Skip to main content
Log in

Emotional Adjustment in Survivors of Sexual Assault Living with HIV-AIDS

  • Published:
Journal of Traumatic Stress

Abstract

This study examined history of sexual assault in 357 men and women living with HIV-AIDS. Participants completed measures of demographic characteristics, sexual assault history, emotional distress and psychiatric symptoms, substance use, and sexual behaviors. Results showed that 68% of women and 35% of men living with HIV-AIDS reported a history of sexual assault since age 15. History of sexual assault was related to history of substance use and mental health treatment. Sexual assault survivors reported greater anxiety, depression, and symptoms of borderline personality and were significantly more likely to report recent unprotected intercourse than persons who had not been sexually assaulted. Results suggest tailoring secondary prevention interventions to meet the needs of HIV-positive survivors of sexual assault.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Antoni, M. H., Baggett, L., Ironson, G., LaPerriere, A., August, S., Klimas, N., et al. (1991). Cognitive–behavioral stress management intervention buffers distress responses and immunologic changes following notification of HIV-1 seropositivity. Journal of Consulting and Clinical Psychology, 59, 906–915.

    Google Scholar 

  • Beck, A. T., Kovacs, M., & Weissman, A. (1975). Hopelessness and suicidal behavior: An overview. JAMA, 234, 1146–1149.

    Google Scholar 

  • Beitchman, J. H., Zucker, K., Hood, J., & DaCosta, G. (1992). A review of the long-term effects of child sexual abuse. Child Abuse and Neglect, 16, 101–118.

    Google Scholar 

  • Bensley, L. S., Eenwyk, J. V., & Simmons, K. (1999). Self-reported childhood sexual and physical abuse and adult HIV-risk behaviors and heavy drinking. American Journal of Preventive Medicine, 18, 151–158.

    Google Scholar 

  • Bremner, J. D., Southwick, S., Johnson, D., Yehuda, R., & Charney, D. (1993). Childhood physical abuse and combat-related posttraumatic stress disorder in Vietnam veterans. American Journal of Psychiatry, 150, 235–239.

    Google Scholar 

  • Chesney, M., Folkman, S., & Chambers, D. (1996). Coping effectiveness training for men living with HIV: Preliminary findings. International Journal of STD and AIDS, 7(Suppl. 2), 75–82.

    Google Scholar 

  • Clark, L. A. (1993). Schedule for nonadaptive and adaptive personality manual for administration, scoring, and interpretation.. Minneapolis, MN: University of Minnesota Press.

    Google Scholar 

  • He, H., McCoy, H. V., Stevens, S., & Stark, M. (1998). Violence and HIV risk behaviors among female sex partners of male drug users. Women and Health, 27, 161–175.

    Google Scholar 

  • Heimberg, L. K. (1963). The measurement of future time perspective. Unpublished doctoral dissertation, Vanderbuilt University, Nashville, TN.

    Google Scholar 

  • Herman, J., & Schatzow, E. (1988). Recovery and verification of memories of childhood sexual trauma. Psychoanalytic Psychology, 4, 1–14.

    Google Scholar 

  • Kalichman, S. C. (1998). Understanding AIDS: Advances in treatment and research (2nd ed.). Washington, DC: American Psychological Association.

    Google Scholar 

  • Kalichman, S. C. (2000). HIV transmission risk behaviors of men and women living with HIV-AIDS: Prevalence, predictors, and emerging clinical interventions. Clinical Psychology: Science and Practice, 7, 32–47.

    Google Scholar 

  • Kalichman, S. C., & Rompa, D. (1995). Sexually coerced and noncoerced gay and bisexual men: Factors relevant to risk for human immunodeficiency virus (HIV) infection. Journal of Sex Research, 32, 45–50.

    Google Scholar 

  • Kalichman, S. C., Rompa, D., & Cage, M. (2000a). Distinguishing between overlapping somatic symptoms of depression and HIV disease in people living with HIV-AIDS. Journal of Nervous and Mental Disease, 188, 662–670.

    Google Scholar 

  • Kalichman, S. C., Rompa, D., & Cage, M. (2000b). Validity of self-reported CD4 lymphocyte count and viral load test results in people living with HIV-AIDS. International Journal of STD and AIDS, 11, 579–585.

    Google Scholar 

  • Kauth, M. R., St. Lawrence, J., & Kelly, J. (1991). Reliability of retrospective assessments of sexual HIV risk behavior: A comparison of biweekly, three-month, and twelve-month self-reports. AIDS Education and Prevention, 3, 207–214.

    Google Scholar 

  • Kelly, J., Murphy, D., Bahr, G., Kalichman, S., Morgan, M., Stevenson, L., et al. (1993). Outcome of cognitive–behavioral and support group brief therapies for depressed persons diagnosed with HIV infection. American Journal of Psychiatry, 150, 1679–1686.

    Google Scholar 

  • Kilpatrick, D. G., Edmunds, C., & Seymour, A. (1992). Rape in America: A report to the Nation. Washington, DC: National Victim Center.

    Google Scholar 

  • Kimmerling, R., Armistead, L., & Forehand, R. (1999). Victimization experiences and HIV infected women: Associations with serostatus, psychological symptoms, and health status. Journal of Traumatic Stress, 12, 41–58.

    Google Scholar 

  • Koss, M. P., Gidycz, C. A., & Wisniewski, N. (1987). The scope of rape: Incidence and prevalence of sexual aggression and victimization in a national sample of higher education students. Journal of Consulting and Clinical Psychology, 55, 162–170.

    Google Scholar 

  • Koss, M. P., & Heslet, L. (1992). Somatic consequences of violence against women. Archives of Family Medicine, 1, 53–59.

    Google Scholar 

  • Polusney, M., & Follette, V. (1995). Long-term correlates of child sexual abuse: Theory and review of the empirical literature. Applied and Preventive Psychology, 4, 143–166.

    Google Scholar 

  • Pribor, E., & Dinwiddie, S. (1992). Psychiatric correlates of incest in childhood. American Journal of Psychiatry, 149, 52–56.

    Google Scholar 

  • Radloff, L. S., & Locke, B. Z. (1986). The community mental health assessment survey and CES-D Scale. In M. M. Weissman, J. K. Meyers, & C. E. Ross (Eds.), Community surveys of psychiatric disorders (pp. 177–187). New Brunswick, NJ: Rutgers University Press.

    Google Scholar 

  • Resnick, H. S., Acierno, R., & Kilpatrick, D. (1997). Health impact of interpersonal violence: 2. Medical and mental health outcomes. Behavioral Medicine, 23, 65–78.

    Google Scholar 

  • Resnick, H. S., Holmes, M., Kilpatrick, D., Clum, G., Acierno, R., Best, C., et al. (2000). Predictors of post-rape medical care in a national sample of women. American Journal of Preventive Medicine, 19, 214–219.

    Google Scholar 

  • Simoni, J., & Ng, M. (2000). Trauma, coping, and depression among women with HIV/AIDS in New York City. AIDS Care, 12, 567–580.

    Google Scholar 

  • Spielberger, C. D., Gorsuch, R., Lushene, P., Crane, P., Jacobs, G., & Warden T. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Whitmire, L. E., Harlow, L., Quina, K., & Morokoff, P. (1999). Childhood trauma and HIV: Women at risk. Ann Arbor, MI: Braun-Brumfield.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Kalichman, S.C., Sikkema, K.J., DiFonzo, K. et al. Emotional Adjustment in Survivors of Sexual Assault Living with HIV-AIDS. J Trauma Stress 15, 289–296 (2002). https://doi.org/10.1023/A:1016247727498

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1016247727498

Navigation