A normative sample of 1,114 children was contrasted with a sample of 620 sexually abused children and 577 psychiatric outpatients on the Child Sexual Behavior Inventory (CSBI), a 38-item behavior checklist assessing sexual behavior in children 2 to 12 years old. The CSBI total score and each individual item differed significantly between the three groups after controlling for age, sex, maternal education, and family income. Sexually abused children exhibited a greater frequency of sexual behaviors than either the normative or psychiatric outpatient samples. Test-retest reliability and interitem correlation were satisfactory. Sexual behavior problems were related to other generic behavior problems. This contributed to the reduced discrimination between psychiatric outpatients and sexually abused children when compared to the normative/sexually abused discrimination.
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References
1.
Achenbach, T. M.
(1991a). Manual for the Child Behavior Checklist/4-18 & 1991 Profile. Burlington: University of Vermont, Department of Psychiatry.
2.
Achenbach, T. M.
(1991b). Manual for the Teacher's Report Form and 1991 Profile.
3.
Achenbach, T. M.
(1992). Manual for the Child Behavior Checklist/2-3 & 1992 Profile. Burlington: University of Vermont, Department of Psychiatry.
4.
Allen, J. (1993). Allegations of sexual abuse: Behavioral determinants in preverbal children. Unpublished doctoral dissertation, The Minnesota School of Professional Psychology, Minneapolis.
5.
American Psychiatric Association
. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
6.
Berliner, L.
, & Saunders, B. (1996). Treating fear and anxiety in sexually abused children: Results of a controlled, 2 year followup study. Child Maltreatment, 1, 294-311.
7.
Briere, J.
(1996). Trauma symptom checklist children professional manual. Odessa, FL: Psychological Assessment Resources.
8.
Burton, D. L. (1996). Cognitive factors in sexually aggressive children. Unpublished doctoral dissertation, University of Washington, Seattle.
9.
Cohen, J. A.
, & Mannarino, A. P. (1996). A treatment outcome study for sexually abused children: Initial findings. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 42-50.
10.
Cohen, J.A.
, & Mannarino, A.P. (1997). A follow-up study of factors which mediate the development of psychological symptomatology in sexually abused girls. Child Maltreatment.
11.
Cosentino, C. E.
, Meyer-Bahlburg, H.F.L., Alpert, J. L., Weinberg, S. L., & Gaines, R. (1995). Sexual behavior problems and psychopathology symptoms in sexually abused girls. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1033-1042.
12.
Finkelhor, D.
, & Browne, A. (1985). The traumatic impact of child sexual abuse: A conceptualization. American Journal of Orthopsychiatry, 55, 530-541.
13.
Friedrich, W. N.
(1993a). Sexual behavior in sexually abused children. Violence Update, 3(5), 1, 7-11.
14.
Friedrich, W. N.
(1993b). Sexual victimization and sexual behavior in children: A review of the recent literature. Child Abuse and Neglect, 17, 59-66.
15.
Friedrich, W. N.
(1997). Child Sexual Behavior Inventory: Professional manual. Odessa, FL: Psychological Assessment Resources.
16.
Friedrich, W. N.
, Grambsch, P., Broughton, D., Kuiper, J., & Beilke, R. L. (1991). Normative sexual behavior in children. Pediatrics, 88, 456-464.
17.
Friedrich, W. N.
, Grambsch, P., Damon, L., Hewitt, S. K., Koverola, C., Lang, R. A., Wolfe, V., & Broughton, D. (1992). Child Sexual Behavior Inventory: Normative and clinical comparisons. Psychological Assessment, 4, 303-311.
18.
Friedrich, W. N.
, & Jaworski, T. M. (1995). Measuring dissociation and sexual behaviors in adolescents and children. Unpublished manuscript, Mayo Clinic, Rochester, Minnesota.
19.
Friedrich, W. N.
, Jaworski, T. M., Huxsahl, J., & Bengston, B. (1997). Dissociative and sexual behaviors in children and adolescents with sexual abuse and psychiatric histories. Journal of Interpersonal Violence, 12, 155-171.
20.
Friedrich, W. N.
, & Share, M. (1997). The Roberts Apperception Test for Children: An exploratory study of its use with sexually abused children. Journal of Child Sexual Abuse, 6, 83-91.
21.
Graham, P.
(1979). Epidemiological studies. In H. C. Quay & J. S. Wherry (Eds.), Psychopathological disorders of childhood (2nd ed., pp. 185-209). New York: John Wiley.
22.
Hall-Marley, S. E.
, & Damon, L. (1993). Impact of structured group therapy on young victims of sexual abuse. Journal of Child and Adolescent Group Therapy, 3, 41-48.
23.
Hewitt, S. K.
, & Friedrich, W. N. (1991). Effects of probable sexual abuse in preschool children. In M. Q. Patton (Ed.), Family sexual abuse (pp. 57-74). Newbury Park, CA: Sage.
24.
Hewitt, S. K.
, Friedrich, W. N., & Allen, J. (1994, January). Factors in assessing sexual abuse allegations in a sample of two year old children. Paper presented at the 8th Annual Conference on Responding to Child Maltreatment, San Diego, California.
25.
Higgins, D. J.
, & McCabe, M. P. (1996, August). Parent perceptions of children's experiences of maltreatment. Paper presented at the Biannual Conference of the International Society for the Prevention of Child Abuse and Neglect, Republic of Ireland, Dublin.
26.
Holland, B. S.
, & Copenhaver, M. D. (1988). Improved Bonferroni-type multiple testing procedures. Psychological Bulletin, 104, 145-149.
27.
Katz-Plotkin, S. (1991). Sexual victimization and its impact on child sexual behavior and behavioral functioning. Unpublished doctoral dissertation, Boston College.
28.
Kendall-Tackett, K. E.
, Williams, L. M., & Finkelhor, D. (1993). The impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113, 164-180.
29.
Lamers, F.
(1997, January). Sexual behavior in Dutch preschoolers. Paper presented at the 1997 Conference on Responding to Child Maltreatment, San Diego, California.
30.
Maing, D. M. (1991). Patterns of psychopathology in sexually abused girls. Unpublished doctoral dissertation, University of Windsor, Ontario.
31.
Mannarino, A. P.
, Cohen, J. A., & Berman, S. R. (1994). The Children's Attributions and Perceptions Scale: A new measure of sexual abuse-related factors. Journal of Clinical Child Psychology, 23, 204-211.
32.
Scarf, C. L.
& Foy, D. W. (1991, October). Trauma related psychological responses in sexually and physically abused children. Paper presented at the International Society for Traumatic Stress Studies, Washington, DC.
33.
Shafran, C. R. (1995). Normal sexual behavior of young children: Contextual and family influences. Unpublished doctoral dissertation, The Fielding Institute, Santa Barbara, CA.
34.
Spitzmueller, W. R. (1991). Cross-validation of two inventories for children referred to an outpatient clinic for sexual abuse assessment. Unpublished doctoral dissertation, The Minnesota School of Professional Psychology, Minneapolis.
35.
White, S.
, Halpin, B. M., Strom, G. A., & Santilli, G. (1988). Behavioral comparisons of young sexually abused, neglected, and nonreferred children. Journal of Clinical Child Psychology, 17, 53-61.
