Questionnaire on Childhood Sexual Abuse
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The Questionnaire on Childhood Sexual Abuse (Q-CSA) is a self-report instrument that retrospectively assesses for past childhood sexual abuse in women and its details. An advantage of the Q-CSA is its efficient collection of data on the characteristics of CSA that the respondent experienced. These data are useful for determining differences in outcomes by CSA characteristics.
The Q-CSA consists of three pages. The first page is an introduction with instructions for completing the instrument. The second page consists of a list of 13 types of sexual acts presented in order of their degree of invasiveness, based on Sgroi et al.’s (1982) spectrum of sexually abusive behaviors. The list is prefaced with “From birth until you turned 18 years old, did someone ever . . .” Respondents answer yes or no to each type of sexual act. For yes responses, respondents mark on a Likert-type scale the frequency of the abuse and relationship of the abuser(s) to the respondent. On the third page, additional information is requested on age of each abuser, victim’s age when the abuse began and ended for each abuser, and methods of coercion used (Hulme, 2000). Three multi-item severity measures derived from Q-CSA data tested satisfactorily psychometrically, with Intraclass correlation coefficients for 2 week test-retest reliability ranging from .92 to .94 and moderate correlations with criterion-related validity measures (Hulme, 2007).
Hulme, P.A. (2000). Symptomatology and health care utilization of women primary care patients who experienced childhood sexual abuse. Child Abuse & Neglect, 24 (11), 1471-1484. doi:10.1016/S0145-2134(00)00200-3.
Hulme, P.A. (2007). Psychometric evaluation and comparison of three retrospective multi-item measures of childhood sexual abuse. Child Abuse & Neglect, 31 (8), 853-869. doi:10.1016/j.chiabu.2007.03.016.
Sgroi, S.M., Blick, L.C., & Porter, F.S. (1984). A conceptual framework for child sexual abuse. In S.M. Sgroi (Ed.). Handbook of clinical intervention in child sexual abuse (pp. 9-38). Lexington, Mass: Lexington Books.
Studies Using the Q-CSA:
Brownlie, E., Graham, E., Bao, L., Koyama, E., & Beitchman, J. H. (2017). Language disorder and retrospectively reported sexual abuse of girls: Severity and disclosure. Journal of Child Psychology and Psychiatry, doi:10.1111/jcpp.12723.
George, W. H., Davis, K. C., Masters, N. T., Jacques-Tiura, A. J., Heiman, J. R., Norris, J., & ... Andrasik, M. P. (2014). Sexual victimization, alcohol intoxication, sexual-emotional responding, and sexual risk in heavy episodic drinking women. Archives of Sexual Behavior, 43(4), 645-658. Masters, N. T., Stappenbeck, C. A., Kaysen, D., Kajumulo, K. F., Davis, K. C., George, W. H., & ... Heiman, J. R. (2015). A person-centered approach to examining heterogeneity and subgroups among survivors of sexual assault. Journal of Abnormal Psychology, 124(3), 685-696. doi:10.1007/s10508-013-0143-8.
Masters, N. T., Stappenbeck, C. A., Kaysen, D., Kajumulo, K. F., Davis, K. C., George, W. H., & ... Heiman, J. R. (2015). A person-centered approach to examining heterogeneity and subgroups among survivors of sexual assault. Journal of Abnormal Psychology, 124(3), 685-696. doi:10.1037/abn0000055.
Masters, N. T., George, W. H., Davis, K. C., Norris, J., Heiman, J. R., Jacques-Tiura, A. J., & ... Stappenbeck, C. A. (2014). Women's unprotected sex intentions: Roles of sexual victimization, intoxication, and partner perception. Journal of Sex Research, 51(5), 586-598. doi:10.1080/00224499.2012.763086.
Stappenbeck, C. A., George, W. H., Staples, J. M., Nguyen, H., Davis, K. C., Kaysen, D., & ... Kajumulo, K. F. (2016). In-the-moment dissociation, emotional numbing, and sexual risk: The influence of sexual trauma history, trauma symptoms, and alcohol intoxication. Psychology of Violence, 6(4), 586-595. doi:10.1037/a0039978.
Copyright © 2000 Polly A. Hulme
Hulme, Polly A., "Questionnaire on Childhood Sexual Abuse" (2000). College of Nursing Faculty Publications. 53.
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