Orcutt Holly K, Cooper M Lynne, Garcia Marilyn
Department of Psychology, Northern Illinois University, DeKalb, Illinois 60115-2892, USA.
J Trauma Stress. 2005 Dec;18(6):729-39. doi: 10.1002/jts.20081.
Increased risk of adult sexual assault (ASA) among women who experienced child sexual abuse (CSA) is well established. The strategies these women use to reduce negative affect secondary to CSA, such as sexual contact, may mediate the link between CSA and later ASA. Two waves of data from a racially diverse sample (i.e., 46% Black, 46.1% White, 7.9% other) of community women (N = 776) were analyzed using structural equation modeling. A history of CSA was associated with a twofold increase in the likelihood of experiencing ASA between the two measurement occasions (approximately 6 years). Psychological distress (i.e., depression, anxiety) and use of sex to reduce negative affect partially mediated the relation between CSA and prospective ASA. Implications for the treatment of CSA and prevention of sexual assault are discussed.
曾遭受儿童性虐待（CSA）的女性成年后遭受性侵犯（ASA）的风险增加，这一点已得到充分证实。这些女性用来减少CSA继发的负面影响（如性接触）的策略，可能会调节CSA与后期ASA之间的联系。使用结构方程模型对来自社区女性（N = 776）的具有种族多样性样本（即46%为黑人，46.1%为白人，7.9%为其他种族）的两波数据进行了分析。在两次测量期间（约6年），CSA史与经历ASA的可能性增加两倍有关。心理困扰（即抑郁、焦虑）以及通过性行为来减少负面影响在一定程度上介导了CSA与预期ASA之间的关系。文中讨论了对CSA治疗和性侵犯预防的启示。
