title: Risky behaviors and depression in conjunction with--or in the absence of--lifetime history of PTSD among sexually abused adolescents.
abstract: Posttraumatic stress disorder (PTSD) is often considered the primary problematic outcome of child sexual abuse (CSA). However, a number of other, relatively understudied negative sequelae appear to be prevalent as well. Data from 269 adolescents with a CSA history from the National Survey of Adolescents-Replication Study were therefore used to examine the prevalence of risky behaviors (i.e., problematic alcohol and drug use, delinquent behavior) and depression in this sample. The frequencies of these problems in youth with and without a history of PTSD also were examined. Results indicated that risky behaviors and depression were reported as or more frequently than PTSD. Among youth with a history of PTSD, depression and delinquent behavior were more common than among those without a history of PTSD. However, there were no differences between adolescents with and without a history of PTSD in reported problematic substance use. Findings highlight the need for comprehensive trauma-informed interventions for CSA-exposed adolescents.
authors.affiliation: National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA. danielso@musc.edu
authors.forename: Carla Kmett
authors.initials: CK
authors.lastname: Danielson
authors.forename: Alexandra
authors.initials: A
authors.lastname: Macdonald
authors.forename: Ananda B
authors.initials: AB
authors.lastname: Amstadter
authors.forename: Rochelle
authors.initials: R
authors.lastname: Hanson
authors.forename: Michael A
authors.initials: MA
authors.lastname: de Arellano
authors.forename: Benjamin E
authors.initials: BE
authors.lastname: Saunders
authors.forename: Dean G
authors.initials: DG
authors.lastname: Kilpatrick
mesh_terms: D000293:Adolescent; D002650:Child Abuse, Sexual / Q000523:psychology*; D003863:Depression / Q000209:etiology / Q000523:psychology*; D005260:Female; D006801:Humans; D007604:Juvenile Delinquency / Q000523:psychology / Q000706:statistics & numerical data; D008297:Male; D015995:Prevalence; D012309:Risk-Taking; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000523:psychology*; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D014754:Violence / Q000523:psychology