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A latent class analysis of technology-facilitated sexual violence: associations to other victimizations, psychiatric symptoms, and gender
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry. (Barn och Ungdomspsykiatri)ORCID iD: 0000-0002-0419-1313
Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
Department of Social Sciences, Marie Cederschiöld University, Stockholm, Sweden.
Department of Social Sciences, Marie Cederschiöld University, Stockholm, Sweden.
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2025 (English)In: International Journal of Child Abuse & Neglect, ISSN 0145-2134, E-ISSN 1873-7757, Vol. 161, article id 107309Article in journal (Refereed) Published
Abstract [en]

Background: Poly-victimization research has shown the cumulative detrimental effects of violence exposure on mental health. Latent Class Analysis (LCA) of victimization is a growing research field uncovering specific combinations of violence exposures particularly negative to mental health. Despite a growing concern of technology-facilitated violence (TFSV), it is scarcely included in LCA studies.

Objectives: Investigating victimization typologies that includes technology facilitated sexual violence.

Participants and setting: Cross-sectional survey data from a representative sample of Swedish young people in the age range of 16–23 (N = 3243, mean age = 18.20, SD = 0.61).

Methods: A Latent Class Analysis was conducted using the package PoLCA in R. A model with three classes was deemed to best fit the data.

Results: Class 1 (sexual polyvictimization, 10.1 %) had high probabilities of all forms of sexual violence including TFSV and the highest proportion of psychiatric diagnosis (45.2 %). This class consisted of mostly girls. Class 2 (child abuse polyvictimization,14.8 %) was characterized by high probabilities of physical and psychological child abuse and had an even gender distribution. 30.6 % of this class endorsed having a psychiatric diagnosis. Class 3 (75.1 %) was a low victimization/normative subgroup with an even gender distribution and a low (12.8 %) frequency of psychiatric diagnosis. Class 1 exhibited the highest levels of psychiatric symptoms.

Conclusions: Prevention efforts targeted against TFSV should consider the whole web of violence that some young people are situated in. Since TFSV seems to be connected to psychiatric symptoms and diagnosis, Child- and Adolescent Psychiatric services should pay more attention to this type of violence among their young patients.

Place, publisher, year, edition, pages
Elsevier, 2025. Vol. 161, article id 107309
Keywords [en]
Latent Class Analysis, Poly-victimization, Technology-facilitated sexual violence, Gender, Child- and adolescent psychiatry, Child abuse
National Category
Medical and Health Sciences
Research subject
Child and Youth Psychiatry
Identifiers
URN: urn:nbn:se:umu:diva-235762DOI: 10.1016/j.chiabu.2025.107309ISI: 001427275200001Scopus ID: 2-s2.0-85217405979OAI: oai:DiVA.org:umu-235762DiVA, id: diva2:1939275
Funder
Region VästerbottenPublic Health Agency of Sweden Available from: 2025-02-21 Created: 2025-02-21 Last updated: 2025-09-02Bibliographically approved
In thesis
1. Online sexual violence: a child and adolescent psychiatric perspective
Open this publication in new window or tab >>Online sexual violence: a child and adolescent psychiatric perspective
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Sexuellt våld på nätet : ett barn och ungdomspsykiatriskt perspektiv
Abstract [en]

Technology-Facilitated Sexual Violence (TFSV) is an emerging societal issue with mental health associations. Young people’s lives are deeply enmeshed in online communication technologies, and all types of interpersonal violence can now take place in the online milieu. This has implications for the already violence-burdened young people in psychiatric care. Young people in psychiatric care are scarcely researched regarding their most visited social arenas, in the online environment.

 Taking departure from a poly-victimization framework, this thesis investigates technology-facilitated sexual violence (TFSV) among young people in psychiatric care through two different research approaches. Two quantitative survey studies mapped the prevalence of TFSV and its associations with psychiatric symptoms among young people with and without psychiatric diagnosis, applying a gender theoretical perspective when interpreting the findings. Results revealed higher rates of TFSV among youths with psychiatric diagnoses, with both girls and boys exposed to TFSV exhibiting elevated anxiety and depressive symptoms compared to non-exposed peers. Co-occurrences with other forms of violence were also evident, highlighting the need to view also TFSV from a polyvictimization perspective. Further, the results emphasized the gendered nature of TFSV showing a much higher prevalence among girls.

 To complement the quantitative studies, two qualitative interview studies investigated how TFSV was conceptualized by both patients and child and adolescent psychiatry (CAP) professionals. Patients tended to frame the exposure to TFSV in individualized explanations, emphasizing loneliness and unmet needs. Further, they tended to normalize their experiences, framing them as a kind of common girl experience. Professionals predominantly framed TFSV as an individual concern, conceptualizing the explanations, harms and solutions from an individual perspective emphasizing a trauma model.

 The thesis highlights the significant impact of TFSV on psychiatric populations and critically examines the limitations of current institutional responses, emphasizing the need for broader conceptualizations within psychiatric care.

Place, publisher, year, edition, pages
Umeå: Umeå University, 2025. p. 141
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 2370
Keywords
Technology-Facilitated Sexual Violence, Child and Adolescent Psychiatry, PTSD, Critical Psychiatry
National Category
Psychiatry
Research subject
Child and Youth Psychiatry
Identifiers
urn:nbn:se:umu:diva-243813 (URN)978-91-8070-741-1 (ISBN)978-91-8070-742-8 (ISBN)
Public defence
2025-09-26, Triple Helix, Universitetstorget 4, Samverkanshuset, Umeå Universitet, Umeå, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2025-09-05 Created: 2025-09-02 Last updated: 2025-09-04Bibliographically approved

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Carlberg Rindestig, FridaDennhag, Inga

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