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Psychopathology, traumatic experiences and attachment in adolescent prostitution
Author/s: Chiara Petrocchi, Mario D'Aguanno, Patrizia Velotti, Giulio Cesare Zavattini 
Year:  2016 Issue: Language: Italian 
Pages:  22 Pg. 31-52 FullText PDF:  246 KB
DOI:  10.3280/MAL2016-003003
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The relationship between child prostitution and psychopathological variables constitutes an area of interest for clinicians and researchers. In this article, we analyzed literature relating to male and female subjects that, in adolescence, became prostitutes. Data shows that these subjects are mainly characterized by anxious and depressive symptoms, suicidal ideation, drug addiction, as well as histories of childhood sexual abuse, dissociative symptoms and posttraumatic stress disorder (PTSD). These results emphasize the need for new rush of research that investigate specific psychopathological features associated with child prostitution. In the paper, is also considered the role of traumatic childhood experiences as a risk factor in the implementation of prostitution behaviours in adolescence, as well as that of attachment in adolescence as a possible risk factor.
Keywords: Child prostitution, psychopathology, traumatic experiences, attachment.

  1. Abas, M., Ostrovschi, N. V., Prince, M., Gorceag, V. I., Trigub, C., & Oram, S. (2013). Risk factors for mental disorders in women survivors of human trafficking: A historical cohort study. BMC Psychiatry, 13, 204,
  2. Anderson, P. M., Coyle, K. K., Johnson, A., & Denner, J. (2014). An exploratory study of adolescent pimping relationships. The Journal of Primary Prevention, 35, 2, 113-117,
  3. Ansari, A., Gharraee, B., & Afsar-Kazerouni, P. (2011). Personality disorders and coping strategies in female sex-workers. Iranian Journal of Psychiatry and Clinical Psychology, 17, 1, 71-75.
  4. Bagley, C., & Young, L. (1987). Juvenile prostitution and child sexual abuse: A controlled study. Canadian Journal of Community Mental Health, 6, 5-26,
  5. Banducci, A. N., Hoffman, E. M., Lejuez, C. W., & Koenen, K. C. (2014). The impact of childhood abuse on inpatient substance users: Specific links with risky sex, aggression, and emotion dysregulation. Child Abuse & Neglect, 38, 928-938,
  6. Brannigan, A., & Van Brunschot, E. G. (1997). Youthful prostitution and child sexual trauma. International Journal of Law and Psychiatry, 20, 3, 337-354,
  7. Camisasca, E., Miragoli, S., & Di Blasio, P. (2014). La disorganizzazione dell’attaccamento spiega i sintomi post-traumatici nei bambini vittime di violenza? Maltrattamento e abuso all’infanzia, 16, 2, 35-55,, DOI: 10.3280/MAL2014-002003
  8. Cepeda, A. (2011). Attitudes of advocates and sex workers: Prevalence and levels of severity of childhood trauma among Mexican female sex workers: A comparison of two Mexico border cities. Journal of Aggression, Maltreatment and Trauma, 20, 6, 669-689,, DOI: 10.1080/10926771.2011.595762
  9. Choi, J. Y., & Oh, K. J. (2014). Cumulative childhood trauma and psychological maladjustment of sexually abused children in Korea: Mediating effects of emotion regulation. Child Abuse and Neglect, 38, 2, 296-303,
  10. Chudakov, B., Ilan, K., Belmaker, R. H. & Cwikel, J. (2011). The motivation and mental health of sex workers. Journal of Sex & Marital Therapy, 28, 4, 305-315,, DOI: 10.1080/00926230290001439
  11. Clatts, M. C., Goldsamt, L., Yi, H., & Gwads, M. V. (2005). Homelessness and drug abuse among young men who have sex with men in New York City: A preliminary epidemiological trajectory. Journal of Adolescence, 28, 201-214,
  12. Clarke, R. J., Clarke, E. A., Roe-Sepowitz, D., & Fey, R. (2012). Age at entry into prostitution: Relationship to drug use, race, suicide, education level, childhood abuse, and family experiences. Journal of Human Behavior in the Social Environment, 22, 3, 270-289,, DOI: 10.1080/10911359.2012.655583
  13. Clawson, H. J., Dutch, N., Solomon, A., & Grace, L. G. (2009). Human trafficking into and within the United States: A review of the literature. U.S. Department of Health and Human Services (disponibile online: -- HumanTrafficking/LitRev/index.pdf).
  14. Cooper, B. S., Kennedy, M. A., & Yuille J. C. (2001) Dissociation and sexual trauma in prostitutes. Journal of Trauma & Dissociation, 2, 2, 27-36,
  15. Daalder, A. L., Bogaerts, S., & Bijleveld, C. C. J. H. (2013). The severity of childhood abuse and neglect in relationship to post-traumatic stress disorder among female sex workers in the Netherlands. Journal of Aggression, Maltreatment & Trauma, 22, 9, 935-949,, DOI: 10.1080/10926771.2013.834017
  16. Dalla, R. L. (2003). When the bough breaks: Examining intergenerational parent-child relational patterns among street-level sex workers and their parents and children. Applied Developmental Science, 7, 4, 216-228,, DOI: 10.1207/S1532480XADS0704_1
  17. Dimitrova, N., Pierrehumbert, B., Glatz, N., & Chouchena, O. (2010). Closeness in relationships as a mediator between sexual abuse in childhood or adolescence and psychopathological outcome in adulthood. Clinical Psychology & Psychotherapy, 17, 3,183-195,
  18. Edwards, J. M., Iritani, B. J., & Hallfors, D. D. (2006). Prevalence and correlates of exchanging sex for drugs or money among adolescents in the United States. Sexually Transmitted Infections, 82, 354-358,
  19. Elison, J., Garofalo, C., & Velotti, P. (2014). Shame and aggression: Theoretical considerations. Aggression and Violent Behavior, 19, 447-453,
  20. Finkelhor, D. (1994). The international epidemiology of child sexual abuse. Child Abuse Neglect, 18, 409-417.
  21. Gentzler Fredlund, C., Svensson, F., Svedin, C. G., Priebe, G., & Wadsby, M. (2013). Adolescents’ lifetime experience of selling sex: Development over five years. Journal of Child Sexual Abuse, 22, 3, 312-325,, DOI: 10.1080/10538712.2013.743950
  22. Garofalo, C., Holden, M., Velotti, P., & Ziegler-Hill, V. (2016). Understanding the connection between self-esteem and aggression: The mediating role of emotion dysregulation. Aggressive Behavior, 42, 1, 3-15,
  23. Greenwald, R. (2002). The role of trauma in conduct disorder. Journal of Aggression, Maltreatment & Trauma, 6, 1, 5-23,
  24. Golding, J. M. (1999). Intimate partner violence as a risk factor for mental disorders: A meta-analysis. Journal of Family Violence, 14, 2, 99-132,, DOI: 10.1023/A:1022079418229
  25. Hegna, K., & Pedersen, W. (2002). Sex for overlevelse eller skyggebilder av kjaerlighet. NOVA Rapport 5/02. Oslo: Norsk institutt for forskning om oppvekst, velferd og aldring.
  26. Helweg-Larsen, K. (2003). Undersøgelsen: “Hvad vi ikke ved om børn og unge” [What we don’t know about children and teenagers]. Paper presented at the Nordic Conference on Prostitution by Pro Centret, Copenhagen, Denmark.
  27. Hickle, K. E., & Roe-Sepowitz D. E. (2014). Putting the pieces back together: A group intervention for sexually exploited adolescent girl. Social Work with Groups, 37, 2, 99-113,, DOI: 10.1080/01609513.2013.823838
  28. Hodge, D. R., & Lietz, C. A. (2007). The international sexual tracking of women and children: A review of the literature. Journal of Women and Social Work, 22, 2, 163-174., DOI: 10.1177/0886109907299055
  29. Hossain, M., Zimmerman, C., Abas, M., Light, M., & Watts, C., (2010). The relationship of trauma to mental disorders among trafficked and sexually exploited girls and women. American Journal of Public Health, 100, 12, 2442-2449,, DOI: 10.2105/AJPH.2009.173229
  30. Hughes, D. (2007). Enslaved in the USA (disponibile online: -- ZDU0OGNlMDcwM2JmYjk0N2M0OTU4NGVlMTBlMmEyMjI).
  31. ISTAT (2011). 15° Censimento della popolazione e delle abitazioni 2011 (disponibile online: --
  32. Jaffee, S. R., Caspi, A., Moffitt, T. E., Polo-Tomas, M., & Taylor, A. (2007). Individual, family, and neighborhood factors distinguish resilient from non-resilient maltreated children: A cumulative stressors model. Child Abuse & Neglect, 31, 231-253,
  33. Jung, Y. E., Song, J. M., Chong, J., Seo, H. J., & Chae J. H. (2008). Symptoms of Posttraumatic Stress Disorder and mental health in women who escaped prostitution and helping activists in shelters. Yonsei Medical Journal, 49, 3, 372-382,
  34. Kaestle, C. E. (2012). Selling and buying sex: A longitudinal study of risk and protective factors in adolescence. Prevention Science, 13, 3, 324-322,
  35. Kennedy, M. A., Klein, C., Bristowe, J. T. K., Cooper, B. S., & Yuille, J. C. (2007). Routes of recruitment into prostitution. Journal of Aggression, Maltreatment, and Trauma, 15, 2, 1-19,
  36. Khan, M., (1963). Il concetto di trauma cumulativo (Tr. it., Lo spazio privato del Sé. Boringhieri, Torino, 1979).
  37. Kotrla, K. (2010). Domestic minor sex trafficking in the United States. Social Work & Society, 55, 2, 181-187,
  38. Krumer-Nevo, M., Berkovitch-Romano, A., & Komem, M. (2014). The study of girls in social work: Major discourses and feminist ideas. Journal of Social Work, 15, 4, 425-446,, DOI: 10.1177/1468017314548140
  39. Lerach, S. (2009). An investigation into the psychological constructs of adolescent female offenders who prostitute as compared to other adolescent female offenders. The Sciences and Engineering, 69, 10-B, 6421.
  40. Martin, C. G., Cromer, L. D., Deprince, A. P., & Freyd, J. J. (2013). The role of cumulative trauma, betrayal, and appraisals in understanding trauma symptomatology. Psychology Trauma, 52, 2, 110-118,
  41. McCabe, K. A. (2007). The role of Internet service providers in cases of child pornography and child prostitution. Social Science Computer Review, 26, 2, 247-251,, DOI: 10.1188/08894439307301438
  42. McCabe, I., Mills, R., Murphy D., Winders, S. J., Hayden, J. Reynolds, D., McCabe, J., & McQuaid, A. (2014). A psychocultural comparison of male street prostitutes in Dublin and San Francisco. Irish Journal of Psychology, 1, 15, 91-105,, DOI: 10.1080/03033910.2014.982144
  43. McClain, N. M., & Garrity, S. E. (2011). Sex trafficking and the exploitation of adolescents. Journal of Obstetric, Gynecologic & Neonatal Nursing, 40, 2, 243-252,
  44. Milner, J. S., Thomsen, C. J., Crouch, J. L., Rabenhorst, M. M., Martens, P. M., Dyslin, C. W., Guimond, J. M., Stander, V. A. & Merrill, L. L. (2010). Do trauma symptoms mediate the relationship between childhood physical abuse and adult child abuse risk? Child Abuse & Neglect, 34, 5, 332-344,
  45. Mitchell, J., Finkelhor, D., & Wolak, J. (2010). Juvenile prostitution as child maltreatment: Findings from the National Juvenile Prostitution Study. Child Maltreatment, 15, 1, 18-36,, DOI: 10.1177/1077559509349443
  46. Mitchell, K. J., Jones, L. M., Finkelhor, D., & Wolak, J. (2011). Internet-facilitated commercial sexual exploitation of children: Findings from a nationally representative sample of law enforcement agencies in the United States. Sexual Abuse: A Journal of Research and Treatment, 23, 1, 43-71,, DOI: 10.1177/1079063210374347
  47. Molnar, B. E., Buka, S. L., & Kessler, R. C. (2001). Child sexual abuse and subsequent psychopathology: Results from the National Comorbidity Survey. American Journal of Public Health, 91, 5, 753-760.
  48. Mossige, S., Ainsaar, M., & Svedin, C. G. (2007). The Baltic Sea regional study on adolescents’ sexuality. Oslo, Norway: Norsk institutt for forskning om oppvekst, velferd og aldring.
  49. Napoli, M., Gerdes, K., & DeSouza-Rowland, S. (2001). Treatment of prostitution using integrative therapy techniques: A case study. Journal of Contemporary Psychotherapy, 31, 2, 71-87.
  50. Nasir, R., Zamani, Z. A., Khairudin, R., Ismail, R., Yusooff, F., Zawawi, Z. M. (2012). Female adolescent prostitutes’ cognitive distortion, self-esteem and depression. Pertanika Journal of Social Science and Humanities, 20, 1, 155-163.
  51. Newton-Ruddy, L., & Handelsman, M. M. (1986). Jungian feminine psychology and adolescent prostitutes. Adolescence, 21, 815-825.
  52. Oosterbaan, A. (2008). Keynote address. Paper presented at National Training Conference on the Sex Trafficking of America’s Youth, Dallas, TX.
  53. Pedersen, W., & Hegna, K. (2003). Children and adolescents who sell sex: A community study. Social Science & Medicine, 56, 135-147,, DOI: 10.1016/SO277-9536(02)00015-1
  54. Peled, E., & Lugasi, R. (2015). How Israeli social workers perceive adolescent girls in prostitution. Child Abuse & Neglect, 42, 20-29,
  55. Pereda, N., Guilera, G., Forns, M., & Gómez-Benito, J. (2009). The international epidemiology of child sexual abuse: A continuation of Finkelhor. Child Abuse & Neglect, 33, 6, 331-342,
  56. Pompili, M., Innamorati, M., Lamis, D. A., Lester, D., Di Fiore, E., Giordano, G., Ricci, F., Erbuto, D., Tambelli, R., Balestrieri, M., Amore, M., & Girardi, P. (2015). The interplay between suicide risk, cognitive vulnerability, subjective happiness and depression among students. Current Psychology,
  57. Procaccia, R., Miragoli, S., & Di Blasio, P. (2013). L’utilizzo del Blacky Pictures’ Test nella valutazione dei minori vittime di abuso sessuale. Maltrattamento e abuso all’infanzia, 15, 3, 109-130,, DOI: 10.3280/MAL2013-003006
  58. Reid, J. A. (2011). An exploratory model of girl’s vulnerability to commercial sexual exploitation in prostitution. Child Maltreatment, 16, 2, 146-157,, DOI: 10.1177/1077559511404700
  59. Reid, J. A., & Jones, S. (2011). Exploited vulnerability: Legal and psychological perspectives on child sex trafficking victims. Victims and Offenders, 6, 2, 207-231,, DOI: 10.1080/15564886.2011.557327
  60. Riesch, S. K., Jacobson, G., Sawdey, L., Anderson, J., & Henriques, J. (2008). Suicide ideation among later elementary school-aged youth. Journal of Psychiatric and Mental Health Nursing, 15, 263-277,
  61. Ross, C. A., Anderson, G., Heber, S., & Norton, G. R. (1990). Dissociation and abuse among multiple-personality patients, prostitutes, and exotic dancers. Hospital and Community Psychiatry, 41, 3, 328-330,
  62. Roe-Sepowitz, D. E. (2012). Juvenile entry into prostitution: The role of emotional abuse. Violence Against Women, 18, 5, 562-579,, DOI: 10.1177/1077801212453140
  63. Roxburgh, A., Degenhardt, L., & Copeland, J. (2006). Posttraumatic stress disorder among female street-based sex workers in the greater Sydney area, Australia. BMC Psychiatry, 6, 24, 1,, DOI: 10.1186/1471-244X-6-24
  64. Sakuraba, T., Matsui, Y., Fukutomi, M., Narita, K., Kamise, Y., Ui, M., & Kikosuima, M. (2001). Background factors of amateur prostitution (“Enjo-kousai”) in Japanese high-school girls. The Japanese Journal of Educational Psychology, 49, 2, 167-174,
  65. Skidmore, P. (2000). Researching youth prostitution. London: Guildhall University.
  66. Smith, L. (2008). Keynote address. Paper presented at Catholic Charities Anti-Human Trafficking Training, San Antonio, TX.
  67. Springer, K. W., Sheridan, J., Kuo, D., & Carnes, M. (2007). Long-term physical and mental health consequences of childhood physical abuse: Results from a large population-based sample of men and women. Child Abuse & Neglect, 31, 517-530,
  68. Svedin, C. G., & Priebe, G. (2007). Selling sex in a population-based study of high school seniors in Sweden: Demographic and psychosocial correlates. Archives of Sexual Behavior, 36, 21-32,
  69. Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. In The development of emotion regulation: Biological and behavioral considerations. Monographs of the Society for Research in Child Development, 59, 25-52.
  70. Tsutsumi, A., Izutsu, T., Poudyal, A. K., Kato, S., & Marui, E. (2008). Mental health of female survivors of human trafficking in Nepal. Social Science & Medicine, 66, 1841-1847,
  71. Ulibarri, M. D., Semple, S. J., Rao, S., Strathdee, S. A., Fraga-Vallejo, M. A., Bucardo, J., De la Torre, A., Salázar-Reyna, J., Orozovich, P., Staines-Orozco, H. S., Amaro, H., Magis-Rodríguez, C., & Patterson, T. L. (2009). History of abuse and psychological distress symptoms among female sex workers in two Mexico-U.S. border cities. Violence Victims, 24, 3, 399-413,, DOI: 10.1891/0886-6708.24.3.399
  72. U.S. Department of State (2008). Tracking in persons report. Washington, DC: Author (disponibile online: -- tiprpt/2008).
  73. Velotti, P., Elison, J., & Garofalo, C. (2014). Shame and aggression: Different trajectories and implications. Aggression and Violent Behavior, 19, 454-461,
  74. Williams, R. (2009). Trauma e relazioni. Le prospettive scientifiche e cliniche contemporanee. Milano: Cortina Editore.
  75. Williams, J. B., Gibbon, M., First, M. B., Spitzer, R. L., Davies, M., Borus, J., Howesx, M. J., Kane, J., Pope, H. G. & Rounsaville, B. (1992) The Structured Clinical Interview for DSM-III-R (SCID). II. Multisite test-retest reliability. Archives of General Psychiatry, 49, 8, 630-636.
  76. Williamson, C., & Prior, M. (2009). Domestic minor sex trafficking: A network of underground players in the Midwest. Journal of Child & Adolescent Trauma, 2, 1, 46-61,, DOI: 10.1080/19361520802702191
  77. Wilson, H. W., & Widom, C. S. (2010). The role of youth problem behaviors in the path from child abuse and neglect to prostitution: A prospective examination. Journal of Research on Adolescence, 20, 1, 210-236,

Chiara Petrocchi, Mario D'Aguanno, Patrizia Velotti, Giulio Cesare Zavattini, Psychopathology, traumatic experiences and attachment in adolescent prostitution in "MALTRATTAMENTO E ABUSO ALL’INFANZIA" 3/2016, pp. 31-52, DOI:10.3280/MAL2016-003003


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