TY  - JOUR
PY  - 2022//
TI  - Childhood sexual abuse and pervasive problems across multiple life domains: findings from a five-decade study
JO  - Development and psychopathology
A1  - Guiney, Hayley
A1  - Caspi, Avshalom
A1  - Ambler, Antony
A1  - Belsky, Jay
A1  - Kokaua, Jesse
A1  - Broadbent, Jonathan
A1  - Cheyne, Kirsten
A1  - Dickson, Nigel
A1  - Hancox, Robert J.
A1  - Harrington, HonaLee
A1  - Hogan, Sean
A1  - Ramrakha, Sandhya
A1  - Righarts, Antoinette
A1  - Thomson, W. Murray
A1  - Moffitt, Terrie E.
A1  - Poulton, Richie
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - The aim of this study was to use longitudinal population-based data to examine the associations between childhood sexual abuse (CSA) and risk for adverse outcomes in multiple life domains across adulthood. In 937 individuals followed from birth to age 45y, we assessed associations between CSA (retrospectively reported at age 26y) and the experience of 22 adverse outcomes in seven domains (physical, mental, sexual, interpersonal, economic, antisocial, multi-domain) from young adulthood to midlife (26 to 45y). Analyses controlled for sex, socioeconomic status, prospectively reported child harm and household dysfunction adverse childhood experiences, and adult sexual assault, and considered different definitions of CSA. After adjusting for confounders, CSA survivors were more likely than their peers to experience internalizing, externalizing, and thought disorders, suicide attempts, health risk behaviors, systemic inflammation, poor oral health, sexually transmitted diseases, high-conflict relationships, benefit use, financial difficulties, antisocial behavior, and cumulative problems across multiple domains in adulthood. In sum, CSA was associated with multiple persistent problems across adulthood, even after adjusting for confounding life stressors, and the risk for particular problems incremented with CSA severity. The higher risk for most specific problems was small to moderate, but the cumulative long-term effects across multiple domains reflect considerable individual and societal burden.<p />  <p>Language: en</p>
LA  - en
SN  - 0954-5794
UR  - http://dx.doi.org/10.1017/S0954579422001146
ID  - ref1
ER  -