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Cited by 27Posttraumatic Stress Disorder ResearchSexual Assault and Victimization StudiesChild Abuse and Trauma

Post-traumatic Stress Disorder in Victims of Sexual Assault With Pre-assault Substance Consumption: A Systematic Review

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Gong, An Tong, Kamboj, Sunjeev K., Curran, Helen Valerie·2019·Frontiers in Psychiatry
DOI 10.3389/fpsyt.2019.00092PMC PMC6424881
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Abstract

Background. Post-traumatic stress disorder (PTSD) and substance consumption commonly co-occur in victims of sexual assault. Substance consumption can occur pre- and/or post-assault. Pre-assault substance consumption may have an impact on the subsequent development of PTSD. This review aims to provide an overview of current understanding of the effects of acute substance intoxication and chronic pre-assault problematic substance use on symptoms of PTSD amongst individuals who were victims of sexual assault. Methods. PsycINFO, EMBASE, and MEDLINE were searched using terms related to PTSD, sexual assault, and substance consumption. This yielded 2121 articles, 268 of which were retrieved for more detailed evaluation and thirteen of these met inclusion criteria and were appraised in full. Results. Overall, the reviewed papers supported our hypothesis that acute substance intoxication and chronic pre-assault problematic substance use are associated with fewer initial PTSD symptoms but less improvement over time, resulting in slower overall PTSD recovery. They also highlighted post-assault characterological self-blame and negative social reactions as mediators of recovery in the context of pre-assault substance consumption. Conclusions. Acute substance intoxication and chronic pre-assault problematic substance use appear to have an impact on the development of PTSD symptoms amongst victims of sexual assault. The importance of developing early interventions and routine screening and assessment for PTSD and pre-assault substance consumption is emphasized. The limited research on male victims and on substances other than alcohol is highlighted.

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  • Dysfunctional cognitions are considered to mediate the development of PTSD after SA.

    “Dysfunctional cognitions have been identified in the etiology and maintenance of PTSD in general (Ehlers & Clark, 2000), and are considered to mediate the development of PTSD after SA (Foa & Rothbaum, 2001; Gong et al., 2019).”

    From Drug-facilitated sexual assault, impaired trauma memory, and implications for mental health treatment (2022) · cites this paper as Gong et al., 2019

    The Discussion (Summary of Main Findings; page unavailable) reports that characterological self-blame mediated the effect of acute substance intoxication on PTSD symptoms after sexual assault. That supports a role for one type of cognition in a specific context, but not the broader claim that dysfunctional cognitions generally mediate PTSD development after sexual assault. The review also reports one study that found no such mediator. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • DFSA-V had fewer dissociation symptoms and less depersonalization than other SA groups, consistent with hypotheses based on prior longitudinal research showing lower PTS at baseline for DFSA.

    “DFSA-V had fewer dissociation symptoms and less depersonalization than other SA groups, consistent with hypotheses based on prior longitudinal research showing lower PTS at baseline for DFSA (Gong et al., 2019; Kaysen et al., 2010).”

    From Drug-facilitated sexual assault, impaired trauma memory, and implications for mental health treatment (2022) · cites this paper as Gong et al., 2019

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Cited by

Sorted by citations

Authors
Gong, A. T., Kamboj, S. K., & Curran, H. V.
Affiliations
University College London (GB)
ORCID
Venue
Frontiers in Psychiatry
Publisher
Frontiers Media SA
Published
2019-03-13
Volume
10
Pages
92-92
ISSN
1664-0640 (ISSN-L)
DOI
10.3389/fpsyt.2019.00092
PMC
PMC6424881
OpenAlex
W2922133282
Cited by
27
References
17
Citations by year
2026: 2 · 2025: 5 · 2024: 5 · 2023: 4 · 2022: 5 · 2021: 4 · 2019: 2
FWCI
0.44
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Psychiatry (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • UCL Discovery (University College London) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
post-traumatic stress disorder, sexual assault, PTSD recovery, self-blame, social reactions, male victims

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