Linking Childhood Sexual Abuse and Early Adolescent Risk Behavior: The Intervening Role of Internalizing and Externalizing Problems

Jones, Deborah J.; Lewis, Terri; Litrownik, Alan J.; Thompson, Richard; Proctor, Laura J.; Isbell, Patricia; Dubowitz, Howard; English, Diana J.; Jones, Bobby; Nagin, Daniel S.; Runyan, Desmond K.

doi:10.1007/s10802-012-9656-1

Cited by 88 publications

(57 citation statements)

References 83 publications

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“…The association between trauma type and RSB depends on gender in that sexual trauma was associated with RSB for females but physical trauma was associated with RSB for males. These results were consistent with Jones et al (2013). The moderating effect of gender on the relationship between trauma type and RSB shows that males and females have different psychological responses to different trauma experiences.…”

Section: Variablesupporting

confidence: 84%

“…Physical abuse by a romantic partner also predicted the use of alcoholand substances priortoengagementin sexualactivity.Their study, however, did not clearly define sexual abuse. Jones et al (2013) found that physical abuse was positively associated with RSB among boys and CSA was positively associated with RSB amonggirls,suggestingthatthetypeoftraumaassociatedwithRSB depends on the sex of the individual. They also found that these relationshipswerenotmediatedbydepression.Intotal,thesestudies suggest that other traumatic experiences in addition to childhood sexual abuse may predict RSB.…”

Section: Introductionmentioning

confidence: 93%

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A Comparison of Two Models of Risky Sexual Behavior During Late Adolescence

Braje¹,

Eddy

Hall

2015

Arch Sex Behav

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Two models of risky sexual behavior (RSB) were compared in a community sample of late adolescents (N = 223). For the traumagenic model, early negative sexual experiences were posited to lead to an association between negative affect with sexual relationships. For the cognitive escape model, depressive affect was posited to lead to engagement in RSB as a way to avoid negative emotions. The current study examined whether depression explained the relationship between sexual trauma and RSB, supporting the cognitive escape model, or whether it was sexual trauma that led specifically to RSB, supporting the traumagenic model. Physical trauma experiences were also examined to disentangle the effects of sexual trauma compared to other emotionally distressing events. The study examined whether the results would be moderated by participant sex. For males, support was found for the cognitive escape model but not the traumagenic model. Among males, physical trauma and depression predicted engagement in RSB but sexual trauma did not. For females, support was found for the traumagenic and cognitive escape model. Among females, depression and sexual trauma both uniquely predicted RSB. There was an additional suppressor effect of socioeconomic status in predicting RSB among females. Results suggest that the association of trauma type with RSB depends on participant sex. Implications of the current study for RSB prevention efforts are discussed.

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Section: Variablesupporting

confidence: 84%

Section: Introductionmentioning

confidence: 93%

A Comparison of Two Models of Risky Sexual Behavior During Late Adolescence

Braje¹,

Eddy

Hall

2015

Arch Sex Behav

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“…This is particularly important because distress and externalizing problems have been associated with risk-taking behaviors among youth. [64][65][66] Although mean externalizing scores did not differ by family history group, a higher percentage of 10-to 13-year-old BCFH+ girls met clinical cutoffs. It will be important to understand the mediators of psychosocial adjustment and the impact on health and risk behaviors over time.…”

Section: Discussionmentioning

confidence: 84%

Psychosocial Adjustment in School-age Girls With a Family History of Breast Cancer

2015

PEDIATRICS

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OBJECTIVE-Understanding how young girls respond to growing up with breast cancer family histories is critical given expansion of genetic testing and breast cancer messaging. We examined the impact of breast cancer family history on psychosocial adjustment and health behaviors among >800 girls in the multicenter LEGACY Girls Study.METHODS-Girls aged 6 to 13 years with a family history of breast cancer or familial BRCA1/2 mutation (BCFH+), peers without a family history (BCFH−), and their biological mothers completed assessments of psychosocial adjustment (maternal report for 6-to 13-year-olds, selfreport for 10-to 13-year-olds), breast cancer-specific distress, perceived risk of breast cancer, and health behaviors (10-to 13-year-olds).RESULTS-BCFH+ girls had better general psychosocial adjustment than BCFH− peers by maternal report. Psychosocial adjustment and health behaviors did not differ significantly by selfreport among 10-to 13-year-old girls. BCFH+ girls reported higher breast cancer-specific distress (P = .001) and were more likely to report themselves at increased breast cancer risk than BCFH− peers (38.4% vs 13.7%, P < .001), although many girls were unsure of their risk. In multivariable analyses, higher daughter anxiety was associated with higher maternal anxiety and poorer family communication. Higher daughter breast cancer-specific distress was associated with higher maternal breast cancer-specific distress.CONCLUSIONS-Although growing up in a family at risk for breast cancer does not negatively affect general psychosocial adjustment among preadolescent girls, those from breast cancer risk families experience greater breast cancer-specific distress. Interventions to address daughter and mother breast cancer concerns and responses to genetic or familial risk might improve psychosocial outcomes of teen daughters.Although studies have reported psychosocial adjustment in children of parents with cancer, few studies have evaluated outcomes in youth from families at familial or genetic risk for breast cancer. Understanding the impact of growing up in a family at risk for breast cancer is The LEGACY Girls Study is the first to focus on preadolescent girls growing up in families with breast cancer risk, including girls whose mothers have not had breast cancer. 39 This study addresses limitations of previous studies by being theoretically informed and including sociodemographically diverse girls, an unrelated comparison group, and both parent and child report. We applied a novel conceptual model 40 grounded in the Self-Regulation Theory of Health Behavior 41 and developmental theory. 34,37 Our model posits that response to a health threat, including psychosocial adjustment and the performance of health and risk behaviors, is a product of one's perceptions of the threat. [40][41][42] This model is ideal for the study of youths' maturation because it emphasizes "commonsense" representations, encompasses sociocultural factors, and is iterative and dynamic, providing a unique opportunity to examine chang...

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“…Most research in the United States has relied on adults' memories of childhood sexual victimization (Goodman et al, 2010;Lindblom & Gray, 2010). Extensive literature has investigated CSA and problematic behaviors in adults (e.g., substance abuse and high risk sexual behaviors), yet substantially less research has focused on children and adolescents (Jones et al, 2013). However, there are a few studies in the U.S. that have used child victims themselves as the primary sources of information about CSA.…”

Section: Introductionmentioning

confidence: 99%