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Survivors the quest clear lianas10/4/2023 ![]() ![]() For example, positive and negative social reactions impact recovery via psychological mediators such as coping and self-blame (e.g., Ullman, Townsend, Filipas, & Starzynski, 2007). The mechanisms through which specific social reactions impact assault-related health outcomes are still being explored. Social and psychological variables may intervene after the sexual assault to either ameliorate or exacerbate these negative effects (see Ullman, 2010 for a review). Sexual assault is associated with long-term negative outcomes such as posttraumatic stress disorder (PTSD) and problem drinking ( Stewart & Israeli, 2002). Implications for practice and suggestions for future research are discussed. Finally, PTSD and drinking to cope fully mediated the effect of perceived control on problem drinking. Tangible support was related to increased perceived control over recovery, yet it was not protective against PTSD or problem drinking. A model disaggregating controlling reactions from infantilizing reactions showed that infantilizing reactions in particular related to less perceived control, which in turn was related to more PTSD and problem drinking, whereas controlling reactions were not related to perceived control, PTSD, or problem drinking. ![]() Data from a large, diverse sample of women who had experienced adult sexual assault was analyzed with structural equation modeling to test a theoretical model of the relationships between specific negative social reactions (e.g., controlling, infantilizing) and positive reactions (e.g., tangible support), perceived control over recovery, PTSD, and drinking outcomes (N = 1863). Sexual assault survivors receive various positive and negative social reactions to assault disclosures, yet little is known about mechanisms linking these social reactions to posttraumatic stress disorder (PTSD) symptoms and problem drinking. ![]()
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