1. Attachment and Childhood Sexual Abuse in Young Adult Females Jeff Aspelmeier Department of Psychology radford university

2. Childhood Sex Abuse (CSA) Prevalence –Females = between 20-30% 54-62% when non-contact abuse is included. Outcomes in Adulthood Negative Psychological Outcomes vary from non-existent (40%) to extremely persistent Depression (4 times as likely) Suicidal Ideation (2 times as likely) Anxiety (5 times as likely) Anger PTSD (36 – 66% prevalence rate) Dissociation Personality Disorders Cognitive Distortions (self-blame, low self-esteem helplessness) Externalized Behaviors (Self Mutalation, Bulimia, Substance Abuse) Interpersonal Difficulties

3. Attachment Theory Ethological Approach to Parent-Child Bonding (Bowlby, 1969, 73, 80) –The attachment Behavioral System Individual Differences in Attachment styles –Variation in parent’s willingness to provide a secure base, and child’s secure base behavior. –Secure = P. is consistently responsive to C’s needs. C. uses P. as secure base from which to explore –Avoidant = P. is consistently unresponsive to C’s needs. C. uses pseudo-exploration to minimize affect expressions. –Ambivalent = P. is inconsistently responsive. C. is preoccupied with monitoring the P.

4. Adult Attachment Styles Bartholomew (1990) Four Category Model Secure: It is easy for me to become emotionally close to others. I am comfortable depending on others and having others depend on me. I don’t worry about being alone or having others not accept me.(+ SELF / + OTHER) Dismissing: I am comfortable without close emotional relationships. It is very important to me to feel independent and self-sufficient, and I prefer not to depend on others or have others depend on me. (+SELF / - OTHER) Preoccupied: I want to be completely emotionally intimate with others, but I often find that others are reluctant to get as close as I would like. I am uncomfortable being without close relationships, but I sometimes worry that others don’t value me as much as I value them. (- SELF / + OTHER) Fearful: I am uncomfortable getting close to others. I want emotionally close relationships, but I find it difficult to trust others completely, or to depend on them. I worry that I will be hurt if I allow myself to become too close to others. (-SELF/- OTHER)

5. CSA and Attachment Attachment offers theoretical organization to an atheoretical area of research Some data to suggest that secure parent child relationships can ameliorate the negative effects of sexual abuse. Also, data suggests that secure adult romantic relationships can reduce negative psychological outcomes of CSA.

6. Participants 336 female Radford University Undergraduates Age: 18 – 21 years (Mean = 18.40, SD = 2.11) –one 31 year old & one 52 year old Ethnicity: 88.1% Caucasian 7.2 % African American 0.6 % Latino/Hispanic 1.3 % Asian/Pacific Islander 2.8 % Other Class Rank: 84.4 % Freshmen 11.8 % Sophomores 3.1 % Jr. 0.3 % Sr.

7. CSA Frequencies Abuse Type % –Adult or older person (teenager, babysitter) tried to 19.7 touch or look at your private parts. –Older person tried to make you look at or touch their 10.1 private parts. –Older person tried to grab you, or kiss you in a sexual 16.9 way that made you feel afraid or bad –Someone (or group) own age tried to threaten, force, 16.9 or trick you into doing something sexually that you did not want to do –Anyone (older or same age) acted suspicious or strange 32.7 in a way that made you wonder if they were trying to get sexual with you: too friendly, hanging around when unwanted, unwanted touching, or try to get you to do weird things

8. CSA Frequencies Abuse Type % –Total Attempted and Complete Sex Abuse 48.8 –Total Contact and Exposure Abuse 1, 2, & 4 28.8 –Self Label as Sexually Abused 11.7 Association between Self Label &Reported Experiences –Attempted or Completed X Self Label X 2 (1, n=325)= 44.93*** 76% reporting the behavior don’t endorse the label –Contact or Exposure X Self Label X 2 (1, n=325)= 98.06*** 61% reporting the behavior don’t endorse the label

9. CSA and Therapy 3.1 % currently in therapy or counseling 29.2% have had therapy or counseling CSA X Therapy –Contact or Exposure CSA X Therapy Ever X 2 (1, n=325) = 5.26, p<.03 –11% reporting CSA experience have had therapy –18% reporting no CSA experiences have had therapy –Endorse CSA Label X Therapy Ever X 2 (1, n=324) = 16.96, p<.001 –23% Endorsing CSA label have had therapy –7% Not Endorsing CSA label have had therapy

10. Attachment Measures Relationship Scale Questionnaire (RSQ; Griffin & Bartholomew, 1994) –30 items responded to on a 5 pt. numerical rating scale –Averaged to form scores for 6 scales. MEANSD RANGE ALPHA SECURE4.600.905.35 DISMISSING4.041.026.60 PREOCCUPIED4.051.086.47 FEARFUL3.771.275.75.64 VIEW OF SELF.8182.4614.94 NA VIEW OF OTHER.8422.6113.35 NA

11. Attachment Measures Inventory of Parent and Peer Attachment (IPPA; Armseden & Greenberg, 1987). –Only Parent portion reported 25 items responded to on a 5 pt. numerical rating scale. Responses averaged to form 3 scales Mean SD Range Alpha –Trust4.12.851 3.7.93 –Communication3.73.939 3.8.91 –Alienation2.27.918 3.9.87

12. CSA X ATTACHMENT CSA Label Endorsement For Parent Alientation No Yes df t 2.22 2.63 321-2.55* (.889) (1.06) All Other Analyses were non-significant

13. CSA X ATTACHMENT Contact or Exposure CSA x IPPA Parent Scales No Yes df t TRUST 4.23 3.83 323 2.65** (.7793) (.9543) COMMUNICATION 3.84 3.46 323 -3.31** (.8844)(1.02) ALIENATION 2.12 2.62 149.7 2.31*** (.8626)(.9584)

14. CSA X ATTACHMENT Contact or Exposure CSA x RSQ Scales No Yes df t SECURE 4.68 4.39 323 2.65** (.889) (1.06) FEARFUL 3.63 4.12 323 -3.31*** (1.24)(1.29) SELF 1.03.2917 149.7 2.31* (2.31)(2.74) OTHER1.08.2545 323 2.61** (2.47)(2.85)

15. Conclusions CSA –Data is consistent with past research –Prevalence Rates are Greatly influenced by how we define CSA –A significant number of participants didn’t recognize their own abuse history May reflect an endorsement of Rape Myths –Participating in therapy was predictive of endorsing the CSA label The causal direction of this is unclear

16. Conclusions CSA and Attachment –Endorsing the CSA label was associated with greater alienation from parents May suggest that reporting sexual abuse leads to increased parent child conflict. May suggest that victims from high conflict families are more likely to experience or report CSA experiences. Present analyses did not consider the source of abuse. The closer the relationship between the mother and the offender the poorer the parent child relationship quality.

17. Conclusions CSA and Attachment –Experiencing CSA was associated with less trust, poorer communication, and greater alienation in the parent-child relationship, compared to non-victims. May suggest that parent child relationships are negatively influenced by CSA experiences May suggest that CSA is more likely in families with less secure parent-child relationships.

18. Conclusions CSA and Adult Romantic Attachment –Experiencing CSA is associated with less security, greater fearfulness, more negative view of self, and more negative view of others in close adult relationships, compared to non-victims That CSA precedes the formation of these close adult relationship, suggests that CSA plays a causal role in adult relationship insecurity Alternately, adult romantic attachment is thought to be based on working models of P-C attachment. P-C attachment insecurity may be predictive of CSA. Direction of relationship remains unclear.