title: Preadoptive child sexual abuse as a predictor of moves in care, adoption disruptions, and inconsistent adoptive parent commitment.
abstract: OBJECTIVE
  To date, little empirical attention has been given to the impact of preadoptive child sexual abuse (CSA) on adoption adjustment. The main objective of the present study was to investigate whether preadoptive CSA was associated with more placement moves, adoption disruption, and inconsistent parental commitment compared to adopted children without histories of CSA.
  
  
  METHODS
  Data were collected from a convenience sample of parents with adopted children (N=117) receiving postadoption services in the state of Illinois in 2002. Thirty-three children (28.2%), nearly split evenly by gender, were reported to have histories of sexual abuse. Logistic regression was used to calculate adjusted odds ratios (AOR).
  
  
  RESULTS
  Preadoptive CSA was significantly associated with increased odds of four or more moves in care (AOR=9.68; 95% CI=3.39-27.66), adoption disruptions (AOR=4.36; 95% CI=1.1-16.5), and inconsistent parental commitment (AOR=2.82; 95% CI=1.0-7.9).
  
  
  CONCLUSIONS
  These results suggest that children with preadoptive histories of sexual abuse are at greater risk of more complex adoption difficulties than adopted children without such histories.
  
  
  CONCLUSIONS
  This study reinforces a small body of research suggesting that CSA profoundly complicates adoption adjustment. Findings from this study indicate that adoptive families of children with preadoptive histories of CSA need an array of preadoption and postadoption service interventions.
authors.affiliation: School of Social Work, College of Human Ecology, East Carolina University, Greenville, NC 27858-4353, USA.
authors.forename: Blace A
authors.initials: BA
authors.lastname: Nalavany
authors.forename: Scott D
authors.initials: SD
authors.lastname: Ryan
authors.forename: Jeanne A
authors.initials: JA
authors.lastname: Howard
authors.forename: Susan Livingston
authors.initials: SL
authors.lastname: Smith
mesh_terms: D000300:Adoption / Q000523:psychology*; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology* / Q000706:statistics & numerical data; D002669:Child Welfare / Q000523:psychology / Q000706:statistics & numerical data; D002675:Child, Preschool; D005260:Female; D005581:Foster Home Care / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D007087:Illinois; D008297:Male; D009769:Object Attachment; D016017:Odds Ratio; D017063:Outcome Assessment, Health Care; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology*