This study examined the relationship of attributional style, posttrauma, and depressive symptoms among children who have suffered either physical or sexual abuse. Ninety-eight children (67 physically abused, 31 sexually abused) were administered a depression inventory, the Post-Traumatic Stress Disorder–Reaction Index (PTSD-RI), and Children's Attributional Style Questionnaire (CASQ). With regard to group differences, the sexual abuse group scored significantly higher on the PTSD-RI, whereas the physical abuse group scored higher on the CASQ Composite for Negative Events. Results also indicated that attributional style predicted depression beyond the variance accounted for by abuse type (i.e., physical or sexual). However, the best predictor of PTSD-RI scores was an interaction effect between abuse type and negative attributional style. Clinical implications of these findings for children who suffer abuse are discussed.
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References
1.
Abramson, L. Y.
, Seligman, M.E.P., & Teasdale, J. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49-74.
2.
Ackerman, P. T.
, Newton, J.E.O., McPherson, W. B., Jones, J. G., & Dykman, R. A. (1998). Prevalence of post-traumatic stress disorder and other psychiatric diagnoses in three groups of abused children (sexual, physical, and both). Child Abuse & Neglect, 22, 759-774.
3.
American Psychiatric Association
. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., Rev.). Washington, DC: Author.
4.
American Psychiatric Association
. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
5.
Ammerman, T.
, Cassisi, J., Hersen, M., & Van Hasselt, V. (1986). Consequences of physical abuse and neglect in children. Clinical Psychology Review, 6, 291-310.
6.
Beck, A.
(1996). Beck Depression Inventories–II. San Antonio, TX: Psychological Corporation.
7.
Beck, A. T.
, Ward, C. H., Mendelsohn, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.
8.
Briere, J.
, & Elliott, D. M. (1994). Immediate and long-term impacts of child sexual abuse. Future of Children, 4(2), 54-69.
9.
Briere, J.
, & Runtz, M. (1990). Differential adult symptomatology associated with three types of child abuse histories. Child Abuse & Neglect, 14, 357-364.
10.
Brown, E.
, & Kolko, D. (1999). Child victims' attributions about being physically abused: An examination of factors associated with symptom severity. Journal of Abnormal Child Psychology, 27(4), 311-322.
11.
Browne, A.
, & Finkelhor, D. (1986). Impact of child sexual abuse: A review of the research. Psychological Bulletin, 99, 66-77.
12.
Callahan, E. A.
(1998). An attributional analysis and the adjustment of women exposed to sexual abuse as children. Dissertation Abstracts International: Section B: The Sciences and Engineering, 59(5-B), 2413-2413.
13.
Celano, M.
(1992). A developmental model of victims' internal attributions of responsibility for sexual abuse. Journal of Interpersonal Violence, 7(1), 57-69.
14.
Cerezo-Jimenez, M. A.
, & Frias, D. (1994). Emotional and cognitive adjustment in abused children. Child Abuse & Neglect, 18(11), 923-932.
15.
Cicchetti, D.
, & Toth, S. L. (1995). A developmental psychopathology perspective in child abuse and neglect. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 541-565.
16.
Dalenberg, C. J.
, & Jacobs, D. A. (1994). Attributional analyses of child sexual abuse episodes: Empirical and clinical issues. Journal of Child Sexual Abuse, 3, 37-50.
17.
Deblinger, E.
, Hathaway, C., Lippmann, J., & Steer, B. (1993). (1993). Psychosocial characteristics and correlates of symptom distress in non-offending mothers of sexually abused children. Journal of Interpersonal Violence, 8, 155-168.
18.
Deblinger, E.
, McLeer, S., Atkins, M. S., Ralphe, D., & Foa, E. (1989). Post-traumatic stress in sexually abused, physically abused, and non-abused children. Child Abuse & Neglect, 13, 403-408.
19.
Deblinger, E., Taub, B., Schaal, A., Lippmann, J., & Stauffer, L. (1994). Psychosocial correlates of symptomatology in sexually abused children. Unpublished manuscript.
20.
Everson, M. D.
, Hunter, W. M., Runyon, D. K., Edelson, G. A., & Coulter, M. L. (1989). Maternal support following disclosure of incest. American Journal of Orthopsychiatry, 59(2), 197-207.
21.
Feiring, C.
, Taska, L., & Chen K. (2002). Trying to understand why horrible things happen: Attribution, shame and symptom development following sexual abuse. Child Maltreatment, 7, 26-41.
22.
Feiring, C.
, Taska, L. S., & Lewis, M. (1998). The role of shame and attributional style in children's and adolescents' adaptation to sexual abuse. Child Maltreatment, 3(2), 129-142.
23.
Feldman, R. S.
, Salinger, S., Rosario, M., Alvarado, L., Carabello, L., & Hammer, M. (1995). Parent, teacher, and self ratings of physically abused and nonmaltreated children's behavior. Journal of Abnormal Child Psychology, 23, 311-324.
24.
Finch, A. J.
, Saylor, C. F., & Edwards, G. I. (1985). Children's depression inventory: Sex and grade norms for normal children. Journal of Consulting and Clinical Psychology, 13, 424-425.
25.
Finkelhor, D.
, Hotaling, G., Lewis, I. A., & Smith, C. (1990). Sexual abuse in a national survey of adult men and women: Prevalence, characteristics, and risk factors. Child Abuse & Neglect, 14, 19-28.
26.
Frederick, C.
, Pynoos, R. S., & Nader, K. (1992). Post traumatic stress disorder B Reaction index. Los Angeles: University of California.
27.
Gelles, R.
(1980). Violence in the family: A review of research in the seventies. Journal of Marriage and the Family, 42, 873-885.
28.
Gil, D.
(1970). Violence against children: Physical child abuse in the United States. Cambridge, MA: Harvard University Press.
29.
Gladstone, T.
, & Kaslow, N. (1995). Depression and attributions in children and adolescents: A meta-analytic review. Journal of Abnormal Child Psychology, 23, 597-606.
30.
Gladstone, T.
, Kaslow, N. J., Seeley, J. R., & Lewinsohn, P. M. (1997). Sex differences, attributional style, and depressive symptoms among adolescents. Journal of Abnormal Child Psychology, 25(4), 297-305.
31.
Gold, E. R.
(1986). Long-term effects of sexual victimization in childhood: An attributional approach. Journal of Consulting and Clinical Psychology, 54(4), 471-475.
32.
Green, A. H.
(1993). Child sexual abuse: Immediate and long-term effects and intervention. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 890-902.
33.
Higgins, D. J.
, & McCabe, M. P. (2000). Relationships between different types of maltreatment during childhood and adjustment in adulthood. Child Maltreatment, 5, 261-272.
34.
Kashani, J. H.
, & Carlson, G. A. (1987). Seriously depressed preschoolers. American Journal of Psychiatry, 144, 348-350.
35.
Kaslow, N. J.
, Rehm, L. P., Pollack, S. L., & Siegel, A. W. (1988). Attributional style and self-control behavior in depressed and non-depressed children and their parents. Journal of Abnormal Child Psychology, 16, 163-175.
36.
Kaslow, N. J., Tanenbaum, R. L., & Seligman, M.E.P. (1978). The KASTAN-R: A Children's Attributional Style Questionnaire. Unpublished manuscript, University of Pennsylvania, Philadelphia.
37.
Kavanagh, K. A.
, Youngblade, L., Reid, J. B., & Fagot, B. I. (1988). Interactions between children and abusive versus control parents. Journal of Clinical Child Psychology, 17, 137-142.
38.
Kendall-Tackett, K. A.
, Williams, L. M., & Finkelhor, D. (1993). Impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113, 164-180.
39.
Kolko, D.
, Moser, J., & Weldy, S. (1988). Behavioral/emotional indicators of sexual abuse in child psychiatric inpatients: A controlled comparison with physical abuse. Child Abuse and Neglect, 12, 529-541.
40.
Kolko, D. J.
(1996). Individual cognitive-behavioral treatment and family therapy for physically abused children and their offending parents: A comparison of clinical outcomes. Child Maltreatment, 1, 322-342.
41.
Kolko, D. J.
, Brown, E., & Berliner, L. (2002). Children's perceptions of their abusive experience: Measurement and preliminary findings. Child Maltreatment, 7, 42-55.
42.
Kovacs, M., & Beck, A. (1983). The Children's Depression Inventory: A self-rating depression scale for school-aged youngsters. Unpublished manuscript, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania.
43.
Kress, F.
, & Vandenberg, B. (1998). Depression and attribution in abused children and their nonoffending caregivers. Psychological Reports, 83(3), 1285-1286.
44.
Mannarino, A.
, & Cohen, J. (1996). Abuse-related attributions and perceptions, general attributions, and locus of control in sexually abused girls. Journal of Interpersonal Violence, 11(2), 162-180.
45.
Mannarino, A.
, Cohen, J., & Berman, S. (1994). The Children's Attributions and Perceptions Scale: A new measure of sexual abuse related factors. Journal of Clinical Child Psychology, 23(2), 204-211.
46.
McCauley, E.
, Mitchell, J., Burke, P., & Moss, S. (1988). Cognitive attributes of depression in children and adolescents. Journal of Consulting and Clinical Psychology, 56(6), 903-908.
47.
McMillen, C.
, & Zuravin, S. (1997). Attributions to blame and responsibility for child sexual abuse and adult adjustment. Journal of Interpersonal Violence, 12(1), 30-48.
48.
Morrow, K.
(1991). Attributions of female adolescent incest victims regarding their molestation. Child Abuse & Neglect, 15, 477-483.
49.
Nader, K.
(1996). Psychometric review of Child PTS Reaction Index (CPTS-RI). In B. H. Stamm (Ed.), Measurement of stress, trauma, and adaptation (pp. 83-86). Lutherville, MD: Cidran.
50.
Nader, K.
(1997). Assessing trauma in children. In J. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 291-348). New York: Guilford.
51.
Nolen-Hoeksema, S.
, Girgus, J. S., & Seligman, M.E.P. (1992). Predictors and consequences of childhood depressive symptoms: A 5-year longitudinal study. Journal of Abnormal Psychology, 101, 405-422.
52.
Oldershaw, L.
, Walters, G. C., & Hall, D. K. (1986). Control strategies and noncompliance in abusive mother-child dyads: An observational study. Child Development, 57, 722-732.
53.
Pelcovitz, D.
, Kaplan, S., Goldenberg, B., Mandel, F., Lehane, J., & Guarrera, J. (1994). Post-traumatic stress disorder in physically abused children. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 305-312.
Runyon, D. K.
, Hunter, W. M., & Everson, M. D. (1992). Maternal support for child victims of sexual abuse: Determinants and implications (Final report for the National Center for Child Abuse and Neglect). Washington, DC: U.S. Department of Health and Human Services.
56.
Saylor, C. F.
, Finch, A. J., Spirito, A., & Bennett, B. (1984). Systematic evaluation of the Children's Depression Inventory. Journal of Consulting and Clinical Psychology, 52, 955-967.
57.
Smucker, M. R.
, Craighead, W. E., Craighead, L. W., & Green, B. J. (1986). Normative and reliability data for the Children's Depression Inventory. Journal of Abnormal Child Psychology,14(1), 25-39.
58.
Spaccarelli, S.
(1995). Measuring abuse stress and negative cognitive appraisals in child sexual abuse: Validity data on two new scales. Journal of Abnormal Child Psychology, 23, 703-727.
59.
Spaccarelli, S.
, & Fuchs, C. (1997). Variability in symptom expression among sexually abused girls: Developing multivariate models. Journal of Clinical Child Psychology, 26, 34-35.
Trent, J. D.
, & Weiss, L. G. (2000). Development of non-clinical standardized scores for the Beck Depression Inventory B Second edition (BDIII), Beck Anxiety Inventory (BAI), and Beck Hopelessness Scale (BHS). San Antonio, TX: Psychological Corporation.
62.
U.S. Bureau of the Census
. (2000). Population profile of the United States. Washington, DC: Government Printing Office.
63.
Wolfe, D. A.
, Sas, L., & Wekerle, C. (1994). Factors associated with the development of posttraumatic stress disorder among child victims of sexual abuse. Child Abuse & Neglect, 18, 37-50.
64.
Wolfe, V. V.
, Gentile, C., & Wolfe, D. A. (1989). The impact of sexual abuse on children: A PTSD formulation. Behavior Therapy, 20, 215-228.
65.
Wyatt, G. E.
, & Mickey, M. R. (1988). The support of parents and others as it mediates the effects of child sexual abuse: An exploratory study. In G. E. Wyatt & G. J. Powell (Eds.), Lasting effects of child sexual abuse (pp. 211-226). Newbury Park, CA: Sage.
66.
Wyatt, G. E.
, & Newcomb, M. D. (1990). Internal and external mediators of women's sexual abuse in childhood. Journal of Consulting and Clinical Psychology, 58(6), 758-767.
