Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-08T12:26:37.718Z Has data issue: false hasContentIssue false

Childhood exposure to sexual abuse and partnership outcomes at age 30

Published online by Cambridge University Press:  05 August 2009

M. D. Friesen*
Affiliation:
Canterbury Child Development Research Group, Department of Psychology, University of Canterbury, Christchurch, New Zealand
L. J. Woodward
Affiliation:
Canterbury Child Development Research Group, Department of Psychology, University of Canterbury, Christchurch, New Zealand
L. J. Horwood
Affiliation:
Christchurch Health and Development Study, Department of Psychological Medicine, Christchurch School of Medicine and Health Sciences, University of Otago, Christchurch, New Zealand
D. M. Fergusson
Affiliation:
Christchurch Health and Development Study, Department of Psychological Medicine, Christchurch School of Medicine and Health Sciences, University of Otago, Christchurch, New Zealand
*
*Address for correspondence: Dr M. D. Friesen, Department of Psychology, University of Canterbury, New Zealand, Private bag 4800, Christchurch, New Zealand 8140. (Email: [email protected])

Abstract

Background

In this study, 30-year longitudinal data from the Christchurch Health and Development Study (CHDS) were used to examine the associations between childhood exposure to sexual abuse and intimate relationship outcomes at age 30. In addition, a broad range of early childhood and family confounding factors were tested, and the role of intervening factors from adolescence was explored.

Method

The investigation analyzed data from a birth cohort of over 900 New Zealand adults studied to the age of 30. At ages 18 and 21 cohort members reported on any exposure to sexual abuse prior to age 16. This information, along with prospective data gathered in childhood and adolescence, was used to predict partnership outcomes at age 30.

Results

After adjustment for early childhood and family factors, exposure to more severe forms of childhood sexual abuse (CSA) was associated with earlier and more frequent cohabitation, higher rates of perpetrated interpartner violence (IPV), and early parenthood, lower relationship satisfaction and investment. Several factors from adolescence partially or fully mediated these associations, notably a history of early consensual sexual intercourse, higher number of sexual partnerships, substance abuse problems, and self-esteem. After adjustment for intervening factors, exposure to CSA remained significantly associated with IPV.

Conclusions

The findings support a causal chain process, whereby early childhood and family factors place some individuals at risk for CSA. The extent of CSA exposure is related to adolescent risk taking, which in turn leads to early and more frequent cohabitation, risk of IPV, and lower relationship satisfaction and investment.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Amato, PR, Landale, NS, Havesevich-Brooks, TC, Booth, A, Eggebeen, DJ, Schoen, R, McHale, SM (2008). Precursors of young women's family formation pathways. Journal of Marriage and Family 70, 12711286.CrossRefGoogle ScholarPubMed
Anda, RF, Felitti, VJ, Bremner, DJ, Walker, JD, Whitfield, CL, Perry, BD, Dube, SR, Giles, WH (2006). The enduring effects of abuse and related adverse experiences in childhood. European Archives of Psychiatry and Clinical Neuroscience 256, 174186.CrossRefGoogle ScholarPubMed
APA (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association: Washington, DC.Google Scholar
Boden, JM, Fergusson, DM, Horwood, LJ (2007 a). Self-esteem and violence: testing links between adolescent self-esteem and later hostility and violent behavior. Social Psychiatry and Psychiatric Epidemiology 42, 881891.CrossRefGoogle ScholarPubMed
Boden, JM, Horwood, LJ, Fergusson, DM (2007 b). Exposure to childhood sexual and physical abuse and subsequent educational achievement outcomes. Child Abuse and Neglect 31, 11011114.CrossRefGoogle ScholarPubMed
Braiker, H, Kelley, H (1979). Conflict in the development of close relationships. In Social Exchange and Developing Relationships (ed. Burgess and, R.Huston, T.), pp. 127154. Academic Press: New York.Google Scholar
Campbell, R, Greeson, MR, Brybee, D, Raja, S (2008). The co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment: a mediational model of posttraumatic stress disorder and physical health outcomes. Journal of Consulting and Clinical Psychology 76, 194207.CrossRefGoogle ScholarPubMed
Colman, RA, Spatz Widom, C (2004). Childhood abuse and neglect and adult intimate relationships: a prospective study. Child Abuse and Neglect 28, 11331151.CrossRefGoogle ScholarPubMed
Coopersmith, S (1981). SEI: Self-Esteem Inventories. Consulting Psychologists Press: Palo Alto, CA.Google Scholar
DiLillo, D, Damashek, A (2003). Parenting characteristics of women reporting a history of childhood sexual abuse. Child Maltreatment 8, 319333.CrossRefGoogle ScholarPubMed
Dube, SR, Anda, RF, Whitfield, CL, Brown, DW, Felitti, VJ, Dong, M, Giles, WH (2005). Long-term consequences of childhood sexual abuse by gender of victim. American Journal of Preventive Medicine 25, 430438.CrossRefGoogle Scholar
Duncan, AE, Sartor, CE, Scherrer, JF, Grant, JD, Heath, AC, Nelson, EC, Jacob, T, Bucholz, KK (2008). The association between cannabis abuse and dependence and childhood physical and sexual abuse: evidence from an offspring of twins design. Addiction 103, 990997.CrossRefGoogle ScholarPubMed
Fergusson, DM, Boden, JM, Horwood, LJ (2008). Exposure to childhood sexual and physical abuse and adjustment in early adulthood. Child Abuse and Neglect 32, 607619.CrossRefGoogle ScholarPubMed
Fergusson, DM, Horwood, LJ (2001). The Christchurch Health and Development Study: review of findings on child and adolescent mental health. Australian and New Zealand Journal of Psychiatry 35, 287296.CrossRefGoogle ScholarPubMed
Fergusson, DM, Horwood, J, Lynskey, MT (1996 a). Childhood sexual abuse and psychiatric disorder in young adulthood: II. Psychiatric outcomes of childhood sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry 34, 13651374.CrossRefGoogle Scholar
Fergusson, DM, Horwood, LJ, Lynskey, MT (1997). Childhood sexual abuse, adolescent sexual behaviors, and sexual revictimization. Child Abuse and Neglect 21, 789803.CrossRefGoogle ScholarPubMed
Fergusson, DM, Horwood, LJ, Woodward, LJ (2000). The stability of child abuse reports: a longitudinal study of the reporting behaviour of young adults. Psychological Medicine 30, 529544.CrossRefGoogle ScholarPubMed
Fergusson, DM, Lynskey, MT (1997). Physical punishment/maltreatment during childhood and adjustment in young adulthood. Child Abuse and Neglect 21, 617630.CrossRefGoogle ScholarPubMed
Fergusson, DM, Lynskey, MT, Horwood, LJ (1996 b). Childhood sexual abuse and psychiatric disorder in young adulthood: I. Prevalence of sexual abuse and factors associated with sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry 34, 13551364.CrossRefGoogle Scholar
Fergusson, DM, Mullen, PE (1999). Childhood Sexual Abuse: An Evidenced-Based Perspective. Sage: Thousand Oaks.CrossRefGoogle Scholar
Finkelhor, D, Hotaling, GT, Lewis, IA, Smith, C (1989). Sexual abuse and its relationship to later sexual satisfaction, marital status, religion, and attitudes. Journal of Interpersonal Violence 4, 379399.CrossRefGoogle Scholar
Fleming, J, Mullen, PE, Sibthorpe, B, Bammer, G (1999). The long-term impact of childhood sexual abuse in Australian women. Child Abuse and Neglect 23, 145159.CrossRefGoogle ScholarPubMed
Harter, S, Alexander, PC, Neimeyer, RA (1988). Long-term effects of incestuous child abuse in college women: social adjustment, social cognition, and family characteristics. Journal of Consulting and Clinical Psychology 56, 58.CrossRefGoogle ScholarPubMed
Kallstrom-Fuqua, AC, Weston, R, Marshall, LL (2004). Childhood and adolescent sexual abuse of community women: mediated effects on psychological distress and social relationships. Journal of Consulting and Clinical Psychology 72, 980992.CrossRefGoogle ScholarPubMed
Mullen, PE, Martin, JL, Anderson, JC, Romans, SE, Herbison, GP (1994). The effect of child sexual abuse on social, interpersonal and sexual function in adult life. British Journal of Psychiatry 165, 3547.CrossRefGoogle ScholarPubMed
Muthén, LK, Muthén, BO (2007). Mplus: Statistical Analysis with Latent Variables. Muthén & Muthén: Los Angeles, CA.Google Scholar
Nelson, EC, Heath, AC, Lynskey, MT, Bucholz, KK, Madden, PAF, Statham, DJ, Martin, NG (2006). Childhood sexual abuse and risks for licit and illicit drug-related outcomes: a twin study. Psychological Medicine 36, 14731483.CrossRefGoogle ScholarPubMed
Papadakaki, M, Tzamalouka, GS, Chatzifotiou, S, Chliaoutakis, J (2009). Seeking for risk factors of intimate partner violence (IPV) in a Greek national sample: the role of self-esteem. Journal of Interpersonal Violence 24, 732750.CrossRefGoogle Scholar
Putnam, FW (2003). Ten-year research update review: child sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry 42, 269278.CrossRefGoogle ScholarPubMed
Rumstein-McKean, O, Hunsley, J (2001). Interpersonal and family functioning of female survivors of childhood sexual abuse. Clinical Psychology Review 21, 471490.CrossRefGoogle ScholarPubMed
Senn, TE, Carey, MP, Vanable, PA (2008). Childhood and adolescent sexual abuse and subsequent sexual risk behavior: evidence from controlled studies, methodological critique, and suggestions for research. Clinical Psychology Review 28, 711735.CrossRefGoogle ScholarPubMed
Straus, MA, Hamby, SL, Boney-McCoy, S, Sugarman, DB (1996). The Revised Conflict Tactics Scale (CTS2). Journal of Family Issues 17, 283316.CrossRefGoogle Scholar
Testa, M, VanZile-Tamsen, C, Livingston, JA (2005). Childhood sexual abuse, relationship satisfaction, and sexual risk taking in a community sample of women. Journal of Consulting and Clinical Psychology 73, 11161124.CrossRefGoogle Scholar
Tsai, M, Feldman-Summers, S, Edgar, M (1979). Childhood molestation: variables related to differential impacts on women psychosexual functioning in adult women. Journal of Abnormal Psychology 88, 407417.CrossRefGoogle ScholarPubMed
Tyler, KA (2002). Social and emotional outcomes of childhood sexual abuse: a review of recent research. Aggression and Violent Behavior 7, 567589.CrossRefGoogle Scholar
van Roode, T, Dickson, N, Herbison, P, Paul, C (2009). Child sexual abuse and persistence of risky sexual behaviors and negative sexual outcomes over adulthood: findings from a birth cohort. Child Abuse and Neglect 33, 161172.CrossRefGoogle ScholarPubMed
Waldron, M, Heath, AC, Turkheimer, EN, Emery, RE, Nelson, E, Bucholz, KK, Madden, PAF, Martin, NG (2008). Childhood sexual abuse moderates genetic influences on age at first consensual sexual intercourse in women. Behavior Genetics 38, 110.CrossRefGoogle ScholarPubMed
Wechsler, D (1974). Manual for the Wechsler Intelligence Scale for Children – Revised. Psychological Corporation: New York.Google Scholar
WHO (1993). Composite International Diagnostic Interview (CIDI). World Health Organization: Geneva.Google Scholar