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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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Social and Emotional Outcomes of Child Sexual Abuse
Özbaran, B., Erermiş, S., Büküşoğlu, N., Bildik, T., Tamar, M., Ercan, E. S., Aydın, C., & Cetin, S. K. (2008) · Journal of Interpersonal Violence · doi:10.1177/0886260508323663 · Cited by 27
“Other studies also found elevated levels of anxiety in the sexually abused group (Beitchman et al., 1992; Green, 1993; Jumper, 1995; Mullen, Martin, Anderson, Romans, & Herbison, 1993; Paolucci et al., 2001; Swanston et al., 2003; Tebbutt, Swanston, Oates, & O’Toole, 1997; Wilsnack, Vogeltanz, Klassen, & Harris, 1997).”
Cyr, M., McDuff, P., Wright, J. C., Thériault, C., & Cinq-Mars, C. (2005) · Journal of Child Sexual Abuse · doi:10.1300/j070v14n02_03 · Cited by 27
Pathways to Sexual Risk Taking Among Female Adolescent Detainees
López, V., Kopak, A. M., Robillard, A., Gillmore, M. R., Holliday, R. C., & Braithwaite, R. L. (2010) · Journal of Youth and Adolescence · doi:10.1007/s10964-010-9623-5 · Cited by 27
“Although most of this research has specifically examined the link between child sexual abuse and sexual risk taking (e.g., Paolucci et al. 2001), a growing body of research indicates that the combined effects of different types of maltreatment (physical abuse, sexual abuse, and neglect) appear to…”
Hidalgo, M. A., Kuhns, L. M., Kwon, S., Mustanski, B. S., & Garofalo, R. (2015) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2015.05.005 · Cited by 31
Bae, S. M., Kang, J. M., Chang, H. Y., Han, W., & Lee, S. H. (2018) · PLoS ONE · doi:10.1371/journal.pone.0199138 · Cited by 27
Science or Propaganda? An Examination of Rind, Tromovitch and Bauserman (1998)
Dallam, S. J. (2001) · Journal of Child Sexual Abuse · doi:10.1300/j070v09n03_06 · Cited by 26
Child abuse in England and Wales 2003–2013: Newspaper reporting versus reality
Davies, E., O’Leary, E., & Read, J. (2015) · Journalism · doi:10.1177/1464884915610994 · Cited by 26
Predicting disclosure latency in substantiated cases of child sexual abuse
Gewehr, E., Hensel, B., & Volbert, R. (2021) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2021.105346 · Cited by 28
Wright, J. C., Friedrich, W. N., Cinq-Mars, C., Cyr, M., & McDuff, P. (2004) · Violence and Victims · doi:10.1891/088667004780927756 · Cited by 26
Cantón-Cortés, D., Cantón, J., Justicia, F. J., & Cortés, M. R. (2011) · PubMed · Cited by 25
Jessiman, P., Hackett, S., & Carpenter, J. S. W. (2016) · Child & Family Social Work · doi:10.1111/cfs.12322 · Cited by 25
“These include, but are not limited to post traumatic stress (PTSD), depression, suicide, sexual promiscuity, sexual abuse perpetration and poor academic achievement (Paolucci et al. 2001).”
BackgroundMaseroli, E., Scavello, I., Campone, B., Stasi, V. D., Cipriani, S., Felciai, F., Camartini, V., Magini, A., Castellini, G., Ricca, V., et al. (2018) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2018.10.004 · Cited by 32
Patock‐Peckham, J. A., Belton, D. A., D’Ardenne, K., Tein, J., Bauman, D. C., Infurna, F. J., Sanabria, F., Curtis, J., Morgan‐López, A. A., & McClure, S. M. (2020) · Addictive Behaviors Reports · doi:10.1016/j.abrep.2020.100304 · Cited by 32
Mental health needs of urban children
Mennen, F. E., & Trickett, P. K. (2007) · Children and Youth Services Review · doi:10.1016/j.childyouth.2007.05.007 · Cited by 24
Providing Sensitive Care for Adult HIV-Infected Women With a History of Childhood Sexual Abuse
Aaron, E. Z., Criniti, S. M., Bonacquisti, A. N., & Geller, P. A. (2013) · Journal of the Association of Nurses in AIDS Care · doi:10.1016/j.jana.2013.03.004 · Cited by 25
Cromer, L. D., & Freyd, J. J. (2009) · Analyses of Social Issues and Public Policy · doi:10.1111/j.1530-2415.2009.01185.x · Cited by 26
Gökçe, S., Ayaz, A. B., Yusufoğlu, C., & Arman, A. R. (2012) · Marmara medical journal · doi:10.5472/mmj.2012.02518.1 · Cited by 25
Kaye‐Tzadok, A., & Davidson‐Arad, B. (2016) · Violence Against Women · doi:10.1177/1077801216652506 · Cited by 32
“The revealed differences between women survivors of CSA and non-sexually abused women regarding PTS and resilience strengthen what has been already reported in many studies and meta-analyses aimed at investigating the negative sequelae of CSA (e.g., Paolucci et al., 2001).”
ResultProtecting Children through Mandated Child-Abuse Reporting
Dombrowski, S. C., Ahia, C. E., & McQuillan, K. (2003) · The Educational Forum · doi:10.1080/00131720308984549 · Cited by 25
Spinhoven, P., Slee, N., Garnefski, N., & Arensman, E. (2009) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3181a620c8 · Cited by 24
“(J Nerv Ment Dis 2009;197: 455–457) Child sexual abuse often negatively affects short- and long-termemotional and cognitive development (Paolucci et al., 2001).”
Background
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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