Differences in Demographic, Risk, and Protective Factors in a Clinical Sample of Children Who Experienced Sexual Abuse Only Vs. Poly-victimization

Overview

Journal Front Psychiatry

Specialty Psychiatry

Date 2022 Jan 31

PMID 35095603

Authors

Nicole Racine

Jenney Zhu

Cailey Hartwick

Sheri Madigan

Affiliations

Soon will be listed here.

Abstract

Children exposed to child sexual abuse (CSA) vary considerably with regards to their presenting concerns and treatment needs. One factor creating heterogeneity amongst children experiencing CSA is their history of experiencing other victimizations (i.e., poly-victimized or not). However, little is known about risk factors for poly-victimization as well as differences in protective factors among these two groups. Additionally, there is currently limited understanding of whether poly-victimization is associated with greater trauma symptoms in children exposed to CSA and being seen for trauma treatment. Using a clinical sample of 117 children who were sexually abused (64 CSA only and 53 poly-victimized) ranging from age 3-18 years, the current study examined demographic characteristics, abuse characteristics, trauma symptoms, and protective factors using casefile review methodology. After accounting for other risk factors, parental abuse history and protective factors were significantly associated with child poly-victimization status. Children exposed to poly-victimization were more likely to have financial concerns = 4.16, = 0.04, parents with abuse histories = 8.93, = 0.003, and parents with histories of mental health or substance use difficulties = 4.02, = 0.045. Although cumulative trauma symptoms scores were higher for children who were poly-victimized compared to CSA only, = -2.24, = 0.03, multiple regression analyses showed that poly-victimization status was not significantly associated with child trauma symptoms after accounting for other demographic and abuse characteristics. Assessing and understanding the extent to which children exposed to CSA have experienced other forms of maltreatment is critical for identifying children who may be most at risk of poor outcomes.

Citing Articles

Exposure to traumatic events and use of over-the-counter analgesics in adolescents: cross-sectional findings from the Young-HUNT study.

Baumann-Larsen M, Dyb G, Wentzel-Larsen T, Zwart J, Storheim K, Stensland S BMJ Open. 2023; 13(3):e066058.

PMID: 36931675 PMC: 10030485. DOI: 10.1136/bmjopen-2022-066058.

References

Streiner D . Starting at the beginning: an introduction to coefficient alpha and internal consistency. J Pers Assess. 2003; 80(1):99-103. DOI: 10.1207/S15327752JPA8001_18. View

Collin-Vezina D, Daigneault I, Hebert M . Lessons learned from child sexual abuse research: prevalence, outcomes, and preventive strategies. Child Adolesc Psychiatry Ment Health. 2013; 7(1):22. PMC: 3720272. DOI: 10.1186/1753-2000-7-22. View

Hindelang R, Dwyer W, Leeming F . Adolescent risk-taking behavior: a review of the role of parental involvement. Curr Probl Pediatr. 2001; 31(3):63-83. DOI: 10.1016/s1538-5442(01)70035-1. View

Kellogg N, Menard S . Violence among family members of children and adolescents evaluated for sexual abuse. Child Abuse Negl. 2003; 27(12):1367-76. DOI: 10.1016/j.chiabu.2003.10.008. View

Rosenthal S, Feiring C, Taska L . Emotional support and adjustment over a year's time following sexual abuse discovery. Child Abuse Negl. 2003; 27(6):641-61. DOI: 10.1016/s0145-2134(03)00104-2. View

van IJzendoorn M, Bakermans-Kranenburg M, Coughlan B, Reijman S . Annual Research Review: Umbrella synthesis of meta-analyses on child maltreatment antecedents and interventions: differential susceptibility perspective on risk and resilience. J Child Psychol Psychiatry. 2019; 61(3):272-290. PMC: 7065145. DOI: 10.1111/jcpp.13147. View

Shemesh E, Newcorn J, Rockmore L, Shneider B, Emre S, Gelb B . Comparison of parent and child reports of emotional trauma symptoms in pediatric outpatient settings. Pediatrics. 2005; 115(5):e582-9. DOI: 10.1542/peds.2004-2201. View

Racine N, Eirich R, Dimitropoulos G, Hartwick C, Madigan S . Development of trauma symptoms following adversity in childhood: The moderating role of protective factors. Child Abuse Negl. 2020; 101:104375. DOI: 10.1016/j.chiabu.2020.104375. View

Moylan C, Herrenkohl T, Sousa C, Tajima E, Herrenkohl R, Russo M . The Effects of Child Abuse and Exposure to Domestic Violence on Adolescent Internalizing and Externalizing Behavior Problems. J Fam Violence. 2010; 25(1):53-63. PMC: 2872483. DOI: 10.1007/s10896-009-9269-9. View

10.

Finkelhor D, Hamby S, Ormrod R, Turner H . The Juvenile Victimization Questionnaire: reliability, validity, and national norms. Child Abuse Negl. 2005; 29(4):383-412. DOI: 10.1016/j.chiabu.2004.11.001. View

11.

McEwen B . Stress, adaptation, and disease. Allostasis and allostatic load. Ann N Y Acad Sci. 1998; 840:33-44. DOI: 10.1111/j.1749-6632.1998.tb09546.x. View

12.

Ullman S . Relationship to perpetrator, disclosure, social reactions, and PTSD symptoms in child sexual abuse survivors. J Child Sex Abus. 2007; 16(1):19-36. DOI: 10.1300/J070v16n01_02. View

13.

Cort N, Gamble S, Smith P, Chaudron L, Lu N, He H . Predictors of treatment outcomes among depressed women with childhood sexual abuse histories. Depress Anxiety. 2012; 29(6):479-86. PMC: 3383394. DOI: 10.1002/da.21942. View

14.

Rapsey C, Scott K, Patterson T . Childhood sexual abuse, poly-victimization and internalizing disorders across adulthood and older age: Findings from a 25-year longitudinal study. J Affect Disord. 2018; 244:171-179. DOI: 10.1016/j.jad.2018.10.095. View

15.

Madigan S, Cyr C, Eirich R, Fearon R, Ly A, Rash C . Testing the cycle of maltreatment hypothesis: Meta-analytic evidence of the intergenerational transmission of child maltreatment. Dev Psychopathol. 2019; 31(1):23-51. DOI: 10.1017/S0954579418001700. View

16.

Afifi T, MacMillan H . Resilience following child maltreatment: a review of protective factors. Can J Psychiatry. 2011; 56(5):266-72. DOI: 10.1177/070674371105600505. View

17.

Dubowitz H, Kim J, Black M, Weisbart C, Semiatin J, Magder L . Identifying children at high risk for a child maltreatment report. Child Abuse Negl. 2011; 35(2):96-104. DOI: 10.1016/j.chiabu.2010.09.003. View

18.

Paolucci E, Genuis M, Violato C . A meta-analysis of the published research on the effects of child sexual abuse. J Psychol. 2001; 135(1):17-36. DOI: 10.1080/00223980109603677. View

19.

Huang L, Mossige S . Resilience and Poly-Victimization among Two Cohorts of Norwegian Youth. Int J Environ Res Public Health. 2018; 15(12). PMC: 6313521. DOI: 10.3390/ijerph15122852. View

20.

Finkelhor D, Ormrod R, Turner H . Polyvictimization and trauma in a national longitudinal cohort. Dev Psychopathol. 2007; 19(1):149-66. DOI: 10.1017/S0954579407070083. View