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The co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment: a mediational model of posttraumatic stress disorder and physical health outcomes.
J Consult Clin Psychol. 2008 Apr; 76(2):194-207.JC

Abstract

This study examined the co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment in a predominantly African American sample of 268 female veterans, randomly sampled from an urban Veterans Affairs hospital women's clinic. A combination of hierarchical and iterative cluster analysis was used to identify 4 patterns of women's lifetime experiences of violence co-occurrence. The 1st cluster experienced relatively low levels of all 4 forms of violence; the 2nd group, high levels of all 4 forms; the 3rd, sexual revictimization across the lifespan with adult sexual harassment; and the 4th, high intimate partner violence with sexual harassment. This cluster solution was validated in a theoretically driven model that examined the role of posttraumatic stress disorder (PTSD) as a mediator of physical health symptomatology. Structural equation modeling analyses revealed that PTSD fully mediated the relationship between violence and physical health symptomatology. Consistent with a bio-psycho-immunologic theoretical model, PTSD levels more strongly predicted pain-related physical health symptoms compared to nonpain health problems. Implications for clinical interventions to prevent PTSD and to screen women for histories of violence in health care settings are discussed.

Authors+Show Affiliations

Department of Psychology, Michigan State University, Lansing, MI 48824-1116, USA. rmc@msu.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18377117

Citation

Campbell, Rebecca, et al. "The Co-occurrence of Childhood Sexual Abuse, Adult Sexual Assault, Intimate Partner Violence, and Sexual Harassment: a Mediational Model of Posttraumatic Stress Disorder and Physical Health Outcomes." Journal of Consulting and Clinical Psychology, vol. 76, no. 2, 2008, pp. 194-207.
Campbell R, Greeson MR, Bybee D, et al. The co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment: a mediational model of posttraumatic stress disorder and physical health outcomes. J Consult Clin Psychol. 2008;76(2):194-207.
Campbell, R., Greeson, M. R., Bybee, D., & Raja, S. (2008). The co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment: a mediational model of posttraumatic stress disorder and physical health outcomes. Journal of Consulting and Clinical Psychology, 76(2), 194-207. https://doi.org/10.1037/0022-006X.76.2.194
Campbell R, et al. The Co-occurrence of Childhood Sexual Abuse, Adult Sexual Assault, Intimate Partner Violence, and Sexual Harassment: a Mediational Model of Posttraumatic Stress Disorder and Physical Health Outcomes. J Consult Clin Psychol. 2008;76(2):194-207. PubMed PMID: 18377117.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment: a mediational model of posttraumatic stress disorder and physical health outcomes. AU - Campbell,Rebecca, AU - Greeson,Megan R, AU - Bybee,Deborah, AU - Raja,Sheela, PY - 2008/4/2/pubmed PY - 2008/6/11/medline PY - 2008/4/2/entrez SP - 194 EP - 207 JF - Journal of consulting and clinical psychology JO - J Consult Clin Psychol VL - 76 IS - 2 N2 - This study examined the co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment in a predominantly African American sample of 268 female veterans, randomly sampled from an urban Veterans Affairs hospital women's clinic. A combination of hierarchical and iterative cluster analysis was used to identify 4 patterns of women's lifetime experiences of violence co-occurrence. The 1st cluster experienced relatively low levels of all 4 forms of violence; the 2nd group, high levels of all 4 forms; the 3rd, sexual revictimization across the lifespan with adult sexual harassment; and the 4th, high intimate partner violence with sexual harassment. This cluster solution was validated in a theoretically driven model that examined the role of posttraumatic stress disorder (PTSD) as a mediator of physical health symptomatology. Structural equation modeling analyses revealed that PTSD fully mediated the relationship between violence and physical health symptomatology. Consistent with a bio-psycho-immunologic theoretical model, PTSD levels more strongly predicted pain-related physical health symptoms compared to nonpain health problems. Implications for clinical interventions to prevent PTSD and to screen women for histories of violence in health care settings are discussed. SN - 0022-006X UR - https://www.unboundmedicine.com/medline/citation/18377117/The_co_occurrence_of_childhood_sexual_abuse_adult_sexual_assault_intimate_partner_violence_and_sexual_harassment:_a_mediational_model_of_posttraumatic_stress_disorder_and_physical_health_outcomes_ L2 - http://content.apa.org/journals/ccp/76/2/194 DB - PRIME DP - Unbound Medicine ER -