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March 1988, Vol 142, No. 3 >
Article | March 1988

Abuse, Feelings, and Health Behaviors in a Student Population FREE

Roberta A. Hibbard, MD; Catherine J. Brack, MS; Steven Rauch, MSW; Donald P. Orr, MD
[+] Author Affiliations

Presented in part at the 56th Annual Meeting of the Society for Pediatric Research, Anaheim, Calif, April 28, 1987.

Reprints not available.


Am J Dis Child. 1988;142(3):326-330. doi:10.1001/archpedi.1988.02150030100031.
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References
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• Behavioral sequelae of child abuse are frequently cited, but there are few studies that examine the strength of association between behavioral effect and abuse for children in a nonclinical setting. Seven hundred twelve junior high school students (mean age, 13.5 years) were surveyed for self-report of personal experience with abuse, certain health behaviors, and self-esteem. Physical and/or sexual abuse was reported by 18.3% of students. Both types of abuse were associated with the following behaviors: running away; considering hurting oneself; suicide attempts; and the use of drugs, pot (marijuana), cigarettes, and laxatives. No clinically significant relationships were found between abuse and report of anger, sadness, or self-esteem. These data suggested that some feelings and behaviors were common among all adolescents sampled, while others were more common among abused adolescents. Recognition of strong associations should help direct clinical management. The results of this study confirm findings from some previous reports and indicate the need for further studies of children who are not in a clinical setting.

(AJDC 1988;142:326-330)

REFERENCES

1 +
Finklehor D: Child Sexual Abuse . New York, Free Press, 1984;.
2 +
Martin HP, Beezley P:  Behavioral observations of abused children . Dev Med Child Neurol 1977;;19:373-387.
3 +
Kempe CH, Helfer R: Child Abuse and Neglect . Cambridge, Mass, Ballinger Publishing Co, 1976;.
4 +
Finklehor D: A Sourcebook on Child Sexual Abuse . Beverly Hills, Calif, Sage Publications Inc, 1986;.
5 +
Orr D, Brack C, Rauch S:  Structure of problem behaviors in young adolescents , abstracted. Pediatr Res 1987;;21:176.
6 +
Orr D, Lay P: School-based health services: Three approaches. Read before the Sixth Annual Meeting of the Program to Consolidate Health Services to High Risk Young People, Princeton, NJ, Oct 3, 1985.
7 +
Rosenberg M: Society and the Adolescent Self Image . Princeton, NJ, Princeton University Press, 1965;.
8 +
Robinson JP, Shave PR (eds): Measures of Social Psychological Attitudes . Ann Arbor, Mich, Institute for Social Research, 1974;, pp 98-99.
9 +
Johnson AG: Social Statistics Without Tears . New York, McGraw-Hill International Book Co, 1977;, pp 97-99.
10 +
Norusis MJ: SPSS/PC+ . Chicago, SPSS Inc, 1986;, pp B99-103.
11 +
Brown GB:  2×2 tables . AJDC 1985;;19: 787-790.
12 +
Hollingshead A, Redlich F: Social Class and Mental Illness: A Community Study . New York, John Wiley & Sons Inc, 1958;.
13 +
Blum RW, Runyan C:  Adolescent abuse: Dimensions of the problem . J Adolesc Health Care 1980;;1:121-126.
14 +
Orr DP, Weller SC, Rowley K, et al: Final Report: Adolescents' Perceptions of Discipline , publication 90-CA-838. US Dept of Health and Human Services, Office of Human Development Service, 1983;.
15 +
National Center on Child Abuse and Neglect: Study Findings: National Study of the Incidence and Severity of Child Abuse and Neglect , publication (OHDS) 81-30325. US Dept of Health and Human Services, 1981;.
16 +
Finklehor D: Sexually Victimized Children . New York, Free Press, 1979;.
17 +
Tilelli JA, Turek D, Jaffe AC:  Sexual abuse of children: Clinical findings and implications for management . N Engl J Med 1980;;302: 319-323.
18 +
DeJong AR, Emmett GA, Hervada AR:  Sexual abuse of children . AJDC 1982;;136:129-134.
19 +
Bach C, Anderson S:  Adolescent sexual abuse and assault . J Curr Adolesc Med 1980;;2: 10-15.
20 +
Friedrich WN, Urquiza AJ, Beilke R:  Behavior problems in sexually abused young children . J Pediatr Psychol 1986;;11:47-57.
21 +
Beyer M, Jones R, Shearin RB:  Runaways and homeless youth . J Curr Adolesc Med 1979;;1: 121-126.
22 +
Grace E, Emans SJ, Woods ER:  Eating disorders: A sequelae of sexual abuse , abstracted. Pediatr Res 1986;;20:161.
23 +
Reich JW, Gutierres SE:  Escape/aggression incidence in sexually abused juvenile delinquents . Criminal Justice Behav 1979;;6:239-243.
24 +
Herman J: Father-Daughter Incest . Cambridge, Mass, Harvard University Press, 1981;.
25 +
National Center for Health Statistics: Self-reported Health Behavior and Attitudes of Youths 12-17 Years , publication (HRA) 75-1629. Rockville, Md, US Dept of Health, Education, and Welfare, 1975;, p 70.
26 +
Peters JJ:  Children who are victims of sexual assault and the psychology of offenders . Am J Psychother 1976;;30:395-421.
27 +
Oates RK, Forrest D, Peacock A:  Self-esteem of abused children . Child Abuse Negl 1985;;9:159-163.
28 +
Tufts' New England Medical Center, Division of Child Psychiatry: Sexually Exploited Children: Service and Research Program. (Formal Report for the Office of Juvenile Justice and Delinquency Prevention) . Boston, Tufts New England Medical Center, 1984;.
29 +
Kinard EM:  Emotional development in physically abused children . Am J Orthopsychiatry 1980;;50:686-696.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Finklehor D: Child Sexual Abuse . New York, Free Press, 1984;.
2 +
Martin HP, Beezley P:  Behavioral observations of abused children . Dev Med Child Neurol 1977;;19:373-387.
3 +
Kempe CH, Helfer R: Child Abuse and Neglect . Cambridge, Mass, Ballinger Publishing Co, 1976;.
4 +
Finklehor D: A Sourcebook on Child Sexual Abuse . Beverly Hills, Calif, Sage Publications Inc, 1986;.
5 +
Orr D, Brack C, Rauch S:  Structure of problem behaviors in young adolescents , abstracted. Pediatr Res 1987;;21:176.
6 +
Orr D, Lay P: School-based health services: Three approaches. Read before the Sixth Annual Meeting of the Program to Consolidate Health Services to High Risk Young People, Princeton, NJ, Oct 3, 1985.
7 +
Rosenberg M: Society and the Adolescent Self Image . Princeton, NJ, Princeton University Press, 1965;.
8 +
Robinson JP, Shave PR (eds): Measures of Social Psychological Attitudes . Ann Arbor, Mich, Institute for Social Research, 1974;, pp 98-99.
9 +
Johnson AG: Social Statistics Without Tears . New York, McGraw-Hill International Book Co, 1977;, pp 97-99.
10 +
Norusis MJ: SPSS/PC+ . Chicago, SPSS Inc, 1986;, pp B99-103.
11 +
Brown GB:  2×2 tables . AJDC 1985;;19: 787-790.
12 +
Hollingshead A, Redlich F: Social Class and Mental Illness: A Community Study . New York, John Wiley & Sons Inc, 1958;.
13 +
Blum RW, Runyan C:  Adolescent abuse: Dimensions of the problem . J Adolesc Health Care 1980;;1:121-126.
14 +
Orr DP, Weller SC, Rowley K, et al: Final Report: Adolescents' Perceptions of Discipline , publication 90-CA-838. US Dept of Health and Human Services, Office of Human Development Service, 1983;.
15 +
National Center on Child Abuse and Neglect: Study Findings: National Study of the Incidence and Severity of Child Abuse and Neglect , publication (OHDS) 81-30325. US Dept of Health and Human Services, 1981;.
16 +
Finklehor D: Sexually Victimized Children . New York, Free Press, 1979;.
17 +
Tilelli JA, Turek D, Jaffe AC:  Sexual abuse of children: Clinical findings and implications for management . N Engl J Med 1980;;302: 319-323.
18 +
DeJong AR, Emmett GA, Hervada AR:  Sexual abuse of children . AJDC 1982;;136:129-134.
19 +
Bach C, Anderson S:  Adolescent sexual abuse and assault . J Curr Adolesc Med 1980;;2: 10-15.
20 +
Friedrich WN, Urquiza AJ, Beilke R:  Behavior problems in sexually abused young children . J Pediatr Psychol 1986;;11:47-57.
21 +
Beyer M, Jones R, Shearin RB:  Runaways and homeless youth . J Curr Adolesc Med 1979;;1: 121-126.
22 +
Grace E, Emans SJ, Woods ER:  Eating disorders: A sequelae of sexual abuse , abstracted. Pediatr Res 1986;;20:161.
23 +
Reich JW, Gutierres SE:  Escape/aggression incidence in sexually abused juvenile delinquents . Criminal Justice Behav 1979;;6:239-243.
24 +
Herman J: Father-Daughter Incest . Cambridge, Mass, Harvard University Press, 1981;.
25 +
National Center for Health Statistics: Self-reported Health Behavior and Attitudes of Youths 12-17 Years , publication (HRA) 75-1629. Rockville, Md, US Dept of Health, Education, and Welfare, 1975;, p 70.
26 +
Peters JJ:  Children who are victims of sexual assault and the psychology of offenders . Am J Psychother 1976;;30:395-421.
27 +
Oates RK, Forrest D, Peacock A:  Self-esteem of abused children . Child Abuse Negl 1985;;9:159-163.
28 +
Tufts' New England Medical Center, Division of Child Psychiatry: Sexually Exploited Children: Service and Research Program. (Formal Report for the Office of Juvenile Justice and Delinquency Prevention) . Boston, Tufts New England Medical Center, 1984;.
29 +
Kinard EM:  Emotional development in physically abused children . Am J Orthopsychiatry 1980;;50:686-696.

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