Ten-year research update review: child sexual abuse.

@article{Putnam2003TenyearRU,
  title={Ten-year research update review: child sexual abuse.},
  author={F. Putnam},
  journal={Journal of the American Academy of Child and Adolescent Psychiatry},
  year={2003},
  volume={42 3},
  pages={
          269-78
        }
}
  • F. Putnam
  • Published 2003
  • Medicine, Psychology
  • Journal of the American Academy of Child and Adolescent Psychiatry
OBJECTIVE To provide clinicians with current information on prevalence, risk factors, outcomes, treatment, and prevention of child sexual abuse (CSA). To examine the best-documented examples of psychopathology attributable to CSA. METHOD Computer literature searches of and for key words. All English-language articles published after 1989 containing empirical data pertaining to CSA were reviewed. RESULTS CSA constitutes approximately 10% of officially substantiated child maltreatment cases… Expand
Treatment of Childhood Sexual Abuse: An Updated Review
TLDR
Current literature on the treatment of CSA is reviewed, including psychosocial interventions, pharmacotherapy, and early preventative interventions, which provides an update on the short- and long-term sequelae of C SA and implications for future research directions. Expand
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Study findings show that few community-based psychologists have received training in specific treatment approaches for CSA victims and very few are trained to deliver EBP for this population. Expand
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The protective factors that had the best empirical support were found to be education, interpersonal and emotional competence, control beliefs, active coping, optimism, social attachment, external attribution of blame, and most importantly, support from the family and the wider social environment. Expand
Child Sexual Abuse and Risk of Revictimization: Impact of Child Demographics, Sexual Abuse Characteristics, and Psychiatric Disorders
TLDR
Among CSA victims, victim sex, age at index abuse, and several psychiatric diagnostic categories were independently associated with revictimization risk, with different patterns of vulnerability emerging depending on the nature of revictIMization. Expand
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TLDR
The high correlation rates of CSA with psychopathology and increased risk for suicide attempts in adulthood suggest the need for a systematic assessment of psychiatric disorders and suicide risk in adults with history of child sexual abuse. Expand
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TLDR
While nonspecific therapies covering a wide variety of outcome variables were prominent till 1999s, the trend changed to specific and focused forms of trauma-focused therapies in next one-and-half decades. Expand
Child Sexual Abuse and Compulsive Sexual Behavior: A Systematic Literature Review
TLDR
A systematic review of 21 studies on the relationship between child sexual abuse and compulsive sexual behavior found a significant association between CSA and CSB, but variability in measurements, potential differences in links among community versus clinical samples, relevance of research among college samples, lack of support for gender-related differences, and the need for more longitudinal designs were identified. Expand
Exploring effectiveness of psychotherapy options for sexually abused children and adolescents: A systematic review of randomized controlled trials
TLDR
The field needs more rigorous large-scale RCTs, with long-term follow-up and more uniformity in outcome measures, investigating the effectiveness of specific treatment components, to be able to draw evidence-based conclusions about best practices for CSA-victims. Expand
Chronic child sexual abuse, psychiatric, and medical conditions among adolescents in residential care
TLDR
This study compared adolescents residing in a treatment school for children with emotional disabilities those students with a history of chronic CSA before age twelve to those students without any CSA with regard to number and type of psychiatric and medical conditions. Expand
Preventing child sexual abuse: A systematic review of interventions and their efficacy in developing countries.
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Evaluations are needed that address the efficacy of broader government-led or whole-of-community prevention interventions to reduce actual prevalence of child sexual abuse, or that can link increased knowledge and skill with reduced victimization. Expand
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References

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The medical evaluation of the sexually abused child: lessons from a decade of research.
TLDR
This article will highlight research published during the past decade that deals particularly with topics in the medical evaluation of sexually abused children and that has advanced the understanding of those topics. Expand
The prevalence of child sexual abuse: integrative review adjustment for potential response and measurement biases.
TLDR
Given the large human costs, both personal and social, of child abuse, and the identified gap in the requisite knowledge needed to steer effective preventive and treatment interventions, it is time to invest in a large, methodologically rigorous, population-based study of child Abuse which spares no expense in ensuring very high participation. Expand
Childhood sexual abuse and psychiatric disorder in young adulthood: II. Psychiatric outcomes of childhood sexual abuse.
TLDR
CSA, and particularly severe CSA, was associated with increased risk of psychiatric disorder in young adults even when due allowance was made for prospectively measured confounding factors. Expand
Research on the treatment of sexually abused children: a review and recommendations.
TLDR
The need for more treatment outcome research is highlighted by the rising demand for accountability in the health care system that will increasingly require professionals in the field of sexual abuse treatment to justify their efforts and their methods. Expand
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TLDR
Given the broad range of outcome among sexual abuse victims, as well as the methodological weaknesses present in many of the studies reviewed, it is not possible at this time to postulate the existence of a "post-sexual-abuse-syndrome" with a specific course or outcome. Expand
Long-term correlates of child sexual abuse: Theory and review of the empirical literature
Since Browne and Finkelhor's (1986) seminal review of the impact of child sexual abuse, there has been a dramatic increase in the child sexual abuse literature. Because of this tremendous growth inExpand
The Long-Term Sequelae of Childhood Sexual Abuse in Women: A Meta-Analytic Review
The authors conducted a meta-analytic review of the relationship between a history of child sexual abuse (CSA) and psychological problems in adult women in 38 studies meeting rigorous researchExpand
Childhood sexual abuse and later psychological problems: Neither necessary, sufficient nor acting alone
TLDR
It was concluded that CSA is best conceptualised as a non-specific risk factor for a wide range of adverse psychological and social adult outcomes. Expand
Does Child Abuse Predict Adolescent Pregnancy?
TLDR
Child sexual abuse, but not child physical or emotional abuse, seems to be a risk factor for earlier pregnancy among African-American adolescents. Expand
Treatment of traumagenic beliefs among sexually abused girls and their mothers: An evaluation study
TLDR
The experimental intervention was more effective than the comparison program in increasing abuse-related caretaker support of the child and in decreasing caretaker self-blame and expectations of undue negative impact of the abuse on the child. Expand
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