Re-Examining the Relationship Between Avoidance and Post-Traumatic Stress Symptoms in Rape Survivors Enrolled in Self-Defense Training: The Protective Effect of Activities Self-Efficacy

2019 ◽  
Vol 34 (1) ◽  
pp. 104-119
Author(s):  
Caitlin M. Pinciotti ◽  
Anthony N. Reffi ◽  
Holly K. Orcutt

Although many women do not report sexual victimization as motivation for seeking self-defense training, differences in self-efficacy suggest that self-efficacy deficits may influence survivors' desire to seek training. Lower self-efficacy, thought to negatively influence perceived confidence in one's ability to engage in everyday activities, may relate to avoidance of mundane activities and cause exacerbation of post-traumatic stress symptoms (PTSS). The current study examined a three-way interaction modeling the relationships between history of rape, activities self-efficacy, activities avoidance, and PTSS in a diverse sample of 233 women enrolled in self-defense training. Results suggest that survivors who avoid everyday activities experience increased PTSS, but this effect is mitigated by perceived self-efficacy to engage in these activities. Activities self-efficacy may promote resilience in rape survivors regardless of whether they actually engage in such activities. Training that targets self-efficacy, rather than actual engagement in activities, may be sufficient to reduce PTSS in rape survivors.

2019 ◽  
Vol 34 (1) ◽  
pp. 104-119
Author(s):  
Caitlin M. Pinciotti ◽  
Anthony N. Reffi ◽  
Holly K. Orcutt

Although many women do not report sexual victimization as motivation for seeking self-defense training, differences in self-efficacy suggest that self-efficacy deficits may influence survivors' desire to seek training. Lower self-efficacy, thought to negatively influence perceived confidence in one's ability to engage in everyday activities, may relate to avoidance of mundane activities and cause exacerbation of post-traumatic stress symptoms (PTSS). The current study examined a three-way interaction modeling the relationships between history of rape, activities self-efficacy, activities avoidance, and PTSS in a diverse sample of 233 women enrolled in self-defense training. Results suggest that survivors who avoid everyday activities experience increased PTSS, but this effect is mitigated by perceived self-efficacy to engage in these activities. Activities self-efficacy may promote resilience in rape survivors regardless of whether they actually engage in such activities. Training that targets self-efficacy, rather than actual engagement in activities, may be sufficient to reduce PTSS in rape survivors.


2019 ◽  
pp. 088626051987602
Author(s):  
Hannah J. Holmes ◽  
Kelsey J. Sala-Hamrick ◽  
Sheri E. Pegram ◽  
Eleshia K. Evans ◽  
Jaclyn Wilton-Martindale ◽  
...  

Women’s self-defense training increases self-efficacy and reduces subsequent assaults, but self-defense training’s effects on women’s psychological and interpersonal functioning are understudied, particularly for women with histories of interpersonal victimization. This study examined the effects of a self-defense course on somatic symptoms, post-traumatic stress symptoms, depression, anxiety, interpersonal problems, and locus of control among women with and without interpersonal victimization histories and explored how women’s disinhibition of their aggression during simulated attacks predicts changes in their symptoms and functioning. In all, 82 women reported their symptoms and functioning before participation and 6 weeks after participation in a university-based Rape Aggression Defense course. Among the whole sample, participation in the course led to significantly decreased posttraumatic stress, somatic, and hostility symptoms and problems with being too nonassertive, overly accommodating, and self-sacrificing. Women who reported interpersonal victimization histories ( n = 49) did not differ in the degree of improvements when compared with women without interpersonal victimization histories ( n = 33). Greater disinhibition during the simulation predicted less improvement in some symptoms; moderation analyses showed that this association occurred only among those women with high baseline anxiety or hostility. These findings highlight the value of self-defense training in improving the health of women, including posttraumatic stress symptoms and interpersonal functioning, regardless of women’s history of interpersonal victimization. Results also suggest the importance of considering women’s baseline symptoms in modulating the degree of aggression that is optimally expressed during training.


2020 ◽  
pp. 135910532094781 ◽  
Author(s):  
Anna Devlin ◽  
Sara Casey ◽  
Scott Williams ◽  
Melita J Giummarra

This study investigated relationships between post-traumatic stress symptoms (PTSS) and pain disability. Fifty people with chronic pain (probable PTSD, n = 22) completed measures assessing pain interference, PTSS, fear avoidance, and pain self-efficacy. We hypothesized that people with probable PTSD would have higher fear avoidance and lower pain self-efficacy; and that PTSS would be indirectly associated with pain disability via fear avoidance and self-efficacy. People with probable PTSD had higher fear avoidance, but there were no differences in self-efficacy, pain severity or disability. There was an indirect association between PTSS and pain disability via fear avoidance, but not via self-efficacy.


2021 ◽  
Vol 27 (3) ◽  
pp. 243-255
Author(s):  
In-Sook Lee ◽  
Jung-Hee Jeon

Purpose: This study aimed to develop and examine the effects of a psychosocial adaptation program for North Korean adolescent defectors.Methods: This quasi-experimental study was conducted with 28 North Korean adolescent defectors who were recruited through alternative schools. The experimental and control groups consisted of 14 participants each. A program was conducted across eight sessions, each lasting about 90-120 minutes. The data were analyzed using the x2 test, t-test, paired t-test, and analysis of covariance.Results: No significant differences were observed in the score changes for psychosocial adaptation (t=0.25, p=.808), post-traumatic stress symptoms (t=0.32, p=.749), cultural adaptation stress (t=0.05, p=.957), and self-efficacy (t=0.35, p=.726) in either group before and after the intervention. No intergroup differences were observed for psychosocial adaptation (t=0.12, p=.902), post-traumatic stress symptoms (t=0.07, p=.946), cultural adaptation stress (t=0.01, p=.994), and self-efficacy (t=0.58, p=.570).Conclusion: These findings suggest that psychosocial adaptation, stress, and self-efficacy cannot be improved by a short-term intervention program alone. It was also determined that the cultural characteristics of the North Korean adolescent defectors were not sufficiently considered before implementing the program. Therefore, it is essential to provide an in-depth orientation for the participants before implementing the program.


2009 ◽  
Vol 174 (10) ◽  
pp. 1005-1009 ◽  
Author(s):  
Nazanin H. Bahraini ◽  
Lisa A. Brenner ◽  
Jeri E. F. Harwood ◽  
Beeta Y. Homaifar ◽  
Susan E. Ladley-O’Brien ◽  
...  

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