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Internalizing and externalizing characteristics of sexually and/or physically abused children

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Abstract

This study evaluates the behavioral consequences of childhood abuse (sexual, physical, or both), with particular focus on prevalence of posttraumatic stress disorder (PTSD). Three abuse type groups and nonabused controls were contrasted on behavioral rating scales and on structured psychiatric interview data. The participants (109 abused children and 16 normal control children) were recruited from Arkansas Children’s Hospital and local agencies for abused children. As expected, proportionately more females than males were sexually abused. Overall, males were rated as more disturbed than females. Type of abuse did not consistently influence behavioral ratings. Externalizing scores were significantly higher than internalizing scores in all abused groups. PTSD was diagnosed in 50% of the abused children, with a higher rate for boys who had been sexually abused as opposed to physically abused only (58% versus 13%). The most frequent comorbid condition with PTSD was Separation Anxiety. Sexually abused boys were hospitalized for psychiatric treatment at a higher rate than were other abused children.

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  1. Center for Applied Research & Evaluation (C.A.R.E.), Department of Pediatrics, Arkansas Children’s Hospital, 800 Marshall Street, 72202, Little Rock, AR

    Roscoe A. Dykman

  2. C.A.R.E., Department of Pediatrics, University of Arkansas for Medical Sciences (UAMS), Arkansas, USA

    Brian McPherson, Peggy T. Ackerman, Joseph E. O. Newton & Donna M. Mooney

  3. Child Study Center, Department of Psychiatry, UAMS, Arkansas, USA

    Jeff Wherry

  4. Family Treatment Program, Department of Pediatrics, UAMS, Arkansas, USA

    Mark Chaffin

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Dykman, R.A., McPherson, B., Ackerman, P.T. et al. Internalizing and externalizing characteristics of sexually and/or physically abused children. Integrative Physiological and Behavioral Science 32, 62–83 (1997). https://doi.org/10.1007/BF02688614

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