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Research ArticleRegular Articles

Adolescent Victims of Commercial Sexual Exploitation versus Sexually Abused Adolescents

Jon A. Shaw, John E. Lewis, Harvey A. Chitiva and Andrew R. Pangilinan
Journal of the American Academy of Psychiatry and the Law Online September 2017, 45 (3) 325-331;
Jon A. Shaw
Dr. Shaw is Professor and Chief, Mental Health Hospital Center, UM/Jackson Memorial Medical Center. Dr. Lewis is Associate Professor and Dr. Chitiva is a psychiatrist, Department of Psychiatry and Behavioral Sciences, Leonard H. Miller School of Medicine, University of Miami. Mr. Pangilinan is a psychology fellow in the Department of Psychiatry, University of Miami, Miami FL.
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John E. Lewis
Dr. Shaw is Professor and Chief, Mental Health Hospital Center, UM/Jackson Memorial Medical Center. Dr. Lewis is Associate Professor and Dr. Chitiva is a psychiatrist, Department of Psychiatry and Behavioral Sciences, Leonard H. Miller School of Medicine, University of Miami. Mr. Pangilinan is a psychology fellow in the Department of Psychiatry, University of Miami, Miami FL.
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Harvey A. Chitiva
Dr. Shaw is Professor and Chief, Mental Health Hospital Center, UM/Jackson Memorial Medical Center. Dr. Lewis is Associate Professor and Dr. Chitiva is a psychiatrist, Department of Psychiatry and Behavioral Sciences, Leonard H. Miller School of Medicine, University of Miami. Mr. Pangilinan is a psychology fellow in the Department of Psychiatry, University of Miami, Miami FL.
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Andrew R. Pangilinan
Dr. Shaw is Professor and Chief, Mental Health Hospital Center, UM/Jackson Memorial Medical Center. Dr. Lewis is Associate Professor and Dr. Chitiva is a psychiatrist, Department of Psychiatry and Behavioral Sciences, Leonard H. Miller School of Medicine, University of Miami. Mr. Pangilinan is a psychology fellow in the Department of Psychiatry, University of Miami, Miami FL.
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    The CBCL competence and syndrome scale scores.

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    Figure 2.

    YSR competence and syndrome scale scores.

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    Figure 3.

    TSCC scales.

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    Table 1

    Demographics of the Commercial Sexual Exploitation Adolescents and the Sexually Abused Adolescents

    CSEA (n = 25)SAA (n = 25)Statistic
    Age, mean years (SD)16.0 (2.1)14.9 (1.5)t(49) = 2.3, p = 0.03
    Age of Menarche11.2 (1.9)11.6 (1.8)t(49) = −0.86, p = 0.40
    Abuse History
        Mean age (SD), years10.6 (3.5)12.0 (3.3)t(49) = 1.4, p = 0.16
        Occurrence, n (%)20 (76.9)25 (100)χ2(1) = 6.5, p = 0.01
    Ethnicity, n (%)
        Black10 (38.5)9 (36.0)χ2(3) = 2.0, p = 0.57
        Hispanic9 (34.6)12 (48.0)
        Haitian5 (19.2)2 (8.0)
        White2 (7.7)1 (4.0)
    Foster care placement, n (%)14 (53.8)2 (8.0)χ2(1) = 12.4, p = 0.001
    Conduct behavior, n (%)
        Running away21 (80.8)0χ2(1) = 36.2, p = 0.001
        History of arrests17 (65.4)1 (4)χ2(1) = 21.0, p = 0.001
        Suspensions from school14 (53.8)5 (20)χ2(1) = 6.2, p = 0.01
        Diagnosis of drug abuse19 (73.1)2 (8)χ2(1) = 22.3, p = 0.001
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    Table 2

    Diagnoses for CSEAs and SAAs at Treatment Entry

    Disorder DiagnosisCSEA n (%) (n = 25)SAA n (%) (n = 25)Comparison between CSEAs and SAAs
    χ2 (df), p
    Anxiety1 (3.8)1 (3.8)0.001 (1), 0.98
    Depressive6 (23.1)13 (52.0)4.6 (1), 0.03
    Mood6 (23.1)06.5 (1), 0.01
    Behavioral4 (15.4)04.2 (1), 0.04
    PTSD7 (27.0)6 (24.0)0.1 (1), 0.81
    Adjustment2 (7.6)5 (20.0)1.6 (1), 0.18
    • View popup
    Table 3

    Diagnoses for CSEAs and SAAs at Treatment Discharge

    Disorder DiagnosisCSEA n (%) (n = 25)SAA n (%) (n = 25)Comparison between CSEA and SAA
    χ2 (df), p
    Anxiety1 (3.8)1 (4.0)0.001 (1), 0.98
    Depressive8 (30.7)8 (32.0)0.009 (1), 0.92
    Mood6 (23.1)06.5 (1), 0.01
    Behavioral3 (11.5)1 (4.0)1.0 (1), 0.14
    PTSD7 (27.0)07.8 (1), 0.01
    Adjustment1 (3.8)15 (60.0)18.7 (1), 0.0001
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Journal of the American Academy of Psychiatry and the Law Online: 45 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 45, Issue 3
1 Sep 2017
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Adolescent Victims of Commercial Sexual Exploitation versus Sexually Abused Adolescents
Jon A. Shaw, John E. Lewis, Harvey A. Chitiva, Andrew R. Pangilinan
Journal of the American Academy of Psychiatry and the Law Online Sep 2017, 45 (3) 325-331;

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Adolescent Victims of Commercial Sexual Exploitation versus Sexually Abused Adolescents
Jon A. Shaw, John E. Lewis, Harvey A. Chitiva, Andrew R. Pangilinan
Journal of the American Academy of Psychiatry and the Law Online Sep 2017, 45 (3) 325-331;
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