{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T04:23:35Z","timestamp":1783484615728,"version":"3.55.0"},"reference-count":47,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,9,18]],"date-time":"2022-09-18T00:00:00Z","timestamp":1663459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01HD097707; P50HD089922"],"award-info":[{"award-number":["R01HD097707; P50HD089922"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sex Abuse"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p>\n                    Studies examining the etiology of problematic sexual behavior (PSB) among pre-teen children often rely on identifying correlational relationships without examining potential causal mechanisms. This study describes an exploratory analysis of a potential mediational model where child sexual abuse (CSA) and child physical abuse (CPA) predict the onset of PSB through their impact on the emergence of posttraumatic stress (PTS) symptoms and self-dysregulation. The caregivers of 189 children between the ages of 3 and 11\u00a0years presenting for mental health treatment in the United States completed a battery of measures designed to assess each of the variables in the model. Cross-sectional, regression-based mediational analyses showed that the overall model performed adequately ( R = 0.33, R\n                    <jats:sup>2<\/jats:sup>\n                    = 0.11, F = 3.07, p = .004). CSA exerted a direct effect on PSB that was not mediated through either PTS or self-dysregulation. However, no direct effect for CPA was found. Rather, CPA exerted a significant effect on the display of self-dysregulation, which in turn was associated with PSB. These results are discussed in light of clinical implications and directions for further research.\n                  <\/jats:p>","DOI":"10.1177\/10790632221128313","type":"journal-article","created":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T01:35:10Z","timestamp":1663551310000},"page":"488-502","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Etiological Pathways to the Emergence of Preteen Problematic Sexual Behavior: An Exploratory Mediational Model"],"prefix":"10.1177","volume":"35","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, PA, USA"},{"name":"Department of Psychiatry and Behavioral Health, Penn State College of Medicine, Hershey, PA, USA"},{"name":"Center for the Protection of Children, Penn State Children\u2019s Hospital, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,9,18]]},"reference":[{"key":"bibr1-10790632221128313","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-016-0633-8"},{"key":"bibr2-10790632221128313","doi-asserted-by":"publisher","DOI":"10.1080\/23794925.2018.1515580"},{"key":"bibr3-10790632221128313","doi-asserted-by":"publisher","DOI":"10.1177\/1077559516681866"},{"key":"bibr4-10790632221128313","doi-asserted-by":"publisher","DOI":"10.1177\/1077559514566864"},{"key":"bibr5-10790632221128313","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2016.04.008"},{"key":"bibr6-10790632221128313","volume-title":"Children with sexual behavior problems: Assessment and treatment-final report (Grant No. 90-CA-1469)","author":"Bonner B. 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