Predictors of Clinical Outcomes in Sexually Abused Adolescents
Abstract
This cross-sectional, case control study examines the association between child sexual abuse and interpersonal and intrapersonal outcomes among 54 adolescents, examining specific clinical measures (depression, anxiety, dissociation, and posttraumatic stress disorder, attachment patterns, self-esteem, self-disclosure, and family environment characteristics). The research results point to a correlation between sexual abuse and higher levels of the clinical measures. In addition, a correlation was found between sexual abuse and level of avoidant attachment, self-esteem, and family environment characteristics. Stepwise hierarchical regressions were conducted to examine how adolescent attributes predicted depression, anxiety, and dissociation beyond the prediction based on sexual abuse. A combination of self-esteem, anxiety attachment, and family cohesiveness made sexual abuse insignificant when predicting levels of depression, anxiety, and dissociation. This study contributes to characterizing the emotional, personal, and family attributes of adolescents who experienced sexual abuse. It also raises questions about the clinical outcomes usually associated with sexual abuse.
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Child maltreatment impacts interpersonal functioning and is related to insecure attachment in children, adolescents, and adults.
“Furthermore, child maltreatment impacts interpersonal functioning and is related to insecure attachment in children [6], adolescents [7], and adults [8].”
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- Authors
- Tocker, L., Ben-Amitay, G., Horesh-Reinman, N., Lask, M., & Toren, P.
- Affiliations
- Bar-Ilan University (IL)
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Department of Clinical Psychology, Bar Ilan University, Ramat Gan, Israel
- Tel Aviv University (IL)
- Corresponding author
- Tocker, Lotem
- Venue
- Journal of Child Sexual Abuse
- Publisher
- Informa UK Limited
- Published
- 2017-05-19
- Volume
- 26
- Issue
- 4
- Pages
- 487-505
- ISSN
- 1053-8712 (ISSN-L)
- 1547-0679
- OpenAlex
- W2619796697
- Cited by
- 7
- References
- 56
- Citations by year
- 2026: 1 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2018: 1
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Sexual Abuse (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Keywords
- child sexual abuse, adolescents, depression, anxiety, dissociation, post-traumatic stress disorder, attachment patterns, attachment avoidance, self-esteem, self-disclosure, family cohesion, family environment, clinical outcome predictors
- MeSH terms
- Adolescent, Anxiety, Child Abuse, Sexual, Cross-Sectional Studies, Depression, Family, Female, Humans, Interpersonal Relations, Male, Object Attachment, Self Concept, Stress Disorders, Post-Traumatic, Case-Control Studies
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