Cited by 266Child Abuse and TraumaPsychopathy, Forensic Psychiatry, Sexual OffendingChild and Adolescent Psychosocial and Emotional Development

Child sexual behavior inventory: Normative, psychiatric, and sexual abuse comparisons

Friedrich, William N., Fisher, Jennifer L., Dittner, Carrie Anne, Acton, Robert, Berliner, Lucy, Butler, Judy, Damon, Linda, Davies, W. Hobart +2 more·2001·Child Maltreatment

Abstract

A normative sample of 1,114 children was contrasted with a sample of 620 sexually abused children and 577 psychiatric outpatients on the Child Sexual Behavior Inventory (CSBI), a 38-item behavior checklist assessing sexual behavior in children 2 to 12 years old. The CSBI total score and each individual item differed significantly between the three groups after controlling for age, sex, maternal education, and family income. Sexually abused children exhibited a greater frequency of sexual behaviors than either the normative or psychiatric outpatient samples. Test-retest reliability and interitem correlation were satisfactory. Sexual behavior problems were related to other generic behavior problems. This contributed to the reduced discrimination between psychiatric outpatients and sexually abused children when compared to the normative/sexually abused discrimination.

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Crossref · 10.1177/1077559501006001004

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  • Studies suggest that the highest scores in sexualized behaviors appear in younger children.

    “studies suggest that the highest scores in this variable appear in younger children (Friedrich et al., 2001;Peixoto, 2012).”
  • Sexualized behaviors inappropriate for the level of development are supposed to be typical manifestations of sexual abuse in children.

    “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).”
  • Sexualized behaviors can also be found in other cases where the child was not sexually abused, such as when exposed to stressful life events or presenting psychiatric diagnoses.

    “sexualized behaviors can also be found in other cases where the child was not sexually abused, such as when exposed to stressful life events or presenting psychiatric diagnoses (Friedrich et al., 2001;Friedrich et al., 1992).”
  • The CSBI is sensitive to measuring the effects of sexual abuse.

    “According to a CSBI standardization study, the instrument is sensitive to measuring the effects of sexual abuse”
  • The heterogeneity of sexualized behaviors can be justified by particularities intrinsic to the dynamics of sexual abuse and/or additional circumstances.

    “this heterogeneity can be justifi ed by the particularities intrinsic to the dynamics of sexual abuse and/or additional circumstances (Friedrich et al., 2001).”

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References 26 · Cited by 266

Authors
Friedrich, W. N., Fisher, J. L., Dittner, C. A., Acton, R., Berliner, L., Butler, J., Damon, L., Davies, W. H., Gray, A., & Wright, J.
Affiliations
  • Mayo Clinic (US)
  • Alberta Children's Hospital (CA)
  • Harborview Medical Center (US)
  • Emmanuel Hospital
  • San Fernando Valley Child Guidance Clinic
  • Children's Hospital of Wisconsin (US)
  • STEP Program
  • Université de Montréal (CA)
Venue
Child Maltreatment
Published
2001-02
Volume
6
Issue
1
Pages
37-49
ISSN
  • 1077-5595 (ISSN-L)
  • 1552-6119
OpenAlex
W2054548334
Cited by
266
References
26
Citations by year
2026: 5 · 2025: 7 · 2024: 3 · 2023: 8 · 2022: 8 · 2021: 6 · 2020: 10 · 2019: 9 · 2018: 15 · 2017: 12 · 2016: 13 · 2015: 18 · 2014: 17 · 2013: 18 · 2012: 22
FWCI
6.21
Type
journal article
Language
en
Open access
closed
Locations
  • Child Maltreatment (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
child sexual behavior, child sexual abuse, sexually abused children, psychiatric outpatients, reference values, behavior checklist, test-retest reliability
MeSH terms
Age Factors, Analysis of Variance, Child, Child Abuse, Sexual, Child Behavior, Child, Preschool, Educational Status, Female, Humans, Male, Mothers, Psychometrics, Surveys and Questionnaires, Regression Analysis, Sensitivity and Specificity, Sexual Behavior, Sex Factors, Socioeconomic Factors, Discriminant Analysis, Case-Control Studies

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