Self-reported and agency-notified child sexual abuse in a population-based birth cohort

Journal of Psychiatric Research
Ryan MillsJake Najman

Abstract

Child sexual abuse (CSA) has been associated with many adverse psychiatric outcomes. However, most studies have relied on retrospective self-report of exposure to CSA. We set out to investigate the incidence of CSA in the same birth cohort using both retrospective self-report and prospective government agency notification, and examine the psychological outcomes in young adulthood. The primary outcomes were measures of DSM-IV diagnoses (CIDI-Auto) at age 21. The 21-year retrospective CSA questions were completed by 3739 participants. CSA was self-reported by 19.3% of males and 30.6% of females. After adjustment for potential confounders, both self-reported and agency-notified CSA were associated with increased odds of lifetime major depressive disorder (MDD), anxiety disorders, and posttraumatic stress disorder (PTSD). For the first time in a birth cohort, this study has shown the disparity between the incidence of CSA when measured by self-report and government agency notification. Despite this discrepancy, adverse psychiatric outcomes are seen when CSA is defined using either method.

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Citations

Sep 15, 2016·Journal of Youth and Adolescence·Amanuel Alemu AbajobirJackob Moses Najman
Jun 2, 2017·Journal of Child Sexual Abuse·Nnenna L OkekeRobert E Roberts
Apr 27, 2018·The Australian and New Zealand Journal of Psychiatry·Ryan MillsJake M Najman
Dec 12, 2018·Journal of Child Sexual Abuse·Slavka Karkoskova, Ivan Ropovik
Mar 16, 2019·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Steve KiselyJake Moses Najman
Nov 27, 2018·The British Journal of Psychiatry : the Journal of Mental Science·Steve KiselyJake Moses Najman
Oct 24, 2019·Revista brasileira de enfermagem·Cíntia Mesquita CorreiaGilmara Ribeiro Santos Rodrigues
Jul 1, 2020·BMC Pediatrics·Meita DhamayantiNanan Sekarwana
Dec 29, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Steve KiselyJake Moses Najman
Jul 2, 2021·Frontiers in Psychiatry·Ellen Tvedt SolbergSigne Hjelen Stige
Apr 7, 2021·Pediatrics·Steve KiselyJake M Najman

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