Personal history of childhood abuse among clinicians

Abstract

We conducted a survey to determine the prevalence, characteristics, and effects of a history of childhood sexual and physical abuse among professionals responsible for evaluating child sexual abuse allegations. A genderstratified random sample of 1,635 United States clinicians was drawn from the most current national directories of clinical social work, pediatrics, psychiatry, and psychology. We received 656 completed questionnaires, yielding a 42% response rate. Thirteen percent of the men and 20% of the women reported a personal history of childhood sexual abuse; 7.3% of the men and 6.9% of the women reported a history of physical abuse as children. The modal age at which both genders were sexually abused was 8 years. The modal age at the time of physical abuse was 10 years for both sexes. Of those sexually abused, 50% of both genders were sexually abused for only 1 year. Of those physically abused, more than 50% of both genders were physically abused for 3 or more years. Older females were more likely to report a history of sexual abuse than were their younger cohorts. In this population, physical abuse was overwhelmingly perpetrated by parents. However, the modal perpetrators of sexual abuse (for both females and males) were male acquaintances or male strangers. Fathers and stepfathers were unlikely to be perpetrators of sexual abuse (3% for males and 12% for females) in this sample. For both genders, particularly males, sexually abused respondents were less likely to be married than their nonabused cohorts. Both men and women who had been sexually abused were more likely to be in nonmarital relationships than were those who had not been sexually abused. Women who had been sexually abused were less likely to have raised children than were women who had not been sexually abused. Respondents who had been sexually abused and/or physically abused were more likely to believe allegations of sexual abuse contained in 16 vignettes alleging sexual abuse.