The purpose of the present article is to review the literature on the psychological impact of rape on adult female victims. Typical patterns of recovery, types of symptoms, and variables affecting recovery are all reviewed. Among the problems discussed are fear and anxiety, posttraumatic stress disorder, depression, poor self-esteem, social adjustment issues, and sexual dysfunctions. The moderating variables that are reviewed are preassault variables such as prior psychological functioning and life stressors; within-assault variables such as acquaintanceship status, level of violence, and within-crime victim reactions; and postassault variables such as social support and participation in the criminal justice system.
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References
1.
Atkeson, B. M. , Calhoun, K. S., Resick, P. A., & Ellis, E. M. (1982). Victims of rape: Repeated assessment of depressive symptoms.Journal of Consulting and Clinical Psychology, 50, 96-102.
2.
Beck, A. T. , Ward, C. H., Mendelsohn, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression.Archives of General Psychiatry, 41, 561-571.
3.
Becker, J. V. , Abel, G. G., & Skinner, L. J. (1979). The impact of a sexual assault on the victim's sexual life.Victimology: An International Journal, 4, 229-235.
4.
Becker, J. V. , Skinner, L. J., Abel, G. G., & Cichon, J. (1986). Level of postassault sexual functioning in rape and incest victims.Archives of Sexual Behavior, 15, 37-49.
5.
Becker, J. V. , Skinner, L. J., Abel, G. G., & Treacy, E. C. (1982). Incidence and types of sexual dysfunctions in rape and incest victims.Journal of Sex and Marital Therapy, 8, 65-74.
6.
Brown, O. (1961). The development of a self-report inventory and its function in a mental health assessment battery.American Psychologist, 16, 402.
7.
Bulman, R. J. , & Wortman, C. B. (1977). Attributions of blame and coping in the real world: Severe accident victims react to their lot.Journal of Personality and Social Psychology, 35, 351-363.
8.
Burgess, A. W. , & Holmstrom, L. L. (1974). Rape trauma syndrome.American Journal of Psychiatry, 131, 981-986.
9.
Burgess, A. W. , & Holmstrom, L. L. (1978). Recovery from rape and prior life stress.Research in Nursing and Health, 1, 165-174.
10.
Burgess, A. W. , & Holmstrom, L. L. (1979a). Rape: Crisis and recovery.Bowie, MD: Robert J. Brady.
11.
Burgess, A. W. , & Holmstrom, L. L. (1979b). Rape: Sexual disruption and recovery.American Journal of Orthopsychiatry, 49, 648-657.
12.
Burnam, M. A. , Stein, J. A., Golding, J. M., Siegel, J. M., Sorenson, S. B., Forsythe, A. B., & Telles, C. A. (1988). Sexual assault and mental disorders in a community population.Journal of Consulting and Clinical Psychology, 56, 843-850.
13.
Calhoun, K. S. , Atkeson, B. M., & Resick, P. A. (1982). A longitudinal examination of fear reactions in victims of rape.Journal of Counseling Psychology, 29, 655-661.
14.
Chemtob, C. , Roitblat, H. L., Hamada, R. S., Carlson, J. G., & Twentyman, C. T. (1988). A cognitive action theory of post-traumatic stress disorder.Journal of Anxiety Disorders, 2, 253-275.
15.
Cluss, P. A. , Boughton, J., Frank, L. E., Stewart, B. D., & West, D. (1983). The rape victims: Psychological correlates of participation in the legal process.Criminal Justice and Behavior, 10, 342-357.
16.
Derogatis, L. R. (1977). SCL-90-R manual.Baltimore: Johns Hopkins University Press.
17.
Ellis, E. M. , Atkeson, B. M., & Calhoun, K. S. (1981). An assessment of long-term reaction to rape.Journal of Abnormal Psychology, 90, 263-266.
18.
Ellis, E. M. , Calhoun, K. S., & Atkeson, B. M. (1980). Sexual dysfunctions in victims of rape: Victims may experience a loss of sexual arousal and frightening flashbacks even one year after the assault.Women and Health, 5, 39-47.
19.
Feldman-Summers, S. , Gordon, P. E., & Meagher, J. R. (1979). The impact of rape on sexual satisfaction.Journal of Abnormal Psychology, 88, 101-105.
20.
Fitts, W. H. (1965). Manual: Tennessee self-concept scale.Nashville, TN: Counselor Recordings and Tests.
21.
Foa, E. B. , Steketee, G., & Olasov-Rothbaum, B. (1989). Behavior/cognitive conceptualizations of post-traumatic stress disorder.Behavior Therapy, 20, 155-176.
22.
Frank, E. , & Anderson, B. P. (1987). Psychiatric disorders in rape victims: Past history and current symptomatology.Comprehensive Psychiatry, 28, 77-82.
23.
Frank, E. , & Stewart, B. D. (1984). Depressive symptoms in rape victims: A revisit.Journal of Affective Disorders, 7, 77-85.
24.
Frank, E. , Turner, S. M., & Duffy, B. (1979). Depressive symptoms in rape victims.Journal of Affective Disorders, 1, 269-277.
25.
Frank, E. , Turner, S. M., & Stewart, B. D. (1980). Initial response to rape: The impact of factors within the rape situation.Journal of Behavioral Assessment, 2, 39-53.
26.
Frank, E. , Turner, S. M., Stewart, B. D., Jacob, J., & West, D. (1981). Past psychiatric symptoms and the response to sexual assault.Comprehensive Psychiatry, 22, 479-487.
27.
Frazier, P. A. (1990). Victim attributions and post-rape trauma.Journal of Personality and Social Psychology, 59, 298-304.
28.
Friedman, M. J. (1991). Biological approaches to the diagnosis and treatment of post-traumatic stress disorder.Journal of Traumatic Stress, 4, 67-91.
29.
Girelli, S. A. , Resick, P. A., Marhoefer-Dvorak, S., & Hutter, C. K. (1986). Subjective distress and violence during rape: Their effects on long-term fear.Violence and Victims, 1, 35-45.
30.
Hamilton, M. (1960). A rating scale for depression.Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56-62.
31.
Hassell, R. A. (1981, March). The impact of stranger versus nonstranger rape: A longitudinal study. Paper presented at the 8th Annual Conference of the Association for Women in Psychology, Boston, MA.
32.
Holmes, M. R. , & St. Lawrence, J. S. (1983). Treatment of rape-induced trauma: Proposed behavioral conceptualization and review of the literature.Clinical Psychology Review, 3, 417-433.
33.
Horowitz, M. J. (1976). Stress response syndromes.New York: Jason Aronson.
34.
Horowitz, M. J. , Wilner, N., & Alverez, W. (1979). Impact of Event Scale: A measure of subjective distress.Psychosomatic Medicine, 41, 209-218.
35.
Janoff-Bulman, R. (1979). Characterological versus behavioral self-blame: Inquiries into depression and rape.Journal of Personality and Social Psychology, 37, 1798-1809.
36.
Janoff-Bulman, R. (1992). Shattered assumptions.New York: Free Press.
37.
Jones, J. C. , & Barlow, D. H. (1990). The etiology of post-traumatic stress disorder.Clinical Psychology Review, 10, 299-328.
38.
Kilpatrick, D. G. , Best, C. L., Veronen, L. J., Amick, A. E., Villeponteaux, L. A., & Ruff, G. A. (1985). Mental health correlates of criminal victimization: A random community survey.Journal of Consulting and Clinical Psychology, 53, 866-873.
39.
Kilpatrick, D. G. , Edmunds, C. N., & Seymour, A. K. (1992). Rape in America: A report to the nation.Arlington, VA: National Victim Center.
40.
Kilpatrick, D. G. , & Veronen, L. J. (1983, December). The aftermath of rape: A three-year follow-up. Paper presented at the World Congress of Behavior Therapy, 17th Annual Convention of the Association for the Advancement of Behavior Therapy, Washington, DC.
41.
Kilpatrick, D. G. , & Veronen, L. J. (1984, February). Treatment of fear and anxiety in victims of rape (Final report, grant #MH29602). Washington, DC: National Institute of Mental Health.
42.
Kilpatrick, D. G. , Veronen, L. J., & Best, C. J. (1985). Factors predicting psychological distress among rape victims. In C. R. Figley (Ed.), Trauma and its wake.New York: Brunner/Mazel.
43.
Kilpatrick, D. G. , Veronen, L. J., & Resick, P. A. (1979a). The aftermath of rape: Recent empirical findings.American Journal of Orthopsychiatry, 49, 658-669.
44.
Kilpatrick, D. G. , Veronen, L. J., & Resick, P. A. (1979b). Assessment of the aftermath of rape: Changing patterns of fear.Journal of Behavioral Assessment, 1, 133-148.
45.
Kilpatrick, D. G. , Veronen, L. J., & Resick, P. A. (1982). Psychological sequelae to rape: Assessment and treatment strategies. In D. M. Doleys, R. L. Meredith, & A. R. Ciminero (Eds.), Behavioral medicine: Assessment and treatment strategies (pp. 473-497). New York: Plenum.
46.
Kilpatrick, D. G. , Veronen, L. J., Saunders, B. E., Best, C. L., Amick-McMullen, A., & Paduhovich, J. (1987, March). The psychological impact of crime: A study of randomly surveyed crime victims (Final report, grant #84-IJ-CX-0039). Washington, DC: National Institute of Justice.
47.
Koss, M. P. , Dinero, T. E., & Seibel, C. A. (1988). Stranger and acquaintance rape: Are there differences in victim's experience?Psychology of Women Quarterly, 12, 1-24.
48.
Lerner, M. J. (1980). The belief in a just world.New York: Plenum.
49.
Libow, J. A. , & Doty, D. W. (1979). An exploratory approach to self-blame and self-derogation by rape victims.American Journal of Orthopsychiatry, 49, 670-679.
50.
MacPhillamy, D. J. , & Lewinsohn, P. M. (1976). Manual for the Pleasant Events Schedule.Eugene: University of Oregon.
51.
Marhoefer-Dvorak, S. , Resick, P. A., Hutter, C. K., & Girelli, S. A. (1988). Single versus multiple incident rape victims: A comparison of psychological reactions to rape.Journal of Interpersonal Violence, 3, 145-160.
52.
Mason, J. W. , Griller, E. L., Jr., Kosten, T. R., & Yehuda, R. (1990). Psychoendocrine approaches to the diagnosis and pathogenesis of post-traumatic stress disorder. In E. L. Griller, Jr. (Ed.), Biological assessment and treatment of post-traumatic stress disorder (pp. 65-86). Washington, DC: American Psychiatric Press.
53.
McCahill, T. W. , Meyer, L. C., & Fishman, A. M. (1979). The aftermath of rape.Lexington, MA: D. C. Heath.
54.
McCann, I. L. , Sakheim, D. K., & Abrahamson, D. J. (1988). Trauma and victimization: A model of psychological adaptation.The Counseling Psychologist, 16, 531-594.
55.
McNair, D. , Lorr, M., & Droppleman, L. (1971). Manual, profile of mood states.San Diego, CA: Education and Industrial Testing Service.
56.
Meyer, C. B. , & Taylor, S. E. (1985). Adjustment to rape.Journal of Personality and Social Psychology, 50, 1226-1234.
57.
Miller, W. R. , Williams, M., & Bernstein, M. H. (1982). The effects of rape on marital and sexual adjustment.American Journal of Family Therapy, 10, 51-58.
58.
Moss, M. , Frank, E., & Anderson, B. (1987). The effects of marital status and partner support on emotional response to acute trauma: The example of rape. Unpublished manuscript, University of Pittsburgh.
59.
Murphy, S. M. , Amick-McMullen, A. E., Kilpatrick, D. G., Haskett, M. E., Veronen, L. J., Best, C. L., & Saunders, B. E. (1988). Rape victims' self-esteem: A longitudinal analysis.Journal of Interpersonal Violence, 3, 355-370.
60.
Norris, J. , & Feldman-Summers, S. (1981). Factors related to the psychological impacts of rape on the victim.Journal of Abnormal Psychology, 90, 562-567.
61.
Orlando, J. A. , & Koss, M. P. (1983). The effect of sexual victimization in sexual satisfaction: A study of the negative-association hypothesis.Journal of Abnormal Psychology, 92, 104-106.
62.
Orr, S. P. (1990). Psychophysiologic studies of post-traumatic stress disorder. In E. L. Griller, Jr. (Ed.), Biological assessment and treatment of post-traumatic stress disorder (pp. 135-157). Washington, DC: American Psychiatric Press.
63.
Perloff, L. S. (1983). Perceptions of vulnerability to victimization.Journal of Social Issues, 39, 41-61.
64.
Pitman, R. K. , Orr, S. P., van der Kolk, B. A., Greenberg, M. S., Meyerhoff, J. L., & Moughey, E. H. (1990). Analgesia: A new dependent variable for the biological study of post-traumatic stress disorder. In M. E. Wolff & A. D. Mosnaim (Eds.), Post-traumatic stress disorder: Etiology, phenomenology, and treatment (pp. 140-147). Washington, DC: American Psychiatric Press.
65.
Popiel, D. A. , & Susskind, E. C. (1985). The impact of rape: Social support as a moderator of stress.American Journal of Community Psychology, 13, 645-676.
66.
Resick, P. A. (1986, May). Reactions of female and male victims of rape or robbery (Final report, grant #MH 37296). Washington, DC: National Institute of Mental Health.
67.
Resick, P. A. (1988). Reactions of female and male victims of rape or robbery (Final report, grant #85-IJ-CX-0042). Washington, DC: National Institute of Justice.
68.
Resick, P. A. , Calhoun, K. S., Atkeson, B. M., & Ellis, E. M. (1981). Social adjustment in victims of sexual assault.Journal of Consulting and Clinical Psychology, 49, 705-712.
69.
Resick, P. A. , Churchill, M., & Falsetti, S. (1990, October). Assessment of cognitions in trauma victims: A pilot study.New Orleans, LA: International Society for Traumatic Stress Studies.
70.
Resick, P. A. , Jordan, C. G., Girelli, S. A., Hutter, C. K., & Marhoefer-Dvorak, S. (1988). A comparative outcome study of behavioral group therapy for sexual assault victims.Behavior Therapy, 19, 385-401.
71.
Resick, P. A. , & Schnicke, M. K. (1990). Treating symptoms in adult victims of sexual assault.Journal of Interpersonal Violence, 5, 488-506.
72.
Resick, P. A. , & Schnicke, M. K. (1992a). Cognitive processing therapy for sexual assault victims.Journal of Consulting and Clinical Psychology, 60, 748-756.
73.
Resick, P. A. , & Schnicke, M. K. (1992b, October). Cognitive processing therapy for sexual assault victims. In E. B. Foa (Chair), Treatment of PTSD: An update. Symposium conducted at the 8th Annual Meeting of the International Society for Traumatic Studies, Los Angeles.
74.
Resick, P. A. , Schnicke, M. K., & Markway, B. G. (1991, October). The relationship between cognitive content and PTSD. Post-traumatic stress disorder after an assault. Symposium conducted at the 25th Annual Convention of the Association for the Advancement of Behavior Therapy, New York.
75.
Robins, L. N. , Helzer, J. E., Croughan, J., & Ratcliff, K. S. (1981). The NIMH Diagnostic Interview Schedule: Its history, characteristics, and validity.Archives of General Psychiatry, 38, 381-389.
76.
Rothbaum, B. O. , Foa, E. B., Murdock, T., Riggs, D. S., & Walsh, W. (1992). A prospective examination of post-traumatic stress disorder in rape victims.Journal of Traumatic Stress, 5, 455-475.
77.
Ruch, L. O. , & Chandler, S. M. (1980, September). The impact of sexual assault on three victim groups receiving crisis intervention services in a rape treatment center: Adult rape victims, child rape victims and incest victims. Paper presented at the American Sociological Meetings, New York.
78.
Ruch, L. O. , Chandler, S. M., & Harter, R. A. (1980). Life change and rape impact.Journal of Health and Social Behavior, 21, 248-260.
79.
Ruch, L. O. , & Hennessy, M. (1982). Sexual assault: Victim and attack dimensions.Victimology: An International Journal, 7, 94-105.
80.
Ruch, L. O. , & Leon, J. J. (1983). Sexual assault trauma and trauma change.Women and Health, 8, 5-21.
81.
Sales, E. , Baum, M., & Shore, B. (1984). Victim readjustment following assault.Journal of Social Issues, 40, 117-136.
82.
Schepple, K. L. , & Bart, P. B. (1983). Through women's eyes: Defining danger in the wake of sexual assault.Journal of Social Issues, 39, 63-81.
83.
Schnicke, M. K. , & Resick, P. A. (1990, October). Self-blame in rape victims. Paper presented at the 6th Annual Meeting of the Society for Traumatic Stress Studies, New Orleans, LA.
84.
Silver, R. L. , Boon, C., & Stones, M. H. (1983). Searching for a meaning in misfortune: Making sense of incest.Journal of Social Issues, 39, 81-101.
85.
Silver, R. , & Wortman, C. (1980). Coping with undesirable life events. In J. Garber & M. Seligman (Eds.), Human helplessness (pp. 279-375). New York: Academic Press.
86.
Spielberger, C. D. , Gorsuch, R. L., & Luchene, R. E. (1970). The state-trait anxiety inventory.Palo Alto, CA: Consulting Psychologists Press.
87.
Stewart, B. D. , Hughes, C., Frank, E., Anderson, B., Kendall, K., & West, D. (1987). Profiles of immediate and delayed treatment seekers.Journal of Nervous and Mental Disease, 175, 90-94.
88.
Thornhill, N. W. , & Thornhill, R. (1990a). An evolutionary analysis of psychological pain following rape: I. The effects of victim's age and marital status.Ethology and Sociobiology, 11, 155-176.
89.
Thornhill, N. W. , & Thornhill, R. (1990b). An evolutionary analysis of psychological pain following rape: III. Effects of force and violence.Aggressive Behavior, 16, 297-320.
90.
Thornhill, N. W. , & Thornhill, R. (1990c). An evolutionary analysis of psychological pain following rape: II. The effects of stranger, friend, and family-member offenders.Ethnology and Sociobiology, 11, 177-193.
91.
Veronen, L. J. , & Kilpatrick, D. G. (1980). Self-reported fears of rape victims: A preliminary investigation.Behavior Modification, 4, 383-396.
92.
Veronen, L. J. , Kilpatrick, D. G., & Resick, P. A. (1979). Treatment of fear and anxiety in rape victims: Implications for the criminal justice system. In W. H. Parsonage (Ed.), Perspectives on victimology.Beverly Hills, CA: Sage.
93.
Weissman, M. M. , & Paykel, C. S. (1974). The depressed woman: A study of social relationships.Chicago: University of Chicago Press.
94.
West, D. G. , Frank, D., Anderson, B., & Stewart, B. D. (1987). Social support and post-rape symptomatology. Unpublished manuscript, Western Psychiatric Institute, Pittsburgh, PA.
95.
Wirtz, P. W. , & Harrell, A. V. (1987). Victim and crime characteristics, coping responses, and short- and long-term recovery from victimization.Journal of Consulting and Clinical Psychology, 55, 866-871.
96.
Wortman, C. B. (1976). Causal attributions and personal control. In J. H. Harvey, W. J. Ickes, & R. F. Kidd (Eds.), New directions in attribution research.Hillsdale, NJ: Lawrence Erlbaum.
97.
Yehuda, R. , Southwick, S. M., Perry, B. A., Mason, J. W., & Griller, E. L., Jr. (1990). Interactions of the hypothalamic-pituitary-adrenal axis and the catecholaminergic system in post-traumatic stress disorder. In E. L. Griller, Jr. (Ed.), Biological assessment and treatment of post-traumatic stress disorder (pp. 115-134). Washington, DC: American Psychiatric Press.
