Category: Sexual Functioning

PS14- #B59 - Development and Psychometric Properties of the Functional Impairment in Sexual Assault Questionnaire

Saturday, Nov 18
4:00 PM – 5:00 PM
Location: Indigo Ballroom CDGH, Level 2, Indigo Level

Keywords: Trauma | Sexuality | Assessment

Most treatments for PTSD focus on reductions of symptoms as the standard for treatment success, yet a PTSD diagnosis requires the presence of functional impairment (DSM­IV­TR). There is a growing literature that there is a reciprocal relationship between these two factors (e.g Jaycox, 2008), yet many studies fail to show improvements in gross measures of functional impairment even while showing significant symptom improvement (e.g. Schnurr et al., 2003). This suggests a need to identify more specific measures of functional impairment that occur in the context of PTSD. There has been a measure recently identified as a measure of MVA­related PTSD functional impairment (Baker et al., 2014, Clapp et al. 2014), but there have not been any further measures identified up to this point.  Sexual trauma related PTSD is an appropriate candidate to identify specific expected functional impairment, as the trauma is directly associated with a discreet area of functioning (i.e., sexual functioning), as well as some broader relational and emotional areas. This presentation draws from a sample collected via an online survey on Mechanical Turk of women who self-report experiencing a sexual trauma in their lifetime.  While data collection is ongoing, we currently have 177 completed surveys, and expect to collect over 250 for the final analysis. Utilizing a mixture of found data that we completed an exploratory factor analysis of (Wammack et al., 2016), as well as focus group interviews, we identified a number of areas of functioning that were distinct from the clinical symptoms of PTSD and could be impacted by experiencing a sexual trauma: Sexual Functioning, Deviant/Risky Behavior, Relational Behaviors, Self-Care Behaviors, Emotional Insight, Emotional Expression, and Emotional Control Behaviors).  From these categories 109 items were generated to assess potential areas of impact to create a pool of items to create the survey (FISA). We asked participants to complete this scale in addition to measures of trauma exposure (LEC5), PTSD Symptoms (PCL-5), Depression Symptoms (CESD), Alcohol Use (Audit-C), and Emotion Regulation (DERS). This presentation will show the factor analysis of the FISA, in order to create a more manageable survey that could be used clinically. We will also present the psychometric properties of the survey, as well as measures of convergent and divergent validity.


 

Aaron S. Baker

Assistant Professor
University of La Verne
La Verne, California

Brittany Tolstoy

Doctoral Student
University of La Verne
Hacienda Heights, California

Megan Wammack

Bost-Baccalaureate
University of La Verne

Katherine S. Courtney

University of La Verne

Marquis E. Gardner

Graduate Student
University of La Verne
Los Angeles, California

Niki Sarrafian

Doctoral Student
University of La Verne

Anushka Gokhale

University of La Verne