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Physical Abuse and Adolescent Sexual Behaviors: Moderating Effects of Mental Health Disorders and Substance Use

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Abstract

The purpose of the current study was to examine the direct effects of child physical abuse on sexual behaviors and whether mental health problems and substance use moderated the associations between exposure to child physical abuse and sexual behavioral practices among adolescents who participated in the National Comorbidity Survey-Adolescent Supplement (NCS-A). The data show statistically significant relationships between physical abuse and risky sexual behaviors for youth who met the clinical criteria for lifetime Posttraumatic Stress Disorder (PTSD) and reported marijuana use. Data from future studies can inform sexual health practice development with adolescents and emerging adults with a history of physical abuse, marijuana use/abuse and PTSD. These findings underscore the importance of exploring presence of symptoms associated with PTSD and marijuana use as part of a comprehensive biopsychosocial assessment for physically abused adolescents and emerging adults to determine if they are engaging in risky sexual behaviors.

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References

  • Ballard, E. D., Van Eck, K., Musci, R. J., Hart, S. R., Storr, C. L., Breslau, N., & Wilcox, H. C. (2015). Latent classes of childhood trauma exposure predict the development of behavioral health outcome sin adolescence and youth adulthood. Psychological Medicine, 45(15), 3305–3316.

    Article  Google Scholar 

  • Banducci, A. N., Hoffman, E. M., Lejuez, C. W., & Koenen, K. C. (2014). The impact of childhood abuse on inpatient substance users: specific links with risky sex, aggression, and emotion dysregulation. Child Abuse & Neglect, 38(5), 928–938.

    Article  Google Scholar 

  • Berking, M., & Wupperman, P. (2012). Emotion regulation and mental health: Recent findings, current challenges, and future directions. Current Opinion in Psychiatry, 25(2), 128–134.

    Article  Google Scholar 

  • Burns, E. E., Jackson, J. L., & Harding, H. G. (2010). Child maltreatment, emotion regulation, and posttraumatic stress: the impact of emotional abuse. Journal of Aggression, Maltreatment & Trauma, 19(8), 801–819.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention. (2016). Youth risk behavior surveillance–United States, 2015. Center for Disease Control. MMWR, 65(65), 1–174.

    Google Scholar 

  • Clark, D. B., Thatcher, D. L., & Martin, J. T. (2010). Child abuse and other traumatic experiences, alcohol use disorders, and health problems in adolescence and young adulthood. Journal of Pediatric Pathology, 35(5), 499–510.

    Google Scholar 

  • Connell, C. M., Gilreath, T. D., & Hansen, N. B. (2009). A multiprocess latent class analysis of the co-occurrence of substance use and sexual risk behavior among adolescents. Journal of Studies on Alcohol and Drugs, 70(6), 943–951.

    Article  Google Scholar 

  • De Bellis, M. D., & Thomas, L. A. (2003). Biologic findings of post-traumatic stress disorder and child maltreatment. Current Psychiatry Reports, 5(2), 108–117.

    Article  Google Scholar 

  • Draucker, C. B., & Mazurczyk, J. (2013). Relationships between childhood sexual abuse and substance use and sexual risk behaviors during adolescence: an integrative review. Nursing Outlook, 61(5), 291–310.

    Article  Google Scholar 

  • Dubowitz, H., Thompson, R., Arria, A. M., English, D., Metzger, R., & Kotch, J. B. (2016). Characteristics of child maltreatment and adolescent marijuana use: a prospective study. Child Maltreatment, 21(1), 16–25.

    Article  Google Scholar 

  • Dvorak, R. D., & Day, A. M. (2014). Marijuana and self-regulation: examining likelihood and intensity of use and problems. Addictive Behaviors, 39(3), 709–712.

    Article  Google Scholar 

  • Gardner, W., Mulvey, E. P., & Shaw, E. C. (1995). Regression analyses of counts and rates: Poisson, over-dispersed Poisson, and negative binomial models. Psychological Bulletin, 118(3), 392.

    Article  Google Scholar 

  • Hahm, H. C., Lee, Y., Ozonoff, A., & Van Wert, M. J. (2010). The impact of multiple types of child maltreatment on subsequent risk behaviors among women during the transition from adolescence to young adulthood. Journal of Youth and Adolescence, 39(5), 528–540.

    Article  Google Scholar 

  • Heleniak, C., Jenness, J. L., Vander Stoep, A., McCauley, E., & McLaughlin, K. A. (2016). Childhood maltreatment exposure and disruptions in emotion regulation: a transdiagnostic pathway to adolescent internalizing and externalizing psychopathology. Cognitive Therapy and Research, 40(3), 394–415.

    Article  Google Scholar 

  • Kearney, C. A., Wechsler, A., Kaur, H., & Lemos-Miller, A. (2010). Posttraumatic stress disorder in maltreated youth: a review of contemporary research and thought. Clinical Child and Family Psychology Review, 13(1), 46–76.

    Article  Google Scholar 

  • Kessler, R. C., & Merikangas, K. R. (2004). The National Comorbidity Survey Replication (NCS-R): background and aims. International Journal of Methods in Psychiatric Research, 13(2), 60–68.

    Article  Google Scholar 

  • Kessler, R. C., Avenevoli, S., Costello, E. J., Green, J. G., Gruber, M. J., Heeringa, S., Merikangas, K. R., Pennell, B. E., Sampson, N. A., & Zaslavsky, A. M. (2009a). Design and field procedures in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A). International Journal of Methods in Psychiatric Research, 18(2), 69–83.

    Article  Google Scholar 

  • Kessler, R. C., Avenevoli, S., Costello, E. J., Green, J. G., Gruber, M. J., Heeringa, S., Merikangas, K. R., Pennell, B. E., Sampson, N. A., & Zaslavsky, A. M. (2009b). National comorbidity survey replication adolescent supplement (NCS-A): II. Overview and design. Journal of the American Academy of Child and Adolescent Psychiatry, 48(4), 380–385.

    Article  Google Scholar 

  • Manly, J. T. (2005). Advances in research of child maltreatment. Child Abuse & Neglect, 29(5), 425–439.

    Article  Google Scholar 

  • McCloskey, L. A., & Walker, M. (2000). Posttraumatic stress in children exposed to family violence and single-event trauma. Journal of the American Academy of Child & Adolescent Psychiatry, 39(1), 108–115.

    Article  Google Scholar 

  • Merikangas, K. R., Avenevoli, S., Costello, J., Koretz, D., et al. (2009). National Comorbidity Survey Replication Adolescent Supplement (NCS-A): I. Background and measures. Journal of the American Academy of Child and Adolescent Psychiatry, 48(4), 367–369.

    Article  Google Scholar 

  • Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, A., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in the U.S. adolescent comorbidity survey replication-adolescent sample. Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–988.

    Article  Google Scholar 

  • Norman, R. E., Byambaa, M., De, R., Butchart, A., Scott, J., & Vos, T. (2012). The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. Public Library of Science Medicine, 9(11), e1001349.

    PubMed  Google Scholar 

  • Oshri, A., Rogosch, F. A., Burnette, M. L., & Cicchetti, D. (2011). Developmental pathways to adolescent cannabis abuse and dependence: child maltreatment, emerging personality, and internalizing versus externalizing psychopathology. Psychology of Addictive Behaviors, 25(4), 634–644.

    Article  Google Scholar 

  • Richards, M.J. & Sheeder, J. (2014). Adolescents: Their futures and their contraceptive decisions. Journal of Pediatric and Adolescent Gynecology, 27(5), 301-305.

  • Richter, L., Komarek, A., Desmond, C., Celentano, D., Morin, S., Sweat, M., Chariyalertsak, S., Chingono, A., Gray, G., Mbwambo, J., & Coates, T. (2014). Reported physical and sexual abuse in childhood and adult HIV risk behaviour in three African countries: findings from project accept (HPTN-043). AIDS and Behavior, 18(2), 381–389.

    Article  Google Scholar 

  • Simons, L.G., Sutton, T.E., Simons, R.L., Gibbons, F.X., & Murry, V.M., (2016). Mechanisms that link parenting practices in adolescents’ risky sexual behavior: A test of competing theories. Journal of Youth &Adolescence, 45(2), 255-270.

  • Slater, C., & Robinson, A.J. (2014). Sexual health in adolescents. Clinics in Dermatology, 32(2), 189-195.

  • Staras, S.A.S., Livingston, M.D., Maldonado-Molina, M.M., & Komro, K.A. (2013). The influence of sexual partner on condom use among urban adolescents. Journal of Adolescent Health, 53(6), 742-748.

  • Sujan, A. C., Humphreys, K. L., Ray, L. A., & Lee, S. S. (2014). Differential association of child abuse with self-reported versus laboratory-based impulsivity and risk-taking in young adulthood. Child Maltreatment, 19(3–4), 145–155.

    Article  Google Scholar 

  • Swartzendruber, A., Sales, J., Brown, J., DiClemente, R., & Rose, E. (2013). Patterns of recent alcohol and marijuana use as predictors of condom use, pregnancy and sexually transmitted infections during 18-months of follow-up among African-American female adolescents. Sexually Transmitted Infections, 89(Suppl 1), A148.

    Google Scholar 

  • Thompson, R., Lewis, T., Neilson, E. C., English, D. J., Litrownik, A. J., Margolis, B., Proctor, L., & Dubowitz, H. (2017). Child maltreatment and risky sexual behavior: indirect effects through trauma symptoms and substance use. Child Maltreatment, 22(1), 69–78.

    Article  Google Scholar 

  • Thornberry, T. P., Ireland, T. O., & Smith, C. A. (2011). The importance of timing: the varying impact of childhood and adolescent maltreatment on multiple problem outcomes. Development and Psychopathology, 13(4), 957–979.

    Article  Google Scholar 

  • Toth, S., Manly, J. T., & Cicchetti, D. (1992). Child maltreatment and vulnerability to depression. Development and Psychopathology, 4(1), 97–112.

    Article  Google Scholar 

  • Tubman, J. G., Montgomery, M. J., Gil, A. G., & Wagner, E. F. (2004) Abuse experiences in a community sample of young adults: Relations with psychiatric disorders, sexual risk behaviors, and sexually transmitted diseases. American Journal of Coummunity Psychology, 34(1-2), 147-162.

  • Tubman, J. G., Oshri, A., Taylor, H. L., & Morris, S. L. (2011). Maltreatment clusters among youth in outpatient substance abuse treatment: co-occurring patterns of psychiatric symptoms and sexual risk behaviors. Archives of Sexual Behavior, 40(2), 301–309.

    Article  Google Scholar 

  • Tucker, J. S., Ryan, G. W., Golinelli, D., Ewing, B., Wenzel, S. L., Kennedy, D. P., Green, H. D., & Zhou, A. (2012). Substance use and other risk factors for unprotected sex: results from an event-based study of homeless youth. AIDS and Behavior, 16(6), 1699–1707.

    Article  Google Scholar 

  • U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2017). Child maltreatment 2015. Available from http://www.acf.hhs.gov/programs/cb/research-data-technology/statistics-research/child-maltreatment.

  • Vilhena-Churchill, N., & Goldstein, A. L. (2014). Child maltreatment and marijuana problems in young adults: examining the role of motives and emotion dysregulation. Child Abuse & Neglect, 38(5), 962–972.

    Article  Google Scholar 

  • Walsh, K., Latzman, N. E., & Latzman, R. D. (2014). Pathway from child sexual and physical abuse to risky sex among emerging adults: the role of trauma-related intrusions and alcohol problems. Journal of Adolescent Health, 54(4), 442–448.

    Article  Google Scholar 

  • Wekerle, C., Goldstein, A. L., Tanaka, M., & Tonmyr, L. (2017). Childhood sexual abuse, sexual motives, and adolescent sexual risk-taking among males and females receiving child welfare services. Child Abuse & Neglect, 66, 101–111.

    Article  Google Scholar 

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Correspondence to Keva M. Miller.

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On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical Approval and Informed Consent

This study was a secondary data analysis and all Internal Review Board procedures were followed in accordance with the ethical standards of responsible committee on human experimentation.

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Miller, K.M., Briggs, H.E., Elkins, J. et al. Physical Abuse and Adolescent Sexual Behaviors: Moderating Effects of Mental Health Disorders and Substance Use. Journ Child Adol Trauma 13, 55–62 (2020). https://doi.org/10.1007/s40653-018-0221-0

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  • DOI: https://doi.org/10.1007/s40653-018-0221-0

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