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A Comparison of Two Models of Risky Sexual Behavior During Late Adolescence

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Abstract

Two models of risky sexual behavior (RSB) were compared in a community sample of late adolescents (N = 223). For the traumagenic model, early negative sexual experiences were posited to lead to an association between negative affect with sexual relationships. For the cognitive escape model, depressive affect was posited to lead to engagement in RSB as a way to avoid negative emotions. The current study examined whether depression explained the relationship between sexual trauma and RSB, supporting the cognitive escape model, or whether it was sexual trauma that led specifically to RSB, supporting the traumagenic model. Physical trauma experiences were also examined to disentangle the effects of sexual trauma compared to other emotionally distressing events. The study examined whether the results would be moderated by participant sex. For males, support was found for the cognitive escape model but not the traumagenic model. Among males, physical trauma and depression predicted engagement in RSB but sexual trauma did not. For females, support was found for the traumagenic and cognitive escape model. Among females, depression and sexual trauma both uniquely predicted RSB. There was an additional suppressor effect of socioeconomic status in predicting RSB among females. Results suggest that the association of trauma type with RSB depends on participant sex. Implications of the current study for RSB prevention efforts are discussed.

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References

  • Albarracín, D., Gillette, J. C., Earl, A. N., Glasman, L. R., Durantini, M. R., & Ho, M. H. (2005). A test of major assumptions about behavior change: A comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic. Psychological Bulletin, 131, 856–897. doi:10.1037/0033-2909.131.6.856.

    Article  PubMed  PubMed Central  Google Scholar 

  • Alvy, L. M., McKirnan, D. J., Mansergh, G., Koblin, B., Colfax, G. N., Flores, S. A., & Hudson, S. (2011). Depression is associated with sexual risk among men who have sex with men, but is mediated by cognitive escape and self-efficacy. AIDS and Behavior, 15, 1171–1179. doi:10.1007/s10461-010-9678-z.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.

    Google Scholar 

  • Bailey, J. A., Fleming, C. B., Henson, J. N., Catalano, R. F., & Haggerty, K. P. (2008). Sexual risk behavior 6 months post-high school: Associations with college attendance, living with a parent, and prior risk behavior. Journal of Adolescent Health, 42, 573–579. doi:10.1016/j.jadohealth.2007.11.138.

    Article  PubMed  Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173.

    Article  PubMed  Google Scholar 

  • Baumrind, D. (1987). A developmental perspective on adolescent risk-taking in contemporary America. New Directions in Child Development, 37, 93–125. doi:10.1002/cd.23219873706.

    Article  Google Scholar 

  • Breintenbecher, K. H. (2001). Sexual revictimization among women: A review of the literature focusing on empirical investigations. Aggression and Violent Behavior, 6, 415–432. doi:10.1016/S1359-1789(00)00014-8.

    Article  Google Scholar 

  • Browne, A., & Finkelhor, D. (1986). Impact of child sexual abuse: A review of the research. Psychological Bulletin, 99, 66–77. doi:10.1037/0033-2909.99.1.66.

    Article  PubMed  Google Scholar 

  • Capaldi, D. M., Stoolmiller, M., Clark, S., & Owen, L. D. (2002). Heterosexual risk behaviors in at-risk young men from early adolescence to young adulthood: Prevalence, prediction, and association with STD contraction. Developmental Psychology, 38, 394–406. doi:10.1037/0012-1649.38.3.394.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention (CDC). (2010). Sexually transmitted disease surveillance 2010. Atlanta, GA: U.S. Department of Health and Human Services. Also available at: http://www.cdc.gov/std/stats10/default.htm.

  • Compton, W. M., & Cottler, L. B. (2004). The diagnostic interview schedule (DIS). In M. J. Helsenroth & D. L. Segal (Eds.), Comprehensive handbook of psychological assessment (pp. 153–165). Hoboken, NJ: Wiley & Sons.

    Google Scholar 

  • Cooper, M. L. (2002). Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol and Drugs, 14, 101–117.

    Google Scholar 

  • Eddy, J. M., Reid, J. R., & Fetrow, R. A. (2000). An elementary school-based prevention program targeting modifiable antecedents of youth delinquency and violence: Linking the interests of families and teachers (LIFT). Journal of Emotional and Behavioral Disorders, 8, 165–187. doi:10.1177/106342660000800304.

    Article  Google Scholar 

  • Finer, L. B., & Henshaw, S. K. (2006). Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health, 38, 90–96. doi:10.1363/3809006.

    Article  PubMed  Google Scholar 

  • Finkelhor, D., & Browne, A. (1985). The traumatic impact of childhood sexual abuse: A conceptualization. American Journal of Orthopsychiatry, 55(530–541), 1992. doi:10.1111/j.1939-0025.1985.tb02703.x.

    Google Scholar 

  • Folkman, S., Chesney, M. A., Pollack, L., & Phillips, C. (1992). Stress, coping, and high-risk sexual behavior. Health Psychology, 11, 218–222. doi:10.1037/0278-6133.11.4.218

  • Frohlich, P., & Meston, C. (2002). Sexual functioning and self-reported depressive symptoms among college women. Journal of Sex Research, 39, 321–325. doi:10.1080/00224490209552156.

    Article  PubMed  Google Scholar 

  • Gerrard, M., Gibbons, F. X., & Bushman, B. J. (1996). Relation between perceived vulnerability to HIV and precautionary sexual behavior. Psychological Bulletin, 119, 390–409. doi:10.1037/0033-2909.119.3.390.

    Article  PubMed  Google Scholar 

  • Hardt, J., & Rutter, M. (2004). Validity of adult retrospective reports of adverse childhood experiences: Review of the evidence. Journal of Child Psychology and Psychiatry, 45, 260–273. doi:10.1111/j.1469-7610.2004.00218.x.

    Article  PubMed  Google Scholar 

  • Jones, D. J., Lewis, T., Litrownik, A., Thompson, R., Proctor, L. J., Isbell, P.,… Runyan, D. (2013). Linking childhood sexual abuse and early adolescent risk behavior: The intervening role of internalizing and externalizing problems. Journal of Abnormal Child Psychology, 41, 139–150. doi:10.1007/s10802-012-9656-1.

  • Kelly, J. A., & Kalichman, S. C. (2002). Behavioral research in HIV/AIDS primary and secondary prevention: Recent advances and future directions. Journal of Consulting and Clinical Psychology, 70, 626–639. doi:10.1037/0022-006X.70.3.626.

    Article  PubMed  Google Scholar 

  • Khan, M. R., Kaufman, J. S., Pence, B. W., Gaynes, B. N., Adimora, A. A., Weir, S. S., & Miller, W. C. (2009). Depression, sexually transmitted infection, and sexual risk behavior among young adults in the United States. Archives of Pediatrics and Adolescent Medicine, 163, 644–652. doi:10.1001/archpediatrics.2009.95.

    Article  PubMed  PubMed Central  Google Scholar 

  • Leiuz, C. W., Simmons, B. L., Aklin, W. M., Daughters, S. B., & Dvir, S. (2004). Risk-taking propensity and risky sexual behavior of individuals in residential substance use treatment. Addictive Behaviors, 29, 1643–1647. doi:10.1016/j.addbeh.2004.02.035.

    Article  Google Scholar 

  • Littleton, H., Breitkopf, C. R., & Berenson, A. (2007). Sexual and physical abuse history and adult sexual risk behaviors: Relationships among women and potential mediators. Child Abuse and Neglect, 31, 757–768. doi:10.1016/j.chiabu.2006.12.015.

    Article  PubMed  PubMed Central  Google Scholar 

  • Maker, A. H., Kemmelmeier, M., & Peterson, C. (2001). Child sexual abuse, peer sexual abuse, and sexual assault in adulthood: A multi-risk model of revictimization. Journal of Traumatic Stress, 14, 351–368. doi:10.1023/A:1011173103684.

    Article  PubMed  Google Scholar 

  • McKirnan, D. J., Ostrow, D. G., & Hope, B. (1996). Sex, drugs, and escape: A psychological model of HIV-risk sexual behaviors. AIDS Care, 8, 655–670. doi:10.1080/09540129650125371.

    Article  PubMed  Google Scholar 

  • Messman-Moore, T. L., Walsh, K. L., & DiLillo, D. (2010). Emotion dysregulation and risky sexual behavior in revictimization. Child Abuse and Neglect, 34, 967–976. doi:10.1037/a0020271.

    Article  PubMed  Google Scholar 

  • Norris, F. H. (1990). Screening for traumatic stress: A scale for use in the general population. Journal of Applied Social Psychology, 20, 1704–1715. doi:10.1111/j.1559-1816.1990.tb01505.x.

    Article  Google Scholar 

  • Perilloux, C., Duntley, J. D., & Buss, D. M. (2012). The costs of rape. Archives of Sexual Behavior, 41, 1099–1106. doi:10.1007/s10508-011-9863-9.

    Article  PubMed  Google Scholar 

  • Putnam, F. W. (2003). Ten-year research update review: Child sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 269–278. doi:10.1097/01.-CHI.0000037029.04952.72.

    Article  PubMed  Google Scholar 

  • Ratliff-Crain, J., Donald, K. M., & Dalton, J. (1999). Knowledge, beliefs, peer norms, and past behaviors as correlates of risky sexual behaviors among college students. Psychology & Health, 14, 625–641. doi:10.1080/08870449908410754.

    Article  Google Scholar 

  • Reid, J. B., Eddy, J. M., Fetrow, R. A., & Stoolmiller, M. (1999). Description and immediate impacts of intervention for conduct problems. American Journal of Community Psychology, 27, 483–518. doi:10.1023/A:1022181111368.

    Article  PubMed  Google Scholar 

  • Robins, L. N., Cottler, L. B., Bucholz, K. K., Compton, W. M., North, C. S., & Rourke, K. M. (2000). Diagnostic Interview for DSM-IV (DIS-IV). St. Louis, MO: Washington University Press.

    Google Scholar 

  • Roth, S., & Lebowitz, L. (1988). The experience of sexual trauma. Journal of Traumatic Stress, 1, 79–107.

    Article  Google Scholar 

  • Roy, A. (2005). Childhood trauma and impulsivity. Possible relevance to suicidal behavior. Archives of Suicide Research, 9, 147–151. doi:10.1080/13811110590903990.

    Article  PubMed  Google Scholar 

  • Schoedl, A. F., Costa, M. C. P., Mari, J. J., Mello, M. F., Tyrka, A. R., Carpenter, L. L., & Price, L. H. (2010). The clinical correlates of reported childhood sexual abuse: an association between age at trauma onset and severity of depression and PTSD in adults. Journal of Child Sexual Abuse, 19, 156–170. doi:10.1080/10538711003615038.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schuster, R. M., Mermelstein, R., & Wakschlag, L. (2013). Gender-specific relationships between depressive symptoms, marijuana use, parental communication and risky sexual behavior in adolescence. Journal of Youth and Adolescence, 42, 1194–1209. doi:10.1007/s10964-012-9809-0.

    Article  PubMed  PubMed Central  Google Scholar 

  • Senn, T. E., & Carey, M. P. (2010). Child maltreatment and women’s adult sexual risk behavior: Childhood sexual abuse as a unique risk factor. Child Maltreatment, 15, 324–335. doi:10.1177/1077559510381112.

    Article  PubMed  PubMed Central  Google Scholar 

  • Senn, T. E., Carey, M. P., & Vanable, P. A. (2008). Childhood and adolescent sexual abuse and subsequent sexual risk behavior: Evidence from controlled studies, methodological critique, and suggestions for research. Clinical Psychology Review, 28, 711–735. doi:10.1016/j.cpr.2007.10.002.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shapiro, R., Siegel, A. W., Scovill, L. C., & Hays, J. (1998). Risk-taking behaviors of female adolescents. Journal of Adolescence, 21, 143–159. doi:10.1006/jado.1997.0138.

    Article  PubMed  Google Scholar 

  • Siegel, D. M., Aten, M. J., & Enaharo, M. (2001). Long-term effects of a middle-school and high-school based human immunodeficiency virus sexual risk prevention intervention. Archives of Pediatric and Adolescent Medicine, 155, 1117–1126.

    Article  Google Scholar 

  • Smith, D. K., Leve, L. D., & Chamberlain, P. (2006). Adolescent girls’ offending and health risking sexual behavior: The predictive role of trauma. Child Maltreatment, 11, 346–353. doi:10.1177/1077559506291950.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tolin, D. F., & Foa, E. B. (2006). Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research. Psychological Bulletin, 132, 959–992. doi:10.1037/0033-2909.132.6.959.

    Article  PubMed  Google Scholar 

  • Tolman, D. L., & McClelland, S. I. (2011). Normative sexuality development in adolescence: A decade in review. Journal of Research on Adolescence, 21, 242–255. doi:10.1111/j.1532-7795.2010.0072.x.

    Article  Google Scholar 

  • Turner, C. F., Ku, L., Rogers, S. M., Lindberg, L. D., Pleck, J. H., & Sonenstein, F. L. (1998). Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology. Science, 280, 867–873. doi:10.1126/science.280.5365.867.

    Article  PubMed  Google Scholar 

  • Waller, M. W., Hallfors, D. D., Halpern, C. T., Iritani, B. J., Ford, C. A., & Guo, G. (2006). Gender differences in associations between depressive symptoms and patterns of substance use and risky sexual behavior among a nationally representative sample of US adolescents. Archives of Women’s Mental Health, 9, 139–150. doi:10.1007/s00737-006-0121-4.

    Article  PubMed  Google Scholar 

  • Weathers, F. W., Keane, T. M., & Davidson, J. R. (2001). Clinician-Administered PTSD Scale: A review of the first ten years of research. Depression and Anxiety, 13, 132–156. doi:10.1002/da.1029.

    Article  PubMed  Google Scholar 

  • Wilson, H. W., & Widom, C. S. (2008). An examination of risky sexual behavior and HIV in victims of child abuse and neglect: A 30 year follow-up. Health Psychology, 27, 149–158. doi:10.1037/0278-6133.27.2.149.

    Article  PubMed  Google Scholar 

  • Winkler, D., Pjrek, E., Heiden, A., Wiesegger, G., Klein, N., Konstantinidis, A., & Kasper, S. (2004). Gender differences in the psychopathology of depressed inpatients. European Archives of Psychiatry and Clinical Neuroscience, 254, 209–214. doi:10.1007/s00406-004-0471-8.

    PubMed  Google Scholar 

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Acknowledgments

Work on this article was supported by Grant MH54248 from the Prevention and Behavioral Medicine Research Branch, Division of Epidemiology and Services Research, NIMH, U.S. PHS; by Grant HD054880 from the Social and Affective Development/Child Maltreatment and Violence Branch, NICHD, NIH, U.S. PHS; and Grant 90CA1781 from the Department of Health & Human Services, Administration for Children and Families. We are grateful to the participants in this study for their long term and steadfast participation. We would like to thank Dare Baldwin, Jeffrey Sprague, and Diana Strand for their comments on a previous version of this article.

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Correspondence to Sopagna Eap Braje.

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Braje, S.E., Eddy, J.M. & Hall, G.C.N. A Comparison of Two Models of Risky Sexual Behavior During Late Adolescence. Arch Sex Behav 45, 73–83 (2016). https://doi.org/10.1007/s10508-015-0523-3

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