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Transgender and gender diverse (TGD) women (i.e., individuals who were assigned male at birth and identify as women or trans women) experience trauma at disproportionate rates compared to cisgender populations. While trauma is associated with increased alcohol use among TGD women, research regarding factors that are protective of this association is scant. The stress-buffering hypothesis of social support suggests that perceived social support, defined as the judgment that social network members will be helpful when individuals experience stress, may buffer and reduce the association between trauma symptoms and alcohol use. However, this relationship has not been examined among TGD women. We examined whether perceived social support moderates the association between trauma and alcohol use among 89 TGD women. Exploratory multiple regression analyses provided support for this hypothesis, insofar as trauma symptoms were related to alcohol use by individuals with low, relative to high levels of perceived social support. Exploratory analyses demonstrated that this finding was driven by perceived social support from friends and family. Our results are the first to suggest that social support reduces alcohol use among TGD women and add to the literature on their trauma and alcohol use.

This study examines the nature of perceived needs of women victims of intimate partner violence (IPV) and their association with social demographic characteristics and self-reported mental health symptoms. The study uses data from case records of women victims of IPV (n = 154) seeking help from a victim assistance program housed within city police station located in the southwest, United States. The majority of the women in this study reported needs related to counseling, protection orders, Crime Victims' Compensation Rights, legal services, and Temporary Aid for Needy Families. Findings also indicate that perceived needs of women were significantly associated with self-reported mental health symptoms. Some needs had a stronger relationship to women's mental health symptoms than others. Overall these findings suggest that it is imperative to emphasize responses that can address all the needs of women (in addition to stopping IPV) to reduce mental health symptoms.

Some research shows that sexual assault victimization is associated with increased engagement in risky sexual behavior (e.g., intercourse without use of a condom or contraceptives), whereas other research indicates sexual assault victimization is related to sexual aversion. The purpose of the current study was to examine whether posttraumatic stress symptoms, alcohol use, and sexual assertiveness mediated the relationship between adolescent/emerging adulthood sexual assault (ASA) and risky sexual behavior, and whether posttraumatic stress symptoms mediated the relationship between ASA and sexual aversion, among college women. A sample of 462 women from a Midwestern university completed online questionnaires assessing ASA, child sexual abuse (CSA), posttraumatic stress symptoms (i.e., intrusion, avoidance, hyperarousal, and dissociation), alcohol use, sexual assertiveness, risky sexual behavior, and sexual aversion. CSA was considered as a covariate in the mediation models. Results of mediation analyses showed that the relationship between ASA and risky sexual behavior with a new partner was partially mediated by greater alcohol use and lower sexual assertiveness and that the relationship between ASA and risky sexual behavior with a regular partner was partially mediated by greater alcohol use. Results of a model examining mediators of ASA and sexual aversion detected no significant mediators. Results suggest that college women with a history of ASA would benefit from psychoeducation on the effect of alcohol on sexual decision-making, as well as from sexual assertiveness skills training, to reduce potential risks associated with risky sexual behaviors, particularly with lesser known partners, including sexually transmitted infections and sexual revictimization.

The Sexual Experiences Survey (SES), the most widely used measure of unwanted sexual experiences, was recently updated (Koss et al., 2007). The purpose of this study was to provide psychometric data on the updated Sexual Experiences Survey–Short Form Perpetration (SES-SFP) and the Sexual Experiences Survey–Short Form Victimization (SES-SFV). Men (n = 136) and women (n = 433) were randomly assigned to in-person or Internet formats of administration for 3 measurement points. Women completed victimization surveys and trauma measures. Men completed perpetration surveys and attitude/personality measures. Results supported the validity and reliability of both the SES-SFV with women and the SES-SFP with men. Further research is needed regarding the use of the SES-SFV with men and the SES-SFP with women.

A growing literature has documented that negative social reactions to disclosures of sexual and intimate partner violence (IPV), such as victim blaming or disbelief, can negatively affect survivors’ recovery. However, despite growing recognition of the frequency of unwanted pursuit behaviors (UPBs; for example, stalking, excessive or threatening contact) following romantic relationships and their negative effects on survivors, research to date has not explored disclosures, social reactions, or their impacts among victims of UPBs. The purpose of the present study was to assess the frequency of disclosures of UPB victimization to various sources, social reactions received, and their associations with symptoms of posttraumatic stress disorder (PTSD). Among a sample of 318 undergraduate women (ages 18-24) who reported a breakup within the past 3 years, 59.7% ( n =190) reported experiencing UPBs. Nearly all of the women (92.6%; n =176) who experienced UPBs disclosed their victimization to others. Among women who disclosed, the most frequent recipient of disclosure was a female friend (93.2%, n = 164) and women reported receiving higher mean positive than negative social reactions ( p < .001). Results supported the hypothesized indirect effect of UPB victimization on PTSD symptoms through increases in negative social reactions ( p < .001); these results suggest that negative social reactions to UPB victimization may increase the risk for PTSD symptomatology. By contrast, there was no indirect effect via positive social reactions ( p = .205). Implications for research and clinical practice will be discussed.

Objective The current study examined facets of gender minority stress (nonaffirmation, internalized transphobia) and protective factors (community connectedness, transgender identity pride) as potential moderators of the relationship between sexual victimization and sleep disturbances among transgender and gender nonconforming (TGNC) adults. Methods TGNC adults (n = 191) were recruited through Amazon's Mechanical Turk. The average age was 30.28 years old (SD = 7.09; range 18-71) and the majority (55%) identified in the transfemale spectrum. Results Results demonstrated a significant two-way interaction between sexual victimization and internalized transphobia, such that sexual victimization was more strongly related to sleep disturbances when internalized transphobia was low (β = .14, p = .017) relative to high (β = -0.09, p = .221). Conclusions This study is the first to establish the relationship between sexual victimization and sleep disturbances in TGNC individuals. Additional research is needed to replicate these findings longitudinally.

This study examines college men’s ( N = 635) and women’s ( N = 650) reports of women’s resistance against unwanted sexual and social advances. Men completed surveys to assess (a) initiation of unwanted sexual contact with a female partner, (b) initiation of unwanted sexual intercourse with a female partner, (c) sexual situations where a female partner decided she did not want to proceed, (d) encouraging a woman to drink when they were aware that the woman did not want to, and (e) attempting to take a woman to an isolated location against her will. Women completed corresponding questionnaires regarding the receipt of such unwanted advances, the outcome of the situation, and the resistance tactics utilized. Many men (5%-46%) and women (15%-38%) initiated or experienced, respectively, at least one of the five unwanted sexual or social advances. Unwanted sexual and social advances most often stopped as a result of women’s verbal and physical resistance. Few advances (0%-8%) stopped as a result of bystander intervention. In addition to decreasing men’s likelihood of engaging in unwanted sexual and social advances, these data highlight the importance of educating women on the effectiveness of verbal and physical resistance tactics, and increasing the frequency of prosocial bystander action on college campuses.

Fifty-six college women completed surveys before and after terminating an abusive, heterosexual dating relationship. Whereas 64% of women had contact with their abusive partner post break-up, only 14% reported a moderate to high likelihood that they would return. Intentions to return were prospectively predicted by fewer perceived quality of alternatives, and cross-sectional correlates of intentions to return were being single, shorter time since relationship termination, having contact with one’s abusive ex-partner, and social pressure to return. These data can be used to inform intervention and advocacy efforts and to guide future research.

Approximately 60% of legally defined rape victims do not label their experiences as “rape,” most of whom label the experience as “a serious miscommunication.” However, little research has examined why women choose this label. Labeling rape as a miscommunication could be problematic if chosen due to stereotypical conceptions that one’s experience is not “real” rape. The present study used a mixed-methodological approach to understand why women might refer to rape as a “miscommunication,” and how their reasons for labeling might differ from those who label their experiences and those who are nonlabeled (i.e., unequivocally state that they were “not victimized”). Participants included 123 undergraduate women who experienced rape. Participants responded to how they labeled rape and answered questions regarding assault characteristics, disclosure, reporting, and self- and perpetrator blame. Chi-square analyses assessed labeling group differences. Responses to an open-ended question about factors contributing to their labeling decision were content analyzed. Whereas miscommunication-labeled and nonlabeled victims reported similar assault characteristics in the quantitative analyses, qualitative content analyses revealed varying reasons for labeling rape as miscommunication, not victimization, and rape. Over three quarters of miscommunication-labeled victims reported that one or more of the following factors influenced their labeling: victim and perpetrator substance use, sexual activity prior to the rape, and perceptions that one did not express nonconsent strongly enough and that the perpetrator “did not realize” their lack of desire. Whereas miscommunication-labeled and nonlabeled victims reported similar assault characteristics, the extent to which those assault characteristics affected their labeling differed. Those who labeled their experiences as miscommunication gave reasons for their label that centered on factors which reflect inconsistencies between their experiences and “stereotypical rape.” Misperceptions of rape can be addressed via prevention programming and clinical work.

This study prospectively examined the impact of men’s own attitudes and behaviors and perceptions of peer attitudes and behaviors on intentions and engagement in prosocial bystander behavior. Undergraduate men completed surveys at baseline and 4- and 7-month follow-ups. Men’s perceptions of peer attitudes and behaviors and their own attitudes and behaviors were both important predictors of intentions. However, men’s own attitudes and behaviors appeared to be more robustly predictive of behavior. Intentions to engage in bystander behavior were not predictive of behavior. Results support two specific areas of bystander intervention programming addressing misperceptions of social norms and personal attitudes and behaviors.

Previous research has examined the association between intimate partner violence (IPV) victimization experiences and investment model variables, particularly with relation to leaving intentions. However, research only has begun to explore the impact that various dyadic patterns of IPV (i.e., unidirectional victimization, unidirectional perpetration, bidirectional violence, and non-violence) have on investment model variables. Grounded in behavioral principles, the current study used a sample of college women to assess the impact that perpetration and victimization have on investment model variables. Results indicated that 69.2% of the sample was in a relationship with no IPV. Among those who reported IPV in their relationships, 11.9% reported unidirectional perpetration, 10.6% bidirectional violence, and 7.4% unidirectional victimization. Overall, the findings suggest that women’s victimization (i.e., victim only and bidirectional IPV) is associated with lower levels of satisfaction and commitment, and that women’s perpetration (i.e., perpetration only and bidirectional IPV) is associated with higher levels of investment. Women in bidirectionally violent relationships reported higher quality alternatives than women in non-violent relationships. The current study emphasizes the importance of considering both IPV perpetration and IPV victimization experiences when exploring women’s decisions to remain in relationships.

The present study describes the 4- and 7-month postintervention outcomes of a sexual assault risk reduction program for women, which was part of an evaluation that included a prevention program for men. Relative to the control group, participants evidenced more relational sexual assertiveness and self-protective behavior, and were more likely to indicate that they utilized active verbal and physical self-defense strategies. Whether or not women experienced subsequent victimization did not differ between groups. Relative to control group women who were victimized, program participants who were victimized between the 4- and 7-month follow-up blamed the perpetrator more and evidenced less self-blame.

The purpose of the current study was to build on the existing literature to better understand young women’s leaving processes in abusive dating relationships using a prospective design. Two social psychological models—the investment model and theory of planned behavior—were tested. According to the investment model, relationship continuation is predicted by commitment, which is a function of investment, satisfaction, and low quality of alternatives. The theory of planned behavior asserts that a specific behavior is predicted by an individual’s intention to use a behavior, which is a function of the individual’s attitudes toward the behavior, the subjective norms toward the behavior, and the individual’s perceived behavioral control over the behavior. College women ( N = 169 young women in abusive relatinships) completed surveys at two time points, approximately 4 months apart, to assess initially for the presence of intimate partner violence (IPV) in a current relationship and investment model and theory of planned behavior variables; the purpose of the 4-month follow-up session was to determine if women had remained in or terminated their abusive relationship. Path analytic results demonstrated that both the theory of planned behavior and investment models were good fits to the data in prospectively predicting abused women’s stay/leave decisions. However, the theory of planned behavior was a better fit to the data than the investment model. Implications for future research and intervention are discussed.

This researchers assessed informal (e.g., friends, family) social reactions to college women’s ( N = 139) disclosure of intimate partner violence (IPV) within their current romantic relationships and associated psychological (i.e., posttraumatic stress symptoms [PTSS] and global psychological distress symptoms) and relational (i.e., intentions to leave the abusive relationship) variables. Women completed confidential surveys, which assessed current partner abuse, psychological and relational variables, and three types of social reactions from informal supports to disclosure of IPV: positive (e.g., believing, validating the victim), negative (e.g., disbelieving, blaming the victim), and leaving (i.e., being told to end the relationship) reactions. At the bivariate level, negative social reactions to women’s disclosure were related to increases in global psychological distress, PTSS, and leaving intentions; positive social reactions to disclosure related only to increases in PTSS; and being told to leave the relationship related to increases in PTSS and leaving intentions. In the regression analyses, after controlling for abuse severity, negative social reactions were significantly related to global psychological distress and PTSS, and being told to leave significantly related to leaving intentions and PTSS. Mechanisms for these relationships and implications are discussed.

Despite high rates of sexual assault among college women, most victims do not label the experience as sexual assault or rape. Prior research examining labeling of sexual victimization has focused on women’s characterization of rape experiences as either not victimization or victimization. This study extends prior research by exploring factors associated with labeling various forms of sexual victimization as “not victimization,” a “serious miscommunication,” or a “sexual assault, date rape, rape, or crime.” A sample of 1,060 college women reported on their experiences of sexual victimization since the age of 14 years. Women who reported experiences of prior sexual victimization (n = 371) indicated their level of acquaintance with the assailant, assault disclosure, substance use at time of assault, attributions of self- and perpetrator-blame for the assault, and labeling of the experience. Most women who reported experiences of sexual victimization did not self-identify as victims, and 38% labeled sexual victimization as a serious miscommunication. Greater acquaintance with the perpetrator, higher behavioral self-blame, and victim substance use at the time of the assault were associated with labeling sexual assault experiences as a serious miscommunication. Implications are discussed.

This article examines the relationship between dispositional mindfulness, health behaviors (eg, sleep, eating, and exercise), and physical health.Participants included 441 college women.Women completed self-report surveys at the beginning and end of a 10-week academic quarter. The study was conducted over 5 academic quarters from fall 2008 to fall 2010.Findings indicated that higher levels of dispositional mindfulness were related to healthier eating practices, better quality of sleep, and better physical health. Dispositional mindfulness contributed to better physical health even after controlling for traditional health habits. Finally, bidirectional mediational relationships were found between healthy eating and dispositional mindfulness as well as between sleep quality and dispositional mindfulness when physical health was the outcome variable.Findings suggest that incorporating mindfulness training into programming on college campuses may be beneficial, as results indicate that dispositional mindfulness is related to positive physical health among college students.

Objective: This study assessed the process of leaving an abusive dating relationship utilizing a qualitative design. Methods: Participants included 123 college women in abusive dating relationships who participated at the beginning and end of a 10-week academic quarter. Results: Qualitative content analyses were used to analyze the transcribed responses to an open-ended question about women's leaving processes over the interim period. A variety of categories and themes emerged for women in different stages of the leaving process, consistent with the Transtheoretical Model of Change and Investment Model. Data also underscored women's lack of acknowledgment, minimization, and normalization of abuse. Conclusions: These data demonstrate the importance of dating violence intervention and prevention programming on college campuses and offer information that may be useful to college health providers who assist women in abusive dating relationships.

The researchers assessed the predictors of victim–perpetrator relationship stability following a sexual assault. Participants included 254 women sexually assaulted by a friend, casual dating partner, or steady dating partner. Results suggested that most victim–perpetrator relationships (75%) continued following the sexual assault. Greater trauma symptomatology, less perpetrator blame, and nondisclosure of the assault by victims predicted relationship continuation with the perpetrator. Additionally, the odds of continuing the relationship were greater following acts of sexual coercion than following acts of completed rape. Close relationships (steady dating partner) were more likely to continue following the sexual assault than less close relationships (friends and casual dating partners). Unexpectedly, the odds of relationship stability were greater for women without histories of childhood sexual abuse than women with histories of childhood sexual abuse. Implications for future research and intervention are discussed.

The current study examined college women’s perceptions of the positive and negative socioemotional consequences associated with engaging in self-protective behaviors to reduce risk for sexual victimization. At baseline, women completed assessments of the extent to which they would experience positive or negative socioemotional consequences as a result of engaging in various self-protective behaviors. At a 2-month follow-up, women reported on their engagement in self-protective behaviors and experience of sexual victimization over the interim ( N = 143). At baseline, some self-protective strategies were perceived as having more positive or negative socioemotional consequences than others. Perceiving a high level of negative socioemotional consequences associated with taking precautions prior to a date was associated with sexual victimization over the 2-month follow-up.

The purpose of the study was to determine college women's (N = 405) reactions to body image and eating disorder research as well as predictors of negative reactions. Results suggested that the majority of women (94%) did not experience negative reactions and reported benefits to participating. Regression analyses revealed that disordered eating and poorer body esteem were predictive of negative reactions to research participation. Additional analyses were conducted to better understand those participants (N = 26; 6%) who reported negative reactions. Overall, results indicated that body image and eating disorder research is not distressing for the vast majority of participants.

Research suggests that many sexual assault survivors do not disclose their experience, which may increase associated distress. Pennebaker's emotional disclosure paradigm has been shown to ameliorate psychological and physical distress in individuals exposed to stressful events. The current study assessed the effectiveness of this paradigm with sexual assault survivors (N = 74). College women with a history of sexual assault wrote about their most severe victimization or about how they spend their time (control). Then 73 women (98.6%) completed a 1-month follow-up assessment. Results indicated that across writing sessions, the disclosure group reported greater reductions in negative mood immediately post-writing. However, both groups showed significant reductions in physical complaints, psychological distress, and traumatic stress symptoms at the 1-month follow-up, suggesting no added benefit to disclosure of a sexual assault using a brief written paradigm.

The current study prospectively examined the longitudinal relationships between binge drinking behavior and rape experiences among a multisite sample of college women with a history of prior attempted or completed rape ( N = 228). Rates of binge drinking among this high-risk sample were high. Prospective analyses indicated that binge drinking significantly increased risk for subsequent rape. Monthly binge drinkers were significantly more likely to experience alcohol-involved rape than forcible rape at follow-up. Only prior binge drinking, and not type of rape experience, predicted subsequent binge drinking. Findings have direct implications for targeted programming addressing combined risks for binge drinking and rape among college women.

The present study utilizes the National College Health Risk Behavior Survey to examine the relationship between health-risk behaviors and sexual victimization among a sample of college women. A prospective design is utilized to examine the relationship between health-risk behaviors as measured at baseline and sexual victimization during a 3-month follow-up period. After controlling for age and parents' education, a history of adolescent sexual victimization was associated with the following health-risk behaviors as measured at pretest: increased likelihood of cigarette smoking, marijuana use, suicidal ideation, experience of physical violence within a dating relationship, use of diet pills and vomiting or laxatives to lose weight, multiple sexual partners, and early sexual intercourse. Prospectively, women's history of adolescent sexual victimization was the strongest predictor of sexual victimization during the 3-month follow-up. Implications of univariate associations between early sexual intercourse, suicidal ideation, and problematic weight loss behaviors and subsequent experience of sexual victimization are discussed.

Using a mixed methodology, the present study compared men’s and women’s perceived benefits and emotional reactions with participating in research that inquired about child maltreatment and intimate partner violence (IPV) victimization and perpetration. Participants consisted of 703 college students (357 women, 346 men), ages 18 to 25 who reported on their childhood maltreatment, adolescent and adult IPV victimization and perpetration, and their reactions (perceived benefits and emotional effects) to participating. Participants’ reactions to participating were assessed using quantitative scales, as well as open-ended written responses that were content coded by researchers. Women reported more personal benefits from research, whereas men and women reported similar levels of emotional reactions to research participation. Furthermore, greater frequencies of child maltreatment and IPV victimization were related to higher levels of emotional reactions. Common self-identified reasons for emotional reactions (e.g., not liking to think about abuse in general, personal victimization experiences) and benefits (e.g., reflection and awareness about oneself, learning about IPV) were also presented and analyzed. These data underscore the importance of future research that examines the behavioral impact of research participation utilizing longitudinal and in-depth qualitative methodologies. Findings also highlight the potential psychoeducational value of research on understanding the reasons underlying participants’ benefits and emotional effects.

Bystander intervention is receiving increased attention as a potential sexual violence prevention strategy, especially to address campus sexual assault. Rather than focusing on potential perpetrators or victims, the bystander approach engages all members of a community to take action. A growing body of evaluative work demonstrates that bystander intervention education programs yield increased positive attitudes and behaviors related to sexual violence and greater willingness to intervene in pro-social ways. Future program outcome studies, however, would benefit from more refined measures of bystander action as it is a key variable that prevention education programs attempt to influence. The purpose of the current article is to present key issues, identified by four different research teams, on the measurement of bystander behavior related to sexual violence in the context of college campuses. Comparisons among the methods are made to suggest both lessons learned and new directions for bystander behavior measurement using self-report surveys in program evaluation.

Preliminary evidence underscores links between attention-deficit hyperactivity disorder (ADHD) symptoms and intimate partner violence (IPV) perpetration and victimization. However, little is known about whether ADHD symptoms are uniquely associated with IPV perpetration and victimization beyond well-established risk factors of IPV commonly associated with the disorder. In a cross-sectional design, 433 college students rated their ADHD symptoms as well as frequencies of psychological and physical IPV perpetration and victimization. Additional risk factors of IPV included childhood maltreatment, primary psychopathy, alcohol abuse, and illicit drug use. Correlational analyses indicated that students with greater ADHD symptom severity reported higher rates of psychological and physical IPV perpetration, and higher rates of psychological IPV victimization. Regression analyses indicated that ADHD symptoms were not additive risk factors of psychological IPV perpetration and victimization. Students reporting any alcohol abuse or illicit drug use endorsed high rates of psychological IPV perpetration and victimization, regardless of their level of ADHD symptoms. However, students who reported no alcohol abuse or drug use, but did report greater ADHD symptom severity—particularly inattention, indicated higher rates of psychological IPV perpetration and victimization than those reporting no alcohol abuse or drug use and low ADHD symptoms. These findings extend prior research by indicating that alcohol abuse and illicit drug use moderate associations between ADHD symptoms and psychological IPV perpetration and victimization. Investigations are needed to identify mechanisms of the association between ADHD symptoms and IPV perpetration and victimization, particularly those abusing alcohol and drugs, for appropriate prevention and intervention efforts to be developed.

A prospective design was utilized to explore the impact of social reactions to sexual assault disclosure among college women who experienced sexual victimization over a 4-month academic quarter. Women completed baseline, 4- and 7-month assessments of symptomatology, beliefs about why sexual assault occurs, victimization, and social reactions to sexual assault disclosure. Accounting for symptomatology or beliefs reported prior to the assault, positive social reactions were not associated with victims’ subsequent symptomatology or beliefs. However, accounting for symptomatology or beliefs reported prior to the assault, higher negative social reactions were associated with victims’ post-assault reports of hostility, fear, and beliefs about why sexual assault occurs.

The purpose of the current study was to utilize a prospective methodology to better understand the extent to which women report stalking behaviors perpetrated by their abusive ex-partners and how these stalking experiences affect women’s psychological adjustment. Participants included 56 college women who completed measures of partner abuse and psychological adjustment prior to and after terminating an abusive dating relationship. A little over half of the women (51.8%) reported some type of stalking victimization following the termination of the abusive relationship. After controlling for baseline levels of psychological distress and partner abuse variables, experiences of post-relationship stalking victimization predicted greater levels of posttraumatic stress symptomatology and interpersonal sensitivity, whereas post-relationship stalking victimization was unrelated to depression and personal empowerment.

Little research has examined the relationship between women’s labeling of their sexual assault experiences and sexual functioning, as well as identification of variables that may mediate the labeling-trauma outcome relationship. The purpose of this study was to fill this gap in the literature, by examining the potential mediating role of coping strategies in response to sexual assault in the relationship between labeling and sexual functioning. The sample included 135 college women with a history of adolescent/early adulthood sexual assault. Labeling was not bivariately related to sexual functioning outcomes; however, anxious coping mediated the relationships between labeling and both sexual lubrication and sexual satisfaction. This suggests that correlational analyses between labeling and trauma outcomes may not capture the complexity of this relationship, as it may be more indirect. Furthermore, results suggest that labeling is part of the coping process in response to sexual assault; some women who consider their experience to be sexual assault may engage in anxious coping efforts, contributing to difficulties with sexual lubrication and sexual dissatisfaction. Victims actively working to integrate their sexual assault experience with prior beliefs and self-concept may benefit from treatment focused on decreasing anxious coping, especially as it relates to sexual functioning.

There remains resistance to feminist self-defense and resistance training programming for women, despite (a) documented effectiveness of rape resistance strategies in avoiding rape, (b) consistently high rates of sexual victimization on college campuses, and (c) limited evidence of lasting change in sexual assault perpetration reduction within existing men’s prevention programs. The current article seeks to discuss (1) the rationale for feminist self-defense and resistance training for women, (2) key components of feminist self-defense and resistance training, (3) barriers to its implementation, (4) outcomes of self-defense and resistance training programming, and (5) recommendations for future work. Such suggestions include increasing funding for large-scale self-defense and rape resistance outcome research to examine program effectiveness. Specifically, outcome research that examines the role of contextual factors (e.g., alcohol use) and women’s victimization histories is needed. Finally, self-defense training and resistance training should be combined with bystander intervention and men’s programs with the goal of providing synergistic effects on rape reduction.

Objective To reduce young children's distress and increase coping behavior among children undergoing a voiding cystourethrogram (VCU). Methods Three- to seven-year-old children were stratified based on prior VCU experience and randomly assigned to an intervention (n = 20) or a standard care (n = 20) condition. The intervention included provision of information, coping skills training, and parent coaching. We hypothesized that the intervention would reduce children's distress as assessed by child report, parent and technician ratings, and behavioral observations. Results Children in the intervention displayed fewer distress behaviors and greater coping behaviors and were rated as more cooperative than children receiving standard care. Children's fear and pain ratings did not differ significantly between groups. Conclusions A cognitive-behavioral treatment package effectively reduced children's distress, increased coping, and increased cooperation during voiding cystourethrogram procedures. This type of an intervention should be integrated into routine pediatric radiological procedures.

Conducted a meta-analytic evaluation of the effectiveness of school-based child abuse prevention programs. Literature searches identified 27 studies meeting inclusion criteria for use in this meta-analysis. The average effect size for all programs studied was 1.07, indicating that children who participated in prevention programs performed 1.07 SD higher than control group children on the outcome measures used in the studies. Analysis of moderator variables revealed significant effects for age, number of sessions, participant involvement, type of outcome measure, and use of behavioral skills training. Most important, programs presented over 4 or more sessions that allowed children to become physically involved produced the highest effect sizes. Although most often used only with younger children, findings suggest that active, long-term programs may be more effective for children of all ages.

College students’ responses to a hypothetical sexual assault scenario involving alcohol use by the victim and/or perpetrator were examined (N = 295). Participants reported on victim/perpetrator responsibility, the extent to which the scenario would be considered rape, and their likelihood of providing positive or negative responses to the victim. Compared to women, men indicated that they would provide more negative and less positive social reactions to the victim, were less likely to identify the scenario as rape, and endorsed less perpetrator responsibility. When the victim was drinking, participants endorsed greater victim responsibility and lower perpetrator responsibility for the assault. Participants indicated that they would provide the victim with less emotional support when only the perpetrator was drinking, compared to when both the individuals were drinking.

This study assessed abused and nonabused women's perceptions of Investment Model (IM) variables (ie, relationship investment, satisfaction, commitment, quality of alternatives) utilizing a mixed-methods design.Participants included 102 college women, approximately half of whom were in abusive dating relationships.Qualitative content analyses were used to analyze transcribed responses to open-ended questions about abused and nonabused women's perceptions of IM variables. These coding categories were compared with a quantitative measure of IM variables.Overall, abused and nonabused women were not found to differ on qualitative or quantitative measures with regard to overall level of commitment, investment, or perceived alternatives to their relationships. However, abused women reported lower levels of satisfaction, and listed more negative aspects of their relationships than nonabused women. Additionally, a number of factors were identified by women to affect their perceptions of these IM variables.Victims of dating violence may minimize the abuse sustained in efforts to maintain their relationships. Alternatively, dissonance between the positive and negative aspects of the relationships may drive ambivalence about leaving relationships, all of which could be addressed in dating violence prevention and intervention programming on campuses.

How a support provider responds to disclosure of sexual victimization has important implications for the process of recovery. The present study examines the associations between various positive and negative social reactions to sexual assault disclosure and psychological distress, coping behavior, social support, and self-esteem in a sample of college women ( N = 374). Social reactions to assault disclosure that attempted to control the survivor’s decisions were associated with increased symptoms of posttraumatic stress, depression, and anxiety and lower perceptions of reassurance of worth from others. Blaming social reactions were associated with less self-esteem and engagement in coping via problem solving. Social reactions that provided emotional support to the survivor were associated with increased coping by seeking emotional support. Contrary to expectations, social reactions that treated the survivor differently were associated with higher self-esteem. Implications are discussed.

This study assessed women’s immediate and long-term reactions to completing self-report measures of interpersonal violence. College women completed surveys at the beginning and end of a 2-month academic quarter for course credit. Results showed that 7.7% of participants experienced immediate negative emotional reactions to research participation. Greater immediate negative reactions were related to interpersonal victimization and psychological distress variables. Attrition from the study over the 2-month follow-up was not predicted by participants’ immediate negative emotional reactions to the research or anticipation of future distress. Of the participants who returned for the follow-up, 2.1% of participants reported experiencing distress over the interim period as a result of their initial participation in the study. These long-term reactions were bivariately related to a number of victimization, psychological distress, and reaction variables measured at the first study session. However, in the regression analyses, only immediate negative emotional reactions to the research and anticipation of future distress predicted long-term negative emotional reactions.

A prospective methodology was used to explore predictors of sexual assault disclosure among college women, identify who women tell about sexual victimization, and examine the responses of informal support providers ( N = 374). Women most often confided in a female peer. Increased coping via seeking emotional support, strong attachments, and high tendency to disclose stressful information predicted adolescent sexual assault disclosure and disclosure over the 7-month interim. Less acquaintance with the perpetrator predicted disclosure over the follow-up, including experiences of revictimization. Victim and perpetrator alcohol use at the time of the assault also predicted disclosure over the follow-up. Implications are presented.

Previous research suggests that posttraumatic stress symptomatology is a partial mediator of the relationship between sexual assault history in adolescence/adulthood and physical health symptomatology (e.g., Eadie, Runtz, & Spencer-Rodgers, 2008). The current study assessed a broader, more inclusive potential mediator, trauma-related symptoms in the relationship between sexual victimization history (including both childhood and adolescent/adulthood sexual victimizations) and physical health symptomatology in a college sample. Participants were 970 young women (M = 18.69, SD = 1.01), who identified mostly as Caucasian (86.7%), from 2 universities who completed a survey packet. Path analysis results provide evidence for trauma-related symptoms as a mediator in the relationship between adolescent/adulthood sexual assault and physical health symptomatology, χ(2) (1, N = 970) = 1.55, p = .21; comparative fit index = 1.00; Tucker-Lewis index = 0.99; root mean square error of approximation = .02, 90% confidence interval [.00, .09], Bollen-Stine bootstrap statistic, p = .29. Childhood sexual abuse was not related to physical health symptomatology, but did predict trauma-related symptoms. Implications of these findings suggest that college health services would benefit from targeted integration of psychiatric and medical services for sexual assault survivors given the overlap of psychological and physical symptoms. Language: en

Many theoretical models examining health risk behaviors, such as sexual risk taking, assume intentions directly predict behavior, and intentions are sometimes measured as a proxy for behavior. Given that there is often a discrepancy between intentions and behaviors (e.g., Sheeran, 2002 ), this study addressed factors that predict intention-behavior congruence. Specifically, utilizing a prospective design, the goal of the study was to determine if characteristics of university students' last sexual encounter predicted whether those students who intended to use condoms, contraception, or dual methods did so in their last sexual encounter with both relationship and casual partners. The seven tested variables were condom planning and preparatory behaviors, mood, sexual arousal, substance use, perceived partner attractiveness, intention certainty, and intention stability. Data were collected from 520 American undergraduate students at a medium-sized university. The six discriminant function analyses examining the intention-behavior relationship were able to correctly classify between 74% and 92% of the participants concerning whether intenders engaged in safe sex behaviors. The variables that best discriminated between behavior engagement over the six analyses were intention stability, intention certainty, and engagement in condom preparatory behaviors. The implications of these results for sexual risk prevention and intervention research are discussed.

Men and women living in randomly selected 1st-year dormitories participated in tailored single-sex sexual assault prevention or risk-reduction programs, respectively. An evaluation of the men’s project is presented ( N = 635). The program incorporated social norms and bystander intervention education and had an impact on self-reported sexual aggression and an effect on men’s perceptions that their peers would intervene when they encountered inappropriate behavior in others. Relative to the control group, participants also reported less reinforcement for engaging in sexually aggressive behavior, reported fewer associations with sexually aggressive peers, and indicated less exposure to sexually explicit media.

We provide an overview of emerging directions in the measurement of rape, the most extreme form of sexual victimization. The context for our overview is how operational definitions of rape have evolved, where consensus has emerged, and where it eludes the field. We discuss two approaches to the detection of rape victimization in survey methods, namely behaviorally specific questions and a new, two-stage approach, and how each can be evaluated in terms of validity. We point out promises and pitfalls of the two-stage approach and make suggestions for its implementation and evaluation. We conclude that all empirical research to date supports the use of behaviorally specific compared to broad questions, that a standard definition of rape and its components of act, tactics, and nonconsent is imperative to move the field forward, and that research to systematically validate methods of detecting rape victimization is needed. To that end, we propose an agenda.

The purpose of the current study was to explore college women’s stay/ leave decisions in abusive relationships using a prospective methodology. Participants ( N = 323) completed surveys at the beginning and end of a 10-week academic quarter for course credit. A path analysis suggested that the model—which included investment model variables (i.e., relationship commitment, investment, satisfaction, and quality of alternatives), childhood abuse, psychological distress, avoidance coping, and self-esteem—was a good fit to the data and predicted abused women’s leaving behaviors over the interim. The implications of these findings for future research, theory, and clinical work are discussed.

The current study followed women who participated in a sexual assault risk reduction program and a wait-list control group for 4 months. Those women in both groups who reported being revictimized ( N = 147) were assessed to determine the effect of program participation on psychological distress. Intervention group participants reported a significant reduction in both psychological distress and posttraumatic stress disorder (PTSD) symptoms at follow-up relative to wait-list control participants, even after controlling for frequency of revictimization. Significantly fewer intervention participants met criteria for PTSD from Time 1 to Time 2. Hierarchical multiple regression analyses indicated frequency and severity of victimization and behavioral and characterological self-blame, and use of avoidance coping explained a significant amount of the variance in distress following revictimization. Implications for future research and risk reduction programs are discussed.

This reprinted article originally appeared in Journal of Consulting and Clinical Psychology, Vol. 77, (No. 2), 361–366. (The following abstract of the original article appeared in record 2009-03774-017). Although script theory has been applied to sexual assault (e.g., H. Frith & C. Kitzinger, 2001; A. S. Kahn, V. A. Andreoli Mathie, & C. Torgler, 1994), women's scripts of rape have not been examined in relation to predicting sexual victimization experiences. The purpose of the current study was to examine how elements of women's sexual assault scripts predicted their sexual assault experiences over a follow-up period. The authors used data from a baseline and follow-up session for 339 undergraduate women. The results suggest that women who constructed narratives containing certain elements were more likely to report a sexual assault over the academic quarter. Specifically, narratives containing the woman utilizing nonforceful resistance, the woman having less control over the outcome of the situation, the assault happening outdoors, the assault being more severe, and the woman having known the perpetrator less time were predictive of reported sexual victimization over the 8-week follow-up period. Additionally, having a history of adolescent sexual victimization was also predictive of reported sexual victimization over the quarter. These findings have important implications in sexual assault risk-reduction programming, which are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

The present study prospectively explored the predictors of resistance strategies to a sexual assault situation. Participants were assessed at the beginning of an academic quarter on a number of variables, including past history of sexual victimization, perceived risk of sexual victimization, and intentions to use specific types of resistance strategies. Only women who reported being victimized over the interim ( N = 68) were included in the analyses, which suggested that women's Time 1 intentions to utilize assertive resistance strategies (e.g., physically fight, run away) and offender aggression predicted women's use of assertive resistance strategies in response to the assault that occurred over the follow-up. Women's utilization of nonforceful verbal resistance (e.g., reason, plead, quarrel) was predicted by perpetrator aggression and previous sexual victimization. Women's immobility (e.g., turn cold, freeze) during the assault that took place over the interim was predicted by experiences of childhood sexual victimization and previous sexual victimization.

The authors' purpose in this study was to assess longitudinally the relationships among alcohol use, risk perception, and sexual victimization.Three hundred and seventy-two women from 2 midsized universities made up the sample.Participants filled out questionnaires regarding history of sexual victimization, alcohol use, and perceived personal risk for sexual assault in the following 2 months. The authors then reassessed participants at 2 follow-up periods.The pattern of results suggested that that the relationship between alcohol use and sexual victimization was complex and that alcohol use may moderate the relation between history of victimization and revictimization for women with sexual assault histories. In particular, results indicated an increase in risk for sexual revictimization with increases in alcohol use for women with a history of sexual victimization. The data did not, however, support a reciprocal relationship between sexual assault and drinking (eg, in that a sexual victimization during one time period did not predict drinking behaviors in subsequent time periods).These results underscore the importance of both alcohol and sexual assault programming on college campuses.

The purpose of the current study was to examine how women's intentions, as well as psychological and situational factors, predicted the actual use of resistance tactics in response to a sexual assault situation over a 2-month follow-up period. Twenty-eight percent of the 378 undergraduate women who participated at the baseline assessment and returned for the follow-up session 8 weeks later were victimized over the interim period. The results suggested that women's reported use of verbally assertive tactics was predicted by the intention to use verbally assertive tactics, concern about injury, greater confidence, and feelings of being isolated or controlled by the perpetrator. The use of physically assertive tactics was predicted by increased severity of the attack, greater confidence, and feelings of being isolated or controlled by the perpetrator. The use of nonforceful tactics was predicted by intentions to use nonforceful tactics, increased self-consciousness, knowing the perpetrator prior to the assault, fears of losing the relationship with the perpetrator, and no history of childhood sexual victimization. These findings have important implications in sexual assault risk-reduction programming.

This study empirically evaluates the Riggs and O’Leary (1989) model of dating violence. A sample of 200 college students completes assessments concerning the occurrence of violence in their dating relationships. The incidence of self-reported partner violence is 25% for women and 10% for men. Multivariate logistic regression analyses are performed to determine the most salient predictors of dating violence for each gender. Findings reveal that the model is more accurate in predicting female, as compared with male perpetration of dating violence. The model accurately classifies 83% of violent women and only 30% of violent men. This study has several implications for the field of dating violence. Results indicate that although there is some degree of overlap, variant constructs predict violence for each gender. Identifying these constructs will guide prevention efforts in more effectively decreasing the occurrence of dating violence.

Objective We investigated the possible reciprocal relationship between victimization experiences and psychological functioning by assessing abuse experiences in childhood, adolescence, and during a 2-month follow-up period. Method At the beginning of the study (Time 1), abuse histories, trauma and depressive symptoms, and interpersonal functioning were assessed in 551 college women. Subsequent victimization experiences and psychological outcomes were assessed at the follow-up (Time 2). Results Path analyses indicated that verbal abuse by the mother and father were predictive of various psychological outcomes as measured at Time 1 and emerged as the only significant predictors of adolescent dating violence. Adolescent dating violence subsequently predicted the experience of dating violence during the 2-month follow-up period. Paternal physical abuse predicted adolescent sexual victimization which subsequently predicted all symptom measures at Time 1. Conversely, the experience of adolescent physical dating violence was not predictive of any of the symptom measures at Time 1. For those women who experienced dating violence during the follow-up, however, the severity of their abusive experiences was related to both depression and interpersonal problems assessed at Time 2. In comparison, for those women who experienced sexual victimization during the follow-up period, the severity of their abusive experiences was related to trauma symptoms. Interpersonal problems emerged as both an aftereffect of adolescent sexual victimization experience and a predictor of a subsequent sexual victimization experience during the follow-up. Conclusions Given that emotional abuse emerged as a predictor of adolescent dating violence and psychological outcomes, researchers and clinicians need to continue to explore this problem. Further, it is important to assess how interpersonal problems contribute to the risk of subsequent sexual victimization and to try to break the cycle between adolescent abuse experiences and subsequent physical and sexual assaults.

Figure drawings ranging from very thin to heavy (Stunkard, Sorenson, & Schulsinger, 1980) were utilized to assess body-image perception in a group of women with bulimia nervosa, a group classified as restrained eaters, and a non-eating-disordered group of women. Participants were asked to choose the figures that most resembled their current figure, their ideal figure, and the figure they believed was most attractive to men. All women chose an ideal figure that was thinner than their current figure. However, the size of the discrepancy between their current and ideal figure was significantly larger for the bulimic group compared with the non-eating-disordered women. Furthermore, while the non-eating- disordered women rated their current figure similar to the size that they believed men would find most attractive, both the bulimic group and the restrained eaters rated their current figure larger than what they believed men would find most attractive. Finally, although it was hypothesized that the bulimic group would desire a figure even thinner than what they believed men would find most attractive, this hypothesis was not supported, as all three groups of women chose an ideal figure similar to the figure that they believed men would find most attractive. These present results are compared with previous investigations which utilized similar methodologies.