Does the impact of child sexual abuse differ from maltreated but non-sexually abused children? A prospective examination of the impact of child sexual abuse on internalizing and externalizing behavior problems

Child sexual abuse (CSA) continues to be a significant problem with significant short and long term consequences. However, extant literature is limited by the reliance on retrospective recall of adult samples, single-time assessments, and lack of longitudinal data during the childhood and adolescent years. The purpose of this study was to compare internalizing and externalizing behavior problems of those with a history of sexual abuse to those with a history of maltreatment, but not sexual abuse. We examined whether gender moderated problems over time. Data were drawn from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) at ages 4, 6, 8, 10, 12, 14, and 16 (N = 977). The Child Behavior Checklist was used to assess internalizing and externalizing problems. Maltreatment history and types were obtained from official Child Protective Services (CPS) records. Generalized Estimating Equations (GEE) were used to assess behavior problems over time by maltreatment group. Findings indicated significantly more problems in the CSA group than the maltreated group without CSA over time. Internalizing problems were higher for sexually abused boys compared to girls. For sexually abused girls internalizing problems, but not externalizing problems increased with age relative to boys. This pattern was similar among maltreated but not sexually abused youth. Further efforts are needed to examine the psychological effects of maltreatment, particularly CSA longitudinally as well as better understand possible gender differences in order to best guide treatment efforts.     

“I have the right to feel safe”: Evaluation of a school-based child sexual abuse prevention program in Ecuador

BackgroundChild sexual abuse (CSA) is a complex public health problem that has lifelong implications for children’s wellbeing. Interventions may provide children strategies to protect themselves against CSA, but few have been studied in Latin America.ObjectiveEvaluate the immediate and medium-term impact of a 10-week educational program on children’s knowledge of CSA self-protection strategies in Ecuador.Participants and settingsChildren aged 7–12 years from six public elementary schools in Ecuador were cluster-randomized to either receive the intervention between October and November 2016 (Group 1, k = 4) or between March and April 2017 (Group 2, k = 2).MethodsTo assess CSA knowledge, a random sample of students completed a questionnaire at three time points: 1) initial: before any group received the intervention, 2) intermediate: immediately after Group 1 completed the program but before Group 2 started it, and 3) final: after Group 2 completed the program. We evaluated changes in scores using mixed linear regression models with school as a clustering variable and adjusted degrees of freedom (df = 4).ResultsPre-post effect estimates at program completion adjusted for age, sex and clustering by school were 6.5% (95% CI: 2.9, 10.0) and 6.8% (95% CI 3.0, 10.7) for Groups 1 and 2, respectively. Scores did not change among children who had not yet received the intervention at intermediate evaluation (0.94%, 95%CI: −6.0, 7.9). Children in Group 1 maintained the scores six months after the program ended.ConclusionsThe self-protection program increased and maintained CSA knowledge six months after the intervention finished.     

“They were the ones that saw me and listened.” From child sexual abuse to disclosure: Adults’ recalls of the process towards final disclosure

BackgroundWhen child sexual abuse (CSA) is not disclosed, children run the risk of being subjected to longer or repeated abuse, not receiving necessary treatment, and being re-victimized.ObjectiveThis study examines what adults exposed to child sexual abuse in hindsight evaluate as important for disclosure. The aim was to explore exposed own experiences of steps towards final disclosure.Participants and settingData were obtained from adult users of Norwegian Sexual Abuse Support Centers. Included were users exposed to CSA before the age of 18 (N=23).MethodsData were collected through anonymous questionnaires at each support center. The material was transcribed and analyzed in the tradition of Interpretative Phenomenological Analysis.ResultsThe study illustrates a process towards disclosure as a dialogically anchored process evolving over time and along life-course inside encounters with important others towards whom the exposed pays attention, attunement, and adjustment whether to tell, delay, re-try, turn towards others, or actually disclose. Their experiences elucidate processes towards exploring and telling through direct and indirect hints and signs, decisions to tell, re-decisions and delaying, or withholding until adulthood, and the dependency on trusted confidants who ask and listen for final disclosure to occur.ConclusionThus, the present study sends an important message to exposed, confidants, and professionals when questions of CSA appear. That is to know of, facilitate, trust, and tolerate the dialogical dependency on being asked and heard by trusted persons and the many steps a process towards disclosure of CSA may entail in order to succeed.     

How university student–teachers for primary school learn about Department of Education Policy on child sexual abuse,and mandatory reporting: the sources of their professional information

Many regional and local Departments of Education in many countries now require their primary school teachers to be mandatory reporters of child sexual abuse. However, many student–teachers are not provided with courses on child protection and its policy requirements during their pre-service university education. So, how do student–teachers source, and develop, their professional information about this important role? This study examines an Australian university cohort of final 4th year bachelor of education primary school student–teachers, asking them to identify and clarify the nature of any relevant professional information they accessed over the 4 years of their teacher education. The results show that, in the absence of formal child protection courses, such professional information was scarce and sporadic. Student–teachers consistently indicated a pattern of not learning about essential Department of Education policies and procedures whilst at university. These results, although disappointing, provide a rationale for university curriculum planners to design appropriate pre-service university training courses that initiate, develop, and enhance student–teachers’ professional competencies as mandated reporters of child sexual abuse.     

“I think at first glance people would not expect me to be interested in science”: Exploring the racialized science experiences of high school students of color

The underrepresentation of high school students of color in advanced science courses and the need to increase racial diversity in science fields is well documented. The persistence of racial disparities in science suggests that factors influencing participation include and extend beyond those currently being explored. This study explores how high school students of color make sense of racialized narratives about who does and can do science in circulation in society and their lives, and how this shapes their positioning and identity construction in science. Using interviews and surveys this study examines youths' accounts of their racialized science experiences, including how they envision scientists, make sense of racial disparities in the science community, and navigate their positioning in science. In addition, this study examines how youths' sense of their science ability, as a salient aspect of science identity, shapes the forms of navigation accessible to them, and thus, the futures they imagine in science. By sharing the complexity of students' sense making and the tensions they express as they negotiate their personal goals, science experiences, and messages they receive from racialized narratives, findings highlight the disproportionate work youth of color in this study do, as well as their resilience to navigate racialized narratives in science. This research sheds light on the experiences of high school students of color at a time in their schooling when they are making decisions about who they can become and the possible futures available to them. Implications from this study promote centering race within a critical, sociocultural, and ecological context when exploring identity construction for youth of color in science. Furthermore, findings underscore the need to create learning experiences that provide opportunities for youth of color to author narratives for their own possibilities of belonging and becoming in science in order to support inclusive pathways.     

“Every time someone comes forward,it makes it easier for the next survivor to be heard”: Sport as a triggering agent to break the silence of child sexual abuse

This research explored cultures of silence around child sexual abuse (CSA). On July 10, 2018, in response to multiple sexual abuse cases occurring in sport, sport news site Deadspin published a reader letter detailing CSA. This article prompted others to comment by sharing their accounts of CSA. Through qualitative analysis of 47 posts, we analyzed CSA victims’ lived experiences, with a focus on how cultural and social forces silenced them. Results indicated that silencing of CSA victims occurred through three overarching mechanisms: (a) patriarchal master narrative; (b) trauma-related shame; and (c) systemic power. The results illuminate the cultural and social factors that CSA victims experience and provide opportunities for parents, family members, and other stakeholders to better understand these constraints. In doing so, victims can be better supported, and needed discourse on CSA can occur more frequently to help identify solutions to this pervasive social problem.