Risk Factors of Sexual Assault Victimization within the U.S. Military

INTRODUCTION: Sexual assault (SA) victimization affects thousands of service members in the military each year and identifying risk factors of SA is essential to inform prevention efforts. AIM: To synthesize literature on SA within the military to determine risk factors of SA incidence. METHODS: Risk factors from 6 epidemiological studies were compared via meta-analysis using R. Odds ratios and tests of heterogeneity were calculated to illustrate the collective odds of SA given each risk factor across the studies and to show variability. Odds ratios were calculated separately for risk factors only mentioned in one study. RESULTS: Women (OR =16.37), persons reporting sexual harassment during service (OR = 14.54), persons with a SA history (OR = 3.99), enlisted rank (OR = 2.47), non-married persons (OR = 2) and persons with no college experience were at greater risk of SA (OR = 1.32). Being White was found to be a protective factor (OR = 0.76). Our descriptive analysis found that experiencing stalking (OR = 11.84), being a sexual minority (OR = 2.15) or transgender increased the risk of SA (OR = 1.91). However, transgender womxn were at lower risk of SA than transgender mxn (OR = 0.42). DISCUSSION: It may be useful to develop tailored prevention programs for those identified as at risk according to our findings. Further, more needs to be done to address the environmental and cultural factors specific to the military that perpetuate SA incidence

A Randomized Clinical Trial of Vapocoolant for Pediatric Immunization Pain Relief

OBJECTIVES: The purpose of the current study was to evaluate the effectiveness of vapocoolant for preschoolers’ immunization injection pain relief. STUDY DESIGN: 57 4- to 6-year-old children were randomized to vapocoolant alone or typical care conditions. Pain was measured at baseline and at injection via self-report, caregiver-report, nurse-report, and an observational scale. RESULTS: Self-report suggested that children in the vapocoolant alone condition demonstrated stronger increases in pain from baseline to injection than typical care. All other measures showed significant increases in pain from baseline to injection, but none indicted treatment effects. CONCLUSIONS: Consistent with prior studies, vapocoolant might not be an effective pain-management intervention for children’s intramuscular injections

Randomized Clinical Trial of Distraction for Infant Immunization Pain

Distraction has been shown to be an effective technique for managing pain in children; however, few investigations have examined the utility of this technique with infants. The goal of the current study was to investigate the effectiveness of movie distraction in reducing infants’ immunization distress. Participants were 136 infants (range = 1 to 21 months; M = 7.6 months, SD = 5.0 months) and their parents, all of whom were recruited when presenting for routine vaccinations. The parent-child dyads were randomly assigned to either a Distraction or Typical Care control condition. Infant and adult behaviors were assessed using a visual analog scale and a behavioral observation rating scale. Results indicated parents in the Distraction group engaged in higher rates of distraction than those in the Typical Care group, whereas there was no difference in the behavior of nurses in the Distraction and Typical Care groups. In addition, infants in the Distraction group displayed fewer distress behaviors than infants in the Typical Care group both prior to and during recovery from the injection. Findings suggest that a simple and practical distraction intervention can provide some distress relief to infants during routine injections

Longitudinal Mediators of Relations Between Family Violence and Adolescent Dating Aggression Perpetration: Family Violence and Adolescent Dating Aggression

Few longitudinal studies have examined the pathways through which family violence leads to dating aggression. In the current study the authors used 3 waves of data obtained from 8th- and 9th-grade adolescents (N = 1,965) to examine the hypotheses that the prospective relationship between witnessing family violence and directly experiencing violence and physical dating aggression perpetration is mediated by 3 constructs: (a) normative beliefs about dating aggression (norms), (b) anger dysregulation, and (c) depression. Results from cross-lagged regression models suggest that the relationship between having been hit by an adult and dating aggression is mediated by changes in norms and anger dysregulation, but not depression. No evidence of indirect effects from witnessing family violence to dating aggression was found through any of the proposed mediators. Taken together, the findings suggest that anger dysregulation and normative beliefs are potential targets for dating abuse prevention efforts aimed at youth who have directly experienced violence

An RCT of dating matters:Effects on teen dating violence and relationship behaviors

Introduction Teen dating violence is a serious public health problem with few effective prevention strategies. This study examines whether the Dating Matters comprehensive prevention model, compared with a standard of care intervention, prevented negative relationship behaviors and promoted positive relationship behaviors. Study design This longitudinal, cluster-RCT compared the effectiveness of Dating Matters with standard of care across middle school. Standard of care was an evidence-based teen dating violence prevention curriculum (Safe Dates) implemented in eighth grade. Setting/participants Forty-six middle schools in high-risk urban neighborhoods in four U.S. cities were randomized. Schools lost to follow-up were replaced with new schools, which were independently randomized (71% school retention). Students were surveyed in fall and spring of sixth, seventh, and eighth grades (2012–2016). The analysis sample includes students from schools implementing Dating Matters or standard of care for >2 years who started sixth grade in the fall of 2012 or 2013 and had dated (N=2,349 students, mean age 12 years, 49% female, and 55% black, non-Hispanic, 28% Hispanic, 17% other). Intervention Dating Matters is a comprehensive, multicomponent prevention model including classroom-delivered programs for sixth to eighth graders, training for parents of sixth to eighth graders, educator training, a youth communications program, and local health department activities to assess capacity and track teen dating violence–related policy and data. Main outcome measures Self-reported teen dating violence perpetration and victimization, use of negative conflict resolution strategies, and positive relationship skills were examined as outcomes. Imputation and analyses were conducted in 2017. Results Latent panel models demonstrated significant program effects for three of four outcomes; Dating Matters students reported 8.43% lower teen dating violence perpetration, 9.78% lower teen dating violence victimization, and 5.52% lower use of negative conflict resolution strategies, on average across time points and cohorts, than standard of care students. There were no significant effects on positive relationship behaviors. Conclusions Dating Matters demonstrates comparative effectiveness, through middle school, for reducing unhealthy relationship behaviors, such as teen dating violence and use of negative conflict resolution strategies, relative to the standard of care intervention

Risk and resilience in youth: An examination of moderating factors

Child maltreatment (i.e., emotional abuse, physical abuse, sexual abuse, emotional neglect, physical neglect) poses a significant risk for psychological difficulties to millions of children annually. Some children develop posttraumatic stress disorder (PTSD) or other anxiety disorders (e.g., generalized anxiety disorder, panic disorder, social anxiety disorder), depressive disorders (e.g., major depressive disorder), and substance abuse/dependence as a result of maltreatment. Fortunately, many other children, who have been termed resilient, escape such incidents relatively unscathed. This study explored the unique associations between child maltreatment and several outcome variables (e.g., substance use, sexualized behavior, depression, generalized anxiety, and social anxiety) as well as the role in which factors purported to promote resiliency (i.e., level of social support, parentification, attachment style, and locus of control) moderate the relation between child maltreatment and outcome. A large sample of undergraduate students (N = 502) were used in examining these relations. Results from data analyses suggested that the subtypes of maltreatment were not, in all cases, significant predictors of each of the different outcomes. Likewise, the resiliency factors examined in the current study did not consistently emerge as moderators of the maltreatment-outcome relation. Implications of these findings and future directions for research are discussed