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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

Authors
 Kyoung Min Shin  ;  Young Ki Chung  ;  Yee Jin Shin  ;  Miran Kim  ;  Nam Hee Kim  ;  Kyoung Ah Kim  ;  Hanbyul Lee  ;  Hyoung Yoon Chang 
Citation
 Journal of Korean Medical Science, Vol.32(10) : 1680-1686, 2017 
Journal Title
 Journal of Korean Medical Science 
ISSN
 1011-8934 
Issue Date
2017
MeSH
Adolescent ; Adult ; Child ; Child Abuse, Sexual/psychology* ; Cognition/physiology* ; Crime Victims/psychology* ; Databases, Factual ; Female ; Humans ; Interviews as Topic ; Retrospective Studies ; Self Report ; Severity of Illness Index ; Stress Disorders, Post-Traumatic/pathology ; Stress Disorders, Post-Traumatic/psychology* ; Surveys and Questionnaires ; Young Adult
Keywords
Posttraumatic Stress ; Revictimization ; Sexual Abuse
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.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/161719
DOI
10.3346/jkms.2017.32.10.1680
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실)
Yonsei Authors
신의진(Shin, Yee Jin)
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