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Epidemiology and Consequences of Women’s Revictimization

      This study uses Kraemer’s approach for nonrandom comorbidity to identify the parameters of revictimization among women, using a diverse, population-based sample. Participants (n = 11,056) are from the California Women’s Health Survey. Women were asked about childhood and adult violence and current symptoms of posttraumatic stress disorder (PTSD), depression, and anxiety. Logistic regressions adjusted for age, ethnicity, education, and poverty indicate that women who experienced childhood physical or sexual abuse were 5.8 (95% confidence interval, 5.2–6.4) times more likely to experience adult physical or sexual victimization. Revictimization affected 12% of women, and these women were substantially more likely to report current symptoms of anxiety, depression, and PTSD than women exposed to violence only in childhood or only as an adult. Revictimization is a methodologically distinct concept and is a potent risk factor for adult mental health problems. Prevention should target women exposed to both physical and sexual assault.
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      References

        • Arata C.M.
        From child victim to adult victim: A model for predicting sexual revictimization.
        Child Maltreatment. 2000; 5: 28-38
        • Arias I.
        The legacy of child maltreatment: long-term health consequences for women.
        Journal of Women’s Health. 2004; 13: 468-473
        • Bender M.
        • Cook S.
        • Kaslow N.
        Social support as a mediator of revictimization of low-income African American women.
        Violence and Victims. 2003; 18: 419-431
        • Brown A.L.
        • Messman-Moore T.L.
        • Miller A.G.
        • Stasser G.
        Sexual victimization in relation to perceptions of risk: mediation, generalization, and temporal stability.
        Personality and Social Psychology Bulletin. 2005; 31: 963-976
        • Byrne C.A.
        • Resnick H.S.
        • Kilpatrick D.G.
        • Best C.L.
        • Saunders B.E.
        The socioeconomic impact of interpersonal violence on women.
        Journal of Consulting & Clinical Psychology. 1999; 67: 362-366
        • Casey E.A.
        • Nurius P.S.
        Trauma exposure and sexual revictimization risk: Comparisons across single, multiple incident, and multiple perpetrator victimizations.
        Violence Against Women. 2005; 11: 505-530
        • DePrince A.P.
        Social cognition and revictimization risk.
        Journal of Trauma and Dissociation. 2005; 6: 125-141
        • Desai S.
        • Arias I.
        • Thompson M.P.
        • Basile K.C.
        Childhood victimization and subsequent adult revictimization assessed in a nationally representative sample of women and men.
        Violence and Victims. 2002; 17: 639-653
        • Federal Register
        2003 HHS poverty guidelines.
        Federal Register. 2003; 68: 6456-6458
        • Filipas H.H.
        • Ullman S.E.
        Child sexual abuse, coping responses, self-blame, posttraumatic stress disorder, and adult sexual revictimization.
        Journal of Interpersonal Violence. 2006; 21: 652-672
        • Gladstone G.L.
        • Parker G.B.
        • Mitchell P.B.
        • Malhi G.S.
        • Wilhelm K.
        • Austin M.P.
        Implications of childhood trauma for depressed women: An analysis of pathways from childhood sexual abuse to deliberate self-harm and revictimization.
        American Journal of Psychiatry. 2004; 161: 1417-1425
        • Jankowski M.K.
        • Leitenberg H.
        • Henning K.
        • Coffey P.
        Parental caring as a possible buffer against sexual revictimization in young adult survivors of child sexual abuse.
        Journal of Traumatic Stress. 2002; 15: 235-244
        • Kraemer H.C.
        Statistical issues in assessing comorbidity.
        Statistics in Medicine. 1995; 14: 721-733
        • Kogan S.M.
        The role of disclosing child sexual abuse on adolescent adjustment and revictimization.
        Journal of Child Sexual Abuse. 2005; 14: 25-47
        • Marx B.P.
        • Calhoun K.S.
        • Wilson A.E.
        • Meyerson L.A.
        Sexual revictimization prevention: an outcome evaluation.
        Journal of Consulting and Clinical Psychology. 2001; 69: 25-32
        • Messman-Moore T.L.
        • Long P.J.
        Alcohol and substance use disorders as predictors of child to adult sexual revictimization in a sample of community women.
        Violence and Victims. 2002; 17: 319-340
        • Messman-Moore T.L.
        • Long P.J.
        The role of childhood sexual abuse sequelae in the sexual revictimization of women: An empirical review and theoretical reformulation.
        Clinical Psychology Review. 2003; 23: 537-571
        • Miner M.H.
        • Flitter J.M.
        • Robinson B.B.
        Association of sexual revictimization with sexuality and psychological function.
        Journal of Interpersonal Violence. 2006; 21: 503-524
        • Moriarty D.G.
        • Zack M.M.
        • Kobau R.
        The Centers for Disease Control and Prevention’s Healthy Days Measures—Population tracking of perceived physical and mental health over time.
        Health and Quality of Life Outcomes. 2003; 1: 37
        • Noll J.G.
        • Horowitz L.A.
        • Bonanno G.A.
        • Trickett P.K.
        • Putnam F.W.
        Revictimization and self-harm in females who experienced childhood sexual abuse: Results from a prospective study.
        Journal of Interpersonal Violence. 2003; 18: 1452-1471
        • Norris F.H.
        Screening for traumatic stress: A scale for use in the general population.
        Journal of Applied Social Psychology. 1990; 20: 1704-1718
        • Orcutt H.K.
        • Cooper M.L.
        • Garcia M.
        Use of sexual intercourse to reduce negative affect as a prospective mediator of sexual revictimization.
        Journal of Traumatic Stress. 2005; 18: 729-739
        • Parillo K.M.
        • Freeman R.C.
        • Young P.
        Association between child sexual abuse and sexual revictimization in adulthood among women sex partners of injection drug users.
        Violence and Victims. 2003; 18: 473-484
        • Prins A.
        • Ouimette P.C.
        • Kimerling R.
        • Cameron R.P.
        • Hugelshofer D.S.
        • Shaw-Hegwer J.
        • et al.
        The Primary Care PTSD Screen: Development and operating characteristics.
        Primary Care Psychiatry. 2004; 9: 9-14
        • Tjaden P.G.
        • Thoennes N.
        Full report of the prevalence, incidence, and consequences of violence against women: Findings from the National Violence Against Women Survey. US Department of Justice, Office of Justice Programs, National Institute of Justice, Washington, DC2000
        • Van Bruggen L.K.
        • Runtz M.G.
        • Kadlec H.
        Sexual revictimization: The role of sexual self-esteem and dysfunctional sexual behaviors.
        Child Maltreatment. 2006; 11: 131-145
        • Wyatt G.E.
        • Axelrod J.
        • Chin D.
        • Carmona J.V.
        • Loeb T.B.
        Examining patterns of vulnerability to domestic violence among African American women.
        Violence Against Women. 2000; 6: 495-514

      Biography

      Rachel Kimerling, PhD, is a Research Clinical Psychologist at the National Center for PTSD and an Investigator at the Center for Health Care Evaluation, VA Palo Alto Health Care System. She is also the Co-Director of the Military Sexual Trauma Support Team, VA Office of Mental Health Services.

      Biography

      Jennifer Alvarez, PhD, is a Postdoctoral Fellow at the Center for Health Care Evaluation, at the VA Palo Alto Health Care System and Stanford University School of Medicine. Her current interests include the epidemiology and treatment of posttraumatic stress disorder and military sexual trauma and the dissemination of empirically supported treatments for trauma-related disorders.

      Biography

      Joanne Pavao, MPH, is a Research Health Scientist at the VA Palo Alto Health Care System. She is an epidemiologist whose research interests emphasize the health, mental health, and economic consequences of violence against women.

      Biography

      Amy Kaminski, MS, is a PhD candidate at the Pacific Graduate School of Psychology and a research assistant at the National Center for PTSD.

      Biography

      Nikki Baumrind, PhD, MPH, is currently the Chief of the Office of Adult Research at the California Department of Corrections and Rehabilitation.