TY - JOUR PY - 2018// TI - Self-blame and PTSD following sexual assault: a longitudinal analysis JO - Journal of interpersonal violence A1 - Kline, Nora K. A1 - Berke, Danielle S. A1 - Rhodes, Charla A. A1 - Steenkamp, Maria M. A1 - Litz, Brett T. SP - 886260518770652 EP - 886260518770652 VL - ePub IS - ePub N2 - Sexual assault is a prevalent trauma associated with high rates of posttraumatic stress disorder (PTSD). Social,cognitive theories posit that behavioral self-blame (i.e., attributing the cause of the assault to personal peri-event behavior) contributes to the etiology and maintenance of PTSD symptoms. Yet the direction of the association between self-blame and PTSD symptoms in the acute aftermath of sexual assault is unknown. This study evaluated temporal pathways between behavioral self-blame and PTSD symptom severity in an epidemiological sample of sexual assault survivors ( n = 126) assessed at four time points in the months immediately following the assault.

RESULTS of cross-lagged panel modeling revealed that reports of behavioral self-blame at the first assessment following sexual assault predicted PTSD symptom severity at Time 2. However, there was no association between behavioral self-blame at Time 2 and PTSD symptom severity at Time 3, nor was there an association between behavioral self-blame at Time 3 and PTSD symptom severity at Time 4. Instead, PTSD symptom severity predicted behavioral self-blame at Times 3 and 4.

FINDINGS suggest that behavioral self-blame following sexual assault may be particularly relevant to the onset of PTSD symptoms, while PTSD symptoms themselves appear to intensify subsequent perceptions of behavioral self-blame. Clinical implications and limitations are discussed.

Language: en

LA - en SN - 0886-2605 UR - http://dx.doi.org/10.1177/0886260518770652 ID - ref1 ER -