The Co-Occurrence of Childhood Sexual Abuse, Adult Sexual Assault, Intimate Partner Violence, and Sexual Harassment: A Mediational Model of Posttraumatic Stress Disorder and Physical Health Outcomes

Autor/inn/en	Campbell, Rebecca; Greeson, Megan R.; Bybee, Deborah; Raja, Sheela
Titel	The Co-Occurrence of Childhood Sexual Abuse, Adult Sexual Assault, Intimate Partner Violence, and Sexual Harassment: A Mediational Model of Posttraumatic Stress Disorder and Physical Health Outcomes
Quelle	In: Journal of Consulting and Clinical Psychology, 76 (2008) 2, S.194-207 (14 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/0022-006X.76.2.194
Schlagwörter	Family Violence; Sexual Harassment; Sexual Abuse; Females; Structural Equation Models; Posttraumatic Stress Disorder; Physical Health; Multivariate Analysis; Child Abuse; Rape; Correlation; African Americans; Urban Areas; Veterans; Victims of Crime + Suchen Sie Ihr Suchwort? Sexuelle Belästigung; Sexueller Missbrauch; Weibliches Geschlecht; Gesundheitszustand; Multivariate Analyse; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Sexuelle Gewalt; Vergewaltigung; Korrelation; Afroamerikaner; Urban area; Stadtregion; Kriegsteilnehmer; Veteran; Victim; Victims; Crime; Opfer; Verbrechen
Abstract	This study examined the co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment in a predominantly African American sample of 268 female veterans, randomly sampled from an urban Veterans Affairs hospital women's clinic. A combination of hierarchical and iterative cluster analysis was used to identify 4 patterns of women's lifetime experiences of violence co-occurrence. The 1st cluster experienced relatively low levels of all 4 forms of violence; the 2nd group, high levels of all 4 forms; the 3rd, sexual revictimization across the lifespan with adult sexual harassment; and the 4th, high intimate partner violence with sexual harassment. This cluster solution was validated in a theoretically driven model that examined the role of posttraumatic stress disorder (PTSD) as a mediator of physical health symptomatology. Structural equation modeling analyses revealed that PTSD fully mediated the relationship between violence and physical health symptomatology. Consistent with a bio-psycho-immunologic theoretical model, PTSD levels more strongly predicted pain-related physical health symptoms compared to nonpain health problems. Implications for clinical interventions to prevent PTSD and to screen women for histories of violence in health care settings are discussed. (Contains 3 figures, 6 footnotes, and 3 tables.) (Author).
Anmerkungen	American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10