000			03188nab a2200361Ia 4500
001			115230
005			20250625151142.0
008			110331s2008 eng
022			_a0145-2134
040			_aWSS _dAFV
100			_91142 _aFergusson, David M.
245			_aExposure to childhood sexual and physical abuse and adjustment in early adulthood _cFergusson, D.M. (David Murray); Boden, Joseph M.; Horwood, Leonard John
260			_c2008
365			_a00 _b0
500			_aChild Abuse & Neglect, 2008, 32(6): 607-619
520			_aObjective: This research examined linkages between exposure to childhood sexual abuse (CSA) and childhood physical punishment/abuse (CPA) and mental health issues in early adulthood. Method: The investigation analyzed data from a birth cohort of over 1,000 New Zealand young adults studied to the age of 25. Results: Exposure to CSA and CPA was associated with increased risks of later mental disorders including depression, anxiety disorder, conduct/anti-social personality disorder, substance dependence, suicidal ideation, and suicide attempts at ages 16-25. Control for social, family, and individual factors reduced the associations between CPA and mental health outcomes to the point of statistical non-significance. However, there was a consistent finding for CSA to remain associated with increased risks of later mental health problems. After adjustment, those exposed to CSA including attempted or completed sexual penetration had rates of disorder that were 2.4 times higher than those not exposed to CSA. Those exposed to harsh or abusive physical punishment had rates of disorder that were 1.5 times higher than those exposed to no or occasional physical punishment. It was estimated that exposure to CSA accounted for approximately 13% of the mental health problems experienced by the cohort. Findings showed that exposure to CPA had only weak effects on later mental health. It was estimated that exposure to CPA accounted for approximately 5% of the mental health problems experienced by the cohort. Conclusions: Exposure to CSA was associated with consistent increases in risks of later mental health problems. Exposure to CPA had weaker and less consistent effects on later mental health. These findings suggest that much of the association between CPA and later mental health reflects the general family context in which CPA occurs, whereas this is less the case for CSA.--JOURNAL ABSTRACT
650	2	7	_2FVC _aCHILD NEGLECT _9114
650		0	_aChristchurch Health and Development Study _94067
650	2	7	_2FVC _aCORPORAL PUNISHMENT _9158
650	2	7	_2FVC _aDISCIPLINE _9198
650	2	7	_2FVC _aLONGITUDINAL STUDIES _9351
650	2	7	_2FVC _aMENTAL HEALTH _9377
650	2	7	_2FVC _aPHYSICAL ABUSE _9439
650	2	7	_9103 _aCHILD ABUSE _2FVC
650	2	7	_9121 _aCHILD SEXUAL ABUSE _2FVC
650	2	4	_aSEXUAL VIOLENCE _9531
700	1		_aBoden, Joseph M. _9800
700	1		_aHorwood, Leonard John _91381
773	0		_tChild Abuse & Neglect, 2008, 32(6): 607-619
830			_aChild Abuse & Neglect _94477
856	4		_uhttp://dx.doi.org/10.1016/j.chiabu.2006.12.018 _zAccess the abstract
942			_cARTICLE _2ddc
999			_c1876 _d1876