Psychological and Social Problems of Adult Female Victims After Sexual Assault

Authors

  • Zeynep Belma Gölge İstanbul Üniversitesi Adli Tıp enstitüsü
  • Mustafa Fatih Yavuz İstanbul Üniversitesi adli Tıp Enstitüsü
  • Songül Korkut Adli Tıp Kurumu
  • Sevilay Kahveci Mazhar Osman Ruh ve Sinir Hastalıkları Hastanesi, ÇEMATEM Kliniği

DOI:

https://doi.org/10.17986/blm.2013183256

Keywords:

rape, trauma, ptsd, self-mutilation

Abstract

Objective: This study aimed to investigate the prevalence of psychological and social problems faced by female victims after rape and additionally the impact of also being a victim of childhood sexual abuse in Turkey, where opportunity of getting medical and psychological support for sexual assault for victims is limited and legal process lasts for years.

Method: Participants consisted of 93 female rape victims who were examined by the Second Specialization Board of State Council of Forensic Medicine.  An interview form, which is developed in order to investigate socio-demographic features, assault charactersitics, psychological and social problems of victim, Post Traumatic Diagnostic Scale (PTDS)  and Childhood Trauma Questionnaire were applied for the investigation.

Results:  61.3 % of victims were diagnosed with post traumatic stres disorder (PTSD) and 54.8% of victims had sexual dysfunctions caused by the sexual assault. 68.8 % of victims reported that they were exposed to negative social reactions. 70,3% of victims who were exposed to negative social reactions met diagnostic criteria for PTSD while only 41,4% of people who were not exposed to negative social reactions met diagnostic criteria for PTSD. Difference between groups was analyzed with chi squre method and there is significant difference between them ( X2:7.04, df:1, p<0.01). Self-mutilation and suicide attempts were high in victims of adult rape who were also sexually abused in childhood.

Discussion:  Considering duration between the sexual assault and interview, in our research findings the ratio of the people who have PTSD and sexual issues, is more than the other studies consequences. On the other hand, the victims which reported that incident occured more than three years ago, are fitted to the diagnosis criterias of PTSD, with the ratio of 58.8%. It’s been thought that, studying with the victims who has been sent for physical examination and the continuation of judicial process are both have impact on this conclusion.

Key Words: Rape, trauma, PTSD, self mutilation

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References

La Flair LN, Franko DL, Herzog DB. Sexual assault and disordered eating in Asian women. Harv Rev Psychiatry 2008; 16: 248-257. DOI: https://doi.org/10.1080/10673220802277896

Faravelli C, Giugni A, Salvatori S, Rica V. Psychopathology after rape. Am J Psychiatry 2004;161:1483-1485. DOI: https://doi.org/10.1176/appi.ajp.161.8.1483

Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R, editors. Child abuse and neglect by parents and other caregivers. In: World Report on Violence and Health, World Health Organization, Geneva, 2002, s. 57-86.

Kendall-Tackett K. The Long-term health effects of child sexual abuse. In: Goodyear-Brown P, ed.. Handbook of Child Sexual Abuse. Identification, Assessment and Treatment içinde, New Jersey: John Wiley & Sons. 2012, s. 49-70. DOI: https://doi.org/10.1002/9781118094822.ch3

Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R, editors. Sexual violence. In: World Report on Violence and Health, World Health Organization, Geneva, 2002, s.149-181.

Ullman SE, Filipas HH, Townsend SM. Psychosocial correlates of PTSD symptom severity in sexual assault survivors. J Trauma Stres 2007; 20: 821-831. DOI: https://doi.org/10.1002/jts.20290

Krahe B. Childhood sexual abuse and revictimization in adolescence and adulthood. Journal of Personal & Interpersonal Loss 2000; 5:149-166. DOI: https://doi.org/10.1080/10811440008409749

Davis GC, Breslau N. Post traumatic stres disorder in victims of civilian trauma and criminal violence. Psychiatr Clin North Am.1994; 17: 289-299. DOI: https://doi.org/10.1016/S0193-953X(18)30115-1

Resnick H. Prevalence of civilian trauma and post-traumatic stress disorder in representative national sample of women. J Consult Clin Psychol 1993; 61: 984-999. DOI: https://doi.org/10.1037//0022-006X.61.6.984

Noll JG, Horowitz LA, Bonanno GA, Trickett PK, Putnam FW. Revictimization and self- harm in females who experienced childhood sexual abuse: Results from a prospective study. Journal of Interpersonal Violence 2003; 18: 1452-1471. DOI: https://doi.org/10.1177/0886260503258035

Zoroğlu SZ, Tuzun Ü, Şar V, Tutkun H, Savaş HA, Öztürk M ve ark. Suicide attempt and self mutilation among Turkish high school students in relation with abuse, neglect and dissociation. Psychiatry Clin Neurosci 2003; 57: 119-126. DOI: https://doi.org/10.1046/j.1440-1819.2003.01088.x

Wiederman M. Bodily self-harm and its relationship to childhood abuse among in a primary care setting. Violence Against Women 1999; 5: 155-160. DOI: https://doi.org/10.1177/107780129952004

Baral I, Kora K, Yüksel Ş, Sezgin U. Self-mutilating behavior of sexually abused female adults in Turkey. Journal of Interpersonal Violence 1998; 13: 427- 437. DOI: https://doi.org/10.1177/088626098013004001

Calder J, Mc Vean A, Yang W. History of abuse and suicidal ideation: Results from a population based study. Journal of Family Violence 2010; 25: 205-214. DOI: https://doi.org/10.1007/s10896-009-9284-x

Maniglio R. The role of child sexual abuse in the etiology of suicide and non-suicidal self-injury. Acta Psychiatr Scand. 2011, 124: 30-41. DOI: https://doi.org/10.1111/j.1600-0447.2010.01612.x

Çankaya B, Talbot NL, Ward EA, Duberstein PR. Parental sexual abuse and suicidal behavior among women with major depressive disorder. Can J Psychiatry 2012; 57: 45-51. DOI: https://doi.org/10.1177/070674371205700108

Van Berlo W, Ensink B. Problems with sexuality after sexual assault. Annual Review of Sex Research 2000; 11:235-258. DOI: https://doi.org/10.1080/10532528.2000.10559789

Basile KC, Smith SG. Sexual violence victimization of women: Prevalence, characteristics, and the role of public health and prevention. Am J Life-Style Medicine 2001; 5: 407-417. DOI: https://doi.org/10.1177/1559827611409512

Ledray LE. Sexualt assault. In: Lynch VA, ed. Forensic Nursing. St. Louis. Mosby Inc. 2006, s. 279-291.

Dupre AR, Hampton HL, Morrison H, Meeks GR. Sexual assault. Obstet Gynecol Survey 1993; 48: 640-648. DOI: https://doi.org/10.1097/00006254-199309000-00027

Lau, M, Kristensen E. Sexual revictimization in a clinical sample of women reporting childhood sexual abuse. Nord J Psychiatry 2010; 64: 4-10. DOI: https://doi.org/10.3109/08039480903191205

Peleikis DE, Mykletun A, Dahl AA. The relative influence of childhood sexual abuse and other family background risk factors on adult adversities in female outpatiens treated for anxiety disorder and depression. Child Abuse Negl. 2004; 28: 61-76. DOI: https://doi.org/10.1016/j.chiabu.2003.08.003

Arata CM. Sexual revictimization and PTSD : An exploratory study. Journal of Child Sexual Abuse 1999; 8: 49-65. DOI: https://doi.org/10.1300/J070v08n01_04

Burgess AW, Hazelwood RR. The victim’s perspective. In: Hazelwood RR, Burgess AW, eds. Practical Aspects of Rape Investigation A Multidisciplinary Approach. Boca Raton: CRC Press; 1995, s. 27-42.

Gise L, Paddison P. Rape, sexual abuse and its victims. Psychiatr Clin North Am, 1998; 11:629-648. DOI: https://doi.org/10.1016/S0193-953X(18)30474-X

Ullman SE. Social reactions, coping strategies, and self-blame attributions in adjustment to sexual assault. Psychology of Women Quarterly 1996; 20: 505-526. DOI: https://doi.org/10.1111/j.1471-6402.1996.tb00319.x

Ullman SE, Filipas HH. Predictors of PTSD symptom severety and social reactions in sexual assault victims. J Trauma Stress 2001; 14: 369-389. DOI: https://doi.org/10.1023/A:1011125220522

Burgess AW, Fawcett J, Hazelwood RR, Grant CA. Victim care services and the comprehensive sexual assault assesment tool. In: Hazelwood RR, Burgess AW, eds. Practical Aspects of Rape Investigation A Multidisciplinary Approach. Boca Raton: CRC Press; 1995, s. 263-281.

Barutçu N, Yavuz MF, Çetin G. Cinsel saldırı sonrası mağdurun karşılaştığı sorunlar. Adli Tıp Bülteni 1999; 4: 41-53. DOI: https://doi.org/10.17986/blm.199942353

Yavuz MF, Gölge ZB, Zorlu E, Yavuz MS, Hamzaoğlu N. Forensic reports in sexual assault cases. 7th Annual Meeting of Balkan Academy of Forensic Sciences (BAFS) (3-6 Temmuz 2010, Arnavutluk) Kongre Özet Kitabı, 2010, s. 30, , Tirana, Albania.

Köroğlu E, ed. Anksiyete Bozuklukları. Amerikan Psikiyatri Birliği DSM IV- TR Tanı Ölçütleri Başvuru Kitabı, Hekimler Birliği Yayınları, Ankara, 2005, s.191-211.

Aslan HS, Alparslan NZ. Çocuk örselenme yaşantıları ölçeği’nin bir üniversite öğrencisi örnekleminde geçerlik, güvenirlik ve faktör yapısı. Türk Psikiyatri Dergisi 1999; 10: 275-285.

Foa EB. Post traumatic stres scale manuel. National Camputer Presss, Mineopolis, 1995.

Elklit A, Christiansen DM. ASD and PTSD in rape victims. Journal of Interpersonal Violence 2010; 25: 1470-1488. DOI: https://doi.org/10.1177/0886260509354587

Rothbaum BO, Foa EB, Riggs DS, Murdock T, Walsh W. A prospective examination of post traumatic stress disorder in rape victims. J Trauma Stress 1992; 5: 455-475. DOI: https://doi.org/10.1007/BF00977239

Mason F, Lodrick Z. Psychological consequences of sexual assault. Best Practice& Research Clinical Obstetrics and Gynaecology 2013; 27: 27-37. DOI: https://doi.org/10.1016/j.bpobgyn.2012.08.015

Darves-Bornoz JM, Lepine JP, Choquets M, Berge C, Degiovanni A, Gaillard P. Predictive factors of chronic Post-Traumatic Stress Disorder in rape victims Eur Psychiatry 1998 ; 13 : 28l-287. DOI: https://doi.org/10.1016/S0924-9338(98)80045-X

Machado CL, Azevedo RCS, Facuri CO, Vieira MJ, Fernandes AMS. Posttraumatic stress disorder, depression, and hopelessness in women who are victims of sexual violence. International Journal of Gynecology and Obstetrics 2011; 113: 58-62. DOI: https://doi.org/10.1016/j.ijgo.2010.10.016

Najdowski CJ, Ullman SE. PTSD symptoms and self-reted recovery among adult sexual assault survivors: The effects of traumatic life events and psychosocial variables. Psychology of Women Quarterly 2009; 33: 43-53. DOI: https://doi.org/10.1111/j.1471-6402.2008.01473.x

Filipas HH, Ullman SE. Child sexual abuse, coping responses, self-blame, posttraumatic stres disorder and adult sexual revictimization. Journal of Interpersonal Violence 2006; 21: 652-672. DOI: https://doi.org/10.1177/0886260506286879

Weaver TL, Chard KM, Mechanic MB, Etzel JC. Self-injurious behaviors, PTSD arousal, and general health complaints within a treatment-seeking sample of sexually abused women. Journal of Interpersonal Violence 2004; 19: 558-575. DOI: https://doi.org/10.1177/0886260504262965

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Published

2014-07-14

Issue

Section

Research Article

How to Cite

1.
Gölge ZB, Yavuz MF, Korkut S, Kahveci S. Psychological and Social Problems of Adult Female Victims After Sexual Assault. Bull Leg Med. 2014;18(3):82-91. https://doi.org/10.17986/blm.2013183256