Pathways from childhood sexual abuse to sexual aggression victimization and perpetration in adolescence and young adulthood: a three-wave longitudinal study.

BACKGROUND: Childhood sexual abuse (CSA) has been identified as a risk factor for later sexual aggression perpetration and vulnerability factor for sexual victimization. However, the use of cross-sectional designs, the focus on female victimization and male perpetration, and the lack of evidence from outside North America limit the existing knowledge base. OBJECTIVE: The study was designed to examine pathways from CSA to sexual revictimization and sexual aggression perpetration after the age of consent. METHOD: A total of 588 university students in Germany (308 female) took part in a three-wave longitudinal study covering 23 months. At each wave (T1-T3), all participants completed measures of sexual aggression victimization and perpetration. Experiences of CSA were measured at T1. RESULTS: The rate of CSA was significantly higher for women (20.8%) than for men (12.4%). Rates of sexual victimization for women were 60.9% at Time 1 (since age 14), 22.3% at Time 2 (since T1), and 17.4% at Time 3 (since T2). For men, the rates were 39.2% at Time 1, 15.9% at Time 2, and 14.1% at Time 3. Rates of sexual aggression perpetration for women were 10.6% at Time 1 (since age 14), 3.5% at Time 2 (since T1), and 3.6% at Time 3 (since T2). For men, the rates were 18.0% at Time 1, 6.2% at Time 2, and 3.8% at Time 3. The gender differences in victimization and perpetration were significant only at T1. CSA predicted higher odds of sexual aggression victimization and perpetration cross-sectionally at T1 and indirectly at T2 and T3 via T1. Gender did not moderate the associations. CONCLUSION: The results confirm previous findings of elevated rates of sexual aggression victimization and perpetration in adolescence and young adulthood in victims of CSA. The implications for understanding and preventing adverse sexuality-related outcomes of CSA are discussed.

Childhood sexual abuse has been linked to an increased vulnerability to sexual revictimization and risk of later sexual aggression perpetration.This longitudinal study based on a large sample of university students in Germany with three data waves covering 23 months shows that sexual abuse in childhood increases the odds of experiencing and engaging in sexual aggression in adolescence and young adulthood.The associations with later sexual aggression victimization and perpetration held for both female and male victims of childhood sexual abuse.

Evaluating a Theory-Based Online Program for Preventing Sexual Aggression: An Experimental-Longitudinal Study With German University Students.

This pre-registered study evaluated an intervention designed to reduce sexual aggression perpetration and victimization by changing risky scripts for consensual sexual interactions and corresponding risky sexual behavior, and by improving sexual self-esteem, refusal assertiveness, and initiation assertiveness. In a four-wave longitudinal study covering 23 months, 1181 university students in Germany (762 female) were randomly assigned to an intervention and a no-intervention control group. The intervention group completed six weekly modules addressing the targeted theory-based risk and vulnerability factors of sexual aggression perpetration and victimization. Controlling for baseline levels (T1), the intervention group showed less risky sexual scripts one week post-intervention (T2), which predicted less risky sexual behavior nine months later (T3), which predicted lower odds of sexual aggression perpetration and victimization 12 months later (T4). No direct intervention effects on rates of sexual aggression perpetration and victimization at T3 and T4 were found. No indirect intervention effect on sexual aggression was found via sexual self-esteem and sexual assertiveness. However, sexual self-esteem at T2, which was higher in the intervention group, predicted lower odds of sexual aggression victimization at T3 via higher initiation assertiveness at T3. Implications for reducing sexual aggression and conceptualizing risk and vulnerability factors of sexual aggression are discussed.

A Theory-Based Intervention to Reduce Risk and Vulnerability Factors of Sexual Aggression Perpetration and Victimization in German University Students.

The current study evaluated an intervention program, designed by the authors and based on the theory of sexual scripts and social learning theory, to reduce empirically established risk and vulnerability factors of sexual aggression. A sample of 1,181 university students in Germany (762 female) were randomly assigned to an intervention and a no-intervention control group. The intervention group completed six modules addressing established antecedents of sexual aggression perpetration and victimization: risky sexual scripts, risky sexual behavior, low sexual self-esteem, low sexual assertiveness, acceptance of sexual coercion, and perceived realism of pornography. After baseline (T1), intervention effects were measured one week after the last module (T2), nine months later (T3), and another 12 months later (T4). The intervention group showed significantly less risky sexual scripts and higher sexual self-esteem at T2, T3, and T4. The intervention indirectly reduced risky sexual behavior at T3 and T4 via less risky sexual scripts at T2 and increased sexual assertiveness at T3 and T4 via higher sexual self-esteem at T2. No intervention effects were found on the acceptance of sexual coercion and pornography realism. The implications of the findings for reducing the prevalence of sexual aggression perpetration and victimization are discussed.

Unacknowledged and missed cases of sexual victimization: A comparison of responses to broad versus behaviorally specific questions.

From the beginning of systematic research on sexual victimization, it has been recognized that a substantial proportion of women report nonconsensual sexual experiences meeting the defining criteria of rape in response to behaviorally specific items, but do not acknowledge their experience as rape in response to broad questions about whether they have ever been raped. Recent studies suggest that rates of unacknowledged rape may be as high or even higher among men than among women. This study examined rates of unacknowledged female and male victims of rape and sexual assault by comparing responses to behaviorally specific items of the Sexual Aggression and Victimization Scale (SAV-S) with responses to broad questions using the labels of sexual assault and rape (SARA) in 593 participants (303 women) in Germany. As predicted, more women and men were classified as rape victims based on behaviorally specific items than on the basis of the broad rape item. The rates of unacknowledged rape were about 60% for women and 75% for men. The gender difference was not significant. Against our prediction, no significant differences in acknowledgement of sexual assault were found in relation to coercive strategy and victim-perpetrator relationship. Few cases of rape and sexual assault identified by the SARA items were missed by the behaviorally specific questions. The implications for establishing prevalence rates of rape and sexual assault and for comparing victims and nonvictims in terms of vulnerability factors and outcomes of sexual victimization are discussed.

Changing Cognitive Risk Factors for Sexual Aggression: Risky Sexual Scripts, Low Sexual Self-Esteem, Perception of Pornography, and Acceptance of Sexual Coercion.

Sexual aggression is a problem among college students worldwide, and a growing body of research has identified variables associated with an increased risk of victimization and perpetration. Among these, sexuality-related cognitions, such as sexual scripts, sexual self-esteem, perceived realism of pornography, and acceptance of sexual coercion, play a major role. The current experimental study aimed to show that these cognitive risk factors of sexual aggression victimization and perpetration are amenable to change, which is a critical condition for evidence-based intervention efforts. College students in Germany (N = 324) were randomly assigned to one of three groups: a treatment group designed to change participants' sexual scripts for consensual sex with regard to the role of alcohol consumption, casual sex, and ambiguous communication of sexual intentions as risk factors for sexual aggression (EG1), a treatment group designed to promote sexual self-esteem, challenge the perceived realism of pornography, and reduce the acceptance of sexual coercion (EG2), and a non-treatment control group (CG). Baseline (T1), post-experimental (T2), and follow-up (T3) measures were taken across an eight-week period. Sexual scripts contained fewer risk factors for sexual aggression in EG1 than in EG2 and CG at T3. Sexual self-esteem was enhanced in EG2 at T2 relative to the other two groups. Acceptance of sexual coercion was lower in EG2 than in EG1 and CG at T2 and T3. No effect was found for perceived realism of pornography. The findings are discussed in terms of targeting cognitive risk factors as a basis for intervention programs.

Order Effects of Presenting Coercive Tactics on Young Adults' Reports of Sexual Victimization.

Measures designed to collect prevalence reports of sexual victimization need to be robust against variations of question context to yield valid findings. Previous research has examined variations in the order in which questions about unwanted sexual acts and questions about coercive tactics are presented. The current study examined potential effects of the order in which coercive tactics are presented on self-reported prevalence rates of sexual victimization. The following two versions of the Sexual Aggression and Victimization Scale (SAV-S), a validated measure for studying sexual aggression victimization and perpetration in college students, were used: (a) the standard version in which the physical-force items were presented first and the items referring to the use of verbal pressure were presented last, and (b) a reversed order in which the verbal-pressure items were presented first and the physical-force items were presented last. Items referring to the exploitation of the victim's inability to resist were placed in the middle in both versions. In a sample of 856 participants from Germany (475 female, 381 male, mean age of 24 years), most of whom were university students, 80.4% of women and 55.3% of men reported at least one experience of sexual victimization since the age of 14. No order effects on overall victimization rates were found. For both genders, the victimization rate through verbal pressure was higher when this tactic was presented first. Victimization rates through the threat or use of force were higher in the force-first than in the force-last condition for women, but could not be tested for men due to small cell sizes. No order effects were found for both men and women on reports of victimization through exploiting the inability to resist. The implications of the results for the reliable measurement of sexual aggression are discussed.

The feasibility of implementing autism intervention methods in formal education settings welcoming refugee and asylum-seeking children: A systematic review of the literature.

Given the significant amount of time that refugee and asylum-seeking children (RASC) spend in schools, these institutions play an important role in their lives and represent an ideal environment in which to help them to adapt to their host society. The present study aimed to draw attention to the possibility of transferring intervention methods designed for children with ASD to formal education settings welcoming newly arrived RASC to support their adaptation to their new school environment. For this purpose, a systematic review was undertaken to assess the feasibility of implementing three specific ASD intervention methods (i.e., TEACCH, PECS, and PMI) in schools welcoming RASC. While the review did not reveal previous attempts to implement and evaluate ASD intervention methods with newcomer RASC, 21 records were uncovered providing preliminary evidence in support of this idea. Hypothesized strengths and limitations, as well as considerations about implementation, are discussed.

Prevalence of teen dating violence in Europe: A systematic review of studies since 2010.

Violence in adolescent relationships is a common problem with numerous negative short- and long-term consequences. Because most of the evidence on teen dating violence (TDV) synthesized in reviews comes from North American studies, this review aimed to compile evidence on prevalence rates of TDV based on studies identified for Europe only. Specifically, we considered different forms of TDV victimization and perpetration, gender differences, and its measurement. A systematic literature search of the most popular databases Ebsco and PubMed yielded a total of N = 34 studies, with most of the studies identified for Spain, and only a few studies in other European countries. In sum, the results revealed a great variability in prevalence rates across and within the European countries, a common pattern of gender differences, and a wide range of applied measures, corresponding with the evidence from the North American studies. Implications for future research and policy were discussed.

Physical teen dating violence in high school students in Slovenia: Prevalence and correlates.

Although teen dating violence (TDV) is internationally recognized as a serious threat to adolescents' health and well-being, almost no data is available for Slovenian youth. Hence, the purpose of this study was to examine the prevalence and predictors of TDV among Slovenian adolescents for the first time. Using data from the SPMAD study (Study of Parental Monitoring and Adolescent Delinquency), 330 high school students were asked about physical TDV victimization and perpetration as well as about their dating history, relationship conflicts, peers' antisocial behavior, and informal social control by family and school. A substantial number of female and male adolescents reported victimization (16.7% of female and 12.7% of male respondents) and perpetration (21.1% of female and 6.0% of male respondents). Furthermore, the results revealed that lower age at the first relationship, relationship conflicts, and school informal social control were associated with victimization, whereas being female, relationship conflicts, having antisocial peers, and family informal social control were linked to perpetration. Implications of the study findings were discussed.

The role of moral neutralization of aggression and justification of violence against women in predicting physical teen dating violence perpetration and monitoring among adolescents in Switzerland.

Although dating violence poses a serious threat to adolescents' health and well-being around the globe, little evidence is available for Europe in general and Switzerland in particular. Also, evidence on the role of cognitive predictors related to a more general justification of aggressive behavior and gender-based violence is lacking. Therefore, this two-wave longitudinal study conducted with Swiss adolescents (N = 646) examined moral neutralization of aggression and justification of violence against women as predictors of physical dating violence perpetration and monitoring. As expected, higher moral neutralization of aggression predicted a higher likelihood of perpetrating physical dating violence and monitoring among both female and male adolescents. Justification of violence against women was positively associated with physical dating violence perpetration among males, but negatively among females. Also, a negative relationship was found with monitoring among females. The role of gender and implications of these findings for research, practice, and policy are discussed.

Prevalence of Sexual Aggression Victimization and Perpetration in a German University Student Sample.

This study examined the prevalence of sexual aggression perpetration and victimization in a sample of 1,172 students (755 female, 417 male) from four universities in Germany. All participants were asked about both victimization by, and perpetration of, sexual aggression since the age of 14 years, using the Sexual Aggression and Victimization Scale (SAV-S). Prevalence rates were established for different coercive strategies, sexual acts, and victim-perpetrator relationships. Both same-sex and opposite-sex victim-perpetrator constellations were examined. The overall victimization rate was 62.1% for women and 37.5% for men. The overall perpetration rate was 17.7% for men and 9.4% for women. Prevalence rates of both victimization and perpetration were higher for participants who had sexual contacts with both opposite-sex and same-sex partners than for participants with exclusively opposite-sex partners. Significant overlap was found between victim and perpetrator status for men and women as well as for participants with only opposite-sex and both opposite-sex and same-sex partners. A disparity between (higher) victimization and (lower) perpetration reports was found for both men and women, suggesting a general underreporting of perpetration rather than a gendered explanation in terms of social desirability or the perception of consent cues. The findings are placed in the international research literature on the prevalence of sexual aggression before and after the #metoo campaign, and their implications for prevention efforts are discussed.

Attitudes Toward Wife Beating Among Female and Male Adolescents in Jordan.

Previous research in the Middle East and North Africa has revealed justifying attitudes toward wife beating among adults, but little is known about adolescent attitudes and its predictors. Therefore, the purpose of the present study was to examine theoretically relevant predictors of supportive attitudes toward wife beating among adolescents in Jordan. Due to limited evidence on the role of gender, potential differences between girls and boys were explored. A total of 856 students (455 female) from 14 secondary schools in Amman, the capital city of Jordan, participated in the cross-sectional study which was conducted during normal school hours. Religiosity, beliefs regarding control of female sexuality, moral neutralization of aggression, and parental harsh discipline were assessed to predict attitudes toward wife beating, controlling for sociodemographic variables. Acceptance rates of wife beating ranged between 6.1% and 50.5%. Hierarchical regression analysis showed that beliefs supporting control of female sexuality, moral neutralization of aggression, and paternal harsh discipline predicted supportive attitudes toward wife beating, but religiosity and maternal harsh discipline did not. Separate analyses for each gender yielded that maternal harsh discipline was a significant predictor of wife beating attitudes for girls, but not for boys, whereas paternal harsh discipline was a significant predictor for boys, but not for girls. Furthermore, beliefs regarding female sexuality and moral neutralization of aggression mediated the relationship between religiosity and wife beating attitudes. Policy measures and intervention efforts targeting particularly harsh discipline and sociocultural beliefs are sorely needed to address this issue in Jordanian society.

Links of Perceived Pornography Realism with Sexual Aggression via Sexual Scripts, Sexual Behavior, and Acceptance of Sexual Coercion: A Study with German University Students.

Exposure to pornographic material has been linked to sexual aggression perpetration and victimization in a large body of research. Based on social learning theory and 3A theory of script learning, this study contributes to this research by testing the hypothesis that the more realistic pornography is perceived to be by young adults, the more likely they are to experience and engage in sexual aggression. Two underlying pathways were proposed: one path via scripts and patterns of sexual behavior regarding consensual sexual interactions that contain established risk factors for sexual aggression victimization and perpetration, and a second path via the acceptance of sexual coercion. In a cross-sectional study, 1181 university students in Germany (762 female; 419 male) completed measures of pornography use and perception, risky sexual scripts and sexual behavior, and acceptance of sexual coercion. As predicted, pornography realism was a positive predictor of risky sexual scripts, risky sexual behavior, and acceptance of sexual coercion. Indirect links with sexual aggression victimization and perpetration were found via both pathways. No gender differences in the associations were found. The implications for media literacy interventions addressing the realism of pornography are discussed.

Does Question Format Matter in Assessing the Prevalence of Sexual Aggression? A Methodological Study.

As research on sexual aggression has been growing, methodological issues in assessing prevalence rates have received increased attention. Building on work by Abbey and colleagues about effects of question format, participants in this study (1,253; 621 female; 632 male) were randomly assigned to one of two versions of the Sexual Aggression and Victimization Scale (SAV-S). In Version 1, the coercive tactic (use/threat of physical force, exploitation of the inability to resist, verbal pressure) was presented first, and sexual acts (sexual touch, attempted and completed sexual intercourse, other sexual acts) were presented as subsequent questions. In Version 2, sexual acts were presented first, and coercive tactics as subsequent questions. No version effects emerged for overall perpetration rates reported by men and women. The overall victimization rate across all items was significantly higher in the tactic-first than in the sexual-act-first conditions for women, but not for men. Classifying participants by their most severe experience of sexual victimization showed that fewer women were in the nonvictim category and more men were in the nonconsensual sexual contact category when the coercive tactic was presented first. Sexual experience background did not moderate the findings. The implications for the measurement of self-reported sexual aggression victimization and perpetration are discussed.

Judgments of marital rape as a function of honor culture, masculine reputation threat, and observer gender: A cross-cultural comparison between Turkey, Germany, and the UK.

Previous research has shown that there is higher tolerance of violence against women in cultures with salient gender-specific honor norms, especially when the violence occurs in intimate relationships and in response to threat to male honor. The present cross-cultural study (N = 398) extended these findings to sexual aggression (i.e., marital rape) by comparing participants from a culture that emphasizes honor (Turkey) and participants from cultures without strong honor traditions (Germany and Britain). Turkish participants blamed the victim and exonerated the perpetrator more than did German and British participants. In all cultural groups, participants blamed the victim and exonerated the perpetrator more when the husband's reputation was threatened than in the absence of such threat, and in all cultural groups, men blamed the victim and exonerated the perpetrator more than women. Yet, the effect of masculine reputation threat and this pattern of gender differences were somewhat more pronounced among Turkish than German or British participants. Results exploring the predictive role of honor norms at the individual level beyond rape myth acceptance and traditional gender role attitudes revealed that honor norms were the primary predictor of rape perceptions and blame attributions in Turkey (an honor culture), but not in Germany and Britain (dignity cultures) where rape myth acceptance was the strongest predictor. These results provide insights into the cultural factors influencing marital rape judgments in ways that may undermine victim's well-being and fair handling of rape cases, and highlight the domains most urgently in need of potential intervention.

Predicting Sexual Victimization Among College Students in Chile and Turkey: A Cross-Cultural Analysis.

To address the shortage of cross-cultural research on vulnerability factors of sexual victimization, this two-wave longitudinal study examined predictors of sexual victimization among female and male college students in Chile (N = 1098) and Turkey (N = 885). These two countries were selected based on theoretical considerations regarding religiosity and gender inequality. A path model was tested that conceptualized participants' risky scripts for consensual sex, risky sexual behavior, sexual self-esteem, refusal assertiveness, and religiosity at T1 as predictors of sexual victimization in the following 12 months, as assessed at T2, mediated through past experiences of sexual victimization. As predicted, more risky sexual scripts were linked to more risky sexual behavior and lower refusal assertiveness, indirectly increasing the odds of sexual victimization in both countries. Lower sexual self-esteem predicted a higher probability of sexual victimization through lower refusal assertiveness as well as through more risky sexual behavior in both the Chilean and Turkish samples. Higher religiosity in Chile, a Christian country, and Turkey, a Muslim country, indirectly predicted a lower vulnerability to sexual victimization through less risky sexual scripts and less risky sexual behavior. In the Turkish sample only, higher religiosity predicted a higher vulnerability to sexual victimization through lower sexual self-esteem. The findings show that risky sexual scripts played a central role in the prediction of sexual victimization in both cultures, which has implications for prevention efforts.

Prevalence of Sexual Aggression Victimization and Perpetration in Chile: A Systematic Review.

Sexual aggression is a major public health issue worldwide, but most knowledge is derived from studies conducted in North America and Western Europe. Little research has been conducted on the prevalence of sexual aggression in developing countries, including Chile. This article presents the first systematic review of the evidence on the prevalence of sexual aggression victimization and perpetration among women and men in Chile. Furthermore, it reports differences in prevalence rates in relation to victim and perpetrator characteristics and victim-perpetrator relationships. A total of N = 28 studies were identified by a three-stage literature search, including the screening of academic databases, publications of Chilean institutions, and reference lists. A great heterogeneity was found for prevalence rates of sexual victimization, ranging between 1.0% and 51.9% for women and 0.4% and 48.0% for men. Only four studies provided perpetration rates, which varied between 0.8% and 26.8% for men and 0.0% and 16.5% for women. No consistent evidence emerged for differences in victimization rates in relation to victims' gender, age, and education. Perpetrators were more likely to be persons known to the victim. Conceptual and methodological differences between the studies are discussed as reasons for the great variability in prevalence rates, and recommendations are provided for a more harmonized and gender-inclusive approach for future research on sexual aggression in Chile.

Predictors of Sexual Aggression Perpetration Among Male and Female College Students: Cross-Cultural Evidence From Chile and Turkey.

This two-wave longitudinal study examined risky sexual scripts and sexual behavior regarding consensual sexual interactions, sexual self-esteem, initiation assertiveness, and religiosity as predictors of sexual aggression perpetration in a cross-cultural comparison of college students in Chile and Turkey. As predicted, risky sexual scripts were linked to higher odds of perpetration through more risky sexual behavior cross-sectionally in both the Chilean and the Turkish sample and indirectly predicted perpetration 12 months later. High sexual self-esteem increased the likelihood of perpetration via higher initiation assertiveness in the Turkish sample only. High religiosity reduced the odds of perpetration through less risky sexual scripts and less risky sexual behavior in both samples. In addition, high religiosity increased the probability of perpetration through lower sexual self-esteem in the Turkish sample. Implications of these findings and the role of cultural factors contributing to the differential functioning of religiosity and sexual self-esteem are discussed.

Sexual Aggression Victimization and Perpetration among Male and Female College Students in Chile.

Evidence on the prevalence of sexual aggression among college students is primarily based on studies from Western countries. In Chile, a South American country strongly influenced by the Catholic Church, little research on sexual aggression among college students is available. Therefore, the purpose of the present study was to examine the prevalence of sexual aggression victimization and perpetration since the age of 14 (the legal age of consent) in a sample of male and female students aged between 18 and 29 years from five Chilean universities (N = 1135), to consider possible gender differences, and to study the extent to which alcohol was involved in the reported incidents of perpetration and victimization. Sexual aggression victimization and perpetration was measured with a Chilean Spanish version of the Sexual Aggression and Victimization Scale (SAV-S), which includes three coercive strategies (use or threat of physical force, exploitation of an incapacitated state, and verbal pressure), three victim-perpetrator constellations (current or former partners, friends/acquaintances, and strangers), and four sexual acts (sexual touch, attempted sexual intercourse, completed sexual intercourse, and other sexual acts, such as oral sex). Overall, 51.9% of women and 48.0% of men reported at least one incident of sexual victimization, and 26.8% of men and 16.5% of women reported at least one incident of sexual aggression perpetration since the age of 14. For victimization, only few gender differences were found, but significantly more men than women reported sexual aggression perpetration. A large proportion of perpetrators also reported victimization experiences. Regarding victim-perpetrator relationship, sexual aggression victimization and perpetration were more common between persons who knew each other than between strangers. Alcohol use by the perpetrator, victim, or both was involved in many incidents of sexual aggression victimization and perpetration, particularly among strangers. The present data are the first to provide a systematic and detailed picture of sexual aggression among college students in Chile, including victimization and perpetration reports by both men and women and confirming the critical role of alcohol established in past research from Western countries.