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Features of childhood sexual abuse and the development of psychiatric and substance use disorders.

Author information

Affiliations

  • 1. Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, PO Box 980126, Richmond, VA 23298-0126, USA.
      Authors
    • Bulik CM 1
    (1 author)

The British Journal of Psychiatry : the Journal of Mental Science, 01 Nov 2001, 179:444-449
https://doi.org/10.1192/bjp.179.5.444 PMID: 11689403 

Abstract 

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.

Full text links 

Read article at publisher's site: https://doi.org/10.1192/bjp.179.5.444

Read article for free, from open access legal sources, via Unpaywall: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/EC0E8CDA79BE60BA32105FBD222FBF74/S0007125000267834a.pdf/div-class-title-features-of-childhood-sexual-abuse-and-the-development-of-psychiatric-and-substance-use-disorders-div.pdfUnpaywall

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Funding 

Funders who supported this work.

NIAAA NIH HHS (1)

NIMH NIH HHS (2)