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Gepubliceerd in: Research on Child and Adolescent Psychopathology 5/2009

01-07-2009

Posttraumatic Stress Symptoms and Trajectories in Child Sexual Abuse Victims: An Analysis of Sex Differences Using the National Survey of Child and Adolescent Well-Being

Auteurs: Andrea Kohn Maikovich, Karestan C. Koenen, Sara R. Jaffee

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 5/2009

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Abstract

Very few studies have prospectively examined sex differences in posttraumatic stress symptoms and symptom trajectories in youth victimized by childhood sexual abuse. This study addresses that question in a relatively large sample of children, drawn from the National Survey of Child and Adolescent Well-Being, who were between the ages of 8–16 years and who were reported to Child Protective Services for alleged sexual abuse. Sex differences were examined using t tests, logistic regression, and latent trajectory modeling. Results revealed that there were not sex differences in victims’ posttraumatic stress symptoms or trajectories. Whereas caseworkers substantiated girls’ abuse at higher rates than boys’ abuse and rated girls significantly higher than boys on level of harm, there were not sex differences in three more objective measures of abuse severity characteristics. Overall, higher caseworker ratings of harm predicted higher initial posttraumatic stress symptom levels, and substantiation status predicted shallower decreases in trauma symptoms over time. Implications for theory and intervention are discussed.
Literatuur
go back to reference Ackerman, P. T., Newton, J. E. O., McPherson, W. B., Jones, J. G., & Dykman, R. A. (1998). Prevalence of posttraumatic stress disorder and other psychiatric diagnosis in three groups of abused children (sexual, physical, and both). Child Abuse & Neglect, 22, 759–774. doi:10.1016/S0145-2134(98)00062-3.CrossRef Ackerman, P. T., Newton, J. E. O., McPherson, W. B., Jones, J. G., & Dykman, R. A. (1998). Prevalence of posttraumatic stress disorder and other psychiatric diagnosis in three groups of abused children (sexual, physical, and both). Child Abuse & Neglect, 22, 759–774. doi:10.​1016/​S0145-2134(98)00062-3.CrossRef
go back to reference American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
go back to reference Arbuckle, J. L. (1996). Full information estimation in presence of incomplete data. In G. A. Marcoulides, & R. E. Schumacker (Eds.), Advanced Structural Equation Modeling, Issues and Techniques (pp. 243–77). Mahwah, NJ: Lawrence Erlbaum Associates. Arbuckle, J. L. (1996). Full information estimation in presence of incomplete data. In G. A. Marcoulides, & R. E. Schumacker (Eds.), Advanced Structural Equation Modeling, Issues and Techniques (pp. 243–77). Mahwah, NJ: Lawrence Erlbaum Associates.
go back to reference Boney-McCoy, S., & Finkelhor, D. (1995a). Prior victimization: A risk factor for child sexual abuse and for PTSD-related symptomatology among sexually abused youth. Child Abuse & Neglect, 19, 1401–1421. doi:10.1016/0145-2134(95)00104-9.CrossRef Boney-McCoy, S., & Finkelhor, D. (1995a). Prior victimization: A risk factor for child sexual abuse and for PTSD-related symptomatology among sexually abused youth. Child Abuse & Neglect, 19, 1401–1421. doi:10.​1016/​0145-2134(95)00104-9.CrossRef
go back to reference Breslau, N., Chilcoat, H. D., Kessler, R. C., Peterson, E. L., & Lucia, V. C. (1999). Vulnerability to assaultive violence: Further specification of the sex difference in post-traumatic stress disorder. Psychological Medicine, 29, 813–821. doi:10.1017/S0033291799008612.PubMedCrossRef Breslau, N., Chilcoat, H. D., Kessler, R. C., Peterson, E. L., & Lucia, V. C. (1999). Vulnerability to assaultive violence: Further specification of the sex difference in post-traumatic stress disorder. Psychological Medicine, 29, 813–821. doi:10.​1017/​S003329179900861​2.PubMedCrossRef
go back to reference Breslau, N., Kessler, R. C., Chilcoat, H. D., Schultz, L. R., Davis, G. C., & Andreski, P. (1998). Trauma and posttraumatic stress disorder in the community: The 1996 Detroit Area Survey of Trauma. Archives of General Psychiatry, 55, 626–632. doi:10.1001/archpsyc.55.7.626.PubMedCrossRef Breslau, N., Kessler, R. C., Chilcoat, H. D., Schultz, L. R., Davis, G. C., & Andreski, P. (1998). Trauma and posttraumatic stress disorder in the community: The 1996 Detroit Area Survey of Trauma. Archives of General Psychiatry, 55, 626–632. doi:10.​1001/​archpsyc.​55.​7.​626.PubMedCrossRef
go back to reference Briere, J. (1996). Trauma Symptom Checklist for Children: Professional Manual. Florida: Psychological Assessment Resources, Inc. Briere, J. (1996). Trauma Symptom Checklist for Children: Professional Manual. Florida: Psychological Assessment Resources, Inc.
go back to reference Cuffe, S. P., Addy, C. L., Garrison, C. Z., Waller, J. L., Jackson, K. L., McKeown, R. E., et al. (1998). Prevalence of PTSD in a community sample of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 147–154. doi:10.1097/00004583-199802000-00006.PubMedCrossRef Cuffe, S. P., Addy, C. L., Garrison, C. Z., Waller, J. L., Jackson, K. L., McKeown, R. E., et al. (1998). Prevalence of PTSD in a community sample of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 147–154. doi:10.​1097/​00004583-199802000-00006.PubMedCrossRef
go back to reference Darves-Bornoz, J. M., Lepine, J. P., Choquet, M., Berger, C., Degiovanni, A., & Gaillard, P. (1998). Predictive factors of chronic Post-traumatic stress disorder in rape victims. European Psychiatry, 12, 281–287. doi:10.1016/S0924-9338(98)80045-X.CrossRef Darves-Bornoz, J. M., Lepine, J. P., Choquet, M., Berger, C., Degiovanni, A., & Gaillard, P. (1998). Predictive factors of chronic Post-traumatic stress disorder in rape victims. European Psychiatry, 12, 281–287. doi:10.​1016/​S0924-9338(98)80045-X.CrossRef
go back to reference Deblinger, E., McLeer, S. V., Atkins, M. S., Ralphe, D., & Foa, E. (1989). Posttraumatic stress in sexually abused, physically abused, and nonabused children. Child Abuse & Neglect, 13, 403–408. doi:10.1016/0145-2134(89)90080-X.CrossRef Deblinger, E., McLeer, S. V., Atkins, M. S., Ralphe, D., & Foa, E. (1989). Posttraumatic stress in sexually abused, physically abused, and nonabused children. Child Abuse & Neglect, 13, 403–408. doi:10.​1016/​0145-2134(89)90080-X.CrossRef
go back to reference Dowd, K., Kinsey, S., Wheeless, S., & NSCAW Research Group (2004a). National Survey of Child and Adolescent Weil-Being (NSCAW): Wave 1 data file user’s manual. Research Triangle Park, NC: Research Triangle Institute. Dowd, K., Kinsey, S., Wheeless, S., & NSCAW Research Group (2004a). National Survey of Child and Adolescent Weil-Being (NSCAW): Wave 1 data file users manual. Research Triangle Park, NC: Research Triangle Institute.
go back to reference Dowd, K., Kinsey, S., Wheeless, S., Thissen, R., Richardson, J., Suresh, R., et al. (2004b). National Survey of Child and Adolescent Well-Being (NSCAW): Combined Waves 1-4 Data File User’s Manual. Ithaca, NY: National Data Archive on Child Abuse and Neglect. Dowd, K., Kinsey, S., Wheeless, S., Thissen, R., Richardson, J., Suresh, R., et al. (2004b). National Survey of Child and Adolescent Well-Being (NSCAW): Combined Waves 1-4 Data File Users Manual. Ithaca, NY: National Data Archive on Child Abuse and Neglect.
go back to reference Enders, C. K. (2001). The performance of the full information maximum likelihood estimator in multiple regression models with missing data. Educational and Psychological Measurement, 61, 713–740. Enders, C. K. (2001). The performance of the full information maximum likelihood estimator in multiple regression models with missing data. Educational and Psychological Measurement, 61, 713–740.
go back to reference Finkelhor, D., Hotaling, G., Lewis, I. A., & Smith, C. (1990). Sexual abuse in a national survey of adult men and women: Prevalence, characteristics, and risk factors. Child Abuse & Neglect, 14, 19–28. doi:10.1016/0145-2134(90)90077-7.CrossRef Finkelhor, D., Hotaling, G., Lewis, I. A., & Smith, C. (1990). Sexual abuse in a national survey of adult men and women: Prevalence, characteristics, and risk factors. Child Abuse & Neglect, 14, 19–28. doi:10.​1016/​0145-2134(90)90077-7.CrossRef
go back to reference Freedman, S. A., Gluck, N., Tuval-Mashiach, R., Brandes, D., Peri, T., & Shalev, A. Y. (2002). Gender differences in responses to traumatic events: A prospective study. Journal of Traumatic Stress, 15, 407–413. doi:10.1023/A:1020189425935.PubMedCrossRef Freedman, S. A., Gluck, N., Tuval-Mashiach, R., Brandes, D., Peri, T., & Shalev, A. Y. (2002). Gender differences in responses to traumatic events: A prospective study. Journal of Traumatic Stress, 15, 407–413. doi:10.​1023/​A:​1020189425935.PubMedCrossRef
go back to reference Giaconia, R. M., Reinherz, H. Z., Silverman, A. B., Pakiz, B., Frost, A. K., & Cohen, E. (1995). Traumas and posttraumatic stress disorder in a community population of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1369–1380. doi:10.1097/00004583-199510000-00023.PubMedCrossRef Giaconia, R. M., Reinherz, H. Z., Silverman, A. B., Pakiz, B., Frost, A. K., & Cohen, E. (1995). Traumas and posttraumatic stress disorder in a community population of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1369–1380. doi:10.​1097/​00004583-199510000-00023.PubMedCrossRef
go back to reference Green, B. L., Korol, M., Grace, M., Vary, M., et al. (1991). Children and disaster: Age, gender, and parental effects on PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 945–951.PubMedCrossRef Green, B. L., Korol, M., Grace, M., Vary, M., et al. (1991). Children and disaster: Age, gender, and parental effects on PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 945–951.PubMedCrossRef
go back to reference Handford, H. A., Mayes, S. D., Mattison, R. E., Humphrey, F. J., et al. (1986). Child and parent reaction to the Three Mile Island nuclear accident. Journal of the American Academy of Child Psychiatry, 25, 346–356.CrossRef Handford, H. A., Mayes, S. D., Mattison, R. E., Humphrey, F. J., et al. (1986). Child and parent reaction to the Three Mile Island nuclear accident. Journal of the American Academy of Child Psychiatry, 25, 346–356.CrossRef
go back to reference Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 617–627. doi:10.1001/archpsyc.62.6.617.PubMedCrossRef Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 617–627. doi:10.​1001/​archpsyc.​62.​6.​617.PubMedCrossRef
go back to reference Kessler, R. C., Sonnega, A., Bromet, E., Hughest, M., et al. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060.PubMed Kessler, R. C., Sonnega, A., Bromet, E., Hughest, M., et al. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060.PubMed
go back to reference Little, R. J., & Rubin, D. B. (1987). Statistical Analyses with Missing Data. New York: John Wiley & Sons. Little, R. J., & Rubin, D. B. (1987). Statistical Analyses with Missing Data. New York: John Wiley & Sons.
go back to reference Maikovich, A. K., & Jaffee, S. R. (2008). Gender differences in childhood sexual abuse characteristics and victims’ emotional and behavioral problems: Findings from a national sample of youth. Manuscript in preparation. Maikovich, A. K., & Jaffee, S. R. (2008). Gender differences in childhood sexual abuse characteristics and victims’ emotional and behavioral problems: Findings from a national sample of youth. Manuscript in preparation.
go back to reference Medsker, G. J., Williams, L. J., & Holahan, P. J. (1994). A review of current practices for evaluating causal models in organizational behavior and human resources management research. Journal of Management, 20, 439–464. doi:10.1016/0149-2063(94)90022-1.CrossRef Medsker, G. J., Williams, L. J., & Holahan, P. J. (1994). A review of current practices for evaluating causal models in organizational behavior and human resources management research. Journal of Management, 20, 439–464. doi:10.​1016/​0149-2063(94)90022-1.CrossRef
go back to reference Muthén, L. K., & Muthén, B. O. (2006). MPlus Statistical Software: Version 4.1. Los Angeles, CA: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2006). MPlus Statistical Software: Version 4.1. Los Angeles, CA: Muthén & Muthén.
go back to reference Pfefferbaum, B. (1997). Posttraumatic stress disorder in children: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1503–1511.PubMed Pfefferbaum, B. (1997). Posttraumatic stress disorder in children: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1503–1511.PubMed
go back to reference Raykov, T. (2005). Analysis of longitudinal studies with missing data using covariance structure modeling with full-information maximum likelihood. Structural Equation Modeling: A Multidisciplinary Journal, 12, 493–505.CrossRef Raykov, T. (2005). Analysis of longitudinal studies with missing data using covariance structure modeling with full-information maximum likelihood. Structural Equation Modeling: A Multidisciplinary Journal, 12, 493–505.CrossRef
go back to reference Rutter, M., Caspi, A., & Moffitt, T. E. (2003). Using sex differences in psychopathology to study causal mechanisms: Unifying issues and research strategies. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 44, 1092–1115. doi:10.1111/1469-7610.00194.PubMedCrossRef Rutter, M., Caspi, A., & Moffitt, T. E. (2003). Using sex differences in psychopathology to study causal mechanisms: Unifying issues and research strategies. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 44, 1092–1115. doi:10.​1111/​1469-7610.​00194.PubMedCrossRef
go back to reference Saxe, G., & Wolfe, J. (1999). Gender and posttraumatic stress disorder. In P. Saigh, & J. Bremner (Eds.), Posttraumatic stress disorder: A comprehensive test (pp. 160–179). Boston: Allyn & Bacon. Saxe, G., & Wolfe, J. (1999). Gender and posttraumatic stress disorder. In P. Saigh, & J. Bremner (Eds.), Posttraumatic stress disorder: A comprehensive test (pp. 160–179). Boston: Allyn & Bacon.
go back to reference Singer, M. I., Anglin, T. M., Song, L. Y., & Lunghofer, L. (1995). Adolescents’ exposure to violence and associated symptoms of psychological trauma. Journal of the American Medical Association, 273, 477–482. doi:10.1001/jama.273.6.477.PubMedCrossRef Singer, M. I., Anglin, T. M., Song, L. Y., & Lunghofer, L. (1995). Adolescents’ exposure to violence and associated symptoms of psychological trauma. Journal of the American Medical Association, 273, 477–482. doi:10.​1001/​jama.​273.​6.​477.PubMedCrossRef
go back to reference Springer, C., & Padgett, D. K. (2000). Gender differences in young adolescents’ exposure to violence and rates of PTSD symptomatology. The American Journal of Orthopsychiatry, 70, 370–379. doi:10.1037/h0087637.PubMedCrossRef Springer, C., & Padgett, D. K. (2000). Gender differences in young adolescents’ exposure to violence and rates of PTSD symptomatology. The American Journal of Orthopsychiatry, 70, 370–379. doi:10.​1037/​h0087637.PubMedCrossRef
go back to reference Stein, M. B., Walker, J. R., Hazen, A. L., & Forde, D. R. (1997). Full and partial posttraumatic stress disorder: Findings from a community survey. The American Journal of Psychiatry, 154, 1114–1119.PubMed Stein, M. B., Walker, J. R., Hazen, A. L., & Forde, D. R. (1997). Full and partial posttraumatic stress disorder: Findings from a community survey. The American Journal of Psychiatry, 154, 1114–1119.PubMed
go back to reference Ullman, S. E., & Filipas, H. H. (2005). Gender differences in social reactions to abuse disclosures, post-abuse coping, and PTSD of child sexual abuse survivors. Child Abuse & Neglect, 29, 767–782. Ullman, S. E., & Filipas, H. H. (2005). Gender differences in social reactions to abuse disclosures, post-abuse coping, and PTSD of child sexual abuse survivors. Child Abuse & Neglect, 29, 767–782.
go back to reference Walker, J. L., Carey, P. D., Mohr, N., Stein, D. J., & Seedat, S. (2004). Gender differences in the prevalence of childhood sexual abuse and in the development of PTSD. Archives of Women’s Mental Health, 7, 111–121. doi:10.1007/s00737-003-0039-z.PubMedCrossRef Walker, J. L., Carey, P. D., Mohr, N., Stein, D. J., & Seedat, S. (2004). Gender differences in the prevalence of childhood sexual abuse and in the development of PTSD. Archives of Womens Mental Health, 7, 111–121. doi:10.​1007/​s00737-003-0039-z.PubMedCrossRef
go back to reference Widom, C. S. (1999). Posttraumatic stress disorder in abused and neglected children grown up. The American Journal of Psychiatry, 156, 1223–1229.PubMed Widom, C. S. (1999). Posttraumatic stress disorder in abused and neglected children grown up. The American Journal of Psychiatry, 156, 1223–1229.PubMed
Metagegevens
Titel
Posttraumatic Stress Symptoms and Trajectories in Child Sexual Abuse Victims: An Analysis of Sex Differences Using the National Survey of Child and Adolescent Well-Being
Auteurs
Andrea Kohn Maikovich
Karestan C. Koenen
Sara R. Jaffee
Publicatiedatum
01-07-2009
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 5/2009
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-009-9300-x

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