Abstract
The validity of two measures assessing degree of stress associated with child sexual abuse was examined in a sample of 48 girls who had been sexually abused. The Checklist of Sexual Abuse and Related Stressors (C-SARS) assessed negative life events that were part of or were related to the abuse, and the Negative Appraisals of Sexual Abuse Scale (NASAS) assessed negative cognitive appraisals of threat, harm, or loss associated with the abuse. Total scores for victim reports of both stressful events and negative appraisals were positively and significantly related to two other measures of abuse severity: therapist ratings of abuse stress and the number of types of sexual abuse reported. Stressful event scores were also related to aggressive behavior problems, sexual concerns, and total symptom scores on the Child Behavior Checklist. Negative cognitive appraisal scores were related to victims' self-reports of depression, anxiety, and posttraumatic stress symptoms, and to parent reports of child depression and total symptoms. Regression analyses indicated that there were significant effects of negative appraisals on internalizing symptoms when controlling for the level of stressful events experienced. The results suggest that negative life events and negative appraisals associated with sexual abuse are valid constructs that help account for variability in mental health outcomes among child victims. The implications of these results and future research directions in examining variable outcomes among sexual abuse victims are discussed.
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Abramson, L. Y., Seligman, M. E., & Teasdale, J. D. (1978). Learned helplessness in humans: Critique and reformulation.Journal of Abnormal Psychology, 87, 49–74.
Achenbach, T. M. (1991).Manual for the Child Behavior Checklist/4–18 and 1991 Profile. Burlington: University of Vermont, Department of Psychiatry.
Achenbach, T. M., & Edelbrock, C. S. (1978). The classification of child psychopathology: A review and analysis of empirical efforts.Psychological Bulletin, 85, 1275–1301.
Achenbach, T. M., & Edelbrock, C. S. (1981). Behavioral problems and competencies reported by parents of normal and disturbed children aged four to sixteen.Monographs of the Society for Research in Child Development, 46 Issue 1; (Serial No. 188).
Alexander, P. C., & Lupfer, S. L. (1987). Family characteristics and long-term consequences associated with sexual abuse.Archives of Sexual Behavior, 16, 235–245.
Anderson, L. M. (1981). Notes on the linkage between the sexually abused child and the suicidal adolescent.Journal of Adolescence, 4, 157–162.
Beitchman, J. H., Zucker, K. J., Hood, J. E., daCosta, G. A., & Akman, D. (1991). A review of the short-term effects of child sexual abuse.Child Abuse and Neglect, 15, 537–556.
Berliner, L., & Conte, J. R. (1990). The process of victimization: The victims' perspective.Child Abuse and Neglect, 14, 29–40.
Brown, G. W., & Harris, T. O. (1989).Life events and illness. New York: Guilford Press.
Browne, A., & Finkelhor, D. (1986). Impact of child sexual abuse: A review of the research.Psychological Bulletin, 99, 66–77.
Bukowski, W. M. (1992). Sexual abuse and maladjustment considered from the perspective of normal developmental processes. In W. O'Donohue & J. Geer (Eds.),The sexual abuse of children: Clinical issues (Vol. 2, pp. 261–282). Hillsdale, N.J.: Erlbaum.
Caffaro-Rouget, A., Lang, R. A., & Van-Santen, V. (1988). The impact of child sexual abuse on victims' adjustment.Annals of Sex Research, 2, 29–47.
Compas, B. E. (1987). Stress and life events during childhood and adolescence,Clinical Psychology Review, 7, 275–302.
Conte, J. R., & Schuerman, J. R. (1987). Factors associated with an increased impact of child sexual abuse.Child Abuse and Neglect, 11, 201–211.
Cowen, E. L., Weissberg, R. P., & Guare, J. (1984). Differentiating attributes of children referred to a school mental health program.Journal of Abnormal Child Psychology, 12, 397–410.
Davidson, H. & Bulkley, J. (1980).Child sexual abuse: Legal issues and approaches. Washington, DC: American Bar Association.
English, D. J., & Tosti-Lane, L. G. (1988). Child protective service workers' ratings of likely emotional trauma to child sexual abuse victims.Journal of Social Work and Human Sexuality, 7, 109–124.
Finkelhor, D. (1979).Sexually victimized children. New York: Free Press.
Finkelhor, D., & Browne, A. (1985). The traumatic impact of child sexual abuse: A conceptualization.American Journal of Orthopsychiatry, 55, 530–541.
Friedrich, W. N., Urquiza, A. J., & Beilke, R. L. (1986). Behavior problems in sexually abused young children.Journal of Pediatric Psychology, 11, 47–57.
Garbarino, J. (1976). A preliminary study of some ecological correlates of child abuse: The impact of socioeconomic stress on mothers.Child Development, 47, 178–185.
Garmezy, N., Masten, A., & Tellegen, A. (1984). The study of stress and competence in children: A building block for developmental psychopathology.Child Development, 55, 97–111.
Gersten, J. C., Beals, J., West, S. G., & Sandler, I. N. (1987).A measurement model of major constructs of child psychopathology. Paper presented at the biennial meeting of the Society for Research in Child Development, Baltimore.
Gladwell, S. (1988). Child sexual abuse: Assessing seriousness.Sexual and Marital Therapy, 3, 129–130.
Gold, E. R. (1986). Long-term effects of sexual victimization in childhood: An attributional approach.Journal of Consulting and Clinical Psychology, 54, 471–475.
Gomes-Schwartz, B., Horowitz, J. M., & Cardarelli, A. P. (1990).Child sexual abuse: The initial effects. Newbury Park, CA: Sage.
Groth, A. N., Hobson, W. F., & Gary, T. S. (1982). The child molester: Clinical observations.Social Work and Human Sexuality, 1, 129–144.
Haugaard, J. J., & Reppucci, N. D. (1988).The sexual abuse of children: A comprehensive guide to current knowledge and intervention strategies. San Francisco: Jossey-Bass.
Hoier, T. S., Shawchuck, C. R., Pallotta, G. M., Freeman, T., Inderbitzen-Pisaruk, H., MacMillan, V. M., Malinosky-Rummell, R., & Greene, A. L. (1992). The impact of sexual abuse: A cognitive-behavioral model. In W. O'Donohue & J. Geer (Eds.),The sexual abuse of children: Clinical issues (Vol. 2). Hillsdale, NJ: Erlbaum.
Horowitz, M. (1979). Psychological response to serious life events. In V. Hamilton & D. Warburton (Eds.).Human Stress and cognition: An information processing approah (pp. 237–265). New York: Wiley.
Johnson, B. K., & Kenkel, M. B. (1991). Stress, coping, and adjustment in female adolescent incest victims.Child Abuse and Neglect, 15, 293–305.
Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993). Impact of sexual abuse on children: A review and synthesis of recent empirical studies.Psychological Bulletin, 113, 164–180.
Kovacs, M. (1981). Rating scales to assess depression in school-aged children.Acta Paedopsychiatrica, 46, 305–315.
Kovacs, M. (1985). The Children's Depression Inventory (CDI).Psychopharmacology Bulletin, 21, 995–999.
Lanktree, C., & Briere, J. (1990).Early data on the Trauma Symptom Checklist for Children (TSC-C). Paper presented at the annual meeting of the American Psychological Association, Boston.
Lazarus, R. S. (1991).Emotion and adaptation. New York: Oxford University Press.
Lazarus, R. S., & Folkman, S. (1984).Stress, appraisal, and coping. New York: Springer.
Mash, E. J., & Johnston, C. (1990). Determinants of parenting stress: Illustrations from families of hyperactive and families of physically abused children.Journal of Clinical Child Psychology, 19, 313–328.
Morrow, K. B. (1991). Attributions of female adolescent incest victims regarding their molestation.Child Abuse and Neglect, 15, 477–483.
Patterson, G. R. (1983). Stress: A change agent for family process. In N. Garmezy & M. Rutter (Eds.),Stress, coping and development in children (pp. 235–262). New York: McGraw-Hill.
Peterson, C., & Seligman, M. E. P. (1983). Learned helplessness and victimization.Journal of Social Issues, 39, 103–116.
Porter, F. S., Blick, L. C., & Sgroi, S. M. (1982). Treatment of the sexually abused child. In S. Sgroi (Ed.),Handbook of clinical intervention in child sexual abuse (pp. 109–146). Lexington, MA: D.C. Heath and Company.
Reynolds, C. R. (1982). Convergent and divergent validity of the revised Children's Manifest Anxiety Scale.Education and Psychological Measurement, 42, 1205–1212.
Reynolds, C. R., & Paget, K. D. (1981). Factor analysis of the revised Children's Manifest Anxiety Scale for blacks, whites, males, and females with a national normative sample.Journal of Consulting and Clinical Psychology, 49, 352–259.
Reynolds, C. R., & Richmond, B. O. (1978). What I think and feel: A revised measure of children's manifest anxiety.Journal of Abnormal Child Psychology, 6, 271–280.
Runyan, D. K., Everson, M. D., Edelsohn, G. A., Hunter, W. M., & Coulter, M. L. (1988). Impact of legal intervention on sexually abused children.Journal of Pediatrics, 113, 647–653.
Rutter, M. (1990). Psychosocial resilience and protective mechanisms. In J. Rolf et al. (Eds.),Risk and protective factors in the development of psychopathology (pp. 181–214). New York: Cambridge University Press.
Saunders, E. J. (1988). A comparative study of attitudes toward child sexual abuse among social work and judicial system professionals.Child Abuse and Neglect, 12, 83–90.
Saylor, C. F., Finch, A. J., & Spirito, A. (1984). The Children's Depression Inventory: A systematic evaluation of psychometric properties.Journal of Consulting and Clinical Psychology, 52, 955–967.
Sheets, V., Sandler, I., & West, S. G. (in press).Negative appraisals of stressful events by preadolescent children of divorce. Child Development.
Sirles, E. A., Smith, J. A., & Kusama, H. (1989). Psychiatric status of intrafamilial child sexual abuse victims.Journal of the American Academy of Child and Adolescent Psychiatry, 28, 225–229.
Spaccarelli, S. (1993).Documentation of scales for the study of stress and coping in child sex abuse. Unpublished manuscript, Arizona State University.
Spaccarelli, S. (1994). Stress, appraisal, and coping in child sexual abuse: A theoretical and empirical review.Psychological Bulletin, 116, 340–362.
Summit, R. C. (1983). The child sexual abuse accommodation syndrome.Child Abuse and Neglect, 7, 177–193.
Tong, L., Oates, K., & McDowell, M. (1987). Personality development following sexual abuse.Child Abuse and Neglect, 11, 371–383.
Vaux, A., & Ruggiero, M. (1983). Stressful life change and delinquent behavior.American Journal of Community Psychology, 11, 169–183.
Wolfe, V. V., Gentile, C., & Wolfe, D. A. (1989). The impact of sexual abuse on children: A PTSD formulation.Behavior Therapy, 20, 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.
Wyatt, G. E. & Mickey, M. R. (1988). The support by parents and others as it mediates the effects of child sexual abuse: An exploratory study. In G. E. Wyatt & G. J. Powell (Eds.),Lasting effects of child sexual abuse (pp. 211–226). Newbury Park, CA: Sage.
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Spaccarelli, S. Measuring abuse stress and negative cognitive appraisals in child sexual abuse: Validity data on two new scales. J Abnorm Child Psychol 23, 703–727 (1995). https://doi.org/10.1007/BF01447473
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DOI: https://doi.org/10.1007/BF01447473