Evidence map›Paper›PMID 28239507›Full record

ArticlePsychology of violence2016

In-The-Moment Dissociation, Emotional Numbing, and Sexual Risk: The Influence of Sexual Trauma History, Trauma Symptoms, and Alcohol Intoxication.

Cynthia A Stappenbeck, William H George, Jennifer Staples, Hong Nguyen, Kelly Cue Davis, Debra Kaysen, Julia R Heiman, N Tatiana Masters, Jeanette Norris, Cinnamon L Danube and 2 more

Abstract read
In one paragraph

Article in Psychology of violence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Interoception in Fear Learning and Posttraumatic Stress Disorder.Focus (American Psychiatric Publishing) · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. A Brief Report on the Association between Dissociation During Sex and Condom Use Self-Efficacy Among Women Residing in Domestic Violence Shelters.International journal of sexual health : official journal of the World Association for Sexual Health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Cynthia A StappenbeckDepartment of Psychiatry and Behavioral Sciences, University of Washington.
William H GeorgeDepartment of Psychology, University of Washington.
Jennifer StaplesDepartment of Psychology, University of Washington.
Hong NguyenDepartment of Psychology, University of Washington.
Kelly Cue DavisSchool of Social Work, University of Washington.
Debra KaysenDepartment of Psychiatry and Behavioral Sciences, University of Washington.
Julia R HeimanDepartment of Psychological and Brain Sciences, Indiana University.
N Tatiana MastersSchool of Social Work, University of Washington.
Jeanette NorrisAlcohol and Drug Abuse Institute, University of Washington.
Cinnamon L DanubeDepartment of Psychiatry and Behavioral Sciences, University of Washington.
Amanda K GilmoreDepartment of Psychology, University of Washington.
Kelly F KajumuloDepartment of Psychology, University of Washington.

Funding

Women's HIV Risk: Alcohol Intoxication, Victimization History & Partner FactorsR01AA016281 · NIAAA · UNIVERSITY OF WASHINGTON · PI DAVIS, KELLY CUE, GEORGE, WILLIAM H · 2007 to 2016
$5.0M
Web-Based Treatment of Heavy Drinking Among Women with a History of Sexual TraumaK08AA021745 · NIAAA · UNIVERSITY OF WASHINGTON · PI STAPPENBECK, CYNTHIA A. · 2014 to 2018
$852k
NIAAA NIH HHS K08 AA021745NIAAA NIH HHS L30 AA021589NIAAA NIH HHS R01 AA016281
6 · The paper itself

Abstract

objectivePrior research on the effects of sexual trauma has examined dissociation but not emotional numbing during sex and has relied exclusively on retrospective surveys. The present experiment examined associations among distal factors of childhood sexual abuse (CSA), adolescent/adult sexual assault (ASA), and trauma symptoms and the proximal factor of acute alcohol intoxication on in-the-moment dissociation, emotional numbing, and sexual risk intentions.

methodYoung adult female drinkers (

resultsPath analysis revealed that CSA was indirectly associated with increased unprotected sex intentions through increased ASA severity, increased trauma-related symptoms, increased emotional numbing, and decreased unprotected sex refusal self-efficacy. Further, alcohol intoxication was indirectly associated with increased unprotected sex intentions through increased emotional numbing and decreased unprotected sex refusal self-efficacy.

conclusionsEmotional numbing, but not dissociation, was associated with unprotected sex intentions and may be one potential target for interventions aimed at reducing HIV/STI-related risk among women with a history of sexual trauma.

Indexed as

Alcohol IntoxicationChildhood Sexual AbuseDissociationEmotional NumbingHIV/STI RiskSexual Assault

Identifiers

PMID28239507
PMCPMC5321660

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.