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Child Sexual Behavior Inventory: normative, psychiatric, and sexual abuse comparisons.

W N Friedrich1, J L Fisher, C A Dittner

  • 1Department of Psychiatry and Psychology, Mayo Clinic and Mayo Medical School, Rochester, Minnesota, USA. friedrich.william@mayo.edu

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Summary

Sexually abused children display more frequent sexual behaviors than normative or psychiatric samples, according to the Child Sexual Behavior Inventory (CSBI). This highlights the need for targeted interventions for child sexual abuse.

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Area of Science:

  • Child Psychology
  • Forensic Psychology
  • Developmental Psychology

Background:

  • Child sexual behavior can be a complex indicator of distress.
  • The Child Sexual Behavior Inventory (CSBI) is a tool used to assess such behaviors.
  • Differentiating behaviors in sexually abused children from other clinical populations is crucial.

Purpose of the Study:

  • To compare the sexual behaviors of sexually abused children with normative and psychiatric outpatient samples.
  • To evaluate the psychometric properties of the Child Sexual Behavior Inventory (CSBI).
  • To examine the relationship between sexual behavior problems and other behavioral issues.

Main Methods:

  • A cross-sectional study design was employed.
  • The Child Sexual Behavior Inventory (CSBI), a 38-item checklist, was administered.
  • Participants included a normative sample (1,114 children), sexually abused children (620), and psychiatric outpatients (577).
  • Statistical analyses controlled for age, sex, maternal education, and family income.

Main Results:

  • Significant differences in CSBI total scores and individual items were found between the three groups.
  • Sexually abused children exhibited a higher frequency of sexual behaviors compared to normative and psychiatric samples.
  • Test-retest reliability and interitem correlations for the CSBI were satisfactory.
  • Sexual behavior problems were associated with other generic behavior problems, reducing discrimination between psychiatric and abused groups.

Conclusions:

  • The CSBI effectively differentiates sexual behaviors in sexually abused children from normative and psychiatric samples.
  • Sexual behavior problems in children are often comorbid with other behavioral issues.
  • Findings underscore the importance of considering behavioral patterns in the assessment and treatment of child sexual abuse.