Data from the National Women's Study of 4,008 female Americans (Kilpatrick et al., 1992; Resnick et al., 1993) indicate that approximately 12,100,000 women have been lifetime victims of completed rape, and more than 683,000 women are raped in a given year. Findings from assessment studies indicate that sequelae of rape include PTSD, drug abuse, depression, panic sexual dysfunction and risky health behaviors. Unfortunately, resource limitations and difficulty maintaining contact with victim preclude offering comprehensive, multi-session treatments that address each of the identified risk areas to all reporting rape victims. Thus, attention is justifiably fumed toward preventive, hospital-based interventions. The ongoing (until 9/31198) two-year pilot treatment-development study on which this application is based represents the first economically feasible preventive hospital-based intervention designed to reduce risk of developing post-rape psychopathology and substance abuse. The intervention is delivered in the form of a two-part videotape. The initial component of the video describes the forensic rape exam and is designed to reduce immediate distress during the forensic evaluation. The second component of the video contains psychoeducational information formally targeting prevention of PTSD, substance abuse, and other psychopathology. Preliminary findings regarding the efficacy this preventive intervention is encouraging. The video appears to be helpful in reducing distress during forensic exams. Moreover, the video is associated with higher """"""""quality"""""""" ratings of the forensic exam experience. The limited time frame of assessment and the study design of the original project precluded knowledge of either longer-term effects of the video and differential effects of the two major components of the video (i.e., the forensic exam review vs. the psychoeducational component). The present proposal, therefore, is to follow the initial treatment development pilot study with a large scale controlled mixes factorial study to fully assess the impact of the video intervention and each of its components on post-rape psychopathology substance abuse. Note that this intervention will be potentially available to all rape victims immediately during their first emergency room contact, and: (1) contains components to reduce anxiety and distress immediately during the forensic exam; (2) addresses risk of PTSD, drug abuse, and other psychopathology, (3) does not over-tax financial resources of rape victims o hospitals, (4) is brief and easily administered, (5) considers relevant cultural characteristics of rape victims; and (6) is offered in format that is easily standardized.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA011158-06
Application #
6522978
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Martin, Susan
Project Start
1999-07-01
Project End
2004-06-30
Budget Start
2002-09-01
Budget End
2003-08-31
Support Year
6
Fiscal Year
2002
Total Cost
$287,517
Indirect Cost
Name
Medical University of South Carolina
Department
Psychiatry
Type
Schools of Medicine
DUNS #
183710748
City
Charleston
State
SC
Country
United States
Zip Code
29425
Price, Matthew; Davidson, Tatiana M; Ruggiero, Kenneth J et al. (2014) Predictors of using mental health services after sexual assault. J Trauma Stress 27:331-7
Resnick, Heidi S; Walsh, Kate; Schumacher, Julie A et al. (2013) Prior substance abuse and related treatment history reported by recent victims of sexual assault. Addict Behav 38:2074-9
McCauley, Jenna L; Kilpatrick, Dean G; Walsh, Kate et al. (2013) Substance use among women receiving post-rape medical care, associated post-assault concerns and current substance abuse: results from a national telephone household probability sample. Addict Behav 38:1952-7
Walsh, Kate; Nugent, Nicole R; Kotte, Amelia et al. (2013) Cortisol at the emergency room rape visit as a predictor of PTSD and depression symptoms over time. Psychoneuroendocrinology 38:2520-8
Resnick, Heidi S; Walsh, Kate; McCauley, Jenna L et al. (2012) Assault related substance use as a predictor of substance use over time within a sample of recent victims of sexual assault. Addict Behav 37:914-21
Amstadter, Ananda B; Resnick, Heidi S; Nugent, Nicole R et al. (2009) Longitudinal trajectories of cigarette smoking following rape. J Trauma Stress 22:113-21
Resnick, Heidi; Acierno, Ron; Waldrop, Angela E et al. (2007) Randomized controlled evaluation of an early intervention to prevent post-rape psychopathology. Behav Res Ther 45:2432-47
Resnick, Heidi S; Acierno, Ron; Amstadter, Ananda B et al. (2007) An acute post-sexual assault intervention to prevent drug abuse: updated findings. Addict Behav 32:2032-45
Ruggiero, Kenneth J; Resnick, Heidi S; Acierno, Ron et al. (2006) Internet-based intervention for mental health and substance use problems in disaster-affected populations: a pilot feasibility study. Behav Ther 37:190-205
Resnick, Heidi; Acierno, Ron; Kilpatrick, Dean G et al. (2005) Description of an early intervention to prevent substance abuse and psychopathology in recent rape victims. Behav Modif 29:156-88

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