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Posttraumatic stress disorder among female victims of sexual assault in China: prevalence and psychosocial factors

Introduction Sexual assault is one of the most traumatic stressors one may experience in life. Although studies have investigated the prevalence of posttraumatic stress disorder (PTSD) and associated psychosocial factors on victims of sexual assault internationally, such studies in Mainland China ar...

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Published in:Asia-Pacific psychiatry 2014-12, Vol.6 (4), p.405-413
Main Authors: Sui, Shuang Ge, King, Mark E., Li, Ling Sophia, Chen, Liu Yue, Zhang, Yan, Li, Ling Jiang
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King, Mark E.
Li, Ling Sophia
Chen, Liu Yue
Zhang, Yan
Li, Ling Jiang
description Introduction Sexual assault is one of the most traumatic stressors one may experience in life. Although studies have investigated the prevalence of posttraumatic stress disorder (PTSD) and associated psychosocial factors on victims of sexual assault internationally, such studies in Mainland China are limited. Methods Two hundred thirt‐three Chinese females (aged 17–38) victims of sexual assault were surveyed in three Guangdong province cities (Guangzhou city, Shenzhen city, and Huizhou city). The Clinician‐Administered PTSD Scale, Eysenck Personality Questionnaire, PTSD Checklist Civilian Version, Social Support Rating Scale, and Trait Coping Style Questionnaire were used. Results The prevalence of PTSD in Chinese female victims of sexual assault was 15.25% (34/223). Six psychosocial factors were found to be significant for PTSD symptomatology, including objective support (β = −1.01, P = 0.001), subjective support (β = −0.59, P 
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Although studies have investigated the prevalence of posttraumatic stress disorder (PTSD) and associated psychosocial factors on victims of sexual assault internationally, such studies in Mainland China are limited. Methods Two hundred thirt‐three Chinese females (aged 17–38) victims of sexual assault were surveyed in three Guangdong province cities (Guangzhou city, Shenzhen city, and Huizhou city). The Clinician‐Administered PTSD Scale, Eysenck Personality Questionnaire, PTSD Checklist Civilian Version, Social Support Rating Scale, and Trait Coping Style Questionnaire were used. Results The prevalence of PTSD in Chinese female victims of sexual assault was 15.25% (34/223). Six psychosocial factors were found to be significant for PTSD symptomatology, including objective support (β = −1.01, P = 0.001), subjective support (β = −0.59, P &lt; 0.001), support utilization (β = −1.03, P = 0.005), negative coping style (β = 0.58, P &lt; 0.001), positive coping style (β = −0.44, P &lt; 0.001), and neuroticism (β = 0.48, P &lt; 0.001). Discussion These findings suggest that negative coping bias and neuroticism were predisposing risk factors that increase PTSD symptoms, while objective support, subjective support, support utilization, and positive coping style were protective factors for PTSD following sexual assault, and provide prima facie evidence for posttrauma intervention.</description><identifier>ISSN: 1758-5864</identifier><identifier>EISSN: 1758-5872</identifier><identifier>DOI: 10.1111/appy.12155</identifier><identifier>PMID: 25355380</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adaptation, Psychological - physiology ; Adolescent ; Adult ; China ; Crime Victims - psychology ; Crime Victims - statistics &amp; numerical data ; Female ; Females ; Humans ; Post traumatic stress disorder ; Prevalence ; psychosocial factor ; PTSD ; Sex crimes ; Sex Offenses - psychology ; Sex Offenses - statistics &amp; numerical data ; sexual assault ; Social Support ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - etiology ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Asia-Pacific psychiatry, 2014-12, Vol.6 (4), p.405-413</ispartof><rights>2014 Wiley Publishing Asia Pty Ltd</rights><rights>2014 Wiley Publishing Asia Pty Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4595-6aa8666f66caa5de1d8ffe2e72c3552d371c025229258169fc485e15226841583</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25355380$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sui, Shuang Ge</creatorcontrib><creatorcontrib>King, Mark E.</creatorcontrib><creatorcontrib>Li, Ling Sophia</creatorcontrib><creatorcontrib>Chen, Liu Yue</creatorcontrib><creatorcontrib>Zhang, Yan</creatorcontrib><creatorcontrib>Li, Ling Jiang</creatorcontrib><title>Posttraumatic stress disorder among female victims of sexual assault in China: prevalence and psychosocial factors</title><title>Asia-Pacific psychiatry</title><addtitle>Asia-Pacific Psychiatry</addtitle><description>Introduction Sexual assault is one of the most traumatic stressors one may experience in life. Although studies have investigated the prevalence of posttraumatic stress disorder (PTSD) and associated psychosocial factors on victims of sexual assault internationally, such studies in Mainland China are limited. Methods Two hundred thirt‐three Chinese females (aged 17–38) victims of sexual assault were surveyed in three Guangdong province cities (Guangzhou city, Shenzhen city, and Huizhou city). The Clinician‐Administered PTSD Scale, Eysenck Personality Questionnaire, PTSD Checklist Civilian Version, Social Support Rating Scale, and Trait Coping Style Questionnaire were used. Results The prevalence of PTSD in Chinese female victims of sexual assault was 15.25% (34/223). Six psychosocial factors were found to be significant for PTSD symptomatology, including objective support (β = −1.01, P = 0.001), subjective support (β = −0.59, P &lt; 0.001), support utilization (β = −1.03, P = 0.005), negative coping style (β = 0.58, P &lt; 0.001), positive coping style (β = −0.44, P &lt; 0.001), and neuroticism (β = 0.48, P &lt; 0.001). Discussion These findings suggest that negative coping bias and neuroticism were predisposing risk factors that increase PTSD symptoms, while objective support, subjective support, support utilization, and positive coping style were protective factors for PTSD following sexual assault, and provide prima facie evidence for posttrauma intervention.</description><subject>Adaptation, Psychological - physiology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>China</subject><subject>Crime Victims - psychology</subject><subject>Crime Victims - statistics &amp; numerical data</subject><subject>Female</subject><subject>Females</subject><subject>Humans</subject><subject>Post traumatic stress disorder</subject><subject>Prevalence</subject><subject>psychosocial factor</subject><subject>PTSD</subject><subject>Sex crimes</subject><subject>Sex Offenses - psychology</subject><subject>Sex Offenses - statistics &amp; numerical data</subject><subject>sexual assault</subject><subject>Social Support</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - etiology</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>1758-5864</issn><issn>1758-5872</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNpdkU2P1DAMhiMEYpeBCz8AReLCpUuTNh_DbTWCATGCOQwCTpFJXTZL25Q4XXb-PZ2dZQ74Yst-Xsvyy9hzUV6IOV7DOO4vhBRKPWDnwihbKGvkw1Ot6zP2hOi6LLURdf2YnUlVKVXZ8pylbaScE0w95OA55YREvAkUU4OJQx-Hn7zFHjrkN8Hn0BOPLSe8naDjQARTl3kY-OoqDPCGjwlvZnbwyGFo-Eh7fxUp-jDTLfgcEz1lj1roCJ_d5wX78u7tbvW-2Hxef1hdbgpfq6UqNIDVWrdaewDVoGhs26JEI_18vGwqI3wplZRLqazQy9bXVqGYG9rWQtlqwV4d944p_p6QsusDeew6GDBO5ISWVkmtzQF9-R96Hac0zNcdKLOshJ7_tWAv7qnpR4-NG1PoIe3dv2_OgDgCf0KH-9NclO7gkzv45O58cpfb7fe7atYUR02gjLcnDaRfTpvKKPf109ptvu3sx51du7r6C4L0lRw</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Sui, Shuang Ge</creator><creator>King, Mark E.</creator><creator>Li, Ling Sophia</creator><creator>Chen, Liu Yue</creator><creator>Zhang, Yan</creator><creator>Li, Ling Jiang</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201412</creationdate><title>Posttraumatic stress disorder among female victims of sexual assault in China: prevalence and psychosocial factors</title><author>Sui, Shuang Ge ; King, Mark E. ; Li, Ling Sophia ; Chen, Liu Yue ; Zhang, Yan ; Li, Ling Jiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4595-6aa8666f66caa5de1d8ffe2e72c3552d371c025229258169fc485e15226841583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adaptation, Psychological - physiology</topic><topic>Adolescent</topic><topic>Adult</topic><topic>China</topic><topic>Crime Victims - psychology</topic><topic>Crime Victims - statistics &amp; numerical data</topic><topic>Female</topic><topic>Females</topic><topic>Humans</topic><topic>Post traumatic stress disorder</topic><topic>Prevalence</topic><topic>psychosocial factor</topic><topic>PTSD</topic><topic>Sex crimes</topic><topic>Sex Offenses - psychology</topic><topic>Sex Offenses - statistics &amp; numerical data</topic><topic>sexual assault</topic><topic>Social Support</topic><topic>Stress Disorders, Post-Traumatic - epidemiology</topic><topic>Stress Disorders, Post-Traumatic - etiology</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sui, Shuang Ge</creatorcontrib><creatorcontrib>King, Mark E.</creatorcontrib><creatorcontrib>Li, Ling Sophia</creatorcontrib><creatorcontrib>Chen, Liu Yue</creatorcontrib><creatorcontrib>Zhang, Yan</creatorcontrib><creatorcontrib>Li, Ling Jiang</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Asia-Pacific psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sui, Shuang Ge</au><au>King, Mark E.</au><au>Li, Ling Sophia</au><au>Chen, Liu Yue</au><au>Zhang, Yan</au><au>Li, Ling Jiang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posttraumatic stress disorder among female victims of sexual assault in China: prevalence and psychosocial factors</atitle><jtitle>Asia-Pacific psychiatry</jtitle><addtitle>Asia-Pacific Psychiatry</addtitle><date>2014-12</date><risdate>2014</risdate><volume>6</volume><issue>4</issue><spage>405</spage><epage>413</epage><pages>405-413</pages><issn>1758-5864</issn><eissn>1758-5872</eissn><abstract>Introduction Sexual assault is one of the most traumatic stressors one may experience in life. Although studies have investigated the prevalence of posttraumatic stress disorder (PTSD) and associated psychosocial factors on victims of sexual assault internationally, such studies in Mainland China are limited. Methods Two hundred thirt‐three Chinese females (aged 17–38) victims of sexual assault were surveyed in three Guangdong province cities (Guangzhou city, Shenzhen city, and Huizhou city). The Clinician‐Administered PTSD Scale, Eysenck Personality Questionnaire, PTSD Checklist Civilian Version, Social Support Rating Scale, and Trait Coping Style Questionnaire were used. Results The prevalence of PTSD in Chinese female victims of sexual assault was 15.25% (34/223). Six psychosocial factors were found to be significant for PTSD symptomatology, including objective support (β = −1.01, P = 0.001), subjective support (β = −0.59, P &lt; 0.001), support utilization (β = −1.03, P = 0.005), negative coping style (β = 0.58, P &lt; 0.001), positive coping style (β = −0.44, P &lt; 0.001), and neuroticism (β = 0.48, P &lt; 0.001). Discussion These findings suggest that negative coping bias and neuroticism were predisposing risk factors that increase PTSD symptoms, while objective support, subjective support, support utilization, and positive coping style were protective factors for PTSD following sexual assault, and provide prima facie evidence for posttrauma intervention.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>25355380</pmid><doi>10.1111/appy.12155</doi><tpages>9</tpages></addata></record>
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subjects Adaptation, Psychological - physiology
Adolescent
Adult
China
Crime Victims - psychology
Crime Victims - statistics & numerical data
Female
Females
Humans
Post traumatic stress disorder
Prevalence
psychosocial factor
PTSD
Sex crimes
Sex Offenses - psychology
Sex Offenses - statistics & numerical data
sexual assault
Social Support
Stress Disorders, Post-Traumatic - epidemiology
Stress Disorders, Post-Traumatic - etiology
Surveys and Questionnaires
Young Adult
title Posttraumatic stress disorder among female victims of sexual assault in China: prevalence and psychosocial factors
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