This article examines psychometric characteristics of the 100-item Trauma Symptom Inventory (TSI) in a sample of 370 psychiatric inpatients and psychotherapy outpatient men and women. The 10 clinical scales of the TSI had a mean α of .87, with αs ranging from .74 for Tension Reduction Behavior to .90 for both Depression and Intrusive Experiences. A self-reported history of interpersonal trauma (in child- or adulthood) was associated with elevations on all TSI scales relative to those not reporting victimization. Post hoc multiple regression analyses indicated that client age, sex, inpatient versus outpatient status, childhood sexual and physical abuse, and adult sexual assault were unique predictors of various TSI raw scale scores. Sex interacted with other predictors in several instances; women with sexual- or physical-assault histories scored higher on Depression and Intrusive Experiences, and men battered in a relationship scored higher on Sexual Concerns and Dysfunctional Sexual Behavior.
The prevalence and impact of adult sexual assault (ASA) were examined in a stratified random sample of the general population. Among 941 participants, ASA was reported by 22% of women and 3.8% of men. Multivariate risk factors for ASA included a younger age, being female, having been divorced, sexual abuse in childhood, and physical assault in adulthood. Childhood sexual abuse was especially common among sexually assaulted men and women (61 and 59%, respectively). ASA victims were more symptomatic than their nonassaulted cohorts on all scales of the Trauma Symptom Inventory (TSI; J. Briere, 1995), despite an average of 14 years having passed since the assault. Assaulted men reported greater symptomatology than assaulted women, whereas nonassaulted men reported less symptomatology than nonassaulted women.
Research conducted over the past decade indicates that a wide range of psychological and interpersonal problems are more prevalent among those who have been sexually abused than among individuals with no such experiences. Although a definitive causal relationship between such difficulties and sexual abuse cannot be established using current retrospective research methodologies, the aggregate of consistent findings in this literature has led many to conclude that childhood sexual abuse is a major risk factor for a variety of problems. This article summarizes what is currently known about these potential impacts of child sexual abuse. The various problems and symptoms described in the literature on child sexual abuse are reviewed in a series of broad categories including posttraumatic stress, cognitive distortions, emotional pain, avoidance, an impaired sense of self, and interpersonal difficulties. Research has demonstrated that the extent to which a given individual manifests abuse-related distress is a function of an undetermined number of abuse-specific variables, as well as individual and environmental factors that existed prior to, or occurred subsequent to, the incidents of sexual abuse.
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