{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T02:15:42Z","timestamp":1783822542481,"version":"3.55.0"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["P50HD089922"],"award-info":[{"award-number":["P50HD089922"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    It is widely postulated that problematic sexual behavior (PSB) of preteen children may be the result of posttraumatic stress symptoms (PTSS) secondary to child sexual abuse (CSA). Several studies have examined the potential associations between PSB and PTSS, but this is the first meta\u2010analytic synthesis of the relevant research. A total of 16 effect sizes, derived from 12 studies, were included in the analysis. The results suggest a significant association between PSB and PTSS,\n                    <jats:italic>r<\/jats:italic>\n                    =\u00a0.35,\n                    <jats:italic>p<\/jats:italic>\n                    &lt;\u00a0.001, and significant heterogeneity was observed among the effect sizes,\n                    <jats:italic>Q<\/jats:italic>\n                    = 469.69,\n                    <jats:italic>p<\/jats:italic>\n                    &lt;\u00a0.001. However, moderator analyses failed to demonstrate that the link between PSB and PTSS was stronger among samples composed of children with a history of sexual abuse, \u03b2 =\u00a0.12,\n                    <jats:italic>Z<\/jats:italic>\n                    = 0.75,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.456. Additional moderator analyses failed to find any variables that clearly impacted the association between PSB and PTSS. These results are discussed from both theoretical and empirical perspectives, and suggestions for further research are provided.\n                  <\/jats:p>","DOI":"10.1002\/jts.23186","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T11:07:14Z","timestamp":1751886434000},"page":"895-903","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A meta\u2010analysis of the association between posttraumatic stress symptoms and problematic sexual behavior among preteen children"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6705-3869","authenticated-orcid":false,"given":"Brian","family":"Allen","sequence":"first","affiliation":[{"name":"Department of Pediatrics Penn State College of Medicine  Hershey Pennsylvania USA"},{"name":"Department of Psychiatry and Behavioral Health Penn State College of Medicine  Hershey Pennsylvania USA"},{"name":"Center for the Protection of Children Penn State Health Children's Hospital  Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Ferrer\u2010Pistone","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Penn State College of Medicine  Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"*Study included in the meta\u2010analysis."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10578\u2010016\u20100633\u20108"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2017.07.001"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10567\u2010022\u201000412\u20105"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/10790632221128313"},{"key":"e_1_2_7_7_1","volume-title":"The Assessment of Sexual Behavior\u2010Child Version (ASB\u2010C): A manual for administration, scoring, and interpretation","author":"Allen B.","year":"2025"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077559514566864"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","unstructured":"Allen B. Wamser R. Ferrer Pistone L. &Campbell C. L.(2025).Problematic sexual behavior among children: A meta\u2010analysis of demographic and clinical correlates.Research on Child and Adolescent Psychopathology. Advance online publication.https:\/\/doi.org\/10.1007\/s10802\u2010025\u201001300\u20106","DOI":"10.1007\/s10802-025-01300-6"},{"key":"e_1_2_7_10_1","doi-asserted-by":"crossref","unstructured":"Am\u00e9d\u00e9e L. M. Cyr C. &H\u00e9bert M.(2024).Profiles of self\u2010regulation and their association with behavior problems among sexually abused children.Development and Psychopathology. Advance online publication.https:\/\/doi.org\/10.1017\/S0954579424001196","DOI":"10.1017\/S0954579424001196"},{"key":"e_1_2_7_11_1","unstructured":"*Bonner B. L. Walker C. E. &Berliner L.(1999).Children with sexual behavior problems: Assessment and treatment\u2010final report(Grant No. 90\u2010CA\u20101469).U.S. Department of Health and Human Services National Clearinghouse on Child Abuse and Neglect."},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470743386"},{"key":"e_1_2_7_13_1","volume-title":"Comprehensive meta\u2010analysis","author":"Borenstein M.","year":"2022"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0145\u20102134(01)00253\u20108"},{"key":"e_1_2_7_15_1","first-page":"98","volume-title":"Handbook of PTSD","author":"Bryant R. 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Ormrod R. &Chaffin M.(2009 December).Juveniles who commit sex offenses against minors.Juvenile Justice Bulletin.https:\/\/www.ojp.gov\/pdffiles1\/ojjdp\/227763.pdf","DOI":"10.1037\/e630532009-001"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.0676"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749\u20106632.2003.tb07296.x"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077559501006001004"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2019.104176"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/ab.20362"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10826\u2010014\u20100024\u20103"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2023.106255"},{"key":"e_1_2_7_32_1","unstructured":"National Children's Alliance. 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