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The role of substance use and emotion dysregulation in predicting risk for incapacitated sexual revictimization in women: results of a prospective investigation.

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Date
2013-03
Authors
Messman-Moore, Terri L
Ward, Rose Marie
Zerubavel, Noga
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Abstract
Incapacitated sexual assault (ISA) is the most common form of sexual victimization experienced by college women. Although ISA victims are at risk for future assaults, few studies have examined mechanisms responsible for ISA revictimization besides heavy drinking. Using a prospective design, the present study examined whether emotion dysregulation, given its association with interpersonal trauma and substance use, increases risk for revictimization among women with a history of ISA above and beyond the effects of substance use. Female college students (n = 229) completed a baseline assessment followed by assessment of incapacitated sexual assault over a 9-week follow-up period. Approximately 36% of participants reported a history of ISA, and 73% of those victimized during the study had a history of ISA. Revictimized women reported higher levels of alcohol-related problems, greater marijuana use, greater emotion dysregulation, and higher levels of fear and guilt prior to experiencing ISA during the study; however, they did not consume more alcohol than previously victimized women. In a logistic regression analysis, guilt, emotion dysregulation, and marijuana use accurately classified 78.9% of ISA revictimized women. Women with a history of ISA are at substantial risk for ISA revictimization. Findings suggest that even very small increases in emotion dysregulation, particularly in impulsivity, as well as marijuana use, impact revictimization risk substantially. Efficacy of interventions to reduce ISA revictimization may be improved if emotion dysregulation is addressed.
Type
Journal article
Subject
Adolescent
Alcoholic Intoxication
Crime Victims
Emotions
Female
Follow-Up Studies
Humans
Prospective Studies
Rape
Risk
Sex Offenses
Students
Substance-Related Disorders
Universities
Women
Young Adult
Permalink
https://hdl.handle.net/10161/11251
Published Version (Please cite this version)
10.1037/a0031073
Publication Info
Messman-Moore, Terri L; Ward, Rose Marie; & Zerubavel, Noga (2013). The role of substance use and emotion dysregulation in predicting risk for incapacitated sexual revictimization in women: results of a prospective investigation. Psychol Addict Behav, 27(1). pp. 125-132. 10.1037/a0031073. Retrieved from https://hdl.handle.net/10161/11251.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Zerubavel

Noga Zerubavel

Assistant Consulting Professor in the Department of Psychiatry and Behavioral Sciences
Noga Zerubavel, Ph.D. is a licensed psychologist and Assistant Consulting Professor in the Department of Psychiatry and Behavioral Sciences at Duke University Medical Center, where she is involved in clinical education and research. She is involved in Trauma-informed Teaching and Learning in Education research project, supervises in Duke Family Studies, and participates in teaching for the clinical psychology predoctoral internship program. She is the former director o
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