Thirty-two adult female survivors of childhood sexual abuse completed the State-Trait Anger Expression Inventory (STAXI) and the Response to Childhood Incest Questionnaire (RCIQ). These women reported higher levels of both experienced and expressed anger than comparable STAXI norms. The STAXI measure of inwardly directed anger was positively correlated with the total symptom score of the RCIQ and with 10 of the 11 RCIQ subscales. STAXI measures of outwardly directed anger and anger control were not correlated with the RCIQ. These findings are the first empirical evidence for an association between style of anger expression and the long-term consequences of childhood sexual abuse.
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References
1.
Briere, J. N. (1992). Child abuse trauma: Theory and treatment of the lasting effects.Newbury Park, CA: Sage.
2.
Briere, J. , & Runtz, M. (1987). Post sexual abuse trauma: Data and implications for clinical practice.Journal of Interpersonal Violence, 2, 367-379.
3.
Briere, J. , & Runtz, M. (1990). Differential adult symptomology associated with three types of child abuse histories.Child Abuse & Neglect, 14, 357-364.
4.
Burns, J. W. , Friedman, R., & Katkin, E. S. (1992). Anger expression, hostility, anxiety, and patterns of cardiac reactivity to stress.Behavioral Medicine, 18, 71-78.
5.
Clay, D. L. , Anderson, W. P., & Dixon, W. A. (1993). Relationship between anger expression and stress in predicting depression.Journal of Counseling and Development, 72, 91-94.
6.
Courtois, C. A. (1988). Healing the incest wound: Adult survivors in therapy.New York: Norton.
7.
Davenport, D. S. (1991). The functions of anger and forgiveness: Guidelines for psychotherapy with victims.Psychotherapy, 28, 140-144.
8.
Donaldson, M. A. , & Gardner, R., Jr. (1983). Responses to Childhood Incest: A tool for self assessment.Fargo, ND: The Village Family Service Center.
9.
Donaldson, M. A. , & Gardner, R. (1985). Diagnosis and treatment of traumatic stress among women after childhood incest. In C. R. Figley (Ed.), Trauma and its wake: The study and treatment of Post-Traumatic Stress Disorder (pp. 333-347). New York: Brunner/Mazel.
10.
Edwards, P. W. , & Donaldson, M. A. (1988). Response to Childhood Incest Questionnaire: Test user information. (Available from Mary Ann Donaldson, The Village Family Service Center, P.O. Box 7398, Fargo, ND 58109-7398)
11.
Edwards, P. W. , & Donaldson, M. A. (1989). Assessment of symptoms in adult survivors of incest: A factor analytic study of the Responses to Childhood Incest Questionnaire.Child Abuse & Neglect, 13, 101-110.
12.
Ellenson, G. S. (1989). Horror, rage, and defenses in the symptoms of female sexual abuse survivors.Social Casework, 70, 589-596.
13.
Elliott, D. M. , & Briere, J. (1992). Sexual abuse trauma among professional women: Validating the Trauma Symptom Checklist-40 (TSC-40).Child Abuse & Neglect, 16, 391-398.
14.
Faria, G. , & Belohlavek, N. (1984). Treating female adult survivors of childhood incest.Social Casework, 65, 465-471.
15.
Finkelhor, D. , & Browne, A. (1985). The traumatic impact of child sexual abuse: A conceptualization.American Journal of Orthopsychiatry, 55, 530-541.
16.
Fuqua, D. R. , Leonard, E., Masters, M. A., Smith, R. J., Campbell, J. L., & Fischer, P. C. (1991). A structural analysis of the State-Trait Anger Expression Inventory.Educational & Psychological Measurement, 51, 439-446.
17.
Gelinas, D. J. (1983). The persisting negative effects of incest.Psychiatry, 46, 312-332.
18.
Gomberg, E.S.L. (1993). Alcohol, women and the expression of aggression.Journal of Studies on Alcohol, (Suppl. 11), 89-95.
19.
Goodwin, J. M. (1990). Applying to adult incest victims what we have learned from victimized children. In R. P. Kluft (Ed.), Incest related syndromes of adult psychopathology (pp. 55-74). Washington, DC: American Psychiatric Association.
20.
Grover, S. M. , & Thomas, S. P. (1993). Substance use and anger in mid-life women.Issues in Mental Health Nursing, 14, 19-29.
21.
Hunter, J. A., Jr. (1991). A comparison of the psychosocial maladjustment of adult males and females sexually molested as children.Journal of Interpersonal Violence, 6, 205-217.
22.
Jackson, J. L. , Calhoun, K. S., Amick, A. E., Maddever, H. M., & Habif, V. L. (1990). Young adult women who report childhood intrafamilial sexual abuse: Subsequent adjustment.Archives of Sexual Behavior, 19, 211-221.
23.
Jehu, D. (1988). Beyond sexual abuse: Therapy with women who were childhood victims.Chichester, UK: John Wiley.
24.
Jehu, D. (1989a). Mood disturbances among women clients sexually abused in childhood: Prevalence, etiology, treatment.Journal of Interpersonal Violence, 4, 164-184.
25.
Jehu, D. (1989b). Sexual dysfunctions among women clients who were sexually abused in childhood.Behavioural Psychotherapy, 17, 53-70.
26.
Keinan, G. , Ben-Zur, H., Zilka, M., & Carel. R. S. (1992). Anger in or out, which is healthier? An attempt to reconcile inconsistent findings.Psychology and Health, 7, 83-98.
27.
Kellner, R. , Hernandez, J., & Pathak, D. (1992). Self-rated inhibited anger, somatization and depression.Psychotherapy and Psychosomatics, 57, 102-107.
28.
Keltner, D. , Ellsworth, P. C., & Edwards, K. (1993). Beyond simple pessimism: Effects of sadness and anger on social perception.Journal of Personality and Social Psychology, 64, 740-752.
29.
Kinzl, J. , & Biebl, W. (1992). Long-term effects of incest: Life events triggering mental disorders in female patients with sexual abuse in childhood.Child Abuse & Neglect, 16, 567-573.
30.
Knight, C. (1990). Use of support groups with adult female survivors of child sexual abuse.Social Work, 35, 202-206.
31.
Lai, J. Y. , & Linden, W. (1992). Gender, anger expression style, and opportunity for anger release determine cardiovascular reaction to and recovery from anger provocation.Psychosomatic Medicine, 54, 297-310.
32.
Leitenberg, H. , Greenwald, E., & Cado, S. (1992). A retrospective study of long-term methods of coping with having been sexually abused during childhood.Child Abuse & Neglect, 16, 399-407.
33.
Maltz, W. (1988). Identifying and treating the sexual repercussions of incest: A couples therapy approach.Journal of Sex & Marital Therapy, 14, 142-170.
34.
McGuire, L. S. , & Wagner, N. N. (1978). Sexual dysfunction in women who were molested as children: One response pattern and suggestions for treatment.Journal of Sex & Marital Therapy, 4, 11-15.
35.
Riggs, D. S. , Dancu, C. V., Gershuny, B. S., Greenberg, D., & Foa, E. B. (1992). Anger and post-traumatic stress disorder in female crime victims.Journal of Traumatic Stress, 5, 613-625.
36.
Riley, W. T. , & Treiber, F. A. (1989). The validity of multidimensional self-report anger and hostility measures.Journal of Clinical Psychology, 45, 397-404.
37.
Riley, W. T. , Treiber, F. A., & Woods, M. G. (1989). Anger and hostility in depression.Journal of Nervous and Mental Disease, 177, 668-674.
38.
Sharkin, B. S. (1993). Anger and gender: Theory, research, and implications.Journal of Counseling and Development, 71, 386-389.
39.
Siegel, D. R. , & Romig, C. A. (1990). Memory retrieval in treating adult survivors of sexual abuse.American Journal of Family Therapy, 18, 246-256.
40.
Spielberger, C. D. (1991). State-Trait Anger Expression Inventory: Revised Research Edition (Rev. ed.). Odessa, FL: Psychological Assessment Resources.
41.
Swink, K. K. , & Leveille, A. E. (1986). From victim to survivor: A new look at the issues and recovery process for adult incest survivors.Women & Therapy, 5, 119-141.
42.
Thomas, S. P. (1991). Toward a new conceptualization of women's anger.Issues in Mental Health Nursing, 12, 31-49.
43.
Thomas, S. P. , & Atakan, S. (1993). Trait anger, anger expression, stress, and health status of American and Turkish midlife women.Health Care for Women International, 14, 129-143.
44.
Thomas, S. P. , & Williams, R. L. (1991). Perceived stress, trait anger, modes of anger expression, and health status of college men and women.Nursing Research, 40, 303-307.
45.
Westerlund, E. (1992). Women's sexuality after childhood incest.New York: Norton.
