Characteristics Of Child Sexual Abuse Research Articles

Childhood sexual abuse characteristics, intimate partner violence exposure, and psychological distress among women in methadone treatment

Traumatic experiences and their biopsychosocial sequelae present complex challenges in substance use treatment. For women with substance use problems, childhood sexual abuse (CSA), intimate partner violence exposure (IPV), posttraumatic stress disorder (PTSD), and overall psychological distress are often co-occurring concerns. To address gaps in knowledge and to strengthen practice regarding these critical issues in substance use treatment, we drew upon cross-sectional and longitudinal data from baseline and 12-month interviews with a random sample of 416 women in methadone treatment to examine relationships between CSA characteristics, particularly the presence of force and involvement of family, IPV, and mental health concerns. Although CSA involving force and family was not associated with IPV as hypothesized, it was associated with increased risk of PTSD and overall psychological distress. The multivariate findings underscore the psychological vulnerabilities associated with CSA involving force and family and suggest that drug use and financial circumstances may be important targets to reduce IPV risk.

Characteristics of childhood sexual abuse in lesbians and heterosexual women

Childhood sexual abuse (CSA) contributes to increased risk of substance use and mental health disorders in the general population.To assess the prevalence and associations of CSA and suicide attempts, substance use, and mental health disorders as a function of sex (female, male) and sexual orientation (lesbian, gay, bisexual, heterosexual-identified with same-sex attraction and/or behavior, heterosexual-identified without same-sex attraction and/or behavior, and unsure).Data were collected using structured diagnostic face-to-face interviews in a nationally representative sample of 36,309 US adults.We used descriptive statistics and logistic regression modeling to analyze data from the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III).Childhood sexual abuse was most prevalent among sexual minorities, especially bisexual females. Nearly one-third of bisexual females (30.6%) reported experiencing two or more types of CSA, p < .001. Among all participants, exposure to one or more types of CSA was associated with greater odds of lifetime suicide attempts, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) alcohol, tobacco or other drug use disorder, and mental health disorders, after adjusting for other childhood adversity/maltreatment and general life stressors.Sexual minority females and males in the US are more likely than their heterosexual counterparts to report CSA. Higher risk of suicide attempts and DSM-5 alcohol, tobacco, other drug use, and mental health disorders in adulthood was directly associated with CSA, particularly among bisexual females. Health professionals working with individuals who have experienced CSA should assess these risks and intervene as needed.

Self-defining as sexually abused and adult sexual risk behavior: Results from a cross-sectional survey of women attending an STD clinic

Objective Childhood sexual abuse (CSA) is associated with increased sexual risk behavior in adulthood, and this association may be mediated by traumagenic dynamics constructs (i.e., traumatic sexualization, trust, guilt, and powerlessness). However, few studies have investigated whether such relationships hold for women who do not identify as having experienced CSA despite meeting objective criteria that CSA occurred. This study sought to determine whether individuals who met research criteria for CSA and who self-defined as sexually abused differed on traumagenic dynamics constructs and current sexual risk behavior from individuals who met research criteria for CSA and who did not self-define as sexually abused. Methods Participants were 481 women recruited from a publicly funded STD clinic. Participants completed a computerized survey assessing childhood sexual experiences and adult sexual risk behavior. Results Of the total sample, 206 (43%) met research criteria for CSA. Of the women meeting research criteria for CSA, 142 (69%) self-defined as sexually abused. Women who met research criteria for CSA reported more traumatic sexualization, more trust of a partner, more powerlessness, less sexual guilt, more episodes of unprotected sex, more sex partners, and greater likelihood of sex trading, compared to women who did not meet research criteria for CSA. Among women meeting research criteria, those who self-defined as sexually abused did not differ from those who did not self-define on any of the traumagenic dynamics constructs or on current sexual risk behavior, controlling for CSA characteristics. Conclusions Individuals who were sexually abused as children by behavioral research criteria are at risk for engaging in sexual risk behavior as adults, regardless of whether or not they perceive the experience to be CSA. Future research is needed to understand how non-definers perceive these childhood sexual experiences.

The Effect of Childhood Sexual Abuse on Psychosexual Functioning During Adulthood

The study examined whether and how characteristics of childhood sexual abuse and disclosure influenced three dimensions of psychosexual functioning—emotional, behavioral and evaluative—during adulthood. The sample included 165 adults who were sexually abused as children. The General Estimating Equation was used to test the relationship among the predictors, moderators and five binary outcomes: fear of sex and guilt during sex (emotional dimension), problems with touch and problems with sexual arousal (behavioral), and sexual satisfaction (evaluative). Respondents who were older when they were first abused, injured, had more than one abuser, said the abuse was incest, and told someone about the abuse were more likely to experience problems in at least one area of psychosexual functioning. Older children who told were more likely than younger children who told to fear sex and have problems with touch during adulthood. Researchers and practitioners should consider examining multiple dimensions of psychosexual functioning and potential moderators, such as response to disclosure.

Sex differences in childhood sexual abuse characteristics and victims’ emotional and behavioral problems: Findings from a national sample of youth

Objective The first objective of this study was to test for sex differences in four childhood sexual abuse characteristics—penetration, substantiation, perpetrator familial status, and multi-maltreatment—in a national sample of youth. The second objective was to test for sex differences in how these abuse characteristics were associated with victims’ emotional and behavioral problems. Methods The sample was drawn from the National Survey of Child and Adolescent Well-Being, a sample of children investigated by United States child welfare services. Youth in the current study ( n = 573, including 234 adolescents) were investigated for alleged sexual abuse. Logistic regression and multivariate analysis of covariance were used to test for sex differences in abuse characteristics, and to determine whether sex moderated associations between abuse characteristics and emotional and behavioral problems. Results Girls were more likely than boys to have their abuse substantiated and to experience penetrative abuse (although differences in penetration status did not emerge among adolescents). Substantiation status and child age were positively associated with caregiver-reported internalizing and externalizing symptoms. Sex did not moderate the relationship between abuse characteristics and youth emotional and behavioral problems. Conclusions Sexual abuse characteristics might not be highly predictive factors when making decisions about services needs. Furthermore, there may not be a strong empirical basis for operating on the assumption that one sex is more vulnerable to negative consequences of abuse than the other, or that abuse affects girls and boys differently. The processes explaining why some victims exhibit more impairment than others are likely complex.

Men's and women's childhood sexual abuse and victimization in adult partner relationships: A study of risk factors

Objectives (1) Document the prevalence of childhood sexual abuse (CSA), childhood physical assault, psychological, physical and sexual intimate partner violence (IPV) in a nationally representative sample. (2) Assess the predictive value of CSA and other characteristics of the respondents and their current partners as potential risk factors for IPV. (3) Assess factors predicting IPV in adulthood in a subsample of women reporting CSA. Methods The role of CSA as a risk factor for adult IPV was examined using data from the 1999 Canadian General Social Survey. A national stratified sample of 9170 women and 7823 men with current or previous partners were interviewed by telephone by Statistics Canada. Multiple logistic regressions were used. Results CSA consistently predicted IPV for women and men, although this relationship was weaker for men. Age, current marital status and limitations due to physical or mental condition or chronic illness were also predictors of IPV for men and women. For women reporting CSA, age (being younger) or being in a more recent relationship and being limited due to either physical, mental conditions or chronic illness were predictive of adult victimization. Conclusions These findings indicate that CSA is associated with a greater risk of IPV beyond sociodemographic risk factors. Practice implications To prevent IPV in women already at risk because of CSA, education about protective strategies seems important, particularly for women with physical or mental limitations, in the beginning stages of intimate relationships or for women with partners who drink excessively.

Review of the contemporary literature on how children report sexual abuse to others: Findings, methodological issues, and implications for forensic interviewers

Methods used during forensic interviews with children are driven by beliefs about how children recall and report child sexual abuse (CSA) to others. Summit (1983) proposed a theory (Child Sexual Abuse Accommodation Syndrome) contending that, due to the specific traumatic characteristics of CSA, children will often delay disclosing abuse or altogether fail to disclose during childhood, deny abuse when asked, and often recant abuse allegations. His theory has had a tremendous impact on the field of CSA forensic evaluations, despite its dearth of empirical support. In this paper, we review and critique the contemporary literature from two main sources: retrospective accounts from adults reporting CSA experiences and studies of children undergoing forensic evaluation for CSA. We conclude that data support the notion that children often delay abuse disclosure, but that among valid abuse cases undergoing forensic evaluation, denial and recantation are not common. Methodological issues and implications for forensic interviewers are discussed.

Relationship to Perpetrator, Disclosure, Social Reactions, and PTSD Symptoms in Child Sexual Abuse Survivors

ABSTRACT This research examined victim relationship to the perpetrator, disclosure characteristics, social reactions, and PTSD in adult survivors' of child sexual abuse (CSA) identified in a convenience sample of 733 college students. Results indicated that relationship to the perpetrator was related to CSA characteristics and outcomes. More negative reactions such as disbelief were observed for those victimized by relatives compared with acquaintance and stranger victims, especially for those disclosing in childhood. Victims of relatives had more PTSD symptoms if they delayed disclosure, received more negative reactions in childhood, and engaged in self-blame at the time of the abuse. Results are discussed in the context of Freyd's (1996) betrayal trauma theory, in order to better understand the traumatic impact of CSA.

Prevalence and Predictors of Dating Violence Among Adolescent Female Victims of Child Sexual Abuse

The purpose of this study was to advance knowledge of dating violence behaviors among adolescent victims of child sexual abuse (CSA), first, by determining the prevalence of psychological and physical dating violence and the reciprocity of violence, and second, by investigating the influence of certain CSA characteristics to dating violence. Respondents included 126 females ages 13 to 17 years. More than 45% reported experiencing some sort of physical violence in their dating relationships. Psychological violence was reciprocal in more than 90% of the cases. Multiple regression analysis revealed a significant contribution of CSA characteristics. Multiple regression analyses revealed that the duration of the sexual abuse and the presence of violence or completed intercourse during the abuse could significantly contribute to dating violence above and beyond other known risk factors. Discussion underscores the need to gain a better understanding of CSA and other risk factors that might influence violent dating behaviors.

Child Sexual Abuse, Coping Responses, Self-Blame, Posttraumatic Stress Disorder, and Adult Sexual Revictimization

The present study examined the psychological sequelae of child sexual abuse (CSA) and the factors that contributed to revictimization in the form of adult sexual assault (ASA) using a survey of 577 female college students. CSA characteristics, maladaptive coping in response to CSA, degree of self-blame at the time of the abuse and currently, and posttraumatic stress disorder (PTSD) symptoms were examined as predictors of revictimization. Results indicated that individuals who reported both CSA and ASA had more PTSD symptoms, were more likely to use drugs or alcohol to cope, act out sexually, withdraw from people, and seek therapy services. In addition, the revictimized group reported more self-blame at the time of the abuse and currently. The only factor that predicted revictimization in this study was the number of maladaptive coping strategies used. Implications of these findings are discussed.

Prevalence of childhood sexual abuse among incarcerated males in county jail

Objective The current study examined the prevalence and characteristics of childhood sexual abuse in a jailed-based population. Methodology A retrospective, self-reported survey was administered over an 8-week period to a random sample of 100 men who were incarcerated in a county jail in Southeastern Texas. The survey included questions about childhood sexual experiences before and after puberty, drug history and use, and sexual risk-taking behaviors. Results Of the 100 male inmates who participated in this study, 59% reported experiencing some form of sexual abuse before puberty, and all such instances occurred before or at the age of 13 years. The first episode of childhood sexual abuse began at an average age of 9.6 years ( SD = 2.4), and ended at an average age of 13.0 years ( SD = 2.3). Kissing and touching without intercourse (64%) was the common pattern of sexual abuse experience reported. The total number of perpetrators was 165, with 10% male and 90% female. Friends ( n = 72) and family ( n = 56) were the most frequent perpetrators. Conclusion Childhood sexual abuse may be more prevalent among inmates than among males in the general population. These results show a high percentage of inmates who report a history of childhood sexual abuse; this rate is higher than those reported by other studies for incarcerated males. The findings support the belief held by professionals in the criminal justice field that a significant number of incarcerated males may have been victims of sexual abuse.

Childhood sexual abuse and early menarche: The direction of their relationship and its implications

Purpose A relationship between childhood sexual abuse (CSA) and early menarche previously has been proposed and psychobiological mechanisms for the association have been suggested. Because it has serious implications for many disciplines, we attempted to confirm that association and explore its direction, first with hypothesis 1: the negative relationship between pubertal age and CSA is based on victims’ increased target gratifiability at ages of high target vulnerability, and then with hypothesis 2: CSA and circumstances surrounding it are related causally to early menarche. Methods African-American and multi-ethnic Caucasian women (N = 323) were interviewed at several women’s clinics at Johns Hopkins Bayview Medical Center; 64 women reported premenarcheal abuse. We assessed (1) ages of CSA and menarche to determine their relationships, (2) household characteristics and their relationships with CSA, (3) variables associated with CSA, to determine the independent effect of CSA and explore potential dose response (i.e., effects of increased stress). Results CSA and menarcheal age are related negatively ( p < .05). Hypothesis 1 need not be rejected totally, but with most CSA events occurring long before puberty, hypothesis 2 is supported. Theoretically, stressful CSA characteristics increase victim/nonvictim differences in menarcheal age. Stress may derive from household characteristics often related to CSA but, even controlling for them, CSA has independent effects on menarcheal age. Conclusions Hypothesis 1 may apply when CSA occurs within 2 years premenarche but, because hypothesis 2 is supported, continuing psychobiological effects and stress engendered by CSA are underscored. Mechanisms through which they impact the developing child require further exploration, and medical and psychological attention.

Sense of coherence in women with a history of childhood sexual abuse

Women with a history of childhood sexual abuse experience a range of difficulties. The aim of the present study is to examine the personal resources of women with such a history measured using the SOC scale. The relationships of SOC to other factors were analysed. Eighty-one women who participated in self-help groups were questioned using the 29-item version of the SOC scale. The SOC mean score for the whole group was 104.1 (range 58–187). The women who had a more than ten-year duration of sexual abuse had a low SOC score (M = 96.8) but those who did not remember the number of years of duration had an even lower score (M = 94.4). In a first step of multiple regression analysis of childhood sexual abuse characteristics and SOC total score, only duration of sexual abuse was entered and accounted for 10.3 per cent of the variance. In a second step of multiple regression analysis, relationship to fellow workers was a significant predictor of SOC and contributed to 31.7 per cent of the variance.

Childhood sexual abuse: a gender perspective on context and consequences.

Literature on gender and child sexual abuse (CSA) has highlighted patterns of similarity and difference among survivors and the need for further research. This study relied on gender analysis of 128 women and 69 men, obtained through an examination of childhood hospital records, to further examine gender differences in mental health outcomes among abuse survivors and correlates of mental health outcomes including professional help seeking, family environment, and other trauma exposure. Overall, men and women were similar in the context and consequences of CSA. The role of the characteristics of CSA and contextual variables in explaining variance in mental health for 106 male victims and nonvictims was also examined. Among male participants, number of incidents of sexual abuse, injury at the hands of a caregiver, and exposure to other traumas significantly explained higher levels of an array of mental health symptoms. Implications for future research are discussed.

Sexual abuse of deaf children. A retrospective analysis of the prevalence and characteristics of childhood sexual abuse among deaf adults in Norway

Objective: North American studies conclude that deaf children may have a 2–3 times greater risk of sexual abuse than hearing children. No comparative studies are available in the Nordic countries. The present study was initiated to estimate the prevalence of childhood sexual abuse among deaf children in Norway, describe the nature of the abuse, and to examine risk factors. Method: A self-administered questionnaire was sent in 1999 to all 1150 adult deaf members of the Norwegian Deaf Register. The Deaf Register includes all deaf Norwegians. The questionnaire, which was also available videotaped in sign language, was an adapted version of a questionnaire used in a Norwegian survey among the general adult population in 1993. The results from this earlier study were used as a comparison group. Results: Deaf females aged 18–65 who lost their hearing before the age of 9 ( N=177) reported sexual abuse with contact before the age of 18 years more than twice as often as hearing females, and deaf males more than three times as often as hearing males. The abuse of the deaf children was also more serious. Very few cases were reported to parents, teachers, or authorities. Conclusions: Deaf children are at greater risk of sexual abuse than hearing children. The special schools for the deaf represent an extra risk of abuse, regardless of whether the deaf pupils live at home or in boarding schools.

The Prevalence and Characteristics of Child Sexual Abuse among South African University Students: A Reponse to S.J. Collings

Extracted from text ... I am very happy to read the commentary on my paper. The commentary broadened my knowledge and gave me more insight into other interesting findings in the study and other possible exciting conclusions. The readers of my article will also be enriched further after reading the commentary. I, therefore, join the author of the commentary in calling for large scale epidemiological studies on child sexual abuse on representative samples drawn from the general population of South Africa. The time has really arrived for it. I am also happy that the South African Journal of Psychology serves as an excellent ..

The Prevalence and Characteristics of Child Sexual Abuse among South African University Students: Comments on S.N. Madu

The Prevalence and Characteristics of Child Sexual Abuse among South African University Students: Comments on S.N. Madu

Child sexual abuse: a marker or magnifying glass for family dysfunction?

A report of child sexual abuse leads to a multi-agency investigation that often reveals other maltreatment and dysfunctional behaviors within the family. Due to recent developments in this field, the emphasis of the investigation has shifted to the child’s history rather than information from the parent or accused, or the presence of injuries. In the last 10 years Children’s Advocacy Centers have become a central component to the investigation of child sexual abuse and provide a means for long-term follow-up of referred families. The idiosyncrasies of this investigative and advocacy system have provided an in-depth view of the families of sexually abused children. Four family types emerge: safe and secure, safe and insecure, unsafe and enmeshed, and unsafe and insecure. The characteristics of child sexual abuse, the response to the child’s disclosure of abuse, and the prognosis for the child victim vary among the different family types. An innovative long-term program of wrap-around services for sexually abused children and their families provides counseling, peer activities, family mentoring, and child mentoring while tracking the symptoms and behaviors of the child victims. The identification of a child victim of sexual abuse can be a tragic crisis and an opportunity for intensive and timely intervention.

Understanding childhood sexual abuse as a predictor of sexual risk-taking among men who have sex with men: The Urban Men’s Health Study ☆

Objective: The prevalence and characteristics of childhood sexual abuse (CSA) among men who have sex with men (MSM), and links with sexual risk are explored. A model linking CSA and sexual risk among MSM is proposed. Method: A telephone probability sample of urban MSM ( n = 2881) was recruited and interviewed between November 1996 and February 1998. The interview covered numerous health issues, including history of sexual victimization. Results: One-fifth reported CSA, primarily by non-family perpetrators. Initial CSA experiences are characterized by high levels of force (43% involved physical force/weapons), and penetrative sex (78%; 46% reported attempted or actual anal intercourse). Such men are more likely than never-coerced men to engage in high risk sex (unprotected anal intercourse with a non-primary partner or with a serodiscordant male). In multivariate analyses, the effect of childhood sexual coercion on sexual risk is mediated by substance use, patterns of sexual contacts, and partner violence, but not by adult sexual revictimization or by depression. Conclusions: Findings are interpreted within the context of social learning theory and prior research on sexual risk-taking. The high risk for CSA among MSM, which can predispose such men to patterns of HIV sexual risk, warrants new approaches in HIV prevention.

Prevalence and Characteristics of Childhood Sexual Abuse in Multiethnic Female College Students

ABSTRACT A survey of 164 college women revealed that 18% recalled some instance of childhood sexual abuse. These women were from a variety of ethnic, cultural, and economic backgrounds. The majority of the women were abused by nonfamily members (neighbors, acquaintances, friends of the family), but strangers were the identified perpetrators in 21% of the cases. In the intrafamilial sexual abuse cases, the perpetrator was most commonly a cousin. The majority of the sexual abuse consisted of fondling of the victim by the perpetrator (67%), with the second most reported experience being the exposure of the perpetrator to the victim (30%). There were differences in the economic backgrounds of the abused women when compared to the non-abused women, with the present findings differing from past research examining family of origin income level and sexual abuse. The importance of these findings is discussed as well as directions for future research.