PEDIATRICS Vol. 81 No. 1 January 1988, pp. 14-21
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Maternal Responses to the Sexual Abuse of Their Children

Allan R. De Jong MD1

1 From the Department of Pediatrics, Jefferson Medical College, Thomas Jefferson University, Philadelphia

To define categories of maternal response and determine their relationship to variable features of the abuse situation, a questionaire was administered to mothers of 103 children returning for a routine 2- to 3-week follow-up of a sexual abuse episode. Three categories of response were identified: nonsupportive, supportive without emotional changes, and supportive with emotional changes. Nonsupportive mothers (n = 32) believed that the abuse complaint was a lie, a misunderstanding, or the child's fault. They rarely considered pressing charges or requested counseling. Supportive mothers (n = 71) believed that the child was telling the truth and that the assailant was primarily responsible. Anger, fear, anxiety, and guilt were commonly expressed. Thirty-nine of the supportive mothers reported behavior or mood changes including sleep, appetite, or somatic complaints and recurrent crying. Most were pressing charges (79%) and sought counseling for themselves (74%) and their children (82%). The 32 supportive mothers without behavior or mood changes also frequently pressed charges (88%) but sought counseling for themselves (6%) and the children (53%) less often (P < .001). Individual personality and coping mechanisms may determine the maternal response. Maternal emotional responses do not appear to be related to variable features of the abuse situation but are significantly related to the approach to subsequent psychologic and legal issues.

Key Words: child sexual abuse

Submitted on August 26, 1986
Accepted on February 18, 1987




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