Why Women Are Not Talking About It: Reasons for Nondisclosure of Sexual Victimization and Associated Symptoms of Posttraumatic Stress Disorder and Depression

Violence Against Women. 2020 Mar;26(3-4):271-295. doi: 10.1177/1077801219832913. Epub 2019 Mar 14.

Abstract

Disclosure of traumatic experiences is typically encouraged and associated with positive outcomes. However, there is limited research on nondisclosure of sexual trauma and consequent symptomology. This online study of undergraduate females examines reasons for nondisclosure and associated symptoms of posttraumatic stress disorder (PTSD) and depression. Of 221 participants who reported sexual victimization, 25% had not previously disclosed it. Four reasons for nondisclosure were identified: shame, minimization of experience, fear of consequences, and privacy. Nondisclosers who minimized the experience and nondisclosers low on shame reported fewer PTSD symptoms than disclosers. These findings suggest that reasons for nondisclosure are associated with symptomology.

Keywords: PTSD; disclosure; sexual assault.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Crime Victims / statistics & numerical data*
  • Depression / epidemiology*
  • Disclosure / statistics & numerical data*
  • Female
  • Humans
  • Sex Offenses
  • Sexual Behavior
  • Sexual Trauma / epidemiology*
  • Shame
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Students
  • Surveys and Questionnaires
  • Universities
  • Young Adult