Finkelhor David, Ormrod Richard K, Turner Heather A
Crimes against Children Research Center, University of New Hampshire, 126 Horton Social Science Center, Durham, NH 03824, USA.
Child Abuse Negl. 2007 Jan;31(1):7-26. doi: 10.1016/j.chiabu.2006.06.008. Epub 2007 Jan 16.
To assess the role of multiple victimization, or what is termed in this article "poly-victimization," in explaining trauma symptomatology.
In a nationally representative sample of 2,030 children ages 2-17, assessment was made of the past year's victimization experiences and recent trauma symptoms.
Children experiencing four or more different kinds of victimization in a single year (poly-victims) comprised 22% of the sample. Poly-victimization was highly predictive of trauma symptoms, and when taken into account, greatly reduced or eliminated the association between individual victimizations (e.g., sexual abuse) and symptomatology. Poly-victims were also more symptomatic than children with only repeated episodes of the same kind of victimization.
Researchers and practitioners need to assess for a broader range of victimizations, and avoid studies and assessments organized around a single form of victimization.
评估多重受害,即本文所称的“多重受害经历”,在解释创伤症状学方面的作用。
在一个具有全国代表性的2030名2至17岁儿童样本中,对过去一年的受害经历和近期创伤症状进行了评估。
一年中经历四种或更多不同类型受害经历的儿童(多重受害者)占样本的22%。多重受害经历对创伤症状具有高度预测性,并且在考虑到这一点后,大大减少或消除了个体受害经历(如性虐待)与症状学之间的关联。多重受害者也比仅经历同一种受害经历反复发作的儿童症状更明显。
研究人员和从业者需要评估更广泛的受害经历范围,并避免围绕单一形式的受害经历进行研究和评估。