Lifetime Interpersonal Victimization Profiles and Mental Health Problems in a Nationally Representative Panel of Trauma‐Exposed Adults From the United Kingdom

Ruby Charak, Maria Louison Vang, Mark Shevlin, Menachem Ben‐Ezra, Thanos Karatzias, Philip Hyland

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Traumatic event exposure has been associated with negative psychological outcomes. There is, however, a dearth of research on revictimization. The current study examined patterns of lifetime interpersonal victimization based on six types of childhood maltreatment, physical and sexual assault, and assault with a weapon during adulthood via latent class analysis (LCA), with gender as covariate. Using a three‐step approach, we assessed differences across the latent classes in symptoms and diagnosis of depression, anxiety, and DSM‐5 posttraumatic stress disorder (PTSD). A trauma‐exposed adult sample representative of the United Kingdom population (N = 1,051) was recruited online through a research panel. The mean participant age 47.18 years (SD = 15.00, range: 18–90 years; 68.4% female). The LCA identified five classes: lifetime polyvictimization (8.3%; 69.5% female), sexual revictimization (13.7%; 96.5% female), physical revictimization (12.5%; 1.5% male), childhood trauma (25.9%; 85.6% female), and limited victimization (39.7%; 40.3% female). Compared to the other classes, the polyvictimization class, followed by the childhood trauma class, demonstrated the highest scores on anxiety, depression, and posttraumatic stress symptoms. The polyvictimization class had nearly a nine‐ to 33‐fold increase in risk of depression, OR = 9.48, 95% CI [3.34, 26.87]; anxiety, OR = 12.10, 95% CI [5.36, 27.36]; and PTSD diagnoses, OR = 33.63, 95% CI [16.35, 69.43], compared to the limited victimization class. The findings facilitate the identification of individuals at risk for revictimization and indicate that evidence‐based clinical interventions should be targeted toward those with exposure to revictimization and childhood trauma exposure to alleviate mental health challenges.
Original languageEnglish
Pages (from-to)654-664
Number of pages11
JournalJournal of Traumatic Stress
Volume33
Issue number5
Early online date9 Jun 2020
DOIs
Publication statusPublished - 14 Oct 2020

Keywords

  • Clinical Psychology
  • Psychiatry and Mental health

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