Family Trauma and Dysfunction in Sexually Abused Female Adolescent Psychiatric and Control Groups

Differences in family trauma, stressors, and dysfunction among psychiatric inpatients grouped by sexual abuse self-reports were investigated. Group membership was determined by self-report of adolescents during a structured interview using a modification of the Traumatic Antecedents Scale (TAS). Family trauma/dysfunction was determined from a composite score derived from the TAS. The results indicated a significant difference for family trauma/dysfunction, with sexually abused adolescents reporting more family trauma/dysfunction than psychiatric controls. Also, those abused extrafamilally reported significantly more family trauma and dysfunction than psychiatric controls, while those abused intrafamilially did not report significant differences. Group differences in the endorsement of certain traumas stressors also were investigated. These findings indicated that among psychiatric inpatients, family dysfunction and trauma are present in those extrafamilially abused. Moreover, the extrafamilially abused were significantly different from controls, while incestuously abused were not significantly different. These results are discussed in the context of separation and abuse vulnerability.     

Sexual abuse victimization and psychological distress among adolescent offenders

This study focused on sexual abuse victimization and psychological distress among 272 adolescent offenders. The respondents were interviewed while they were being detained in a short-term holding facility. Female respondents reported more sexual abuse victimization and psychological distress than did their male counterparts. Furthermore, church attendance moderated the association between sexual abuse victimization and psychological distress among the male respondents. Implications of these findings for research and interventions with adolescent offenders are discussed.     

Sexual Abuse Victimization and Psychological Distress Among Adolescent Offenders

ABSTRACT

This study focused on sexual abuse victimization and psychological distress among 272 adolescent offenders. The respondents were interviewed while they were being detained in a short-term holding facility. Female respondents reported more sexual abuse victimization and psychological distress than did their male counterparts. Furthermore, church attendance moderated the association between sexual abuse victimization and psychological distress among the male respondents. Implications of these findings for research and interventions with adolescent offenders are discussed.     

Affairs of the Heart: Qualities of Adolescent Romantic Relationships and Sexual Behavior

We know more about parent and peer influences than about the ways in which specific qualities of adolescent romantic relationships may influence sexual decision‐making. Using data from the Toledo Adolescent Relationships Study, we focus on communication processes and emotional feelings, as well as more basic contours of adolescent romantic relationships, including power and influence dynamics. Controlling for traditional predictors and duration of the relationship, results suggest that subjectively experienced relationship qualities matter for understanding teens' sexual behavior choices. Further, findings indicate a similar effect of most relationship qualities on male and female reports of sexual behavior. However, influence and power dynamics within the relationship were not related to the likelihood that boys reported sexual intercourse in a focal relationship. In contrast, girls who perceived a more favorable power balance were less likely to report sexual intercourse than their female counterparts who perceived a less favorable power balance. Recognizing that the results capture reciprocal influence processes, longitudinal and qualitative data are used to further explore the complex nature of these associations.     

Young People who have Sexually Abused: What do they (and their parents) want from Professionals?

This article presents the findings of a small scale qualitative study of user perspectives in the adolescent sexual aggression field. Twenty four service users who had received intervention from nine different specialist providers completed a structured questionnaire about their experiences of professional involvement. Both young people who had sexually abused and parents identified the kinds of professional intervention which they found useful, as well as practices that they experienced as unhelpful. Young people and their families alike were found to value supportive interventions which gave them an opportunity to gain insight into the nature of sexual abuse as well to address their own feelings about their problems.     

Research With Adolescent Victims of Child Sexual Abuse: Evaluation of Emotional Impact on Participants

The aim of this study was to evaluate the emotional impact on adolescent victims of sexual abuse from participating in a study addressing the consequences of their abuse. A total of 114 adolescents between 12 and 17 years old participated (54 sexually abused adolescents and 60 nonabused students). Both groups responded to a battery of scales to determine their coping strategies and some psychological consequences linked to stressful experiences and two questions about the emotional impact of participating in the study. Sexually abused adolescents reported fewer unpleasant emotions after participating than did nonvictim students (mean difference = .45, t[109] = ?2.934; p < .01). Adolescents who had more symptoms reported more discomfort (r_S scores between .35 and .49; p < .01). These results suggest that when ethical guidelines are followed, it is possible to survey adolescent victims of sexual abuse on aspects related to their experience without causing them significant distress.     

Signs of resilience in sexually abused adolescent girls in the foster care system

In a sample of 99 sexually abused adolescent girls in the foster care system (64% in congregate living situations and 36% in family/foster care homes), nearly half were psychologically functioning well despite having experienced moderate-to-severe emotional, physical, and sexual abuse. It was hypothesized that these girls with resilient trajectories would differ from the currently symptomatic girls on several protective factors: education, future orientation, family support, peer influence, and religion. The results revealed that the girls with resilient trajectories were significantly more certain of their educational plans and optimistic about their future and had more positive peer influences.     

Sexual offending in adolescence: a comparison of sibling offenders and nonsibling offenders across domains of risk and treatment need

Sibling sexual offending has received limited empirical attention, despite estimates that approximately half of all adolescent-perpetrated sexual offenses involve a sibling victim. The present study addresses this gap by examining male adolescent sibling (n = 100) and nonsibling offenders (n = 66) with regard to maltreatment histories and scores on two adolescent risk/need assessment instruments, the ERASOR and YLS/CMI. Adolescents who sexually abused a sibling, versus a nonsibling, were more likely to have histories of sexual abuse and been exposed to domestic violence and pornography. There were no group differences on ERASOR and YLS/CMI scales. This study adds to the limited discourse on sibling sexual offending and the larger literature on the heterogeneity of adolescents who have sexually offended.     

Sexual Offending in Adolescence: A Comparison of Sibling Offenders and Nonsibling Offenders across Domains of Risk and Treatment Need

Sibling sexual offending has received limited empirical attention, despite estimates that approximately half of all adolescent-perpetrated sexual offenses involve a sibling victim. The present study addresses this gap by examining male adolescent sibling (n = 100) and nonsibling offenders (n = 66) with regard to maltreatment histories and scores on two adolescent risk/need assessment instruments, the ERASOR and YLS/CMI. Adolescents who sexually abused a sibling, versus a nonsibling, were more likely to have histories of sexual abuse and been exposed to domestic violence and pornography. There were no group differences on ERASOR and YLS/CMI scales. This study adds to the limited discourse on sibling sexual offending and the larger literature on the heterogeneity of adolescents who have sexually offended.     

Back to basics: child psychiatry after Cleveland

SUMMARY. In this personal view of recent developments, the author suggests that child psychiatrists were taken by surprise when they began receiving a rapid increase of referrals involving sexual abuse. Many saw their prime role as needing to adapt psychiatric techniques to determine whether abuse had occurred. Child sexual abuse was seen as being outside of normal psychiatric conditions. These responses led to major controversy within the profession. It is argued that the Cleveland Inquiry should now allow child psychiatrists to work with sexually abused children in a more traditional way, their main function being to assess and treat the whole child and its family and evaluate the significance of the abuse in a wider context     

Maternal Sexual Abuse of Males

This article presents one aspect of the findings of a qualitative research study which explored the impact of childhood sexual abuse on the lives of a non-clinical sample of 25 adult males who responded to advertisements for adult male survivors of childhood sexual abuse. The author conducted in-depth interviews with the men to discover how their experiences of childhood sexual abuse had influenced their psychosocial development. Thirteen of the 25 men were abused by females. This article focuses on seven men who were abused by their mothers and describes how definition, prevalence and outcomes of maternal sexual abuse are affected by male socialization, creating additional difficulties for these men. The author describes some of the psychological defence mechanisms used by this sample of men, explores some of the reasons for maternal abuse and issues to be considered by practitioners. © 1997 John Wiley & Sons, Ltd.     

Sexual at-risk behaviors of sexually abused adolescent girls

The present study investigated sexual at-risk behaviors of sexually abused adolescent girls. Variables of interest were presence of consensual sexual activity, age at first consensual intercourse, number of sexual partners, condom use, and pregnancies. Participants were 125 sexually abused adolescent girls aged 12 to 17 years. Results showed that severity of sexual abuse (e.g., penetration, multiple perpetrators, physical coercion, multiple incidents of abuse) was related to a greater number of sexual at-risk behaviors. For instance, adolescents with a history of sexual abuse involving penetration were 13 times as likely to have been pregnant. Although family characteristics were significantly associated with being sexually active, their effect proved non-significant in the final hierarchical regression. Regression analyses clearly showed that the likelihood of engaging in sexual at-risk behaviors increased as a function of the number of severity factors.     

Social isolation and sexual abuse among women who smoke crack

The purpose of this study was to explore the prevalence of social isolation and its relationship to sexual trauma in a sample of Black women who smoke crack cocaine. Using a convenience sample of 115 Black women with a history of smoking crack cocaine, participants were interviewed for 2 to 4 hours and asked a variety of questions about their health, relationships, sexuality, and drug use. Bivariate and multivariate logistical regressions were used to predict whether the women reported being socially isolated. While social isolation was not necessarily a common experience among the sample, it was found that women who had been sexually abused were three times more likely to report being socially isolated than women who had not been sexually abused. In addition, social isolation was more common among women who had been abused by a family member, who had been abused when they were young, and who had been abused for a long period of time. However, multivariate analyses revealed that the age at which the sexual trauma occurred was the most salient predictor of social isolation in adulthood. Implications for drug treatment are discussed.     

Cognitive distortions about sex and sexual offending: a comparison of sex offending girls, delinquent girls, and girls from the community

Cognitive distortions about sexual offending were examined in 11 girls who committed sexual offenses, 12 girls who committed non-sexual criminal offenses, and 21 girls with no history of sexual of non-sexual offending. Participants responded to 12 vignettes that described sexual contact between an adolescent girl and a younger boy. The vignettes varied with respect to the sexual contact portrayed and the victim's response. Girls who had sexually offended were more likely to endorse statements reflecting the belief that the offender in a sexually aggressive vignette was not responsible for initiating the sexual contact. In addition, when the victim's response to the sexual contact was clearly negative, and the degree of contact was more serious, girls who had sexually offended demonstrated more distorted beliefs about the victim than the other two groups. Similarities and differences between the current findings and studies of distorted thinking in male sexual offenders are discussed.     

Young women's experiences and perceptions of cunnilingus during adolescence

Recent studies indicate that cunnilingus may be as prevalent as fellatio among American adolescents. Despite this approximate equivalence in rates, there is an imbalance in the amount and type of attention paid to fellatio and cunnilingus. Furthermore, there has been little empirical examination of young women's experiences and perceptions of cunnilingus during adolescence. Two studies in response to this gap in knowledge were conducted. In Study 1, regression analyses indicated that a young woman's sexual assertiveness was linked to having more lifetime cunnilingus partners, as well as more cunnilingus experiences in the past three months. Study 2 explored young women's perceptions of cunnilingus and their speculations about their male partners' perceptions thereof. Linear mixed modeling revealed that participants had highly favorable impressions of cunnilingus, which they believed their male partners shared. These findings are considered in terms of positive adolescent sexual development and cultural norms regarding female sexuality.     

Against the odds: the impact of woman abuse on maternal response to disclosure of child sexual abuse

Although the co-occurrence of woman abuse and child sexual abuse is high little research exists exploring the impact of woman abuse on maternal response to child sexual abuse (CSA). Findings from two qualitative studies indicate the form of woman abuse to have differential impact on maternal response. Mothers who were abused in non-physical ways, psychological, or emotional, displayed more ambivalent, less supportive responses. Mothers who were physically abused by their partners more often acted supportively to their children and displayed less ambivalence about separating from the perpetrator. Some survivors reported non-disclosure as children because of their fear of the perpetrator due to the woman abuse they were exposed to while being sexually abused. Practice and research implications are discussed.     

The Effect of Severe Child Sexual Abuse and Disclosure on Mental Health during Adulthood

This study examined the relationship among severe child sexual abuse, disclosure, and mental health symptoms during adulthood. The sample consisted of 172 adults who were sexually abused in childhood. The multivariate model showed that respondents in their 30s and 40s who were abused by more than one abuser, who were injured by their abusers, who were abused by a biological relative, who told someone about the abuse when it occurred, and who did not discuss their abuse in depth within one year of the abuse had a greater number of mental health symptoms. Abuse severity and disclosure history should be assessed by professionals to identify clients who are at higher risk of mental health symptoms and to focus therapy.     

Characteristics of Sexually Abused Children and Their Nonoffending Mothers Followed by Child Welfare Services: The Role of a Maternal History of Child Sexual Abuse

Considering the importance of mother’s support in the adaptation of a sexually abused child, it is relevant to determine if the mothers and children involved in an intergenerational cycle of child sexual victimization differ from dyads in which only the child has been abused. The purpose of this study was to compare mother–child dyads with sexually abused children according to whether the mother had herself been victim of child sexual abuse. The sample included 87 dyads with sexually abused children aged 3–18 years old and their mothers (44 reporting maternal and child abuse), followed by social welfare services of the province of Quebec (Canada). The two groups of mothers were compared on their past family abuse experiences and past family relations, their mental health history, their current psychological distress, their parenting behaviors, and their current levels of family functioning. Children were compared on their adaptation. Multivariate analyses indicated that mothers reporting child sexual abuse were more likely to report more other maltreatments in their childhood and greater prevalence of lifetime history of alcohol abuse disorders, dysthymia, and panic disorder compared with mothers who had not experienced CSA. Compared to children whose mothers had not experienced CSA, those whose mothers had experienced CSA showed higher rates of problems behaviors and were more likely to report having been sexually abused by a trusted person. These results highlight the specific clinical needs for the assessment and treatment for sexually abused children whose mothers experienced child sexual abuse.     

Correlates of Sexual Abuse in a Sample of Adolescent Girls Admitted to Psychiatric Inpatient Care

We examined correlations of child sexual abuse among 300 adolescent girls in psychiatric inpatient treatment. Diagnostic and Statistical Manual of Mental Disorders (4th ed.)-based psychiatric diagnoses were obtained from the Schedule for Affective Disorder and Schizophrenia for School-Age Children—Present and Lifetime and from data on family and behavioral characteristics from the European Addiction Severity Index (EuropASI). A total of 79 girls (26.3%) had experienced child sexual abuse during their lifetime. Child sexual abuse was associated with an adolescent’s home environment, sibling status, smoking, posttraumatic stress disorder diagnosis, self-mutilating behavior, and suicidal behavior. At least 62% of the perpetrators were acquaintances of the victims. Correlates of child sexual abuse can be used to identify child sexual abuse victims and persons at heightened risk for child sexual abuse.