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Substance Use and PTSD Symptoms Impact the Likelihood of Rape and Revictimization in College Women
Terri L. Messman-Moore, PhD*,
Rose Marie Ward, PhD,
and
Amy L. Brown, PhD
* To whom correspondence should be addressed. E-mail: messmat{at}muohio.edu.
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Abstract |
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The present study utilized a mixed retrospective and prospective design with an 8-month follow-up period to test a model of revictimization that included multiple childhood (i.e., child sexual, physical, and emotional abuse) and situational variables (i.e., substance use, sexual behavior) for predicting rape among 276 college women. It was of particular interest to determine whether traumatic responses (e.g., posttraumatic symptomatology or risky behavior) increased vulnerability for revictimization. During the 8-month follow-up period, 9% of participants were raped; 88% of assaults involved substance use by the victim. Posttraumatic stress disorder (PTSD) symptomatology predicted rape, substance use, and sexual behavior. Substance use, but not sexual behavior, mediated the relation between PTSD symptomatology and rape during the follow-up period. Sexual behavior indirectly impacted risk for rape via substance use. Results suggest that college women with PTSD symptomatology may be at greater risk for rape if they use substances to reduce distress.
First published on May 16, 2008, doi:10.1177/0886260508317199
Journal of Interpersonal Violence 2009;24:499.
A more recent version of this article appeared on March 1, 2009

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A. L. Brown, M. Testa, and T. L. Messman-Moore
Psychological Consequences of Sexual Victimization Resulting From Force, Incapacitation, or Verbal Coercion
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August 1, 2009;
15(8):
898 - 919.
[Abstract]
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