Psychological Intimate Partner Violence and Sexual Risk Behavior: Examining the Role of Distinct Posttraumatic Stress Disorder Symptoms in the Partner Violence–Sexual Risk Link
Open accessAbstract
Background Research has examined how physical and sexual intimate partner violence (IPV) victimization increases sexual risk behavior, yet research is lacking on 1) the effect of psychological IPV on sexual risk behavior and 2) factors through which psychological IPV may be linked to sexual risk behavior.Methods The current study examined the relationship between psychological IPV and sexual risk behavior controlling for other forms of IPV (i.e., physical and sexual) in a sample of 186 human immunodeficiency virus (HIV)-negative community women currently experiencing IPV. Further, this study examined the potential mediating effects of four posttraumatic stress disorder (PTSD) symptom severity clusters (i.e., re-experiencing, avoidance, numbing, and hyperarousal) on this relationship.Findings Results revealed that greater severity of psychological IPV was uniquely and directly related to greater sexual risk behavior. Additionally, of the four PTSD symptom severity clusters, only avoidance symptom severity mediated the relationship between psychological IPV and sexual risk behavior.Conclusion Implications for addressing psychological IPV and PTSD to improve women's sexual health outcomes are discussed.
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When all four PTSS clusters have been examined among African American women, only avoidance has emerged as linked to any AS behavior, namely risky sexual behavior.
“Relevant to the current study, when all four PTSS clusters have been examined among African American women, only avoidance has emerged as a linked to any AS behavior, namely risky sexual behavior (Overstreet et al., 2015).”
From Childhood Physical Abuse and Antisocial Traits: Mediating Role of Posttraumatic Stress Symptom Clusters (2022) · cites this paper as Overstreet et al., 2015
The Discussion reports that, of four PTSD symptom clusters, only avoidance was associated with greater odds of sexual risk behavior. Methods > Participants and Procedure reports that approximately 94% of participants identified as Black or African American, but the finding was for the combined sample, not a separate analysis of African American women. (LLM, conf=0.86)
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References 32 · Cited by 46
Research works printed but not linked: 1
- Coker AL Davis KE Arias I Desai S Sanderson M Brandt HM Smith PH 2002b Physical and mental health effects of intimate partner violence for men and women American Journal of Preventive Medicine 23 4 260 268 10.1016/S0749-3797(02)00514-7 12406480 · DOI · Paper page
- Authors
- Overstreet, N. M., Willie, T. C., Hellmuth, J. C., & Sullivan, T. P.
- Affiliations
- Clark University (US)
- Yale University (US)
- Medical University of South Carolina (US)
- Corresponding author
- Sullivan, Tami P.
- Venue
- Women's Health Issues
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 25
- Issue
- 1
- Pages
- 73-78
- ISSN
- 1049-3867 (ISSN-L)
- PMC
- PMC4275339
- OpenAlex
- W1969552140
- Cited by
- 46
- References
- 32
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 7 · 2022: 2 · 2021: 8 · 2020: 4 · 2019: 7 · 2018: 4 · 2017: 3 · 2016: 2
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Women s Health Issues (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Clark Digital Commons (Clark University) (submittedVersion)
- Funders
- National Institute of Mental Health (T32MH020031, P30MH062294)
- National Institute on Drug Abuse (R03DA017668, T32DA019426)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD055885)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- psychological intimate partner violence, sexual risk behavior, posttraumatic stress symptoms, avoidance symptoms, re-experiencing, numbing, hyperarousal, mediation, women, sexual health, HIV-negative women
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Female, Humans, Interpersonal Relations, Interviews as Topic, Middle Aged, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk-Taking, Severity of Illness Index, Sexual Behavior, Sexual Partners, Spouse Abuse, Stress Disorders, Post-Traumatic, Violence, Crime Victims, Young Adult
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