title: Child abuse in religiously-affiliated institutions: long-term impact on men's mental health.
abstract: OBJECTIVE
  To describe the long-term impact of physical and sexual abuse of boys by someone in a trusting, non-familial relationship. This clinical study reports on the psychological functioning of men (N = 76) with substantiated claims against a residential religiously-affiliated institution for multiple and severe incidents of sexual, physical, and/or emotional abuse during childhood. The abuse was perpetrated by several adults in positions of authority and trust at the institution.
  
  
  METHODS
  Each participant received a clinical interview and was administered psychological tests and a structured interview for DSM-IV diagnoses. The same clinician completed all of the assessments.
  
  
  RESULTS
  DSM-IV criteria were met for current PTSD (42%), alcohol (21%), and mood-related disorders (25%). Over one-third of the sample suffered chronic sexual problems, and over one half had a history of criminal behavior.
  
  
  CONCLUSIONS
  The clinical findings provide direction for assessing victims of historical abuse, and underscore the importance of awareness, prevention, and treatment needs for those who have been abused in institutional settings. Conclusions are limited due to participants' involvement in civil action, unknown pre-existing conditions, and the lack of a suitable comparison group.
authors.affiliation: Centre for Addiction and Mental Health, University of Toronto, Toronto, Ont., Canada.
authors.forename: David A
authors.initials: DA
authors.lastname: Wolfe
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Francis
authors.forename: Anna-Lee
authors.initials: AL
authors.lastname: Straatman
mesh_terms: D000328:Adult; D002648:Child; D002649:Child Abuse / Q000523:psychology / Q000706:statistics & numerical data*; D002650:Child Abuse, Sexual / Q000523:psychology / Q000706:statistics & numerical data; D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology*; D015279:Organizational Culture; D012067:Religion; D012574:Schools