Disclosure Of Child Sexual Abuse Research Articles

Reactions to the disclosure of intrafamilial childhood sexual abuse: Findings from the National Sexual Assault Online Hotline

IntroductionFor child sexual abuse (CSA) victims, disclosure can be helpful or harmful depending on how recipients respond. Despite a growing body of literature examining reactions to disclosure, little is known about the experiences of current CSA victims, particularly those abused by family. ObjectiveWe aimed to describe and explore the initial disclosure experiences of intrafamilial CSA victims, and whether reactions varied based on the type of disclosure recipient. Participants and settingThis study utilized anonymous, archival data from the US-based National Sexual Assault Online Hotline (NSAOH), and focused on a sample of 224 intrafamilial CSA victims who had previously disclosed to one type of recipient. MethodsNSAOH staff summarized children's disclosure experiences via an open-ended survey field. Data were independently coded using the Social Reactions Questionnaire. ResultsNearly three-fourths (73%) of children described receiving a negative reaction to disclosure. Negative reactions included distracting or dismissing the victim (33%), not believing the victim (29%), or retaliating or responding violently following disclosure (10%). Children most frequently disclosed abuse to non-offending family (66%), friends (17%), and formal support providers (12%). Relative to friends and intimate partners, victims were more likely to discuss negative reactions from family (49% v 87%, respectively, Cramer's V = 0.33, p < 0.001). ConclusionsDisclosing to non-offending family may be unproductive and potentially harmful for some children. This study has implications for disclosure-related planning protocols on anonymous hotlines. Findings underscore the importance of educating the public, and parents in particular, about how to respond to CSA disclosures.

“It Made Me so Vulnerable”: Victim-blaming and Disbelief of Child Sexual Abuse as Triggers of Social Exclusion Leading Women to Homelessness

ABSTRACT Although the association between child sexual abuse (CSA) and homelessness among women is well documented, few studies have investigated this topic from a feminist standpoint, examining the impact of sociocultural factors such as rape culture. Based on a qualitative life course approach, individual interviews were conducted with 21 women who experienced both CSA and homelessness. Participants were between 29 to 60 years old (M = 45 years of age). Analyses revealed that CSA disclosure experiences were characterized by victim-blaming and disbelief. Women’s traumatic experiences were further aggravated by these types of reactions. Finally, CSA and negative social reactions to women’s disclosures of CSA were perceived as the onset of social exclusion, which lead to their homelessness. This study shows how traumatic CSA experiences and negative social reactions to their disclosure can both contribute to social exclusion and isolation, and to homelessness through the internalization of rape myths. These findings support the importance of focusing on CSA prevention to reduce social exclusion and homelessness.

Nonoffending Caregiver Support After Child Sexual Abuse: Essentials for the Forensic Nurse.

Child sexual abuse (CSA) is a pediatric health problem of epidemic proportions. CSA can result in significant lifelong physical and mental health consequences. A disclosure of CSA affects not only the child but also everyone close to the child. Nonoffending caregiver support after a disclosure of CSA is key to optimal victim functioning. Forensic nurses play an integral role in the care of CSA victims and are uniquely positioned to ensure best outcomes for both child victims and their nonoffending caregivers. In this article the concept of nonoffending caregiver support is explored, and = implications for forensic nursing practice delineated.

Measurement invariance of caregiver support following sexual abuse across age, relationship, and English-Spanish language

BackgroundThe Maternal Self-report Support Questionnaire (MSSQ) is among the most rigorously evaluated measures of caregiver support following child sexual abuse, but there is a paucity of data on the factor structure and variance of the MSSQ across diverse groups of caregivers and their children. ObjectiveThe present study examined the factor structure and measurement invariance of the MSSQ across 386 non-offending caregivers following a disclosure of child sexual abuse. Participants and settingData were collected from non-offending caregivers at two Child Advocacy Centers (n = 277; n = 109) in the United States. MethodsCaregivers completed the MSSQ and assessments of child age, caregiver-child relationship, and caregiver preferred language. ResultsConfirmatory factor analyses replicated the original two-factor structure, with the emotional support and blame/doubt subscales emerging as distinct factors. Multigroup confirmatory factor analyses showed measurement invariance across child age and caregiver-child relationship (mother vs. another caregiver). Evidence of partial invariance was found for caregiver preferred language. Comparisons of scores indicated caregiver support varied by child age and caregiver preferred language. ConclusionsOverall, findings suggest the MSSQ can be used to measure caregiver support across caregivers with children of different ages and both mothers and non-mothers, but caution should be practiced in interpreting mean-level differences between English- and Spanish-speaking caregivers.

Révéler des violences sexuelles subies dans l’enfance à un professionnel de santé : une métasynthèse

ObjectiveChild sexual abuse is a major public health issue, and disclosure of such abuse to a healthcare professional could mitigate its impact on the survivor's life. Qualitative studies are relevant in this context, focusing as they do on the lived experience of the stakeholders, victims and professionals. We aimed to conduct a metasynthesis, i.e. a systematic review and analysis of qualitative studies, exploring the qualitative literature about the lived experience of child's sexual abuse disclosure. Method and data sourcesFour databases and two journals were screened (Medline, PsycINFO, EMBASE, SSCI, Journal of Sexual Abuse and Child Abuse and Neglect) so as to identify studies concerning the lived experience of child sexual abuse disclosure from the point of view of survivors or healthcare professionals or both. We used the “Critical Appraisal Skills Program” to assess the methodological quality of each article and performed a thematic analysis of the data extracted to identify key themes and synthesize them. ResultsTwenty-six articles were included, covering data from 673 participants (333 survivors, adult at the time of the study; 122 survivors still minor at the time of the study and 218 health professionals). Data analysis produced three themes: (1) to reveal or not to reveal, (2) the narrative of the disclosure by the participants, (3) positive and negative outcomes of the disclosure. Our results show that, on the one hand, health professionals and minor survivors both have a negative experience of disclosure that could impede the process. On the other hand, some adult survivors underlined the importance and the positive impact of such disclosure to a healthcare professional. ConclusionWe identified a gap in the literature regarding disclosure of such abuse within child and adolescent psychiatry services and drew research perspectives. Concrete clinical implications can also be drawn from our results, especially the involvement of adult survivors within the training of concerned healthcare professionals so as to raise awareness among them and help them better cope with the disclosure process.

Factors affecting disclosure time of sexual abuse in children and adolescents.

The aim of this study is to determine the factors affecting early and delayed disclosure time of child sexual abuse (CSA). Early disclosure of CSA is considered to be crucial for child protection. A total of 125 sexually abused children and adolescents, who had been evaluated by child adolescent psychiatry and forensic medicine specialists, were enrolled in this study. Files of medical and criminal data were analyzed retrospectively and synchronously by child adolescent psychiatrist and forensic medicine specialist authors who had evaluated victims using the standard procedures of Düzce University Faculty of Medicine Child Abuse Assessment Council. Univariate and multivariate logistic regression analyses were conducted to evaluate predictors. Delayed disclosers were found to be younger than early disclosers. Among the delayed disclosers, there were also more victims of intrafamilial CSA, fewer victims of penetration, and fewer voluntary disclosures. Multivariate logistic regression revealed that "younger age" and "intrafamilial CSA" were independent predictors of delayed disclosure of CSA. The results of our study contribute to an understanding of the factors related to delayed disclosure and underline the need for age-appropriate education and prevention programs targeted to increase the awareness of sexual abuse, particularly intrafamilial abuse, and to promote voluntary disclosure in children and adolescents, especially for younger age groups. The education of potential recipients of CSA and further education of professionals is extremely important in order to support children and adolescents' voluntary disclosure of CSA.

The Demographics Behind the Courage to Tell for Survivors: Child Sexual Abuse Experiences in Kenya

Child Sexual Abuse (CSA) is both a global and national social issue, as well as an epidemic in various societies. Non-disclosure of CSA only worsens and extends survivors’ suffering, and CSA’s long-term effects can be devastating. Several studies have been done in the field of CSA and its health implications but rarely have previous studies addressed child sexual abuse disclosure (CSAD). The current study aimed at examining child factors of CSAD at Thika Level 5 Hospital (TL5H) in Kiambu County, Kenya. The study is a case study using a phenomenology approach where the primary data was collected from the sexual abuse survivors and caregivers using a mixed-method analysis. Interviews were conducted with 30 CSA survivors, 25 girls, and 5 boys: 5-17 years. The study utilised the convergent QUAL (investigative open-ended questions and storytelling) design with a Quan component (structured survey) to identify CSA survivors’ experiences while receiving medical treatment and therapeutic intervention at TL5H. Descriptive and thematic approaches were applied to analyse qualitative data that revealed survivors’ lived experiences with CSA. Informed by Bronfenbrenner’s Socio-Ecological Model (SEM), saliency analysis was applied to code the recurring and important themes from the data in order to identify which child factors. Survivors gave detailed accounts of types of threats and manipulation applied by perpetrators to stop them from disclosing abuse. Survivors said disclosing or not disclosing helped them cope with abuse trauma. Quantitative results revealed that 58% of the survivors who completed the disclosure process aged between 9-13 years, 83.3% were female, and 70% had achieved a lower level of education.

Parenting Stress in Non-Offending Caregivers of Sexually Abused Children

ABSTRACT The non-offending caregiver (NOC) population is under studied despite their role in the recovery of child victim-survivors of sexual abuse. Research suggests that NOCs experience significant distress following a child’s disclosure of sexual abuse. Trauma has been demonstrated to negatively impact the caregiver-child relationship. This study informs about common NOC stress reactions in response to child sexual abuse (CSA) disclosures and has clinical implications for treating families affected by CSA. Participants included 66 NOCs (age 23–66, M = 41.09, SD = 10.26) who participated in clinical intakes at a CSA treatment program and completed a self-report measure of parenting stress. Depending on the child’s age, NOCs were administered either the Parenting Stress Index-fourth edition, Short Form (PSI-4-SF) or the Stress Index for Parents of Adolescents (SIPA). NOCs reported higher than average parenting stress. Statistically significant differences between the clinical and normative samples were found on all PSI-4-SF domains and on majority of SIPA domains. High to Clinically Significant scores were reported by 42% of NOCs for Parent-Child Dysfunctional Interaction. Stress related to their child’s social withdrawal was reported by 56% of NOCs. This study provides comparison data for evaluations of NOCs. NOCs may require treatment and family-based approaches are implicated.

Non-abusing mothers’ formal support needs after child sexual abuse disclosure: the case of North Cyprus

ABSTRACT This article investigates the formal support needs of mothers whose child has been sexually abused. Previous research has focused mostly on the provision of support for abused children to the relative neglect of mothers’ support needs. Here, formal support refers to resources and services from organisations, professionals and authorities, with a specific focus on social welfare services. This article is based on a thematic analysis of semi-structured, in-depth interviews with 15 non-abusing mothers in North Cyprus. Analysis of the mothers’ experiences revealed needs of support in four important domains: financial support; child day-care services and social facilities for children and adults; therapeutic services; and improved public knowledge about and trust in social services. Mothers often lacked knowledge about social services and their most common encounter with the social welfare system concerned financial assistance. The results showed that the social welfare system in North Cyprus is highly bureaucratic, children's long-term needs are usually unmet, and mothers’ needs are often ignored by professionals. In sum, developing the quality of social welfare services is vital for sexually abused children and their non-abusing family members, especially mothers.

Pathway to Expectations of Child Functioning Following Sexual Abuse: Caregiver Maltreatment History and Depressive Symptoms.

Caregiver responses and behaviors often play a significant role in a child's recovery following child sexual abuse (CSA). Caregiver expectations of their child's postabuse functioning has been associated with child symptoms, such that negative expectations lead to worse outcomes for the child. Additionally, caregivers who experienced maltreatment in their own childhood may face difficulties providing support to their child after CSA. Caregivers' own psychological symptoms may influence their expectations for their child's future functioning following CSA. This study utilized structural equation modeling (SEM) to examine the association between caregivers' childhood maltreatment histories, their expectations for their child's future functioning following CSA, and the indirect effect of caregiver depressive symptoms on this relationship. Participants were 354 nonoffending caregivers presenting to treatment with their child following CSA disclosure. Caregivers were 23-72 years old (M = 38.38, SD = 8.02), predominately white, and predominately biological mothers to the youth who were abused. Results indicated that caregivers who experienced maltreatment in childhood were more likely to experience depressive symptoms, which then lead to more negative expectations of their child's future functioning. As negative expectations are associated with poorer outcomes for children following CSA, increased attention to caregivers' depressive symptoms in treatment may promote more positive expectations for their child's postabuse functioning.

Bringing Shame Out of the Shadows: Identifying Shame in Child Sexual Abuse Disclosure Processes and Implications for Psychotherapy.

Child sexual abuse (CSA) has been described as a highly stigmatizing experience. Despite the recognition of shame as a significant contributor to psychological distress following CSA, an inhibitor of CSA disclosure, and a challenging emotion to overcome in therapy, limited research has explored the experience of shame with young people who have been sexually abused. This study is unique in examining the transcripts of 47 young people aged 15–25 years from a large-scale study conducted in Ireland and Canada and exploring manifestations of shame in CSA disclosure narratives. Using a thematic analysis of both inductive and deductive coding, the data were examined for implicit, as distinct from explicit, manifestations of shame. Three key themes were identified in this study: languaging shame, avoiding shame, and reducing shame. The study supports previous authors in highlighting the need for nuanced measures of shame in research that takes account of the complexity of this emotion. Conceptualizations in the literature of the distinction between shame and guilt are challenged when these emotions are explored in the context of CSA. Finally, recommendations for working therapeutically with young people who have experienced CSA are offered with a view to addressing shame in therapeutic work.

Experiences of Disclosure and Reactions of Close Ones from the Perspective of Child Sexual Abuse Survivors: A Qualitative Analysis of Gender Specificities

ABSTRACT The disclosure of child sexual abuse (CSA) is a complex process that remains partially understood, despite its crucial role in survivors’ recovery. Gender specific experiences of disclosure have been little investigated while this information is crucial to better tailor interventions for survivors. This qualitative study aims to 1) explore survivors’ experiences in disclosing to close ones, and 2) contrast experiences of male and female survivors. Fifty-one CSA survivors (25 women and 26 men) aged 18 years or older were recruited via community services for survivors. Two main categories emerged from thematic content analysis: 1) experiences of disclosure hindering CSA recovery or 2) ones fostering CSA recovery. Men felt ignored when their close ones were focused on their own emotions of indifference, helplessness and guilt toward CSA. Men felt guilty when confronted with reactions of blame for their own inaction or disempowered when pressured to remain silent or to forgive. Women felt ignored when their close ones showed anger toward their perpetrator. Women felt guilty when they were held accountable for CSA events or disempowered when pressured to take legal actions. Women, but not men, reported feeling considered through caring and heart-to-heart discussions. Recommendations for awareness messages and practitioners are discussed.

"A Little Bit of Light Dispels a Lot of Darkness": Online Disclosure of Child Sexual Abuse by Authority Figures in the Ultraorthodox Jewish Community in Israel.

Social media sites such as Facebook have become popular platforms for promoting public awareness of sexual abuse by encouraging user engagement around this issue. There is, therefore, currently emerging research on the functions and implications of social media as a platform for sexual abuse disclosure. However, as yet, no study has examined this phenomenon specifically through a religious-cultural lens. This study explores perceptions of, barriers to, and motives underlying online disclosure of child sexual abuse (CSA) by religious authority figures (RAFs) in ultraorthodox Jewish society in Israel. The data were gleaned from the popular Facebook page of a nonprofit devoted to raising awareness of CSA in the ultraorthodox community. The analysis was based on admins' posts, anonymous and nonanonymous survivors' shares, users' comments, and in-depth interviews of eight page users. The findings suggest a culture-oriented model of online CSA disclosure (OCSAD), identifying four primary factors (safety, benefit, relevance, and legitimacy) that, weighed against cultural barriers, influence the decision to engage in online CSA disclosure. This context-informed understanding highlights the importance of social media as an alternative platform for CSA disclosure in an isolated but changing cultural arena such as the ultraorthodox community in Israel. The theoretical model is of international interest for its conceptualization of the unique characteristics and perceptions of OCSAD within religious-cultural contexts.

What Do Survivors of Child Sexual Abuse Believe Will Facilitate Early Disclosure of Sexual Abuse?

The purpose of this study was to explore what adult survivors of child sexual abuse (CSA) believe will facilitate early disclosure of sexual abuse. We conducted semi-structured interviews with 12 adult survivors of CSA aged 18–57 years, and analyzed the transcripts using reflexive thematic analysis. Our analysis resulted in three main themes: Adults making it possible to tell; Adults daring to consider the unthinkable; and Conveying knowledge of CSA that facilitates understanding. The findings highlighted the importance of adults facilitating disclosure and making it possible for survivors to tell about their experiences, but also the responsibility adults have to dare to consider the possibility of CSA when children struggle. Another important finding was the significance of enhancing the general population's understanding of the complexity of CSA, including why disclosure is difficult, so adults are given the tools needed to understand and know what to do when they suspect CSA. The findings also have important implications for the planning and implementation of interventions to facilitate early disclosure of CSA.

The Challenges of Working with Child Abuse and Neglect: Barriers to Disclosure and Intervention, Adverse Outcomes, and Perplexing Presentations

The Challenges of Working with Child Abuse and Neglect: Barriers to Disclosure and Intervention, Adverse Outcomes, and Perplexing Presentations

Siblings' Perspectives of the Impact of Child Sexual Abuse Disclosure on Sibling and Family Relationships.

Child sexual abuse (CSA) may have significant consequences for siblings; however, limited research has been conducted on the impact of the abuse on sibling and family relationships following the disclosure of CSA. This study sought to investigate sibling responses to disclosures of CSA among a group of adult siblings in Ireland, and the impact on sibling and family relationships through an online survey. A thematic analysis was conducted on a sub-set of participants who responded to open-ended questions (n = 45). Three main themes were identified as follows: (a) intense emotional reactions, (b) relationship support and strain, and (c) managing family dynamics. CSA disclosure may have a substantial impact on sibling and family relationships. Supporting siblings in the aftermath of CSA disclosure is essential, both for the well-being of the individual who was sexually abused and for the wider family.

Maternal History of Child Sexual Abuse and Maladaptive Outcomes in Sexually Abused Children: The Role of Maternal Mental Health.

The effects of child sexual abuse (CSA) have been found to surpass generations as maternal history of CSA is associated with increased difficulties in sexually abused children. However, little is known about the mechanisms underlying this association. The present study aimed to test maternal mental health symptoms including psychological distress, post-traumatic stress disorder (PTSD) symptoms, and dissociation as mediators of the relationship between maternal CSA and children’s internalizing, externalizing, and dissociation symptoms in a large sample of sexually abused children. A total of 997 sexually abused children aged 3-14 years old and their mothers were recruited at five specialized intervention centers offering services to sexually abused children and their families. The children were divided into two groups depending on their mothers’ self-reported history of CSA. Mothers completed a series of questionnaires assessing their mental health and children’s functioning. Maternal history of CSA was associated with increased maternal psychological distress, PTSD symptoms, and dissociation following children’s disclosure of CSA. In turn, maternal psychological distress and maternal dissociation were associated with increased child internalizing, externalizing, and dissociation symptoms. Maternal PTSD symptoms were associated with child internalizing symptoms. Maternal mental health difficulties mediated the association between maternal CSA and sexually abused children’s maladaptive outcomes. Clinicians should assess for possible history of CSA in mothers of sexually abused children and determine how best to support them to cope with the aftermaths of their child’s disclosure and with their own traumatic past.

Gender Differences in the Disclosure of Sexual Abuse in Chilean Adolescents

Child sexual abuse is a frequent phenomenon in Chile, but it is not often disclosed by its victims. The lack of disclosure is more common in the male population, presumably owing to cultural factors. The objective of this study was to deepen understanding of child sexual abuse disclosure in the Chilean population, focusing particularly on the role of gender. The study combined data extraction from the internal database of child sexual abuse specialist care centres with a small number of in‐depth interviews. In the initial quantitative phase, data on 210 adolescents between ten and 18 years of age were reviewed, and in the qualitative phase, ten young people between 18 and 20 years participated; all the participants had suffered sexual abuse. The results of the quantitative phase show that boys actively disclose less frequently than girls. The results of the qualitative analysis revealed some obstacles to disclosure both in boys and in girls (guilt and shame, or the lack of family support), but they suggested that the disclosure process would be particularly difficult for boys owing to cultural factors (e.g. questioning the masculinity of male victims and the feminisation of sexual abuse). The discussion addresses the implications of these results for promoting disclosure in adolescents of both genders.‘Child sexual abuse is a frequent phenomenon in Chile, but it is not often disclosed by its victims’Key Practitioner Messages In Chile, disclosure of sexual abuse is difficult for male and female adolescents owing to guilt and shame, or the lack of family support. In macho cultures, male adolescents would have greater difficulty with disclosure given the associated stigmatisation and gender stereotypes. All practitioners who work with children and adolescents in Chile should be attentive to the gender factors that hinder the disclosure of sexual abuse in male and female adolescents.

Predictors of recantation after child sexual abuse disclosure among a Brazilian sample

BackgroundRecantation after child sexual abuse (CSA) disclosure refers to the complete denial of prior reports by a victim. In substantiated cases of CSA, recantation has negative effects on criminal proceedings and the protection of current and future victims. Past studies have identified the socio-family factors and CSA characteristics that are associated with recantation. However, the systematization of these risk factors remains limited. ObjectiveThis study aimed to identify the predictors of recantation using a sample of criminal cases of CSA. Participants and settingsThe sample consisted of 108 criminal cases of CSA with (n = 46) and without recantation (n = 62). All the cases had been judged in a Brazilian court of law between 2010 and 2016. ResultsThe final logistic regression model consisted of the following five significant predictors of recantation: a lack of support from the caregiver (odds ratio [OR] = 15.90, p < .001), disclosure to a single individual (OR = 13.75, p = .001), parental offending (OR = 12.44, p = .001), a long time interval (i.e., >one week) between disclosure and the reporting of the abuse to the authorities (OR = 8.64, p = .003), and a higher number of formal interviews (OR = 1.50, p = .052). ConclusionsThe present findings underscore not only the effects of socio-family factors and the number of interviews on recantation but also the importance of examining the contexts within which previous disclosures of CSA have been made to the assessment of the risk of recantation.

Families seeking services for sexual abuse: Intimate partner violence, mothers' psychological distress, and mother-adolescent conflict.

Child sexual abuse (CSA) and intimate partner violence (IPV) are both global problems with negative health implications. This study examines whether mothers' lifetime experiences of IPV relate to their own psychological distress and to mother-adolescent conflict in families in which an adolescent has disclosed sexual abuse. The recency of IPV was examined as a potential moderator of these relations. Participants were 356 adolescents and their nonoffending mothers. Families were seeking services from a children's advocacy center in the southern United States. Mothers reported their IPV victimization (both lifetime and past month) and symptoms of psychological distress; mothers and adolescents both reported on mother-adolescent conflict. In bivariate analyses, mothers' lifetime experiences of IPV were positively related to mothers' psychological distress, and to mother and adolescent reports of mother-adolescent conflict. These same relations emerged in regression analyses that controlled for characteristics of the sexual abuse (time between the disclosure of CSA and the assessment, severity, relationship to the alleged perpetrator, duration), and adolescent age and sex. Recency of IPV did not moderate these relations. In exploratory analyses, mothers' lifetime experiences of IPV were more strongly associated with mother-son conflict than with mother-daughter conflict. In addition, mothers' psychological distress partially mediated the relation between their lifetime experiences of IPV and their reports of mother-adolescent conflict. The findings point to the potential utility of conducting IPV screenings with caregivers in families seeking services for an adolescent after a sexual abuse disclosure. (PsycInfo Database Record (c) 2021 APA, all rights reserved).