD included: a mental health diagnosis prior to pregnancy, a self-report of ever having had a traumatic birth experience, and most recent pregnancy occurring during military service. Additional risk factors were found for PPD and PPPTSD. CONCLUSION Women Veterans may be at an increased risk for developing PMADs due to high rates of lifetime sexual assault, mental health disorders, and military-specific factors including giving birth during military service and military combat deployment exposures.
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Affiliation(s)
- Alessandra A Pratt
- Center for Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, 601 Highway 6 West, Building 42, Iowa City, IA 52246, USA.
| | - Anne G Sadler
- Center for Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, 601 Highway 6 West, Building 42, Iowa City, IA 52246, USA; VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City VA Health Care System, 601 Highway 6 West, Iowa City, IA 52246, USA; Department of Psychiatry, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242, USA
| | - Emily B K Thomas
- VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City VA Health Care System, 601 Highway 6 West, Iowa City, IA 52246, USA; Department of Psychological and Brain Sciences, University of Iowa College of Liberal Arts and Sciences, 340 Iowa Ave, Iowa City, IA 52246, USA
| | - Craig H Syrop
- Department of Obstetrics and Gynecology, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242, USA
| | - Ginny L Ryan
- Puget Sound VA Healthcare System, 1660 S Columbian Way, Seattle, WA 98108, USA; University of Washington Medical Center, 1959 NE Pacific Street, Box 356460, Seattle, WA 98195, USA
| | - Michelle A Mengeling
- Center for Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, 601 Highway 6 West, Building 42, Iowa City, IA 52246, USA; VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City VA Health Care System, 601 Highway 6 West, Iowa City, IA 52246, USA; Department of Internal Medicine, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242, USA
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15
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Klein LB, Brewer NQ, Cloy C, Lovern H, Bangen M, McLean K, Voth Schrag R, Wood L. Campus interpersonal violence survivor advocacy services. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-10. [PMID: 37167592 DOI: 10.1080/07448481.2023.2209188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Objective: Although there has been increased attention to campus interpersonal violence, there is limited information on survivor advocacy services. Participants: We recruited participants from 155 U.S. institutions of higher education responsible for advocacy services on their campus. Methods: We used a community participatory action approach in partnership with the Campus Advocacy and Prevention Professionals Association to develop and disseminate a survey regarding campus advocacy services. Results: Participants shared critical insights about (a) advocacy staffing/caseload, (b) program structure, (c) advocacy practices, and (d) connection to services for people who had caused harm. We found that advocacy programs are often providing best practice services for survivors of violence but operating with few staff and unclear privacy protections. Conclusions: This study provided crucial preliminary information about how campuses provide advocacy services, but more researcher-practitioner engagement is needed to build on this study and establish clear practice guidelines.
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Affiliation(s)
- L B Klein
- Sandra Rosenbaum School of Social Work, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Nathan Q Brewer
- Sexual Assault and Prevention Center, Boston University, Boston, MA, USA
| | - Cherita Cloy
- Independent Researcher, Boston, Massachusetts, USA
| | - Holly Lovern
- Violence Prevention and Advocacy Services, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | | | - Kiley McLean
- Sandra Rosenbaum School of Social Work, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Rachel Voth Schrag
- School of Social Work, University of Texas at Arlington, Arlington, Texas, USA
| | - Leila Wood
- School of Nursing, University of Texas-Medical Branch, Galveston, Texas, USA
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16
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Moschella EA, Quilter C, Potter SJ. Comprehensive policies for victims of sexual assault returning to the campus classroom: Lessons from university sports-related concussion policies. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:1241-1249. [PMID: 34242541 DOI: 10.1080/07448481.2021.1926264] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 03/24/2021] [Accepted: 05/02/2021] [Indexed: 05/31/2023]
Abstract
ObjectiveThe current paper presents a comparison of university policies and health and academic accommodations offered to undergraduate students following sexual assault (SA) and sports-related concussions (SRC). Procedures and protocols for universities to consider adapting from their SRC policies to their SA policies are detailed.Participants: The SRC and SA policies at the 50 United States public flagship universities were analyzed.Methods: The research team coded for a number of policy details including health referrals, academic and financial accommodations, and requirements for follow-up with university personnel.Results: Compared to SA polices, SRC policies at the public flagship universities offer more comprehensive academic accommodations and physical and mental health resources. Conclusions: Comprehensive policies for student SA survivors, like those available for students who suffer SRCs, would improve student health and academic outcomes and increase SA survivors' likelihood of graduating college, thereby reducing individual and societal human capital loses.
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Affiliation(s)
- Elizabeth A Moschella
- Prevention Innovations Research Center, University of New Hampshire, Durham, New Hampshire, USA
| | - Cheyenne Quilter
- United States Military Academy at West Point, West Point, New York, USA
| | - Sharyn J Potter
- Prevention Innovations Research Center, University of New Hampshire, Durham, New Hampshire, USA
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17
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Nightingale SD. Perceptions of Institutional Response to Sexual Assault Amongst College-Based Victim Advocates. JOURNAL OF INTERPERSONAL VIOLENCE 2023:8862605231168820. [PMID: 37102595 DOI: 10.1177/08862605231168820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
Federal law in the United States mandates that institutions of higher education address sexual assault within their communities. Colleges and universities have increasingly hired full-time professionals to manage response efforts, including campus-based victim advocates. Campus-based advocates provide emotional support, help students access and understand report options, and ensure students receive appropriate accommodations. Very little is known about the experience or perceptions of campus-based victim advocates. In this study, 208 professional campus-based advocates from across the United States completed an anonymous online survey focused on their perceptions of campus response to sexual assault. Multiple regression analysis was applied to investigate how psychosocial factors (burnout, secondary trauma, and compassion satisfaction) and organizational factors (perceptions of leadership, organizational support, and community relational health) were associated with advocate perceptions of institutional response to sexual assault. Findings indicate that while advocates experience burnout and secondary trauma, and have lower than average compassion satisfaction scores, these psychosocial outcomes do not influence their perception of response efforts. However, all the organizational factors significantly contribute to how advocates view response. The more positively advocates viewed leadership, campus support, and relational health, the more positive they viewed the response efforts on campus. In order to improve response efforts, administrators should engage in meaningful training on sexual assault, include campus advocates in high-level discussions of campus sexual assault and ensure appropriate resources are provided to advocacy services.
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18
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Paradiso MN, Rollè L, Trombetta T. Image-Based Sexual Abuse Associated Factors: A Systematic Review. JOURNAL OF FAMILY VIOLENCE 2023:1-24. [PMID: 37358981 PMCID: PMC10126554 DOI: 10.1007/s10896-023-00557-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 04/12/2023] [Indexed: 06/28/2023]
Abstract
Purpose Image-Based Sexual Abuse (IBSA) is a recently studied form of violence and abuse perpetrated using technology. This systematic review aims to examine and systematize studies exploring factors associated with IBSA (e.g., victimization, perpetration, and propensity to perpetrate). Method Following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement, 17 articles were included. Results The results of this study highlighted conceptual and methodological limitations in the literature on IBSA. Aside from these limitations, this systematic review identified factors associated with IBSA, focusing on four macro-areas: victimization, perpetration, propensity to perpetrate IBSA, and IBSA implications. The results demonstrated the role of psychological, relational, and social variables, although the effect sizes observed in the quantitative studies were small or in few cases moderate. Conclusions These results suggest further research should be carried out to explore the multidimensionality of IBSA and its associated factors, which may assist in guiding interventions to promote preventive and rehabilitative methods to lower the prevalence of this crime and its consequences.
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Affiliation(s)
| | - Luca Rollè
- Department of Psychology, University of Turin, Via Verdi 10, 10124 Turin, Italy
| | - Tommaso Trombetta
- Department of Psychology, University of Turin, Via Verdi 10, 10124 Turin, Italy
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19
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Bouchard J, Wong JS, Lee C. Fostering college students' responsibility as prosocial bystanders to sexual violence prevention: A meta-analysis of the Bringing in the Bystander program. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-13. [PMID: 36749891 DOI: 10.1080/07448481.2022.2162825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 09/06/2022] [Accepted: 12/21/2022] [Indexed: 06/18/2023]
Abstract
Objective: To synthesize research examining the effectiveness of the sexual violence bystander program Bringing in the Bystander (BitB). Participants: The analytic sample included 2083 youth in the treatment group and 969 in the comparison group. Method: A search strategy that included a total of 45 search terms was applied to 28 electronic databases. Results: The systematic search yielded a final analytic sample of 14 evaluations, with 38 independent effect sizes calculated across four outcome measures: rape myth attitudes (n = 11), bystander efficacy (n = 11), bystander intentions (n = 11), and bystander behavior (n = 5). The BitB program produced significant, positive pooled effects on measures of rape-supportive attitudes, bystander efficacy, and bystander intentions. Conclusions: The overall results are promising and suggest that the BitB education program may be an effective tool for targeting sexual violence on campuses.
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Affiliation(s)
- Jessica Bouchard
- School of Criminology, Simon Fraser University, Burnaby, British Columbia, Canada
| | - Jennifer S Wong
- School of Criminology, Simon Fraser University, Burnaby, British Columbia, Canada
| | - Chelsey Lee
- School of Criminology, Simon Fraser University, Burnaby, British Columbia, Canada
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20
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Molstad TD, Weinhardt JM, Jones R. Sexual Assault as a Contributor to Academic Outcomes in University: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2023; 24:218-230. [PMID: 34689635 PMCID: PMC9660281 DOI: 10.1177/15248380211030247] [Citation(s) in RCA: 20] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Sexual assault continues to be a prevalent and consequential experience for university students. The aim of this systematic review was to synthesize the literature on the academic consequences of the sexual assault for university students. There is currently no comprehensive review of the literature focusing on the academic consequences for university students who experienced sexual assault. This review was conducted based on searches from five databases including Academic Search Complete, Education Search Complete, Education Resources Information Center (ERIC), PsycINFO, and Google Scholar. We identified 13 articles that examined academic consequences of sexual assault during university. Across all studies, sexual assault was associated with more academic problems including lower grade point average, dropping out of university, and self-regulated learning problems. Although the number of articles is small, the results are consistent. Practically, this means that universities, those providing psychological services, and victims themselves need to understand that the consequences are not just physical and psychological but can also negatively impact academic achievement. Our review also identifies limitations in the literature regarding this topic such as methodological concerns, diversity and inclusion concerns, and the need for future work to investigate mediators of the relationship between sexual assault and academic outcomes. We offer recommendations for future research to combat the concerns identified. Development of interventions to support those who experience sexual assault during university necessitates overcoming the limitations identified.
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Affiliation(s)
| | | | - Rihannon Jones
- Haskayne School of Business, University of Calgary, Alberta,
Canada
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21
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Nightingale SD. Campus Climate and the Sexual Assault Victimization of LGBQ College Students. JOURNAL OF HOMOSEXUALITY 2022; 69:2250-2266. [PMID: 34128779 DOI: 10.1080/00918369.2021.1938466] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Sexual minority college students are disproportionately impacted by sexual assault in college, however, there is a paucity of research exploring the role of the college environment in victimization. This study explores the relationship of campus climate with sexual assault victimization for these students. This sample included 1,110 current college students in the United States who identified as a sexual minority. Logistic regression results indicated that the more observations of harassment and discrimination of sexual minority students by participants, the more likely they were to experience sexual assault victimization in college. Also, the more out a participant was on campus, and the stronger sense of belonging they had to their college, the less likely they were to experience sexual assault victimization. Sexual assault prevention efforts on college campuses would benefit from programming and policies that support belonging and address discrimination and harassment.
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Affiliation(s)
- Sarah D Nightingale
- Department of Sociology, Anthropology, Criminal Justice, and Social Work, Eastern Connecticut State University, Willimantic, Connecticut, USA
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22
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Bentivegna F, Patalay P. The impact of sexual violence in mid-adolescence on mental health: a UK population-based longitudinal study. Lancet Psychiatry 2022; 9:874-883. [PMID: 36206779 PMCID: PMC9630148 DOI: 10.1016/s2215-0366(22)00271-1] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 07/14/2022] [Accepted: 07/15/2022] [Indexed: 01/26/2023]
Abstract
BACKGROUND A large gender gap appears in internalising mental health conditions during adolescence, with higher rates in girls than boys. There is little high-quality longitudinal population-based research investigating the role of sexual violence experiences, which are disproportionately experienced by girls. We aimed to estimate the effects of sexual violence experienced in mid-adolescence on mental health outcomes. METHODS In this study, we used data from the longitudinal UK Millennium Cohort Study, a large nationally representative cohort of children born in the UK in 2000-02, for participants with information available at age 17 years on sexual violence in the past year (eg, sexual assault or unwelcome sexual approach), mental health outcomes (eg, completion of the Kessler Psychological Distress K6 scale in the past 30 days, self-harm in the past year, and lifetime attempted suicide). Multivariable confounder adjusted regressions and propensity matching approaches were used, and population attributable fractions (PAFs) were calculated. FINDINGS We included 5119 girls and 4852 boys (8063 [80·8%] of whom were White) in the full analysis sample. In the fully adjusted model, compared with no sexual violence, sexual violence was associated with greater mean psychological distress in girls (mean difference 2·09 [95% CI 1·51-2·68]) and boys (2·56 [1·59-3·53]), higher risk of high psychological distress in girls (risk ratio [RR] 1·65 [95% CI 1·37-2·00]) and boys (1·55 [1·00-2·40]), higher risk of self-harm in girls (RR 1·79 [1·52-2·10]) and boys (RR 2·16 [1·63-2·84]), and higher risk of attempted suicide in girls (RR 1·75 [1·26-2·41]) and boys (RR 2·73 [1·59-4·67]). PAF estimates suggest that, in a hypothetical scenario with no sexual violence, the prevalence of adverse mental health outcomes at age 17 years would be 3·7-10·5% lower in boys and 14·0-18·7% lower in girls than the prevalence in this cohort. INTERPRETATION Reductions in sexual violence via policy and societal changes would benefit the mental health of adolescents and might contribute to narrowing the gender gap in internalising mental ill health. Clinicians and others working to support adolescents should be aware that sexual violence has a widespread, gendered nature and an impact on mental health. FUNDING UK Medical Research Council.
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Affiliation(s)
- Francesca Bentivegna
- UCL Institute of Education, Department of Psychology and Human Development; University College London, London, UK
| | - Praveetha Patalay
- Centre for Longitudinal Studies, Social Research Institute; University College London, London, UK; MRC Unit for Lifelong Health and Ageing; University College London, London, UK.
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23
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Hotchkiss ME, Weinberg L, Berke DS. Implementation of empowerment self-defense programming in a university counseling center: An effective sexual violence prevention delivery model. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022:1-9. [PMID: 36084199 DOI: 10.1080/07448481.2022.2115299] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 07/09/2022] [Accepted: 08/15/2022] [Indexed: 06/15/2023]
Abstract
Objective: Empowerment Self-Defense (ESD) is a sexual violence prevention approach backed by rigorous empirical research, yet its availability on college campuses is limited. This manuscript evaluates the feasibility and efficacy of an ESD program embedded within a university counseling center. Methods: Participants completed an 8-session ESD intervention and group counseling program. Results: Feasibility and acceptability of this program were demonstrated by excellent participant retention and supported by institutional buy-in and counselor involvement. Pre-post assessments demonstrated that participants reported significant reductions in posttraumatic stress symptoms, F (1, 56) = 22.46, p < .001 and improvements in both interpersonal self-efficacy, F (1, 56) = 88.81, p < .001, and self-defense self-efficacy, F (1, 56) = 100.20, p < .001. Conclusion: The findings support the use of ESD programming as part of college campus sexual violence efforts and provide a blueprint for administrators and college mental-health centers who wish to offer this effective program to the college students they serve.
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Affiliation(s)
- Maiya E Hotchkiss
- Department of Psychology, Hunter College of the City University of New York (CUNY), New York, New York, USA
| | - Lisa Weinberg
- Counseling and Psychological Services, Montclair State University, Montclair, New Jersey, USA
| | - Danielle S Berke
- Department of Psychology, Hunter College of the City University of New York (CUNY), New York, New York, USA
- The Graduate Center of the City University of New York, New York, New York, USA
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24
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Korkmaz B, Soygut G. The psychotherapeutic change process in women who have been sexually assaulted: An examination of the schema therapy model. COUNSELLING & PSYCHOTHERAPY RESEARCH 2022. [DOI: 10.1002/capr.12526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Burcu Korkmaz
- Department of Psychology Faculty of Arts & Science Bursa Uludag University Nilufer/Bursa Turkey
| | - Gonca Soygut
- Department of Psychology Hacettepe University Beytepe, Ankara Turkey
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