Self-reported Childhood Sexual Abuse Research Articles

Interaction effect between childhood abuse and interleukin-1β levels on suicidality in depressed patients.

The roles of childhood abuse and interleukin (IL)-1β levels, a representative pro-inflammatory cytokine, in suicidal behavior are unclear. This study investigated the main and interactive effects of childhood abuse and IL-1β levels on suicidal behavior in patients with a depressive disorder before and after pharmacological treatment. At baseline, exposure to self-reported childhood abuse, including emotional, physical, and sexual abuse, before the age of 16years, and IL-1β levels, were measured in 1,094 outpatients with a depressive disorder, 884 of whom were followed for 1year. Suicidal behavior was evaluated, including previous suicide attempts (at baseline), suicidal ideation (at baseline and follow-up), and fatal/non-fatal suicide attempts (at follow-up). The main and interaction effects of self-reported childhood abuse and IL-1β level on the four types of suicidal behavior were analyzed using logistic regression after adjusting for covariates. Individual associations of self-reported childhood abuse were significant only with previous suicidal attempt but not with other suicidal behaviors. There was no significant association of plasma IL-1β level with any suicidal behavior. There were significant interactive associations of self-reported childhood abuse and a high IL-1β level on previous suicide attempts, baseline suicidal ideation, and fatal/non-fatal suicidal attempts during follow-up. Suicidal behavior in patients with a depressive disorder could be influenced by considering the interactive effect of childhood abuse and IL-1β levels. Our study suggests that childhood trauma and biochemical factors play roles in the pathology of suicide in depressed patients.

Self-reported childhood sexual abuse and attachment in early adulthood among university students

ABSTRACT Worldwide, childhood sexual abuse (CSA) is widespread with severe consequences. We assessed the influence of CSA on insecure attachment in 488 young women in Botswana with no history of CSA, a history of CSA without re-occurrence in adulthood, and a history of CSA with re-occurrence in adulthood. Binary logistic regression analyses were fitted to study differences in anxious and avoidant attachment dimensions. Young women with a history of CSA only and those with a recurrence of sexual abuse in early adulthood had more than three times (OR, 3.34; 95% CI (1.77–6.28) and more than five times (OR, 5.28; 95% CI [1.84–15.12]) the odds of reporting anxious attachment dimension, respectively. Self-reported CSA is common and a risk to attachment.

Spectrum of Self-Reported Childhood Sexual Abuse Among Medical Students: A Single Center Experience

To study the prevalence and spectrum of self-reported childhood sexual abuse (CSA) in a sample of medical students from a medical college in Southern India. A self-administered questionnaire was distributed to consenting students of a medical college located at Puducherry. Those students who could not be contacted despite three attempts were excluded. Of total 452 students, 148 (32.7%) students reported experiencing one or other form of CSA. Prevalence of CSA was almost equal in both the sexes. Most instances of CSA occurred either at own house (33.8%) or at a neighbor's house (22.9%). Majority (60.1%) did not inform anyone; due to fear of negative consequences (43.2%) and feelings of guilt (30.4%) most commonly. Approximately one third of medical students reported an incident of sexual abuse at least once in his/her life. Both girls and boys are equally likely to face CSA.

A Preliminary Study of Self-Reported Childhood Sexual Abuse among College Students from Southern India

Introduction: Childhood sexual abuse (CSA) is truly a multidimensional issue having long-lasting effect on subject's physical and psychological health. The study was conducted with an aim to study various aspects of self-reported childhood sexual abuse in a sample of students from South India. Methods: This cross-sectional study was carried out during July to September 2018 among 399 students of two colleges located at Puducherry using a self-administered questionnaire. The desired sample size was calculated considering the proportion of college students suffered from childhood sexual abuse as 53.2%. In each college, the line listing of students from 1st year to final year was done and simple random sampling technique was used for selecting the study subjects. The study was initiated after obtaining institutional ethical approval, and every student was ensured of complete confidentiality and privacy. Results: Of total 399 students, 130 (32.7%) students reported experiencing one or other form of CSA. Majority (40.0%) did not inform or share the instance of CSA to anyone. Fear of negative consequences (48.1%) and feelings of guilt (32.7%) were two top most factors that made them not to inform such abuse to their family members. Conclusion: Approximately one-third of students reported an incident of sexual abuse at least once in his/her life in Puducherry; thus, roots of CSA are deep in the society in which we live.

Predisposing Risk Factors for Functional Limb Weakness: A Case-Control Study.

Functional limb weakness is a common symptom of functional neurological disorder. Few controlled studies have examined possible predisposing factors to determine their specificity for this symptom. In this prospective case-control study, patients with functional limb weakness (<2 years duration, N=107) were compared with a control group (comprising patients with weakness attributable to neurological disease, N=46, and healthy individuals, N=39). A structured clinical interview and questionnaires assessed potential predisposing factors, including family structure and childhood abuse and neglect (Childhood Trauma Questionnaire [CTQ]), personality traits (NEO Five-Factor Inventory), medical and surgical comorbidity, and exposure to a symptom model. The patients with functional limb weakness and the control subjects were similar in gender and age. Self-reported childhood sexual abuse (15% versus 5%, p<0.01), and physical abuse (18% versus 7%, p<0.01; CTQ "moderate or above") were more common in the functional limb weakness group, although the absolute frequency was lower than anticipated. In the functional limb weakness group, there were modest differences in two personality traits, compared with the control group: higher neuroticism (p=0.02) and lower openness (p=0.01). Medical comorbidity, including appendectomy (33% versus 5%), irritable bowel syndrome (36% versus 18%), and chronic back pain (40% versus 16%), was more frequent in the functional limb weakness group. There were no differences in birth order or exposure to a symptom model. Medical and surgical comorbidity and adverse childhood experience are risk factors, but not essential, for the development of functional limb weakness. However, evidence for personality traits or exposure to a symptom model is less robust.

Childhood Abuse and Adulthood IPV, Depression, and High-Risk Drinking in Latinas

Little is known about relationships between child maltreatment and adulthood intimate partner violence (IPV), depression, and risky drinking in Latinas. 548 Latinas in a sexual health randomized control trial (RCT) self-reported childhood physical, sexual, and emotional abuse, IPV, depression, and risky drinking. Childhood abuse was related to adulthood IPV, OR = 1.27, depression, OR = 2.02, and high-risk drinking, OR = 2.16. Childhood emotional abuse was linked to depression, OR = 2.19; childhood physical abuse to risky drinking, OR = 2.62; and childhood sexual abuse to depression, OR = 2.78 and risky drinking, OR = 2.38. Results may inform prevention/intervention efforts for mental health nurses.

The influence of self-reported childhood sexual abuse on psychological and behavioural risks in young adults at a university in Botswana

Globally, childhood sexual abuse is a public health problem that affects millions of people. Few studies have considered its long-term ramifications, especially among young adults in developing countries. This study assessed the influence of childhood sexual abuse on depression and behaviours in young adults. Data were obtained from 362 students enrolled at a university in Botswana (Age: M = 21.40, standard deviation = 2.48) using the Childhood Sexual Abuse Scale, the 21-item Beck’s Depression Inventory–II, Revised Sociosexual Orientation Inventory, and Alcohol Use Disorders Identification Test (AUDIT). The t test and chi-square test of independence were used to assess subgroup differences and regression analyses were used to assess the extent to which childhood sexual abuse predicted depression and risky behaviours. About 25% ( n = 90) reported childhood sexual abuse, 18% reported harmful alcohol use ( n = 66, 18.2%), 7.82% ( n = 28) reported severe depression, and 24% ( n = 101) reported failure to use contraceptives. Childhood sexual abuse significantly predicted depression and all the behavioural outcomes in the study. The effect sizes of the associations between childhood sexual abuse on the one hand and mental health and behavioural outcomes on the other were modest. Consequently, the current study is a precursor to further studies on the long-term outcomes of childhood sexual abuse in Botswana. Consequently, a history of childhood sexual abuse should be considered in planning interventions to mitigate depression and behavioural problems on university campuses.

Unresolved trauma in fibromyalgia: A cross-sectional study.

This study examined the prevalence of unresolved attachment-related trauma and its association with physical and psychological health status in 34 patients with fibromyalgia. Unresolved trauma was assessed with the Adult Attachment Interview. In addition, participants completed self-report measures of childhood trauma, fibromyalgia-related health status and depression. Of the sample, 50 per cent was classified as unresolved on the Adult Attachment Interview. Neither interview-based ratings of unresolved trauma nor self-reported childhood sexual or physical abuse were associated with health outcomes. Only for self-reported emotional abuse, a positive correlation with depression emerged. The implications of the findings are discussed.

Childhood Sexual Abuse Moderates the Relationship Between Obesity and Mental Health in Low-Income Women.

We examined whether a history of self-reported childhood sexual abuse (CSA) moderates the relationship between obesity and mental health symptoms (depression, anxiety, and posttraumatic stress disorder) in an ethnically diverse sample of low-income women. A community sample of 186 women completed self-report measures and had their weight and height measured. Body mass index and CSA had an interactive effect on all mental health measures, such that obese women with a CSA history reported substantially higher levels of all symptoms. These results give greater specificity to the obesity-mental health link reported in previous studies and provide possible directions for targeted intervention.

Associations between body mass index, post-traumatic stress disorder, and child maltreatment in young women

The objective of this study was to examine interrelationships between child maltreatment, post-traumatic stress disorder (PTSD) and body mass index (BMI) in young women. We used multinomial logistic regression models to explore the possibility that PTSD statistically mediates or moderates the association between BMI category and self-reported childhood sexual abuse (CSA), physical abuse (CPA), or neglect among 3,699 young women participating in a population-based twin study. Obese women had the highest prevalence of CSA, CPA, neglect, and PTSD (p<.001 for all). Although all three forms of child maltreatment were significantly, positively associated with overweight and obesity in unadjusted models, only CSA was significantly associated with obesity after adjusting for other forms of maltreatment and covariates (OR=2.21, 95% CI: 1.63, 3.00). CSA and neglect, but not CPA, were associated with underweight in unadjusted models; however, after adjusting for other forms of maltreatment and covariates, the associations were no longer statistically significant (OR=1.43, 95% CI: 0.90–2.28 and OR=2.16, 95% CI: 0.90–5.16 for CSA and neglect, respectively). Further adjustment for PTSD generally resulted in modest attenuation of effects across associations of child maltreatment forms with BMI categories, suggesting that PTSD may, at most, be only a weak partial mediator of these associations. Future longitudinal studies are needed to elucidate the mechanisms linking CSA and obesity and to further evaluate the role of PTSD in associations between child maltreatment and obesity.

Child sexual abuse prevention training for childcare professionals: an independent multi-site randomized controlled trial of Stewards of Children.

Given the significant rates and deleterious consequences of childhood sexual abuse (CSA), identifying effective primary prevention approaches is a clear priority. There isa growing awareness that childcare professionals (e.g.,teachers, childcare personnel, clergy) are in a unique position to engage in prevention efforts due to high accessibility to children and expertise in child development. However, CSA prevention programs targeting childcare professionals have received insufficient attention. The goal of this study was toc on duct an independent multi-site controlled evaluation of an existing CSA prevention program, Stewards of Children, offered through both in-person and web-based formats. This study included 352 childcare professionals recruited from children’s advocacy centers across three states. Participants were randomly assigned to one of three conditions: (1) inperson training, (2) web-based training, or (3) waitlist control. Dependent variables included CSA knowledge, CSA attitudes,and self-reported CSA preventive behaviors. Results indicated that Stewards impacted knowledge, attitudes, and preventive behaviors. No differences were found between training modalities (i.e., in-person versus web-based) on knowledge and preventive behaviors. Results indicate that brief trainings for childcare professionals may impact CSA prevention efforts.

Childhood sexual abuse and attachment insecurities as predictors of women's own and perceived-partner extradyadic involvement

We examined the association between self-reported childhood sexual abuse and a woman's own and perceived-partner extradyadic involvement (EDI). The association was examined both directly and as potentially mediated by attachment-related anxiety and avoidance in a sample of 807 French Canadian women. In line with our hypotheses, we found that a personal history of CSA is associated with a woman's own and perceived-partner EDI and with the woman's levels of attachment anxiety and avoidance. The association between CSA and own EDI was partially mediated by attachment-related avoidance. The results suggest that a sense of betrayal stemming from CSA predisposes a woman to avoidance, which in turn predisposes her to EDI. The association between CSA and perceived-partner EDI was partially mediated by both attachment anxiety and avoidance. These results suggest that victims of CSA become suspicious of others’ relational behavior and intentions, which contribute to attachment-related anxiety and avoidance and both own and perceived-partner EDI.

Childhood sexual abuse and HIV sexual-risk behaviour among men who have sex with men in South Africa

Previous research has indicated an association between childhood sexual abuse and an increased risk of engaging in unsafe behaviours during adulthood, including risky sexual practices. This study examines the relationship between self-reported childhood sexual abuse and adult HIV sexual-risk behaviour in a sample of South African men who have sex with men. Potential long-term childhood sexual abuse–related outcomes, including dissociation, recreational and sex-related drug use, depression, impaired interpersonal communication, and adult re-victimisation were treated as variables mediating the relationship between childhood sexual abuse and sexual-risk behaviour. Men using a gay Internet dating site were randomly selected to complete the anonymous electronic survey. Results indicate that one-fourth of participants reported a history of childhood sexual abuse. Men with a history of unwanted sexual activity during childhood were more likely to report recreational and sex-related drug use, and adult re-victimisation experiences. Furthermore, mediation analyses revealed that men who have sex with men who are survivors of childhood sexual abuse are more likely to report drug use and sex-related drug use, and these outcomes in turn are associated with increased HIV risk as measured by number of male sexual partners. These results highlight the importance of mental health services and new approaches in HIV prevention for men who have sex with men who have been sexually abused as children.

Mediation effects of problem drinking and marijuana use on HIV sexual risk behaviors among childhood sexually abused South African heterosexual men

HIV/AIDS prevalence in South Africa is one of the highest in the world with heterosexual, transmission predominantly promoting the epidemic. The goal of this study is to examine whether, marijuana use and problem drinking mediate the relationship between histories of childhood sexual, abuse (CSA) and HIV risk behaviors among heterosexual men. Participants were 1181 Black men aged, 18–45 from randomly selected neighborhoods in Eastern Cape Province, South Africa. Audio computer assisted, self-interviewing was used to assess self-reported childhood sexual abuse, problem drinking, and marijuana (dagga) use, and HIV sexual transmission behavior with steady and casual partners. Data were analyzed using multiple meditational modeling. There was more support for problem, drinking than marijuana use as a mediator. Findings suggest that problem drinking and marijuana use, mediate HIV sexual risk behaviors in men with histories of CSA. Focusing on men with histories of CSA, and their use of marijuana and alcohol may be particularly useful for designing strategies to reduce, HIV sexual transmission in South Africa.

Prevalence of self-reported childhood abuse in psychosis: A meta-analysis of retrospective studies

There is extensive clinical literature reporting traumatic childhood experiences in patients with psychosis. A quantitative meta-analysis addressing the prevalence of self-reported childhood sexual (CSA), physical (CPA) and emotional abuse (CEA) in psychotic patients has yet to be done. We conducted, a systematic literature search to identify retrospective studies addressing self-reported childhood abuse in patients with DSM/ICD psychosis. Demographic, clinical, and methodological variables were extracted from each publication, or obtained directly from its authors. Quantitative meta-analysis of CSA, CPA, CEA in the sample of patients was performed. Statistical heterogeneity and publication bias were assessed and meta-regressions performed to control for different moderators.Twenty-three studies were retrieved and included a total of 2017 psychotic patients. The prevalence of self-reported CSA, CPA, CEA were respectively of 26%, 39% and 34%. Age, publication year, gender and substance abuse moderated CSA, while age, clinical setting and substance abuse moderated CPA. Results indicated that CEA was moderated by gender and publication year of the study. According to our meta-analysis, psychotic patients have a consistently high self-report of childhood traumatic events which are sexual, physical and emotional in nature. It is our opinion that clinicians should be trained and skilled to carefully investigate childhood abuse in psychosis.

The aftermath of trauma: The impact of perceived and anticipated invalidation of childhood sexual abuse on borderline symptomatology.

Many individuals with borderline personality disorder (BPD) report a history of childhood sexual abuse (CSA). Yet, few individuals who experience CSA ultimately develop BPD. Researchers speculate that subjective experiences of emotional invalidation co-occurring with CSA or in response to an experience of CSA, but not the CSA itself, may be an important contributor to the development of BPD. To examine this issue, college student participants’ self-reported CSA, perceived or anticipated invalidation to the disclosure of the CSA experience, and perceived general invalidation by caregivers in the developmental environment were used to predict borderline symptomatology. Results revealed that perceived and anticipated CSA-specific invalidation at the time of disclosure, as well as a pervasive environment of general invalidation predicted borderline symptomatology. Furthermore, although both CSA-specific invalidation at the time of disclosure and general invalidation appeared to contribute in an additive manner to the prediction of borderline symptomatology among previous nondisclosers of CSA, there was some evidence that both types of invalidation interact to predict borderline symptomatology among previous disclosers of CSA experience.

The Effects of Childhood Abuse on Relationship Quality: Gender Differences and Clinical Implications

This study examined the relationship between self-reported childhood physical and sexual abuse, romantic relationship quality, possible gender differences, and clinical implications. Three hundred thirty-eight women and 296 men who sought services at a university mental health clinic in the northeast region of the United States completed a 30-minute self-report assessment questionnaire before their first therapy session. Among the items in the questionnaire were measures of childhood physical and sexual abuse, relationship stability, problem areas in the relationship, and other demographic information. Results from structural equation modeling indicated that childhood physical abuse influenced relationship quality for both men and women whereas childhood sexual abuse did not have a significant impact on relationship quality for either gender. The results of the study indicated that there may be more gender similarities than differences in experiences of childhood abuse and relationship quality than previous research has shown. Key Words: child abuse, marital quality, physical abuse, sexual abuse. The National Incidence Study IV (Sedlak et al., 2010) reported that an estimated 323,000 children were physically abused and 135,300 children were sexually abused between 2005 and 2006. Over the past few decades, numerous studies have been conducted on both the short-term and long-term negative effects that child abuse can have on the victim (Alpher & France, 1993; Braver, Bumberry, Green, & Rawson, 1992; Futa, Nash, Hansen, & Garbin, 2003; Springer, Sheridan, Kuo, & Cames, 2007). Most studies, however, have focused on the potential that the victim has for becoming a perpetrator as an adult (Wilcox, Richards, & O'Keeffe, 2004), for entering abusive romantic relationships (Griffing et al., 2005; Van Benschoten, 1995), or for abusing their own children (Hall, Sachs, & Rayens, 1998; Lawson, 2001). Within the existing research, multiple studies examined the relationship between childhood abuse and sexual satisfaction in marriage (Finkelhor, Hotaling, Lewis, & Smith, 1989; Leonard, Iverson, & Follette, 2008; Loeb et al., 2002), but few have examined the relationship between childhood abuse and the overall quality of the adult's committed romantic relationships (Alpert, Brown, & Courtois, 1998; Finkelhor et al., 1989). Additionally, few studies have focused on how gender impacts those long-term effects. The purpose of this study was to examine the relationship between the frequency of childhood physical and sexual abuse and relationship quality, with a focus on possible gender differences and the clinical implications of any gender differences. Age and length of relationship were controlled to take into account the developmental stage of the relationship and recognize that a young married couple may be different from an old married couple. LITERATURE REVIEW Childhood Physical Abuse and the Psychosocial Consequences in Adulthood Childhood physical abuse has been found to have negative effects on adult mental and psychological functioning (Arata, Langhinrichsen-Rohling, Bowers, & O'Farrill-Swails, 2005; Springer et al., 2007; Styron & Janoff-Bulman, 1997; Swenson & Kolko, 2000). Individuals who experienced physical abuse in childhood were more likely to report physical illness, depression, anger, and anxiety than nonabused individuals (Springer et al., 2007). Childhood Sexual Abuse and the Psychosocial Consequences in Adulthood Childhood sexual abuse has also been associated with psychological and relational impairment in adult life (Alpert et al., 1998; Jesness, 2009; Sypeck, 2005; Wilcox et al., 2004). Research suggested that many adult survivors of sexual abuse had gone on to experience difficulty forming healthy relationships. These victims often blamed themselves for the abuse, which made it difficult to come to terms with the psychological, emotional, and social consequences ofthat type of violation. …

A Global Perspective on Child Sexual Abuse: Meta-Analysis of Prevalence Around the World

Our comprehensive meta-analysis combined prevalence figures of childhood sexual abuse (CSA) reported in 217 publications published between 1980 and 2008, including 331 independent samples with a total of 9,911,748 participants. The overall estimated CSA prevalence was 127/1000 in self-report studies and 4/1000 in informant studies. Self-reported CSA was more common among female (180/1000) than among male participants (76/1000). Lowest rates for both girls (113/1000) and boys (41/1000) were found in Asia, and highest rates were found for girls in Australia (215/1000) and for boys in Africa (193/1000). The results of our meta-analysis confirm that CSA is a global problem of considerable extent, but also show that methodological issues drastically influence the self-reported prevalence of CSA.

SUICIDAL IDEATION, VIOLENT BEHAVIOR, AND SELF-INJURY IN SCHIZOPHRENIA PATIENTS TREATED WITH LONG ACTING RISPERIDONE: 12-MONTH RESULTS FROM E-STAR

There is extensive clinical literature reporting traumatic childhood experiences in patients with psychosis. A quantitative meta-analysis addressing the prevalence of self-reported childhood sexual (CSA), physical (CPA) and emotional abuse (CEA) in psychotic patients has yet to be done. We conducted, a systematic literature search to identify retrospective studies addressing self-reported childhood abuse in patients with DSM/ICD psychosis. Demographic, clinical, and methodological variables were extracted from each publication, or obtained directly from its authors. Quantitative meta-analysis of CSA, CPA, CEA in the sample of patients was performed. Statistical heterogeneity and publication bias were assessed and meta-regressions performed to control for different moderators.Twenty-three studies were retrieved and included a total of 2017 psychotic patients. The prevalence of self-reported CSA, CPA, CEA were respectively of 26%, 39% and 34%. Age, publication year, gender and substance abuse moderated CSA, while age, clinical setting and substance abuse moderated CPA. Results indicated that CEA was moderated by gender and publication year of the study. According to our meta-analysis, psychotic patients have a consistently high self-report of childhood traumatic events which are sexual, physical and emotional in nature. It is our opinion that clinicians should be trained and skilled to carefully investigate childhood abuse in psychosis.

Neuropsychological task performance in bipolar spectrum illness: genetics, alcohol abuse, medication and childhood trauma

Impaired executive and memory function is a putative genetic trait marker of bipolar I disorder (BPD I). Although executive/memory function has been posited to be an endophenotype of BPD I, it is unclear whether this extends to bipolar spectrum illness. It is also unclear to what extent non-genetic factors such as childhood abuse, alcoholism and medication influence neurocognitive function. We assessed the neuropsychological performance of a large cohort of bipolar disorder probands and their affectively ill and healthy family members, while controlling for self-reported childhood sexual and emotional abuse, emotional neglect, alcohol abuse and medication. A total of 230 largely euthymic participants from 47 families, comprising 49 subjects with BPD I, 19 with bipolar II disorder (BPD II), 44 with recurrent major depression (MDE-R), 33 with a single lifetime episode of depression (MDE-S), 20 with other DSM-IV diagnoses and 65 unaffected relatives, were assessed with a battery of neuropsychological tasks. Sexual abuse, emotional abuse and emotional neglect scores were associated with poorer cognitive performance. After controlling for childhood trauma, the BPD I group performed worse than unaffected relatives on tests of visual recall memory as well as verbal recall and recognition memory. In contrast, individuals with BPD II and bipolar spectrum illness did not differ significantly from unaffected relatives. Treatment with lithium and antipsychotic medication was associated with reduced executive and verbal recognition memory function. After controlling for medication and other covariates, only verbal recall memory was significantly impaired in the BPD I cohort. Verbal recall deficits may be one manifestation of a genetically driven dysfunction of frontal-striatal cortical networks in BPD I.