Drug- or Alcohol-Facilitated, Incapacitated, and Forcible Rape in Relationship to Mental Health Among a National Sample of Women
Open accessAbstract
Rape is a well-established risk factor for mental health disorders such as posttraumatic stress disorder (PTSD) and depression. However, most studies have focused on forcible rape tactics and have not distinguished these from tactics that involve drug or alcohol intoxication. The authors’ aim was to examine correlates of PTSD and depression in a community sample of women, with particular emphasis on evaluating the unique effects of lifetime exposure to three specific rape tactics. A nationally representative sample of 3,001 noninstitutionalized, civilian, English- or Spanish-speaking women (aged 18-86 years) participated in a structured telephone interview by use of Computer-Assisted Telephone Interviewing (CATI) technology. Multivariable models showed that history of drug or alcohol-facilitated rape tactics (OR = 1.87, p < .05) and history of forcible rape tactics (OR = 3.46, p < .001) were associated with PTSD. History of forcible rape was associated with depression (OR = 3.65, p < .001). Forcible rape tactics were associated with a number of factors that may have contributed to their stronger association with mental health outcomes, including force, injury, lower income, revictimization history, and labeling the event as rape. The results underscore the importance of using a behaviorally specific assessment of rape history, as rape tactic and multiple rape history differentially predicted psychopathology outcomes. The association between drug- or alcohol-facilitated rape tactics and PTSD suggests that these are important rape tactics to include in assessments and future studies.
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Missing memory can be distressing due to concerns about what occurred during the time victims cannot remember, what someone was doing to their body, or shame about what they themselves did given the disinhibiting effects of substances.
“Missing memory can be distressing due to concerns about what occurred during the time victims cannot remember, what someone was doing to their body, or shame about what they themselves did given the disinhibiting effects of substances (Zinzow et al., 2010).”
From Drug-facilitated sexual assault, impaired trauma memory, and implications for mental health treatment (2022) · cites this paper as Zinzow et al., 2010
The Discussion (page not provided) says memory deficits may be disturbing because victims of incapacitated or drug- or alcohol-facilitated rape know that parts of the assault may have occurred outside their awareness. It does not specifically discuss distress about what someone did to their body, or shame about their own behavior due to substances’ disinhibiting effects. (LLM, conf=0.86)
Experimental — accuracy not yet measuredOf the three assault types, only NDFSA predicted major depression.
“and that of the three assault types, only NDFSA predicted major depression.”
From Drug-facilitated sexual assault, impaired trauma memory, and implications for mental health treatment (2022) · cites this paper as Zinzow et al. (2010)
The Results (MDE; page not provided) report that, among the three rape tactics studied, only forcible rape (FR) was associated with increased risk of major depressive episode. The paper does not identify FR as “NDFSA” or analyze a category by that name, so the claim’s specific label is not established by our copy. (LLM, conf=0.82)
Experimental — accuracy not yet measuredZinzow et al. (2010) found a greater likelihood of PTSD for DFSA-I and NDFSA compared to DFSA-V.
“In a national retrospective survey of 3001 women, Zinzow et al. (2010) found a greater likelihood of PTSD for DFSA-I and non-drug-facilitated assaults (NDFSA) compared to DFSA-V (voluntary substance ingestion)”
From Drug-facilitated sexual assault, impaired trauma memory, and implications for mental health treatment (2022) · cites this paper as Zinzow et al. (2010)
The Results > PTSD passage reports significantly higher PTSD risk for forcible rape (FR, corresponding to NDFSA) than for incapacitated rape (IR, corresponding to DFSA-V). Drug- or alcohol-facilitated rape (DAFR, corresponding to DFSA-I) was associated with PTSD relative to no DAFR history, but its odds ratio did not significantly differ from IR. The paper therefore does not establish the claimed DFSA-I versus DFSA-V comparison. (LLM, conf=0.88)
Experimental — accuracy not yet measuredZinzow et al. (2010) found that impaired memory of a SA was associated with increased lifetime PTSD risk.
“In their large national retrospective survey, Zinzow et al. (2010) found that impaired memory of a SA was associated with increased lifetime PTSD risk.”
From Drug-facilitated sexual assault, impaired trauma memory, and implications for mental health treatment (2022) · cites this paper as Zinzow et al. (2010)
Zinzow et al.'s (2010) SA study had a retrospective timeframe as opposed to the present acute SA sample.
“Zinzow et al.’s (2010) SA study had a retrospective timeframe as opposed to our acute SA sample.”
From Drug-facilitated sexual assault, impaired trauma memory, and implications for mental health treatment (2022) · cites this paper as Zinzow et al., 2010
The present findings are inconsistent with SA studies that found either greater lifetime PTSD with impaired memory or no differences.
“and are also inconsistent with SA studies that found either greater lifetime PTSD with impaired memory (Zinzow et al., 2010) or no differences (Littleton et al., 2009; McConnell et al., 2017).”
From Drug-facilitated sexual assault, impaired trauma memory, and implications for mental health treatment (2022) · cites this paper as Zinzow et al., 2010
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- Authors
- Zinzow, H. M., Resnick, H. S., Amstadter, A. B., McCauley, J. L., Ruggiero, K. J., & Kilpatrick, D. G.
- Affiliations
- Clemson University (US)
- Medical University of South Carolina (US)
- Corresponding author
- Zinzow, Heidi M.
- Venue
- Journal of Interpersonal Violence
- Publisher
- SAGE Publications
- Published
- 2010-01-25
- Volume
- 25
- Issue
- 12
- Pages
- 2217-2236
- ISSN
- 0886-2605 (ISSN-L)
- 1552-6518
- PMC
- PMC2967593
- OpenAlex
- W2100407827
- Cited by
- 81
- References
- 34
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 7 · 2021: 10 · 2020: 7 · 2019: 7 · 2018: 2 · 2017: 6 · 2016: 5 · 2015: 6 · 2014: 3 · 2013: 4 · 2012: 5
- FWCI
- 12.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Interpersonal Violence (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (F32MH083469, T32MH018869)
- Topics
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- forcible rape, post-traumatic stress disorder, depression, women's mental health, revictimization, sexual violence
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Alcohol Drinking, Alcoholic Intoxication, Data Collection, Depression, Female, Humans, Middle Aged, Rape, Stress Disorders, Post-Traumatic, United States, Young Adult
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