Dissociation mediates the association between intimate partner violence and posttraumatic stress among treatment-seeking incarcerated women.

OBJECTIVE: Women in prison experience high rates of interpersonal trauma as well as elevated rates of posttraumatic stress disorder (PTSD) relative to women in the general population. The present study examined the relationship between recent intimate partner violence (IPV), additional forms of lifetime trauma exposure, trait dissociation, and posttraumatic stress among a sample of incarcerated female survivors of IPV. METHOD: Participants were 186 treatment-seeking incarcerated women who reported experiences of IPV in the year prior to incarceration. Participants completed self-report measures of IPV, nonpartner-perpetrated lifetime trauma exposure, trait dissociation, and PTSD symptomatology. Associations among study variables were evaluated using sequential multiple regression. RESULTS: Participants reported experiencing several forms of interpersonal trauma. More than half of respondents (i.e., 53%) fell beyond a conservative cutoff score on the PTSD Checklist-Civilian Version, indicating clinically significant symptoms of PTSD. Trait dissociation partially mediated the association between IPV and PTSD symptoms above and beyond history of nonpartner-perpetrated violence. Trait dissociation emerged as the strongest independent predictor of PTSD symptoms and explained approximately 15% of the variance in PTSD symptoms. CONCLUSION: This finding highlights the need for additional research concerning dissociation among women in prison and warrants consideration in future research and intervention efforts focused on trauma recovery among incarcerated women.

Coping Self-Efficacy Moderates the Association Between Severity of Partner Violence and PTSD Symptoms Among Incarcerated Women.

Previous research indicates self-efficacy may function as a protective factor for survivors of partner violence (PV), including coping self-efficacy specific to domestic violence. We hypothesized that domestic violence coping self-efficacy would moderate the association between recent PV and posttraumatic stress disorder (PTSD) symptoms in a sample of incarcerated women, such that the association between PV and PTSD would be strongest at low levels of domestic violence coping self-efficacy. Participants (N = 102) were incarcerated women who reported PV in the year prior to incarceration. They were aged 19-55 years (M = 33.57, SD = 9.32), identified predominantly as European American (84.3%), American Indian (15.7%), and Hispanic (14.7%), with 80.4% completing high school or more in terms of education. Participants responded to self-report measures of PV, trauma history, domestic violence coping self-efficacy, and current PTSD symptoms. In a series of sequential regression analyses, PV (ß = .65, sr(2) = .06, p = .017) was significantly associated with current PTSD symptoms above and beyond past trauma history (ß = .37, sr(2) = .14, p < .001), and this association was moderated by domestic violence coping self-efficacy (Domestic Violence Coping Self-Efficacy × Partner Violence; ß = -.54, sr(2) = .03, p = .044). The relationship between PV and PTSD symptoms was greatest at low and average levels of domestic violence coping self-efficacy and nonsignificant at high levels of domestic violence coping self-efficacy. These findings highlight the importance of assessing domestic violence coping self-efficacy in incarcerated women with recent PV, given that domestic violence coping self-efficacy appeared to be protective against symptoms of PTSD.

An ecological process model of female sex offending: the role of victimization, psychological distress, and life stressors.

Female sex offenders may be implicated in up to one fifth of all sex crimes committed in the United States. Despite previous research findings that suggest unique patterns of offending among female sex offenders, limited empirical research has investigated the motivations and processes involved. The present study qualitatively examined female sex offenders' offense-related experiences and characterized the internal and external factors that contributed to offending. Semi-structured interviews with 24 female sex offenders were analyzed by a team of coders with limited exposure to the existing literature using grounded theory analysis. A conceptual framework emerged representing distinctive processes for solo- and co-offending, contextualized within ecological layers of social and environmental influence. This model extends previous work by offering an example of nested vulnerabilities proximal to female sexual offending. Implications for future research, prevention, and treatment are discussed.

Trauma-Related Shame, Sexual Assault Severity, Thwarted Belongingness, and Perceived Burdensomeness Among Female Undergraduate Survivors of Sexual Assault.

BACKGROUND AND AIM: This study evaluated trauma-related shame as a mediator of the association between sexual assault severity and perceived burdensomeness and thwarted belongingness. METHOD: A total of 164 female undergraduates who reported attempted or completed sexual assault completed self-report measures of sexual assault, trauma-related shame, perceived burdensomeness, and thwarted belongingness. RESULTS: Using path analysis, trauma-related shame mediated the association between sexual assault severity and perceived burdensomeness, and between sexual assault severity and thwarted belongingness. LIMITATIONS: The findings of this study are limited by the retrospective, self-report, and cross-sectional nature of these data, and do not allow for causal inference. CONCLUSION: Trauma-related shame warrants additional investigation as a mechanism that explains the association between sexual assault and psychosocial risk factors for suicidal ideation and behavior.

Coping self-efficacy and trauma-related shame mediate the association between negative social reactions to sexual assault and PTSD symptoms.

Previous research has identified trauma-related shame as a mediator of the association between negative social reactions to sexual assault disclosure and psychological distress, including posttraumatic stress disorder (PTSD) symptoms. However, few studies have considered protective factors that may mitigate the effects of trauma-related shame. This study evaluated trauma-coping self-efficacy and trauma-related shame as mediators of the association between negative reactions to sexual assault disclosure and PTSD symptoms. It was hypothesized that both trauma-coping self-efficacy and trauma-related shame would mediate this association. One hundred thirty-two psychology undergraduates, who reported experiencing sexual assault and had disclosed the sexual assault to at least 1 other person, completed self-report measures of history of sexual assault, negative social reactions, trauma-related shame, trauma-coping-self-efficacy, and PTSD symptoms online. The hypothesized mediation model was evaluated via a series of regressions and included gender and history of sexual assault as covariates. Participants reported significant histories of sexual assault and elevated symptoms of PTSD. Both trauma-related shame and trauma-coping self-efficacy significantly mediated the association between negative social reactions and PTSD symptoms. Trauma-coping self-efficacy and trauma-related shame are significant intervening variables with regard to the association between negative social reactions and PTSD symptoms. These malleable points of therapeutic intervention warrant additional research and highlight the need for clinical practice that explicitly addresses shame and enhances coping self-efficacy among undergraduates who disclose sexual assault. (PsycINFO Database Record (c) 2018 APA, all rights reserved).