Effects On Victims
EFFECTS OF SEXUAL VICTIMIZATION:
Sexual assault crosses all barriers, including age, race, religion, sexual orientation, economic status, and geographic location. While every survivor of sexual assault is unique, there are many common responses and effects to being assaulted. Not every survivor will experience all of these effects and may demonstrate responses to these effects in a variety of ways. Some survivors may initially respond in an "expressive" manner, which can include sobbing, shaking, hyperventilating, and displaying strong or intense emotional responses; while other survivors may respond in a "controlled" manner, which can include detachment, numbing, and very little expression of emotions.
INITIAL EFFECTS:
Shock, disbelief, disorganized thinking, difficulty remembering all parts of the assault
Crying, emotional numbness, moods or emotions shift quickly
Physical soreness, nausea, stomach or pelvic pain, loss of appetite, shaking, headaches
Fear, hyper vigilance, jumpiness, restlessness
Anxiety, anger, irritability, depression
Shame, self-blame
Difficulty sleeping, eating, concentrating, and performing normal tasks
Nightmares, flashbacks, preoccupation with thoughts and feelings about the assault
Attempting to avoid people, places & activities that trigger memories of the assault
ON-GOING OR PERSISTENT EFFECTS:
Survivor moves out of shock and attempts to "get back to normal" or "move on"
Generalized fear, hyper vigilance, irritability, difficulty sleeping
Nightmares, flashbacks & panic attacks may persist and even worsen
Emotional flooding alternating with emotional numbing
Inability to withstand normal life stressors, social isolation
Survivors may develop longer-term and more complicated symptoms over time, including depression, suicidal thoughts and/or actions, anxiety, addictions and compulsions, lack of trust in relationships, difficulty with intimacy, sexual acting out or promiscuity, low self-esteem
(Sources used: Burgess & Holmstrom; Sutherland & Scherl; Ledray-1986)
EFFECTS FOR SURVIVORS OF CHILDHOOD SEXUAL ABUSE/INCEST:
(INITIAL) EFFECTS FOR CHILDREN AND/OR TEENS:
Increased fears and anxiety, including hyper alertness and clingy behaviors
Shock, confusion and/or denial about what actually happened
Problems sleeping, nightmares
Aggressiveness, behavior problems and/or changes, overly intense need to please
Inappropriate sexual behaviors
Decreased self-esteem
Regressed behaviors, including bed wetting or acting "baby-like" (after these stages have been outgrown)
Somatic (bodily) complaints
Decreased concentration
Increased isolation
Loss of appetite
Avoidance of reminders
LONGER-TERM EFFECTS FOR ADULT SURVIVORS OF CHILDHOOD SEXUAL ABUSE/INCEST:
Depression
Anxiety disorders and/or phobias
Suicide attempts and/or other self-mutilating behaviors, such as cutting
Lowered self-esteem and self-worth
Intense guilt and shame
Decreased capacity to self-soothe or manage life stressors
Feeling unworthy of healthy relationships, isolating
Eating disorders (binging, overeating, purging, starving self)
Substance Abuse, addictions
Somatic (bodily) complaints and/or chronic health problems (gynecological, gastrointestinal, fibromialgia, Chronic Fatigue Syndrome)
Sexual dysfunction and/or sexual acting out/compulsivity
Problems with sexual intimacy (fear of being vulnerable, not able to trust)
Personality disorders (Dissociative Identity Disorder, Borderline Personality Disorder)
( Briere, 1993; Briere & Runtz, 1988; Browne & Finkelhor, 1986; Green, 1993; Herman, 1997 & 2000.)

