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    Self-reported and agency-notified child sexual abuse in a population-based birth cohort

    Access Status
    Fulltext not available
    Authors
    Mills, R.
    Kisely, S.
    Alati, Rosa
    Strathearn, L.
    Najman, J.
    Date
    2016
    Type
    Journal Article
    
    Metadata
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    Citation
    Mills, R. and Kisely, S. and Alati, R. and Strathearn, L. and Najman, J. 2016. Self-reported and agency-notified child sexual abuse in a population-based birth cohort. Journal of Psychiatric Research. 74: pp. 87-93.
    Source Title
    Journal of Psychiatric Research
    DOI
    10.1016/j.jpsychires.2015.12.021
    ISSN
    0022-3956
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/73445
    Collection
    • Curtin Research Publications
    Abstract

    © 2015 Elsevier Ltd. Child sexual abuse (CSA) has been associated with many adverse psychiatric outcomes. However, most studies have relied on retrospective self-report of exposure to CSA. We set out to investigate the incidence of CSA in the same birth cohort using both retrospective self-report and prospective government agency notification, and examine the psychological outcomes in young adulthood. The primary outcomes were measures of DSM-IV diagnoses (CIDI-Auto) at age 21. The 21-year retrospective CSA questions were completed by 3739 participants. CSA was self-reported by 19.3% of males and 30.6% of females. After adjustment for potential confounders, both self-reported and agency-notified CSA were associated with increased odds of lifetime major depressive disorder (MDD), anxiety disorders, and posttraumatic stress disorder (PTSD). For the first time in a birth cohort, this study has shown the disparity between the incidence of CSA when measured by self-report and government agency notification. Despite this discrepancy, adverse psychiatric outcomes are seen when CSA is defined using either method.

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