What 12-year olds tell us about their maltreatment experiences: Sexual Abuse Diana J. English, PhD University of Washington, Seattle, WA.

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What 12-year olds tell us about their maltreatment experiences: Sexual Abuse Diana J. English, PhD University of Washington, Seattle, WA.

Assessment of Sexual Abuse LONGSCAN developedLONGSCAN developed  Child/Youth Report (Age 12)  Presented A-CASI  11 screener items Has anyone ever touched your private parts or bottom in some way?Has anyone ever touched your private parts or bottom in some way? Has anyone ever gotten you to touch their private parts or bottom in some way?Has anyone ever gotten you to touch their private parts or bottom in some way?  Endorsements followed with before/after started elementary school, last year, # times, who did it

Types of Sexual Abuse Child/Youth Report (Age 12) screener items Non-Contact Sex Assault/AbuseNon-Contact Sex Assault/Abuse Fondling Sex Assault/AbuseFondling Sex Assault/Abuse Oral Genital Sex Assault/AbuseOral Genital Sex Assault/Abuse Penetration Sex Assault/AbusePenetration Sex Assault/Abuse

Sexual Abuse Indicators: Agreement for “At Risk” Cohort 348 Youth from EA and SO Sites (2 missing)348 Youth from EA and SO Sites (2 missing) 11 self-report items11 self-report items 9% self-report9% self-report 6% CPS Allegation Agreement (87%)Agreement (87%)  If CPS report, Youth reports (3/22 = 14%)  If Youth reports, CPS report (3/30 = 10%) CPSNOCPSYes SelfNo299(86%)19(6%) SelfYes27(8%)3(1%)

Sexual Abuse Indicators: Agreement for “CPS” Cohort 175 Youth from NW Site175 Youth from NW Site 11 self-report items11 self-report items 9% self-report9% self-report 27% CPS Allegation Agreement (73%)Agreement (73%)  If CPS report, Youth reports (8/48 =17%)  If Youth reports, CPS report (8/16 = 50%) CPSNOCPSYes SelfNo119(68%)40(23%) SelfYes8(5%)8(5%)

Sexual Abuse Indicators: Summary “At Risk” “CPS” Self-Report9%9% CPS Report 6%27% Agreement All 87%73% Self given CPS 14%17% CPS given Self 10%50%

Interim Summary CPS Sample reports were more sensitive to incidents of sexual abuse compared to the “At Risk” Sample ( higher rates and their better agreement with youth self-report).CPS Sample reports were more sensitive to incidents of sexual abuse compared to the “At Risk” Sample ( higher rates and their better agreement with youth self-report). Youth Self-Reports may provide additional useful perspective.Youth Self-Reports may provide additional useful perspective.

Interim Summary Continue to look at both indicatorsContinue to look at both indicators  Consider factors related to agreement (e.g., “severity”) (e.g., “severity”)  Examine relationship to adjustment

The adolescent self-report measure of sexual abuse has a stronger association with trauma symptoms (TSC-C) and youth- reported behavior/emotional problems (YSR) than do CPS measures of sexual abuse (accepted reports or findings of “substantiated”).The adolescent self-report measure of sexual abuse has a stronger association with trauma symptoms (TSC-C) and youth- reported behavior/emotional problems (YSR) than do CPS measures of sexual abuse (accepted reports or findings of “substantiated”). Adolescent self-report of sexual abuse, however, is not associated with the parental measure of child functioning (CBCL).Adolescent self-report of sexual abuse, however, is not associated with the parental measure of child functioning (CBCL). Maltreatment Indicators: Relationship to Outcomes

In contrast to negative results with other types of maltreatment, CPS accepted reports of sexual abuse is independently associated with youth functioning (but only for the parental measure of child functioning, the CBCL).In contrast to negative results with other types of maltreatment, CPS accepted reports of sexual abuse is independently associated with youth functioning (but only for the parental measure of child functioning, the CBCL). CPS findings of sexual abuse is associated with youth trauma symptoms and parent-reported youth problems of behavior and emotion (also in contrast to negative results for other types of maltreatment).CPS findings of sexual abuse is associated with youth trauma symptoms and parent-reported youth problems of behavior and emotion (also in contrast to negative results for other types of maltreatment).

Maltreatment Indicators: Relationship to Outcomes Regarding particular trauma symptoms, there are significant associations between CPS findings of sexual abuse and posttraumatic stress and anger.Regarding particular trauma symptoms, there are significant associations between CPS findings of sexual abuse and posttraumatic stress and anger. Adolescent self-report of sexual abuse is significantly associated with all of the specific trauma symptoms measured, as well as with the composite scores of the TSC-C and YSR.Adolescent self-report of sexual abuse is significantly associated with all of the specific trauma symptoms measured, as well as with the composite scores of the TSC-C and YSR.