Childhood disclosure of sexual abuse and mental health outcomes in adulthood: Assessing merits of early disclosure and discussion |
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| Institution: | 1. Te Puaruruhau (Child Protection Team), Starship Children’s Health, Private Bag 92024, Auckland 1142, New Zealand;2. Department of Paediatrics: Child and Youth Health, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand;1. Service universitaire de psychiatrie de l’adolescent, Argenteuil Hospital Centre, Argenteuil, France;2. ECSTRA Team, UMR-1153, Inserm, université de Paris, Paris, France;3. Service de psychologie et psychiatrie de liaison et d’urgences, hôpital européen Georges-Pompidou, AP–HP, hôpitaux universitaires Paris Ouest, Paris, France;1. University of Eastern Finland, School of Educational Sciences and Psychology, P.O. Box 111, 80101 Joensuu, Finland;2. University of Jyväskylä, Department of Psychology, University of Jyväskylä, P.O. Box 35, 40014, Finland;3. Psychology at Åbo Akademi University, Helsinki University Hospital, Forensic Psychology Center for Children and Adolescents, 20500 Turku, Finland;4. University of Tampere, School of Social Science and Humanities, 33014, Finland;1. King Abdulaziz Medical City, Ministry of National Guard- Health Affairs, Saudi Arabia;2. Department of Pediatrics, King Abdullah Specialized Children Hospital, Saudi Arabia;3. College of Medicine, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Saudi Arabia |
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| Abstract: | BackgroundEmpirical research on the impact of early disclosure of child sexual abuse (CSA) on survivor health is limited and mixed. One recent study found that early disclosure may actually be detrimental for abuse cessation and adult symptomatology (Swingle et al., 2016). The current study re-examined the effects of early disclosure and related variables on long-term mental health for men with histories of CSA.ObjectiveThe primary aims of this study were to: a) investigate whether early disclosure and response to early disclosure were related to mental distress in adulthood, and b) examine whether having an in-depth discussion and timing of that discussion were related to mental distress in adulthood.Participants and settingData were collected from a large, non-clinical sample of male survivors (N = 487), ranging in age from 19 to 84 years, through an online, anonymous survey.MethodsHierarchical regression analyses were conducted by entering groups of variables in four steps: control variables, CSA severity, disclosure, and discussion.ResultsOverall, models explained between 24–28% of the variance in mental distress. None of the CSA severity variables reached significance. Both early disclosure (β = ?0.126, p = 0.003) and response to first disclosure (β = ?0.119, p = 0.006) were significant protective factors in Model 3. In the final model, having an in-depth discussion (β = ?0.085, p = <0.036) and years until discussion (β = 0.102, p = 0.029) were also related to mental distress.ConclusionsResults support the merits of early disclosure and discussion on long-term mental health. Implications for future research and practice are presented. |
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| Keywords: | Child sexual abuse Male survivors Disclosure Mental health |
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