Child Sexual Behavior Inventory (CSBI)

CPP Cohort 1

The Child Sexual Behavior Inventory (CSBI)* is a questionnaire used to assess caregiver reported sexual behaviors in children ages 2 to 12 years old.  Domains assessed include developmentally related sexual behaviors (DRSB) and sexual abuse specific items (SASI).  The CSBI was administered only if there were concerns about possible sexual abuse or if the participating caregiver had concerns about the child’s sexual behaviors.  Mean scores of these domains, as well as the total difficulties, will be examined from pre- to post-treatment.

Descriptive Statistics:  Pre- and post-treatment assessment measure means, standard deviations, and standard errors for each subscale of the CSBI are listed in the table below, as well as the range of possible scores and clinically significant range for each subscale.

CCBI Subscales: Descriptive Statistics

Repeated Measures Analyses:  Paired samples t-tests were conducted to examine pre-post group mean differences on CSBI subscales and total difficulties scores.  Analyses showed statistically significant improvement in all scales: developmentally related sexual behavior, sexual abuse specific items, and total difficulties.  Please see the table and graph below for more information on these analyses.

CSBI Subscales: Paired t-tests

CSBI Pre-Post Treatment Mean Subscale and Total Scores

*p < .05, **p < .01, ***p < .001

Individual Clinically-Significant Change:

At pre-treatment, 10 clients had CSBI Total Difficulties scores at or above the clinical cut-off score of 65.  Of note, 1 client was missing post-treatment data for the Total Difficulties scale.  Analysis of the clients with post-treatment data showed that the CSBI Total Difficulties scale for 4 of these 9 clients (44%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 11 clients had CSBI Developmentally Related Sexual Behavior (DRSB) scores at or above the clinical cut-off score of 65.  Of note, 1 client was missing post-treatment data for the DRSB scale.  Analysis of the clients with post-treatment data showed that the CSBI DRSB scale for 7 of these 10 clients (70%) decreased to non-clinically significant levels at post-treatment.  At pre-treatment, 10 clients had CSBI Sexual Abuse Specific Items (SASI) scores at or above the clinical cut-off score of 65.  Of note, 1 client was missing post-treatment data for the SASI scale.  Analysis of the clients with post-treatment data showed that the CSBI SASI scale for 2 of these 9 clients (22%) decreased to non-clinically significant levels at post-treatment.

* Friedrich, W.N. (1997). Child Sexual Behavior Inventory: Professional Manual. Odessa, FL: Psychological Assessment Resources. http://www4.parinc.com/

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