A review of the long-term effects of child sexual abuse.
ABSTRACT The existing literature on the long-term sequelae of child sexual abuse is reviewed. The evidence suggests that sexual abuse is an important problem with serious long-term sequelae; but the specific effects of sexual abuse, independent of force, threat of force, or such family variables as parental psychopathology, are still to be clarified. Adult women with a history of childhood sexual abuse show greater evidence of sexual disturbance or dysfunction, homosexual experiences in adolescence or adulthood, depression, and are more likely than nonabused women to be revictimized. Anxiety, fear, and suicidal ideas and behavior have also been associated with a history of childhood sexual abuse but force and threat of force may be a necessary concomitant. As yet, there is insufficient evidence to confirm a relation between a history of childhood sexual abuse and a postsexual abuse syndrome and multiple or borderline personality disorder. Male victims of child sexual abuse show disturbed adult sexual functioning. The relation between age of onset of abuse and outcome is still equivocal. Greater long-term harm is associated with abuse involving a father or stepfather and abuse involving penetration. Longer duration is associated with greater impact, and the use of force or threat of force is associated with greater harm.
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ABSTRACT: Child abuse has been associated with risk of mental illness, including schizophrenia and other psychotic disorders and, among those with mental illness, with a more severe clinical profile. Using an extensively characterised and epidemiologically representative sample of 1825 Australians with a psychotic illness aged 18-64 years and in contact with mental health services, we estimated the proportion of individuals with psychotic disorders who self-reported child abuse and examined its relationship with clinical and other characteristics. The prevalence of child abuse in this nationally representative sample of people with psychotic illness was 30.6%. Women were almost three times more likely to report child abuse compared to males (OR, 2.8, 95% CI 2.3-3.4). When adjusted for age at interview and socio-economic status, there was no significant relationship between self-reported child abuse and type of psychosis or course of illness. Participants with child abuse were significantly more likely to have subjective thought disorder, lifetime suicide attempt and premorbid personality disorder (females only) and anxiety (males only). Our findings demonstrate that child abuse is relatively common across the range of psychotic disorders, with an elevated risk for women in particular, compounding the already high burden associated with psychotic illness. Clinicians need to inquire routinely about child abuse in order to develop appropriate treatment plans tailored to individual needs.Schizophrenia Research 10/2014; 159(1). DOI:10.1016/j.schres.2014.07.011 · 4.43 Impact Factor
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ABSTRACT: This study aimed to identify and analyze characteristics of classic articles published in the Web of Science social work subject category from 1856 to 2011. Articles that have been cited at least 50 times were assessed regarding publication outputs, distribution of outputs in journals, publications of authors, institutions, countries as well as citation life cycles of articles with the highest total citations since its publication up to 2011 and the highest citations in 2011. Five bibliometric indicators were used to evaluate source countries, institutions, and authors. Results showed that 721 of the most highly referenced articles, published between 1957 and 2008, had been cited at least 50 times. Child Abuse & Neglect and American Journal of Community Psychology published the most classic articles. USA produced 89 % of classic articles and also published the most number of single, internationally collaborative, first author, and corresponding author classic articles. The top 38 productive institutions were all located in the US. The University of Illinois was the most productive institution for the total classic articles while University of California, Los Angeles produced the most inter-institutionally collaborative articles and Arizona State University published the most single institution articles. Furthermore, a new indicator, Y-index was successfully applied to evaluate publication characteristics of authors and institutions. High percentage of authors had the same numbers of first author and corresponding author status of classic articles in social work field.Scientometrics 01/2014; 98(1). DOI:10.1007/s11192-013-1014-8 · 2.27 Impact Factor
- Journal of Aggression Maltreatment & Trauma 11/2013; 22(10):1096-1116. DOI:10.1080/10926771.2013.845277