Childhood maltreatment, psychological dysregulation, and risky sexual behaviors in female adolescents

J Pediatr Psychol. 2011 Aug;36(7):743-52. doi: 10.1093/jpepsy/jsr003. Epub 2011 Feb 19.

Abstract

Objective: Maltreated female adolescents are at risk for engaging in sexual behaviors consistent with HIV infection and teen pregnancy. The current study applied a model positing the key role of psychological dysregulation in the development of adolescent females' sexual behavior.

Methods: The sample consisted of adolescent females aged 14-17 years who had experienced substantiated childhood maltreatment (n = 275) and a demographically matched, non-maltreated comparison group (n = 210).

Results: Multiple mediator analysis revealed that, when in company with a host of plausible mechanisms, sexual preoccupation mediated the relationship between psychological dysregulation and risky sexual behaviors.

Conclusion: Maltreated females may have difficulty regulating emotions, cognitions, and behaviors, which, when coupled with a propensity to entertain sexual thoughts and consume sexually explicit materials, may increase the likelihood that they act on sexual impulses and engage in high-risk sexual behaviors.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Child Abuse / psychology*
  • Emotions
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Mental Disorders / psychology*
  • Pregnancy
  • Pregnancy in Adolescence
  • Risk-Taking*
  • Sexual Behavior / psychology*
  • Substance-Related Disorders / psychology