Abstract
This study examined the relationship between levels of posttraumatic stress and overall mental health functioning of fifty-three sexually abused children. This study analyzes the relationships between the mental health functioning of sexual abuse victims and PTSD, using data collected from the Non-Offending Parents Project. Unlike numerous earlier studies, standardized instruments (the Child Assessment Schedule and the Child Posttraumatic Stress Reaction Index) were used for data collection. Data analysis supported the hypothesis that the posttraumatic stress level of children who have been sexually abused is associated with level of child mental health functioning. Nearly all the children in the study were experiencing a clinical level of posttraumatic stress, and were diagnosed as having PTSD. Child Assessment Schedule subscale areas which were related to posttraumatic stress level included worries, physical complaints, moods, school functioning, family, and fears.
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Alter-Reid, K., Gibbs, M.S., Lachenmeyer, J.R., Sigal, J., & Massoth, N.A. (1986). Sexual abuse of children: A review of the empirical findings. Clinical Psychology Review, 6, 249-266.
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. Washington, D.C.
Beitchman, J.H., Zucker, K.J., Hood, J.E., daCosta, G.A., Akman, D., & Cassavia, E. (1992). A review of the long-term effects of child sexual abuse. Child Abuse & Neglect, 16, 101-118.
Briere, J.N. (1992). Methodological issues in the study of sexual abuse effects. Journal of Consulting and Clinical Psychology,60(2), 196-203.
Briere, J.N. & Runtz, M. (1987). Post sexual abuse trauma: Data and implications for clinical practice. Journal of Interpersonal Violence,2(4), 367-379.
Briere, J.N. & Runtz, M. (1988). Symptomatology associated with childhood sexual victimization in a nonclinical adult sample. Child Abuse and Neglect,12, 51-59.
Briere, J.N. & Runtz, M. (1993). Child sexual abuse: Long-term sequelae and implications for psychological assessment. Journal of Interpersonal Violence,8(3), 312-330.
Brunngraber, L.S. (1986). Father-daughter incest: Immediate and long-term effects of sexual abuse. Advances in Nursing Science,8(4), 15-35.
Conte, J. (1982). Sexual abuse of children: Enduring issues for social work. In J.R. Conte & D. Shore (Eds.), Social Work and Child Sexual Abuse (pp. 1-19). New York: Haworth.
Courtois, C.A. (1980). Studying and counseling women with past incest. Victimology,5, 322-334.
Elwell, M.E. & Ephross, P.H. (1987). Initial reactions of sexually abused children. Social Casework,68, 109-116.
Finkelhor, D. (1982). The traumatic impact of child sexual abuse: A conceptualization. American Journal of Orthopsychiatry,55(4), 530-541.
Finkelhor, D. (1984). Child Sexual Abuse: New Theory and Research. New York: Free Press.
Galante, R. & Foa, D. (1986). An epidemiological study of psychic trauma and treatment effectiveness for children after a natural disaster. Journal of the American Academy of Child Psychiatry,25(3), 357-363.
German, D.N.E., Habenicht, D.J., & Futcher, W.G. (1990). Psychological profile of the female adolescent incest victim. Child Abuse & Neglect,14(3), 429-438.
Glover, N.M., Janikowski, T.P., & Benshoff, J.J. (1995). The incidence of incest histories among clients receiving substance abuse treatment. Journal of Counseling and Development,73, 475-480.
Gogoleski, M.A., Thyer, B.A., & Walker, R.J. (1993). Reports of childhood incest by adults with panic disorder or agoraphobia. Psychological Reports,73, 289-290.
Gold, E. (1986). Long-term effects of sexual victimization in childhood: An attributional approach. Journal of Consulting and Clinical Psychology, 54(4), 471-475.
Handford, H.A., Mayes, S.D., Mattison, R.E., Humphrey, F.J., Bagnato, S., Bixler, E.O., & Kales, J.D. (1986). Child and parent reaction to the Three Mile Island nuclear accident. Journal of the American Academy of Child Psychiatry,25(3), 346-356.
Herman, J., Russell, D., & Trocki, K. (1986). Long-term effects of incestuous abuse in childhood. American Journal of Psychiatry,143(10), 1293-1296.
Herzog, D.B., Staley, J.E., Carmody, S., Robbins, W.M., van der Kolk, B.A. (1993). Childhood sexual abuse in Anorexia Nervosa and Bulimia Nervosa: A pilot study. Journal of the American Academy of Child Psychiatry,32, 962-966.
Hodges, K., Kline, J., Cytryn, L., & McKnew, D. (1982). The development of a child assessment schedule for research and clinical use. Journal of Abnormal Child Psychology, 10, 173-189.
Hodges, K., McKnew, D., Cytryn, L., Stern, L., & Kline, J. (1982). The Child Assessment Schedule (CAS) diagnostic interview: A report on reliability and validity. Journal of American Academy of Child Psychiatry,21, 468-473.
Hodges, K., Cools, J., & McKnew, D. (1989). Test-retest reliability of a clinical instrument for children: The Child Assessment Schedule (CAS). Psychological Assessment: Journal of Consulting and Clinical Psychology,1, 317-322.
Hulme, P.A. & Grove, S.K. (1994). Symptoms of female survivors of child sexual abuse. Issues in Mental Health Nursing,15, 519-532.
Husain, A. & Chapel, J.L. (1983). History of incest in girls admitted to a psychiatric hospital. American Journal of Psychiatry,140(5), 591-593.
Hussey, D.L. & Singer, M. (1993). Psychological distress, problem behaviors, and family functioning of sexually abused adolescent inpatients. Journal of the American Academy of Child & Adolescent Psychiatry,32(5), 954-961.
Kinzie, J.D., Sack, W.H., Angell, R.H., Manson, S., & Rath, B. (1986). The psychiatric effects of massive trauma on Cambodian children: The Children. Journal of the American Academy of Child Psychiatry,25, 370-376.
Leifer, M., Shapiro, J.P., & Kassem, L. (1993). The impact of maternal history and behavior upon foster placement and adjustment in sexually abused girls. Child Abuse & Neglect,17(6), 755-766.
Leifer, M., Shapiro, J.P., Kassem, L., & Lang, A.M. (25 March 1993). Longitudinal study of the psychological effects of sexual abuse in foster children and children who return home. Paper presented at the Biennial Meeting of the Society for Research in Child Development, New Orleans, LA.
Lindberg, F.H. & Distad, L.J. (1985). Post-traumatic stress disorders in women who experienced childhood incest. Child Abuse & Neglect,9, 329-334.
Livingston, R., Lawson, L., & Jones, J.G. (1993). Predictors of self-reported psychopathology in children abused repeatedly by a parent. Journal of the American Academy of Child and Adolescent Psychiatry,32(5).
Mennen, F.E. (1993). Evaluation of risk factors in childhood sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry,32(5), 934-939.
Merry, S.N. & Andrews, L.K. (1994). Psychiatric status of sexually abused children 12 months after disclosure of abuse. Journal of the American Academy of Child and Adolescent Psychiatry,33(7), 939-944.
Morrow, K.B. & Sorell, G.T. (1989). Factors affecting self-esteem, depression, and negative behaviors in sexually abused female adolescents. Journal of Marriage and the Family,51, 677-686.
Oates, R.K., O'Toole, B.J., Lynch, D.L., Stern, A., & Cooney, G. (1994). Stability and change in outcomes for sexually abused children. Journal of the American Academy of Child and Adolescent Psychiatry,33(7), 945-953.
Orr, D.P. & Downes, M.C. (1985). Self-concept of adolescent incest victims. Journal of Youth and Adolescence,14(5), 401-410.
Pierce, R. & L.H. & Pierce (1985). The sexually abused child: A comparison of male and female victims. Child Abuse and Neglect, 9(2), 191-199.
Pribor, E.F. & Dinwiddie, S.H. (1992). Psychiatric correlates of incest in childhood. American Journal of Psychiatry,149, 52-56.
Pynoos, R.S., Frederick, C., Nader, K., Arroyo, W., Steinberg, A., Eth, S., Nunez, F., & Fairbanks, L. (1987). Life threat and posttraumatic stress in school-age children. Archives of General Psychiatry,44, 1057-1063.
Pynoos, R.S. & Nader, K. (1988). Psychological first aid and treatment approach to children exposed to community violence: Research implications. Journal of Traumatic Stress,1(4), 445-473.
Roesler, T.A. & McKenzie, N. (1994). Effects of childhood trauma on psychological functioning in adults sexually abused as children. Journal of Nervous and Mental Disease, 182(3), 145-150.
Wind, T.W. & Silvern, L. (1992). Type and extent of child abuse as predictors of adult functioning. Journal of Family Violence,7(4), 261-281.
Wolfe, V.V., Gentile, C., & Wolfe, D.A. (1989). The impact of sexual abuse on children: A PTSD formulation. Behavior Therapy,20(2), 215-228.
Wyatt, G.E. (1985). The sexual abuse of Afro-American and White-American women in childhood. Child Abuse and Neglect,9, 507-519.
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Avery, L., Massat, C.R. & Lundy, M. Posttraumatic Stress and Mental Health Functioning of Sexually Abused Children. Child and Adolescent Social Work Journal 17, 19–34 (2000). https://doi.org/10.1023/A:1007563509000
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DOI: https://doi.org/10.1023/A:1007563509000