Lundqvist Gunilla, Hansson Kjell, Svedin Carl Göran
Department of Child and Adolescent Psychiatry, Lund University, Sweden.
Nord J Psychiatry. 2004;58(5):395-401. doi: 10.1080/08039480410005963.
A history of childhood sexual abuse has been shown to be common among adult women, 15-30% in prevalence studies. The childhood sexual abuse variables taken into account are commonly age of onset, duration, abuse forms and relationship between the child and the perpetrator. Within the Department of Psychiatry at Lund University Hospital, 45 women with experiences of childhood sexual abuse were offered a 2-year long trauma-focused group therapy. Half of the women had been sexually abused during childhood in pre-school ages and half by a perpetrator who was the biological father. Two-thirds had been abused for more than 5 years and half through penetration. There was a statistical significance between age of onset (0-6 years) and psychiatric symptoms including eight of nine subscales, according to results from use of the questionnaire Symptom Check List (SCL-90). According to the same questionnaire, there also was a statistical significance between the perpetrator (male relative) and the subscale interpersonal sensitivity. According to the Interview Schedule of Social Interaction, there was a statistical significance between the abuse form penetration and the social integration in the subscale availability of attachment. Thirty-five women (78%) had not told anyone about the sexual abuse when it happened, and the most common reason for this was fear of not being believed.
童年期性虐待史在成年女性中很常见，患病率研究显示其比例为15%至30%。所考虑的童年期性虐待变量通常包括发病年龄、持续时间、虐待形式以及儿童与施虐者之间的关系。在隆德大学医院精神科，45名有童年期性虐待经历的女性接受了为期两年的以创伤为重点的团体治疗。其中一半女性在童年期学龄前遭受过性虐待，另一半的施虐者是亲生父亲。三分之二的女性遭受虐待超过5年，一半是通过性侵。根据使用症状自评量表（SCL - 90）的结果，发病年龄（0至6岁）与包括九个分量表中的八个在内的精神症状之间存在统计学意义。根据同一问卷，施虐者（男性亲属）与分量表人际敏感性之间也存在统计学意义。根据社会互动访谈时间表，性侵形式与依恋可获得性分量表中的社会融合之间存在统计学意义。35名女性（78%）在遭受性虐待时未告知任何人，最常见的原因是担心不被相信。
