Child sexual abuse and adult romantic adjustment: comparison of single- and multiple-indicator measures

This study compared the usefulness of single- and multiple-indicator strategies in a model examining the role of child sexual abuse (CSA) to predict later marital satisfaction through attachment and psychological distress. The sample included 1,092 women and men from a nonclinical population in cohabiting or marital relationships. The single-item measure assessed the presence or absence of CSA. The multiple-indicator measure included items relating to level of force, relationship with perpetrator, number of abusive experiences, and nature of assault. Structural equation modeling indicated that, for research purposes, a dichotomized item provided as much information as a complex measure to predict the relationship between sexual abuse and marital adjustment through attachment representations and psychological distress. However, when analyses were conducted strictly within the CSA victims group, no correlation was found between abuse severity and psychosocial measures. The present results show that in a community sample, CSA may be an important risk factor that develops couple difficulties, regardless of the severity of the trauma.     

Relational outcomes of childhood sexual trauma in female survivors: a longitudinal study

This longitudinal study examines the effects of childhood sexual abuse (CSA) on the intimate and marital relationships of adult survivors from a sample composed primarily of African American women. In addition, the authors explore the protective role of maternal support. Interview data are collected on 136 women with documented histories of CSA who indicate the quality and nature of their current marital relationships and other interpersonal connections. Results suggest that CSA survivors with poor maternal attachment are more likely to enter into marital or cohabiting relationships. However, more severe sexual trauma in childhood correlates with greater marital dissatisfaction. Good maternal attachment during childhood has a negative main effect on adult interpersonal problems and a buffering effect on the relationship between abuse and marital dissatisfaction. These data can help guide future research on the adult relational outcomes of female CSA survivors, especially among minority populations.     

Adult Survivors of Childhood Abuse: An Analysis of Coping Mechanisms Used for Stressful Childhood Memories and Current Stressors

Coping mechanisms used to deal with stressful childhood memories and current stressors were assessed for 196 women in each of 4 groups: no abuse history, sexual abuse history, physical abuse history, and both sexual and physical abuse history. Current psychological adjustment was also examined. Discriminant function analyses revealed a variety of significant differences between the groups in use of strategies for coping with memories of abuse or another childhood stressor. There was no relationship between childhood history of abuse and the manner in which women coped with a current stressor. Women with an abuse history reported significantly poorer adult adjustment than did nonabused women, and different coping strategies were predictive of adjustment for abused and nonabused women.     

Intergenerational child abuse and coping

Many studies have investigated the consequences of child sexual abuse (CSA) but few have examined the intergenerational effects of poly- victimization and maladaptive coping. The purpose of this investigation was to examine patterns of maltreatment and maladaptive coping among second-generation CSA survivors. It is hypothesized that: (a) maternal CSA history would be associated with a higher incidence of poly-victimization and maladaptive coping and (b) experiencing more forms of abuse would mediate the relation between maternal CSA history and maladaptive coping behaviors. The method used was a chart review of 139 sexually abused females aged 12 to 17, examining maternal abuse history, maladaptive coping behaviors, and child maltreatment. The results showed that poly-victimization differed as a function of maternal CSA history but maladaptive coping did not. Experiencing more types of abuse was associated with both self-injurious behaviors and substance use. In conclusion, results support the hypothesis that second generation CSA survivors are more likely to experience poly-victimization. Future research should address how intergenerational patterns of abuse might affect presenting symptomatology and treatment outcome.     

Child sexual abuse, coping responses, self-blame, posttraumatic stress disorder, and adult sexual revictimization

The present study examined the psychological sequelae of child sexual abuse (CSA) and the factors that contributed to revictimization in the form of adult sexual assault (ASA) using a survey of 577 female college students. CSA characteristics, maladaptive coping in response to CSA, degree of self-blame at the time of the abuse and currently, and posttraumatic stress disorder (PTSD) symptoms were examined as predictors of revictimization. Results indicated that individuals who reported both CSA and ASA had more PTSD symptoms, were more likely to use drugs or alcohol to cope, act out sexually, withdraw from people, and seek therapy services. In addition, the revictimized group reported more self-blame at the time of the abuse and currently. The only factor that predicted revictimization in this study was the number of maladaptive coping strategies used. Implications of these findings are discussed.     

Individual and Marital Consequences of Victimization: Moderating Effects of Relationship Efficacy and Spouse Support

Marital dissatisfaction and depression are common characteristics of abused women. In this investigation, we attempted to identify variables that might buffer women's marital satisfaction and stability, and their psychological adjustment against the effects of verbal and physical abuse. Verbal and physical victimization had significant negative direct effects on women's marital satisfaction: victimized women were characterized by less satisfaction and less stability regardless of their sense of relationship efficacy or their perceptions of spousal support. However, the effects of victimization on women's depression were moderated by relationship efficacy, perceived intimacy, and acceptance of emotional expression provided by the spouse: nonvictimized women who perceived more support and felt more efficacious, relative to those who felt less support and less efficacy, experienced fewer depressive symptoms, while victimized women who perceived more support and felt more efficacious in their relationships, relative to those characterized by less support and less efficacy, experienced more depressive symptoms. In the context of marital violence, increasing levels of relationship efficacy and perceptions of spouse support may be accompanied by an increase in the risk for depressive reactions.     

Parental Sociopathy as a Predictor of Childhood Sexual Abuse

Research on childhood sexual abuse has often examined, in isolation of one another, such highly correlated risk factors as parental substance abuse, domestic violence, and pathological family functioning. Investigating comorbid antecedents separately does not allow accurate specification of the predictors of abuse. Moreover, sexual trauma research has tended to neglect parental sociopathy as a risk factor. Given the limitations of past research, the present study examined the relationships among parental sociopathy, parental substance use, marital violence, poor family functioning, and childhood sexual abuse. We administered a battery of questionnaires to a nonclinical sample of 130 college women and replicated previous findings by showing that parental substance use predicted sexual abuse when examined in isolation. However, when parental sociopathy and the other risk factors were included in a regression model, parental sociopathy was the only significant predictor. Mother's and father's sociopathy predicted sexual abuse independently and when combined.     

Long-Term Effects of Witnessing Marital Violence for Women: The Contribution of Childhood Physical and Sexual Abuse

A sample of 313 college women completed a questionnaire about experiences with violence in childhood and adulthood and adult adjustment and relationship functioning. Nine percent of the women reported having witnessed some type of physical conflict between their parents. Witnessing marital violence was associated with other family mental health risks, childhood physical and sexual abuse, and adult physical assaults by strangers. Women who witnessed marital violence reported more symptoms of posttraumatic stress disorder than other women, after family background and abuse variables were accounted for. Significant interactions between witnessing marital violence and childhood physical abuse were observed for measures of social avoidance and predictability in partner relationships, indicating that the effects of witnessing marital violence depended on the presence of childhood abuse. Implications of these results for research and interventions are discussed.     

The development of a sexual abuse severity score: characteristics of childhood sexual abuse associated with trauma symptomatology, somatization, and alcohol abuse

Childhood sexual abuse (CSA) is common and is associated with both mental and physical health problems in adulthood. Using data from an age- and sex-stratified population survey of 600 Olmsted County, Minnesota, residents, a Sexual Abuse Severity Score was developed. The abuse characteristics of 156 CSA respondents were associated with self-reported trauma, somatization, and alcohol use. Characteristics included age of first sexual abuse, more than one perpetrator, degree of coercion, severity of abuse (i.e., attempted intercourse is more severe than fondling), and the number of occurrences. This is one of the few reports to develop a risk summary that quantifies the severity of CSA.     

The links between religiosity, childhood sexual abuse, and subsequent marijuana use: an empirical inquiry of a sample of female college students

A number of studies indicate that childhood sexual abuse (CSA) has a negative impact on later psychological well-being. It is well documented that experiences of CSA are associated with depression, self-destructiveness, and subsequent substance abuse or alcohol consumption. Compared with women who experienced no such sexual abuse in childhood, women who were victims of sexual abuse in childhood were more likely to be depressed and use drugs or consume alcohol in later life. Analyzing data of 1,569 females derived from the "Longitudinal Study of Violence Against Women," this study examines whether the strain caused by sexual victimization leads to a higher level of subsequent marijuana use and whether religiosity moderates the negative effects of CSA. It was found that CSA was associated with an increased level of marijuana use in high school. However, more proximate sexual victimization (victimization in college) seemed to override the impact of CSA on subsequent marijuana use. Religiosity was found to moderate the effect of CSA on marijuana use in high school. Religiosity was negatively associated with marijuana use in high school as well as the second and fourth collegiate years. Policy implications and promising directions for future research are discussed.     

Predictors of Maladaptive Coping in Incarcerated Women Who are Survivors of Childhood Sexual Abuse

Women’s rates of incarceration have increased notably in the past two decades. Concurrently, research with female offenders has identified a high incidence of experiences of childhood sexual abuse (CSA), a potential risk factor for negative psychosocial outcomes. Structural equation modeling was used to test a model examining associations among CSA, emotion regulation, posttraumatic stress, and coping in a sample of 224 incarcerated women. The relationships between CSA and difficulties with emotion regulation and posttraumatic stress were mediated by self-blame, and the relationship between self-blame and maladaptive coping was mediated by both difficulties with emotion regulation and posttraumatic stress. These findings have implications for identifying treatment needs of incarcerated women and suggest potential targets for intervention.     

Cognitive and interpersonal factors in woman abuse

As part of a larger ecological analysis of woman battering in Israel, this study examined the combined ability of selected cognitive and interpersonal measures to differentiate among couples in which women were battered and those in which they were not. The ability of these variables to predict men's physical violence and verbal abuse and women's verbal abuse was also executed. Results indicate that a combination of low marital adjustment, high levels of conflict over children, and more perceived self-control over one's life characterized violent men; low marital adjustment and high conflict over child rearing characterized battered women. Both men's and women's verbal abuse was moderately predicted by lower marital adjustment while men's physical violence was predicted by increased levels of conflicts with his partner over child rearing. These findings suggest the importance of marital relationship factors in domestic violence and highlight the need for further study of the interaction between perceived control and marital relationship problems in relationships where men physically abuse women.     

Postshelter adjustment of children from violent families

Few studies have examined the adjustment of battered women and their children after exiting domestic violence shelters. Participants were 62 women who had endured severe partner abuse, completed a shelter program with their children, and resided in the community for at least 6 months. Field interviews concerned mothers' and children's abuse histories and included measures of maternal depression, maternal trauma, and child behavior problems. Nearly all women had lived violence free since shelter exit. Child internalizing behaviors were associated with direct abuse, maternal depression, and shelter program. Externalizing behaviors were related to maternal depression and shelter program. Neither severity of interparental violence nor maternal trauma symptoms was related to child behavior problems. Mothers' family of-origin abuse predicted current satisfaction with child functioning, beyond the effects of maternal depression and child behavioral problems. Findings suggest a need for postshelter therapeutic services and further research addressing the adjustment of such families.     

Relationships among abuse characteristics, coping strategies, and abused women's psychological health: a path model

We examined relationships between abuse, coping, and psychological health among 143 women who had experienced abuse in adult relationships. Measures included characteristics of the abuse, problem-focused and emotion-focused coping, Sense of Coherence, and four measures of psychological wellbeing--the SF-36 Mental Component Scale, the General Health Questionnaire, Center for Epidemiologic Studies Depression scale, and a measure of perceived negative effects of the abuse. Problem-focused coping was not related to psychological health, and the influence of emotion-focused coping on psychological health was indirect. Sense of coherence had significant direct effects on psychological health. Both emotion-focused coping and sense of coherence were related to aspects of the abusive experience. The concept of sense of coherence has parallels with the recently proposed concept of meaning-focused coping, and the data suggest that finding meaning in adverse events such as abuse is associated with better psychological well-being.     

Acts of Intimate Partner Violence and Feelings of Danger in Battered Women Seeking Help in a Spanish Specialized Care Unit

Acts of violence recounted by 161 female victims of Intimate Partner Violence (IPV) attended at a psychological care service in Spain are presented. The relationship between acts of violence and feelings of danger, childhood abuse, and dyadic adjustment are analyzed. Reported acts of IPV were obtained through a Semi-structured Interview on Domestic Violence; and marital satisfaction was assessed with the Dyadic Adjustment Scale. The results showed women who have felt their lives were in danger are more likely to have been victimized. In addition, women who were both abused by their partner and sexually abuse as children are the ones that perceive more situations of danger in their adult couple relationship. The importance of studying perceived danger and the diversity of IPV experiences are discussed to aid prevention and intervention strategies.     

Ethnicity and Sexual Orientation as PTSD Mitigators in Child Sexual Abuse Survivors

Purpose and Potential benefits: Research, to our knowledge, has not examined the effect of demographic variables on PTSD symptoms among adult survivors of childhood sexual abuse (CSA). This study explores the relationship between demographic variables and scores of CSA survivors on the Impact of Scale (IES). Participants were 257 women CSA survivors entering outpatient treatment at a university-based mental health center. All participants reported a CSA history and presented with psychological difficulties associated with CSA. The demographic variables investigated were relationship status, religious affiliation, ethnicity, educational level, spousal educational level income, and sexual orientation. Significance tests were used to examine each variable and scores on the Total IES and Avoidance and Intrusion Subscales. Total IES and Intrusion scores differed for sexual orientation and ethnicity in accord with conventional standards of significance ( < .05). Self-reported asexuals indicated fewer intrusive and total PTSD symptoms than heterosexuals, lesbians, and bisexuals. Likewise, Hispanics reported less intrusive PTSD symptoms than Non-Hispanic Caucasians. Our findings invite further exploration of the relationship between ethnicity and sexual orientation and the long-term effects of CSA. A question for empirical investigation is whether asexuality shields against the triggering of CSA memories by a sexual relationship. Another possible area of inquiry is whether particular characteristics of Hispanic culture as a whole serve to moderate the detrimental effects of CSA.     

Service utilization, perceived changes of self, and life satisfaction among women who experienced intimate partner abuse: the mediation effect of empowerment

This study explored the growth experiences of women abused by their intimate partner, specifically focusing on the associations between social services and empowerment, perceived changes of self, and life satisfaction. The potential effects of demographic variables, social support, coping, and experience of partner abuse were also explored. A survey study was conducted through the collaboration of social workers in the Centers of Prevention and Intervention for Domestic Violence and private sectors in Taiwan. Through contact by their social workers, 191 participants completed the questionnaires. The results revealed that the participants had growth mainly in their psychological and interpersonal domains. The independent variables in the regression model explained 45.3% (adjusted) variance in perceived changes of self. In addition to empowerment and negative impact of violence, intensity of contact and professional relationship were two important service variables that directly and significantly correlated with perceived changes of self. A significant amount of variance (adjusted R2 = .556) in life satisfaction could be explained by the independent variables. Social support and empowerment directly correlated with life satisfaction. The findings also supported the mediation effect of empowerment. Seven variables (e.g., social support, coping method, and professional relationship) indirectly associated with perceived changes of self and life satisfaction through empowerment.     

Forms of Social Support That Moderate PTSD in Childhood Sexual Abuse Survivors

Although social support has been found to attenuate psychological symptoms in victims of sexual abuse, literature does not identify the specific forms of social support that mitigate maladjustment following a sexual abuse experience. This study sought to distinguish the specific types of perceived social support that buffer the development of post-traumatic stress disorder (PTSD) in victims of childhood sexual abuse (CSA). One hundred and seventy-two adult females reporting CSA were administered the Interpersonal Support Evaluation List (ISEL) and the Impact of Events Scale (IES). The ISEL measures the perceived availability of 4 support types. The IES measures core PTSD symptoms of intrusion and avoidance. Regression analysis indicated that social support significantly buffered PTSD development. The best model was one which contained self-esteem and appraisal support. Tangible and belonging support added little to prediction. Further, self-esteem support was identified as the most important variable in preventing PTSD development.     

Suicidal and other self‐harming behaviour in offender women: The role of shame,anger and childhood abuse

Purpose. The main aim of the study was to consider the contributions of childhood physical and sexual abuse (CPA and CSA) and different aspects of shame and anger to self‐harming behaviours in 89 women prisoners. A further aim was to examine the mediating roles of shame and anger in any link between childhood abuse and self‐harm. Method. Standardized shame and anger questionnaires and four items assessing self‐harm modified from an impulsive behaviour questionnaire were verbally administered. Women were interviewed to assess the occurrence of physical and sexual abuse in childhood. Results. Over half (57%) the women reported suicidal and other self‐harming behaviours at some time in their lives, with 50% of these occurring just before or during the current sentence. All shame, anger, and abuse variables were significantly related to self‐harm, but only bodily shame showed an independent relationship when all variables were considered together. Bodily shame was most strongly associated with CSA, and a mediational analysis tested these specific links with self‐harm. Both CSA and bodily shame made significant independent contributions to self‐harm; however, bodily shame demonstrated the strongest effect, partially mediating the effect of CSA. Conclusions. This is the first study to demonstrate a significant statistical relationship between shame and self‐harming behaviours in women. The findings have implications for the assessment of the therapeutic needs of women prisoners. Future research directions are discussed.     

The aftermath of child sexual abuse of African American and white American women: The victim's experience

Several aspects of the victim's personal experience in the aftermath of child sexual abuse are described. Subject recruitment involved a multi-stage stratified probability sample of 126 African American and 122 White women, ages 18 to 36 years in Los Angeles County, matched on education, marital status, and the presence of children. Few ethnic differences were related to the initial response and short-term effects of the victim's experiences. Lasting effects of sexual abuse included sexual problems for women of both ethnic groups, but avoidance of men resembling the perpetrator was identified among African American women. Ethnicity may be a contributing factor to other adjustment related problems that African American women encounter in addition to their child sexual victimization. The implications of these findings and issues in the assessment of the aftermath are discussed.