Child Sexual Behavior Inventory: Normative and clinical comparisons.

Friedrich, William N.; Grambsch, Patricia M.; Damon, Linda; Hewitt, Sandra K.; Koverola, Catherine; Lang, Reuben A.; Wolfe, Vicki; Broughton, Daniel D.

doi:10.1037/1040-3590.4.3.303

Cited by 339 publications

(224 citation statements)

References 24 publications

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“…This questionnaire measures symptoms of dissociation in children. Internal consistency ( α ) was .69. Child Sexual Behavior Inventory (CSBI) (Friedrich, 1997). This questionnaire was used to measure sexual behaviour problems in children.…”

Section: Methodsmentioning

confidence: 99%

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Sexual abuse in very young children: a psychological assessment in the Amsterdam Sexual Abuse Case study

Duin

Verlinden

Vrolijk-Bosschaart

et al. 2018

European Journal of Psychotraumatology

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Background: Child sexual abuse (CSA) is a worldwide problem affecting children of all ages and socioeconomic backgrounds. A knowledge gap exists regarding the psychological outcomes for children, boys in particular, who are abused during their early lives.Objective: To provide a descriptive psychological profile of children who experienced sexual abuse as infants or toddlers from a male daycare worker and babysitter, and to assess the psychopathological impact on their parents.Method: Parents of children involved in the Amsterdam Sexual Abuse Case (41 parents; 44 children, age range 3–11 years, 30 boys, 14 girls) completed measures on post-traumatic stress disorder (PTSD), dissociation, sexual and non-sexual behaviour problems, and attachment insecurity in their children, as well as on parental psychological well-being, 3 years after disclosure. Sexual abuse characteristics were obtained from police records.Results: We found that 3% of confirmed child victims had PTSD, 30% sexual behaviour problems, 24% internalizing problems, 27% attachment insecurity, and 18% any psychiatric disorder (including PTSD); 39% were asymptomatic. In parents, we found feelings of guilt, shame, and anger about the abuse of their child; 19% showed PTSD symptoms and 3% showed avoidant and 8% anxious attachment problems in their intimate relationship. Parental symptomatology was related to child symptomatology, except for child sexual behaviour problems. One-quarter of confirmed child victims and 45% of parents had received psychological treatment.Conclusions: Three years after disclosure, extrafamilial CSA in very young children was associated with sexual and non-sexual behaviour problems and attachment insecurity, but rarely with PTSD or dissociation. For parents it was associated with PTSD symptoms and emotional reactions. Assessments and interventions should focus on the wide spectrum of problems that follow CSA, as well as on parental psychopathology and the parent–child relationship. Future follow-up assessments in our longitudinal study should provide insights into longer-term outcomes.

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Section: Methodsmentioning

confidence: 99%

“…Child Sexual Behavior Inventory (CSBI) (Friedrich, 1997). This questionnaire was used to measure sexual behaviour problems in children.…”

Section: Methodsmentioning

confidence: 99%

Sexual abuse in very young children: a psychological assessment in the Amsterdam Sexual Abuse Case study

Duin

Verlinden

Vrolijk-Bosschaart

et al. 2018

European Journal of Psychotraumatology

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“…Among nonabused children 2 to 12 years of age, fewer than 1.5% exhibit the following behaviors: putting the mouth on genitals, asking to engage in sex acts, imitating intercourse, inserting objects into the vagina or anus, and touching animal genitals. 11 Children or adolescents who exhibit inappropriate or excessive sexual behavior may be reacting to their own victimization or may live in environments with stressors, boundary problems, or family sexuality or nudity. 12 Some sexually abused children will display a great number of sexual behaviors and a greater intensity of these behaviors.…”

Section: Definitionmentioning

confidence: 99%

The Evaluation of Sexual Abuse in Children

Kellogg¹

2005

Pediatrics

354

110

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ABSTRACT. This clinical report serves to update the statement titled "Guidelines for the Evaluation of Sexual Abuse of Children," which was first published in 1991 and revised in 1999. The medical assessment of suspected sexual abuse is outlined with respect to obtaining a history, physical examination, and appropriate laboratory data. The role of the physician may include determining the need to report sexual abuse; assessment of the physical, emotional, and behavioral consequences of sexual abuse; and coordination with other professionals to provide comprehensive treatment and follow-up of victims. Pediatrics 2005;116:506-512; child sexual abuse, sexually transmitted diseases, medical assessment.

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“…On average, both boys and girls who are abused have more sexual partners and earlier ages at first intercourse than their peers. [17][18][19][20][21][22][23][24][25]38,39 In addition, a history of abuse has been associated with drug or alcohol use, 8,17,38 including drinking alcohol before sex. 19 Males who impregnate teenage girls are more likely to be emotionally troubled, to be substance abusers, and to have done more poorly in school than their peers.…”

Section: Discussionmentioning

confidence: 99%

Abused Boys, Battered Mothers, and Male Involvement in Teen Pregnancy

et al. 2001

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ABSTRACT. Background. The relationship between boyhood exposure to physical abuse, sexual abuse, or to a battered mother and subsequent risk of impregnating a teenage girl has not previously been examined.Methods. In a retrospective cohort study set in a primary care clinic for adult members of a large health maintenance organization, questionnaire responses from 4127 men were analyzed. Respondents provided the age of the youngest female whom they had impregnated, their own ages at the time, and information regarding childhood exposure to physical or sexual abuse and battered mothers. We calculated the prevalence and adjusted odds ratio (OR) for having impregnated a teenage girl according to these 3 adverse childhood experiences, regardless of the male's age at the time of impregnation. Using logistic regression, ORs were adjusted for the male's age at time of survey, race, and education.Results. Nineteen percent of the men reported that they had ever impregnated a teenage girl. During childhood, 32% of respondents had been physically abused, 15% sexually abused, and 11% had battered mothers. Compared with respondents reporting no abuse, frequent physical abuse or battering of mothers increased the risk of involvement in teen pregnancy by 70% (OR: 1.7; 95% confidence interval [CI]: 1.2-2.5) and 140% (OR: 2.4; 95% CI: 1.1-5.0), respectively. Sexual abuse as a boy at age 10 years or younger increased the risk of impregnating a teenage girl by 80% (OR: 1.8; 95% CI: 1.3-2.4); sexual abuse with violence increased the risk by 110% (OR: 2.1; 95% CI: 1.2-3.4). We found a dose-response relationship between the number of types of exposures and the risk of impregnating a teenage girl; men who reported all 3 types of exposures were more than twice as likely to have been involved than those with no exposures (OR: 2.2; 95% CI: 1.4 -3.5).Conclusions. Boyhood exposure to physical or sexual abuse or to a battered mother is associated with an increased risk of involvement in a teen pregnancy-during both adolescence and adulthood. Because these exposures are common and interrelated, boys and adult men who have had these experiences should be identified via routine screening by pediatricians and other health care providers and counseled about sexual practices and contraception. Such efforts may prevent teen pregnancy and the intergenerational transmission of child abuse and domestic violence. Pediatrics 2001;107(2). URL: http:// www.pediatrics.org/cgi/content/full/107/2/e19; adolescent pregnancy, child abuse, domestic violence.ABBREVIATIONS. ACE, adverse childhood experience; OR, odds ratio; CI, confidence interval; AAP, American Academy of Pediatrics. With an estimated 500 000 teenagers giving birth annually in the United States, 1 assessment of risk factors for teen pregnancy assumes an important role in the practice of pediatrics. Although poverty 2 and childhood physical 3-7 and sexual 1-8 abuse have been associated with an increased risk of pregnancy among adolescent girls, risk factors for male involvement in teen pregnancy h...

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Child Sexual Behavior Inventory: Normative and clinical comparisons.

Cited by 339 publications

References 24 publications

Sexual abuse in very young children: a psychological assessment in the Amsterdam Sexual Abuse Case study

Sexual abuse in very young children: a psychological assessment in the Amsterdam Sexual Abuse Case study

The Evaluation of Sexual Abuse in Children

Abused Boys, Battered Mothers, and Male Involvement in Teen Pregnancy

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