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Journal of Child & Adolescent Trauma logoLink to Journal of Child & Adolescent Trauma
. 2020 Jun 19;14(1):103–113. doi: 10.1007/s40653-020-00315-z

Childhood Trauma History and Negative Social Experiences in College

Lyndsay Jenkins 1,, Tara McNeal 1, Joshua Drayer 1, Qi Wang 1
PMCID: PMC7900297  PMID: 33708286

Abstract

While there is literature documenting the association between childhood trauma and later sexual assault or interpersonal violence victimization, less is known about risk of less severe, but still negative, victimization experiences such as sexual harassment, hazing, and bullying in college. The goal of this study was to explore the association between self-reported childhood trauma (both personally experienced and witnessed) and negative social experiences in college-age adults (e.g., sexual harassment, hazing, and bullying), and the role that internalizing difficulties (i.e., depression and stress) plays in this association. A sample of 620 college-aged adults (ages 18–25) was recruited. Structural Equation Modeling (SEM) was used to investigate two models concerning direct and indirect childhood trauma experience. The models demonstrated significant positive relations between experiences of childhood trauma (both direct and indirect) and negative social experiences. Internalizing difficulties (i.e., depression and stress) mediated the relation between indirect childhood trauma and negative social experiences, but it did not significantly mediate the relation between direct childhood trauma and negative social experiences. These findings help to inform prevention efforts and have important implications for both school and community based mental health providers.

Keywords: Childhood trauma history, Internalizing difficulties, Negative social experiences, Bullying, Hazing, Sexual harassment, College students, Revictimization


Trauma exposure is associated with a host of potentially negative outcomes (Gerrity and Folcarelli 2008); however, it is especially detrimental when endured during childhood (Felitti et al. 1998). While there have been studies on the long-term effects of trauma on later emotional difficulties (Choi et al. 2017) and sexual victimization and assault (Polusny and Follette 1995) later in life, there is little information about whether trauma experienced during childhood is associated with less severe, but still negative, social victimization experiences such as sexual harassment, hazing, or bullying. There is also evidence that witnessing abuse and violence can be a potentially traumatic event as well, as indirect exposure has also been linked to negative outcomes later in life (Bensley et al. 2003; Coker et al. 2000). Attachment theory would suggest that when a child does not develop a strong emotional attachment with caregivers, that they may experience more social difficulties later in life (see Bowlby 1969, 1978). Attachment can be particularly disrupted when a child experiences abuse or neglect (Pearlman and Courtois 2005), which suggests childhood trauma experiences could be associated with social difficulties throughout life. The goal of this study was to explore the association between self-reported childhood trauma (both personally experienced and witnessed) and negative social experiences in college-age adults and the role that internalizing difficulties (i.e., depression and stress) plays in this association.

Long-Term Outcomes of Trauma

Victims of childhood trauma are at risk for experiencing health and psychological problems in adulthood. For example, adults with histories of adverse childhood experiences are more likely to have diabetes (Monnat and Chandler 2015), substance use disorders (Choi et al. 2017), heart attacks (Monnat and Chandler 2015), sleep disorders (Kajeepeta et al. 2015), and poor pregnancy outcomes (Smith et al. 2016) than their non-maltreated counterparts. Childhood trauma has also been linked to adult internalizing difficulties, such as depression (Choi et al. 2017; Ege et al. 2015), anxiety (Choi et al. 2017), and psychosis (Varese et al. 2012). Furthermore, adult victims of adverse childhood experiences may also engage in risky behaviors that put them in danger of experiencing additional traumas, such as risky sexual behaviors (Hillis et al. 2001), early initiation of alcohol use (Rothman et al. 2008), and suicide attempts (Dube et al. 2001). These outcomes may be even more detrimental for maltreatment victims in particular, as the interpersonal and abusive nature of maltreatment can lead to complex traumatization, thereby inducing a number of lasting affective, cognitive, social, and relational issues in addition to health and psychological problems (Cook et al. 2005; van der Kolk et al. 2005).

Indirect exposure to trauma such as witnessing violence can lead to outcomes that are similar to direct experiences of trauma (Zimmerman and Posick 2016). For example, in Zimmerman and Posick’s 2016 study, indirect and direct experiences of violence were found to be statistically equal in their prediction of substance use, violent crime offenses, and suicidal behavior. Furthermore, a higher number of cumulative exposures to violent events are associated with more socio-behavioral problems (Zimmerman and Posick 2016) and problematic externalizing behaviors (Fleckman et al. 2016). Witnessing violence during childhood has also been linked with psychological distress in adulthood (Diamond and Muller 2004; Henning et al. 1997). These indirect events may also inappropriately promote the use of violence as a coping mechanism (Buka et al. 2001) or means for conflict resolution (Jaffe et al. 1986). The severity of symptoms associated with indirect trauma may depend on the child’s proximity to the event. That is, researchers suggest that events that are considered threatening to the child, their parents, or other close individuals are more damaging than experiences perceived as distant (Pine and Cohen 2002; Pine et al. 2005).

Indirect trauma exposure in childhood has been linked to later victimization as well. One study found that women whose fathers were physically abusive to their mothers during their childhood were at a three times greater risk for experiencing physical abuse, and a four times greater risk for experiencing both physical and sexual abuse by their partners as adults (Coker et al. 2000). Bensley et al. (2003) reported similar findings. In their study, women exposed to any type of childhood family violence were at an increased risk of experiencing intimate partner emotional abuse and frequent mental distress. Further, women who specifically reported having witnessed violence between their parents as a child were at a four to six-fold increase in risk of experiencing physical intimate partner violence as an adult (Bensley et al. 2003). These experiences may teach children that violence in relationships is normal, thereby increasing their risk of victimization in later years (Coker et al. 2000).

Adults with histories of child maltreatment are also at a heightened risk of experiencing revictimization, particularly sexual assault (Miron and Orcutt 2014; Widom et al. 2008). Adult victims of childhood trauma have been found to engage in a number of risky behaviors during their adulthood, such as substance use and sexual risk-taking behavior (Choi et al. 2017; Hillis et al. 2001). Research suggests that sexual victimization during childhood may lead to a delay in risk response or a diminished sense of risk perception in general, thereby leading them to not perceive risky or dangerous situations as such (Green et al. 2005; Rheingold et al. 2004; Wilson et al. 2015). Furthermore, trauma victims may develop a pattern of maladaptive coping mechanisms which can increase their risk for subsequent revictimization (Fortier et al. 2009). While the link between childhood sexual victimization and adult sexual revictimization is well documented, less is known about the link between other types of maltreatment experiences and less severe forms of revictimization that are generally social in nature (i.e., bullying, hazing, or sexual harassment).

Sexual Harassment

While childhood trauma has been linked to revictimization in the form of sexual assault and rape later in life (Cantor et al. 2015), what is less known is the link between childhood trauma and later incidents of sexual harassment as a form of social victimization. Sexual harassment can include verbal and physical acts, including unwanted touching, sexually suggestive or offensive jokes, pressure to engage in sexual behavior, and unsolicited sexual pictures (RAINN, n.d.). Sexual harassment has been shown to have negative impacts on the emotional and physical well-being of the victims, such as fear, anger, anxiety, depression, sleeping problems, difficulties with concentration, and increased substance use (Wolff et al. 2017). While immediate effects of sexual harassment and other forms of sexually violent behavior have a primary impact on the personal lives of the victims, the long-term, secondary effects can be just as deleterious. People experiencing sexual harassment are at risk for these symptoms having a negative impact on their professional and educational productivity (Wolff et al. 2017).

Hazing

Hazing is a unique form of social victimization that is defined as “any activity expected of someone joining or participating in a group that humiliates, degrades, abuses, or endangers, regardless of a person’s willingness to participate” (Hoover 1999). Hazing can include being pressured to drink large amounts of alcohol, sleep deprivation, being yelled or cursed at, being humiliated, wearing embarrassing clothing, and physical and/or sexual abuse (Allan et al. 2019; Allan and Madden 2008; Hoover 1999). The justifications reported for hazing (across team sports, Greek-letter organizations, military, and other groups) include increasing team cohesion (Allan et al. 2019; Keating et al. 2005; Waldron 2015), communicating or establishing group hierarchy (Allan et al. 2019; Keating et al. 2005; Waldron 2015), and creating an environment in which the individuals are more likely to adopt the group identity (i.e., team identity, fraternity/sorority identity, military identity; Allan et al. 2019; Keating et al. 2005; Waldron 2015). However, hazing literature shows that these justifications are often flawed and results of research in these areas are counter to what is believed by those engaging in these acts. Hazing has been found to be associated with anger and depression (Kim et al. 2019), less team cohesion amongst individuals within groups (e.g., Greek-letter orgs, military, sport teams; Van Raalte et al. 2007), social isolation (Allan et al. 2019), and suicidal ideation (Kim et al. 2019). Similar symptoms of internalizing difficulties are seen in hazing that are seen in abuse (childhood and adult; Choi et al. 2017), sexual victimization (assault and harassment; Wolff et al. 2017), and bullying (Kelly et al. 2015).

One of the unique aspects of hazing is the difference in perspective of those who report having been involved in incidents that fall under the definition of hazing, but do not self-report having been hazed (Allan et al. 2019). In Allan et al.’s 2019 investigation of attitudes and beliefs about hazing behaviors, 26% of participants reported experiencing at least one involvement that met the criteria for hazing. However, only 4.4% of the total number of participants directly reported having been hazed at least once. This disparity in the victim’s interpretation of the experience versus the objective definition of hazing is one possible reason participants in the same investigation were divided on whether or not they thought hazing was a problem on their campus (Allan et al. 2019). Hazing has traditionally been thought of as occurring within Greek-life organizations (fraternities and sororities) on college campuses, but has also been documented within collegiate sports teams (varsity, club, and intramural), performing arts groups (e.g., marching band), and professional student organizations (Allan et al. 2019; Allan and Madden 2008).

Bullying

The majority of research on bullying has focused on its impact among school-age populations prior to college, though there have been some investigations of bullying occurring in college (e.g., Holt et al. 2014; Rospenda et al. 2013). Bullying is physical, verbal, or relational aggression that is repeated, intended to be harmful, and inflicted by a more powerful person on a less powerful person (Gladden et al. 2014). Lund and Ross (2017) conducted a review of the literature regarding college bullying and reported that across 14 studies, 20–25% of students were bullied in college, and additional 10–15% experienced cyberbullying. There is also research to suggest that experiencing bullying in college puts individuals at an increased risk for alcohol consumptions and problematic drinking behavior (Rospenda et al. 2013). While research concerning the impact of bullying on college students is limited, there is a rich body of literature documenting the internalizing difficulties that can result from being the victim of bullying during childhood and adolescence (e.g., Hawker and Boulton 2000; Kelly et al. 2015). Kelly et al. (2015) found that symptoms of depression and anxiety were strongly associated with bullying victimization among adolescents. Peer victimization has also been linked to emotional problems, conduct problems, and hyperactivity (Ranjith et al. 2019; Rasalingam et al. 2017). Further research suggests that bullying during adolescence is related to negative mental and physical health symptoms during early adulthood (Brendgen et al. 2019). These findings suggest that the negative ramifications associated with bullying victimization are varied, complex, and have the potential to impact victim’s functioning across the long-term, similar to other childhood traumatic experiences.

The Current Study

The literature is equivocal that both personally experiencing and witnessing childhood trauma is associated with a wide variety of affective and social issues later in life, including extreme consequences such as an increased risk of revictimization like sexual assault (Polusny and Follette 1995). There is a dearth in the literature about whether childhood trauma could be associated with less severe, but still detrimental, forms of revictimization in adulthood such as sexual harassment, hazing, and bullying. From an attachment theory perspective (i.e., Bowlby 1969, 1978), early relational difficulties with caregivers can disrupt social relationships in the long run, so it is reasonable to hypothesize that child victims of trauma are not only at risk for physical or sexual forms of revictimization in adulthood, but also forms that are less severe, yet social in nature. Early adulthood is a time of increased freedom from parents, changing and growing social networks, and more participation in social events that are not supervised by an authority figure (Pritchard et al. 2007), which may lead to social experiences rich with opportunities for negative interactions.

The goal of this study was to explore relations among childhood interpersonal trauma, internalizing difficulties, and negative social experiences. To explore these relations, the following research questions and hypotheses were posed: Research Question 1: Is experiencing childhood trauma positively associated with negative social experiences in young adults (i.e., sexual harassment, hazing, and bullying)? We hypothesize that childhood trauma will be positively associated with negative social experiences in young adults (Fortier et al. 2009; Miron and Orcutt 2014; Widom et al. 2008). Research Question 2: Is witnessed childhood trauma positively associated with negative social experiences in young adults (i.e., sexual harassment, hazing, and bullying)? We hypothesize that witnessed childhood trauma will be positively associated with negative social experiences in young adults (Bensley et al. 2003; Coker et al. 2000; Zimmerman and Posick 2016). Research Question 3: Do internalizing difficulties (i.e., depression and stress) explain the association between personal childhood trauma and negative social experiences in college? We hypothesize that internalizing difficulties will explain the association between personal childhood trauma and negative social experiences in college (Choi et al. 2017; Ege et al. 2015; Varese et al. 2012). Research Question 4: Do internalizing difficulties (i.e., depression and stress) explain the association between witnessed childhood trauma and negative social experiences in college? We hypothesize that internalizing difficulties will explain the association between witnessed childhood trauma and negative social experiences in college (Diamond and Muller 2004; Henning et al. 1997).

Methods

Participants

The sample for the current study included 620 college-aged adults (ages 18–25) with 66.2% of the sample enrolled in college at the time of participation. Approximately 90% of the sample had had more than one year of college experience at the time of participation. A small portion (3%) of the sample were international students living in the U.S. and 35.3% were first-generation college students. Participants reported their gender identity, sexual orientation, and race which is presented in Table 1.

Table 1.

Demographic Characteristics

N %
Age
  18 13 2.1
  19 23 3.6
  20 43 6.8
  21 95 15.0
  22 125 19.7
  23+ 321 50.6
Gender Identity
  Female 397 62.6
  Male 194 30.6
  Transgender Female 6 0.9
  Transgender Male 6 0.9
  Gender variant/Non-Conforming 14 2.2
  Prefer not to say 1 0.2
  Other 2 0.3
Sexual Orientation
  Heterosexual 440 69.4
  Gay or Lesbian 37 5.8
  Bisexual 103 16.2
  Not sure 13 2.1
  Prefer not to say 4 0.6
  Other 23 3.6
Race
  Native American or Alaska native 15 2.4
  Asian 39 6.2
  Black or African American 63 9.9
  Hispanic/Latino 30 4.7
  Native Hawaiian/Pacific Islander 2 0.3
  White 414 65.3
  Multi-racial/Biracial 50 7.9
  Other 2 0.3
  Prefer not to say 4 0.6

Measures

Childhood Trauma History

The Trauma Experience Questionnaire (TEQ; Blankenship 2018) was adapted for the purpose of this project. Its development was inspired by examining other frequently used trauma questionnaires such as the Trauma History Questionnaire (THQ; Green 1996) and Life Events Checklist for DSM-5 (LEC-5; Weathers et al. 2013), as well as the addition of items that covered childhood trauma specifically. The TEQ consists of a total of 27 items that measure exposure to six childhood-specific potentially traumatic events before the age of 18 (i.e., physical abuse, witnessing domestic violence, sexual abuse by a caregiver, sexual abuse by a stranger, emotional abuse, and neglect), as well as 21 lifetime trauma events that including interpersonal assaultive events (e.g., events caused by a human that was physically violent, such as assault or domestic violence), interpersonal non-assaultive, (e.g., events caused by a human but were not physically violent, such as neglect or emotional abuse), and non-interpersonal events (e.g., events not involving human relationships, such as natural disasters or car accidents). Only the six childhood trauma questions were used in the current investigation. Participants provide two ratings for the childhood trauma items. First, they rate the frequency of how many times they personally experienced each event ranging from 0 (never happened to me directly one) to 3 (happened to me directly 4 or more times). Possible childhood trauma scores could range from 0 to 18. Then participants could also endorse that they witnessed the events. Cronbach’s alpha in the current study was .746 for the childhood items.

Internalizing Difficulties

The Depression, Anxiety, and Stress Scale (DASS; Henry and Crawford 2005) was used to measure internalizing difficulties experienced within the past week. It consists of 21 items that are rated on a 4-point scale ranging from 0 (did not apply to me at all) to 3 (applied to me very much or most of the time). Items assess depression (e.g., “I felt I had nothing to look forward to”), anxiety (e.g., “I felt that I was using a lot of nervous energy”, not used in current study), and stress (e.g., “I found it hard to wind down”). Possible scores on the DASS can range from 0 to 54. In published studies, Cronbach’s alphas on the subscales have ranged from .92 to .96 (Page et al. 2007) and in the current sample it was .956.

Sexual Harassment

The American Association of University Women (AAUW 2001) sexual harassment survey is a 14-item survey designed to measure the frequency of sexual harassment victimization and perpetration. Perpetration items were not used in the current study. Participants are asked to indicate how often they experienced a range of sexually harassing behaviors (e.g., shown sexual pictures, touched, grabbed, or pinched in a sexual way) on a scale ranging from 0 (Never) to 4 (Often). Possible scores could range from 0 to 56. Cronbach’s alpha in published research is .90 (Espelage and Holt 2006) and in the current study Cronbach’s alpha was .919.

Bullying Victimization

The Illinois Bully Scale (Espelage and Holt 2001) is an 18-item survey measuring the frequency of bullying perpetration, bullying victimization, and fighting in the last 30 days. Only the four victimization items were used in the current investigation to measure bullying victimization experiences in college (e.g., “other students made fun of me”). Items are rated on a 5-point scale ranging from 0 (never) to 4 (7 or more times). Ratings are summed to create a Victim subscale raw score, which can range from 0 to 16. Cronbach’s alpha is .88 (Espelage and Holt 2001) and in the current study Cronbach’s alpha is .933.

Hazing

Hazing was measured via a list of 21 activities or events that college students may experience as part of initiation activities in groups or teams, which was originally used in the 1999 national survey of hazing and initiation in universities conducted by Hoover. One adaptation was made to the original Hoover survey. Rather than presenting each event or activity as a Yes/No question, respondents chose between four response options ranging from 0 (did not happen to me) to 3 (happened to me directly 4 or more times). Hoover categorized the activities into one of four categories: Acceptable (i.e., doing community service, requiring a certain grade point average), Questionable (i.e., being pressured to eat something you did not want to eat, carrying around unnecessary objects or items), Unacceptable (i.e., being tied up, taped, or confined to a small space, being kidnapped or transported and abandoned), and Alcohol-related (i.e., forced to participate in a drinking game). Responses from the Questionable, Unacceptable, and Alcohol-related items were summed, ranging from 0 to 36, and the raw score was used in analyses. The six Acceptable items were not included in the total score since these were not negative experiences that could victimize the participant. Cronbach’s alpha for the current study was .881.

Procedure

College-age adults (age 18 to 25) were recruited primarily via the crowdsourcing platform Amazon Mechanical Turk (mTurk; www.MTurk.com). Filters within mTurk were used so that the study was only visible to mTurk participants that met the age criteria and lived in the United States. Participants recruited through mTurk were compensated $1.50. The link to the survey was also shared via social media platforms such as Facebook accounts of targeted student organizations. Data for the current study were collected as part of a larger project focused on trauma and college social experiences. Consent to participant was collected electronically at the beginning of the survey and participants completed all rating scales via Qualtrics in an average of 14 min. The survey order was randomly counterbalanced for all participants. All responses were anonymous.

Data Analysis Plan

In this study, Structural Equation Modeling (SEM) was used to investigate the relations among childhood trauma, internalizing difficulties, and negative social experiences in college. These three variables were latent variables. For childhood trauma, there were two conditions: personal trauma history and witness trauma history. The personal trauma history included six items from TEQ, and the witness trauma history contained six items from TEQ. Furthermore, internalizing difficulties included depression and stress. Research suggests that post-traumatic stress is a predictor of revictimization and maladaptive coping mechanisms, particularly risky sexual behavior and substance use (Filipas and Ullman 2006; Messman-Moore et al. 2009), among adults with childhood trauma histories. Thus, when the anxiety and stress variables were found to be highly correlated, stress was retained and anxiety was excluded from analyses to prevent multicollinearity. Negative social experiences contained hazing, sexual harassment, and victimization.

We investigated the relation among the personal trauma history, internalizing difficulties, and negative social experiences. Also, we investigated the relation among the witness trauma history, internalizing difficulties, and negative social experiences. Thus, in total, we had two models: Model 1: Personal trauma history would influence the negative social experiences through internalizing difficulties. Model 2: Witness trauma history would influence the negative social experiences through internalizing difficulties. All analyses were performed in Mplus.

Results

There were 8% missing values under the personal trauma history condition, and 11% missing values under the witness trauma history condition. A full information maximum likelihood method was used to handle those missing data. As to the SEM analysis, we followed the Anderson and Gerbing (1988) 2-step procedure to evaluate a full structural equation (SR) model for all models. According to Anderson and Gerbing (1988), firstly, a measurement model associated with the full SR model was checked, and then a full structure model was estimated. Due to missing data, the robust maximum likelihood (MLR) estimation was used to estimate all SEM models. In addition, the mediating effect (indirect effect) for mediators was checked for six models.

Model 1

In Model 1, we investigated whether internalizing difficulties would mediate the relationship between the personal trauma history and negative social experiences. The measurement model associated with the full SR model was first checked and then the full SR model was checked.

The Measurement Model Associated with the Full SR Model

Because the chi-square test was easily influenced by the sample size, data distribution, and model complexity, we focused on global fit indices in this study, that is, root mean square error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis Index (TLI), and standardized root mean square residual (SRMR). Guidelines suggest that models may be considered to have adequate fit if CFI values are greater than .90, SRMR values below .05, TLI values close to 1, and RMSEA values should not exceed .10, with values between .05 and .08 indicating adequate fit and values between .08 and .10 suggesting mediocre fit (Hooper et al. 2008). Goodness-fit indices were presented in Table 1. Fit statistics values for the measurement model revealed that this measurement model was acceptable (RMSEA = .053, CFI = .930, TLI = .904 and SRMR = .054). All factor loadings were significant (results were shown in Table 2), so we could move to the next step to test the full SR model.

Table 2.

Results for Model 1 and 2

Parameter Estimate Standardized SE p value
Model
Measurement Model
  Physical Abuse .492 .50 <.001
  Witness Domestic Violence .671 .057 <.001
  Sexual Abuse by Caregiver .560 .059 <.001
  Sexual Abuse by Stranger .479 .079 <.001
  Emotional Abuse .510 .056 <.001
  Severe Neglect .669 .054 <.001
  Depression .848 .047 <.001
  Stress .902 .049 <.001
  Hazing .577 .055 <.001
  Sexual Harassment .693 .064 <.001
  Bullying Victimization .463 .069 <.001
Full Structural model
  Personal Trauma History to Internalizing Difficulties .319 .054 <.001
  Personal Trauma History to Negative Social Experiences .425 .100 <.001
  Internalizing Difficulties to Negative Social Experiences .094 .070 .181
  Indirect effect via Internalizing Difficulties .030 .022 .175
Model 2
Measurement model
  Physical Abuse .671 .054 <.001
  Witness Domestic Violence .629 .062 <.001
  Sexual Abuse by Caregiver .349 .073 <.001
  Sexual Abuse by Stranger .347 .083 <.001
  Emotional Abuse .785 .048 <.001
  Severe Neglect .532 .066 <.001
  Depression .821 .058 <.001
  Stress .932 .061 <.001
  Hazing .571 .063 <.001
  Sexual Harassment .707 .068 <.001
  Bullying Victimization .455 .071 <.001
Full Structural model
  Witness Trauma History to Internalizing Difficulties .256 .055 <.001
  Witness Trauma History to Negative Social Experiences .118 .071 .098
  Internalizing Difficulties to Negative Social Experiences .191 .066 <.05
  Indirect effect via Internalizing Difficulties .991 .404 .014

The Full SR Model

The second step of Anderson and Gerbing (1988) procedure was to estimate the full structural model. Results of goodness-fit indices were shown in Table 1. Goodness-fit indices for the full structural model was also acceptable (RMSEA = .053, CFI = .930, TLI = .904 and SRMR = .054). All factor loadings were significant except the loading between negative social experiences and internalizing difficulties. Results were presented in Table 2. Also, we checked the indirect effect for internalizing difficulties. Result revealed that the indirect effect of internalizing difficulties was not significant (indirect effect = .0241, SE = .173, p = .164). Thus, internalizing difficulties did not mediate the relationship between personal trauma history and negative social experiences.

Model 2

In Model 2, we investigated whether internalizing difficulties would mediate the relationship between the witness trauma history and negative social experiences.

The Measurement Model Associated with the Full SR Model

From Table 2, we conclude that the measurement model for Model 2 adequately fit the data (RMSEA = .019, CFI = .985, TLI = .980 and SRMR = .046). Table 2 shows that all factor loadings were significant.

The Full SR Model

Table 2 also shows that the full SR model for Model 2 adequately fit the data (RMSEA = .019, CFI = .985, TLI = .980, and SRMR = .046). Table 2 shows that coefficients for the causal path were significant, except the witness trauma history to negative social experiences, indicating the witness trauma history is related to internalizing difficulties, but not negative social experiences. Internalizing difficulties will influence negative social experiences. Although the coefficient for the witness trauma history and negative social experiences path was not significant, we still could investigate the indirect effect of internalizing difficulties. Results of the indirect effect test revealed that there was an indirect effect from the witness trauma history to negative social experiences via internalizing difficulties, indicating internalizing difficulties could mediate the relationship between the witness trauma history to negative social experiences (indirect effect = .991, SE = .404, p < .05).

Discussion

The goal of this study was to investigate the relations between childhood interpersonal trauma (e.g., physical, emotional, or sexual abuse, neglect, or witnessing domestic violence), internalizing difficulties (i.e., depression and stress), and negative social experiences (i.e., hazing, sexual harassment, and bullying/victimization). To this end, we explored the research questions of whether 1) personal childhood trauma was positively associated with negative social experiences in young adults; 2) whether witnessing childhood trauma was positively associated with negative social experiences in college, 3) whether internalizing difficulties mediated the associations between personal childhood trauma and negative social experiences in college, and 4) whether internalizing difficulties mediated the association between witnessed childhood trauma and negative social experiences in college.

Personal Trauma History and Negative Social Experiences

The first model we investigated addressed our first and third research questions. Our hypothesis that trauma would have a significant, positive relationship with negative social experiences was correct; a significant positive association exists between personal trauma history and negative social experiences in college. These results provide further evidence for the idea that childhood traumatic experiences increase the risk for future revictimization, particularly among victims of sexual abuse (Miron and Orcutt 2014; Widom et al. 2008), and extends it to less severe forms of victimization experienced in college (i.e., hazing, sexual harassment, and bullying). For example, it has been shown that within hazing culture, individuals are more likely to engage in hazing or agree to being hazed when there are strong team norms for hazing already in place (Waldron 2015). It has hypothesized that the adoption of team norms and values as individual norms and values increases the likelihood of involvement in future hazing experiences (Waldron 2015). According to a national survey done by Allan and Madden (2008), 47% of high school students come to college with at least some hazing experiences; potentially increasing the likelihood they will participate in hazing activities in college if the hazing culture is familiar to them.

Our second hypothesis that internalizing difficulties would act as a mediator for the relationship between trauma history and negative social experiences was partially incorrect. Within Model 1, the indirect pathway in which internalizing difficulties acts as a mediator for personal trauma history and negative social experiences was insignificant. Thus, internalizing difficulties do not adequately explain how personal traumatic experiences as a child impacts future, negative social victimizations. There are possible explanations for this. First, there is a body of literature that identifies maladaptive coping strategies, including risky sexual behavior and substance use, as primary factors in predicting revictimization (Filipas and Ullman 2006; Messman-Moore et al. 2009; Testa et al. 2010). Other studies have identified gender differences in overall emotional reactivity to stress (Ge et al. 1994; Hankin et al. 2007) as well as mental health symptoms amongst children exposed to violence (Zona and Milan 2011), suggesting that there are gender-specific pathways to trauma-related psychopathology that may not be represented in our model. A lack of consideration for these variables might explain the insignificant role of internalizing difficulties in this model.

Witness Trauma History and Negative Social Experiences

The second model we investigated addressed our second and fourth research questions. Whereas personal trauma history shared a significant, positive relationship with negative social experiences in college in Model 1, witnessed trauma history as a child did not share any significant, direct relationships with negative social experiences in college. However, witnessed trauma history’s relationship with negative social experiences was explained through the indirect pathway of internalizing difficulties. While internalizing difficulties was not an adequate mediator for the pathway in Model 1, Model 2 showed that an individual’s difficulty with internalizing symptoms that accompany witnessed traumatic events in childhood (i.e., depression, anxiety, and stress), at least partially explains the increased risk of having negative social experiences in college compared to those who have not had the same childhood experiences. Using the attachment theory perspective (i.e., Bowlby 1969, 1978), we hypothesized that child victims of trauma were also at risk of less severe, and more social, forms of revictimization in adulthood. The evidence of this study confirms and extends this hypothesis to vicarious, or witnessed, childhood trauma as well. These findings suggest that witnessing trauma in childhood may increase an individual’s risk for negative social experiences in college if the individual is experiencing internalizing difficulties. It is possible that these difficulties overwhelm their capacity to cope, thereby increasing their vulnerability to these negative experiences.

One suggestion for why internalizing difficulties explained the second model’s (witnessed trauma experiences) indirect pathway but not the first model’s (personal trauma experiences) is a difference in outcome variables. For those who have had past personal trauma history, ‘negative social experiences’ in college may not be the type of revictimization individuals are experiencing. The literature shows that children who suffer traumas and abuse in childhood are at greater risk for reexperiencing similar victimization later in life, particularly sexual victimization (Miron and Orcutt 2014; Widom et al. 2008). Furthermore, research shows that the risk for developing PTSD symptomology is greater for those who have direct trauma exposure compared to those who witnessed trauma (indirect; May and Wisco 2016). Therefore, students with personal trauma history may be experiencing more severe forms of victimization through the ‘internalizing difficulties’ mediation pathway than the defined “negative social experiences” in college (i.e., hazing, sexual harassment, and bullying) used in this study.

Limitations

This study is limited by its reliance on self-report measures, which may be biased based on respondents’ under- or over- reporting of experiences and/or associated symptoms (Hardt and Rutter 2004). Additionally, it is possible that cognitive (i.e., memory) factors may play a role in respondents’ recollection, perception, and recall of their childhood experiences, due to mood-congruent recall biases or general memory deficits resulting from psychopathology (Brewin et al. 1993). Due to this project’s use of retrospective reports of trauma, there may be unintentional error or biases in responses (Hardt and Rutter 2004). Further, the current sample was limited to college-age adults (i.e., 18–25 years of age), therefore the current findings may not be generalizable to broader populations.

Implications and Future Directions

Understanding the link between a student’s childhood trauma and the negative social experiences they might be facing in college can inform prevention and treatment efforts of university counseling and health education centers. For many students in college, it is the first time that they have had control over their own physical and mental health decisions; including seeking treatment. Providing targeted mental health education, based on quality research, on internalizing difficulties and past trauma linkage can provide an opportunity for students to make informed decisions about potential treatment. For practitioners, greater theoretical understanding of how their client’s personal background is related to the difficulties they face as an adult may improve establishing the therapeutic relationship and planning evidence-based treatments. Lastly, informing practitioners with knowledge about the differences listed between students who have experienced personal compared to witnessed trauma provides greater sensitivity in conceptualization and treatment planning.

Additional research is warranted to isolate the factors at play in the relations between childhood trauma, internalizing difficulties, hazing, sexual harassment, and bullying victimization. For example, models including current relationship violence, coping, externalizing problems, and social support may provide additional insight into revictimization patterns. Further studies may also investigate whether the revictimization risk associated with trauma exposure in childhood depends on the type (direct and indirect) and frequency (one time or reoccurring) of trauma or age at which the victims were exposed to such events.

Compliance with Ethical Standards

Disclosure of Interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical Standards and Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation at Florida State University and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

Footnotes

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

  1. Allan, E. J., & Madden, M. (2008). Hazing in view: College students at risk: Initial findings from the national study of student hazing. Darby: Diane Publishing Co. Retrieved from http://www.stophazing.org/hazing-view/
  2. Allan EJ, Kerschner D, Payne JM. College student hazing experiences, attitudes, and perceptions: Implications for prevention. Journal of Student Affairs Research and Practice. 2019;56(1):32–48. doi: 10.1080/19496591.2018.1490303. [DOI] [Google Scholar]
  3. American Association of University Women. (2001). Hostile hallways: The AAUW survey of sexual harassment in America’s schools. Washington, DC. [DOI] [PubMed]
  4. Anderson JC, Gerbing DW. Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin. 1988;103(3):411–423. doi: 10.1037/0033-2909.103.3.411. [DOI] [Google Scholar]
  5. Bensley L, Van Eenwyk J, Wynkoop Simmons K. Childhood family violence history and women’s risk for intimate partner violence and poor health. American Journal of Preventative Medicine. 2003;25:38–44. doi: 10.1016/S0749-3797(03)00094-1. [DOI] [PubMed] [Google Scholar]
  6. Blankenship, A. P. (2018). The impact of interpersonal trauma exposure and posttraumatic stress disorder of suicide-related outcomes. Unpublished dissertation
  7. Bowlby J. Attachment and loss: Vol. 1. Attachment. New York: Basic Books; 1969. [Google Scholar]
  8. Bowlby J. Attachment and loss: Separation, anxiety and anger. Harmondsworth: Penguin; 1978. [Google Scholar]
  9. Brendgen M, Poulin F, Denault AS. Peer victimization in school and mental and physical health problems in young adulthood: Examining the role of revictimization at the workplace. Developmental Psychology. 2019;55(10):2219–2230. doi: 10.1037/dev0000771. [DOI] [PubMed] [Google Scholar]
  10. Brewin CR, Andrews B, Gotlib IH. Psychopathology and early experience: A reappraisal of retrospective reports. Psychological Bulletin. 1993;113(1):82–98. doi: 10.1037/0033-2909.113.1.82. [DOI] [PubMed] [Google Scholar]
  11. Buka SL, Stichick TL, Birdthistle I, Earls FJ. Youth exposure to violence: Prevalence, risks and consequences. American Journal of Orthopsychiatry. 2001;71:298–310. doi: 10.1037//0002-9432.71.3.298. [DOI] [PubMed] [Google Scholar]
  12. Cantor, D. W., Fisher, B., Chibnall, S., Townsend, R., Lee, H., Bruce, C., Thomas, G. (2015). Report on the AAU campus climate survey on sexual assault and sexual misconduct. The Association of American Universities. Retrieved from: https://www.aau.edu/sites/default/files/AAU-Files/Key-Issues/Campus-Safety/AAU-Campus-Climate-Survey-FINAL-10-20-17.pdf.
  13. Choi NG, DiNitto DM, Marti CN, Choi BY. Association of adverse childhood experiences with lifetime mental and substance use disorders among men and women aged 50+ years. International Psychogeriatrics. 2017;29:359–372. doi: 10.1017/S1041610216001800. [DOI] [PubMed] [Google Scholar]
  14. Coker AL, Smith PH, McKeown RE, King MJ. Frequency and correlates of intimate partner violence by type: Physical, sexual, and psychological battering. American Journal of Public Health. 2000;90(4):553–555. doi: 10.2105/AJPH.90.4.553. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Cook A, Spinazzola J, Ford J, Lanktree C, Blaustein M, Cloitre M, et al. Complex trauma in children and adolescents. Psychiatric Annals. 2005;35:390–398. doi: 10.3928/00485713-20050501-05. [DOI] [Google Scholar]
  16. Diamond T, Muller RT. The relationship between witnessing parental conflict during childhood and later psychological adjustment among university students: Disentangling confounding risk factors. Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement. 2004;36(4):295–309. doi: 10.1037/h0087238. [DOI] [Google Scholar]
  17. Dube SR, Anda RF, Felitti VJ, Chapman DP, Williamson DF, Giles WH. Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: Findings from the adverse childhood experiences study. Journal of the American Medical Association. 2001;286:3089–3096. doi: 10.1001/jama.286.24.3089. [DOI] [PubMed] [Google Scholar]
  18. Ege MA, Messias E, Thapa PB, Krain LP. Adverse childhood experiences and geriatric depression: Results from the 2010 BRFSS. American Journal of Geriatric Psychiatry. 2015;23:110–114. doi: 10.1016/j.jagp.2014.08.014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Espelage DL, Holt MK. Bullying and victimization during early adolescence: Peer influences and psychosocial correlates. Journal of Emotional Abuse. 2001;2:123–142. doi: 10.1300/J135v02n02_08. [DOI] [Google Scholar]
  20. Espelage DL, Holt MK. Dating violence & sexual harassment across the bully-victim continuum among middle and high school students. Journal of Youth and Adolescence. 2006;36(6):799–811. doi: 10.1007/s10964-006-9109-7. [DOI] [Google Scholar]
  21. Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., ... Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventative Medicine, 14, 245–258. 10.1016/S07493797(98)00017-8. [DOI] [PubMed]
  22. Filipas HH, Ullman SE. Child sexual abuse, coping responses, self-blame, posttraumatic stress disorder, and adult sexual revictimization. Journal of Interpersonal Violence. 2006;21:652–672. doi: 10.1177/0886260506286879. [DOI] [PubMed] [Google Scholar]
  23. Fleckman JM, Drury SS, Taylor CA, Theall KP. Role of direct and indirect violence exposure on externalizing behavior in children. Journal of Urban Health. 2016;93:479–492. doi: 10.1007/s11524-016-0052-y. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Fortier MA, DiLillo D, Messman-Moore TL, Peugh J, DeNardi KA, Gaffey KJ. Severity of child sexual abuse and revictimization: The mediating role of coping and trauma symptoms. Psychology of Women Quarterly. 2009;33:308–320. doi: 10.1111/j.1471-6402.2009.01503.x. [DOI] [Google Scholar]
  25. Ge X, Lorenz F, Conger R, Elder GH. Trajectories of stressful life events and depressive symptoms during adolescence. Developmental Psychology. 1994;30:467–483. doi: 10.1037/0012-1649.30.4.467. [DOI] [Google Scholar]
  26. Gerrity E, Folcarelli C. Child traumatic stress: What every policymaker should know. Durham: National Center for Child Traumatic Stress; 2008. [Google Scholar]
  27. Gladden, R. M., Vivolo-Kantor, A. M., Hamburger, M. E., & Lumpkin, C. D. (2014). Bullying surveillance among youths: Uniform definitions for public health and recommended data elements, version 1.0. Retrieved from: https://www.cdc.gov/violenceprevention/pdf/bullying-definitions-final-a.pdf.
  28. Green BL. Psychometric review of trauma history questionnaire (self-report) In: Stamm BH, editor. Measurement of stress, trauma and adaptation. Lutherville: Sidran Press; 1996. pp. 366–388. [Google Scholar]
  29. Green BL, Krupnick JL, Stockton P, Goodman L, Corcoran C, Petty R. Effects of adolescent trauma exposure on risky behavior in college women. Psychiatry: Interpersonal & Biological Processes. 2005;68:363–378. doi: 10.1521/psyc.2005.68.4.363. [DOI] [PubMed] [Google Scholar]
  30. Hankin BL, Mermelstein R, Roesch L. Sex differences in adolescent depression: Stress exposure and reactivity models. Child Development. 2007;781:279–295. doi: 10.1111/j.1467-8624.2007.00997.x. [DOI] [PubMed] [Google Scholar]
  31. Hardt J, Rutter M. Validity of adult retrospective reports of adverse childhood experiences: Review of the evidence. Journal of Child Psychology and Psychiatry. 2004;45:260–278. doi: 10.1111/j.1469-7610.2004.00218.x. [DOI] [PubMed] [Google Scholar]
  32. Hawker DJS, Boulton MJ. Twenty years’ research on peer victimization and psychosocial maladjustment: A meta-analytic review of cross-sectional studies. Journal of Child Psychology and Psychiatry. 2000;41:441–455. doi: 10.1111/1469-7610.00629. [DOI] [PubMed] [Google Scholar]
  33. Henning K, Leitenberg H, Coffey P, Bennett T, Jankowski MK. Long-term psychological adjustment to witnessing interparental physical conflict during childhood. Child Abuse & Neglect. 1997;21:501–515. doi: 10.1016/S0145-2134(97)00009-4. [DOI] [PubMed] [Google Scholar]
  34. Henry JD, Crawford JR. The short-form version of the depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology. 2005;44(2):227–239. doi: 10.1348/014466505X29657. [DOI] [PubMed] [Google Scholar]
  35. Hillis SD, Anda RF, Felitti VJ, Marchbanks PA. Adverse childhood experiences and sexual risk behaviors in women: A retrospective cohort study. Family Planning Perspectives. 2001;33:206–211. doi: 10.2307/2673783. [DOI] [PubMed] [Google Scholar]
  36. Holt MK, Greif Green J, Reid G, DiMeo A, Espelage DL, Felix ED, Furlong MJ, Poteat VP, Sharkey JD. Associations between past bullying experiences and psychosocial and academic functioning among college students. Journal of American College Health. 2014;62(8):552–560. doi: 10.1080/07448481.2014.947990. [DOI] [PubMed] [Google Scholar]
  37. Hooper, D., Coughlan, J., & Mullen, M. R. (2008). Structural equation modeling: Guidelines for determining model fit. The Electronic Journal of Business Methods, 6, 53–60. Retrieved from www.ejbrm.com.
  38. Hoover, N. C. (1999). Initiation rites and athletics: A national survey of NCAA sports teams. Final Report. Alfred University. Retrieved from https://eric.ed.gov/?id=ED463713.
  39. Jaffe P, Wilson S, Wolfe DA. Promoting changes in attitudes and understanding of conflict resolution among child witnesses of family violence. Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement. 1986;18:356–366. doi: 10.1037/h0079969. [DOI] [Google Scholar]
  40. Kajeepeta S, Gelaye B, Jackson CL, Williams MA. Adverse childhood experiences are associated with adult sleep disorders: A systematic review. Sleep Medicine. 2015;16:320–330. doi: 10.1016/j.sleep.2014.12.013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. Keating CF, Pomerantz J, Pommer SD, Ritt SJH, Miller LM, McCormick J. Going to college and unpacking hazing: A functional approach to decrypting initiation practices among undergraduates. Group Dynamics: Theory, Research, and Practice. 2005;9(2):104–126. doi: 10.1037/1089-2699.9.2.104. [DOI] [Google Scholar]
  42. Kelly EV, Newton NC, Stapinski LA, Slade T, Barrett EL, Conrod PJ, Teeson M. Suicidality, internalizing difficulties and externalizing problems among adolescent bullies, victims and bully-victims. Prevention Medicine. 2015;73:100–105. doi: 10.1016/j-ypmed.2015.01.020. [DOI] [PubMed] [Google Scholar]
  43. Kim J, Kim J, Park S. Military hazing and suicidal ideation among active duty military personnel: Serial mediation effects of anger and depressive symptoms. Journal of Affective Disorders. 2019;256:79–85. doi: 10.1016/j.jad.2019.05.060. [DOI] [PubMed] [Google Scholar]
  44. Lund EM, Ross SW. Bullying perpetration, victimization, and demographic differences in college students: A review of the literature. Trauma, Violence, & Abuse. 2017;18(3):348–360. doi: 10.1177/1524838015620818. [DOI] [PubMed] [Google Scholar]
  45. May CL, Wisco BE. Defining trauma: How level of exposure and proximity affect risk for posttraumatic stress disorder. Psychological Trauma: Theory, Research, Practice, and Policy. 2016;8(2):233–240. doi: 10.1037/tra0000077. [DOI] [PubMed] [Google Scholar]
  46. Messman-Moore TL, Ward RM, Brown AL. Substance use and PTSD symptoms impact the likelihood of rape and revictimization in college women. Journal of Interpersonal Violence. 2009;24:499–521. doi: 10.1177/0886260508317199. [DOI] [PubMed] [Google Scholar]
  47. Miron LR, Orcutt HK. Pathways from childhood abuse to prospective revictimization: Depression, sex to reduce negative affect, and forecasted sexual behavior. Child Abuse & Neglect. 2014;38:1848–1859. doi: 10.1016/j.chiabu.2014.10.004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  48. Monnat SM, Chandler RF. Long-term physical health consequences of adverse childhood experiences. Sociological Quarterly. 2015;56:723–752. doi: 10.1111/tsq.12107. [DOI] [PMC free article] [PubMed] [Google Scholar]
  49. Page AC, Hooke GR, Morrison DL. Psychometric properties of the depression anxiety stress scales (DASS) in depressed clinical samples. British Journal of Clinical Psychology. 2007;46:283–297. doi: 10.1348/014466506X158996. [DOI] [PubMed] [Google Scholar]
  50. Pearlman LA, Courtois CA. Clinical applications of the attachment framework: Relational treatment of complex trauma. Journal of Traumatic Stress. 2005;18:449–459. doi: 10.1002/jts.20052. [DOI] [PubMed] [Google Scholar]
  51. Pine DS, Cohen JA. Trauma in children and adolescents: Risk and treatment of psychiatric sequelae. Biological Psychiatry. 2002;51:519–531. doi: 10.1016/S0006-3223(01)01352-X. [DOI] [PubMed] [Google Scholar]
  52. Pine DS, Costello J, Masten A. Trauma, proximity, and developmental psychopathology: The effects of war and terrorism on children. Neuropsychopharmacology. 2005;30:1781–1792. doi: 10.1038/sj.npp.1300814. [DOI] [PubMed] [Google Scholar]
  53. Polusny M, Follette V. Long-term correlates of child sexual abuse: Theory and review of the empirical literature. Applied & Preventative Psychology. 1995;4:143–166. doi: 10.1016/S0962-1849(05)80055-1. [DOI] [Google Scholar]
  54. Pritchard ME, Wilson GS, Yamnitz B. What predicts adjustment among college students? A longitudinal panel study. Journal of American College Health. 2007;56:15–21. doi: 10.3200/JACH.56.1.15-22. [DOI] [PubMed] [Google Scholar]
  55. Ranjith JP, Jayakumar C, Kishore MT, Binukumar B, Bhaskar A. Association between bullying, peer victimization and mental health problems among adolescents in Bengaluru, India. Indian Journal of Social Psychiatry. 2019;3:207–212. doi: 10.4103/ijsp.ijsp_6_19. [DOI] [Google Scholar]
  56. Rasalingam A, Clench-Aas J, Raanaas RK. Peer victimization and related mental health problems in early adolescence: The mediating role of parental and peer support. Journal of Early Adolescence. 2017;37:1142–1162. doi: 10.1177/0272431616653474. [DOI] [Google Scholar]
  57. Rheingold AA, Acierno R, Resnick HS. Trauma, PTSD, and health risk behaviors. In: Schnurr PP, Green BL, editors. Trauma and health: Physical health consequences of exposure to extreme stress. Washington, DC: American Psychological Association; 2004. [Google Scholar]
  58. Rospenda KM, Richman JA, Wolff JM, Burke LA. Bullying victimization among college students: Negative consequences for alcohol use. Journal of Addictive Diseases. 2013;32(4):325–342. doi: 10.1080/10550887.2013.849971. [DOI] [PMC free article] [PubMed] [Google Scholar]
  59. Rothman EF, Edwards EM, Heeren T, Hingson RW. Adverse childhood experiences predict earlier age of drinking onset: Results from a representative US sample of current or former drinkers. Pediatrics. 2008;122:298–304. doi: 10.1542/peds.2007-3412. [DOI] [PubMed] [Google Scholar]
  60. Smith M, Gotman N, Yonkers K. Early childhood adversity and pregnancy outcomes. Maternal & Child Health Journal. 2016;20:790–798. doi: 10.1007/s10995-015-1909-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  61. Testa M, Hoffman JH, Livingston JA. Alcohol and sexual risk behaviors as mediators of the sexual victimization–revictimization relationship. Journal of Consulting and Clinical Psychology. 2010;78(2):249–259. doi: 10.1037/a0018914. [DOI] [PMC free article] [PubMed] [Google Scholar]
  62. van der Kolk BA, Roth S, Pelcovitz D, Sunday S, Spinazzola J. Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma. Journal of Traumatic Stress. 2005;18:389–399. doi: 10.1002/jts.20047. [DOI] [PubMed] [Google Scholar]
  63. Van Raalte JL, Cornelius AE, Linder DE, Brewer BW. The relationship between hazing and team cohesion. Journal of Sport Behavior. 2007;30(4):491–507. [Google Scholar]
  64. Varese, F., Smeets, F., Drukker, M., Lieverse, R., Lataster, T., Viechtbauer, W., …, Os, J.V. (2012). Childhood adversities increase the risk of psychosis: A meta-analysis of patient-control, prospective- and cross-sectional cohort studies. Schizophrenia Bulletin, 38, 661–671. 10.1093/schbul/sbs050. [DOI] [PMC free article] [PubMed]
  65. Waldron JJ. Predictors of mild hazing, severe hazing, and positive initiation rituals in sport. International Journal of Sports Science & Coaching. 2015;10(6):1089–1101. doi: 10.1260/1747-9541.10.6.1089. [DOI] [Google Scholar]
  66. Weathers, F.W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The Life Events Checklist for DSM-5 (LEC-5) – Standard. Available from http://ptsd.va.gov/.
  67. Widom CS, Czaja SJ, Dutton MA. Childhood victimization and lifetime revictimization. Child Abuse & Neglect. 2008;32:785–796. doi: 10.1016/j.chiabu.2007.12.006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  68. Wilson HW, Samuelson SL, Staudenmeyer AH, Widom CS. Trajectories of psychopathology and risky behaviors associated with childhood abuse and neglect in low-income urban African American girls. Child Abuse & Neglect. 2015;45:108–121. doi: 10.1016/j.chiabu.2015.02.009. [DOI] [PubMed] [Google Scholar]
  69. Wolff JM, Rospenda KM, Colaneri AS. Sexual harassment, psychological distress, and problematic drinking behavior among college students: An examination of reciprocal causal relations. Journal of Sex Research. 2017;54(3):362–373. doi: 10.1080/00224499.2016.1143439. [DOI] [PMC free article] [PubMed] [Google Scholar]
  70. Zimmerman GM, Posick C. Risk factors for and behavioral consequences of direct versus indirect exposure to violence. American Journal of Public Health. 2016;106:178–188. doi: 10.2105/AJPH.2015.302920. [DOI] [PMC free article] [PubMed] [Google Scholar]
  71. Zona K, Milan S. Gender differences in the longitudinal impact of exposure to violence on mental health in urban youth. Journal of Youth and Adolescence. 2011;40:1674–1690. doi: 10.1007/s10964-011-9649-3. [DOI] [PubMed] [Google Scholar]

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