Child sexual abuse can take place within the family, by a parent, step-parent, sibling or other relative; or outside the home, for example, by a friend, neighbor, child care person, teacher, or stranger.When sexual abuse has occurred, a child can develop many distressing feelings, thoughts and behaviors.A large subset of adolescents ( = 457; Female 68.9 %) from the 10-year longitudinal Youth Emotion Project was examined to better understand the associations among childhood/adolescent adversity, substance use disorder, and later health quality.Adolescent (but not childhood) adversities were associated with poorer health in late adolescence/early adulthood, adolescent adversities were associated with subsequent onset of substance use disorder, and adolescent adversities continued to be associated with poorer health in late adolescence/early adulthood after accounting for the variance explained by substance use disorder onset.
Specific domains of adversity uniquely predicted substance use disorder and poorer health outcomes.
Childhood and adolescent adversity have been shown to predict later mental and physical health outcomes.
Understanding which aspects and developmental timings of adversity are important, and the mechanisms by which they have their impact may help guide intervention approaches.
No child is prepared to cope with repeated sexual stimulation.
Even a two or three year old, who cannot know the sexual activity is wrong, will develop problems resulting from problems coping with the overstimulation.