The DOI matches its Crossref record; 68 of the 71 references it cites were found in a registry or an index.
Impact of sexual abuse on children: A review and synthesis of recent empirical studies
Abstract
A review of 45 studies clearly demonstrated that sexually abused children had more symptoms than nonabused children, with abuse accounting for 15-45% of the variance. Fears, posttraumatic stress disorder, behavior problems, sexualized behaviors, and poor self-esteem occurred most frequently among a long list of symptoms noted, but no one symptom characterized a majority of sexually abused children. Some symptoms were specific to certain ages, and approximately one third of victims had no symptoms. Penetration, the duration and frequency of the abuse, force, the relationship of the perpetrator to the child, and maternal support affected the degree of symptomatology. About two thirds of the victimized children showed recovery during the first 12-18 months. The findings suggest the absence of any specific syndrome in children who have been sexually abused and no single traumatizing process.
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In the citing paper
“the consequences of sexual abuse range from minimal effects to more serious problems, with social, emotional and/or psychiatric repercussions (Habigzang, Borges, Dell'Aglio, & Koller, 2010;Kendall-Tackett et al., 1993;Paolucci et al., 2001;Wherry, Baldwin, Junco, & Floyd, 2013).”
From Psychological and Behavioral Indicators in the Forensic Assessment of Child Sexual Abuse (2018) · cites this paper as Kendall-Tackett et al., 1993
In the citing paper
“In the study by Kendall-Tackett et al. (1993), two clusters of symptoms were identifi ed as the most reliable to characterize child victims of sexual abuse: sexualized behaviors and symptoms related to Posttraumatic Stress Disorder (PTSD).”
From Psychological and Behavioral Indicators in the Forensic Assessment of Child Sexual Abuse (2018) · cites this paper as Kendall-Tackett et al., 1993
In the citing paper
“there is no single symptom that exclusively characterizes victims, and approximately one-third of the children who have experienced sexual abuse do not present any symptoms (Kendall-Tackett, Williams, & Finkelhor, 1993).”
From Psychological and Behavioral Indicators in the Forensic Assessment of Child Sexual Abuse (2018) · cites this paper as Kendall-Tackett, Williams, & Finkelhor, 1993
In the citing paper
“studies have indicated the importance of evaluating the presence of sexualized behaviors that are inappropriate for the level of development in sexually abused children, as these indicators are supposed to be typical manifestations of this type of violence (Friedrich et al., 2001;Friedrich et al., 1997;Kendall-Tackett et al., 1993).”
From Psychological and Behavioral Indicators in the Forensic Assessment of Child Sexual Abuse (2018) · cites this paper as Kendall-Tackett et al., 1993
In the citing paper
“there is no single symptom that exclusively characterizes victims, and approximately one-third of the children who have experienced sexual abuse do not present any symptoms (Kendall-Tackett, Williams, & Finkelhor, 1993).”
From Psychological and Behavioral Indicators in the Forensic Assessment of Child Sexual Abuse (2018) · cites this paper as Kendall-Tackett, Williams, & Finkelhor, 1993
In the citing paper
“Indeed, a host of studies suggest that even in the face of severe forms of childhood maltreatment such as sexual abuse or assault, some youth may overcome these traumatic experiences without apparent symptoms (Daigneault et al. 2007b; Kendall-Tackett et al. 1993; Putnam 2003; Hébert et al. 2014).”
From Mindfulness as Mediator and Moderator of Post-traumatic Symptomatology in Adolescence Following Childhood Sexual Abuse or Assault (2016) · cites this paper as Kendall-Tackett et al. 1993
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Drake, M. M. (1988) · American Journal of Occupational Therapy · doi:10.5014/ajot.42.10.683b · Cited by 5,303
Meta-Analytic Procedures for Social Research.
Metcalfe, A., & Rosenthal, R. (1994) · Journal of the Royal Statistical Society Series D (The Statistician) · doi:10.2307/2348600 · Cited by 4,249
Baltes, P. B. (1987) · Developmental Psychology · doi:10.1037/0012-1649.23.5.611 · Cited by 2,781
Impact of child sexual abuse: A review of the research.
Browne, A., & Finkelhor, D. (1986) · Psychological Bulletin · doi:10.1037/0033-2909.99.1.66 · Cited by 2,718
Self-citationThe traumatic impact of child sexual abuse: A conceptualization.
Finkelhor, D., & Browne, A. (1985) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.1985.tb02703.x · Cited by 1,891
Finkelhor, D., Hotaling, G., Lewis, I. A., & Smith, C. (1990) · Child Abuse & Neglect · doi:10.1016/0145-2134(90)90077-7 · Cited by 1,754
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
Child abuse trauma: theory and treatment of the lasting effects
(1993) · Choice Reviews Online · doi:10.5860/choice.30-5867 · Cited by 832
Lasting Effects of Child Sexual Abuse
Wyatt, G. E., & Powell, G. J. (1988) · Medical Entomology and Zoology · Cited by 667
A review of the short-term effects of child sexual abuse
Beitchman, J. H., Zucker, K. J., Hood, J. E., daCosta, G. A., & Akman, D. (1991) · Child Abuse & Neglect · doi:10.1016/0145-2134(91)90038-f · Cited by 634
Physical and psychological maltreatment: Relations among types of maltreatment
Claussen, A. H., & Crittenden, P. M. (1991) · Child Abuse & Neglect · doi:10.1016/0145-2134(91)90085-r · Cited by 500
Testifying in Criminal Court: Emotional Effects on Child Sexual Assault Victims
Goodman, G. S., Taub, E. P., JONES, D. P. H., England, P., Port, L. K., Rudy, L., Prado, L. M., Myers, J. E. B., & Melton, G. B. (1992) · Monographs of the Society for Research in Child Development · doi:10.2307/1166127 · Cited by 421
Women and Depression: Risk Factors and Treatment Issues
McGrath, E. (1990) · Cited by 420
Factors associated with an increased impact of child sexual abuse
Conte, J. R., & Schuerman, J. R. (1987) · Child Abuse & Neglect · doi:10.1016/0145-2134(87)90059-7 · Cited by 415
Child Sexual Behavior Inventory: Normative and clinical comparisons.
Friedrich, W. N., Grambsch, P., Damon, L., Hewitt, S. K., Koverola, C., Lang, R. A., Wolfe, V., & Broughton, D. (1992) · Psychological Assessment · doi:10.1037/1040-3590.4.3.303 · Cited by 374
Posttraumatic Stress Disorder in Children
Perron, N. C. D. (2016) · The SAGE Encyclopedia of Marriage, Family, and Couples Counseling · doi:10.4135/9781483369532.n385 · Cited by 371
Behavior Problems in Sexually Abused Young Children
Friedrich, W. N., Urquiza, A. J., & BEILKE, R. L. (1986) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/11.1.47 · Cited by 370
The impact of sexual abuse on children: A PTSD formulation
Wolfe, V. V., Gentile, C., & Wolfe, D. A. (1989) · Behavior Therapy · doi:10.1016/s0005-7894(89)80070-x · Cited by 342
Incest-Related Syndromes of Adult Psychopathology
(1990) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9798894550060 · Cited by 329
Post-Traumatic Stress Disorder in Sexually Abused Children
McLeer, S. V., Deblinger, E., Atkins, M. S., Foa, E. B., & Ralphe, D. L. (1988) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198809000-00024 · Cited by 296
The Trauma of Child Sexual Abuse
Finkelhor, D. (1987) · Journal of Interpersonal Violence · doi:10.1177/088626058700200402 · Cited by 285
Self-citationPost-traumatic stress in sexually abused, physically abused, and nonabused children
Deblinger, E., McLeer, S. V., Atkins, M. S., Ralphe, D. L., & Foa, E. B. (1989) · Child Abuse & Neglect · doi:10.1016/0145-2134(89)90080-x · Cited by 272
Proximate effects of sexual abuse in childhood: a report on 28 children
Adams-Tucker, C. (1982) · American Journal of Psychiatry · doi:10.1176/ajp.139.10.1252 · Cited by 239
The Effects of Sexual Abuse on Children
Conte, J. R., & Schuerman, J. R. (1987) · Journal of Interpersonal Violence · doi:10.1177/088626058700200404 · Cited by 209
Personality development following sexual abuse
Tong, L., Oates, K., & McDowell, M. (1987) · Child Abuse & Neglect · doi:10.1016/0145-2134(87)90011-1 · Cited by 195
The Effects of Child Abuse and Neglect: Issues and Research
Schwartz, M. D., Starr, R. H., & Wolfe, D. A. (1992) · Journal of Marriage and the Family · doi:10.2307/353188 · Cited by 183
Severity of Emotional Distress Among Sexually Abused Preschool, School-Age, and Adolescent Children
Gomes-Schwartz, B., Horowitz, J. M., & Sauzier, M. C. (1985) · Psychiatric Services · doi:10.1176/ps.36.5.503 · Cited by 168
Sexual abuse: Somatic and emotional reactions
Rimsza, M. E., Berg, R. A., & Locke, C. (1988) · Child Abuse & Neglect · doi:10.1016/0145-2134(88)90028-2 · Cited by 167
Confronting Child Abuse: Research for Effective Program Design.
Knudsen, D. D., & Daro, D. A. (1989) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2073353 · Cited by 166
Psychological functioning and behavior of sexually abused girls.
Einbender, A. J., & Friedrich, W. N. (1989) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.57.1.155 · Cited by 159
Young school-age sexually aggressive children.
Friedrich, W. N., & Luecke, W. J. (1988) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.19.2.155 · Cited by 151
Impact of legal intervention on sexually abused children
Runyan, D. K., Everson, M. D., Edelsohn, G. A., Hunter, W. M., & Coulter, M. L. (1988) · The Journal of Pediatrics · doi:10.1016/s0022-3476(88)80373-1 · Cited by 150
Children from Sexually Abusive Families
Friedrich, W. N., BEILKE, R. L., & Urquiza, A. J. (1987) · Journal of Interpersonal Violence · doi:10.1177/088626058700200405 · Cited by 140
A clinical-demographic study of sexually abused children
Mannarino, A. P., & Cohen, J. A. (1986) · Child Abuse & Neglect · doi:10.1016/0145-2134(86)90027-x · Cited by 136
Assessing the influence of maternal depression on the validity of the child behavior checklist
Friedlander, S., Weiss, D. S., & Traylor, J. A. (1986) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00917228 · Cited by 129
Behavior Problems in Young Sexually Abused Boys
Friedrich, W. N., BEILKE, R. L., & Urquiza, A. J. (1988) · Journal of Interpersonal Violence · doi:10.1177/088626088003001002 · Cited by 121
Review of 125 children 6 years of age and under who were sexually abused
Mian, M., Wehrspann, W., Klajner-Diamond, H., Lebaron, D., & Winder, C. (1986) · Child Abuse & Neglect · doi:10.1016/0145-2134(86)90083-9 · Cited by 114
Jampole, L., & Weber, M. K. (1987) · Child Abuse & Neglect · doi:10.1016/0145-2134(87)90057-3 · Cited by 109
Interviewing young sexual abuse victims with anatomically correct dolls
White, S., Strom, G. A., Santilli, G., & Halpin, B. M. (1986) · Child Abuse & Neglect · doi:10.1016/0145-2134(86)90057-8 · Cited by 109
Psychological symptoms in sexually abused girls
Cohen, J. A., & Mannarino, A. P. (1988) · Child Abuse & Neglect · doi:10.1016/0145-2134(88)90074-9 · Cited by 108
Kolko, D. J., Moser, J. T., & Weldy, S. R. (1988) · Child Abuse & Neglect · doi:10.1016/0145-2134(88)90070-1 · Cited by 108
Sexual abuse in young children: Its clinical presentation and characteristic patterns
Gale, J., Thompson, R. J., Moran, T., & Sack, W. H. (1988) · Child Abuse & Neglect · doi:10.1016/0145-2134(88)90024-5 · Cited by 108
Morrow, K. B., & Sorell, G. T. (1989) · Journal of Marriage and the Family · doi:10.2307/352167 · Cited by 100
Behavioral Comparisons of Young Sexually Abused, Neglected, and Nonreferred Children
(1988) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp1701_7 · Cited by 100
Emotional and Behavioral Difficulties in Sexually Abused Girls
Mannarino, A. P., Cohen, J. A., & Gregor, M. (1989) · Journal of Interpersonal Violence · doi:10.1177/088626089004004004 · Cited by 99
Six- and Twelve-Month Follow-up of Sexually Abused Girls
Mannarino, A. P., Cohen, J. A., Smith, J. A., & MOORE-MOTILY, S. (1991) · Journal of Interpersonal Violence · doi:10.1177/088626091006004008 · Cited by 93
Response patterns in children and adolescents exploited through sex rings and pornography
Burgess, A. W., Hartman, C. R., McCausland, M. P., & Powers, P. C. (1984) · American Journal of Psychiatry · doi:10.1176/ajp.141.5.656 · Cited by 86
Psychiatric Status of Intrafamilial Child Sexual Abuse Victims
Sirles, E. A., Smith, J. A., & KUSAMA, H. (1989) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198903000-00013 · Cited by 80
Stress Responses of Children to Sexual Abuse and Ritualistic Abuse in Day Care Centers
Kelley, S. J. (1989) · Journal of Interpersonal Violence · doi:10.1177/088626089004004008 · Cited by 75
Behind the playground walls: sexual abuse in preschools
(1993) · Choice Reviews Online · doi:10.5860/choice.31-2381 · Cited by 74
Survival responses to incest: Adolescents in crisis
Lindberg, F. H., & Distad, L. J. (1985) · Child Abuse & Neglect · doi:10.1016/0145-2134(85)90061-4 · Cited by 72
Course of psychological symptoms in sexually abused young children.
Friedrich, W. N., & Reams, R. (1987) · Psychotherapy · doi:10.1037/h0085700 · Cited by 58
Zivney, O. A., Nash, M. R., & Hulsey, T. L. (1988) · Psychotherapy · doi:10.1037/h0085328 · Cited by 55
BAX, M. C. O., & Keith, R. M. (1967) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1967.tb02201.x · Cited by 51
Sex in pedophiliac relationships: An empirical investigation among a nonrepresentative group of boys
Sandfort, T. G. M. (1984) · The Journal of Sex Research · doi:10.1080/00224498409551213 · Cited by 51
Multimethod Assessment of Depression in Sexually Abused Girls
Shapiro, J. P., Leifer, M., Martone, M. W., & Kassem, L. (1990) · Journal of Personality Assessment · doi:10.1080/00223891.1990.9674063 · Cited by 50
The Impact of Child Sexual Abuse On Victims' Adjustment
Caffaro-Rouget, A., Lang, R. A., & van Santen, V. (1989) · Sexual Abuse · doi:10.1177/107906328900200102 · Cited by 50
Initial Reactions of Sexually Abused Children
Elwell, M. E., & Ephross, P. H. (1987) · Social Casework · doi:10.1177/104438948706800207 · Cited by 44
Lipovsky, J. A., Saunders, B. E., & Murphy, S. M. (1989) · Journal of Interpersonal Violence · doi:10.1177/088626089004004005 · Cited by 38
Trauma and Its Wake, vol. II: Traumatic Stress Theory, Research, and Intervention
Ramirez, L. F. (1988) · American Journal of Psychiatry · doi:10.1176/ajp.145.4.527-a · Cited by 37
Self-concept of adolescent sexual abuse victims
Orr, D. P., & Downes, M. C. (1985) · Journal of Youth and Adolescence · doi:10.1007/bf02138835 · Cited by 30
Traumatic stress theory, research, and intervention
Figley, C. R. (1986) · Brunner/Mazel eBooks · Cited by 29
Perpetrator status and the personality characteristics of molested children
Basta, S. M., & Peterson, R. F. (1990) · Child Abuse & Neglect · doi:10.1016/0145-2134(90)90103-z · Cited by 22
Bagley, C., & Young, L. (1990) · Cited by 20
Characteristics of Abuse That Influence When Adults Molested as Children Seek Treatment
Kendall-Tackett, K. A. (1991) · Journal of Interpersonal Violence · doi:10.1177/088626091006004007 · Cited by 16
Self-citationNewberger, C. M. (1990) · Cited by 2
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Kahneman, D. J., Diener, E. F., & Schwarz, N. (1999) · Cited by 7,472
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Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C., Perry, B. D., Dube, S. R., & Giles, W. H. (2006) · European archives of psychiatry and clinical neuroscience · doi:10.1007/s00406-005-0624-4 · Cited by 4,292
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Metadata
- Authors
- Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D.
- Affiliations
- University of New Hampshire (US)
- Venue
- Psychological Bulletin
- Published
- 1993
- Volume
- 113
- Issue
- 1
- Pages
- 164-180
- ISSN
- 0033-2909 (ISSN-L)
- 1939-1455
- OpenAlex
- W2116300722
- Cited by
- 2,537
- References
- 71
- Citations by year
- 2026: 36 · 2025: 17 · 2024: 23 · 2023: 40 · 2022: 42 · 2021: 62 · 2020: 63 · 2019: 51 · 2018: 61 · 2017: 60 · 2016: 94 · 2015: 98 · 2014: 105 · 2013: 102 · 2012: 96
- FWCI
- 72.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Bulletin (publishedVersion)
- PubMed (publishedVersion)
- University of New Hampshire Scholars Repository (University of New Hampshire at Manchester) (submittedVersion)
- Funders
- National Institutes of Health (5t32mh015161-30)
- National Institute of Mental Health (T32 MH15161, MH 15161)
- National Cancer Institute (90-CA-1406)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Keywords
- child sexual abuse, post-traumatic stress disorder, fear, behavioral problems, sexualized behavior, self-esteem, symptomatology, age differences, perpetrator relationship, maternal support, abuse severity, recovery
- MeSH terms
- Child, Child Abuse, Sexual, Child Behavior, Psychology, Child, Child, Preschool, Depressive Disorder, Female, Humans, Male, Sexual Behavior, Stress Disorders, Post-Traumatic
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