The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assault

ABSTRACTBackground: Experiencing sexual assault is associated with a significant increase in risk for developing posttraumatic stress disorder and related concerns (e.g. alcohol misuse). Cross-sectional and longitudinal evidence suggests that social support may be both broadly protective against and...

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Main Authors: Esther S. Howe, Emily R. Dworkin
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/20008066.2024.2311478
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author Esther S. Howe
Emily R. Dworkin
author_facet Esther S. Howe
Emily R. Dworkin
author_sort Esther S. Howe
collection DOAJ
description ABSTRACTBackground: Experiencing sexual assault is associated with a significant increase in risk for developing posttraumatic stress disorder and related concerns (e.g. alcohol misuse). Cross-sectional and longitudinal evidence suggests that social support may be both broadly protective against and eroded by posttraumatic stress symptoms. However, little is known about how different aspects of social support and posttraumatic stress symptoms influence each other in the weeks and months immediately following sexual assault, when posttraumatic stress (PTS) symptoms first emerge.Objective: The present study assessed the day-to-day relationship between social support and PTS in a sample of distressed, alcohol-using, recently-assaulted female survivors participating in a clinical trial of an app-based intervention (N = 41).Method: Participants completed 3 weeks of daily diaries starting within 10 weeks of sexual assault. Mixed-effects models were used to examine prior-day and same-day relationships between PTS and four social support constructs (social contact, emotional support, pleasantness of social interactions, and talking about sexual assault).Results: Results indicate that higher quantity and pleasantness of social interactions over the full sampling period was associated with lower PTS symptoms on any given day. Experiencing better-than-typical social interactions on one day was associated with lower than typical PTS symptoms on that day and the next day. On days when participants discussed their sexual assault with others, they tended to be having higher than usual PTS symptoms.Conclusions: Findings suggest that increasing the quantity and pleasantness of social interactions soon after sexual assault might protect against worsening posttraumatic stress symptoms.Trial registration: ClinicalTrials.gov identifier: NCT03703258.
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spelling doaj.art-dbc23268407043b0baf6e802392e4f612024-02-20T17:26:24ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662024-12-0115110.1080/20008066.2024.2311478The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assaultEsther S. Howe0Emily R. Dworkin1Department of Psychology, University of California, Berkeley, CA, USADepartment of Psychiatry & Behavioral Science, University of Washington School of Medicine, Seattle, WA, USAABSTRACTBackground: Experiencing sexual assault is associated with a significant increase in risk for developing posttraumatic stress disorder and related concerns (e.g. alcohol misuse). Cross-sectional and longitudinal evidence suggests that social support may be both broadly protective against and eroded by posttraumatic stress symptoms. However, little is known about how different aspects of social support and posttraumatic stress symptoms influence each other in the weeks and months immediately following sexual assault, when posttraumatic stress (PTS) symptoms first emerge.Objective: The present study assessed the day-to-day relationship between social support and PTS in a sample of distressed, alcohol-using, recently-assaulted female survivors participating in a clinical trial of an app-based intervention (N = 41).Method: Participants completed 3 weeks of daily diaries starting within 10 weeks of sexual assault. Mixed-effects models were used to examine prior-day and same-day relationships between PTS and four social support constructs (social contact, emotional support, pleasantness of social interactions, and talking about sexual assault).Results: Results indicate that higher quantity and pleasantness of social interactions over the full sampling period was associated with lower PTS symptoms on any given day. Experiencing better-than-typical social interactions on one day was associated with lower than typical PTS symptoms on that day and the next day. On days when participants discussed their sexual assault with others, they tended to be having higher than usual PTS symptoms.Conclusions: Findings suggest that increasing the quantity and pleasantness of social interactions soon after sexual assault might protect against worsening posttraumatic stress symptoms.Trial registration: ClinicalTrials.gov identifier: NCT03703258.https://www.tandfonline.com/doi/10.1080/20008066.2024.2311478Sexual assaultposttraumatic stresssocial supportdaily diaryacute post-trauma periodAgresión sexual
spellingShingle Esther S. Howe
Emily R. Dworkin
The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assault
European Journal of Psychotraumatology
Sexual assault
posttraumatic stress
social support
daily diary
acute post-trauma period
Agresión sexual
title The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assault
title_full The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assault
title_fullStr The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assault
title_full_unstemmed The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assault
title_short The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assault
title_sort day to day relationship between posttraumatic stress symptoms and social support after sexual assault
topic Sexual assault
posttraumatic stress
social support
daily diary
acute post-trauma period
Agresión sexual
url https://www.tandfonline.com/doi/10.1080/20008066.2024.2311478
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