Psychopathology in a Large Cohort of Sexually Abused Children Followed up to 43 Years

Autor/inn/en	Cutajar, Margaret C.; Mullen, Paul E.; Ogloff, James R. P.; Thomas, Stuart D.; Wells, David L.; Spataro, Josie
Titel	Psychopathology in a Large Cohort of Sexually Abused Children Followed up to 43 Years
Quelle	In: Child Abuse & Neglect: The International Journal, 34 (2010) 11, S.813-822 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-2134
DOI	10.1016/j.chiabu.2010.04.004
Schlagwörter	Health Services; Personality Problems; Substance Abuse; Sexual Abuse; Child Abuse; Psychosis; Mental Disorders; Mental Health Programs; Psychopathology; Risk; Medical Evaluation; Records (Forms); Databases; Control Groups; Gender Differences; Age Differences; Anxiety Disorders; Clinical Diagnosis; Incidence; Trauma; Therapy + Suchen Sie Ihr Suchwort? Health service; Gesundheitsdienst; Gesundheitswesen; Drug use; Drug consomption; Drogenkonsum; Sexueller Missbrauch; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Psychose; Mental illness; Geisteskrankheit; Psychopathologie; Risiko; Formularsammlung; Datenbank; Geschlechterkonflikt; Age; Difference; Age difference; Altersunterschied; Vorkommen; Therapie
Abstract	Objective: To determine the rate and risk of clinical and personality disorders diagnosed in childhood and adulthood in those known to have been sexually abused during childhood. Methods: Forensic medical records of 2,759 sexually abused children assessed between 1964 and 1995 were linked with a public psychiatric database between 12 and 43 years later. Cases were compared to control subjects matched on gender and age groupings drawn from the general population through a random sample of the national electoral database. Results: A lifetime record of contact with public mental health services was found in 23.3% of cases compared to 7.7% of controls. The rate of contact among child sexual abuse victims was 3.65 times higher (95% CI, 3.09-4.32, p less than 0.001). It was estimated that child sexual abuse accounted for approximately 7.83% of mental health contact. Exposure to sexual abuse increased risks for the majority of outcomes including psychosis, affective, anxiety, substance abuse, and personality disorders. Rates of clinical disorders diagnosed in adulthood and childhood remained significantly higher among child sexual abuse cases. Older age at sexual abuse and those exposed to severe abuse involving penetration or multiple offenders were associated with greater risk for psychopathology. Conclusions: This study confirms that child sexual abuse is a substantial risk factor for a range of mental disorders in both childhood and adulthood. Practice implications: Those treating victims of sexual abuse must assess not only disorders commonly associated with trauma, but also low prevalence disorders such as psychosis. (Contains 4 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10