Psychiatric impairment and childhood victimization experiences in female child molesters.
OBJECTIVE
To assess psychiatric impairment and childhood victimization experiences in female child molesters.


METHODS
Eleven incarcerated female child molesters were compared to 11 women imprisoned for nonsexual offenses as to their psychiatric diagnoses based on interviews with the Structured Clinical Interview for DSM-III-R, Outpatient Version (SCID-OP), the SCID II for Personality Disorders, and the Harvard-Upjohn Post-Traumatic Stress Disorder (PTSD) Interview. A family and sexual history with a description of childhood victimization experiences was also obtained by using the Wyatt Sexual History Questionnaire.


RESULTS
The majority of the subjects in each group exhibited major depression, alcohol/substance abuse, and PTSD, but the sexual offenders demonstrated more psychiatric impairment on the Global Assessment of Functioning Scale on the SCID-OP. The sexual offenders demonstrated a higher incidence of childhood physical and sexual abuse within the family than the comparison group, and these victimization experiences were more severe and more frequently associated with PTSD. The sexual offenders and the comparison women described negative relationships with parents and caretakers, and with spouses or boyfriends. However, the sexual offenders perceived their parents as more abusive, while the comparison women regarded their parents as more neglecting.


CONCLUSIONS
Incarcerated female child molesters exhibited greater psychiatric impairment and more intrafamilial physical and sexual abuse than a comparison group of women imprisoned for nonsexual offenses.
Green
A H
AH
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY.
Kaplan
M S
MS
D000293:Adolescent; D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007179:Incest; D007398:Interpersonal Relations; D011329:Prisoners; D012725:Sexual Behavior / Q000523:psychology; D011795:Surveys and Questionnaires; D014930:Women / Q000523:psychology*