Child Sexual Abuse, Attachment, Dating Behaviors, And Sexual Assault

The current study used survey methodology to investigate the relationships among child sexual abuse, adult attachment, risky dating behaviors, and sexual assault. Specifically, it tested a model whereby attachment mediates a hypothesized relationship between child sexual abuse and risky dating behaviors, thus partially explaining sexual abuse survivors\u27 risk of sexual assault (or revictimization). Results indicate that child sexual abuse relates to attachment anxiety but not to avoidance or the dating behaviors studied. While risky dating behaviors are associated with increased rates of sexual assault, most of them were not predicted by attachment. Attachment avoidance does relate, however, to some key high-risk dating behaviors, and attachment anxiety is associated with higher rates of sexual assault. Clinical and research implications are discussed

Men\u27s Sexual Coerciveness, Perceptions of Women\u27s Attachment, and Dating Preferences

This study examined whether sexually coercive men are uniquely drawn to certain attachment styles in women. Specifically, it employed an experimental design to investigate what sorts of inferences men draw about women based on women\u27s attachment styles and whether a woman\u27s attachment style may serve as an indicator of vulnerability, rendering sexually coercive men more attracted to some women than to others. One-hundred thirty-six college men completed a measure of sexual coerciveness and answered questions about personal ads experimentally manipulated for portrayed attachment style. Findings suggest that sexually coercive men may be more attracted to women with characteristics associated with sexual vulnerability. Additionally, men perceive women differently based on their attachment styles, and sexually coercive men may perceive women differently than do other men

The Benefit of Conserving and Gaining Resources after Trauma: A Systematic Review

Background: Traumatic events involve loss of resources, which has consistently been found to be associated with developing stress-related illness such as posttraumatic stress disorder (PTSD). Objective: The purpose of this systematic literature review was to determine if there is evidence for the salutatory effect of resource gain on PTSD, and if there are intervention models that utilize and assess gain in PTSD. Data Sources: All relevant online databases were systematically searched using key terms and a method, detailed in Figure 1. Results: Of 22 relevant articles, there were three intervention studies, one longitudinal naturalistic study, eleven non-intervention association studies focusing on PTSD, and eight non-intervention association studies not focusing on PTSD. The intervention and naturalistic studies showed a significant positive effect on PTSD by specifically targeting the gain of resources during an intervention. Other non-intervention research supports the notion that resource loss is pathogenic and resource gain is beneficial after traumatic exposure. Conclusions: Interventions that develop and assess effects of gain of various types of resources on stress-related illness should be encouraged. Interventions that already have proven efficacy for PTSD might include standardized assessment of resource loss and gain to further understand mechanisms of action

Posttraumatic stress and depression may undermine abuse survivors’ self-efficacy in the obstetric care setting

Introduction: Posttraumatic stress symptoms (PTS) are associated with increased risk of obstetric complications among pregnant survivors of trauma, abuse and interpersonal violence, but little is known about how PTS affects women’s actual experiences of obstetric care. This study investigated the rate at which abuse history was detected by obstetricians, whether abuse survivors experienced more invasive exams than is typically indicated for routine obstetric care, and whether psychological distress was associated with abuse survivors’ sense of self-efficacy when communicating their obstetric care needs. Methods: Forty-one pregnant abuse survivors completed questionnaires about abuse history, current psychological distress and self-efficacy for communicating obstetric care needs and preferences. Electronic medical records (EMRs) were reviewed to examine frequency of invasive prenatal obstetric procedures (e.g. removal of clothing for external genital examination, pelvic exams and procedures) and to examine the detection rate of abuse histories during the initial obstetric visit. Results: The majority of participants (83%) reported at least one past incident of violent physical or sexual assault. Obstetricians detected abuse histories in less than one quarter of cases. Nearly half of participants (46%) received invasive exams for non-routine reasons. PTS and depression symptoms were associated with lower self-efficacy in communicating obstetric care preferences. Discussion: Women most at risk for experiencing distress during their obstetric visits and/or undergoing potentially distressing procedures may also be the least likely to communicate their distress to obstetricians. Results are discussed with implications for improving screening for abuse screening and distress symptoms as well as need for trauma-sensitive obstetric practices