Abstract
The devastating impacts of trauma bonding on survivors of sex trafficking have been repeatedly observed by researchers and practitioners alike. Trauma bonding hinders survivors from exiting exploitive environments and facilitates a toxic cycle of repeated exploitation. Despite empirical evidence of trauma bonding among survivors of sex trafficking, no measure of trauma bonding in the context of sex trafficking has been developed or evaluated. Given this need, the current study develops and evaluates a measure of trauma bonding for young adults in the context of sex trafficking. The study involved item development and modification, pretesting of the items, survey administration, scale development using exploratory factor analysis, and lastly, scale evaluation using confirmatory factor analysis and structural equation modeling. Analysis of the survey data from 619 young adults indicated that the Trauma Bonding Scale for Adults© is a harmonious measure of trauma bonding with strong internal consistency and concurrent criterion validity. Implications related to scale use by researchers and clinicians are discussed.
Similar content being viewed by others
Notes
Qualtrics administers an array of surveys, including surveys on topics related to marketing, politics, and current affairs using a panel of U.S. adults who have “opted-in” or agreed to complete online surveys in exchange for earning points toward vouchers for gift cards or customer award points (Qualtrics XM, 2022).
References
Ahmad, A., Aziz, M., Anjum, G., & Mir, F. V. (2018). Intimate partner violence and psychological distress: Mediating role of stockholm syndrome. Pakistan Journal of Psychological Research,33(2), 541–557.
Arthur, W., Hagen, E., & George, F. (2021). The lazy or dishonest respondent: Detection and prevention. Annual Review of Organizational Psychology and Organizational Behavior,8(1), 105–137. https://doi.org/10.1146/annurev-orgpsych-012420-055324
Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar-Quiñonez, H. R., & Young, S. L. (2018). Best practices for developing and validating scales for health, social, and behavioral research: a primer. Frontiers in Public Health,6, 149. https://doi.org/10.3389/fpubh.2018.00149
Bowlby, J. (1969). Attachment and loss: Vol. 1, Attachment. Basic Books.
Briere, J. (2011). Trauma symptom Inventory-2: Professional manual. PAR, Inc.
Byrne, B. M. (2010). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Routledge.
Cantor, C., & Price, J. (2007). Traumatic entrapment, appeasement and complex post-traumatic stress disorder: Evolutionary perspectives of hostage reactions, domestic abuse and the stockholm syndrome. Australian and New Zealand Journal of Psychiatry,41(5), 377–384. https://doi.org/10.1080/00048670701261178
Carnes, P. J. (1997). The betrayal bond: Breaking free of exploitive relationships. Health Communications, Inc.
Carnes, P. J. (2019). The Betrayal Bond: Breaking Free of Exploitive Relationships (2nd Edn). Health Communications Inc.
Casassa, K., Knight, L., & Mengo, C. (2022). Trauma bonding perspectives from service providers and survivors of sex trafficking: A scoping review. Trauma, Violence, and Abuse,23(3), 969–984. https://doi.org/10.1177/1524838020985542
Casassa, K., Ploss, & Karandikar, S. (2023). “He Loves Me Hard and Then He Abuses Me Hard”: How Service Providers Define and Explain Trauma Bonds Among Sex Trafficking Survivors. Violence Against Women, 107780122311581. https://doi.org/10.1177/10778012231158104
Chambers, R., Gibson, M., Chaffin, S., Takagi, T., Nguyen, N., & Mears-Clark, T. (2022). Trauma-coerced attachment and complex PTSD: informed care for survivors of human trafficking. Journal of Human Trafficking,1–10, 1. https://doi.org/10.1080/23322705.2021.2012386
Clark, L. A., & Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment,7, 309–319.
Cook, T. D., & Campbell, D. T. (1979). Quasi-experimentation: Design and analysis issues for field settings. Houghton Mifflin.
de Fabrique, N., Van Hasselt, V. B., Vecchi, G. M., & Romano, S. J. (2007). Common variables associated with the development of stockholm syndrome: Some case examples. Victims and Offenders,2(1), 91–98. https://doi.org/10.1080/15564880601087266
Doychak, K. (2022). Coercive control and trauma-coerced attachment in commercial sexual exploitation: A mixed-method examination (Doctoral dissertation, City University of New York). Retrieved February 01, 2023, from https://www.proquest.com/openview/b1d5eec55bea82b705323069b9cf68a2/1?pq-origsite=gscholar&cbl=18750&diss=y
Doychak, K., & Raghavan, C. (2020). No voice or vote:” trauma-coerced attachment in victims of sex trafficking. Journal of Human Trafficking,6(3), 339–357. https://doi.org/10.1080/23322705.2018.1518625
Dutton, D. G., & Painter, S. L. (1981). Traumatic bonding: The development of emotional attachments in battered women and other relationships of intermittent abuse. Victimology: An International Journal,7(4), 139–155.
Dutton, D. G., & Painter, S. (1993). The battered woman syndrome: Effects of severity and intermittency of abuse. American Journal of Psychiatry,63(4), 614–622.
Effiong, J. E., Ibeagha, P. N., & Iorfa, S. K. (2022). Traumatic bonding in victims of intimate partner violence is intensified via empathy. Journal of Social and Personal Relationships,39(12), 3619–3637. https://doi.org/10.1177/02654075221106237
Emory, R. (2010). Losing your head in the washer– why the brainwashing defense can be a complete defense in criminal cases. Pace Law Review,30(4), 1337–1359.
Favaro, A., Degortes, D., Colombo, G., & Santonastaso, P. (2000). The effects of trauma among kidnap victims in Sardinia, Italy. Psycholgoical Medicine,30, 975–980.
Geisen, E. (2022). Improve data quality by using commitment request instead of attention checks. Qualtrics XM Blog. Retrieved February 10, 2023, from https://www.qualtrics.com/blog/attention-checks-and-data-quality/
George, D., & Mallery, M. (2010). SPSS for windows step by step: A simple guide and reference, 17.0 update (10th ed.) Boston: Pearson.
George, V. (2015). Traumatic bonding and intimate partner violence. (Unpublished master's thesis). University of Wellington, Victoria. Retrieved February 10, 2023, from http://researcharchive.vuw.ac.nz/xmlui/bitstream/handle/10063/4398/thesis.pdf?sequence=1
Graham, D. L. R., Rawlings, E. I., Ihms, K., Latimer, D., Foliano, J., Thompson, A., & Hacker, R. (1995). A scale for identifying “stockholm syndrome” reactions in young dating women: Factor structure, reliability, and validity. Violence and Victims,10(1), 3–22.
Graham, D. L. R., Rawlings, E. I., & Rigsby, R. K. (1994). Loving to survive: Sexual terror, men’s violence, and women’s lives. New York University Press.
Hair, J., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). Pearson Educational International.
Herman, J. L. (1992). Trauma and recovery. Basic Books.
Hertlein, K. M., & Teichert, R. (2023). The Association between technology-mediated intimate partner violence and stockholm syndrome. Journal of Couple and Relationship Therapy,1–15, 1. https://doi.org/10.1080/15332691.2023.2165583
Hopper, E. K. (2017). Polyvictimization and developmental trauma adaptations in sex trafficked youth. Journal of Child & Adolescent Trauma,10(2), 161–173. https://doi.org/10.1007/s40653-016-0114-z
Huang, J. L., Curran, P. G., Keeney, J., Poposki, E. M., & DeShon, R. P. (2012). Detecting and deterring insufficient effort responding to surveys. Journal of Business and Psychology,27(1), 99–114. https://doi.org/10.1007/s10869-011-9231-8
Hurley, K. J., & Morganson, V. J. (2022). An empirical examination of sexual harassment and Stockholm syndrome in relation to essential and non-essential workers during the COVID-19 pandemic. Journal of Sexual Aggression, 29(2), 243–255. https://doi.org/10.1080/13552600.2022.2053889
IBM Corp. (2020). IBM SPSS statistics for windows, version 27.0. Armonk. IBM Corp.
Kaplan, H. I., & Sadock, B. J. (1998). Synopsis of psychiatry: Behavioral science/clinical psychiatry (8th ed). Lippincott Williams & Wilkins.
Kulig, T. C. (2021). Measuring sex trafficking: A national-level victimization survey of an at-isk Sample. Justice Quarterly,39(6), 1180–1213. https://doi.org/10.1080/07418825.2021.1909646
Lifton, R. J. (1961). Thought reform and the psychology of totalism: A study of” brainwashing. China. New York: WW Norton & Company.
Meyer, G. J., Finn, S. E., Eyde, L. D., Kay, G. G., Moreland, K. L., Dies, R. R., Eisman, E. J., Kubiszyn, T. W., & Reed, G. M. (2001). Psychological testing and psychological assessment: A review of evidence and issues. American Psychologist,56(2), 128–165. https://doi.org/10.1037/0003-066X.56.2.128
Muthén, L. K. (2008). Weighted root mean square residual. Retrieved February 10, 2023, from http://www.statmodel.com/discussion/messages/11/827.html?%201395019483
Muthén, L. K., & Muthén, B. O. (1998-2012). Mplus User’s Guide (7th ed.). Los Angeles, CA: Muthén & Muthén.
Namnyak, M., Tufton, N., Szekely, R., Toal, M., Worboys, S., & Sampson, E. L. (2008). Stockholm syndrome’: psychiatric diagnosis or urban myth? Acta Psychiatrica Scandinavica,117(1), 4–11. https://doi.org/10.1111/j.1600-0447.2007.01112.x
Norfleet, K. D. (2020). Unwinding the trauma bond: Handbook of 20 group sessions for human trafficking safe houses. Book Creation and Design.
Qualtrics, X. M. (2022). Online surveys/panels & samples. Retrieved February 10, 2023, from https://www.qualtrics.com/research-services/online-sample/
Rahme, C., Haddad, C., Akel, M., Khoury, C., Obeid, H., Obeid, S., & Hallit, S. (2021). Does stockholm syndrome exist in Lebanon? Results of a cross-sectional study considering the factors associated with violence against women in a Lebanese representative sample. Journal of Interpersonal Violence,36(23–24), 11509–11531. https://doi.org/10.1177/0886260519897337
Raine, S. (2021). Narcissistic sexual predation: Keith raniere’s grooming strategies in NXIVM. International Journal of Coercion Abuse & Manipulation, 1(2), 41–59.
Reid, J. A. (2008). Rapid assessment of domestic minor sex trafficking in the Clearwater/Tampa Bay area. Retrieved February 10, 2023, from https://digitalcommons.usf.edu/fac_publications/196/
Reid, J. A. (2010). Doors wide shut: Barriers to the successful delivery of victim services for domestically trafficked minors in a southern U.S. metropolitan area. Women & Criminal Justice,20(1), 147–166. https://doi.org/10.1080/08974451003641206
Reid, J. A. (2013). Rapid assessment exploring impediments to successful prosecutions of sex traffickers of US minors. Journal of Police and Criminal Psychology,28, 75–89. https://doi.org/10.1007/s11896-012-9106-6
Reid, J. A. (2016). Entrapment and enmeshment schemes used by sex traffickers. Sexual Abuse: A Journal of Research and Treatment,28, 491–511. https://doi.org/10.1177/1079063214544334
Reid, J. A., Haskell, R. A., Dillahunt-Aspillaga, C., & Thor, J. A. (2013). Contemporary review of empirical and clinical studies of trauma bonding in violent or exploitative relationships. International Journal of Psychology Research,8(1), 37–73. ISSN: 1932–6092.
Reid, J. A., & Jones, S. (2011). Exploited vulnerability: Legal and psychological perspectives on child sex trafficking victims. Victims and Offenders,6, 207–231. https://doi.org/10.1080/15564886.2011.557327
Reid, J. A., & Piquero, A. R. (2014). On the relationships between commercial sexual exploitation/prostitution, substance dependency, and delinquency in youthful offenders. Child Maltreatment,19(3–4), 247–260. https://doi.org/10.1177/1077559514539752
Reid, J. A., Richards, T. N., & Kulig, T. (2020). Human Trafficking and Intimate Partner Violence. In R. Geffner, V. Vieth, V. Vaughan-Eden, A. Rosenbaum, L. Hamberger, & J. White (Eds.), Handbook of Interpersonal Violence Across the Lifespan. Springer. https://doi.org/10.1007/978-3-319-62122-7_159-1
Ruscio, J., & Roche, B. (2012). Determining the number of factors to retain in an exploratory factor analysis using comparison data of known factorial structure. Psychological Assessment,24(2), 282–292. https://doi.org/10.1037/a0025697
Sanchez, R. V., Speck, P. M., & Patrician, P. A. (2019). A concept analysis of trauma coercive bonding in the commercial sexual exploitation of children. Journal of Pediatric Nursing,46, 48–54. https://doi.org/10.1016/j.pedn.2019.02.030
Stark, C., & Hodgson, C. (2003). Sister oppressions: A comparison of wife battering and prostitution. Journal of Trauma Practice,2(3/4), 17–32.
Tamaddoni, S., Hejjazi, A., Masoudi, S., & Fotovvat, A. (2020). Psychometric properties of the stockholm syndrome scale; a study of the women referred to the legal medicine organization. Iranian Journal of Forensic Medicine,26(2), 139–148.
Teicher, M. H., Gordon, J. B., & Nemeroff, C. B. (2022). Recognizing the importance of childhood maltreatment as a critical factor in psychiatric diagnoses, treatment, research, prevention, and education. Molecular Psychiatry,27(3), 1331–1338. https://doi.org/10.1038/s41380-021-01367-9
Teicher, M. H., Samson, J. A., Anderson, C. M., & Ohashi, K. (2016). The effects of childhood maltreatment on brain structure, function and connectivity. Nature Reviews Neuroscience,17(10), 652–666. https://doi.org/10.1038/nrn.2016.111
U.S. Department of State. (2020). Trafficking in persons report. Author. Retrieved February 10, 2023, from https://www.state.gov/wp-content/uploads/2020/06/2020-TIP-Report-Complete-062420-FINAL.pdf
van der Kolk, B. A., McFarlane, C., & Weisaeth, L. (Eds.). (2007). Traumatic stress: The effects of overwhelming experience on mind, body, and society. The Guilford Press.
Ward, M. K., & Meade, A. W. (2023). Dealing with careless responding in survey data: Prevention, identification, and recommended best practices. Annual Review of Psychology,74(1), 577–596.
Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5) – Standard [Measurement instrument]. Retrieved February 10, 2023, from https://www.ptsd.va.gov/
Wheaton, B., Muthén, B., Alwin, D. F., & Summers, G. F. (1977). Assessing reliability and stability in panel models. Sociological Methodology,8, 84–136. https://doi.org/10.2307/270754
White, M., & Omar, H. (2010). Vampirism, vampire cults and the teenager of today. International Journal of Adolescent Medicine and Health,22(2), 189–195.
Woehler, E., & Akers, L. (2022). Repairing the trauma bonds of sex trafficking victim-survivors with animal-assisted therapy. Journal of Creativity in Mental Health,17(4), 456–468. https://doi.org/10.1080/15401383.2021.1921646
Wood, D., Harms, P. D., Lowman, G. H., & DeSimone, J. A. (2017). Response speed and response consistency as mutually validating indicators of data quality in online samples. Social Psychological and Personality Science,8(4), 454–464. https://doi.org/10.1177/1948550617703168
Funding
Funded by the University of South Florida 2020 Dr. Kathleen Moore Faculty Excellence Award.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Appendix 1
Appendix 1
Trauma Bonding Scale for Adults ©
Directions: Below is a list of reactions that people sometimes have in response to a very stressful experience or stressful relationship. Please read each item carefully and then select the response that best indicates how much or how often the item applied to you in the past month.
[Response options: 1 – “not at all”; 2 – “a little bit”; 3 – “moderately”; 4 – “quite a lot”; 5 – “extremely]
-
1.
Thinking about people who have hurt you (emotionally or physically) in the past
-
2.
Feeling stuck in an unhealthy relationship
-
3.
Trying to be understood by people who don't care about you
-
4.
Keeping secrets for people who have hurt you
-
5.
Trying hard to help people who have hurt you
-
6.
Feeling loyal to people who have betrayed you
-
7.
Staying in a relationship longer than you should
-
8.
Wanting to be liked by people who take advantage of you
-
9.
Using self-harming behavior (cutting, burning, etc.)
-
10.
Being attracted to dangerous (hurtful, threatening or violent) people
-
11.
Tolerating lots of pain (emotional or physical) caused by others
-
12.
Trusting people who are untrustworthy
-
13.
Covering up, defending, or explaining a relationship
-
14.
Feeling drawn to people who you know will cause you emotional or physical pain
-
15.
Feeling unable to end bad relationships
-
16.
Continuing to contact someone who has hurt you
-
17.
Feeling unworthy or unlovable because of your past experiences
-
18.
Feeling guilty about your past behavior
-
19.
Allowing certain people to take advantage of you
-
20.
Missing people who have hurt you or used you
-
21.
Helping those who harm you
-
22.
Ignoring destructive, exploitative or degrading behavior of others
-
23.
Keeping secrets about someone's bad behavior because the person is important to you
-
24.
Feeling that life is not worth living without a relationship with a certain person
-
25.
Giving up people or things you love to stay in a relationship
-
26.
Risking your life to stay in a relationship
-
27.
Repeatedly fighting when there is no purpose and nothing gets resolved
-
28.
Struggling to detach from someone even though you do not trust, like or care for the person
-
29.
Staying in a relationship with a person who others think is dangerous
-
30.
Feeling physically ill when you think of ending a relationship
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Reid, J.A. Development and Evaluation of the Trauma Bonding Scale for Adults© in the Context of Sex Trafficking. Am J Crim Just 48, 945–966 (2023). https://doi.org/10.1007/s12103-023-09731-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12103-023-09731-x