The DOI matches its Crossref record; 61 of the 63 references it cites were found in a registry or an index.
Psychopathology in a large cohort of sexually abused children followed up to 43 years
Abstract
Objective To determine the rate and risk of clinical and personality disorders diagnosed in childhood and adulthood in those known to have been sexually abused during childhood.Methods Forensic medical records of 2,759 sexually abused children assessed between 1964 and 1995 were linked with a public psychiatric database between 12 and 43 years later. Cases were compared to control subjects matched on gender and age groupings drawn from the general population through a random sample of the national electoral database.Results A lifetime record of contact with public mental health services was found in 23.3% of cases compared to 7.7% of controls. The rate of contact among child sexual abuse victims was 3.65 times higher (95% CI, 3.09-4.32, p<0.001). It was estimated that child sexual abuse accounted for approximately 7.83% of mental health contact. Exposure to sexual abuse increased risks for the majority of outcomes including psychosis, affective, anxiety, substance abuse, and personality disorders. Rates of clinical disorders diagnosed in adulthood and childhood remained significantly higher among child sexual abuse cases. Older age at sexual abuse and those exposed to severe abuse involving penetration or multiple offenders were associated with greater risk for psychopathology.Conclusions This study confirms that child sexual abuse is a substantial risk factor for a range of mental disorders in both childhood and adulthood.Practice implications Those treating victims of sexual abuse must assess not only disorders commonly associated with trauma, but also low prevalence disorders such as psychosis.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“In a large cohort study of individuals followed for over four decades of childhood sexual abuse, the odds ratio for the development of CD was 6.32 (Cutajar et al, 2010).”
From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Cutajar et al, 2010
Citations
Cites
Burden and consequences of child maltreatment in high-income countries
Gilbert, R., Widom, C. S., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009) · The Lancet · doi:10.1016/s0140-6736(08)61706-7 · Cited by 3,876
Validity of adult retrospective reports of adverse childhood experiences: review of the evidence
Hardt, J., & Rutter, M. (2004) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00218.x · Cited by 2,827
Impact of sexual abuse on children: A review and synthesis of recent empirical studies
Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993) · Psychological Bulletin · doi:10.1037/0033-2909.113.1.164 · Cited by 2,537
Ten-Year Research Update Review: Child Sexual Abuse
PUTNAM, F. W. (2003) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200303000-00006 · Cited by 1,488
A review of the long-term effects of child sexual abuse
Beitchman, J. H., Zucker, K. J., Hood, J. E., daCosta, G. A., Akman, D., & Cassavia, E. (1992) · Child Abuse & Neglect · doi:10.1016/0145-2134(92)90011-f · Cited by 1,378
Kendler, K. S., Bulik, C. M., Silberg, J., Hettema, J. M., Myers, J., & Prescott, C. A. (2000) · Archives of General Psychiatry · doi:10.1001/archpsyc.57.10.953 · Cited by 1,259
Child sexual abuse and subsequent psychopathology: results from the National Comorbidity Survey
Molnar, B. E., Buka, S. L., & Kessler, R. C. (2001) · American Journal of Public Health · doi:10.2105/ajph.91.5.753 · Cited by 1,193
A Meta-Analysis of the Published Research on the Effects of Child Sexual Abuse
Paolucci, E. O., Genuis, M. L., & Violato, C. (2001) · The Journal of Psychology · doi:10.1080/00223980109603677 · Cited by 1,144
A sourcebook on child sexual abuse
Finkelhor, D. (1987) · Journal of Criminal Justice · doi:10.1016/0047-2352(87)90085-7 · Cited by 1,038
The long-term impact of the physical, emotional, and sexual abuse of children: A community study
Mullen, P. E., Martin, J. L., Anderson, J. C., Romans, S. E., & Herbison, P. (1996) · Child Abuse & Neglect · doi:10.1016/0145-2134(95)00112-3 · Cited by 1,026
Self-citation
Research works printed but not linked: 1
- Browne, 1986, Initial and long-term effects: A review of the research, 143
Cited by
Sorted by citations
Li, M., D'Arcy, C., & Meng, X. (2016) · Psychological Medicine · doi:10.1017/s0033291715002743 · Cited by 751
“Relationship between any maltreatment and anxiety Four articles (Widom, 1999; Spataro et al. 2004; Cutajar et al. 2010; Scott et al. 2012) were used to examine the relationship between any type of childhood maltreatment and anxiety disorders.”
BackgroundMethodInfluentialFergusson, D. M., McLeod, G. F. H., & Horwood, L. J. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.03.013 · Cited by 703
“…sexual penetration) is associated with a wide range of medical, psychological, behavioral and sexual disorders including: mental health problems (Cutajar et al., 2010; Dinwiddie et al., 2000; Fergusson, Horwood, & Lynskey, 1996; Hillberg, et al., 2011; Maniglio, 2010; Putnam, 2003), substance…”
BackgroundInfurna, M. R., Reichl, C., Parzer, P., Schimmenti, A., Bifulco, A. T., & Kaess, M. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.09.006 · Cited by 651
“This result, although not in contradiction to previous findings (Cutajar et al., 2010; Dube et al., 2005; Kendler et al., 2000; Molnar et al., 2001), highlights the importance of not focusing on one form of abuse alone, e.g. sexual abuse, but rather on a broad variety of adverse childhood…”
Bohus, M., Dyer, A. S., Priebe, K., Krüger, A., Kleindienst, N., Schmahl, C., Niedtfeld, I., & Steil, R. (2013) · Psychotherapy and Psychosomatics · doi:10.1159/000348451 · Cited by 344
Lessons learned from child sexual abuse research: prevalence, outcomes, and preventive strategies
Collin‐Vézina, D., Daigneault, I., & Hébert, M. (2013) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/1753-2000-7-22 · Cited by 292
“The mental health outcomes of CSA victims are likely to continue into adulthood as the link of CSA to lifetime psychopathology has been demonstrated [67-72].”
Background
Metadata
- Authors
- Cutajar, M. C., Mullen, P. E., Ogloff, J. R. P., Thomas, S. D., Wells, D. L., & Spataro, J.
- Affiliations
- Monash University (AU)
- Victorian Institute of Forensic Medicine (AU)
- Corresponding author
- Cutajar, Margaret C.
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2010-11
- Volume
- 34
- Issue
- 11
- Pages
- 813-822
- ISSN
- 0145-2134 (ISSN-L)
- OpenAlex
- W2163025547
- Cited by
- 472
- References
- 63
- Citations by year
- 2026: 19 · 2025: 15 · 2024: 21 · 2023: 22 · 2022: 28 · 2021: 31 · 2020: 40 · 2019: 32 · 2018: 40 · 2017: 41 · 2016: 46 · 2015: 33 · 2014: 41 · 2013: 35 · 2012: 14
- FWCI
- 22.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- Research Online (University of Wollongong) (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
- Keywords
- child sexual abuse, psychopathology, personality disorders, psychosis, mood disorders, anxiety disorders, substance abuse, mental health service contact, long-term follow-up, abuse severity, multiple offenders, trauma
- MeSH terms
- Adolescent, Mental Disorders, Child, Child Abuse, Sexual, Child, Preschool, Female, Follow-Up Studies, Humans, Infant, Infant, Newborn, Male, Medical Record Linkage, Mental Health Services, Psychopathology, Risk Factors, Sexual Partners, Victoria, Proportional Hazards Models, Case-Control Studies, Sex Distribution
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
