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Post-Traumatic Cognition Mediates the Relationship between a History of Sexual Abuse and the Post-Traumatic Stress Symptoms in Sexual Assault Victims.
J Korean Med Sci. 2017 Oct; 32(10):1680-1686.JK

Abstract

More than half of all sexual assault victims report experiencing sexual victimization more than once. The aim of this paper was to determine the role post-traumatic cognition plays in the relationship between a history of sexual abuse and post-traumatic stress symptoms in sexual assault victims. The relationship between a history of sexual assault and the severity of post-traumatic stress symptoms was investigated retrospectively using data from a sexual assault crisis center in Korea. Data on psychological symptoms were collected in person at the initial assessment and by telephone 1 month later using the Post-traumatic Cognitions Inventory and the Post-traumatic Stress Disorder Symptoms Scale: Self-report Version. Of 105 women included in the analysis, 10 (9.5%) reported prior sexual abuse and were classified as sexually revictimized. Revictimized women had more post-traumatic negative cognition at initial assessment (t = -2.98; P = 0.004) and more post-traumatic symptoms at 1 month follow-up (t = -2.39; P = 0.019) than singly victimized women. At 1 month follow-up, the severity of post-traumatic stress symptoms had increased in revictimized women but had decreased slightly in singly victimized women. Negative post-traumatic cognition fully mediated the association between a history of sexual abuse and the severity of post-traumatic stress symptoms. Early detection of sexually revictimized women and tailored service and treatment intervention is needed to better serve this group of victims. Interventions targeted at preventing revictimization or post crime victimization may also help victims recover from the trauma and prevent future abuse.

Authors+Show Affiliations

Department of Counseling Psychology, Hanyang Cyber University, Seoul, Korea.Department of Psychiatry and Behavioral Sciences, Ajou University School of Medicine, Suwon, Korea. Sunflower Center of Southern Gyeonggi for Women and Children Victims of Violence, Suwon, Korea. Center for Traumatic Stress, Ajou University Medical Center, Suwon, Korea.Department of Psychiatry and Behavioral Sciences, Yonsei University College of Medicine, Seoul, Korea.Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea.Department of Psychiatry and Behavioral Sciences, Ajou University School of Medicine, Suwon, Korea. Center for Traumatic Stress, Ajou University Medical Center, Suwon, Korea.Sunflower Center of Southern Gyeonggi for Women and Children Victims of Violence, Suwon, Korea. Center for Traumatic Stress, Ajou University Medical Center, Suwon, Korea.Sunflower Center of Southern Gyeonggi for Women and Children Victims of Violence, Suwon, Korea.Department of Psychiatry and Behavioral Sciences, Ajou University School of Medicine, Suwon, Korea. Sunflower Center of Southern Gyeonggi for Women and Children Victims of Violence, Suwon, Korea. Center for Traumatic Stress, Ajou University Medical Center, Suwon, Korea. hyoungyoon@ajou.ac.kr.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28875614

Citation

Shin, Kyoung Min, et al. "Post-Traumatic Cognition Mediates the Relationship Between a History of Sexual Abuse and the Post-Traumatic Stress Symptoms in Sexual Assault Victims." Journal of Korean Medical Science, vol. 32, no. 10, 2017, pp. 1680-1686.
Shin KM, Chung YK, Shin YJ, et al. Post-Traumatic Cognition Mediates the Relationship between a History of Sexual Abuse and the Post-Traumatic Stress Symptoms in Sexual Assault Victims. J Korean Med Sci. 2017;32(10):1680-1686.
Shin, K. M., Chung, Y. K., Shin, Y. J., Kim, M., Kim, N. H., Kim, K. A., Lee, H., & Chang, H. Y. (2017). Post-Traumatic Cognition Mediates the Relationship between a History of Sexual Abuse and the Post-Traumatic Stress Symptoms in Sexual Assault Victims. Journal of Korean Medical Science, 32(10), 1680-1686. https://doi.org/10.3346/jkms.2017.32.10.1680
Shin KM, et al. Post-Traumatic Cognition Mediates the Relationship Between a History of Sexual Abuse and the Post-Traumatic Stress Symptoms in Sexual Assault Victims. J Korean Med Sci. 2017;32(10):1680-1686. PubMed PMID: 28875614.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Post-Traumatic Cognition Mediates the Relationship between a History of Sexual Abuse and the Post-Traumatic Stress Symptoms in Sexual Assault Victims. AU - Shin,Kyoung Min, AU - Chung,Young Ki, AU - Shin,Yee Jin, AU - Kim,Miran, AU - Kim,Nam Hee, AU - Kim,Kyoung Ah, AU - Lee,Hanbyul, AU - Chang,Hyoung Yoon, PY - 2017/02/23/received PY - 2017/07/15/accepted PY - 2017/9/7/entrez PY - 2017/9/7/pubmed PY - 2018/5/15/medline KW - Posttraumatic Stress KW - Revictimization KW - Sexual Abuse SP - 1680 EP - 1686 JF - Journal of Korean medical science JO - J. Korean Med. Sci. VL - 32 IS - 10 N2 - More than half of all sexual assault victims report experiencing sexual victimization more than once. The aim of this paper was to determine the role post-traumatic cognition plays in the relationship between a history of sexual abuse and post-traumatic stress symptoms in sexual assault victims. The relationship between a history of sexual assault and the severity of post-traumatic stress symptoms was investigated retrospectively using data from a sexual assault crisis center in Korea. Data on psychological symptoms were collected in person at the initial assessment and by telephone 1 month later using the Post-traumatic Cognitions Inventory and the Post-traumatic Stress Disorder Symptoms Scale: Self-report Version. Of 105 women included in the analysis, 10 (9.5%) reported prior sexual abuse and were classified as sexually revictimized. Revictimized women had more post-traumatic negative cognition at initial assessment (t = -2.98; P = 0.004) and more post-traumatic symptoms at 1 month follow-up (t = -2.39; P = 0.019) than singly victimized women. At 1 month follow-up, the severity of post-traumatic stress symptoms had increased in revictimized women but had decreased slightly in singly victimized women. Negative post-traumatic cognition fully mediated the association between a history of sexual abuse and the severity of post-traumatic stress symptoms. Early detection of sexually revictimized women and tailored service and treatment intervention is needed to better serve this group of victims. Interventions targeted at preventing revictimization or post crime victimization may also help victims recover from the trauma and prevent future abuse. SN - 1598-6357 UR - https://www.unboundmedicine.com/medline/citation/28875614/Post_Traumatic_Cognition_Mediates_the_Relationship_between_a_History_of_Sexual_Abuse_and_the_Post_Traumatic_Stress_Symptoms_in_Sexual_Assault_Victims_ L2 - https://jkms.org/DOIx.php?id=10.3346/jkms.2017.32.10.1680 DB - PRIME DP - Unbound Medicine ER -