Psychological Outcomes After a Sexual Assault Video Intervention: A Randomized Trial.
Sexual assault survivors are at risk for a number of mental and physical health problems, including posttraumatic stress disorder and anxiety. Unfortunately, few seek physical or mental health services after a sexual assault (Price, Davidson, Ruggiero, Acierno, & Resnick, 2014). Mitigating the impact of sexual assault via early interventions is a growing and important area of research. This study adds to this literature by replicating and expanding previous studies (e.g., Resnick, Acierno, Amstadter, Self-Brown, & Kilpatrick, 2007) examining the efficacy of a brief video-based intervention that provides psychoeducation and modeling of coping strategies to survivors at the time of a sexual assault nurse examination. Female sexual assault survivors receiving forensic examinations were randomized to standard care or to the video intervention condition (N = 164). The participants completed mental health assessments 2 weeks (n = 69) and 2 months (n = 74) after the examination. Analyses of covariance revealed that women in the video condition had significantly fewer anxiety symptoms at the follow-up assessments. In addition, of those participants in the video condition, survivors reporting no previous sexual assault history reported significantly fewer posttraumatic stress symptoms 2 weeks after the examination than those with a prior assault history. Forensic nurses have the unique opportunity to intervene immediately after a sexual assault. This brief video intervention is a cost-effective tool to aid with that process.
Author Affiliations: 1The University of Tulsa, 2Medical University of South Carolina.
Katherine E
KE
Miller
Christopher C
CC
Cranston
Joanne L
JL
Davis
Elana
E
Newman
Heidi
H
Resnick
D000328:Adult; D019548:Crime Victims / Q000523:psychology*; D005260:Female; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods*; D011902:Rape / Q000523:psychology*; D012649:Self Concept; D013313:Stress Disorders, Post-Traumatic / Q000517:prevention & control* / Q000523:psychology; D014743:Videotape Recording; D016387:Women's Health; D055815:Young Adult