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dc.contributor.authorDavid M Fergusson
dc.contributor.authorMcLeod, Geraldine F.H.
dc.contributor.authorHorwood, L. John
dc.date.available2020-09-11T00:33:32Z
dc.date.copyright2013
dc.identifier0145-2134
dc.identifier.citationFergusson, D. M., McLeod, G. F. H., & Horwood, L. J. (2013). Childhood sexual abuse and adult developmental outcomes: Findings from a 30-year longitudinal study in New Zealand. Child Abuse & Neglect, 37(9), 664-674. doi: 10.1016/j.chiabu.2013.03.013
dc.identifier.urihttp://hdl.handle.net/10523/10337
dc.description.abstractObjectives: Childhood sexual abuse (CSA) has been associated with many adverse medical, psychological, behavioral and socioeconomic outcomes in adulthood. This study aims to examine the linkages between CSA and a wide range of developmental outcomes over a protracted time period to age 30. Methods: Data from over 900 members of the New Zealand birth cohort the Christchurch Health and Development Study were examined. CSA prior to age 16 was assessed at ages 18 and 21 years, in addition to: mental health, psychological wellbeing, sexual risk-taking behaviors, physical health and socioeconomic outcomes to age 30. Results: After statistical adjustment for confounding by 10 covariates spanning socio-demographic, family functioning and child factors, extent of exposure to CSA was associated with increased rates of (B, SE, p): major depression (0.426, 0.094, <.001); anxiety disorder (0.364, 0.089, <.001); suicidal ideation (0.395, 0.089, <.001); suicide attempt (1.863, 0.403, <.001); alcohol dependence (0.374, 0.118, <.002); and illicit drug dependence (0.425, 0.113, <.001). In addition, at age 30 CSA was associated with higher rates of PTSD symptoms (0.120, 0.051, .017); decreased self-esteem (-0.371, 0.181, .041); and decreased life satisfaction (-0.510, 0.189, .007). Childhood sexual abuse was also associated with decreased age of onset of sexual activity (-0.381, 0.091, <.001), increased number of sexual partners (0.175, 0.035, <.001); increased medical contacts for physical health problems (0.105, 0.023, <.001); and welfare dependence (0.310, 0.099, .002). Effect sizes (Cohen's d) for the significant outcomes from all domains ranged from .14 to .53, while the attributable risks for the mental health outcomes ranged from 5.7% to 16.6%. Conclusions: CSA is a traumatic childhood life event in which the negative consequences increase with increasing severity of abuse. CSA adversely influences a number of adult developmental outcomes that span: mental disorders, psychological wellbeing, sexual risk-taking, physical health and socioeconomic wellbeing. While the individual effect sizes for CSA typically range from small to moderate, it is clear that accumulative adverse effects on adult developmental outcomes are substantial.
dc.format.mimetypeapplication/pdf
dc.language.isoen
dc.publisherElsevier BV
dc.relation.ispartofChild Abuse & Neglect
dc.relation.urihttp://dx.doi.org/10.1016/j.chiabu.2013.03.013
dc.rightsCC BY-NC-ND 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectFamily Studies
dc.subjectPsychology
dc.subjectSocial Work
dc.titleChildhood sexual abuse and adult developmental outcomes: Findings from a 30-year longitudinal study in New Zealand
dc.typeJournal Article
otago.schoolUniversity of Otago, Christchurch School of Medicine and Health Sciences
otago.relation.issue9
otago.relation.volume37
dc.identifier.doi10.1016/j.chiabu.2013.03.013
otago.bitstream.endpage674
otago.bitstream.startpage664
otago.openaccessOpenen_NZ
dc.rights.statementThis version in OUR Archive is the author's manuscript accepted for publication after peer-review. The published version is: Fergusson, D. M., McLeod, G. F. H., & Horwood, L. J. (2013). Childhood sexual abuse and adult developmental outcomes: Findings from a 30-year longitudinal study in New Zealand. Child Abuse & Neglect, 37(9), 664-674. doi: 10.1016/j.chiabu.2013.03.013 This OUR Archive version is licensed Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International https://creativecommons.org/licenses/by-nc-nd/4.0/
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