Child sexual abuse disclosures: Does age make a difference?

BACKGROUND: The literature is inconsistent as to the relationship between age at time of abuse and time to disclosure of child sexual abuse (CSA) and the factors that influence early disclosure. OBJECTIVE: This study sought to investigate the relationship between age of child at time of disclosure, taking account of age at time of abuse, delay in disclosure, and the relationship, if any, between factors influencing disclosure (feeling distressed, being believed, fear, contact with alleged perpetrator, difficulty saying it, and being asked) and age at time of disclosure. PARTICIPANTS AND SETTING: The files of children (n=273) seen for evaluation in a child sexual abuse (CSA) centre were reviewed. METHOD: Demographic information and data relating to the child's experience of informal disclosure were extracted from children's evaluation reports, based on interviews with children and their parents, where professionals deemed that a credible account of CSA has been given. RESULTS: A significant relationship was found between age at time of abuse and age at time of disclosure (χ2 (16) = 261.434, p < 0.05), whereby children were more likely to tell within the developmental period during which they were abused than within any other period; this pattern increased across each age category. Overall, no specific psychological factors were found to be predictive of early disclosure. CONCLUSIONS: The findings suggest that children of all ages need to be targeted for prevention efforts and a larger study is needed to investigate whether some psychological factors are more predictive of disclosure than others.

Longitudinal Relationships between Bullying and Moral Disengagement among Adolescents.

Moral disengagement is a series of cognitive processes used to disengage moral standards to achieve absolved guilt and permit immoral conduct and has been found to be an important connection to bullying and aggressive behaviors among adolescents. This study examined the longitudinal relationship between moral disengagement and bullying behavior among a group of adolescents from fifth grade to ninth grade (n = 1180, mean age = 12.2, SD = 1.29, 46.5 % female, 80.2 % Caucasian/White, 7.1 % Black/African American, 5.4 % Latino/Hispanic, 2.4 % Asian American, and 1.7 % other) over three semesters. The objectives were to investigate (a) whether moral disengagement was a precursor to bullying behavior, vice versa, or whether the relationship was reciprocal and (b) whether gender and grade predicted moral disengagement and bullying behavior. The results showed that moral disengagement predicted bullying perpetration 6 months later. Also, older students and males utilized more moral disengagement than younger students and females and younger students and males engaged in greater bullying perpetration. Indirect paths linking gender and grade to bullying via moral disengagement at previous time points were identified and implications for bullying prevention are discussed. The findings underscore the importance of examining moral disengagement when studying bullying and across gender and development.

Psychological profiles of sexually abusive adolescents in Ireland.

OBJECTIVE: This study aimed to profile the psychological and psychosocial characteristics of a group of Irish adolescents who had sexually abused other youngsters. METHOD: Levels of behavior problems, personal adjustment, anger management, and psychosocial adjustment were compared in 27 Irish adolescents with a history of sexually abusing another youngster (SA group), 20 clinical controls who had significant behavioral problems but no history of sexual offending (CC group), and 29 normal controls who were without significant psychological problems (NC group). Measures used included the Child Behavior Checklist (CBCL), the Youth Self-Report Form (YSR), selected scales from Beckett (1997) Adolescent Sex Offender Assessment Pack (ASOAP), and the Family Environment Scale (FES). RESULTS: Compared with the CC group, the SA group displayed fewer problems overall on the CBCL and the YSR. The SA group showed problems with self-esteem, emotional loneliness, and perspective-taking similar to those of the CC group, but their impulsivity scores were similar to those of the NC group. The locus of control scores of the SA group fell between those of the CC and NC groups. The SA group showed an anger management profile that fell at an intermediate position between those of the NC and CC groups. The SA group showed problematic family functioning in the areas of expressiveness, behavior control, and social support, similar to those of the CC group. Their difficulties with family cohesion were less severe than those of the CC group but worse than those of the NC group. CONCLUSIONS: Overall, the psychological adjustment of adolescents with a history of sexually abusing others was more problematic than that of normal controls but less problematic than that of youngsters who had significant behavioral problems but no history of sexual offending.

Profiles of child sexual abuse cases in Ireland: an archival study.

OBJECTIVE: This study aimed to profile subgroups of CSA cases referred for assessment at two national CSA assessment centers in Ireland. METHOD: Historical and clinical data for 150 CSA cases were drawn from records of two Dublin-based national specialist sexual abuse assessment and therapeutic centers. Three main comparisons were made involving: (1) 113 confirmed CSA cases and 37 unconfirmed CSA cases, (2) 55 confirmed CSA cases that displayed clinically significant behavior problems, and the 56 confirmed CSA cases without significant adjustment difficulties, and (3) 19 confirmed CSA cases in which violence was a central feature, and 79 confirmed cases in which violence was not a central feature. RESULTS: There were three main findings. (1) More unconfirmed cases were male; had single or separated parents; and a father with a criminal history. As a group, the confirmed cases were largely youngsters who had been abused by male adults or adolescents outside their nuclear family and who subsequently were well supported by one or two parents. (2) Poorly adjusted CSA victims had a history of coercive violent abuse while better adjusted children were victims of nonviolent abuse. (3) Victims of violent CSA were more likely to have experienced penetrative abuse and to display more externalizing behavior problems. CONCLUSIONS: Confirmed and unconfirmed CSA cases, well and poorly adjusted CSA cases, and victims of violent and nonviolent CSA referred for assessment at two national CSA assessment centers in Ireland had distinctive clinical profiles.