Psychiatry Investig.  2017 May;14(3):372-375. 10.4306/pi.2017.14.3.372.

The Relationship of Sexual Abuse with Self-Esteem, Depression, and Problematic Internet Use in Korean Adolescents

Affiliations
  • 1Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Republic of Korea.
  • 2Department of Research and Planning, Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea. subin-21@hanmail.net
  • 3Department of Psychiatry, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Republic of Korea.

Abstract

The association of sexual victimization with self-esteem, depression, and problematic internet use was examined in Korean adolescents. A total of 695 middle and high school students were recruited (413 boys, 282 girls, mean age, 14.06±1.37 years). The participants were administered the Early Trauma Inventory Self Report-Short Form (ETISR-SF), Rosenberg's Self-Esteem Scale (RSES), the Children's Depression Inventory (CDI), and Young's Internet Addiction Test (IAT). The associations between sexual abuse and the level of self-esteem, depressive symptoms, and problematic internet use were analyzed. Adolescents who had experienced sexual abuse showed lower self-esteem, more depressive symptoms, and greater problematic internet use compared with adolescents who had not experienced sexual abuse. In the path model, sexual abuse predicted lower self-esteem (β=−0.11; 95% CI=−0.20, −0.04; p=0.009), which predicted higher depressive symptoms (β=−0.34; 95% CI=−0.40, −0.27; p=0.008). Depressive symptoms predicted problematic internet use in a positive way (β=0.23; 95% CI=0.16-0.29; p=0.013). Sexual abuse also predicted problematic internet use directly (β=0.20; 95% CI=0.12-0.27; p=0.012). The results of the present study indicate that sexually abused adolescents had a higher risk of depression and problematic internet use. For sexually abused adolescents, programs aimed at raising self-esteem and preventing internet addiction, as well as mental health screening, are needed.

Keyword

Sexual abuse; Problematic internet use; Self-esteem; Depression

MeSH Terms

Adolescent*
Crime Victims
Depression*
Female
Humans
Internet*
Mass Screening
Mental Health
Sex Offenses*
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