Psychiatry Investig.
2023 Nov;20(11):1061-1068. 10.30773/pi.2023.0077.
The Factors Affecting Longitudinal Course of Posttraumatic Stress Disorder Symptoms in Sexual Assault Victims
- Affiliations
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- 1Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea
- 2Division of Child and Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea
- 3Department of Psychiatry, Gyeongsang National University Hospital, Jinju, Republic of Korea
- 4Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea
- 5Department of Psychiatry, Jeonbuk National University Hospital, Jeonju, Republic of Korea
- 6Department of Psychiatry, College of Medicine, Dankook University, Cheonan, Republic of Korea
- 7Department of Social Welfare, College of Social Sciences, Sungkyunkwan University, Seoul, Republic of Korea
- KMID: 2547995
- DOI: http://doi.org/10.30773/pi.2023.0077
Abstract
Objective
This study aimed to identify the factors affecting posttraumatic stress disorder (PTSD) symptom remission prospectively through a 1-year follow-up of sexual assault (SA) victims.
Methods
A total 65 female SA victims who visited the crisis intervention center were included. Self-administered questionnaires regarding PTSD symptoms and PTSD related prognostic factors were conducted at both recruitment (T1) and 1 year after recruitment (T2). The multivariate analyses were used to determine the significant predictors of PTSD remission/non-remission state 1 year after SA.
Results
In logistic regression analysis, both anxiety and secondary victimization were identified as significant factors explaining the results on PTSD remission/non-remission state at T2 (Beck’s Anxiety Inventory [BAI], p=0.003; Secondary Victimization Questionnaire, p=0.024). In a linear mixed analysis, both depression and anxiety were found to be significant variables leading to changes in Posttraumatic Diagnostic Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition from T1 to T2 (BAI, p<0.001; Center for Epidemiological Studies Depression Scale, p<0.001).
Conclusion
Depression, anxiety symptoms, and secondary victimization after SA were associated with PTSD symptom non-remission 1 year after SA.
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