Benjamin E. Saunders

Criminal Victimization: Lifetime Prevalence, Reporting to Police, and Psychological Impact:

A sample of 391 adult females were interviewed about lifetime criminal victimization experiences, crime reporting, and psychological impact. In total, 75% of the sample (n = 295) had been victimized by crime, and 41.4% of all crimes were reported to the police. Reporting rates differed by crime type. Burglary had the highest reporting rate (82.4%); and sexual assault the lowest (7.1%). Of all crime victims, 27.8% subsequently developed posttraumatic stress disorder (PTSD). Major implications are the following: Prevalence rates are extremely high and reporting rates are low. The prevalence of PTSD indicates that crime has both an immediate and long-term psychological impact. Suggestions for improved victim services are discussed.

Victim and crime factors associated with the development of crime-related post-traumatic stress disorder

This study examined the relationships between the development of Crime-Related Post-Traumatic Stress Disorder (CR-PTSD) and selected victim and crime characteristics. The sample consisted of 391 adult female residents of Charleston County, South Carolina, of whom 294 were crime victims assessed for CR-PTSD. Comparisons of CR-PTSD positive (n=82) and CR-PTSD negative (n=212) groups found significant differences on the variables of current age, years since most recent crime, experiencing a completed rape, perceiving a life threat during a crime, and sustaining physical injury during a crime. No differences existed on other assessed victim or crime variables. Hierarchical multiple regression analysis found that life threat, physical injury, and completed rape each made significant individual contributions to explaining CR-PTSD. Hierarchical discriminant function analysis correctly classified 80.6% of the respondents. Rape, life threat, and physical injury had a synergistic effect on CR-PTSD in that victims whose crime history included all three elements were 8.5 times more likely to have developed CR-PTSD than those with none of the three elements. Rape was associated with CR-PTSD after controlling for the effects of violence and dangerousness, suggesting that rape has other elements important to the development of CR-PTSD.

Delay in disclosure of childhood rape: results from a national survey.

OBJECTIVE This study sought to gather representative data regarding the length of time women who were raped before age 18 delayed prior to disclosing such rapes, whom they disclosed to, and variables that predicted disclosure within 1 month. METHOD Data were gathered from 3,220 Wave II respondents from the National Womens Study (Resnick, Kilpatrick, Dansky, Saunders, & Best, 1993), a nationally representative telephone survey of womens experiences with trauma and mental health. Of these, 288 retrospectively reported at least one rape prior to their 18th birthday. Details of rape experiences were analyzed to identify predictors of disclosure within 1 month. RESULTS Fully 28% of child rape victims reported that they had never told anyone about their child rape prior to the research interview; 47% did not disclose for over 5 years post-rape. Close friends were the most common confidants. Younger age at the time of rape, family relationship with the perpetrator, and experiencing a series of rapes were associated with disclosure latencies longer than 1 month; shorter delays were associated with stranger rapes. Logistic regression revealed that age at rape and knowing the perpetrator were independently predictive of delayed disclosure. CONCLUSIONS Delayed disclosure of childhood rape was very common, and long delays were typical. Few variables were identified that successfully predicted disclosure behavior, but older age and rape by a stranger were associated with more rapid disclosure. This suggests that the likelihood of disclosure in a given case is difficult to estimate, and predictions based on single variables are unwarranted.

Understanding acute psychological distress following natural disaster

A household probability sample of 229 adults was interviewed four to seven months after the Sierra Madre earthquake (June 28, 1991; Los Angeles County). The study predicted psychological distress from these variables: demographics, traumatic event history, low magnitude event history, earthquake related threat perceptions, and earthquake related resource loss. Based on the Conservation of Resources (COR) stress model, it was predicted that resource loss would be central in predicting psychological distress. Three major hypotheses were supported: (1) resource loss was positively associated with psychological distress; (2) resource loss predicted psychological distress when other predictors were statistically controlled; and (3) resource loss was associated with mild to moderate elevations in of psychological distress. The findings support COR stress theory. Theoretical and practical implications are discussed.

Child Sexual Assault as a Risk Factor for Mental Disorders Among Women: A Community Survey

A community sample of 391 adult women was screened for a history of sexual assault during childhood and assessed for lifetime and current mental disorders using a structured victimization history interview and the Diagnostic Interview Schedule. One third of the women had been victims of rape, molestation, or sexual assault not involving physical contact prior to the age of 18 years. Child rape victims were more likely than nonvictims to have ever met DSM-III diagnostic criteria for a major depressive episode, agoraphobia, obsessive-compulsive disorder, social phobia, and sexual disorders. Molestation victims were overrepresented on major depressive episode, obsessive-compulsive disorder, and sexual disorders. Noncontact child sexual assault was not a significant risk factor for any disorder. Child rape and molestation victims were more likely than victims of noncontact assault to have had crime-related posttraumatic stress disorder. Mental disorder lifetime prevalence risk ratios for child rape and molestation victims versus nonvictims ranged from 1.5 for major depressive episode to 6.7 for obsessive-compulsive disorder.

Understanding Children Exposed to Violence Toward an Integration of Overlapping Fields

Although comprehensive studies examining a variety of violence types and potential outcomes are becoming more common, there continues to be an overreliance on relatively simple, single violence type, criterion group comparisons. Unfortunately, the sheer volume of what is known about different forms of childhood violence, the many potential outcomes that have been shown to be related to a history of violence in childhood, and emerging research on mediators and moderators makes conducting comprehensive research a significant theoretical and technical challenge. Complicating this situation is that vertically organized and isolated professional fields of study and practice have emerged around specific types of childhood violence and outcomes, making cross-fertilization of ideas and methods difficult. Suggestions concerning theory, methods, and professional integration are offered to promote more integration of the field of childhood violence.

Risk Factors for Rape, Physical Assault, and Posttraumatic Stress Disorder in Women: Examination of Differential Multivariate Relationships

The National Womens Study, a 2-year, three-wave longitudinal investigation, employed a national probability sample of 3,006 adult women to: (a) identify separate risk factors for rape and physical assault, and (b) identify separate risk factors associated with post-rape posttraumatic stress disorder (PTSD) and post-physical assault PTSD. This investigation differed from previous studies in that it prospectively examined risk factors at the multivariate, as opposed to univariate level. Overall, past victimization, young age, and a diagnosis of active PTSD increased womens risk of being raped. By contrast, past victimization, minority ethnic status, active depression, and drug use were associated with increased risk of being physically assaulted. Risk factors for PTSD following rape included a history of depression, alcohol abuse, or experienced injury during the rape. However, risk factors for PTSD following physical assault included only a history of depression and lower education.

PTSD as a mediator between childhood rape and alcohol use in adult women

OBJECTIVE Though a relationship between childhood sexual abuse and later alcohol use among women has been documented, little is known about the pathways that link these two variables. A tension reduction hypothesis posits that emotional distress precedes substance usage. PTSD symptomatology resulting from childhood sexual abuse is examined as a possible source of emotional distress that may cause subsequent alcohol use. METHOD A sample of adult women was selected and interviewed on two occasions 1 year apart and childhood rape history, lifetime PTSD symptoms, and lifetime alcohol use were assessed. Path analytic techniques were used to evaluate the mediating role of PTSD symptoms on the relationship between childhood rape and subsequent alcohol use. RESULTS A history of childhood rape doubled the number of alcohol abuse symptoms that women experienced in adulthood. Path analysis and cross-validation results demonstrated significant pathways connecting childhood rape to PTSD symptoms and PTSD symptoms to alcohol use. CONCLUSIONS The results of the present study suggest that PTSD symptomatology which develops after childhood rape may be one of many variables that affect alcohol abuse patterns in women who were victims of childhood sexual abuse.

INCOME, RACE/ETHNICITY, AND EXPOSURE TO VIOLENCE IN YOUTH: RESULTS FROM THE NATIONAL SURVEY OF ADOLESCENTS

This study examined the associations between household income, race/ethnicity, and exposure to violence in a nationally representative sample of youth. Participants included a national probability sample of adolescents (ages 12-17), who completed a telephone interview that assessed lifetime occurrences of witnessing violence, receipt of physically abusive punishment, physical assault, and sexual assault. Results indicated that as household income increased prevalence of witnessing violence, receipt of physically abusive punishment, physical assault, and sexual assault decreased for Caucasian but not African-American or Hispanic youth. In addition to the interaction of household income with race/ethnicity, a main effect of race/ethnicity across income groups was apparent for witnessing violence. More specifically, African-American and Hispanic youth reported significantly higher rates of witnessing violence at each income level relative to their Caucasian counterparts. Findings from this nationally representative sample of youth suggest that it may be simplistic to interpret high rates of violence exposure among minority youth as due to their disproportionate representation among the economically disadvantaged in the United States. This study illustrates the importance of examining risk and protective factors separately for each type of violence experienced by youth, and underscores the need to assess the generalizability of risk and protective factors across racial/ethnic groups. � 2000 John Wiley & Sons, Inc.

Prevalence and correlates of dating violence in a national sample of adolescents.

OBJECTIVE Dating violence is an important but understudied public health concern in adolescents. This study sought to examine the lifetime prevalence of serious forms of dating violence in 12- to 17- year-olds, risk and protective factors associated with dating violence, and the relation between dating violence and mental health. METHOD A nationally representative sample of adolescents (N = 3,614) completed a telephone-based interview that assessed serious forms of dating violence (i.e., sexual assault, physical assault, and/or drug/alcohol-facilitated rape perpetrated by a girlfriend, boyfriend, or other dating partner). RESULTS Prevalence of dating violence was 1.6% (2.7% of girls, 0.6% of boys), equating to approximately 400,000 adolescents in the U.S. population. Risk factors included older age, female sex, experience of other potentially traumatic events, and experience of recent life stressors. Findings also suggested that dating violence is associated with posttraumatic stress disorder and major depressive episode after controlling for demographic variables, other traumatic stressors, and stressful events. CONCLUSIONS These findings indicate that dating violence is a significant public health problem in adolescent populations that should be addressed through early detection, prevention, and intervention.