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Psychiatric Disorders in Sexually Abused Children

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ABSTRACT

Objective

This study was designed to compare the prevalence of psychiatric disorders in a clinical sample of sexually abused children referred for outpatient evaluation. Two a priori hypotheses were tested: (1) the sexually abused group would have more post-traumatic stress disorder than the non-sexually abused group and (2) non-sexually abused children referred for evaluation would have more diagnoses than the sexually abused group.

Method

Twenty-six sexually abused children and 23 non-sexually abused children referred for psychiatric outpatient evaluation at a medical school center were matched by age, sex, race, and socioeconomic status and compared to determine differences in prevalence of Axis I, DSM-III-R disorders. The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Epidemiologic Version was used for systematic diagnosis.

Results

Groups did not differ significantly in the number of diagnoses and, in both groups, attention-deficit hyperactivity disorder was the most frequent diagnosis. However, the prevalence of post-traumatic stress disorder among sexually abused children was significantly greater (p < .02), with 42.3% of sexually abused children and 8.7% of non-sexually abused children meeting full criteria. There were no significant differences between groups in other diagnostic categories.

Conclusions

This study, using structured interviews and comparison groups, confirmed earlier findings suggesting that sexually abused children are at heightened risk for the development of post-traumatic stress disorder.

REFERENCES (55)

  • P Krener

    After incest: secondary prevention?

    J Am Acad Child Psychiatry

    (1985)
  • BB Lahey et al.

    Psychopathology in the parents of children with conduct disorder and hyperactivity

    J Am Acad Child Adolesc Psychiatry

    (1988)
  • R Livingston

    Sexually and physically abused children

    J Am Acad Child Adolesc Psychiatry

    (1987)
  • AP Mannarino et al.

    A clinical-demographic study of sexually abused children

    Child Abuse Negl

    (1986)
  • SV McLeer et al.

    Posttraumatic stress disorder in sexually abused children. II. A prospective study

    J Am Acad Child Adolesc Psychiatry

    (1988)
  • SV McLeer et al.

    Sexually abused children at high risk for post-traumatic stress disorder

    J Am Acad Child Adolesc Psychiatry

    (1992)
  • H Orvaschel et al.

    Retrospective assessment of child psychopathology with the Kiddie-SADS-E

    J Am Acad Child Psychiatry

    (1982)
  • D Russell

    The incidence and prevalence of intrafamilial and extrafamilial sexual abuse of female children

    Child Abuse Negl

    (1983)
  • WO Shekim et al.

    A clinical and demographic profile of a sample of adults with attention deficit, hyperactivity disorder, residual state

    Compr Psychiatry

    (1990)
  • EA Sirles et al.

    Psychiatric status of intrafamilial child sexual abuse victims

    J Am Acad Child Adolesc Psychiatry

    (1989)
  • L Tong et al.

    Personality development following sexual abuse

    Child Abuse Negl

    (1987)
  • CB Wilbur

    Multiple personality in child abuse

    Psychiatr Clin North Am

    (1984)
  • VV Wolfe et al.

    The impact of sexual abuse on children: a PTSD formulation

    Behav Ther

    (1989)
  • PM Achenbach et al.

    Child Behavior Checklist

    (1984)
  • American Psychiatric Association

    Diagnostic and Statistical Manual of Mental Disorders, 3rd edition-revised (DSM-III-R)

    (1987)
  • Anderson SC, Bach CM, Griffith S (1981), Psychosocial sequelae in interfamilial victims of sexual assault and abuse....
  • E Bess et al.

    Incest: a pilot study

    J Clin Psychiatry

    (1982)
  • Cited by (0)

    Presented at the Annual Research Meeting: National Center on Child Abuse and Neglect, Washington, DC, March 25–27, 1991.

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