Women who experience intimate partner violence (IPV) report high rates of HIV/sexual risk behaviors. Childhood abuse has been linked to HIV/sexual risk behaviors among IPV-victimized women; however, limited research has examined factors that may influence this association. The current study tested the moderating role of avoidant coping in the relation between childhood abuse types (physical, emotional, and sexual) and HIV/sexual risk behaviors. Participants were 212 community women currently experiencing IPV (mean age = 36.63 years, 67.0% African American). Higher levels of avoidant coping were related to more severe childhood abuse types. Severity of childhood abuse types was associated with greater HIV/sexual risk behaviors. Avoidant coping moderated the relation between childhood sexual abuse severity and HIV/sexual risk behaviors, such that this association was significant for IPV-victimized women with high (but not low) levels of avoidant coping. Findings suggest the utility of targeting avoidant coping in interventions aimed at preventing or reducing HIV/sexual risk behaviors among IPV-victimized women with a history of childhood sexual abuse.
AikenL. S.WestS. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.
2.
AldaoA. (2013). The future of emotion regulation research capturing context. Perspectives on Psychological Science, 8, 155–172.
3.
AldaoA.Nolen-HoeksemaS. (2013). One versus many: Capturing the use of multiple emotion regulation strategies in response to an emotion-eliciting stimulus. Cognition & Emotion, 27, 753–760.
4.
AldaoA.Nolen-HoeksemaS.SchweizerS. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217–237.
5.
AmirkhanJ. H. (1990). A factor analytically derived measure of coping: The coping strategy indicator. Journal of Personality and Social Psychology, 59, 1066–1074.
6.
AmirkhanJ. H. (1994). Criterion validity of a coping measure. Journal of Personality Assessment, 62, 242–261.
7.
ArriolaK. R.LoudenT.DoldrenM. A.FortenberryR. M. (2005). A meta-analysis of the relationship of child sexual abuse to HIV risk behavior among women. Child Abuse & Neglect, 29, 725–746.
8.
BalS.Van OostP.De BourdeaudhuijI.CrombezG. (2003). Avoidant coping as a mediator between self-reported sexual abuse and stress-related symptoms in adolescents. Child Abuse & Neglect, 27, 883–897.
9.
BanducciA. N.HoffmanE. M.LejuezC. W.KoenenK. C. (2014). The impact of childhood abuse on inpatient substance users: Specific links with risky sex, aggression, and emotion dysregulation. Child Abuse & Neglect, 38, 928–938.
10.
BarrettD. C.BolanG.JoyD.CountsK.DollL.HarrisonJ. (1995). Coping strategies, substance use, sexual activity, and HIV sexual risks in a sample of gay male STD patients. Journal of Applied Social Psychology, 25, 1058–1072.
11.
BattenS. V.FolletteV. M.AbanI. B. (2002). Experiential avoidance and high-risk sexual behavior in survivors of child sexual abuse. Journal of Child Sexual Abuse, 10, 101–120.
12.
BernsteinD. P.FinkL. (1998). Childhood Trauma Questionnaire: A retrospective self-report: Manual. New York: Harcourt Brace.
13.
BlackM. C.BasileK. C.BreidingM. J.SmithS. G.WaltersM. L.MerrickM. T.…NovemberM. R. S. (2011). National intimate partner and sexual violence survey. Atlanta, GA: Centers for Disease Control, National Center for Injury Prevention and Control, Division of Violence Prevention.
14.
BriereJ.RuntzM. A. (1993). Childhood sexual abuse: Long-term sequelae and implications for psychological assessment. Journal of Interpersonal Violence, 8, 312–330.
15.
CavanaughC. E.HansenN. B.SullivanT. P. (2010). HIV sexual risk behavior among low-income women experiencing intimate partner violence: The role of posttraumatic stress disorder. AIDS and Behavior, 14, 318–327.
16.
CloitreM.MirandaR.Stovall-McCloughK. C.HanH. (2005). Beyond PTSD: Emotion regulation and interpersonal problems as predictors of functional impairment in survivors of childhood abuse. Behavior Therapy, 36, 119–124.
17.
CooperM. L.ShapiroC. M.PowersA. M. (1998). Motivations for sex and risky sexual behavior among adolescents and young adults: A functional perspective. Journal of Personality and Social Psychology, 75, 1528–1558.
18.
CrepazN.MarksG. (2001). Are negative affective states associated with HIV sexual risk behaviors?A meta-analytic review. Health Psychology, 20, 291–299.
19.
CummingsE. M.El-SheikhM.KourosC. D.BuckhaltJ. A. (2009). Children and violence: The role of children’s regulation in the marital aggression–child adjustment link. Clinical Child and Family Psychology Review, 12, 3–15.
20.
DaviesP. T.CummingsE. M. (1998). Exploring children’s emotional security as a mediator of the link between marital relations and child adjustment. Child Development, 69, 124–139.
21.
El-BasselN.GilbertL.WuE.ChangM.GomesC.VinocurD.SpevackT. (2007). Intimate partner violence prevalence and HIV risks among women receiving care in emergency departments: Implications for IPV and HIV screening. Emergency Medicine Journal, 24, 255–259.
22.
El-BasselN.WitteS. S.WadaT.GilbertL.WallaceJ. (2001). Correlates of partner violence among female street-based sex workers: Substance abuse, history of childhood abuse, and HIV risks. AIDS Patient Care and STDs, 15, 41–51.
23.
FentonK. A.JohnsonA. M.McManusS.ErensB. (2001). Measuring sexual behaviour: Methodological challenges in survey research. Sexually Transmitted Infections, 77, 84–92.
24.
FineM. (1992). Disruptive voices: The possibility of feminist research. Ann Arbor: University of Michigan Press.
25.
FinkelhorD.BrowneA. (1985). The traumatic impact of child sexual abuse: A conceptualization. American Journal of Orthopsychiatry, 55, 530–541.
26.
FischerS.SmithG. T.SpillaneN.CydersM. A. (2005). Urgency: Individual differences in reaction to mood and implications for addictive behaviors. In ClarkA. V. (Ed.), The Psychology of Mood (pp. 85–107). New York: Nova Science.
27.
FortenberryJ. D.TemkitM.TuW.KatzB. P.OrrD. P. (2003). Mood, mood change, sexual activity and condom use among adolescent women. Journal of Adolescent Health, 32, 157.
28.
GielenA. C.McDonnellK. A.O’CampoP. J. (2002). Intimate partner violence, HIV status, and sexual risk reduction. AIDS and Behavior, 6, 107–116.
29.
GoldingJ. M. (1999). Intimate partner violence as a risk factor for mental disorders: A meta-analysis. Journal of Family Violence, 14, 99–132.
30.
GratzK. L.TullM. T. (2011). Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology. Personality Disorders: Theory, Research, and Treatment, 2, 316–326.
31.
GratzK. L.TullM. T.LevyR. (2014). Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Psychological Medicine, 44, 1–14.
32.
GreenH. D.JrTuckerJ. S.WenzelS. L.GolinelliD.KennedyD. P.RyanG. W.ZhouA. J. (2012). Association of childhood abuse with homeless women’s social networks. Child Abuse & Neglect, 36, 21–31.
33.
HayesS. C.WilsonK. G.GiffordE. V.FolletteV. M.StrosahlK. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.
34.
HillisS. D.AndaR. F.FelittiV. J.MarchbanksP. A. (2001). Adverse childhood experiences and sexual risk behaviors in women: A retrospective cohort study. Family Planning Perspectives, 33, 206–211.
35.
JaquierV.SullivanT. P. (2014). Fear of past abusive partner(s) impacts current posttraumatic stress among women experiencing partner violence. Violence Against Women, 20, 208–227.
36.
JohnsonN. L.JohnsonD. M. (2013). Factors influencing the relationship between sexual trauma and risky sexual behavior in college students. Journal of Interpersonal Violence, 28, 2315–2331.
37.
KendlerK. S.BulikC. M.SilbergJ.HettemaJ. M.MyersJ.PrescottC. A. (2000). Childhood sexual abuse and adult psychiatric and substance use disorders in women: An epidemiological and cotwin control analysis. Archives of General Psychiatry, 57, 953–959.
38.
KimJ.CicchettiD. (2010). Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology. Journal of Child Psychology and Psychiatry, 51, 706–716.
39.
KuoC.JohnsonJ.RosenR. K.WechsbergW.GobinR. L.ReddyM. K.…ZlotnickC. (2014). Emotional dysregulation and risky sex among incarcerated women with a history of interpersonal violence. Women & Health, 54, 796–815.
40.
LangA. J.AaronsG. A.GearityJ.LaffayeC.SatzL.DresselhausT. R.SteinM. B. (2008). Direct and indirect links between childhood maltreatment, posttraumatic stress disorder, and women’s health. Behavioral Medicine, 33, 125–136.
41.
LewisC. S.GriffingS.ChuM.JospitreT.SageR. E.MadryL.PrimmB. J. (2006). Coping and violence exposure as predictors of psychological functioning in domestic violence survivors. Violence Against Women, 12, 340–354.
42.
LinehanM. M. (1993). Cognitive behavioral treatment of borderline personality disorder. New York: Guilford Press.
43.
LinehanM. M.SchmidtH.DimeffL. A.CraftJ. C.KanterJ.ComtoisK. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. The American Journal on Addictions, 8, 279–292.
44.
LittletonH.BreitkopfC. R.BerensonA. (2007). Sexual and physical abuse history and adult sexual risk behaviors: Relationships among women and potential mediators. Child Abuse & Neglect, 31, 757–768.
45.
LiverantG. I.BrownT. A.BarlowD. H.RoemerL. (2008). Emotion regulation in unipolar depression: The effects of acceptance and suppression of subjective emotional experience on the intensity and duration of sadness and negative affect. Behaviour Research and Therapy, 46, 1201–1209.
46.
LucenkoB. A.MalowR. M.Sanchez-MartinezM.JenningsT.DévieuxJ. G. (2003). Negative affect and HIV risk in alcohol and other drug (AOD) abusing adolescent offenders. Journal of Child & Adolescent Substance Abuse, 13, 1–17.
47.
MaistoS. A.CareyM. P.CareyK. B.GordonC. M. (2002). The effects of alcohol and expectancies on risk perception and behavioral skills relevant to safer sex among heterosexual young adult women. Journal of Studies on Alcohol, 63, 476–485.
48.
MartinJ. I.PryceJ. G.LeeperJ. D. (2005). Avoidance coping and HIV risk behavior among gay men. Health & Social Work, 30, 193–201.
49.
MillerM. (1999). A model to explain the relationship between sexual abuse and HIV risk among women. AIDS Care, 11, 3–20.
50.
MillerG. A.ChapmanJ. P. (2001). Misunderstanding analysis of covariance. Journal of Abnormal Psychology, 110, 40–48.
51.
Otto-SalajL.ReedB.BrondinoM. J.Gore-FeltonC.KellyJ. A.StevensonL. Y. (2008). Condom use negotiation in heterosexual African American adults: Responses to types of social power-based strategies. Journal of Sex Research, 45, 150–163.
52.
Otto-SalajL. L.TraxelN.BrondinoM. J.ReedB.Gore-FeltonC.KellyJ. A.StevensonL. Y. (2010). Reactions of heterosexual African American men to women's condom negotiation strategies. Journal of Sex Research, 47, 539–551.
53.
PaolucciE. O.GenuisM. L.ViolatoC. (2001). A meta-analysis of the published research on the effects of child sexual abuse. The Journal of Psychology, 135, 17–36.
54.
PatelP.BorkowfC. B.BrooksJ. T.LasryA.LanskyA.MerminJ. (2014). Estimating per-act HIV transmission risk: A systematic review. AIDS, 28, 1509–1519.
55.
RajA.ClarkeJ. G.SilvermanJ. G.RoseJ. E.RosengardC.HebertM.SteinM. (2006). Violence against women associated with arrests for sex trade but not drug charges. International Journal of Law and Psychiatry, 29, 204–211.
56.
RajA.SilvermanJ. G.AmaroH. (2004). Abused women report greater male partner risk and gender-based risk for HIV: Findings from a community-based study with Hispanic women. AIDS Care, 16, 519–529.
57.
RitchwoodT. D.FordH.DeCosterJ.SuttonM.LochmanJ. E. (2015). Risky sexual behavior and substance use among adolescents: A meta-analysis. Children and Youth Services Review, 52, 74–88.
58.
RomerD.BlackM.RicardoI.FeigelmanS.KaljeeL.GalbraithJ.…StantonB. (1994). Social influences on the sexual behavior of youth at risk for HIV exposure. American Journal of Public Health, 84, 977–985.
59.
RothS.CohenL. J. (1986). Approach, avoidance, and coping with stress. American Psychologist, 41, 813–819.
60.
SaundersB. E.BerlinerL.HansonR. F., eds. (2004). Child physical and sexual abuse: Guidelines for treatment (Revised Report: April 26, 2004). Charleston, SC: National Crime Victims Research and Treatment Center.
61.
SeedatS.SteinM. B.FordeD. R. (2005). Association between physical partner violence, posttraumatic stress, childhood trauma, and suicide attempts in a community sample of women. Violence and Victims, 20, 87–98.
62.
SennT. E.CareyM. P. (2010). Child maltreatment and women’s adult sexual risk behavior: Childhood sexual abuse as a unique risk factor. Child Maltreatment, 15, 324–335.
63.
SennT. E.CareyM. P.VanableP. A. (2008). Childhood and adolescent sexual abuse and subsequent sexual risk behavior: Evidence from controlled studies, methodological critique, and suggestions for research. Clinical Psychology Review, 28, 711–735.
64.
SigmonS. T.GreeneM. P.RohanK. J.NicholsJ. E. (1997). Coping and adjustment in male and female survivors of childhood sexual abuse. Journal of Child Sexual Abuse, 5, 57–75.
65.
SikkemaK. J.HansenN. B.MeadeC. S.KochmanA.FoxA. M. (2009). Psychosocial predictors of sexual HIV transmission risk behavior among HIV-positive adults with a sexual abuse history in childhood. Archives of Sexual Behavior, 38, 121–134.
66.
SikkemaK. J.WilsonP. A.HansenN. B.KochmanA.NeufeldS.GhebremichaelM. S.KershawT. (2008). Effects of a coping intervention on transmission risk behavior among people living with HIV/AIDS and a history of childhood sexual abuse. Journal of Acquired Immune Deficiency Syndromes, 47, 506–513.
67.
SilvermanJ. G.DeckerM. R.KapurN. A.GuptaJ.RajA. (2007). Violence against wives, sexual risk and sexually transmitted infection among Bangladeshi men. Sexually Transmitted Infections, 83, 211–215.
68.
SkinnerE. A.EdgeK.AltmanJ.SherwoodH. (2003). Searching for the structure of coping: A review and critique of category systems for classifying ways of coping. Psychological Bulletin, 129, 216–269.
69.
StrausM. A.HambyS. L.WarrenW. L. (2003). The Conflict Tactics Scales handbook. Los Angeles, CA: Western Psychological Services.
70.
TeitelmanA. M.RatcliffeS. J.DichterM. E.SullivanC. M. (2008). Recent and past intimate partner abuse and HIV risk among young women. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 37, 219–227.
71.
ThorntonB.GibbonsF. X.GerrardM. (2002). Risk perception and prototype perception: Independent processes predicting risk behavior. Personality and Social Psychology Bulletin, 28, 986–999.
72.
VarniS. E.MillerC. T.SolomonS. E. (2012). Sexual behavior as a function of stigma and coping with stigma among people with HIV/AIDS in rural New England. AIDS and Behavior, 16, 2330–2339.
73.
von EyeA.BogatG. A. (2006). Person-oriented and variable-oriented research: Concepts, results, and development. Merrill-Palmer Quarterly, 52, 390–420.
74.
WeissN. H.Dixon-GordonK. L.PeasantC.JaquierV.JohnsonC.SullivanT. P. (2017). A latent profile analysis of intimate partner victimization and aggression and examination of between-class differences in psychopathology symptoms and risky behaviors. Psychological Trauma: Theory, Research, Practice, and Policy, 9, 37–378.
75.
WeissN. H.PeasantC.SullivanT. P. (2017). Intimate partner violence and HIV-risk behaviors: Evaluating avoidant coping as a moderator. AIDS and Behavior, 21, 2233–2242.
76.
WeissN. H.TullM. T.BorneM. E.GratzK. L. (2013). Posttraumatic stress disorder symptom severity and HIV-risk behaviors among substance-dependent inpatients. AIDS care, 25, 1219–1226.
77.
WilsonA. E.CalhounK. S.BernatJ. A. (1999). Risk recognition and trauma-related symptoms among sexually revictimized women. Journal of Consulting and Clinical Psychology, 67, 705–710.
78.
WidomC. S.KuhnsJ. B. (1996). Childhood victimization and subsequent risk for promiscuity, prostitution, and teenage pregnancy: A prospective study. American Journal of Public Health, 86, 1607–1612.
79.
WilsonH. W.WidomC. S. (2008). An examination of risky sexual behavior and HIV in victims of child abuse and neglect: A 30-year follow-up. Health Psychology, 27, 149–158.
80.
WingoodG. M.DiClementeR. J. (1997). The effects of an abusive primary partner on the condom use and sexual negotiation practices of African-American women. American Journal of Public Health, 87, 1016–1018.
81.
WuE.El-BasselN.WitteS. S.GilbertL.ChangM. (2003). Intimate partner violence and HIV risk among urban minority women in primary health care settings. AIDS and Behavior, 7, 291–301.
82.
YiH.SandfortT. G. M.ShidloA. (2010). Effects of disengagement coping with HIV risk on unprotected sex among HIV-negative gay men in New York City. Health Psychology, 29, 205–214.
