The Red Zone Risk for College Sexual Assault: A Critical Review of the Literature.

The term Red Zone refers to a period of time thought to be high risk for sexual victimization upon entering college in the United States, although empirical evidence for a defined Red Zone has not been established. This article critically reviews empirical research from the last 20 years that investigates the temporality of sexual assault reported by undergraduate women. A keyword search of three major sociopsychological databases was conducted, and articles were included if they reported original empirical results of the timing of sexual assault on campuses, if they directly compared different class years, or if they reported on sexual assault by class year. Ten articles meeting criteria were evaluated in light of methodological, definitional, and measurement issues to assess whether support for a Red Zone of risk exists. We posit that the current extant literature does not provide clear empirical support for the concept of a Red Zone at the beginning of a woman's entry into college and lasting for the first month or two. However, extending the potential time frame for a Red Zone to include college women's first and second years has some merit, although the usefulness of considering half of a woman's college career as high risk for sexual violence is questioned. Importantly, investigations into the temporality of campus sexual assault (CSA) would benefit from the inclusion of multiple other risk factors as potential mediators/moderators to understand whether identifying a particular time frame is useful or whether social contexts and risk factors explain the significance of an identified time frame.

Are College Students' Attitudes Related to Their Application of Sanctions for Campus Sexual Assault Cases?

With growing attention to adjudication of campus sexual assault cases, more is known regarding students' views of sexual assault, but little the literature focuses on how students perceive "justice" in terms of assigning sanctions or guilt/responsibility for such cases. The present study focused on understanding whether college students' preformed attitudes and beliefs were associated with the severity of sanctions they applied across a range of sexual assault cases as well as their assignments of guilt and responsibility to the parties involved. To determine students' attitudes and beliefs mediating effects on sanction choices, five scales (i.e., rape myth acceptance, downplaying the severity of rape, sexism, just world beliefs, and right-wing authoritarianism) were adapted and used for this project. College students (n = 846) responded to one of four versions of a randomly distributed survey each containing eight vignettes varied to represent levels of 14 factors employed because of their relevance to campus sexual assault cases. Across all versions, sexism was associated with increased responsibility given to the victim. In addition, stronger endorsement of both downplaying significance of rape and rape myth acceptance scales were associated with giving a milder sanction to the perpetrator and increased responsibility and guilt assigned to the victim. Just world beliefs and right-wing authoritarianism associations were inconsistent across the four versions, suggesting these beliefs were situation-specific. Preformed attitudes that are more directly related to the context of sexual assault influenced the designation of sanctions applied to perpetrators and perceptions of guilt and responsibility. Findings are discussed in terms of implications for research and prevention programming.

Identifying Invalid Responders in a Campus Climate Survey: Types, Impact on Data, and Best Indicators.

Self-report surveys that are online, lengthy, and contain sensitive material greatly increase the probability of invalid responding (IR) on the instrument. Most research to inform our identification of invalid responders have not been able to test their methodologies where all these conditions are present. This study systematically adopted 10 IR indicators based on direct, archival, and statistic strategies to identify IR providing answers on a lengthy survey collecting campus climate/violence information that college students (N = 6,995) accessed online. Exploratory factor analysis indicated two internal factors (i.e., careless and extreme responding) underlying these IR indicators. Latent class analysis identified 4.8% of the sample as being invalid responders. Compared with honest responders, invalid responders were significantly more likely to report forms of victimization and a greater negative impact from physical abuse or sexual assault. Of importance, mean scores on victimization scales were significantly higher for invalid responders, illustrating the potential for IR data to skew prevalence rates. IR indicators differentially identified honest and invalid responders. The findings of this study contribute to the systematic investigation of IR with college students completing online and lengthy surveys that address sensitive material.

A Methodology Report for the Life's Snapshot Cohort Study to Investigate the Long-Term Efficacy of a Violence Intervention.

Engaged bystander interventions are recognized as "promising" programming to reduce sexual violence (SV), yet little is known of the long-term (>12-month) impact of programming on SV and related forms of gender-based violence. Funded by NIH as a prospective cohort study, Life's Snapshot recruited and followed three waves of high school seniors who had participated in a large high-school cluster-randomized controlled trial to evaluate the effectiveness of the Green Dot bystander intervention. This report provides the study design, recruitment methodology, recruitment and retention rates, survey items, and psychometric properties of measures included in the initial and annual electronic surveys with 24-48 months follow-up.

How Does Green Dot Bystander Training in High School and Beyond Impact Attitudes Toward Violence and Sexism in a Prospective Cohort?

Bystander interventions are recognized as "promising" programming to reduce sexual violence. Gaps in current evaluations include limited follow-up post-training (beyond 24 months) and knowledge of additional bystander training during follow-up.In this prospective cohort study, nested in a cluster randomized controlled trial (RCT), three cohorts of high school (HS) seniors were recruited (Fall 2013-2015) and followed through Spring 2018 (n = 1,831). Training was based on their school cluster RCT assignment and receipt of additional Green Dot (GD) training after HS. Training was hypothesized to be associated with lower scores indicating less acceptance of violence or sexism.Sixty percent reported GD training after HS (68.7% of 986 in intervention and 50% of 845 in control conditions). No significant differences (p < .05) were observed by GD training for four of the five violence acceptance or sexism attitudinal measures at recruitment or final surveys. For "ambivalent sexism" alone was there a significant reduction in scale scores over time in the intervention versus control condition. Additional GD training after the RCT significantly reduced neither violence acceptance nor sexism scores over time.GD training does not appear to have a consistent longer-term impact on reducing violence acceptance and sexism.

A Campus Climate/Violence Survey's Psychometrics and Findings.

Data from a campus climate/violence survey (CCS) include psychometric information for survey items/scales plus findings from a large state university to promote its usefulness for assessment of interpersonal violence/harassment. This CCS can thus be evaluated for its measurement and documented findings, allowing for benchmarking purposes. An innovative measurement strategy is introduced to comprehensively capture incidence of victimization types through streamlined questioning. Tables provide detailed data for 6,995 undergraduate and graduate/professional students over a 1-year period. Adding to published literature on existing CCSs, this article provides the range of information needed for universities to determine the potential usefulness of a CCS.

Frequency of Guns in the Households of High School Seniors.

BACKGROUND: In 2013, President Obama lifted the federal ban on gun violence research. The current study provides one of the first reports to estimate household gun ownership as reported by youth. METHODS: In this cohort study of 3006 high school seniors from 24 schools, we examined the frequency of household guns ownership. RESULTS: About 65% reported having at least 1 gun in their household. White males were more likely to have a gun and to have more guns than other demographically characterized groups. After adjustment for race and sex, those of higher income, who lived in suburban or rural areas, identified as being exclusively attracted to the opposite sex, and in a romantic relationship, were more likely to have a gun in their household. Having a gun was not associated with increasing symptoms of depression or current poor physical or mental health. CONCLUSIONS: Whereas we cannot determine gun types or reasons for having a gun, this research indicates that high school seniors are aware of and may have access to guns for use other than their intended purpose. Household gun ownership among students at higher risk for violence may pose safety challenges for communities and schools.

Climate Surveys: An Inventory of Understanding Sexual Assault and Other Crimes of Interpersonal Violence at Institutions of Higher Education.

Sexual assault, dating/domestic violence, sexual harassment, and stalking are complex crimes and have been a major focus of national attention at institutions of higher education (IHEs). To grasp the extent and nature of these crimes on campuses, institutionally specific climate surveys are being developed and endorsed by the federal government and conducted at IHEs. These climate surveys differ in content and length. This article describes 10 different climate surveys and outlines the variables measured in each tool. Next steps for assessing climate surveys are discussed.

Partner interfering behaviors affecting cancer quality of life.

OBJECTIVE: Because partners are an important and unpaid resource in cancer care, understanding how destructive, controlling or interfering partner behaviors influence women's cancer care may be particularly relevant for health care providers seeking to provide cancer care and enhance recovery. Using a new measure of partner interfering behaviors in cancer care (PIB-C), we investigated whether women with a recent cancer diagnosis who additionally endorsed any PIB-C would report (a) more symptoms of depression and stress, and (b) lower Functional Assessment of Cancer Therapy (FACT-G) and lower Functional Assessment of Chronic Illness Therapy-Spiritual Well-being (FACIT-SP) scale scores indicating poorer quality of life (QOL). METHODS: Women aged 18-79 included in cancer registries as having an incident, primary, biopsy-confirmed cancer in the past 12 months were eligible for this study. Consenting women completed a phone interview 9-12 months following cancer diagnosis between 2009 and 2015. Interviews provided data to measure outcomes (perceived stress and depressive symptoms, FACIT-SP and FACT-G scores), partner supportive and interfering behaviors, and other potentially confounding factors. RESULTS: Of the 2376 women in a relationship at cancer diagnosis, 14.7% endorsed one or more of 14 PIB-C items. Women endorsing any PIB-C item reported more symptoms of depression and stress and lower FACT-G and FACIT-SP scores than partnered women reporting no PIB-C even when controlling for partner supportive behaviors and lifetime intimate partner violence. Increasing PIB-C scores were also correlated, in a dose-response pattern, with these same outcomes. CONCLUSIONS: Partner interfering behaviors during cancer care impact patients' QOL across multiple domains. © 2016 The Authors. Psycho-Oncology Published by John Wiley & Sons Ltd.

Intimate partner violence and women's cancer quality of life.

PURPOSE: Because intimate partner violence (IPV) may disproportionately impact women's quality of life (QOL) when undergoing cancer treatment, women experiencing IPV were hypothesized to have (a) more symptoms of depression or stress and (b) lower QOL as measured with the Functional Assessment of Cancer Therapy (FACT-B) and Functional Assessment of Chronic Illness Therapy-Spiritual Well-being (FACIT-SP) Scales relative to those never experiencing IPV. METHODS: Women, aged 18-79, who were included in one of two state cancer registries from 2009 to 2015 with a recent incident, primary, invasive biopsy-confirmed cancer diagnosis were recruited and asked to complete a phone interview, within 12 months of diagnosis. This interview measured IPV by timing (current and past) and type (physical, sexual, psychological), socio-demographics, and health status. Cancer registries provided consenting women's cancer stage, site, date of diagnosis, and age. RESULTS: In this large cohort of 3,278 women who completed a phone interview, 1,221 (37.3%) disclosed lifetime IPV (10.6% sexual, 24.5% physical, and 33.6% psychological IPV). Experiencing IPV (particularly current IPV) was associated with poorer cancer-related QOL defined as having more symptoms of depression and stress after cancer diagnosis and lower FACIT-SP and FACT scores than women not experiencing IPV and controlling for confounders including demographic factors, cancer stage, site, and number of comorbid conditions. Current IPV was more strongly associated with poorer QOL. When compared with those experiencing past IPV (and no IPV), women with cancer who experienced current IPV had significantly higher depression and stress symptoms scores and lower FACIT-SP and FACT-G scores indicating poorer QOL for all domains. While IPV was not associated with being diagnosed at a later cancer stage, current IPV was significantly associated with having more than one comorbid physical conditions at interview (adjusted rate ratio = 1.35; 95% confidence interval 1.19-1.54) and particularly for women diagnosed with cancer when <55 years of age. CONCLUSIONS: Current and past IPV were associated with poorer mental and physical health functioning among women recently diagnosed with cancer. Including clinical IPV screening may improve women's cancer-related QOL.

Psychometric evaluation of novel measures of partner interfering and supportive behaviors among women with cancer.

PURPOSE: The aim of this study was to evaluate the psychometric properties of complementary and novel measures of partner interfering and partner supportive behaviors in cancer care (PIB-C and PSB-C). METHODS: Structured telephone interviews were conducted with 378 women (aged 18-79) in partnered relationships and recruited from the Kentucky Cancer Registry. Psychometric analyses of PIB-C and PSB-C were used to determine scale reliability, and scale construct and predictive validity (correlations with indicators of partner abuse, symptoms of depression, anxiety, and stress after cancer). RESULTS: Cronbach's alpha and split-half calculations indicated excellent internal consistency of the 20-item PIB-C (0.936 and 0.87, respectively) and 12-item PSB-C (0.930 and 0.89). Three thematic clusters for the PIB-C and two for the PSB-C were identified through factor analyses. Regarding construct validity, higher PIB-C and lower PSB-C scores were associated with a measure of psychological impacts from abuse. Predictive validity was suggested through (1) lower PSB-C associated with depression, (2) higher PIB-C associated with anxiety, and (3) higher perceived stress associated with higher PIB-C/lower PSB-C scores. CONCLUSION: Both PIB-C and PSB-C have strong psychometric properties and distinguish partner behaviors more likely to negatively impact women's depression, anxiety, and stress during cancer care/recovery. Use of these measures may assist clinical teams in comprehensively assessing women patients' home environment to best ensure cancer care/recovery. Copyright © 2015 John Wiley & Sons, Ltd.

Are Interpersonal Violence Rates Higher Among Young Women in College Compared With Those Never Attending College?

Estimates of sexual violence and partner violence rates among young women are generated primarily from college samples. Few studies have data to compare rates among similar-aged women attending college with those who never attended college. This study aims to estimate rates of partner violence by type (sexual, physical, and psychological) and severity (mild, moderate, severe), sexual harassment, and knowing or suspecting that someone put a drug in a drink (drugged drink) among a national sample of 959 young women aged 18 to 24 in an intimate relationship in the past 12 months who were either currently in college (college;n= 272) or never attended college (non-college;n= 687). After adjusting for demographic differences between these two groups, no significant differences were found in rates of sexual partner violence (28.4% non-college, 23.5% college), physical partner violence (27.9% non-college, 26.3% college), psychological partner violence (Mscore: 6.10 non-college, 5.59 college), sexual harassment (15.5% non-college, 14.1% college), or drugged drink (8.5% non-college, 7.8% college). Finding high rates of interpersonal violence among young women who are and are not currently attending college indicates the need to target all young adults with violence prevention interventions in educational, workplace, and other community-based settings.

Do Guns in the Home Predict Gender and Relationship Attitudes? An Exploratory Study.

This study explores the potential relationship of guns in students' homes with attitudes indicative of tolerance of violence, negative attitudes toward women and their roles, and attitudes suggestive of myths regarding sexual assault. Seniors in Kentucky high schools whose families possessed guns (N=1749) produced higher scores on scales measuring these variables as well as on scales of relationship dependency and religious involvement than seniors whose families did not own guns (N=912). Students whose families owned more than 10 guns tended to score highest on these measures compared with students whose families owned no or a few guns. Because of lower effect sizes, these significant associations require further investigation.

From Blue to Green: The Development and Implementation of a Therapeutic Horticulture Program for Residents of a Battered Women's Shelter.

The delivery of therapeutic services to clients is influenced by service providers' understanding of the "fit" of a specific program with their service mandate as well as their perceptions of the potential benefits of the program. This article discusses the development and implementation of a therapeutic horticulture (TH) program at a battered women's shelter that serves 17 counties in Central Kentucky. Through semistructured interviews, we gauge the shelter staff's perceptions of the relationship of the TH program to the shelter's overall mission; their sense of the program's benefits for residents, for the shelter as a community organization, and for themselves; and their concerns about the TH program. We consider how these findings may impact future programming at the shelter, and we discuss plans for further evaluation of the TH program in terms of its impact on shelter residents' long-term outcomes.

Validity and psychometric properties of the measure of psychologically abusive behaviors among young women and women in distressed relationships.

The Measure of Psychologically Abusive Behaviors (MPAB) was developed recently to improve on prior scales. Two nationally solicited samples of women were utilized to further validate the MPAB through the use of a criterion group, factor analysis, and designation of a threshold for accurate classification. MPAB scores were twice as high in the criterion group (M = 38.75 vs. M = 18.85; F = 22.17). Using a cutpoint of 1, the sensitivity and specificity for MPAB were .725 and .628, respectively. Cronbach's alpha was .97 for both samples. These data provide additional evidence for the MPAB as valid and internally consistent.

The nature and prevalence of partner psychological abuse in a national sample of adults.

A detailed analysis of the occurrence of serious psychological abuse (PSYAB) in one's "worst relationship" was solicited from a nationwide sample of adults in the United States. To designate that they experienced any of the psychologically abusive behaviors, respondents had to have perceived malignant intent by the perpetrator. Respondents reported significant rates of the presence and frequency for 14 specified categories of serious PSYAB as well as for the 42 individual behaviors constituting these categories (i.e., 3 per category). The 3 behaviors within each category frequently co-occurred even though they represented distinct manifestations and increasing levels of severity for that type of PSYAB. Only some of the behaviors demonstrated a relationship between frequency of that behavior in a relationship and subsequent emotional and behavioral impact. Neither demographics nor social desirability were strongly related to report of partner PSYAB.

Association of intimate partner violence and childhood sexual abuse with cancer-related well-being in women.

BACKGROUND: Limited evidence suggests that intimate partner violence (IPV) may be associated with poorer cancer outcomes. We hypothesized that timing and type of IPV as well as childhood sexual abuse (CSA) may negatively affect depression, perceived stress, and cancer-related well-being. METHODS: This was a cross-sectional study of women diagnosed with either breast, cervical, or colorectal cancer in the prior 12 months included in the Kentucky Cancer Registry. Consenting women were interviewed by phone (n=553). Multivariate analysis of covariance (MANCOVA) was used to determine the association between IPV (37% lifetime prevalence) and type, timing, and the range of correlated cancer-related well-being indicators, adjusting for confounding factors. RESULTS: IPV (p=0.002) and CSA (p=0.03) were associated with the six correlated well-being indicators. Specifically, lifetime and current IPV were associated with lower Functional Assessment of Cancer Therapy-Breast Cancer (FACT-B) (p=0.006) and Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-SP) (p=0.03) scores, higher perceived stress at diagnosis (p=0.006), and depressive symptom scores at diagnosis (p<0.0001), whereas CSA was associated with lower FACT-B (p=0.02), increased number of comorbid conditions (p=0.03), and higher current stress levels (p=0.04). Current and past IPV, as well as psychologic abuse, were associated with poorer well-being among women with a recent cancer diagnosis. CONCLUSIONS: Our results provide evidence that both IPV and CSA negatively influence cancer-related well-being indicators. These data suggest that identification of lifetime IPV and other stressors may provide information that healthcare providers can use to best support and potentially improve the well-being of female cancer patients.

A measure of severe psychological abuse normed on a nationally representative sample of adults.

A psychological abuse scale representing truly egregious psychological actions that could occur between adult intimate partners was constructed. To insure that the component behaviors would be viewed as highly problematic, the likely malignant intent of the actions was included in item descriptions. Fourteen categories of psychological abuse were devised as relatively independent forms of destructive behaviors, and, within each category, 3 items were devised to represent increasingly severe psychological actions. A nationally representative sample of adults (N = 614) responding to an online survey rated the perceived severity of the 42 aversive behaviors. Reliability and validity indicators, along with descriptive data, are presented. The ratings of the sample basically established the items as egregious in nature, the categories as distinct from each other, and the items within categories as varying in expected directions in terms of severity. Except for gender, demographics had little effect on participants' ratings. Social desirability and dimensions of attachment showed weak relationships with participants' ratings.

Violence and women's mental health: the impact of physical, sexual, and psychological aggression.

The reach of violence against women (VAW) has been profoundly felt by women across the United States and around the globe. VAW has been documented for decades as a legal and social justice problem, but as illuminated in this review, it is also a substantial mental health concern. A full understanding of the phenomenon must include discussion of how often it occurs, in what forms, and to whom. This review defines violence against women in its variant forms and examines the literature on the mental health effects associated with these abuse experiences. The effectiveness of the mental health system's response to the complex needs of women suffering battering, rape, stalking, and psychological aggression is also examined. The future of research and the important role of the discipline of psychology in the future of this field of study are discussed.

The impact of psychological aggression on women's mental health and behavior: the status of the field.

Potential effects of psychological aggression have been investigated in terms of mental health disorders/symptoms, physical manifestations, personality traits, increases in physical and psychological aggression, and relationship changes and cessation. Probably because of methodological difficulties inherent in assessing this complex phenomenon, even the most commonly assessed outcome variables have produced contradictory results, with the exception of leaving or desiring to leave the psychologically abusive relationship. Some of the significant findings require more corroboration due to the small number of studies addressing them. The relative role of physical abuse in relation to psychological abuse has yet to be disentangled. Mediator/moderator variables are likely extremely important for explaining why particular consequences do not consistently result from psychological aggression. Although the hypothesized consequences/outcomes seem appropriate for further study, the most significant contribution may lie in intensive investigation of long-term, enduring psychological abuse that produces major personality and affective shifts in the recipient.