Assault related substance use as a predictor of substance use over time within a sample of recent victims of sexual assault
Open accessAbstract
Substance use at time of assault is reported by a significant subgroup of rape victims. This study examined: (1) prevalence of assault related marijuana or alcohol use among women seeking post-rape medical care; (2) sensitivity, specificity, positive and negative predictive power associated with reported use at time of assault in association with use in 6 weeks pre-assault, post-assault use, and post-assault abuse; and (3) trajectories of use and abuse over time as a function of use in 6 weeks pre-assault/assault time frame use, exposure to brief intervention, and interaction of pre-assault/assault time frame use with intervention. Participants were 268 women seeking post-sexual assault medical services completing one or more follow-up assessment at: (1) <3 months post-assault; (2) 3 to 6 months post-assault; and (3) 6 months or longer post-assault. Use of alcohol or marijuana at time of assault was a fairly sensitive and specific indicator respectively, of reported use of specific substance in the 6 weeks preceding assault and use or abuse at follow-up. Growth modeling revealed that use of alcohol or marijuana at the time of the assault or in the 6 weeks prior to assault predicted higher Time 1 follow-up alcohol and marijuana use and abuse. Although there was relatively little change in use or abuse over time, alcohol use at time of the assault or in the 6 weeks prior also predicted a steeper decline in alcohol use over the course of follow-up. Interestingly, women who reported using marijuana at the time of the assault or in the 6 weeks prior who also received a video intervention actually had lower initial marijuana use, a pattern that remained stable over time. Implications for evaluating screening, brief intervention and referral to treatment services among sexual assault victims seeking post-assault medical care are discussed.
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Depression and alcohol use are associated with an increased risk for sexual assault exposure.
“Depression and alcohol use is associated with an increased risk for sexual assault exposure (Breslau et al., 2000;Resnick et al., 2013;Resnick et al., 2012;Simpson and Miller, 2002;Logan et al., 2002)”
From Risk and protective factors affecting the symptom trajectory of posttraumatic stress disorder post-rape (2022) · cites this paper as Resnick et al., 2012
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Prior substance abuse and related treatment history reported by recent victims of sexual assault
Resnick, H. S., Walsh, K., Schumacher, J. A., Kilpatrick, D. G., & Acierno, R. (2013) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.12.010 · Cited by 37 · see citing works
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- Authors
- Resnick, H. S., Walsh, K., McCauley, J. L., Schumacher, J. A., Kilpatrick, D. G., & Acierno, R. E.
- Affiliations
- Medical University of South Carolina (US)
- University of Mississippi (US)
- Corresponding author
- Resnick, Heidi S.
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2012-08
- Volume
- 37
- Issue
- 8
- Pages
- 914-921
- ISSN
- 0306-4603 (ISSN-L)
- PMC
- PMC3358434
- OpenAlex
- W2036117078
- Cited by
- 34
- References
- 50
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 2 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 1 · 2014: 4 · 2013: 3 · 2012: 2
- FWCI
- 7.79
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01 DA11158, R01 DA023099)
- Medical University of South Carolina
- NIH (5M01 RR01070)
- NIMH (T32 MH018869)
- Topics
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Health › Intimate Partner and Family Violence
- Keywords
- sexual assault, rape victims, substance use, alcohol consumption, cannabis use, screening, brief intervention and referral, video-based intervention, women, predictive validity, growth models
- MeSH terms
- Adolescent, Alcohol Drinking, Marijuana Abuse, Female, Humans, Rape, Retrospective Studies, Risk Factors, Time Factors, United States, Prevalence, Crime Victims, Alcohol-Related Disorders, Self Report
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