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Better Tomorrow Network

Publications from the Women’s Health Study (2014 to Present)

We completed data collection for the Women’s Health Study in 2020, and continue to publish impactful research from the results of this 5-year, 706-participant study on experiences and health outcomes of sexual assault survivors.

Buchbinder M, Brassfield ER, Tungate AT, Witkemper KD, D’Anza T, Lechner M, Bell K, Black J, Buchanan J, Reese R, Ho J, Reed G, Platt M, Riviello R, Rossi C, Nouhan P, Phillips CA, Martin SL, Liberzon I, Rauch SAM, Bollen K, McLean SA. “I Still Feel So Lost”: Experiences of Women Receiving SANE Care during the Year after Sexual Assault. JACEP Open. 2021;2(4):e12464. doi.org/10.1002/emp2.12464

Lechner M, Bell K, Short NA, Martin SL, Black J, Buchanan JA, Reese R, Ho JD, Reed GD, Platt M, Riviello R, Rossi C, Nouhan P, Phillips C, Bollen KA, McLean SA. Perceived Care Quality Among Women Receiving Sexual Assault Nurse Examiner Care: Results from a 1-Week Postexamination Survey in a Large Multisite Prospective Study. J Emerg Nurs. 2021;47(3):449-458. doi:10.1016/j.jen.2020.11.011

Short NA, Lechner M, McLean BS, Tungate AS, Black J, Buchanan JA, Reese R, Ho JD, Reed GD, Platt MA, Riviello RJ, Rossi CH, Nouhan PP, Phillips CA, Martin SL, Liberzon I, Rauch SAM, Bollen KA, Kessler RC, McLean SA. Health Care Utilization by Women Sexual Assault Survivors after Emergency Care: Results of a Multisite Prospective Study. Depress Anxiety. 2021;38(1):67-78. doi:10.1002/da.23102

Short NA, Lechner M, Bell K, Black J, Buchanan J, Ho J, Reed G, Corzine A, Riviello R, Martin SL, Liberzon I, Rauch S, McLean SA. Anxiety Sensitivity Prospectively Predicts Increased Acute Posttraumatic Stress and Related Symptoms after Sexual Assault. J Trauma Stress. 2020;33(6):1111-1120. doi:10.1002/jts.22613

Gullett L, Short NA, Burud G, Lechner M, Bell K, Black J, Buchanan J, Reese R, Reed G, Rossi C, Nouhan P, Phillips C, Martin SL, Liberzon I, Rauch SAM, Bollen K, McLean S. Psychological and Physical Morbidity of Sexual Assault Among Adult Women Students. Biological Psychiatry, 2020;87(9):S327. doi:10.1016/j.biopsych.2020.02.840

Son E, Tungate AS, Mauck MC, Pan Y, Witkemper KD, Kurz MC, Hendry PL, Pearson C, Lewandowski C, Datner E, Cairns BA, McLean SA, Linnstaedt SD. Peritraumatic Circulating 17β-Estradiol as a Resiliency Factor for Chronic Pain Outcomes in Women Following Trauma. Biological Psychiatry. 2020;87(9):S320. doi:10.1016/j.biopsych.2020.02.823

Witkemper KD, Short NA, Sullivan MM, Lechner M, Bell K, Black J, Buchanan JA, Reese R, Ho JD, Reed GD, Rossi C, Martin SL, Liberzon I, Rauch SAM, McLean SA. Peritraumatic Anxiety Sensitivity Predicts Posttraumatic Stress Symptoms After Sexual Assault. Biological Psychiatry. 2020;87(9):S319-S320. doi:10.1016/j.biopsych.2020.02.822

Tran C, Kleemann E, Tungate AS, Witkemper KD, Lechner M, Bell K, Black J, Buchanan JA, Reese R, Ho JD, Reed GD, Liberzon I, Rauch SAM, Kessler RC, McLean SA. Pain in the Immediate Aftermath of Sexual Assault and its Relationship to Physical Trauma During Assault. Biological Psychiatry. 2020;87(9):S318. doi:10.1016/j.biopsych.2020.02.818

Tungate AS, Bollen KA, Short NA, Witkemper KD, Lechner M, Bell K, Black J, Buchanan JA, Reese R, Reed GD, Liberzon I, Rauch SAM, Kessler R, McLean SA. Peritraumatic Stress Symptoms Partially Mediate Pain Persistence After Sexual Assault. Biological Psychiatry. 2020;87(9):S210. doi:10.1016/j.biopsych.2020.02.546

McLean S, Tungate A, Short N, Bell K, Lechner M, Buchanan J, Black J, Reese R, Ho J, Reed G, Riviello R, Datner E, Platt M, Rossi C, Nouhan P, Kessler R, Liberzon I, Greene S. Predictors of Posttraumatic Stress Six Months After Sexual Assault: Results of a Large-Scale, Multi-Site, Prospective Study. Biological Psychiatry, 2020;87(9). doi:10.1016/j.biopsych.2020.02.282

Short NA, Sullivan J, Soward A, Bollen KA, Liberzon I, Martin S, Rauch SAM, Bell K, Rossi C, Lechner M, Novak C, Witkemper KD, Kessler R, McLean SA. Protocol for the first large-scale emergency care-based longitudinal cohort study of recovery after sexual assault: the Women’s Health Study. BMJ Open. 2019;9(11):e031087. doi:10.1136/bmjopen-2019-031087

Novak C, Swain HAV, McLean B, Tran C, Vitale A, Witkemper KD, D’Anza T, Bell K, Lechner M, Buchanan J, Black J, Reese R, Ho J, Reed G, Riviello R, Datner E, Platt M, Rossi C, Nouhan P, Kessler R, Liberzon I, McLean S. F25. Increased Adverse Childhood Experiences Predict Worse Acute Pain and Psychological Symptoms After Sexual Assault. Biological Psychiatry, 2019;85(10):S22. doi:10.1016/j.biopsych.2019.03.562<

Swain HAV, McLean B, Tran C, Vitale A, Sullivan J, Novak C, D’Anza T, Bell K, Lechner M, Buchanan J, Black J, Reese R, Ho J, Reed G, Riviello R, Datner E, Platt M, Rossi C, Nouhan P, Kessler R, Liberson I, McLean S. F23. Sexual Assault Characteristics Predict Peritraumatic Pain and Posttraumatic Stress Responses. Biological Psychiatry, 2019;85(10):S221. doi:10.1016/j.biopsych.2019.03.560

Sullivan J, Witkemper KD, Markiewitz N, Cook J, Singla A, D’Anza T, Bell K, Lechner M, Buchanan J, Black J, Reese R, Ho J, Reed G, Riviello R, Datner E, Platt M, Rossi C, Nouhan P, Soward A, McLean SA. S31. Most Sexual Assault Survivors With Significant Posttraumatic Stress do not Receive Mental Health Care in the Initial Weeks After Assault. Biological Psychiatry, 2018;83(9):S358-S359. doi: 10.1016/j.biopsych.2018.02.922

Witkemper KD, Sullivan J, Markiewitz N, Swain HAV, D’Anza T, Bell K, Lechner M, Bucossi M, Morrison IC, Reese R, Ho J, Reed G, Riviello R, Corzine A, Rossi C, Liberzon I, Kessler R, McLean S. S32. Psychological Resilience Following Sexual Assault Predicts Improved Mental Health Outcomes. Biological Psychiatry, 2018;83(9):S359. doi: 10.1016/j.biopsych.2018.02.923

Singla A, Sullivan J, Witkemper K, Markiewitz N, Swain HAV, D’Anza T, Bell K, Lechner M, Buchanan J, Morrison IC, Reese R, Ho J, Reed G, Riviello R, Datner E, Platt M, Rossi C, Nouhan P, Soward A, McLean SA.F276. Use of HIV Post-Exposure Prophylaxis Among Women Sexual Assault Survivors is Not Associated with Increased Posttraumatic Symptoms. Biological Psychiatry, 2018; 83(9):S346. doi:10.1016/j.biopsych.2018.02.890

Linnstaedt SD, Riker KD, Rueckeis CA, Kutchko KM, Lackey L, McCarthy KR, Tsai Y, Parker JS, Kurz MC, Hendry PL, Lewandowski C, Datner E, Pearson C, O’Neil B, Domeier R, Kaushik S, Laederach A, McLEan SA. A functional riboSNitch in the 3’UTR of FKBP5 alters microRNA-320a binding efficiency and mediates vulnerability to chronic post-traumatic pain. J Neurosci, 2018;38(39):8407-8420.

FKBP5 × stress interaction on chronic pain severity after motor vehicle collision in EA (plain bars) and AA (striped bars) individuals.

Riviello R, Sullivan J, Bhatt K, Maltez B, D’Anza T, Bell K, Lechner M, Reese R, Buchanan J, Ho J, Nouhan P, Platt M, Philips C, Black J, Reed G, McLean SA. Persistent adverse mental and physical health outcomes are common among women after sexual assault. MEMC-GREAT, 2017;18:S7.

Sullivan J, Maltez B, Soward A, D’Anza T, Bell K, Galloway L, Lechner M, Gieger-Sedgwick A, Metz M, Ho J, Rossi C, Hurst K, Riviello R, Corzine A, Moriarty T, McLean SA. Strangulation during sexual assault predicts increased PTSD symptoms six weeks after assault. Biological Psychiatry, 2017;81(1):S85.

Publications from the Women’s Health Pilot Study (2008 to 2011)

In order to assess the feasibility and challenges of building a multi-site network dedicated to improving the care provided to sexual assault survivors, a pilot study for the Women’s Health Study was undertaken from 2008 to 2011. Results from the pilot informed and supported the development of the Women’s Health Study in 2014.

Linnstaedt SD, Walker MG, Riker KD, Nyland JE, Hu J, Rossi C, Swor RA, Jones JS, Diatchenko L, Bortsov AV, McLean SA. Genetic variant rs3750625 in the 3’UTR of ADRA2A affects stress-dependent acute pain severity after trauma and alters a microRNA-34a regulatory site. Pain. 2017;158(2):230-239. doi:10.1097/j.pain.0000000000742.

Bortsov AV, Smith JE, Diatchenko L, Soward AC, Ulirsch JC, Rossi C, Swor RA, Hauda WE, Peak DA, Joens JS, Holbrook D, Rathlev NK, Foley KA, LEE DC, Collette R, Domeier RM, Hendry PL, McLean SA. Polymorphisms in the glucocorticoid receptor co-chaperone FKBP5 predict persistent musculoskeletal pain after traumatic stress exposure. Pain. 2013;154(8):1419-1426. doi:10.1016/j.pain.2013.04.037.

Overall musculoskeletal pain trajectories and neck pain trajectories by rs2817032 genotype in the motor vehicle collision cohort (A, B) and sexual assault cohort (C, D).

Ballina LE, Ulirsch JC, Soward AC, Rossi C, Rotolo S, Linnstaedt SD, Heafner T, Foley KA, Collette R, Holbrook D, Zelman S, McLean SA. μ-Opioid receptor gene A118G polymorphism predicts pain recovery after sexual assault. J Pain. 2013;14(2):1165-71. doi 10/1016/j.jpain.2012.10.013.

McLean SA, Soward AC, Ballina LE, Rossi C, Rotolo S, Wheeler R, Foley KA, Batts J, Casto T, Collette R, Holbrook D, Goodman E, Rauch SA, Liberzon I. Acute severe pain is a common consequence of sexual assault. J Pain. 2012;13(8):736-41. doi: 10/1016/j.jpain.2012.04.008.