In a cross-sectional probability survey of 3,132 household adults representing two Los Angeles communities, lifetime diagnoses of nine major mental disorders were compared between those who reported that they had been sexually assaulted at some time in their lives and those who reported no sexual assault. Sexual assault predicted later onset of major depressive episodes, substance use disorders (alcohol and drug abuse or dependence), and anxiety disorders (phobia, panic disorder, and obsessive-compulsive disorder) but was not related to later onset of mania, schizophrenic disorders, or antisocial personality. Those who were assaulted in childhood were more likely than those first assaulted in adulthood to report the subsequent development of a mental disorder. Demographic characteristics of gender, age, Hispanic ethnic background, and education, however, were generally unrelated to the probability of developing any specific disorder after being assaulted. Finally, major depression, drug abuse or dependence, antisocial personality, and phobia were all associated with a higher probability of subsequent sexual assault.A large body of research suggests that sexual assault has severe and long-lasting mental health consequences. Studies of persons seeking treatment or other assistance have reported that those who have been sexually assaulted experience high rates of sexual dysfunction, depression, anxiety, and substance abuse. Reports of female sexual dysfunction after adult sexual assault

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The suffering associated with combat related-PTSD extends beyond the signs and symptoms of the disorder to broader areas of functional and social morbidity. The significantly higher risk of impaired functioning and diminished quality of life uniquely attributable to PTSD suggests that PTSD may well be the core problem in this group of difficult to treat and multiply afflicted patients.

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Considerable research suggests that social support plays a crucial role in coping with stressful life events. The present study used data from 3,132 randomly selected survey respondents to investigate the use and helpfulness of seven potential social support sources in coping with a particular life crisis: sexual assault. About two‐thirds of the 447 sexually assaulted respondents had told someone about the assault. Over half had talked to a friend or relative (59.3%). Fewer respondents consulted police (10.5%), mental health professionals (16.1%), physicians (9.3%), clergy (3.9%), rape crisis centers (1.9%), and legal professionals (1.6%). Assault by a stranger, physical threat, fighting against the assailant, a high degree of sexual contact, and emotional distress concerning the assault were associated with talking about the assault, especially with police and physicians. Most of those who told someone found at least one person helpful (73.8%). Rape crisis centers (94.2%) and legal professionals (82.7%) were most frequently described as helpful, followed by mental health professionals (70.1%), friends and relatives (66.6%), clergy (63.1%), physicians (55.6%), and police (38.2%). Results are compared to previous findings, and implications for research and intervention are discussed.

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Associations of sexual assault history with multiple measures of physical health were examined among randomly selected women living in Los Angeles (N = 1,610). Sexually assaulted women were more likely than nonassaulted women to report poor health perceptions, functional limitation, several chronic diseases, medically explained somatic symptoms, and medically unexplained somatic symptoms. Sexual assault was associated with increased risk of symptoms in a variety of organ systems rather than solely reproductive or sexual symptoms.

We tested the hypotheses that an abridged somatization construct that we had developed would be associated with use of health services, preferential use of medical over mental health services, and an index of disability. These hypotheses were tested using structured interview data from 3,132 randomly selected community respondents. We found that: respondents meeting criteria for somatization reported a heavier use of health services than non-