Skip to main content
clinical

Predictors of Intimate Partner Violence Revictimization: The Relative Impact of Distinct PTSD Symptoms, Dissociation, and Coping Strategies

Iverson, K., Litwack, S., Pineles, S., Suvak, M., Vaughn, R., & Resick, P. (2013)

Journal of Traumatic Stress, 26(1), 102-110

APA Citation

Iverson, K., Litwack, S., Pineles, S., Suvak, M., Vaughn, R., & Resick, P. (2013). Predictors of Intimate Partner Violence Revictimization: The Relative Impact of Distinct PTSD Symptoms, Dissociation, and Coping Strategies. *Journal of Traumatic Stress*, 26(1), 102-110. https://doi.org/10.1002/jts.21781

Summary

Researchers examined which factors predict revictimization—being abused again after leaving an abusive relationship. They found that PTSD symptoms, particularly emotional numbing and dissociation, increased revictimization risk. Women who used avoidant coping strategies were more likely to experience abuse again. The research illuminates how trauma responses themselves can inadvertently increase vulnerability to future abuse.

Why This Matters for Survivors

Understanding revictimization helps survivors protect themselves. If you've escaped one abusive relationship only to find yourself in another, this research explains why. PTSD symptoms—especially numbing and dissociation—can impair your ability to recognize danger signals. Understanding this mechanism helps you take protective steps rather than blaming yourself.

What This Research Establishes

PTSD symptoms predict revictimization. Women with PTSD, especially emotional numbing and dissociation, have higher risk of future abuse.

Emotional numbing impairs threat detection. When you can’t feel normally, warning signs that would trigger alarm may not register.

Dissociation increases vulnerability. Disconnecting from present experience can mean missing red flags.

Avoidant coping increases risk. Trying to avoid dealing with trauma prevents the processing and vigilance that would protect you.

Why This Matters for Survivors

Understanding your vulnerability. If you’ve escaped one abusive relationship only to enter another, this research explains why. It’s not about poor judgment—it’s about how trauma affects your ability to detect danger.

Not your fault. Revictimization results from trauma’s effects on the brain, not from character flaws or “choosing” bad partners. Understanding the mechanism shifts blame from you to the actual cause.

Targeted protection. Knowing that numbing and dissociation increase risk helps you take specific protective steps—being extra careful during numb periods, not making relationship decisions while dissociated.

Treatment reduces risk. Addressing PTSD symptoms through evidence-based treatment can reduce revictimization risk. This is another reason to seek trauma therapy.

Clinical Implications

Screen for revictimization history. In patients with abuse history, assess for multiple abusive relationships. This pattern suggests increased vulnerability.

Target specific symptoms. Address emotional numbing and dissociation specifically—these impair threat detection and increase risk.

Educate about risk. Help survivors understand why they may be vulnerable without inducing self-blame. Knowledge enables protection.

Encourage active coping. Help patients develop active coping strategies rather than avoidance. Address trauma rather than avoiding it.

How This Research Is Used in the Book

Iverson and colleagues’ work appears in chapters on revictimization:

“If you’ve escaped one abusive relationship only to find yourself in another, you may wonder what’s wrong with you. Iverson’s research provides an answer that has nothing to do with your worth: PTSD symptoms—especially emotional numbing and dissociation—impair your ability to detect danger. When you’re numb, warning signs that should trigger alarm don’t register. When you dissociate, you miss red flags you’d otherwise notice. Avoidant coping prevents the processing that would restore vigilance. This isn’t choosing bad partners; it’s trauma affecting your threat detection system. Understanding this helps you protect yourself: be especially careful during numb periods, don’t make relationship decisions while dissociated, seek trauma treatment. You’re not broken; your alarm system is temporarily impaired.”

Historical Context

Published in 2013, this study contributed to understanding revictimization—a phenomenon long noted but poorly explained. By identifying specific PTSD symptoms that increase risk, it informed both clinical treatment and prevention efforts.

Further Reading

  • Classen, C.C., et al. (2005). Sexual revictimization: A review of the empirical literature. Trauma, Violence, & Abuse, 6(2), 103-129.
  • Messman-Moore, T.L., & Long, P.J. (2003). The role of childhood sexual abuse sequelae in the sexual revictimization of women. Clinical Psychology Review, 23(4), 537-571.
  • Walker, L.E. (2009). The Battered Woman Syndrome (3rd ed.). Springer.

About the Author

Katherine M. Iverson, PhD is a researcher at VA Boston Healthcare System and Boston University, specializing in intimate partner violence and PTSD. Her work focuses on understanding and preventing revictimization.

Historical Context

Published in 2013, this study contributed to understanding the revictimization phenomenon—why some abuse survivors experience abuse again. It identified specific PTSD symptoms and coping styles that increase risk, informing prevention efforts.

Frequently Asked Questions

Cited in Chapters

Chapter 17 Chapter 18 Chapter 21

Related Terms

Glossary

clinical

Dissociation

A psychological disconnection from one's thoughts, feelings, surroundings, or sense of identity—a common trauma response to overwhelming narcissistic abuse.

Related Research

Further Reading

abuse 1993

Emotional Attachments in Abusive Relationships: A Test of Traumatic Bonding Theory

Dutton & Painter

Violence and Victims

Journal Article Ch. 3, 11, 13...
trauma 1996

Betrayal Trauma: The Logic of Forgetting Childhood Abuse

Freyd, J.

Book Ch. 12, 16, 20

Start Your Journey to Understanding

Whether you're a survivor seeking answers, a professional expanding your knowledge, or someone who wants to understand narcissism at a deeper level—this book is your comprehensive guide.