Saywitz K J, Mannarino A P, Berliner L, Cohen J A
University of California, Los Angeles (UCLA) School of Medicine, Harbor-UCLA Medical Center, Torrance 90509, USA.
Am Psychol. 2000 Sep;55(9):1040-9.
The authors review research demonstrating the variable effects of childhood sexual abuse, the need for intervention, and the effectiveness of available treatment models. The well-controlled treatment-outcome studies reviewed do not focus on sensationalistic fringe treatments that treat sexually abused children as a special class of patients. Instead, studies demonstrate empirical evidence for extending and modifying treatment models from mainstream clinical child psychology to sexually abused children. The authors propose a continuum of interventions to meet the needs of this heterogeneous group. Interventions range from psychoeducation and screening, to short-term, abuse-focused cognitive-behavioral therapy with family involvement, to more comprehensive long-term plans for multiproblem cases. Last discussed are gaps in the research and suggestions for future research to address the pressing dilemmas faced by clinicians and policymakers.
作者回顾了相关研究，这些研究表明了儿童性虐待的不同影响、干预的必要性以及现有治疗模式的有效性。所回顾的严格控制的治疗结果研究并未聚焦于将遭受性虐待的儿童作为特殊患者群体的耸人听闻的边缘治疗方法。相反，研究显示了将主流临床儿童心理学的治疗模式扩展并调整应用于遭受性虐待儿童的实证证据。作者提出了一系列干预措施，以满足这一异质性群体的需求。干预措施范围从心理教育和筛查，到有家庭参与的短期、以虐待为重点的认知行为疗法，再到针对多问题案例的更全面的长期计划。最后讨论的是研究中的差距以及对未来研究的建议，以解决临床医生和政策制定者面临的紧迫困境。
