Post-traumatic stress disorder (PTSD) and related psychopathology were examined in 95 female rape victims beginning soon after the assault (mean=12.64 days). Subjects were assessed weekly for 12 weeks. Ninety-four percent of women met symptomatic criteria for PTSD at Assessment 1, decreasing to 65% at Assessment 4 (mean=35 days postassault), and 47% at Assessment 12 (mean=94 days postassault). PTSD and related psychopathology decreased sharply between Assessments 1 and 4 for all women. Women whose PTSD persisted throughout the 3-month study did not show improvement after the fourth assessment; women who did not meet criteria for PTSD 3 months postassault showed steady improvement over time. This pattern was evidenced even after initial PTSD severity was statistically controlled. Moreover, PTSD status at 3 months postassault could be predicted with a high degree of accuracy by two brief self-report measures administered at the first assessment. The implications of the present findings and directions for future research are discussed.
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American Psychiatric Association (1987).Diagnostic and Statistical Manual of Mental Disorders (third edition-revised). Washington, D.C.: Author.
Atkeson, B., Calhoun, K., Resick, P., and Ellis, E. (1982). Victims of rape: Repeated assessment of depressive symptoms.J. Consult. Clin. Psychol. 50: 96–102.
Beck, A. T., and Ward, C. H., Mendelssohn, M., Mock, J., and Erbaugh, J. (1961). An inventory for measuring depression.Arch. Gen. Psychiatry 4: 561–571.
Burgess, A. W., and Holstrom, L. L. (1974).Rape: Victims of Crisis R. J. Brady Company, Bowie, Md., Chapter 3, p. 15.
Calhoun, K. S., Atkeson, B. M., and Resick, P. A. (1982). A longitudinal examination of fear reactions in victims of rape.J. Counsel. Psychol. 29: 655–661.
Davidson, J., Smith, R., and Kudler, H. (1992). Validity and reliability of the DSM-III criteria for post traumatic stress disorder: Experience with a structured interview.J. Nerv. Men. Dis. In press.
Ellis, E. M., Atkeson, B. M., and Calhoun, K. S. (1981). An assessment of long-term reaction to rape.J. Abnorm. Psychol. 90: 263–266.
Foa, E. B., Rothbaum, B. O., Murdock, T., and Riggs, D. S. (1991). The treatment of PTSD in rape rictims.J. Consult. Clin. Psychol. 59: 715–723.
Frank, E., and Stewart, B. D. (1984). Depressive symptoms in rape victims. A revisit.J. Affect. Dis. 7: 77–85.
Frank, E., Turner, S. M., and Duffy, B. (1979). Depressive symptoms in rape victims.J. Affect. Dis. 1: 269–277.
Grinker, R. R., and Spiegel, J. P. (1943).War Neurosis in North Africa, the Tunisian Campaign, January to May 1943 Josiah Macy Foundtion, New York.
Horowitz, M. J., Wilner, N., and Alvarez, W. (1979). Impact of event scale: A measure of subjective distress.Psychosom. Med. 41: 207–218.
Kardiner, A. (1941).The Traumatic Neurosis of War Psychosomatic Medicine Monograph II-III, Paul B. Hoeber, New York.
Kilpatrick, D. G. (1988). Rape aftermath symptom test. In Hersen, M., and Bellack, A. S. (eds.),Dictionary of Behavioral Assessment Techniques Pergamon Press, Oxford.
Kilpatrick, D. G., Amick, A., and Resnick, H. S. (1988, September).Preliminary Research Data on Post-traumatic Stress Disorder Following Murders and Drunk Driving Crashes, Paper presented at the National Organization for Victim Assistance's 14th Annual Meeting, Tucson, Arizona.
Kilpatrick, D. G., Resick, P. A., and Veronen, L. J. (1981). Effects of a rape experience: A longitudinal study.J. Social Issues 37: 105–122.
Kilpatrick, D. G., Saunders, B. E., Veronen, L. J., Best, C. L., and Von, J. M. (1987). Criminal victimization: Lifetime prevalence, reporting to police, and psychological impact.Crime Delinq. 33: 479–489.
Kilpatrick, D. G., and Veronen, L. J. (1984).Treatment of Fear and Anxiety in Victims of Rape (Final Report, Grant R01 MH29602), National Institute of Mental Health, Rockville, Md.
Kilpatrick, D. G., Veronen, L. J., and Resick, P. A. (1979a). Assessment of the aftermath of rape: Changing patterns of fear.J. Behav. Assess. 1: 133–148.
Kilpatrick, D. G., Veronen, L. J., and Resick, P. A. (1979b). The aftermath of rape: Recent empirical findings.Am. J. Orthopsychiatry 49: 658–659.
Koss, M. P., Gidycz, C. A., and Wisniewski, N. (1987). The scope of rape: Incidence and prevalence of sexual aggression and victimization in a national sample of higher education students.J. Consult. Clin. Psychol. 55: 162–170.
Nadelson, C. C., Notman, M. T., Zackson, H., and Gornick, J. (1982). A follow-up study of rape victims.Am. J. Psychiatry 139: 1266–1270.
Page, H. (1885).Injuries of the Spine and Spinal Cord Without Apparent Mechanical Lesion J. & A. Churchill, London.
Putnam, J. J. (1881). Recent investigations into patients of so-called concussion of the spine.Bot. Med. Surg. J. 109: 217.
Rado, S. (1942). Pathodynamics and treatment of traumatic war neurosis (traumatophobia).Psychosom. Med. 42: 363–368.
Resick, P. (1987).Reactions of Female and Male Victims of Rape or Robbery, Final Report, NIJ Grant MH 37296.
Resick, P. A., Jordan, C. G., and Girelli, S. A., Hutter, C. K., and Marhoefer-Dvorak, S. (1988). A comparative outcome study of behavioral group therapy for sexual assault victims.Behav. Ther. 19: 385–401.
Resnick, H. S., Veronen, L. J., Saunders, B. E., Kilpatrick, D. G., and Cornelison, V. (1989).Assessment of PTSD in a Subset of Rape Victims at 12 to 36 Months Post-Assault, Unpublished manuscript.
Rigler, R. (1879). Bever die Folgen der Verletzungen auf Eisenbahnen, insbesondere der Verletzungen des Ruckenmarks.Mit Hinblick auf das Haftpflichfgesetz dargestellf, VIII,124, 80, Berlin, Germany.
Spielberger, C. D. Gorsuch, R. L., and Luschene, R. E. (1970).Manual for the State-Trait Anxiety Inventory (self-evaluation questionnaire) Consulting Psychologists Press, Palo Alto, Calif.
Steketee, G., and Foa, E. B. (1987). Rape victims: Post-traumatic stress responses and their treatment.J. Anx. Dis. 1: 69–86.
Veronen, L. J. and Kilpatrick, D. G. (1983). Stress management for rape victims. In Meichenbaum, D., and Jaremko, M. E. (eds.),Stress Reduction and Prevention Plenum Press, New York, pp. 341–374.
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Rothbaum, B.O., Foa, E.B., Riggs, D.S. et al. A prospective examination of post-traumatic stress disorder in rape victims. J Trauma Stress 5, 455–475 (1992). https://doi.org/10.1007/BF00977239