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Features of childhood sexual abuse and the development of psychiatric and substance use disorders
Open accessAbstract
Background: Childhood sexual abuse (CSA) is associated with an increased risk of subsequent psychiatric disorders. Aims: To explore the risk associated with features of CSA and examine whether specific associations exist between particular profiles of CSA and the development of specific syndromes. Method: In a population-based sample of adult female twins, we used logistic regression to explore the association between features of CSA (reported by the twin and her co-twin) and lifetime major depression, generalised anxiety disorder, bulimia nervosa, panic disorder and alcohol and drug dependence. Results: In univariate and stepwise multiple regressions, patterns of predictors differed, although not significantly, across diagnoses. Greater risk was associated with attempted or completed intercourse, the use of force or threats, abuse by a relative, and a negative response by someone who was told about the abuse. Similar patterns were observed with co-twin reports. Conclusions: Specific features of CSA differentially increase risk of later psychopathology; however, there do not appear to be unique predictive relationships between features of CSA and the emergence of specific psychiatric disorders.
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“The severity of CSA seems to matter, as demonstrated by a population-based sample of twin females in which characteristics including attempted or completed intercourse, perpetration by a family member, the use or threat of force, and disbelief or lack of support at the time of disclosure were associated with greater risk for deleterious psychiatric outcomes compared with less severe forms of CSA (”
From Child Sexual Abuse as a Unique Risk Factor for the Development of Psychopathology: The Compounded Convergence of Mechanisms (2021) · cites this paper as Bulik et al. 2001
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Metadata
- Authors
- Bulik, C. M., Prescott, C. A., & Kendler, K. S.
- Affiliations
- Virginia Commonwealth University (US)
- Corresponding author
- Bulik, Cynthia M.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2001-11
- Volume
- 179
- Issue
- 5
- Pages
- 444-449
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2006216826
- Cited by
- 274
- References
- 25
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 3 · 2023: 6 · 2022: 4 · 2021: 12 · 2020: 28 · 2019: 7 · 2018: 3 · 2017: 7 · 2016: 4 · 2015: 15 · 2014: 12 · 2013: 19 · 2012: 12
- FWCI
- 16.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute on Alcohol Abuse and Alcoholism (R01AA009095, AA-09095)
- National Institute of Mental Health (MH 01553, R01MH040828, MH 40828)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
- Keywords
- child sexual abuse, major depressive disorder, generalized anxiety disorder, bulimia nervosa, panic disorder, alcoholism, drug addiction, abuse reporting, mental illness, substance use disorders, female twins
- MeSH terms
- Adolescent, Adult, Mental Disorders, Child, Child Abuse, Sexual, Child, Preschool, Female, Humans, Regression Analysis, Risk Factors, Logistic Models, Substance-Related Disorders
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