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A Developmental Approach to an Intergenerational Cycle

Catherine Stevens-Simon, MD; Susan Reichert, MD

Arch Pediatr Adolesc Med. 1994;148(1):23-27.

Abstract
Objective
To elucidate the relationship between childhood sexual abuse and adolescent pregnancy.

Data Source
Articles published in English during the past two decades and pertaining to the sequelae of childhood sexual abuse or the antecedents of adolescent pregnancy.

Study Selection
Studies that did not contain data pertinent to the relationship between childhood sexual abuse and adolescent pregnancy were excluded.

Results
Studies suggest that former victims of childhood sexual abuse may be at increased risk for conception during adolescence and that adolescent pregnancies that are antedated by childhood sexual abuse are often only one manifestation of socially deviant behavior.

Conclusions
Experiences associated with childhood sexual abuse may affect the incidence and the outcome of adolescent childbearing. Identification and treatment of previously abused adolescent prenatal patients may break this vicious intergenerational cycle of violence.

(Arch Pediatr Adolesc Med. 1994;148:23-27)

Author Affiliations
From the Division of Adolescent Medicine (Dr Stevens-Simon) and the Division of Child Abuse and Neglect (Dr Reichert), University of Colorado Health Sciences Center, The Children's Hospital, Denver.

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