“…This finding led to questions about the nature and timing of developmental factors, such as the quality of a child’s family environment and experiences of maltreatment. Various familial, contextual, and individual factors have been correlated with SBP in childhood and adolescence and numerous studies have shown that the lives of those with SBP are characterized by multiple instances of adversity ( Bladon et al, 2005 ; Gray et al, 1999 ; Hall et al, 2018 ; Leon et al, 2008 ; Letourneau et al, 2004 ; Lussier et al, 2019 ; Merrick et al, 2008 ; Szanto et al, 2012 ; Wieckowski et al, 1998 ). For example, a study conducted by Vizard, Hickey, French, & McCrory, (2007) showed that various factors related to family environment–exposure to intimate partner violence, inconsistent parenting, lack of parental supervision, lax sexual boundaries, and physical neglect–were commonly observed among youth with SBP and most were correlated with SBP that developed early in childhood (i.e., before 10 years of age) and continued into adolescence.…”