S. Spaccarelli et C. Fuchs, VARIABILITY IN SYMPTOM EXPRESSION AMONG SEXUALLY ABUSED GIRLS - DEVELOPING MULTIVARIATE MODELS, Journal of clinical child psychology, 26(1), 1997, pp. 24-35
Examined which of several apparent risk variables were predictors of i
nternalizing and externalizing problems in 48 girls who were referred
for therapy after disclosing sexual abuse. Specifically, the effects o
f abuse characteristics, support from nonoffending parents, victims' c
oping strategies, and victims' cognitive appraisals on symptomatology
were assessed. As hypothesized, results indicated that internalizing a
nd externalizing problems were associated with different sets of predi
ctor variables. Victims' self-reports of depression and anxiety were r
elated to lower perceived suppport from nonoffending parents, more use
of cognitive avoidance coping, and more negative appraisals of the ab
use. These results were partially replicated when using parent-report
measures of depression, but were not replicated for parent reports of
victim anxiety. Incest was the only variable that was significantly re
lated to parent-reported anxiety. Parent-reported aggressive behaviors
were predicted by level of abuse-related stress; and aggression, soci
al problems, and sexual problems were all related to the tendency to c
ope by controlling others. Social problems were also related to coping
by self-distraction Regression analyses were done for each dependent
variable to examine which predictors accounted for unique variance whe
n controlling for other significant zero-order correlates. Implication
s of these results for understanding variability in symptom expression
among sexual abuse victims are discussed.