Mental Health Among Incarcerated Women: An Examination of Factors Impacting Depression and PTSD Symptomology

Female offenders experience mental health symptoms at a higher rate than male offenders and females in the community. The current study investigated individual characteristics and experiences that may impact symptoms of depressive disorders and posttraumatic stress disorder (PTSD) among a sample of female inmates in a large Southern prison system. Results showed high rates of reported childhood and adult victimization experiences among the sample. Factors such as seeking mental health treatment prior to incarceration significantly impacted the reporting of depressive and PTSD symptoms, as did victimization histories. Findings suggest that women would benefit from screening to identify mental health needs at the onset of incarceration as well as gender responsive needs assessment and programming to address histories of victimization and current mental health symptomatology.     

A Multi-Theoretical Framework to Assess Gendered Stalking Victimization: The Utility of Self-Control,Social Learning,and Control Balance Theories

Despite recent advancements in the criminological study of stalking, few theoretical tests have been conducted to date to explain stalking victimization among men and women separately. The current study individually and simultaneously extends three criminological theories to the study of stalking victimization: self-control, social learning, and control balance theories. Among a sample of 2,766 university students, a series of models were estimated for men and women separately to assess each set of theoretical variables net of control variables. Results reveal consistent significant positive relationships between stalking victimization and low self-control for men; differential peer association (e.g. friends are stalking victims) for men and women; and several social learning variables for only women. However, the control imbalance variables do not explain stalking victimization among men or women, net of other theoretical and control variables. The utility of a multi-theoretical approach to future stalking victimization research is discussed.     

The Effects of Low Self-Control and Childhood Maltreatment on Stalking Victimization among Men and Women

This study examines sex differences among stalking victimization using two theoretical perspectives: self-control and the intergenerational transmission of violence. A sample of 1,490 undergraduate students at a large southeastern university were surveyed and asked to report their experiences with stalking, childhood maltreatment, and self-control. Given that men and women may experience stalking, self-control, and child maltreatment differently, logistic regression models were estimated separately to disentangle sex differences. Findings indicate that women are more likely than men to be victims of stalking. Childhood maltreatment was significantly related to stalking victimization for both men and women whereas low self-control was significantly related to stalking victimization for women only. Implications for policy and directions for future research are discussed.     

Stalking acknowledgement and reporting among college women experiencing intrusive behaviors: Implications for the emergence of a “classic stalking case”

Research confirms the risk of victimization faced by women who attend the nation's universities. While stalking began to receive heightened attention in the 1990s, relative to other types of victimization, research regarding college women's stalking experiences is in its infancy. In particular, relatively little is known about victim acknowledgement of stalking and the process whereby victims decide to report to police. Drawing upon data from 1,010 female university students, this study provided important advances in understanding stalking-related victimization for college women, highlighting the influences that fear, offender relationship, types of behaviors involved, and other victimization experiences have on victim acknowledgement and police reporting. Findings offered important advancements in defining a “classic stalking case.” This study had implications for university and public policymakers, educators, and police officers who could benefit from improved understanding of women's perceptions of stalking and their formal help-seeking behavior in response to stalking-related behavior.     

What can we learn from the first community-based epidemiological study on stalking in Germany?

There is a lack of community-based studies on prevalence rates of stalking and the impact of stalking on victims in continental European countries. The authors published the first community-based epidemiological study on stalking in Germany. The purpose of this paper is to discuss possible implications of these epidemiological data for the mental health system, forensic psychiatry and legal regulations in Germany. For these reasons some data of our epidemiological study are outlined and reanalyzed. To examine lifetime and point prevalence rates of stalking, behavioural and psychological consequences for victims and the impact of stalking on current psychological well-being in a German community sample, a postal survey was conducted with 2000 inhabitants randomly selected from Mannheim (response rate 34.2%, n=679). The survey included a stalking questionnaire and the WHO-5 well-being scale. Almost 12% of the respondents reported having been stalked. This study identified a high lifetime prevalence of stalking in the community. Effects on victims' psychological health were significant and there was a high rate of physical (31%) and sexual (19%) violence in the context of stalking. Our data suggest that the phenomenon deserves more attention in future forensic psychiatric research and practice. Implications for forensic psychiatric assessment and treatment of stalkers as well as for management of stalking victims are discussed.     

BEING PURSUED: STALKING VICTIMIZATION IN A NATIONAL STUDY OF COLLEGE WOMEN*

Research Summary: We provide the results of a 1997 national‐level study of stalking among college women. Over an approximately seven‐month period, 13.1% of the women reported being stalked. Although physical harm was not common, the incidents typically lasted two months, involved frequent contact by offenders, and prompted victims to take protective actions. Lifestyle‐routine activities, prior sexual victimization, and demographic characteristics affected the risk of victimization. Policy Implications: Due to its prevalence, college and university administrators need to rectify their current neglect of stalking. Interventions may include educational programs, crime prevention seminars, reducing opportunities for stalking, and increasing informal and formal controls over stalkers.     

Violence against women: outcome complexity and implications for assessment and treatment

This article reviews the major forms of violence against women, including sexual assault, intimate-relationship violence, and stalking and outlines the known psychological effects of such victimization. Also discussed are a number of variables that combine to determine the effects of such victimization, including type and characteristics of the assault; victim variables such as demographics, psychological reactions at the time of the trauma, previous victimization history, current or previous psychological difficulties, and general coping style; and sociocultural factors such as poverty, social inequality, and inadequate social support. The implications of this complexity are explored in terms of psychological assessment and the frequent need for multitarget, multimodal treatment approaches.     

Participant gender,stalking myth acceptance,and gender role stereotyping in perceptions of intimate partner stalking: a structural equation modeling approach

The present research used a mock juror experiment (N = 360) to assess two primary goals: (1) to examine the direct and indirect effects of participant gender, stalking myth acceptance, and gender role stereotyping on guilt ratings in a stalking trial; and (2) to examine the role of perceived victim fear and distress, and defendant intended danger on perceptions of a stalking trial. Using structural equation modeling, we found an indirect effect of participant gender, and both direct and indirect effects of stalking myth acceptance and gender role stereotyping on guilt ratings. Men and participants who endorsed more traditional gender role stereotypes were associated with adherence to stalking myth acceptance beliefs. Endorsement of particular stalking myth acceptance beliefs offers a partial explanation for why women and men differed on perceptions of the defendant's intent to cause danger and the victim's perceived fear and distress. Results provide insight into the efficacy of current anti-stalking legislation that relies on a juror's capacity to evaluate an ‘objective’ interpretation (i.e., ‘reasonable person’) standard of fear for intimate partner stalking.     

Childhood gender atypicality, victimization, and PTSD among lesbian, gay, and bisexual youth

This study examined childhood gender atypicality, lifetime victimization based on sexual orientation, and current mental health, including trauma symptoms and posttraumatic stress disorder (PTSD), among 528 lesbian, gay, and bisexual youth. Nearly 80% reported verbal victimization, 11% physical, and 9% sexual, with males reporting significantly more victimization. Victimization began, on average, at age 13. Verbal attacks occurred as early as age 6, physical attacks at 8, and sexual attacks at 9. Youth who were considered gender atypical in childhood reported more victimization and more current mental health symptoms. PTSD was found in 9% of youth and was associated with past physical victimization.     

Revictimized Adult Women: Perceptions of Mental Health Functioning and Associated Services

In this study, using a sample of adult women (N = 418) from various environments, mental health outcomes and perceptions about different types of support following childhood and adulthood sexual and physical violence were assessed. The respondents were from three locations: general community, state prison, and sexual assault and domestic violence service providers. A cluster analysis based on victimization experiences was conducted; subsequent analyses showed that women who endured more types of abuse had more self-reported mental health difficulties. Somewhat paradoxically, women who utilized more therapeutic services held more negative perceptions of their mental health functioning, while use of tangible services had no significant association. Those who found therapeutic services helpful had significantly higher self-reported concurrent mental health functioning.     

Career Dimensions of Stalking Victimization and Perpetration

Prior literature concerning stalking, particularly in the field of criminology, finds wide variation in fundamental trends regarding stalking victimization and perpetration. There seems to be little consensus regarding when and how stalking is manifested. Furthermore, prior research to date has not addressed the etiology of stalking‐related behaviors by applying principles from criminal career research, including participation, frequency, onset, and duration. The present study builds upon prior research by addressing trends in age of onset for stalking victimization and perpetration, the duration of stalking‐related behaviors, and the relationship between those behaviors and other types of crime over the life course using primary data from a sample of young adults. Findings indicate that stalking victimization and perpetration share important career attribute similarities, and that self‐reported history of intimate partner violence and sexual assault are strongly associated with stalking outcomes.     

The Association Between Different Types of Intimate Partner Violence Experienced by Women

Those who experience intimate partner violence (IPV) are often subjected to multiple types of victimization such as physical violence, sexual violence, psychological aggression, and stalking. However, relatively few studies have used a national population-based sample and multivariate methods to analyze the associations between these different types of violence. This study uses multivariate methods to analyze a national population-based sample of women in order to document empirically the extent to which different types of IPV overlap, while controlling for personal and behavioral characteristics. Results indicated significant levels of overlap, with victims often experiencing more than one type of victimization by an intimate partner. Findings also indicated that women who had experienced violence by non-intimate partners were often more likely to experience violence by intimates. Finally, women who had experienced stalking by an intimate were more likely to experience more forms of IPV on average than those who had experienced physical violence, sexual violence, or emotional aggression.     

Is stalking a learned phenomenon? An empirical test of social learning theory

Purpose

We examine the extent to which components of social learning theory (i.e., definitions, differential reinforcement, and differential association/modeling) predict stalking victimization and perpetration using survey data from a large sample of college students.

Methods

Among a sample of 2,766 college students, logistic regression models were estimated to analyze the relationships between social learning theory and stalking perpetration and victimization.

Results

Results suggest that victimization and perpetration are functions of social learning. The findings also indicated that females were significantly more likely to be both stalking victims and perpetrators.

Conclusions

Regarding stalking perpetration and victimization, our results suggest that there may be responses, attitudes, and behaviors that are learned, modified, or reinforced primarily through interaction with peers. Overall, social learning theory concepts appear to be important predictors of stalking perpetration and victimization that help to develop theoretical explanations for stalking.     

Victimization of mentally ill patients living in the community: Is it a life‐style issue?

Purpose. Although criminal victimization of mentally ill patients has been researched, what little work there is focuses on in‐patient samples. This study aimed to compare crimes against mentally ill patients living in the community with crimes against students who have a high life‐style risk of victimization. Methods. The samples were selected via community‐based mental health services and a university population. A group of 40 mentally ill patients and 80 students reported experiences of victimization in the previous 12 months and attitudes towards the police. Results. Female mentally ill patients reported the highest victimization, but both male and female patients reported more victimization than did students. Mentally ill patients also held more negative opinions of the police. Conclusions. The results show that mentally ill patients experience more victimization when compared with the victimization experiences of a similar life‐style risk group. Discussion focuses on the implications for mentally ill patients living in the community, the support networks available to them, and relations between the police and mentally ill patients.     

The effect of acculturation and immigration on the victimization and psychological distress link in a national sample of Latino women

Distinct bodies of research have examined the link between victimization and psychological distress and cultural variables and psychological health, but little is known about how cultural variables affect psychological distress among Latino victims. Substantial research has concluded that Latino women are more likely than non-Latino women to experience trauma-related symptoms following victimization. In addition, examination of different types of cultural adaptation has found results supporting the idea that maintaining ties with one's culture of origin may be protective against negative mental health outcomes. The present study evaluates the effect of victimization, immigrant status, and both Anglo and Latino orientation on psychological distress in a national sample of Latino women. Results indicate that along with the total count of victimization experiences, Anglo and/or Latino orientation were strong predictors of all forms of psychological distress. Anglo orientation also functioned as a moderator between victimization and psychological distress measures for anger, dissociation, and anxiety. The results suggest a more nuanced and complex interaction between cultural factors, victimization, and psychological distress.     

12-Month Prevalence,Trends, Gender Differences,and the Impact of Mental Health Services on Intimate Partner Violence Perpetration Among Discharged Psychiatric Inpatients

Minimal research has examined partner violence committed by individuals with severe mental illness. This study examined rates of IPV in the first year post-discharge from psychiatric hospitalization, trends over time, gender differences, and the impact of follow-up mental health services. One in five (20.3 %) patients committed at least one act of IPV in the first year. Whereas women were more than twice as likely to perpetrate IPV, men were nearly twice as likely to be violent toward non-family members. Risk of IPV was highest immediately post-discharge and decreased over time, with the sharpest decline after 20 weeks in the community. Mental health treatment was associated with a 40 % decrease and medication non-adherence a 50 % increase in risk for IPV. Partner violence is a prevalent concern among discharged psychiatric patients, and these findings suggest that coordinated risk management efforts should focus on the time immediately following hospital discharge.     

Strategies for College Student Stalking Victims: Examining the Information and Recommendations Available

The college population is at a heightened risk for stalking victimization; yet it is suggested that college administrators have ignored stalking while focusing on other types of crimes, such as rape. Therefore, the present study seeks to examine the amount of attention universities are giving stalking as a crime that is a risk for their students. Additionally, this paper considers what types of information, recommendations, and strategies for effective responses to this type of victimization (if any) universities are providing to their students. In order examine university responses to stalking, a sample of Florida universities were observed by searching each university’s web page on the Internet. The data obtained from the university websites were analyzed through content analysis. Overall, it does in fact appear that Florida universities are addressing stalking in some manner, and the information they are providing to students is consistent with the current academic research.     

Childhood Violence Exposure: Cumulative and Specific Effects on Adult Mental Health

Childhood exposure to violence and victimization is a significant public health problem, with potentially long-lasting, deleterious effects on adult mental health. Using a longitudinal study design, 123 young adults—identified in adolescence as at-risk for high school dropout—were examined for the effects of multi-domain childhood victimization on emotional distress and suicide risk, net of adolescent risk and protective factors, including family dysfunction. The hypothesis that higher levels of cumulative childhood victimization would be significantly associated with mental health maladjustment in young adulthood was confirmed by the analysis. However, the victimization predictors of adult emotional distress were different than the predictors of adult suicide risk. These findings indicate the need for prevention and intervention approaches that include thorough assessment, and focus on the childhood and adolescent problem areas that are most consequential for long-term psychological well-being.     

Psychotropic Medication Experiences of Incarcerated Women: A Qualitative Inquiry into Conundrums of Access and Identity

The study examines narrative data from in-depth, semi-structured interviews with 25 women in a medium security prison with the hope of deepening the knowledge base related to women’s beliefs about their mental health problems, mental health care during incarceration, and especially their experiences with psychotropic medication. The findings highlight the functional role of psychotropic medication in the lives of incarcerated women, while also emphasizing problems with limited access to prescribers, preferred medications, and other forms of mental health treatment. Trauma, substance use, and the impact of medication use on sense of self all emerged as interfacing with quality of life.     

Dating Violence Victimization,Relationship Satisfaction,Mental Health Problems,and Acceptability of Violence: A Comparison of Men and Women

Two of the most common reported consequences of dating violence are its impact on the victim’s satisfaction with their romantic relationship and its impact on the victim’s mental health. Recent research suggests that the strength of these relationships may be moderated by the degree to which the dating violence is acceptable to the victim. However, studies of these relationships have been limited to samples of women. The purpose of the present research was to examine the relationships among dating violence victimization, relationship satisfaction, mental health problems, and acceptability of violence for a sample that includes not only female victims, but also male victims. Using a sample of 155 male and 417 female college students, hierarchical regression analyses found that dating violence victimization is associated with relationship satisfaction and mental health problems for both men and women. For men, acceptability of violence moderated the relationship between dating violence victimization and the mental health problems of depression, anxiety, and somatization. For women, acceptability of violence moderated the relationship between dating violence victimization and relationship satisfaction only.