Cognitive mediation of rape's mental, physical, and social health impact: Tests of four models in cross-sectional data

Mary P Koss, Aurelio J Figueredo, Ronald J. Prince

Research output: Contribution to journalArticle

116 Citations (Scopus)

Abstract

Four nested, theoretically specified, increasingly complex models were tested representing cognitive mediation of rape's effects on mental, physical, and social health. Data were cross-sectional (N = 253 rape survivors). Outcomes were standardized assessments of social maladjustment, physical, and psychological symptoms, including posttraumatic stress disorder (PTSD). The best-fitting model was not fully cognitively mediated. Personological and rape characteristics influenced the level of self-blame experienced and the intensity of maladaptive beliefs about self and others. Self-blame and maladaptive beliefs predicted psychological distress, which strongly influenced all health outcomes. Self-ratings of rape memory characteristics contributed little to predicting postrape distress. The model accounted for 56% of the variance in general distress, including 91% of psychological symptom severity; 54% of PTSD symptoms; 65% of social maladjustment; and 17% of physical symptoms. Longitudinal replication is planned.

Original languageEnglish (US)
Pages (from-to)926-941
Number of pages16
JournalJournal of Consulting and Clinical Psychology
Volume70
Issue number4
DOIs
StatePublished - 2002

Fingerprint

Rape
Health
Post-Traumatic Stress Disorders
Psychology
Survivors

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

@article{893e6257506a46c889c130392b4e2772,
title = "Cognitive mediation of rape's mental, physical, and social health impact: Tests of four models in cross-sectional data",
abstract = "Four nested, theoretically specified, increasingly complex models were tested representing cognitive mediation of rape's effects on mental, physical, and social health. Data were cross-sectional (N = 253 rape survivors). Outcomes were standardized assessments of social maladjustment, physical, and psychological symptoms, including posttraumatic stress disorder (PTSD). The best-fitting model was not fully cognitively mediated. Personological and rape characteristics influenced the level of self-blame experienced and the intensity of maladaptive beliefs about self and others. Self-blame and maladaptive beliefs predicted psychological distress, which strongly influenced all health outcomes. Self-ratings of rape memory characteristics contributed little to predicting postrape distress. The model accounted for 56{\%} of the variance in general distress, including 91{\%} of psychological symptom severity; 54{\%} of PTSD symptoms; 65{\%} of social maladjustment; and 17{\%} of physical symptoms. Longitudinal replication is planned.",
author = "Koss, {Mary P} and Figueredo, {Aurelio J} and Prince, {Ronald J.}",
year = "2002",
doi = "10.1037//0022-006X.70.4.926",
language = "English (US)",
volume = "70",
pages = "926--941",
journal = "Journal of Consulting and Clinical Psychology",
issn = "0022-006X",
publisher = "American Psychological Association Inc.",
number = "4",

}

TY - JOUR

T1 - Cognitive mediation of rape's mental, physical, and social health impact

T2 - Tests of four models in cross-sectional data

AU - Koss, Mary P

AU - Figueredo, Aurelio J

AU - Prince, Ronald J.

PY - 2002

Y1 - 2002

N2 - Four nested, theoretically specified, increasingly complex models were tested representing cognitive mediation of rape's effects on mental, physical, and social health. Data were cross-sectional (N = 253 rape survivors). Outcomes were standardized assessments of social maladjustment, physical, and psychological symptoms, including posttraumatic stress disorder (PTSD). The best-fitting model was not fully cognitively mediated. Personological and rape characteristics influenced the level of self-blame experienced and the intensity of maladaptive beliefs about self and others. Self-blame and maladaptive beliefs predicted psychological distress, which strongly influenced all health outcomes. Self-ratings of rape memory characteristics contributed little to predicting postrape distress. The model accounted for 56% of the variance in general distress, including 91% of psychological symptom severity; 54% of PTSD symptoms; 65% of social maladjustment; and 17% of physical symptoms. Longitudinal replication is planned.

AB - Four nested, theoretically specified, increasingly complex models were tested representing cognitive mediation of rape's effects on mental, physical, and social health. Data were cross-sectional (N = 253 rape survivors). Outcomes were standardized assessments of social maladjustment, physical, and psychological symptoms, including posttraumatic stress disorder (PTSD). The best-fitting model was not fully cognitively mediated. Personological and rape characteristics influenced the level of self-blame experienced and the intensity of maladaptive beliefs about self and others. Self-blame and maladaptive beliefs predicted psychological distress, which strongly influenced all health outcomes. Self-ratings of rape memory characteristics contributed little to predicting postrape distress. The model accounted for 56% of the variance in general distress, including 91% of psychological symptom severity; 54% of PTSD symptoms; 65% of social maladjustment; and 17% of physical symptoms. Longitudinal replication is planned.

UR - http://www.scopus.com/inward/record.url?scp=0036324654&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036324654&partnerID=8YFLogxK

U2 - 10.1037//0022-006X.70.4.926

DO - 10.1037//0022-006X.70.4.926

M3 - Article

C2 - 12182276

AN - SCOPUS:0036324654

VL - 70

SP - 926

EP - 941

JO - Journal of Consulting and Clinical Psychology

JF - Journal of Consulting and Clinical Psychology

SN - 0022-006X

IS - 4

ER -