The relationships among risk recognition, autonomic and self-reported arousal, and posttraumatic stress symptomatology in acknowledged and unacknowledged victims of sexual assault

Psychosom Med. 2005 Jul-Aug;67(4):618-24. doi: 10.1097/01.psy.0000171809.12117.79.

Abstract

Objective: This study examined differences among acknowledged sexual assault victims, unacknowledged sexual assault victims, and nonvictims in risk recognition and its psychophysiological correlates.

Methods: Acknowledged and unacknowledged victims of sexual assault and nonvictims (n = 97) listened to a hypothetical date rape interaction and were asked to indicate the point at which the man had become sexually inappropriate. Self-report and physiological measures of emotional responding and a measure of risk recognition were used to evaluate both between- and within-subjects' differences.

Results: Relative to nonvictims and acknowledged victims, unacknowledged victims of sexual assault took significantly longer to recognize risk. Acknowledged victims displayed decreased heart rate activity to a portion of the hypothetical interaction, but self-reported greater arousal in response to the interaction and greater posttraumatic stress arousal symptomatology relative to nonvictims only. Posttraumatic stress symptomatology was related to self-reported emotional reactivity and response latency.

Conclusions: The findings suggest that acknowledged and unacknowledged victims exhibit specific autonomic and behavioral response patterns that may perpetuate the cycle of traumatization.

MeSH terms

  • Adolescent
  • Adult
  • Arousal / physiology*
  • Crime Victims / psychology
  • Female
  • Galvanic Skin Response / physiology
  • Heart Rate / physiology
  • Humans
  • Risk Assessment
  • Self Disclosure
  • Self-Assessment
  • Sex Offenses / psychology*
  • Stress Disorders, Post-Traumatic / physiopathology*
  • Stress Disorders, Post-Traumatic / psychology*
  • Time Factors