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Unwanted online sexual solicitation among young people in a Swedish psychiatric sample: occurrence and associations with depression and anxiety
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
Mid Sweden University, Sundsvall, Sweden.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Professional Development.ORCID iD: 0000-0003-2876-8567
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.ORCID iD: 0000-0001-7336-1657
2024 (English)In: Journal of Child Sexual Abuse, ISSN 1053-8712, E-ISSN 1547-0679, Vol. 33, no 5, p. 589-607Article in journal (Refereed) Published
Abstract [en]

Technology-facilitated sexual violence (TFSV) is a ubiquitous societal problem with negative health consequences. Child and Adolescent Psychiatric (CAP) patients are burdened with more violence exposure than other groups, but more work is needed to chart their exposure to TFSV specifically and to understand how it relates to their mental health. In this study, we aimed to investigate the occurrence of unwanted online sexual solicitation (UOSS) in a young Swedish psychiatric sample. We also aimed to measure the associations between psychiatric symptoms and exposure to UOSS, offline sexual harassment, cyberbullying, and offline bullying. We also aimed to analyze possible differences between boys and girls. Our results show a high occurrence of UOSS (48.61%), which is higher than in the general population. UOSS was significantly higher among girls (57.31%) than boys (20.59%), but boys in the CAP group were burdened with more UOSS victimization than boys in general. Co-occurrence of UOSS with other types of offline and online harassment was substantial. UOSS, together with age and offline sexual harassment, predicted anxiety and depressive symptoms among both girls and boys. UOSS also showed a significant interaction effect with gender, suggesting that boys exposed to UOSS suffer higher levels of anxiety and depressive symptoms than girls exposed to UOSS. Preventing and treating mental health difficulties needs to consider contextual circumstances such as exposure to sexual violence online.

Place, publisher, year, edition, pages
Routledge, 2024. Vol. 33, no 5, p. 589-607
Keywords [en]
anxiety, child and adolescent psychiatry, depression, gender, poly-victimization, Technology-facilitated sexual violence
National Category
Public Health, Global Health and Social Medicine Psychiatry
Identifiers
URN: urn:nbn:se:umu:diva-232268DOI: 10.1080/10538712.2024.2416633ISI: 001333006700001PubMedID: 39410881Scopus ID: 2-s2.0-85206944693OAI: oai:DiVA.org:umu-232268DiVA, id: diva2:1916816
Funder
Region VästerbottenAvailable from: 2024-11-28 Created: 2024-11-28 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, FridaSemb, OlofDennhag, Inga

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