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 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Adolescent sexual abuse is an overwhelming issue for society and the medical community. Adolescent medicine has only begun to emerge in the mainstream of medical practice. Sexual medicine, adolescent chemical dependency, and abusive medicine are emerging subspecialties of mainstream medicine, with victimization syndromes just beginning to be explored. Adolescent sexual abuse, sexual addiction disorders, family incest, eating disorders, depression, and suicide in adolescents all need to be viewed from epidemiologically regarding family and community orientation. I refer to physician and troubled adolescent relations as the quadruple passivity syndrome. The ego-centered, troubled adolescent denies he or she has problems but no desire for treatment; the physician denies that the adolescent has health problems and has no desire to evaluate them. Physicians need to take an aggressive role in identifying, treating, and preventing the victimization process in children, adolescents, adults, spouses, families, and geriatric patients. Physicians need to be trained to identify these patients and to develop treatment protocols. The victimization syndrome needs more research, publication, and surveillance by all medical associations, but primarily by family physicians and pediatricians. In conclusion this clinical discussion describes four main points: Sexually abused adolescents can be successfully treated by a multidisciplinary advocacy team. A community multidisciplinary team can work in a unified approach for the good of the community by putting an end to future generations of victimized adolescents and families. The medical community has the greatest challenge in training, educating, and becoming more aware about adolescent sexual abuse. The community must provide support for victims of sexual abuse.
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PMID:Adolescent sexual abuse: clinical discussion of a community treatment response. 360 60

In this study, data on sexual victimization in the histories of 89 Canadian male runaways as well as information on physical victimization, family structure, family financial stability, delinquent and criminal activities, and reasons for running away from home were evaluated. The population of male runaways evidenced dramatically higher rates of sexual and physical abuse than did randomly sampled populations. Sexually abused and nonsexually abused male runaways shared characteristics noted in the literature as common to runaways: problem families, high rates of delinquency, depression, tension, low self-image, and history of physical abuse. Sexually abused male runaways differed from nonsexually abused runaways in their reactions to their runaway event, with sexually abused male runaways responding in highly avoidant patterns coupled with extreme withdrawal from all types of interpersonal relationships. These differences are explained as consistent with known sequelae of sexual abuse, and the implications for treatment by runaway shelters and for further research are suggested.
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PMID:Histories of sexual abuse in adolescent male runaways. 361 42

Twenty-seven incest victims, aged 12-18, responded to their experiences with self-destructive behaviors such as substance abuse, suicide attempts, perfectionism, isolation, or depression in attempts to alleviate stress or assert some control over helplessness created by the incest. Therapy focused on the premise that such adolescent behaviors are logical and predictable survival responses rather than simply clues to sexual abuse. Treatment goals included establishing trust, helping the victim re-define his or her role in the incest, view destructive behaviors as predictable responses, and understand that present behaviors are a continuation of these past survival responses. Such self-awareness encourages the adolescent to better manage or discontinue now inappropriate behaviors.
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PMID:Survival responses to incest: adolescents in crisis. 408 31

Pharyngeal gonorrhea in children and adolescents is probably increasing. During a 1-year period, 16 patients were diagnosed and treated for pharyngeal gonorrhea. This was the result of a search among a high-risk group, consisting of victims of sex abuse, patients suspected of homosexual practices, and adolescents with symptoms or signs suggestive of sexually transmitted diseases. Of the 16 positive throat cultures, 75% represented pharyngeal colonization while only 25% had clinical symptoms. Pharyngeal gonorrhea was found to be a marker in screening for psychosocial pathology, leading in two-thirds of the cases to the discovery of instances of incest, sexual abuse, chaotic family situations, or severe depression, all of which had been previously denied, ignored, or neglected. The purpose of this article is to alert health care providers to the clinical spectrum of pharyngeal gonorrhea in children and adolescents.
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PMID:Clinical spectrum of pharyngeal gonorrhea in children and adolescents: a report of sixteen patients. 684 Dec 40

Depressive affect of continuing depression do occur in children. Behavioral symptoms can be described as masked depression. Deficient rearing, neglect, and physical and sexual abuse are most significant causes of childhood depression. Suicide and suicide attempts usually result from prolonged depression. Management must be multidisciplinary and aimed at rehabilitating child and family.
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PMID:Depression in abused and neglected children. 729 50

Psychological assessments were conducted for Black and Latino sexually abused girls aged 8 to 13 years. Latino girls received significantly higher scores for depression than the Black girls. These differences in depression appeared to be related to ethnic differences in the circumstances of the abuse. Latino girls were abused at a younger age; more likely to be abused by a relative; and more likely to have had a sibling abused. Latinos were also more likely to report high levels of family conflict and somewhat lower levels of maternal support. Ethnicity was also found to be related to psychological functioning independently of the impact of other factors such as the circumstances of the abuse. Cultural and social factors that may influence psychological functioning subsequent to sexual abuse among Black and Latino girls are identified and discussed.
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PMID:Ethnic differences in psychological functioning among black and Latino sexually abused girls. 755 38

This paper reports on meta-analyses of the relations of child sexual abuse to adult psychological adjustment. Results indicated statistically significant relationships between the experience of child sexual abuse and subsequent difficulties in psychological adjustment as measured by psychological symptomatology, depression, and self-esteem. Significant heterogeneity occurred across studies using a variety of different subject populations, research designs, and assessment methods. Some explanation of the effect size variance was partially accounted for by certain identified study characteristics, most notable in regard to sample source used in the included studies. Student samples consistently generated smaller, more homogeneous effect size estimates than did community or clinical samples. This indicates that abused subjects drawn from student samples may experience fewer impairments in psychological adjustment, when compared to abused subjects drawn from community or clinical samples. The implications of these findings and suggestions for future research are discussed.
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PMID:A meta-analysis of the relationship of child sexual abuse to adult psychological adjustment. 755 40

Childhood sexual abuse (CSA) as a predictor of depression and self-destructive behaviors in adulthood was examined relative to other traumatic stressors in childhood and adulthood with special attention to sex differences. In a college sample of 173 men and 265 women, 16% of male (n = 28) and 24% of female respondents (n = 63) reported having been sexually abused as children. CSA, ranging from unwanted kissing and fondling to unwanted sexual intercourse, predicted depression, chronic self-destructiveness, self-harm ideation, acts of self-harm, suicide ideation, and suicide attempts, for both men and women. The more frequent and severe the sexual abuse and the longer its duration, the more depression and self-destructiveness reported in adulthood. Other stressors predicted these effects less consistently but their occurrence in combination with CSA contributed to the negativity of long-term outcomes. Study results affirm previous findings of a relationship between CSA and depression and self-destructiveness in adult females and extend them to males.
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PMID:Childhood sexual abuse as a precursor to depression and self-destructive behavior in adulthood. 758 9

Eighty-four sexually abused children and their families, were compared with controls to look at short-term effects of sexual abuse. The abuse group had more marital breakdown, unemployment, communication problems within the family and poor marital mental health. The abused children had more depression, low self-esteem and behaviour disorder. There was no relationship between intrafamilial abuse and depression, self-esteem or behaviour disorder. More severe abuse was related to low self-esteem and children's negative perceptions of their mothers. In planning treatment the child's relationship to the perpetrator may need less emphasis, with more on self-esteem, depression, family functioning and the child's perceptions of the family.
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PMID:Self esteem, depression, behaviour and family functioning in sexually abused children. 759

Fifty-three self-defined compulsive eaters recruited from weight loss programs and a college population and prescreened to eliminate probable anorexics and bulimics participated in this study. They completed the Three Factor Eating Questionnaire, Beck Depression Inventory, Compulsive Eating Scale, Eating Obsessive-Compulsive Questionnaire, Personal Assertion Analysis, and provided demographic information. Participants had high scores for compulsive eating and disinhibition and low scores for depression. The best predictors of compulsive eating were disinhibition and obsessive thoughts of food, which accounted for 61% of the variance. Twenty-one percent of the sample reported a history of sexual abuse. Thirty-one percent of the sample were classified as medically obese, yet 49% perceived themselves to be moderately to very overweight.
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PMID:Compulsive eating, obsessive thoughts of food, and their relation to assertiveness and depression in women. 759 68


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