Linda M. Williams

Impact of sexual abuse on children: a review and synthesis of recent empirical studies.

A review of 45 studies clearly demonstrated that sexually abused children had more symptoms than nonabused children, with abuse accounting for 15-45% of the variance. Fears, posttraumatic stress disorder, behavior problems, sexualized behaviors, and poor self-esteem occurred most frequently among a long list of symptoms noted, but no one symptom characterized a majority of sexually abused children. Some symptoms were specific to certain ages, and approximately one third of victims had no symptoms. Penetration, the duration and frequency of the abuse, force, the relationship of the perpetrator to the child, and maternal support affected the degree of symptomatology. About two thirds of the victimized children showed recovery during the first 12-18 months. The findings suggest the absence of any specific syndrome in children who have been sexually abused and no single traumatizing process.

The long-term mental health consequences of child sexual abuse: an exploratory study of the impact of multiple traumas in a sample of women.

The current study examined exposure to multiple traumas as mediators of the relationship between childhood sexual abuse and negative adult mental health outcomes. Participants were 174 women interviewed in the third wave of a longitudinal study of the consequences of child sexual abuse. Child sexual abuse victims reported a lifetime history of more exposure to various traumas and higher levels of mental health symptoms. Exposure to traumas in both childhood and adulthood other than child sexual abuse mediated the relationship between child sexual abuse and psychological distress in adulthood. There were also some significant direct effects for child sexual abuse on some outcome measures. Results point to the importance of understanding the interconnected nature of trauma exposure for some survivors.

Recovered memories of abuse in women with documented child sexual victimization histories

This study provides evidence that some adults who claim to have recovered memories of sexual abuse recall actual events that occurred in childhood. One hundred twenty-nine women with documented histories of sexual victimization in childhood were interviewed and asked about abuse history. Seventeen years following the initial report of the abuse, 80 of the women recalled the victimization. One in 10 women (16% of those who recalled the abuse) reported that at some time in the past they had forgotten about the abuse. Those with a prior period of forgetting—the women with “recovered memories”—were younger at the time of abuse and were less likely to have received support from their mothers than the women who reported that they had always remembered their victimization. The women who had recovered memories and those who had always remembered had the same number of discrepancies when their accounts of the abuse were compared to the reports from the early 1970s.

The Relationship Between Child Sexual Abuse And Female Delinquency And Crime: A Prospective Study

Child sexual abuse has been hypothesized to be an especially significant factor in the etiology of girls’ delinquency and women’s crime. This article reports on a prospective study of 206 women who, in the period from 1973 to 1975, were treated in a hospital emergency room in a major city following a report of sexual abuse. Their subsequent juvenile and adult criminal records were compared to a matched comparison group. Child sexual abuse was a statistically significant predictor of certain types of offenses, but other indicators of familial neglect and abuse were significant factors as well.

Mentoring College-Age Women: A Relational Approach

Despite the popularity of mentoring programs, the relational dimension of mentoring has not been elucidated. Traditional conceptions of mentoring may exclude factors that are particularly important for women and girls, thus limiting the efficacy of mentoring programs for female adolescents. We suggest that the presence of relational qualities in the mentoring relationship (e.g., empathy, engagement, authenticity, and empowerment) strongly influences the success of mentoring in the lives of young women. In this study, we use a promising new measure of mentoring, the Relational Health Index – Mentor, to explore the impact of relational aspects of mentoring in female college students. We found that mentoring relationships high in relational qualities were associated with higher self-esteem and less loneliness.

Adult Sexual Revictimization among Black Women Sexually Abused in Childhood: A Prospective Examination of Serious Consequences of Abuse

This study is a prospective investigation of adult sexual revictimization among 113 Black women with documented histories of childhood sexual abuse. The purpose was to obtain information on the frequency of sexual abuse in both childhood and adulthood and to determine which characteristics of the child sexual abuse were predictive of revictimization. Thirty percent of the participants were revictimized and physical force predicted subsequent victimization. This study also investigated possible sexual behavioral correlates of revictimization. Revictimized women reported more involvement in prostitution and partner violence. Finally, the present study considered the reproductive and sexual health correlates of revictimization. When compared to women abused in childhood only, revictimized women experienced more problems conceiving, repeated vaginal infections, sexually transmitted diseases, and painful intercourse. Suggestions for intervention are discussed.

THE RELATIONAL HEALTH INDICES: A STUDY OF WOMEN'S RELATIONSHIPS

A new measure of womens relationships, the Relational Health Indices (RHI), comprises three scales that assess growth-fostering connections with peers, mentors, and communities. The RHI was developed using the Relational Model (Jordan, Kaplan, Miller, Stiver, Surrey, 1991; Miller & Stiver, 1997), a theory of womens psychological development. The 37-item measure assesses three conceptual dimensions of growth-fostering relationships: engagement, authenticity, and empowerment/zest. This study examined the psychometric properties of the RHI with a group of 450 students at a womens liberal arts college, providing evidence for the reliability, validity, and utility of the new measure. The factor analyses confirmed a three-subscale structure: engagement, authenticity, empowerment/zest. The RHIs components generally demonstrate good overall internal consistency. Furthermore, associations between RHI scales and convergent validation scales were significant and in the direction hypothesized. Correlations with adjustment scales varied across the RHI components. The RHI has potential for enriching our understanding of important, subtle qualities and complex dynamics of both dyadic and group relationships, especially among women. The instrument is available for use by researchers interested in continuing the scale and theory development.

Childhood sexual abuse: a gender perspective on context and consequences.

Literature on gender and child sexual abuse (CSA) has highlighted patterns of similarity and difference among survivors and the need for further research. This study relied on gender analysis of 128 women and 69 men, obtained through an examination of childhood hospital records, to further examine gender differences in mental health outcomes among abuse survivors and correlates of mental health outcomes including professional help seeking, family environment, and other trauma exposure. Overall, men and women were similar in the context and consequences of CSA. The role of the characteristics of CSA and contextual variables in explaining variance in mental health for 106 male victims and nonvictims was also examined. Among male participants, number of incidents of sexual abuse, injury at the hands of a caregiver, and exposure to other traumas significantly explained higher levels of an array of mental health symptoms. Implications for future research are discussed.

Childhood physical and sexual abuse as risk factors for heavy drinking among African-American women: a prospective study

OBJECTIVE This study examines the associations among characteristics of child sexual abuse. childhood physical abuse, lack of parental care, and heavy drinking in a relatively young, urban population of African-American women all of whom have documented histories of child sexual abuse. METHODOLOGY The sample consists of 113 African American child victims who were brought to a city hospital emergency room for treatment and collection of forensic evidence in the 1970s and re-interviewed as adults in the 1990s. RESULTS The results of this research suggest that multiple incidents of child sexual abuse, more than the characteristics of such abuse is an important predictor of adult heavy alcohol use and binge drinking. These results remain even after controlling for the effects of parental drinking behavior. CONCLUSION Although the victim of multiple child sexual assaults is more likely to suffer force and penetration, these analyses suggest that it is the multiple victimization and not the force or penetration that drives the relationship between child sexual assault and drinking behaviors.

Risk Factors for Sexual Victimization of Women Results from a Prospective Study

Using data drawn from a prospective study of 206 urban, predominantly low-income, African American women, sexually victimized before they turned 13 in the early 1970s, and a matched comparison group, this article explores whether child sexual abuse was a risk factor for revictimization and examines the role of other factors in the risk of victimization. Child sexual abuse before the age of 13 was not by itself a risk factor for adult victimization, but those who were also victimized as adolescents were at much greater risk of adult sexual victimization than other women. Additional risk factors included measures of sexual behavior and alcohol problems.