Monahan K, Forgash C
School of Social Welfare, State University of New York, Stony Brook, NY 11794-8231, USA.
Women Health. 2000;30(4):27-41. doi: 10.1300/J013v30n04_03.
This article addresses the medical issues presented by women who were sexually abused in childhood and provides a detailed and direct link between the existing literature and its implications for the medical system. A profile of the sexual abuse survivor is given, including child sexual abuse (CSA) characteristics and sequelae that influence the adult female survivor's health. Post-traumatic Stress Disorder is outlined as part of a complex interplay of physiological and psychological symptomatology that can compromise the CSA survivor's ability to access health care treatment and forge a positive provider/patient relationship. This article emphasizes that effective treatment with sexual abuse survivors must include interdisciplinary collaboration among health care professionals. Management of the CSA patient, a case vignette illustrating salient themes, and finally, guidelines for the health care practitioner are presented.
本文探讨了童年遭受性虐待的女性所面临的医学问题，并详细直接地阐述了现有文献及其对医疗系统的影响之间的联系。文中给出了性虐待幸存者的概况，包括儿童性虐待（CSA）的特征及其对成年女性幸存者健康产生影响的后遗症。创伤后应激障碍被概述为生理和心理症状复杂相互作用的一部分，这种相互作用可能会损害CSA幸存者获得医疗保健治疗的能力，以及建立积极的医患关系。本文强调，对性虐待幸存者进行有效治疗必须包括医疗保健专业人员之间的跨学科合作。文中介绍了CSA患者的管理、一个说明突出主题的病例 vignette，以及最后为医疗保健从业者提供的指导方针。
