title: Childhood sexual abuse as a precursor to depression and self-destructive behavior in adulthood.
abstract: Childhood sexual abuse (CSA) as a predictor of depression and self-destructive behaviors in adulthood was examined relative to other traumatic stressors in childhood and adulthood with special attention to sex differences. In a college sample of 173 men and 265 women, 16% of male (n = 28) and 24% of female respondents (n = 63) reported having been sexually abused as children. CSA, ranging from unwanted kissing and fondling to unwanted sexual intercourse, predicted depression, chronic self-destructiveness, self-harm ideation, acts of self-harm, suicide ideation, and suicide attempts, for both men and women. The more frequent and severe the sexual abuse and the longer its duration, the more depression and self-destructiveness reported in adulthood. Other stressors predicted these effects less consistently but their occurrence in combination with CSA contributed to the negativity of long-term outcomes. Study results affirm previous findings of a relationship between CSA and depression and self-destructiveness in adult females and extend them to males.
authors.affiliation: University of Massachusetts at Boston 02125, USA.
authors.forename: A C
authors.initials: AC
authors.lastname: Boudewyn
authors.forename: J H
authors.initials: JH
authors.lastname: Liem
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D005783:Gender Identity; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D010553:Personality Development; D010555:Personality Inventory; D016728:Self-Injurious Behavior / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology; D013405:Suicide / Q000523:psychology; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology; D000092864:Suicide Prevention