Typologies of child sexual abuse: An analysis of multiple abuse acts among a large sample of Danish treatment-seeking survivors of childhood sexual abuse.

Shevlin, Mark; Murphy, Siobhán; Elklit, Ask; Murphy, Jamie; Hyland, Philip

doi:10.1037/tra0000268

Cited by 16 publications

(17 citation statements)

References 34 publications

(43 reference statements)

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“…Vague questions may not elicit the true level of abuse. For instance, acts of child sexual abuse include exposure to pornography and sexual acts, molestation, and penetrative acts, but exposure to pornography or sexual acts was not investigated. This likely lead to under‐reporting of exposure to child sexual abuse.…”

Section: Discussionmentioning

confidence: 99%

Child abuse victimization among transgender and gender nonconforming people: A systematic review

Tobin

Delaney

2019

Perspect Psychiatr Care

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Purpose Conduct a systematic review of abuse of transgender and gender nonconforming (TGNC) people in childhood. Design and Methods Scopus, PubMed, PsychInfo databases were searched. Articles included in final analysis were those with respondents who reported childhood abuse and were either transgender adults or described gender nonconforming traits in childhood. Of 186 articles originally identified, 14 are included in the final review. Findings Research on TGNC individuals and child abuse varied in how populations were identified and methodology used. Those who are transgender and those who display gender nonconforming traits in childhood are at risk for child abuse and sequelae. Conclusion Research should use the two‐step methodology of identifying transgender people. Recalled Childhood Gender Identity Scale should be used. Providers should screen for child abuse.

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Section: Discussionmentioning

confidence: 99%

Child abuse victimization among transgender and gender nonconforming people: A systematic review

Tobin

Delaney

2019

Perspect Psychiatr Care

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“…Sample 1 : The participants were asked whether they had experienced a total of 19 sexually abusive acts as a child (see Shevlin, Murphy, Elklit, Murphy, & Hyland, 2018 for further details). The reported acts were added into one total score.…”

Section: Methodsmentioning

confidence: 99%

Validation of ICD-11 PTSD and DSO using the International Trauma Questionnaire in five clinical samples recruited in Denmark

Vang

Dokkedahl

Løkkegaard

et al. 2021

European Journal of Psychotraumatology

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Background:The 11 th version of the International Classification of Diseases (ICD-11) revised the diagnosis of Posttraumatic Stress Disorder (PTSD) and introduced Complex PTSD as a sibling disorder to PTSD. As the Danish Health Authorities will implement the ICD-11 in 2022, it is more relevant than ever to introduce a measure that enables the identification of ICD-11 PTSD and CPTSD. Objective: The primary aim of the present study was to test the construct validity of the ICD-11 conceptualization of PTSD and DSO in five clinical samples using translated versions of the International Trauma Questionnaire (ITQ). Method: Data from existing studies of adult survivors of sexual abuse (n = 385), women in shelters (n = 147), psychiatric outpatients endorsing an ICD-10 diagnosis of PTSD (n = 111), a heterogenous sample of psychiatric outpatients (n = 178) and refugees and torture survivors (n = 385) was used for the current study. Confirmatory factor analyses were conducted to test the internal structure of the ITQ, and regression models were conducted to test the convergent and discriminant validity of the factor solutions for each sample. Results: Findings supported the ICD-11 formulation of PTSD and disorders in selforganization (DSO) as a representation of the latent structure of the ITQ across five Danish clinical samples. Uniquely for women in shelters, however, the model displayed an unacceptable fit. A revised operationalization of re-experiencing proved a better fit when 'recurrent nightmares' was exchanged with symptoms of intense emotional reactions to reminders of the trauma for women in shelter as well as ICD-10 PTSD psychiatric outpatients. Conclusion:This study supports the use of a Danish translated version of the ITQ to assess symptoms of ICD-11 PTSD and DSO for the introduction of ICD-11 in 2022. Future research is needed to further explore the operationalization of re-experiencing across different trauma exposed populations. Validación del tept y DSO de la CIE-11 usando el cuestionario internacional de trauma en cinco muestras clínicas reclutadas en DinamarcaAntecedentes: La décimo primera versión de la Clasificación Internacional de Enfermedades (CIE-11) revisó el diagnóstico de Trastorno de Estrés Postraumático (CIE-11) e introdujo el TEPT complejo como un diagnóstico hermano del TEPT. Como las autoridades de salud danesas implementarán la CIE-11 en el 2022, es más relevante que nunca introducir una medición que permita la identificación del TEPT y el TEPT complejo de acuerdo a la CIE-11. Objetivo: El principal objetivo del presente estudio fue probar la validez del constructo diagnóstico de la conceptualización del TEPT y de las Alteraciones en la Auto-Organización (DSO por sus siglas en inglés) en cinco muestras clínicas usando versiones traducidas del Cuestionario Internacional de Trauma (ITQ por sus siglas en inglés). Método: Se usaron para el presente estudio, datos de estudios ya existentes de sobrevivientes adultos de abuso sexual (n = 147), pacientes psiquiátricos ambulatorios con diagnóstico ...

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“…Put another way, distinct profiles of childhood adversity may be uniquely associated with mental and social health outcomes in adulthood. The identification of such profiles could, therefore, be applied to better inform treatment and allow for the tailoring of intervention practices for groups with different needs (Shevlin, Murphy, Elklit, Murphy, & Hyland, 2018).…”

Section: 女性的童年期逆境模式更为复杂: 对成年后心理、社会和情绪结果的影响mentioning

confidence: 99%

Females have more complex patterns of childhood adversity: implications for mental, social, and emotional outcomes in adulthood

Haahr-Pedersen

Perera

Hyland

et al. 2020

European Journal of Psychotraumatology

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103

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Background: Adverse childhood experiences (ACEs) have been identified as an important public health problem with serious implications. Less well understood is how distinct configurations of childhood adversities carry differential risks for mental health, emotional, and social outcomes later in life. Objective: To determine if distinct profiles of childhood adversities exist for males and females and to examine if unique associations exist between the resultant latent profiles of childhood adversities and multiple indicators of mental health and social and emotional wellbeing in adulthood. Method: Participants (N = 1,839) were a nationally representative household sample of adults currently residing in the USA and the data were collected via online self-report questionnaires. Latent class analysis was used to identify the optimal number of classes to explain ACE co-occurrence among males and females, separately. ANOVAs, chi-square tests, and t-tests were used to compare male and female classes across multiple mental health, emotional, and social wellbeing variables in adulthood. Results: Females were significantly more likely than males to report a range of ACEs and mental health, social, and emotional difficulties in adulthood. Two-and four-class models were identified as the best fit for males and females, respectively, indicating more complexity and variation in ACE exposures among females. For males and female, ACEs were strongly associated with poorer mental health, emotional, and social outcomes in adulthood. Among females, growing up in a dysfunctional home environment was a significant risk factor for adverse social outcomes in adulthood. Conclusions: Males and females have distinct patterns of childhood adversities, with females experiencing more complex and varied patterns of childhood adversity. These patterns of ACEs were associated with numerous negative mental, emotional, and social outcomes among both sexes.

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Typologies of child sexual abuse: An analysis of multiple abuse acts among a large sample of Danish treatment-seeking survivors of childhood sexual abuse.

Abstract: The results show that "typologies" of CSA may provide a useful way to describe complex patterns of abuse while also facilitating future investigations of CSA outcome and treatment need. (PsycINFO Database Record

Cited by 16 publications

References 34 publications

Child abuse victimization among transgender and gender nonconforming people: A systematic review

Child abuse victimization among transgender and gender nonconforming people: A systematic review

Validation of ICD-11 PTSD and DSO using the International Trauma Questionnaire in five clinical samples recruited in Denmark

Females have more complex patterns of childhood adversity: implications for mental, social, and emotional outcomes in adulthood

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