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Nature of child sexual abuse and psychopathology in adult survivors : results from a clinical sample in Scotland.

Bak-Klimek, Anna; Karatzias, Thanos; Campbell, Jim; Pugh, R; Laybourn, Phyllis; Elliott, L

Authors

Jim Campbell

R Pugh

Phyllis Laybourn

L Elliott



Abstract

The relationship between history of childhood sexual abuse and psychopathology in adult life is well established. However, understanding of the mechanisms by which abuse exerts its effects is limited. To our knowledge, this is the first study which investigates the relationship between a wide range of sexual abuse characteristics (i.e. age at onset, frequency of assaults, number of perpetrators and their relationship to the victim) and the severity of psychopathological disorders in a large sample of adult child sexual abuse (CSA) survivors who attended a specialist Psychotherapy Service for CSA survivors. CSA survivors in our study experienced severe sexual assault(s) in their early years and presented with severe pathology which could suggest a strong causal link. However, none of the examined trauma characteristics significantly predicted severity of psychopathology. This may suggest that for severely disordered, treatment-seeking CSA survivors post-abuse psychopathology could be caused by other factors. The study adds to the growing body of evidence suggesting that CSA effects may be dependent on factors which are not necessarily related to the nature of sexual abuse. The study findings will help improve clinicians' insight into the determinants of psychopathology.

Citation

Bak-Klimek, A., Karatzias, T., Campbell, J., Pugh, R., Laybourn, P., & Elliott, L. (2014). Nature of child sexual abuse and psychopathology in adult survivors : results from a clinical sample in Scotland. Journal of Psychiatric and Mental Health Nursing, 21, 550-557. https://doi.org/10.1111/jpm.12127

Journal Article Type Article
Acceptance Date Nov 7, 2013
Online Publication Date Dec 4, 2013
Publication Date Aug 1, 2014
Deposit Date Jun 5, 2015
Publicly Available Date Jan 10, 2017
Journal Journal of Psychiatric and Mental Health Nursing
Print ISSN 1351-0126
Electronic ISSN 1365-2850
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 21
Pages 550-557
DOI https://doi.org/10.1111/jpm.12127
Keywords Adult survivors; child sexual abuse; mental health services; nature of abuse; psychopathology
Public URL http://researchrepository.napier.ac.uk/id/eprint/8513
Publisher URL http://dx.doi.org/10.1111/jpm.12127

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
This is the peer reviewed version of the following article: Bak-Klimek, A., Karatzias, T., Elliott, L., Campbell, J., Pugh, R. and Laybourn, P. (2014), Nature of child sexual abuse and psychopathology in adult survivors: results from a clinical sample in Scotland. J Psychiatr Ment Health Nurs, 21: 550–557. doi:10.1111/jpm.12127, which has been published in final form at http://dx.doi.org/10.1111/jpm.12127. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.







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