Associations Among Online Social Reactions to Disclosure of Sexual Victimization, Coping and Social Isolation.

Social reactions to the disclosure of sexual victimization are critical to post-assault recovery. The popular social media hashtag "#MeToo" resulted in numerous survivors of sexual victimization disclosing their experience online. Whereas previous research has examined the association between social reactions to in-person disclosure of sexual victimization and factors commonly associated with adjustment among survivors - such as coping and social support - research is needed to examine correlates of social reactions to online disclosure of sexual victimization. Accordingly, the current study investigated the relationship between online social reactions to the disclosure of sexual victimization via #MeToo and engagement in various coping strategies (problem-focused coping, emotion-focused coping) and social isolation among a sample of 195 adults with a history of sexual victimization. Results indicated that the provision of online resources was associated with lower use of problem-focused and emotion-focused coping strategies. Receipt of online emotional and informational support was associated with increased use of emotion-focused coping strategies. Further, receipt of online social reactions that turned against the survivor and receipt of online social reactions that "made fun of you, insulted you, or said something to hurt you" were associated with higher levels of social isolation. Lastly, online unsupportive acknowledgment and "sharing your tweet with other people" were associated with lower levels of social isolation. Results highlight how online social reactions to disclosure of sexual victimization via #MeToo intersect with coping and social support among survivors of sexual victimization and help to give context to the experience of online disclosure of sexual victimization.

Social Reactions and Trauma Symptoms Among Gender and Sexual Minority Students Disclosing Sexual Violence.

Addressing the higher rates of sexual violence experienced by gender and sexual minority students in university contexts requires an understanding of responses to disclosures of sexual violence. Using data from a large-scale study of sexual violence in university contexts, the current study examined (1) whether gender and sexual minority status was associated with responses to sexual violence disclosure and (2) how disclosure responses were associated with trauma symptoms among these students. Linear regression indicated that university students' (n = 1,464) reports of responses to disclosures of sexual violence did not differ across gender or sexual minority status. Focusing on gender and sexual minority participants (n = 327), linear regression linked turning against the victim and positive responses to higher levels of trauma symptoms.

Exploring the association between anticipated and actual responses to disclosures of intimate partner violence and sexual assault.

Victims of intimate partner violence (IPV) and sexual assault (SA) commonly disclose their experiences to friends or family members, or within other personal relationships. Disclosure recipients' responses to these disclosures are associated with victims' mental health. Previous research has separately measured both actual responses to IPV/SA and anticipated responses to IPV/SA (e.g., response to a hypothetical scenario) from the perspective of disclosure recipients. Yet, little research has described the association between disclosure recipients' anticipated and actual responses. The aim of the current paper was to use a prospective design to examine the association between disclosure recipients' anticipated and actual responses to IPV/SA, including positive and negative social reactions, perceptions of victim responsibility, empathy, and confusion and ineffectiveness about how to respond. Participants (N = 126 college students aged 18-23; 70.6% women) answered questions about their anticipated responses to a hypothetical IPV/SA disclosure scenario, and then six months later answered the same questions about their actual responses to an actual disclosure of IPV/SA. Although most anticipated and actual responses were significantly associated, associations were moderate in size. Some associations were stronger for participants with a closer relationship to the victim, for participants who had their own victimization history, for women, and for men. Individuals can predict their responses to some degree, but are not totally accurate in doing so.

Bystander Response to Sexual Assault Disclosures in the U.S. Military: Encouraging Survivors to use Formal Resources.

Experiencing military sexual assault (MSA) results in serious mental health consequences. Sexual assault survivors often disclose to informal sources of support, and how these individuals respond can have a significant effect on survivors' wellbeing. Bystander intervention is one mechanism through which institutions, such as the U.S. Military, aim to teach informal support providers to respond positively and effectively to sexual assaults. One bystander response that survivors may find helpful is the discussion of formal resources (e.g., counseling options, reporting options). The current study examined factors associated with U.S. Service members' intentions to encourage sexual assault survivors to report and seek mental health counseling, including individual characteristics (rank, gender, personal experience of MSA) and perceptions of military sexual assault response efforts (exposure to sexual assault training, leader response to sexual assault, service barriers). The study also examined contextual factors (branch) and interactions between individual and contextual predictors. We analyzed survey data from 27,505 active duty Service members collected by the U.S. Department of Defense. As expected, rank, gender, experience of MSA, training exposure, leader response, and service barriers were associated with Service members' intentions to encourage MSA survivors to report and seek-help. Bystander responses to disclosures can have a significant effect on survivors' response to the assault, and these findings can help in identifying why bystanders may or may not encourage the use of formal resources after receiving a sexual assault disclosure.

The Relationship Between Perceptions of Response to Disclosure of Childhood Sexual Abuse and Later Outcomes.

This study assessed whether perceptions of others' reactions to disclosure are related to psychological and physical outcomes among individuals with a history of child sexual abuse. Eighty-six female undergraduates completed a series of questionnaires assessing child sexual abuse, nonsexual trauma, depression, anxiety, posttraumatic stress disorder, somatic symptoms, disclosure, and social reactions to disclosure. Those who reported child sexual abuse endorsed higher levels of psychological and physical symptoms than those who reported a nonsexual traumatic event. Child sexual abuse survivors who reported more hurtful responses to disclosure had higher levels of posttraumatic stress disorder, anxiety, and physical symptoms than nonsexual trauma survivors. These findings suggest that many survivors of CSA may need psychological services, and an important focus of treatment may be assessing and strengthening social support.

Social Reactions to Disclosure of Sexual Violence Experienced by Sexual and Gender Minority Young Adults: Comparisons of Sexual and Gender Minority Recipients Versus Cisgender/Heterosexual Recipients.

Sexual and gender minority (SGM) individuals are at an increased risk of experiencing sexual violence (SV). Social reactions received upon disclosure of SV impact survivors' mental health, and this may be more extreme when social reactions are provided by other SGM individuals. The purpose of the current study was to understand the SV disclosure experiences of SGM young adults, including the identity of disclosure recipients and the quality of the social reactions received by SGM and cisgender/heterosexual disclosure recipients. Additionally, the current study sought to examine how the SGM identity of the disclosure recipient and the quality of the social reactions received were associated with mental health outcomes (depression, post-traumatic stress disorder [PTSD], and alcohol use) among SGM SV survivors. SGM-identifying participants (N = 110) completed a 10-min survey on Qualtrics that was distributed through Prime Panels. Results revealed that 83% of participants (SGM survivors of SV) disclosed their SV experience to other SGM individuals. SGM disclosure recipients provided more positive social reactions and fewer negative social reactions than cisgender/heterosexual disclosure recipients. Regression models indicated that positive social reactions from cisgender/heterosexual recipients were associated with a decrease in depression scores. Negative social reactions from SGM recipients were associated with an increase in depression scores. Unexpectedly, positive social reactions from SGM recipients, while negative social reactions from cisgender/heterosexual recipients, were associated with an increase in PTSD scores. No associations were found between social reactions and alcohol use. Findings highlight the importance of social reactions and disclosure experiences on SGM survivors' mental health and mitigation opportunities to improve these disclosure experiences.

Disclosing Sexual Victimization Online and In-Person: An Examination of Bisexual+ and Heterosexual Survivors.

Bisexual+ (bisexual, pansexual, queer, attraction to more than one gender) people are at elevated risk for sexual victimization relative to their heterosexual counterparts. Disclosure of sexual victimization and social reactions received upon disclosure can play a major role in recovery following an assault. Using an online survey, the current study examined whether bisexual+ and heterosexual survivors of sexual victimization (N = 657) varied in disclosure of victimization, the type of disclosure (in-person vs. online via #MeToo), and receipt of various social reactions to disclosure in person and online. A chi-square test examined differences in disclosure and differences in types of disclosure (in-person only vs. MeToo across sexual identity). MANOVAS were used to examine whether in-person and online reactions varied across sexual identity. Bisexual+ survivors were more likely to disclose sexual victimization relative to heterosexual survivors. Among those who disclosed, bisexual+ survivors were more likely to disclose in person only whereas heterosexual survivors were more likely to disclose online via #MeToo. Whereas we did not find any significant differences for in-person reactions, we did find significant differences for online social reactions using #MeToo. Heterosexual survivors received higher turning against reactions (e.g., avoided talking to you or spending time with you) and more unsupportive acknowledgment relative to bisexual+ participants. Whereas bisexual+ participants received less turning against reactions and unsupportive acknowledgment during #MeToo/online disclosure, they were also less likely to disclose using #MeToo. Findings suggest that bisexual+ and heterosexual people vary in the way they disclose sexual victimization, and in how they are responded to when disclosing in person and online.

Validation of the Social Reactions-Online Questionnaire Among Adults Who Disclosed Online Victimization Via #MeToo.

The #MeToo movement of 2017 ushered in a wave of online disclosure of sexual victimization. The ways in which people respond to the disclosure of sexual victimization can play an important role in a survivor's recovery process. This study conducted an exploratory structural equation model (ESEM) of a questionnaire aimed at characterizing the ways in which others respond to the disclosure of sexual victimization in online spaces. Participants (N = 767) were recruited via social media to participate in a study of disclosure of unwanted sexual experiences, with 25.4% (n = 195) endorsing disclosing an unwanted sexual experience online using the hashtag #MeToo and were included in analyses. Participants completed the Online Social Reactions Questionnaire (OSRQ). The questionnaire included all 16 original items from the Short Version of the Social Reactions Questionnaire (SRQ). An additional 8 items specific to online disclosure, not covered by the SRQ were added at the end, bringing the proposed OSRQ to a total of 24 items. The updated measure included the 16 original items of the Short Version of the SRQ as well as 8 additional items, for a total of 24 items. ESEM confirmed the OSRQ as a 23-item measure with a four-factor structure: (a) Turning Against+, (b) Unsupportive Acknowledgment, (c) Positive Support+, and (d) Online Sharing; model fit: χ2(186) = 387.125, p < .001, CFI = 0.976, RMSEA = 0.074 (90% CI [0.064, 0.085]), SRMR = 0.034. The OSRQ revealed excellent Cronbach's alpha (α = .93) and McDonald's Omega (ω = .93). The OSRQ represents a new measure that can be used to characterize the way in which others respond to online disclosure of sexual victimization.

Social Reactions to Disclosures of Multiple-Perpetrator Sexual Assault: Do Number of Offenders Matter?

Sexual assault (SA) victimization is a prevalent issue both in the U.S. and globally. Although SA victimization is usually perpetrated by a single-perpetrator, multiple-perpetrator sexual assaults (MPSAs) also occur. Unfortunately, there is less literature concerning MPSAs, including the well-being of survivors' post-assault. One factor that has been shown to be important in the well-being of SA survivors' post-assault are the social reactions survivors receive from others following disclosure. The current study sought to compare social reactions received by MPSA survivors to the social reactions received by single-perpetrator sexual assault (SPSA) survivors in a community sample of adult female SA survivors (N = 1,863). We examined "turning against" (TA) reactions, a type of negative social reaction in which the supporter expresses more overtly distressing reactions that focus blame on the victim. We also examined unsupportive acknowledgment reactions (UA) the second type of negative reaction in which survivors receive acknowledgment that the assault occurred but are not supported. Additionally, we examined differences in positive reactions that survivors received from their support systems. One-way Analysis of Variance showed statistically significant differences in social reactions to disclosure according to number of offenders in the SA, with MPSA survivors receiving more TA and UA negative reactions than SPSA survivors. There were no differences in positive reactions by number of offenders. Multiple regression analyses also revealed that several demographics, assault characteristics, and post-assault factors (total Post-Traumatic Stress Disorder (PTSD) symptoms, coping, attributions of self-blame) were related to the social reactions received by MPSA survivors post-assault. Implications and recommendations for support providers are discussed.

Making Visible the Myths About Cyber-Sexual Violence Against Women: An Analysis of Social Reactions Toward Victims on Twitter.

Cyber-sexual violence is a prevalent and harmful form of aggression committed against women, yet little attention has been paid to the attitudes about cyber-sexual violence. This research therefore aimed to explore the negative attitudes or myths that serve to justify, minimize, and deny the experiences of cyber-sexual violence disclosed by women on Twitter. Using a thematic analysis, we analyzed 4,048 replies to 18 experiences reported on Twitter around the time of the International Day for the Elimination of Violence against Women. After the data were cleaned and coded, the results revealed 18 myths about cyber-sexual violence, grouped into four main themes: (1) minimization/conceptualization, (2) victim blaming, (3) factors related to the diffusion context, and (4) exonerating the perpetrator's responsibility. This study constitutes the first attempt to analyze the myths surrounding cyber-sexual violence on Twitter, including content areas not yet addressed in the literature, such as contextual factors. Strikingly, most of the analyzed reactions appeared to deny and downplay the importance of sexually aggressive behaviors perpetrated against women online, suggesting that these beliefs could influence the underreporting of cyber-sexual violence. Based on these data, it was concluded that while Twitter can serve as a useful "loudspeaker" for victims, it is also a mechanism by which myths about cyber-sexual violence can be supported and disseminated. Finally, it highlights the importance to consider the influence of online cultural frame on the social perception of cyber-sexual violence and point out the specific beliefs that educators, researches and psychologist could work though psychoeducational programs.

Social Reactions to Disclosures of Intimate Partner Stalking and Unwanted Pursuit Behaviors: Associations With PTSD, Academic Outcomes, and Empowerment.

Among college survivors of unwanted pursuit behaviors (UPBs; 40.1%, n = 189) or intimate partner stalking (IPS, i.e., UPBs causing emotional distress; 32.1%, n = 151), the present study examined effects of social reactions to disclosures on post-traumatic stress disorder (PTSD) symptomatology, academic outcomes, and personal empowerment. Compared to UPB survivors, IPS survivors were more likely to disclose and reported higher positive and negative reactions to disclosure as well as greater frequency of UPBs/IPS, IPV, and PTSD symptoms. Among both groups, only negative social reactions were positively associated with PTSD symptoms. However, among IPS (but not UPB) survivors, only positive social reactions were related to academic outcomes and empowerment when controlling for PTSD and IPS frequency. Implications for research and practice are discussed.

Women Receive More Positive Reactions to Childhood Sexual Abuse Disclosure and Negative Reactions are Associated With Mental Health Symptoms in Adulthood for Men and Women.

Although disclosure of sexual abuse has become more socially acceptable for both men and women in recent years, there is much yet to be understood about differences in the disclosure process and associated pathology between men and women. The current study aimed to (a) investigate differences in aspects of the childhood sexual abuse (CSA) disclosure process between adult men and women and (b) explore how timing of disclosure, perceived parental style, and negative social reactions to disclosure relate to various mental health symptoms. Using a cross-sectional, quasi-experimental design, adult men and women in the United States recruited through Amazon's Mechanical Turk (N = 299) completed self-report surveys. Women reported disclosing to a significantly greater number of people than men, and were more likely to disclose to parents, while men were more likely to tell friends. Results revealed that women reported receiving significantly more positive responses and emotionally supportive responses to their CSA disclosures than men. Negative reactions to disclosure were positively associated with internalizing symptoms and externalizing symptoms, while both negative reactions to disclosure and perceived parental dysfunction were positively associated with substance use symptoms. Results signify a need for resources to aid individuals in supporting survivors of CSA, as reactions have the potential to impact recovery trajectory and for clinicians to consider how disclosure experiences impact survivor cognitions and symptom exacerbation.

College students' perceptions of alcohol's role in disclosures of sexual assault and intimate partner violence.

Objective: Much is known about how alcohol increases the risk of sexual assault or intimate partner violence victimization during college. This research qualitatively explores perceptions about how alcohol influences disclosures about these events to informal supports. Participants: Participants included college students who received a disclosure wherein they or the survivor were drinking during the disclosure (n = 81). Methods: Responses were coded with regard to who was drinking and whether the effect of drinking during the disclosure was perceived as positive, negative, mixed, or neutral/none. Results: Participants perceived alcohol to have both positive (e.g., increasing the likelihood of discussing difficult topics) and negative (e.g., cognitive impairment increased negative emotions) effects on disclosures. Conclusion: Prevention and intervention efforts should identify targeted strategies (e.g., remembering one or two easy and helpful phrases; revisiting the topic again while sober) to help survivors and disclosure recipients have constructive conversations in the presence of alcohol.

Online Social Reactions to Disclosure of Sexual Victimization via #MeToo and Symptoms of Post-Traumatic Stress Disorder.

Sexual victimization is a major public health concern with significant consequences for survivors, their families, and society at large. Studies examining in-person disclosure of sexual victimization suggest that the way others respond to disclosure has a significant impact on survivors' well-being. With the advent of social media, more survivors are choosing to disclose their experience online. Research is needed to understand how social reactions to online disclosure of sexual victimization impact survivors. Accordingly, the current study examined the association between online social reactions to the disclosure of sexual victimization and symptoms of post-traumatic stress disorder (PTSD) symptoms in a sample of 195 individuals who disclosed their experience online via the hashtag #MeToo. Symptoms of PTSD were positively associated with the level of assault severity reported by the survivor, as well as receipt of online social reactions to disclosure via #MeToo that made fun, insulted, or said something to hurt the survivor. Online social reactions to disclosure via #MeToo that involved turning away from the survivor or providing unsupportive acknowledgment of the experience were unrelated with PTSD symptoms. PTSD symptoms were also not associated with the receipt of positive online social reactions to disclosure via #MeToo. Like research addressing in-person social reactions to disclosure of sexual victimization, some forms of online negative social reactions to disclosure of sexual victimization via #MeToo appear to be associated with worse psychological outcomes among survivors. Thus, online disclosure of sexual victimization and its impact needs to be attended to in clinical and research settings.

How Will I Be Perceived: The Role of Trauma-Related Shame in the Relationship Between Psychological Distress and Expectations of Disclosure Among Survivors of Sexual Victimization.

Sexual assault is a serious physical and psychological concern worldwide. Various negative psychological outcomes are associated with survivor well-being, including depression, posttraumatic stress disorder (PTSD), depressive symptoms, and trauma-related shame. Opportunities for emotional expression and processing have been shown to be beneficial among survivors of trauma; however, survivors of sexual victimization may be reticent to disclose details of their traumatic experience, particularly to formal sources of support. Trauma-related shame (e.g., negative evaluations of self, feelings of worthlessness, and powerlessness) has been shown to negatively impact expectations of disclosure, as some survivors may fear being blamed or judged. Limited research exists on the impact of psychological distress on survivors' expectations of disclosure. The current study investigated whether psychological distress (i.e., depressive and PTSD symptoms) is associated with expectations of disclosure (positive vs. negative) through trauma-related shame among survivors of sexual victimization. Participants, recruited from a primarily Hispanic-serving institution, participated in the present study. Participants (N = 86) completed measures of PTSD and depression symptom severity, trauma-related shame, and expectations of disclosure. Results revealed that psychological distress severity was associated with negative expectations of disclosure through trauma-related shame (b = 0.682, p < .05, 95% confidence interval [CI] [0.197, 1.367]), but not positive expectation (b = -0.068, p = .417, 95% CI [-0.523, 0.155]). Our findings have implications for prognosis and treatment for survivors of sexual victimization, particularly among LatinX populations.

Sexual Victimization Among Men: A Qualitative Analysis of the Twitter Hashtag #UsToo.

The present study sought to characterize use of the hashtag #UsToo on Twitter to disclose or comment on men's experiences of sexual victimization. A sample of 281 original content, English-language tweets containing the hashtag were collected from Twitter over five consecutive weekdays. Thematic content analysis was conducted by a three-person coding team (full team consensus, achieving 100% agreement). Researchers categorized tweets as either a disclosure of victimization (N = 6) or a response to this hashtag (N = 275). When responding to the hashtag, users commented on the emotional impact of victimization, provided positive responses within the forum (i.e., advocacy, call to action, raising awareness, and prosocial reactions), and also engaged in negative responses within the forum (i.e., distracting attention away from the experiences of victims, egocentric responses which called attention to themselves or others, and otherwise harmful reactions). Despite the popularity of the #MeToo hashtag to disclose personal experiences of violence victimization, Twitter users were unlikely to utilize the hashtag #UsToo to disclose personal experiences of sexual victimization. Results highlight a divergence between online behavior in response to a call for men's disclosure of sexual victimization using the hashtag #UsToo versus online behavior in response to a call for women's disclosure of sexual victimization using the hashtag #MeToo.

Communicating a History of Sexual Trauma: Partner Responses to Women's Disclosure.

The study aimed to understand how women who experienced sexual trauma but are now in a healthy relationship perceive their partners' responses to their disclosure of sexual trauma. Forty-one women completed an in-depth semi-structured phone interview. Responses were analyzed using reflexive thematic analysis, identifying two overarching themes and six subthemes. The results provide a voice to the needs and preferences of women who experienced sexual trauma, but are navigating communication in a healthy relationship. Given that most women disclosed their experiences with partners, this sample provides valuable insight for clinicians, interventionists, and partners of survivors to navigate supportive interactions.

The Role of Social Reactions to Disclosures in the Relationship Between Sexual Assault Acknowledgment and Psychological Symptoms.

Following a sexual assault, women experience a host of negative psychological consequences. While some survivors label their sexual assault experience as such (i.e., are acknowledged survivors), other survivors do not. The effect of acknowledgment of sexual assault on postassault outcomes has yielded mixed findings. It was hypothesized that social reactions may account for the relationship between acknowledgment status and psychological symptoms. Results indicated that acknowledged survivors reported more severe posttraumatic stress disorder symptoms, which were partially accounted for by turning against social reactions. Future studies should explore the mechanisms responsible for these relationships and analyze the individual social reactions.

The Feasibility of a Novel Recruitment Protocol for Collecting Survivor Data via Disclosure Recipient Referrals.

The current arricle describes a novel recruitment protocol for collecting data from sexual assault and intimate partner violence survivors referred to research studies by individuals to whom they had previously disclosed. Challenges in both recruiting participants and interpreting data are described. Only 35.8% of cases had usable data for both survivors and disclosure recipients, suggesting that this referral method had limited success in recruiting matched pairs. Suggestions for modifications to improve the protocol for future research are offered. Potential advantages and drawbacks of various methods for recruiting dyads are described in order to facilitate future research on survivors' disclosure processes, social reactions, and the influence of social reactions on survivor recovery.

Disclosure Recipients' Perceptions Related to Helping Victims of Dating and Sexual Violence.

To date, research on social reactions to dating and sexual violence (DSV) disclosure has largely neglected the perspective of disclosure recipients. Moreover, few studies have explored disclosure recipients' perceptions of the victim and perceptions of their own effectiveness in helping as well as the correlates of these perceptions. The purpose of this study was to address these gaps in the literature. Participants were 783 college students (73.0% female) who reported receiving a DSV disclosure in the past 6 months. Participants who provided more negative social reactions to victim disclosures were less likely to empathize with the victim and more likely to feel victim blame/burdensomeness and confusion/ineffectiveness in their responses. Conversely, those providing more positive social reactions were more likely to empathize with the victim and were less likely to report victim blame/burdensomeness and confusion/ineffectiveness. Further, recipients with a DSV victimization history were more likely to report empathy for the victim. Being a man and having higher post-traumatic stress symptoms were associated with greater victim blame/burdensomeness, while the victim approaching the recipient to disclose and DSV experiences that occurred long ago were associated with lower victim blame/burdensomeness. Finally, depressive symptoms, receiving disclosures from a stranger/casual friend, and less frequent discussion about the incident were significantly associated with increased confusion/ineffectiveness. These findings suggest that perceptions of the victim and helping effectiveness, and factors associated with them, may be promising targets of programs seeking to reduce negative and increase positive social reactions to DSV disclosures.