Carey Paul D, Walker Jennifer L, Rossouw Wendy, Seedat Soraya, Stein Dan J
MRC Research Unit for Anxiety and Stress, Disorders, Department of Psychiatry, University of Stellenbosch, Tygerberg, Cape Town 7505, South Africa.
Eur Child Adolesc Psychiatry. 2008 Mar;17(2):93-8. doi: 10.1007/s00787-007-0641-0. Epub 2007 Sep 17.
Childhood sexual abuse (CSA) is widespread amongst South African (SA) children, yet data on risk factors and psychiatric consequences are limited and mixed.
Traumatised children and adolescents referred to our Youth Stress Clinic were interviewed to obtain demographic, sexual abuse, lifetime trauma and psychiatric histories.
Data for 94 participants (59 female, 35 male; mean age 14.25 [8.25-19] years) exposed to at least one lifetime trauma were analysed. Sexual abuse was reported in 53% of participants (42.56% females, 10.63% males) with 64% of violations committed by perpetrators known to them. Multinomial logistic regression analysis revealed female gender (P=0.002) and single-parent families (P=0.01) to be significant predictors of CSA (62.5%). CSA did not predict exposure to other traumas. Sexually abused children had significantly higher physical and emotional abuse subscale scores and total CTQ scores than non-abused children. Depression (33%, X(2)=10.89, P=0.001) and PTSD (63.8%, X(2)=4.79, P=0.034) were the most prevalent psychological consequences of trauma and both were significantly associated with CSA.
High rates of CSA predicted high rates of PTSD in this traumatised sample. Associations we found appear consistent with international studies of CSA and, should be used to focus future social awareness, prevention and treatment strategies in developing countries.
儿童性虐待（CSA）在南非儿童中广泛存在，但关于风险因素和精神后果的数据有限且参差不齐。
对转介至我们青少年压力诊所的受创伤儿童和青少年进行访谈，以获取人口统计学、性虐待、终生创伤和精神病史。
分析了94名至少经历过一次终生创伤的参与者（59名女性，35名男性；平均年龄14.25[8.25 - 19]岁）的数据。53%的参与者报告遭受过性虐待（女性为42.56%，男性为10.63%），其中64%的侵害行为由他们认识的犯罪者实施。多项逻辑回归分析显示，女性（P = 0.002）和单亲家庭（P = 0.01）是CSA（62.5%）的重要预测因素。CSA并不能预测是否会遭受其他创伤。遭受性虐待的儿童在身体和情感虐待分量表得分以及儿童创伤问卷（CTQ）总分上显著高于未受虐待的儿童。抑郁（33%，X(2)=10.89，P = 0.
