Journal of Abnormal Child Psychology

, Volume 41, Issue 1, pp 139–150

Linking Childhood Sexual Abuse and Early Adolescent Risk Behavior: The Intervening Role of Internalizing and Externalizing Problems


    • Department of PsychologyUniversity of North Carolina at Chapel Hill
  • Terri Lewis
    • Department of Health Behavior, School of Public HealthUniversity of Alabama at Birmingham
  • Alan Litrownik
    • Department of PsychologySan Diego State University
  • Richard Thompson
    • Juvenile Protective Association
  • Laura J. Proctor
    • Judge Baker Children’s CenterHarvard Medical School
  • Patricia Isbell
    • Maternal and Child Health, Gillings School of Public HealthUniversity of North Carolina at Chapel Hill
  • Howard Dubowitz
    • Department of PediatricsUniversity of Maryland School of Medicine
  • Diana English
    • School of Social WorkUniversity of Washington
  • Bobby Jones
    • Department of PsychiatryUniversity of Pittsburgh School of Medicine
  • Daniel Nagin
    • Heinz CollegeCarnegie Mellon University
  • Desmond Runyan
    • Kempe Center for the Prevention and Treatment of Child Abuse and NeglectUniversity of Colorado Denver School of Medicine

DOI: 10.1007/s10802-012-9656-1

Cite this article as:
Jones, D.J., Lewis, T., Litrownik, A. et al. J Abnorm Child Psychol (2013) 41: 139. doi:10.1007/s10802-012-9656-1


A robust literature links childhood sexual abuse (CSA) to later substance use and sexual risk behavior; yet, relatively little empirical attention has been devoted to identifying the mechanisms linking CSA to risky behavior among youth, with even less work examining such processes in boys. With the aim of addressing this gap in the literature, the current study examined the indirect effect of childhood sexual abuse (CSA; from age 2 to 12) trajectory group on risky behavior at age 14 (alcohol use & sexual intercourse) via the intervening role of caregiver-reported internalizing and externalizing problems at age 12. Analyses were conducted with a subsample of youth (n = 657 sexual intercourse; n = 667 alcohol use) from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), a multisite prospective study of youth at risk for maltreatment. For boys and girls, there was an indirect effect from CSA to sexual intercourse through externalizing problems. The same pattern emerged for alcohol use, but only for girls. Findings did not support an indirect path through internalizing problems for either boys or girls for either outcome. Findings suggest more focal targets for prevention efforts aimed at maintaining the health and safety of maltreated boys and girls during the adolescent transition.


Childhood sexual abuse Adolescence Risk behavior Internalizing problems Externalizing problems Gender

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© Springer Science+Business Media, LLC 2012