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Exposure to childhood sexual and physical abuse and adjustment in early adulthood
Abstract
Objective This research examined linkages between exposure to childhood sexual abuse (CSA) and childhood physical punishment/abuse (CPA) and mental health issues in early adulthood.Method The investigation analyzed data from a birth cohort of over 1,000 New Zealand young adults studied to the age of 25.Results Exposure to CSA and CPA was associated with increased risks of later mental disorders including depression, anxiety disorder, conduct/anti-social personality disorder, substance dependence, suicidal ideation, and suicide attempts at ages 16-25. Control for social, family, and individual factors reduced the associations between CPA and mental health outcomes to the point of statistical non-significance. However, there was a consistent finding for CSA to remain associated with increased risks of later mental health problems. After adjustment, those exposed to CSA including attempted or completed sexual penetration had rates of disorder that were 2.4 times higher than those not exposed to CSA. Those exposed to harsh or abusive physical punishment had rates of disorder that were 1.5 times higher than those exposed to no or occasional physical punishment. It was estimated that exposure to CSA accounted for approximately 13% of the mental health problems experienced by the cohort. Findings showed that exposure to CPA had only weak effects on later mental health. It was estimated that exposure to CPA accounted for approximately 5% of the mental health problems experienced by the cohort.Conclusions Exposure to CSA was associated with consistent increases in risks of later mental health problems. Exposure to CPA had weaker and less consistent effects on later mental health. These findings suggest that much of the association between CPA and later mental health reflects the general family context in which CPA occurs, whereas this is less the case for CSA.
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“A wealth of literature has delineated the long-term negative consequences of corporal punishment, such as spanking, hitting, and pinching children (Fergusson et al., 2008; Grogan-Kaylor et al., 2018).”
From The evolved nest, oxytocin functioning, and prosocial development (2023) · cites this paper as Fergusson et al. (2008)
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“the most severe CSA (i.e. chronic abuse, intra-familial, involving penetration) have been associated with elevated prevalence rates of psychiatric disorders (Fergusson et al. 2008; Fergusson et al. 1996).”
From Mindfulness as Mediator and Moderator of Post-traumatic Symptomatology in Adolescence Following Childhood Sexual Abuse or Assault (2016) · cites this paper as Fergusson et al. 2008
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“Another study found that while childhood sexual abuse predicted CD in early adulthood,”
From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Fergusson et al, 2008
In the citing paper
“the association between physical abuse and CD was only significant when sexual abuse was not considered within the model (Fergusson et al, 2008),”
From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Fergusson et al, 2008
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Metadata
- Authors
- Fergusson, D. M., Boden, J. M., & Horwood, L. J.
- Affiliations
- University of Otago (NZ)
- Corresponding author
- Boden, Joseph M.
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2008-06
- Volume
- 32
- Issue
- 6
- Pages
- 607-619
- ISSN
- 0145-2134 (ISSN-L)
- OpenAlex
- W2130055615
- Cited by
- 910
- References
- 51
- Citations by year
- 2026: 12 · 2025: 20 · 2024: 37 · 2023: 37 · 2022: 48 · 2021: 40 · 2020: 54 · 2019: 54 · 2018: 82 · 2017: 51 · 2016: 80 · 2015: 75 · 2014: 72 · 2013: 71 · 2012: 58
- FWCI
- 45.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Keywords
- child sexual abuse, childhood abuse, depression, anxiety disorders, antisocial personality disorder, substance dependence, suicidal ideation, suicide attempts, family environment
- MeSH terms
- Adjustment Disorders, Adolescent, Adult, Mental Disorders, Child, Child Abuse, Child Abuse, Sexual, Child Reactive Disorders, Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Male, New Zealand, Risk Factors, Cohort Studies, Incidence, Adult Survivors of Child Abuse
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