Charak, Ruby and Vang, Maria Louison and Shevlin, Mark and Ben-Ezra, Menachem and Karatzias, Thanos and Hyland, Philip (2020) Lifetime Interpersonal Victimization Profiles and Mental Health Problems in a Nationally Representative Panel of Trauma-Exposed Adults From the United Kingdom. Journal of Traumatic Stress, 33. pp. 654-664. ISSN 0894-9867

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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.

Item Type:	Article
Additional Information:	This is the preprint version of the published article, which is available at Charak, R., Vang, M.L., Shevlin, M., Ben-Ezra, M., Karatzias, T. and Hyland, P. (2020), Lifetime Interpersonal Victimization Profiles and Mental Health Problems in a Nationally Representative Panel of Trauma-Exposed Adults From the United Kingdom. Journal of Traumatic Stress, 33: 654-664. https://doi.org/10.1002/jts.22527
Keywords:	childhood adversities; revictimization; depression, anxiety, posttraumatic stress disorder; Latent class analysis; United Kingdom;
Academic Unit:	Assisting Living & Learning,ALL institute Faculty of Science and Engineering > Psychology
Item ID:	15139
Identification Number:	https://doi.org/10.1002/jts.22527
Depositing User:	Philip Hyland
Date Deposited:	16 Dec 2021 17:17
Journal or Publication Title:	Journal of Traumatic Stress
Publisher:	Wiley
Refereed:	No
URI:
Use Licence:	This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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