Medicine and Health Sciences Commons^™

Identifying And Addressing Barriers To Treatment For Child Sexual Abuse Survivors And Their Non-Offending Caregivers, Kate Theimer, Akemi E. Mii, Emily Sonnen, Kelsey Mccoy, Katie Meidlinger, Brittany Biles, T. Zachary Huit, Mary F. Flood, David J. Hansen

Department of Psychology: Faculty Publications

Mental health treatment is a critical part of an effective and compassionate response to the disclosure of child sexual abuse (CSA). Given the vast negative consequences for children and families following CSA, engagement in treatment can benefit youth and their non-offending caregivers. Yet, these families face unique barriers to treatment initiation, adherence, and effectiveness. The identification of these barriers allows clinicians, researchers, and policy makers to increase treatment utilization, engagement, and value. The current review and its recommendations derive from the existing literature combined with knowledge gained from a clinical research team with more than 20 years of experience offering …

The Cumulative Impact Of Sexual Revictimization On Emotion Regulation Difficulties: An Examination Of Female Inmates, Kate Walsh, David K. Dilillo, Mario J. Scalora

Department of Psychology: Faculty Publications

The present study examined associations between child sexual abuse (CSA), adult sexual victimization, and emotion regulation difficulties in a sample of 168 incarcerated women. Approximately 50% of the participants reported CSA, 54% reported adult sexual victimization, and 38% reported sexual revictimization (i.e., CSA and adult victimization). Revictimized women reported significantly greater difficulties with several facets of emotion regulation when compared to singly victimized and nonvictimized women. Interestingly, singly victimized women did not demonstrate greater emotion regulation deficits when compared to nonvictims. Findings suggest that the negative impact of victimization experiences on adult emotion regulation abilities may be cumulative. Furthermore, they …

Interventions For Families Victimized By Child Sexual Abuse: Clinical Issues And Approaches For Child Advocacy Center-Based Services, Poonam Tavkar, David J. Hansen

Department of Psychology: Faculty Publications

Child sexual abuse poses serious mental health risks, not only to child victims but also to non-offending family members. As the impact of child sexual abuse is heterogeneous, varied mental health interventions should be available in order to ensure that effective and individualized treatments are implemented. Treatment modalities for child victims and non-offending family members are identified and described. The benefits of providing on-site mental health services at Child Advocacy Centers to better triage and provide care are discussed through a description of an existing Child Advocacy Center-based treatment program. Recommendations for research and clinical practice are provided.

Heterogeneity Of Individuals With A History Of Child Sexual Abuse: An Examination Of Children Presenting To Treatment, C. Thresa Yancey, David J. Hansen, Karen Z. Naufel

Department of Psychology: Faculty Publications

The current study examined children and families who presented for treatment through Project SAFE (Sexual Abuse Family Education) following childhood sexual abuse. Pretreatment assessment data were used to develop clusters of participants with significantly differing presentation of symptom outcome following abuse. Four clusters were discovered: (a) a Highly Distressed group, whose members had clinically elevated scores on all self- and parent-report measures; (b) a Problem Behaviors group, whose members had scores within the normal range for self-report measures and elevated scores on all parent-report measures; (c) a Subclinical group, whose participants had scores below the mean and below cutoff scores …

Relationship Of Personal, Familial, And Abuse-Specific Factors With Outcome Following Childhood Sexual Abuse, C. Thresa Yancey, David J. Hansen

Department of Psychology: Faculty Publications

An examination of the literature on factors related to outcome following child sexual abuse (CSA) revealed many factors that may contribute to symptoms displayed by victims. Factors are divided into three categories: Personal Factors, Familial Factors, and Abuse- Specific Factors. Personal factors are those inherent to the victim, including age, gender, developmental disability, attributions regarding the abuse, and treatment following abuse. Familial factors are defined as those factors associated with other family members. These include parental history of abuse, parental reaction to the disclosure, parental support of the victim, parental mental health, family stress, and treatment following abuse for the …

The Quality Of Spousal Social Support As A Moderator Of The Associations Between Child Maltreatment Severity And Adult Trauma Symptoms, Sarah E. Evans

Department of Psychology: Dissertations, Theses, and Student Research

Child maltreatment has been linked to a myriad of long-term difficulties, including trauma symptomatology. However, not all victims experience long-term distress. Thus, a burgeoning area of research focuses on factors that may impede or facilitate resiliency to the psychological correlates of child maltreatment. Specifically, the severity of the abusive acts may be associated with greater long-term difficulties. To date, however, with the exception of child sexual abuse, few studies have examined the severity of maltreatment as a risk factor in the development of trauma symptoms. In contrast, social support has been theorized to contribute to resiliency following abuse. However, to …

Psychological And Support Characteristics Of Parents Of Child Sexual Abuse Victims: Relationship With Child Functioning And Treatment, Poonam Tavkar

Department of Psychology: Dissertations, Theses, and Student Research

Child sexual abuse continues to be a prevalent and complex problem in today’s society as it poses serious and pervasive mental health risks to child victims and their non-offending parents. The main objectives of this study were (a) to elucidate the psychological symptoms and support needs of parents of child sexual abuse victims as they present to group treatment, (b) to examine changes in psychological symptoms and support needs and their relationship with child functioning over the course of a parallel group treatment, and (c) to examine the impact of these factors on completion of group treatment. Participants included 104 …

Emotion Dysregulation And Risky Sexual Behavior In Revictimization, Terri L. Messman-Moore, Kate L. Walsh, David K. Dilillo

Department of Psychology: Faculty Publications

Objective: The current study examined emotion dysregulation as a mechanism underlying risky sexual behavior and sexual revictimization among adult victims of child sexual abuse (CSA) and child physical abuse (CPA).

Methods: Participants were 752 college women. Victimization history, emotion dysregulation, and risky sexual behavior were assessed with anonymous, self-report surveys utilizing a cross-sectional design.

Results: Approximately 6.3% of participants reported CSA, 25.5% reported CPA, and 17.8% reported rape during adolescence or adulthood. CSA and CPA were associated with increased risk for adolescent/adult rape; 29.8% of CSA victims and 24.3% of CPA victims were revictimized. Path analytic models tested hypothesized relationships …

Multiple Determinants Of Sexualized Behavior In Middle Childhood: A Developmental Psychopathology Perspective, Natasha Elkovitch

Department of Psychology: Dissertations, Theses, and Student Research

In order to adequately and appropriately intervene with children exhibiting problematic sexual behaviors, a comprehensive understanding of etiology is imperative. Although sexually abused children are observed engaging in more problematic sexual behaviors than their normative or psychiatric counterparts, it is clear that such behaviors may be the result of factors other than, or in addition to, sexual abuse. The goal of the present study was utilize a developmental psychopathology perspective in broadening our understanding of mechanisms associated with the development of problematic sexual behaviors in childhood. Participants for the study include 1, 149 children (51.8% female) drawn from the Longitudinal …

Understanding Child Sexual Behavior Problems: A Developmental Psychopathology Framework, Natasha Elkovitch, Robert D. Latzman, David J. Hansen, Mary Fran Flood

Department of Psychology: Faculty Publications

entific community. While a heterogeneous group, children with sexual behavior problems consistently demonstrate a number of problems related to adjustment and overall development. In order to appropriately intervene with these children, a comprehensive understanding of etiology is imperative. The overarching goal of the present paper is to review the extant research on mechanisms associated with the development of problematic sexual behavior in childhood within a developmental psychopathology framework. What is known about normative and nonnormative sexual behavior in childhood is reviewed, highlighting definitional challenges and age-related developmental differences. Further, the relationship between child sexual abuse and child sexual behavior problems …

The “Sexually Abused Child”: Potential Mechanisms Of Adverse Influences Of Such A Label, Gabriel Holguin, David J. Hansen

Department of Psychology: Faculty Publications

Labeling and the effects of labeling have been extensively researched in the psychological literature in a variety of different contexts. For example, labeling has been empirically shown to lead to lowered expectancies of behavior and achievement, which can then contribute to the potential for the occurrence of a self-fulfilling prophecy with adverse consequences. Another area that has been extensively researched, with a dramatic increase in the literature base in recent history, is that of child sexual abuse (CSA). Despite various shortcomings of the research literature, the consistent findings have been identification of a variety of negative correlates and symptomatologies associated …

Factors Influencing Children To Self-Disclose Sexual Abuse, Mary L. Paine, David J. Hansen

Department of Psychology: Faculty Publications

Self-disclosure by victims of child sexual abuse (CSA) is critical to initiate legal and therapeutic intervention. Unfortunately, research indicates that lengthy delays in disclosure and even nondisclosure are common. A comprehensive review of the clinical and research literature on CSA and an overview of related bodies of literature was conducted. Areas addressed include the context of sexual abuse as it relates to disclosure, the context and elements of children’s disclosures, motivational factors inhibiting disclosure, and models of the disclosure process. Ancillary and analogue research on secrecy and disclosure are also reviewed. Implications for future research and practice are discussed.

Child Sexual Abuse In Asian American Families: An Examination Of Cultural Factors That Influence Prevalence, Identification, And Treatment, Kristine T. Futa, Eugenia Hsu, David J. Hansen

Department of Psychology: Faculty Publications

Child sexual abuse affects thousands of families each year. Issues pertaining to the prevalence, identification, and treatment of sexual abuse have been relatively well explored in the literature as they pertain to the dominant European American culture. These issues, however, are still relatively unexplored in terms of how sexual abuse affects Asian American families and the Asian American community. We review the relevant literature in Asian American families. These matters are explored in the context of Asian American values such as collectivity, conformity, inconspicuousness, middle position virtue, shame, self-control, and fatalism. Attitudes toward family, sexuality, and the mental health system …

Interpersonal Functioning Among Women Reporting A History Of Childhood Sexual Abuse: Empirical Findings And Methodological Issues, David Dilillo

Department of Psychology: Faculty Publications

A subset of research exploring the long-term impact of child sexual abuse (CSA) has examined the adult interpersonal functioning of female survivors. The present review discusses empirical findings and critical methodological issues related to this important but often overlooked aspect of adult adjustment. Though characterized by several methodological limitations, this literature, as a whole, suggests that early sexual abuse represents a risk factor for a range of interpersonal dysfunction among female survivors, including problems with intimate partner relations, disturbed sexual functioning, and difficulties in the parental role. Suggested methodological improvements for future research include new approaches to the measurement of …

Linking Childhood Sexual Abuse And Abusive Parenting: The Mediating Role Of Maternal Anger, David Dilillo, George C. Tremblay, Lizette Peterson

Department of Psychology: Faculty Publications

Objective: This study had two primary objectives: First, to examine the association between childhood sexual abuse (CSA) and later parenting characteristics, particularly physical abuse potential, and second, to explore maternal anger as a mediator of the relationship between CSA and adult physical abuse potential.

Method: Utilized a community sample of low SES participants that included 138 mothers classified as having experienced CSA, and a comparison group of 152 non-sexually abused mothers. Parenting variables examined included the mothers' physical abuse potential, nurturance toward their children, unrealistic developmental expectations of children, as well as frequencies of spanking and general punishment. Data was …

Perceptions Of Couple Functioning Among Female Survivors Of Child Sexual Abuse, David Dilillo, Patricia J. Long

Department of Psychology: Faculty Publications

A sample of 51 college women retrospectively reporting a history of childhood sexual abuse and 91 women failing to report such a history was examined in order to investigate the relationship between victimization history and survivors' self-reports of functioning in adult intimate relationships. Specifically, relationship satisfaction, communication, and trust were examined in heterosexual relationships of at least six months' duration. As hypothesized, even when demographic differences between groups were controlled, survivors reported significantly less relationship satisfaction, poorer communication, and lower levels of trust in their partners than did women with no history of sexual abuse. The implications of these results …