Abuse disclosures of youth with problem sexualized behaviors and trauma symptomology

Child Abuse Negl. 2019 Feb:88:201-211. doi: 10.1016/j.chiabu.2018.11.019. Epub 2018 Dec 8.

Abstract

Background: The majority of youth with problem sexualized behaviors (PSB) have substantiated experiences of abuse or exposures to violence (Silovsky & Niec, 2002). Little is known about specific abuse experiences that may differentiate youth with PSB from those without. Few studies have examined the types of abuse associated with post-traumatic stress symptomology.

Objective: The current study explored two research questions: (1) Do children with PSB differ from children without PSB in terms of their abuse disclosures?; and (2) Are the types of abuse disclosed associated with the child's scores on a post-traumatic stress measure?.

Participants & setting: Data were analyzed for youth (N = 950) ages 3-18 years who completed a clinical assessment at a child advocacy center in the Midwest during the 2015 calendar year.

Methods: Youth completed assessments that included a forensic interview and either the Trauma Symptom Checklist for Young Children (TSCYC) for children ages 3-10 years, or the Trauma Symptom Checklist for Children (TSCC) for children ages 11-16 years. Bivariate logistic regression was used to answer the research questions.

Results: Findings indicated that youths who disclosed offender to victim fondling were less likely to disclose PSB (OR = 0.460, p = .026), and children exposed to pornography were more likely to disclose PSB (OR = 3.252, p = .001). Additionally, youth who disclosed physical abuse (OR = 1.678, p = .001) or victim to offender sexual contact (OR = 2.242, p = .003) had higher odds of clinically significant trauma scores.

Conclusions: Implications for practitioners and future research directions are discussed.

Keywords: Child abuse; Maltreatment; Problem sexual behavior; Self-report; Trauma; Victimization.

MeSH terms

  • Adolescent
  • Adverse Childhood Experiences
  • Child
  • Child Abuse, Sexual / psychology*
  • Child Behavior Disorders*
  • Child, Preschool
  • Disclosure*
  • Erotica / psychology*
  • Female
  • Humans
  • Logistic Models
  • Male
  • Physical Abuse / psychology
  • Risk Factors
  • Sex Offenses
  • Sexual Behavior*
  • Violence