Browsing by Author "Mori, Camille Misora"

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    Elucidating Understandings of Problematic Sexual Behaviours in Children and Adolescents through Meta-Analytic Methods and an Exploratory Evaluation of a Clinical Population Receiving Treatment
    (2024-09-13) Mori, Camille Misora; Madigan, Sheri; Exner-Cortens, Deinera; Dobson, Keith; Adorjan, Michael; Silovsky, Jane
    Introduction: Key inquiries into Problematic Sexual Behaviour (PSB) include identifying risk factors and evaluating characteristics and treatment outcomes of PSB populations. Exposure to sexual content is an important risk factor to examine due to ubiquitous access to technology. Regarding treatment, Cognitive Behavioural Therapy for PSB (PSB-CBT) is an evidence-informed and developmentally appropriate intervention. Further research is needed to assess outcomes of PSB-CBT and target population characteristics. Objectives: 1) Examine associations between sexual content exposure and PSB; 2) Describe characteristics of a clinical PSB sample; 3) Evaluate treatment outcomes of PSB-CBT offered at a Child and Youth Advocacy Centre (CYAC); 4) Provide recommendations for ongoing PSB research, prevention, and intervention. Methods: A Developmental-Relational research model was used to develop the goals of this thesis. Study 1 used a systematic review and random-effects meta-analyses conducted on available literature up to September 2021. Results are based on 16,200 participants (71.3% male; Mage = 14.3) and 27 studies. Study 2 used a retrospective case file review of 61 files of children and families who attended a PSB-CBT treatment group at a CYAC between 2015 and 2019 (83.6% male; Mage = 8.9). Results: Study 1: Significant associations were found between exposure to nonviolent sexual content and likelihood of engaging in PSB (OR = 1.82; p < .001; 95 % CI: 1.50–2.21), and between exposure to violent/live sexual content and PSB (OR = 2.52; p < .001; 95 % CI: 1.75–3.61). Sex moderated the association between exposure to nonviolent sexual content and PSB, such that the association was stronger in studies with a greater proportion of females. Study 2: Characteristics and sexual behaviours exhibited by children who attended a PSB-CBT treatment group varied widely. Outcome analyses revealed decreases in child sexual behaviours and parenting stress. Conclusions: Results support the need for future research on risk factors and mechanisms implicated in PSB. Children with PSB and their families could benefit from incorporating education on sexual content exposure into treatment programs. PSB-CBT offered within CYACs is well suited to meet the intervention needs of children with PSB and their families.
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    Examining Adolescent Sexting, Sexual Behaviour, and Mental Health Using Variable-Centered and Person-Centered Analyses
    (2020-07-21) Mori, Camille Misora; Madigan, Sheri L.; Schwartz, Kelly Dean; Boon, Susan D.; Kopala-Sibley, Daniel C.
    Introduction: Much of the research on adolescent sexting has been dedicated to understanding associated risks, such as mental health problems, substance use, and risky sexual behaviours. However, the literature has yielded inconsistent findings. Moreover, results have largely been based on variable-centered analytical approaches, which do not capture individual differences in sexting behaviours. Objectives: 1) Consolidate results examining sexting and associated risks via a meta-analysis in order to clarify inconsistent findings; 2) Use a person-centered analysis to assess heterogeneous subgroups of youth that display differential engagement in sexting and sexual behaviours. Methods: The current thesis is presented in two parts. Study 1 used a meta-analysis to synthesize results from 23 studies and 41,723 participants (52.1% female; Mage = 14.9). It examined associations between sexting and variables related to sexual behaviour and mental health. Sex, age, publication date, and study quality were examined as moderators. Study 2 used a latent class analysis with data from a sample of 894 youth (55.8% female; Mage = 17.04), from a longitudinal study based in southeast Texas. Classes were identified through participants’ patterns of responses to sexting and sexual behaviour indicator variables. Sex and ethnicity were analyzed as predictors, and depressive symptoms as an outcome, of class membership. Results: Study 1: The meta-analysis found significant associations between sexting and sexual activity, multiple sexual partners, lack of contraception use, delinquent behaviour, symptoms of anxiety/depression, and substance use. Moderator analyses revealed that associations were stronger among younger adolescents. Study 2: The latent class analysis revealed four distinct classes: No sexting-Low sex (42.2%), Sexting-Low sex (4.5%), No sexting-moderately risky sex (28.3%), and Sexting-Moderately risky sex (24.9%). Females and youth identifying as an ethnic minority were less likely to be in groups characterized by higher rates of sexting. Group membership predicted depressive symptoms. Conclusions: Through the use of both variable-centered (meta-analysis) and person-centred analyses (latent class analysis), the current thesis clarifies results pertaining to sexting and correlated risks, and lends nuance to broad correlational findings through the examination of individual differences. Taken together, results can be used to inform initiatives aimed at educating youth, parents, and teachers about adolescent sexting.