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A Meta-Analysis of the Published Research on the Effects of Child Sexual Abuse
Abstract
A meta-analysis of the published research on the effects of child sexual abuse (CSA) was undertaken for 6 outcomes: posttraumatic stress disorder (PTSD), depression, suicide, sexual promiscuity, victim-perpetrator cycle, and poor academic performance. Thirty-seven studies published between 1981 and 1995 involving 25,367 people were included. Many of the studies were published in 1994 (24; 65%), and most were done in the United States (22; 59%). All six dependent variables were coded, and effect sizes (d) were computed for each outcome. Average unweighted and weighted ds for each of the respective outcome variables were .50 and .40 for PTSD, .63 and .44 for depression, .64 and .44 for suicide, .59 and .29 for sexual promiscuity, .41 and .16 for victim-perpetrator cycle, and .24 and .19 for academic performance. A file drawer analysis indicated that 277 studies with null ds would be required to negate the present findings. The analyses provide clear evidence confirming the link between CSA and subsequent negative short- and long-term effects on development. There were no statistically significant differences on ds when various potentially mediating variables such as gender, socioeconomic status, type of abuse, age when abused, relationship to perpetrator, and number of abuse incidents were assessed. The results of the present meta-analysis support the multifaceted model of traumatization rather than a specific sexual abuse syndrome of CSA.
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“Similarly, a meta-analysis of psychopathology related to child sexual abuse did not find differences based on victim-offender relationship (Paolucci & Genuis, 2001)”
From Sexual assault victimization and psychopathology: A review and meta-analysis (2017) · cites this paper as Paolucci & Genuis, 2001
In the citing paper
“and a second also did not identify gender differences in the association between child sexual abuse and psychopathology (Paolucci & Genuis, 2001).”
From Sexual assault victimization and psychopathology: A review and meta-analysis (2017) · cites this paper as Paolucci & Genuis, 2001
In the citing paper
“and those that assessed multiple domains of psychopathology did not conduct statistical comparisons across domains (e.g., Chen et al., 2010; Golding, 1999; Paolucci & Genuis, 2001).”
From Sexual assault victimization and psychopathology: A review and meta-analysis (2017) · cites this paper as Paolucci & Genuis, 2001
In the citing paper
“a meta-analysis failed to find differences in psychopathology between penetrative and nonpenetrative child sexual abuse (Paolucci & Genuis, 2001)”
From Sexual assault victimization and psychopathology: A review and meta-analysis (2017) · cites this paper as Paolucci & Genuis, 2001
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 Paolucci et al., 2001
In the citing paper
“Sexually abused children tend to present more clinical symptomatology than those who have not been through this experience (Paolucci, Genuis, & Violato, 2001).”
From Psychological and Behavioral Indicators in the Forensic Assessment of Child Sexual Abuse (2018) · cites this paper as Paolucci, Genuis, & Violato, 2001
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BackgroundGender Differences in the Symptoms of Major Depressive Disorder
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(2013) · The MIT Press eBooks · doi:10.7551/mitpress/9780262019200.001.0001 · Cited by 124
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“This is a widely reported within the literature on PTSD and CSA, but is almost completely based on cross-sectional self-report studies (Hetzel and McCanne, 2005; Paolucci et al., 2001).”
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“The impact of child sexual abuse on victims’ health has been extensively investigated in previous research [13], while there is more limited research on health effects of child sexual abuse on sexual-minorities [9].”
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“Both childhood sexual abuse and family violence/conflict were uniquely associated with an increase in mental health symptoms of depressed mood and anger, similar to previous work (Edwards et al., 2003; Molnar et al., 2001; Neumann et al., 1996; Paolucci et al., 2001; Pérez-Fuentes et al., 2013).”
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“…psychopathology (Maniglio, 2009; Putnam, 2003) and over one third of sexually abused children manifest clinically significant internalizing difficulties and 46-47% develop externalizing difficulties (Beaudoin, Hébert et al., 2013; Mathews et al., 2013; McCrae et al., 2006; Paolucci et al., 2001).”
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“There is also an overrepresentation of mental illness among CSA victims (see reviews by Andrews et al., 2004; Beitchman et al., 1992; Browne & Finkelhor, 1986; Fergusson & Mullen, 1999; Finkelhor, 1990; Gilbert et al., 2009; Paolucci et al., 2001; Putnam, 2003).”
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“A meta-analysis examining the impact of child sexual abuse on mental health outcomes (posttraumatic stress disorder, depression, suicide) concluded that men and women were similarly affected by abuse.(41) Finally, national probability studies demonstrate that males who have been sexually abused were at greatly increas…”
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“There are also indications that trauma exposure is related to reduced levels of overall quality of life in children (Alisic et al. 2008), including drops in school performance (e.g., Paolucci et al. 2001) and physical well-being (e.g., Graham-Bermann and Seng 2005).”
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“, 1991), and even suicide and premature death (Basile & Smith, 2011; Black, 2011; Brown et al., 2009; Paolucci et al., 2001).”
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“Over the past few decades, a robust link has been drawn between adversities, which occurred during childhood and subsequent mental health issues in adulthood (Bethlehem et al., 2013; Ebstein et al., 2012; Meyer-Lindenberg & Tost, 2012; Paolucci et al., 2001).”
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(2020) · Trends in Psychiatry and Psychotherapy · doi:10.47626/2237-6089 · Cited by 70
Child peer sexual abuse: Preliminary data on outcomes and disclosure experiences
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“In other words, the negative consequences of childhood sexual victimization manifest similarly in both men and women (Paolucci et al., 2001; Romano & De Luca, 2001; Stevenson, 1999; Tyler, 2002).”
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Prevalence of child sexual abuse among adults and youths with bipolar disorder: A systematic review
Maniglio, R. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2013.03.002 · Cited by 67
McKibbin, G., Humphreys, C., & Hamilton, B. E. (2017) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2017.06.017 · Cited by 80
Khosravani, V., Kamali, Z., Ardakani, R. J., & Ardestani, S. M. S. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.05.032 · Cited by 67
de Vries, I., & Goggin, K. (2018) · Trauma Violence & Abuse · doi:10.1177/1524838018801332 · Cited by 77
Sachs‐Ericsson, N., Gayman, M. D., Kendall-Tackett, K. A., Lloyd, D. A., Medley, A. N., Collins, N., Corsentino, E. A., & Sawyer, K. (2010) · Aging & Mental Health · doi:10.1080/13607860903191382 · Cited by 68
Consecuencias del abuso sexual infantil: una revisión de las variables intervinientes
Cantón-Cortés, D., & Arboleda, M. R. C. (2015) · Anales de Psicología · doi:10.6018/analesps.31.2.180771 · Cited by 67
Gender Differences in the Context and Consequences of Child Sexual Abuse
Cashmore, J., & Shackel, R. (2014) · Current Issues in Criminal Justice · doi:10.1080/10345329.2014.12036008 · Cited by 74
Blain, L. M., Muench, F. J., Morgenstern, J., & Parsons, J. T. (2012) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2012.03.003 · Cited by 68
Fiorillo, D., McLean, C., Pistorello, J., Hayes, S. C., & Follette, V. M. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2016.11.003 · Cited by 61
Overstreet, S., & Mathews, T. L. (2011) · Psychology in the Schools · doi:10.1002/pits.20584 · Cited by 64
Sousa, A. D., Shrivastava, A., Karia, S., & Sonavane, S. (2017) · Industrial Psychiatry Journal · doi:10.4103/ipj.ipj_38_15 · Cited by 79
“[4] At any given time, 20%–40% of psychiatric patients carry with them a history and burden of CSA.[5] The pathway of genesis of a psychiatric disorder in response to CSA is complex and determined by a number of intertwining factors such as genetics, epigenetics, neurobiological changes, neurochemical and C sexual abu…”
InfluentialEvaluation of a Sexual Abuse Prevention Workshop for Parents of Young Children
Wurtele, S. K., Moreno, T., & Kenny, M. C. (2008) · Journal of Child & Adolescent Trauma · doi:10.1080/19361520802505768 · Cited by 63
Borderline Personality Symptomatology and Sexual Impulsivity
Sansone, R. A., Barnes, J., Muennich, E., & Wiederman, M. W. (2008) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.38.1.e · Cited by 62
“For example, in a meta-analysis of 37 studies involving over 25,000 subjects, Oddone Paolucci and colleagues [3] confirmed that sexual abuse in childhood was associated with promiscuity in adulthood.”
BackgroundA Typological Analysis of Behavioral Profiles of Sexually Abused Children
Hébert, M., Parent, N., Daignault, I. V., & Tourigny, M. (2006) · Child Maltreatment · doi:10.1177/1077559506287866 · Cited by 60
“…to date suggest that sexually abused children are likely to present significant anxiety, depression, somatic complaints, social withdrawal, anger, and aggressive behaviors compared to nonabused children (Briere & Elliot, 2001; Cahill, Kaminer, & Johnson, 1999; Paolucci & Genuis, 2001; Wolfe, 1999).”
BackgroundRucker, J., Newman, S., Gray, J., Gunasinghe, C., Broadbent, M. T. M., Brittain, P. J., Baggaley, M., Denis, M., Turp, J., Stewart, R. J., et al. (2011) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.110.082925 · Cited by 66
Profiles of adult survivors of severe sexual, physical and emotional institutional abuse in Ireland
Fitzpatrick, M., Carr, A., Dooley, B. A., Flanagan‐Howard, R., Flanagan, E., Tierney, K. J., White, M. D., Daly, M., Shevlin, M. E., & Egan, J. (2009) · Child Abuse Review · doi:10.1002/car.1083 · Cited by 61
Prevalence and Correlates of Childhood Sexual Abuse in Adults Consulting for Sexual Problems
Berthelot, N., Godbout, N., Hébert, M., Goulet, M., & Bergeron, S. (2013) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2013.772548 · Cited by 60
An epidemiologic study of childhood sexual abuse and adult sleep disturbances.
Lind, M. J., Aggen, S. H., Kendler, K. S., York, T. P., & Amstadter, A. B. (2015) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000080 · Cited by 61
Prevention of Child Sexual Abuse: Evaluation of a Community Media Campaign
Rheingold, A. A., Campbell, C., Self-Brown, S., de Arellano, M., Resnick, H., & Kilpatrick, D. (2007) · Child Maltreatment · doi:10.1177/1077559507305994 · Cited by 60
Psychological Consequences of Early Global Deprivation
Kumsta, R., Kreppner, J., Kennedy, M., Knights, N., Rutter, M. L., & Sonuga-Barke, E. J. S. (2015) · European Psychologist · doi:10.1027/1016-9040/a000227 · Cited by 66
The Relationship between Childhood Maltreatment and Risky Sexual Behaviors: A Meta-Analysis
Wang, Z.-Y., Hu, M., Yu, T., & Yang, J. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16193666 · Cited by 59
A Meta-Analysis of Parent-Involved Treatment for Child Sexual Abuse
Corcoran, J., & Pillai, V. K. (2008) · Research on Social Work Practice · doi:10.1177/1049731507313980 · Cited by 59
Alix, S., Cossette, L., Hébert, M., Cyr, M., & Frappier, J. (2017) · Journal of Child Sexual Abuse · doi:10.1080/10538712.2017.1280577 · Cited by 59
Leahy, T., Pretty, G. M. H., & Tenenbaum, G. (2004) · Journal of Interpersonal Violence · doi:10.1177/0886260504262963 · Cited by 60
“However, some recent reviews and individual studies have not found a relationship between the perpetrator relationship to the victim and higher levels of traumatization (e.g., Johnson et al., 2001; Paolucci et al., 2001).”
BackgroundResult
Metadata
- Authors
- Paolucci, E. O., Genuis, M. L., & Violato, C.
- Affiliations
- University of Calgary (CA)
- Venue
- The Journal of Psychology
- Publisher
- Informa UK Limited
- Published
- 2001-01
- Volume
- 135
- Issue
- 1
- Pages
- 17-36
- ISSN
- 0022-3980 (ISSN-L)
- 1940-1019
- OpenAlex
- W2017439967
- Cited by
- 1,144
- References
- 63
- Citations by year
- 2026: 18 · 2025: 27 · 2024: 34 · 2023: 43 · 2022: 30 · 2021: 56 · 2020: 62 · 2019: 59 · 2018: 79 · 2017: 66 · 2016: 61 · 2015: 64 · 2014: 63 · 2013: 72 · 2012: 59
- FWCI
- 3.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Psychology (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 › Gender Studies › Sexual Assault and Victimization Studies
- Keywords
- child sexual abuse, post-traumatic stress disorder, depression, suicide, promiscuity, academic performance, long-term effects of abuse, mediators
- MeSH terms
- Child, Child Abuse, Sexual, Child, Preschool, Female, Humans, Male, Stress Disorders, Post-Traumatic, Suicide
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