Posttraumatic symptoms and self-dysfunction as consequences and predictors of sexual revictimization

Terri L. Messman‐Moore · Amy L. Brown · Lori E. Koelsch

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Sexual Assault and Victimization Studies Posttraumatic Stress Disorder Research Child Abuse and Trauma

Abstract

Posttraumatic symptomatology (PTS) and self-dysfunction (SD) were examined as correlates and predictors of sexual revictimization in a prospective study of 339 college women. Both PTS and SD were associated with a history of child and adult sexual victimization. Compared to a history of child victimization, a history of adult victimization was associated with greater self-dysfunction. Both PTS and SD predicted revictimization during the study; however, self-dysfunction also predicted victimization in the absence of prior victimization. In a multivariate model, PTS did not directly predict victimization during the study, although SD mediated the relationship between PTS and victimization. Sexual victimization (child or adult) prior to the study predicted PTS, which predicted SD, which predicted victimization during the study. Findings suggest that prior child and adult victimization are directly related to later sexual victimization, and are indirectly related to later sexual victimization via the impact of PTS on SD.

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References

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2010Sexual abuse and psychiatric disorder in England: results from the 2007 Adult Psychiatric Morbidity Survey 2009Adult coping with childhood sexual abuse: A theoretical and empirical review 2009SEVERITY OF CHILD SEXUAL ABUSE AND REVICTIMIZATION: THE MEDIATING ROLE OF COPING AND TRAUMA SYMPTOMS 2007Self-Awareness, Affect Regulation, and Relatedness 2006PTSD as a mediator of sexual revictimization: The role of reexperiencing, avoidance, and arousal symptoms

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