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Persistent and Transitory Sexualized Behavior Problems in Children.

K Ensink1, N Godbout2, N Bigras2

  • 1École de psychologie, Université Laval, 2325 rue des Bibliothèques, Quebec, QC, G1V 0A6, Canada. Karin.Ensink@psy.ulaval.ca.

Child Psychiatry and Human Development
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PubMed
Summary
This summary is machine-generated.

Sexualized behavior problems (SBP) in children often persist, particularly after child sexual abuse (CSA). Co-occurring externalizing difficulties significantly increase the risk of persistent SBP, requiring clinical intervention.

Keywords:
Childhood sexual abuseExternalized behaviorsInternalized behaviorsRisk factorsSexual behavior problems

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Area of Science:

  • Child Psychology
  • Developmental Psychology
  • Trauma Studies

Background:

  • Sexualized behavior problems (SBP) are a concern in child development.
  • Child sexual abuse (CSA) is a known risk factor for behavioral issues.
  • Longitudinal data on the persistence of SBP is crucial for understanding developmental trajectories.

Purpose of the Study:

  • To examine the 2-year course of sexualized behavior problems (SBP) in children aged 2-12.
  • To investigate the impact of child sexual abuse (CSA) history on SBP persistence.
  • To identify factors, such as internalizing and externalizing difficulties, associated with persistent SBP.

Main Methods:

  • Longitudinal study design over 2 years.
  • Sample of 104 children (aged 2-12), including 62 with CSA history.
  • Parent-completed questionnaires assessing SBP, internalizing, and externalizing difficulties at baseline and follow-up.

Main Results:

  • Over half (56.7%) of children with baseline SBP showed persistent clinically significant levels.
  • Among children with CSA, 48.4% had persistent SBP, and 27.4% had transitory SBP.
  • CSA elevated the relative risk of persistent SBP by 3.29 times; externalizing difficulties increased SBP odds by 21% per unit increase.

Conclusions:

  • Persistent SBP is common, especially in children with a history of CSA.
  • The co-occurrence of SBP with externalizing difficulties significantly predicts persistence.
  • Findings underscore the need for clinical intervention for persistent SBP, particularly in at-risk populations.