High clinician confidence and interest in treating chronic pain concurrent with low satisfaction with ability to provide optimal treatment suggests a need for more system support. VA primary care clinicians are frequently influenced by fears of contributing to dependence or addiction. The relationships among panel size, job satisfaction, and opioid prescribing rates merit additional investigation.

The present study describes the 4- and 7-month postintervention outcomes of a sexual assault risk reduction program for women, which was part of an evaluation that included a prevention program for men. Relative to the control group, participants evidenced more relational sexual assertiveness and self-protective behavior, and were more likely to indicate that they utilized active verbal and physical self-defense strategies. Whether or not women experienced subsequent victimization did not differ between groups. Relative to control group women who were victimized, program participants who were victimized between the 4- and 7-month follow-up blamed the perpetrator more and evidenced less self-blame.

The purpose of this study was to utilize a mixed methodological approach to better understand the co-occurrence of perpetrator tactics and women's resistance strategies during a sexual assault and women's reflections on these experiences. College women were recruited from introductory psychology courses and completed both forced-choice response and open-ended survey questions for course credit. Content-analytic results of college women's written responses to an open-ended question suggested that women's resistance strategies generally mirrored the tactics of the perpetrator (e.g., women responded to perpetrator verbal pressure with verbal resistance). However, there were some instances in which this was not the case. Furthermore, a number of women expressed a degree of self-blame for the sexual assault in their responses, as well as minimization and normalization of the experience. These findings suggest that sexual assault risk reduction programs need to directly address victims' self-blame as well as create an atmosphere where societal factors that lead to minimization can be addressed.

This study assessed women's immediate and long-term reactions to completing self-report measures of interpersonal violence. College women completed surveys at the beginning and end of a 2-month academic quarter for course credit. Results showed that 7.7% of participants experienced immediate negative emotional reactions to research participation. Greater immediate negative reactions were related to interpersonal victimization and psychological distress variables. Attrition from the study over the 2-month follow-up was not predicted by participants' immediate negative emotional reactions to the research or anticipation of future distress. Of the participants who returned for the follow-up, 2.1% of participants reported experiencing distress over the interim period as a result of their initial participation in the study. These long-term reactions were bivariately related to a number of victimization, psychological distress, and reaction variables measured at the first study session. However, in the regression analyses, only immediate negative emotional reactions to the research and anticipation of future distress predicted long-term negative emotional reactions.

Previous research suggests that posttraumatic stress symptomatology is a partial mediator of the relationship between sexual assault history in adolescence/adulthood and physical health symptomatology (e.g., Eadie, Runtz, & Spencer-Rodgers, 2008). The current study assessed a broader, more inclusive potential mediator, trauma-related symptoms in the relationship between sexual victimization history (including both childhood and adolescent/adulthood sexual victimizations) and physical health symptomatology in a college sample. Participants were 970 young women (M = 18.69, SD = 1.01), who identified mostly as Caucasian (86.7%), from 2 universities who completed a survey packet. Path analysis results provide evidence for trauma-related symptoms as a mediator in the relationship between adolescent/adulthood sexual assault and physical health symptomatology, χ(2) (1, N = 970) = 1.55, p = .21; comparative fit index = 1.00; Tucker-Lewis index = 0.99; root mean square error of approximation = .02, 90% confidence interval [.00, .09], Bollen-Stine bootstrap statistic, p = .29. Childhood sexual abuse was not related to physical health symptomatology, but did predict trauma-related symptoms. Implications of these findings suggest that college health services would benefit from targeted integration of psychiatric and medical services for sexual assault survivors given the overlap of psychological and physical symptoms.