Posttraumatic stress disorder
(PTSD) and problem drinking are common and often co-occurring sequelae
experienced by women survivors of adult sexual assault, yet revictimization may
mediate risk of symptoms over time. Structural equation modeling was used to
examine data from a 3-wave panel design with a large (N=1012), ethnically
diverse sample of women assault survivors to examine whether repeated sexual
victimization related to greater PTSD and problem drinking.
Structural equation
modeling revealed that child sexual abuse was associated with greater symptoms
of PTSD and problem drinking and intervening sexual victimization was
associated with greater symptoms of PTSD and problem drinking at both 1 and
2 year follow-ups.
We found no evidence, however, that PTSD directly influenced
problem drinking over the long term or vice versa, although they were
correlated at each timepoint. Revictimization during the study predicted
survivors' prospective PTSD and problem drinking symptoms inconsistently.
Implications and recommendations for future research are discussed.
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- 1University of Illinois at Chicago, 1007 West Harrison Street, Chicago, IL 60607-7140, United States. Electronic address: seullman@uic.edu.
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