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性虐待的患病率及后遗症

Prevalence and sequelae of sexual torture.

作者信息

Lunde I, Ortmann J

机构信息

Etica Treatment Centre, Copenhagen K, Denmark.

出版信息

Lancet. 1990 Aug 4;336(8710):289-91. doi: 10.1016/0140-6736(90)91814-q.

DOI:10.1016/0140-6736(90)91814-q
PMID:1973980
Abstract

283 torture victims (135 examined by the Amnesty International [AI] Danish Medical Group, and 148 by the International Rehabilitation and Research Center for Torture Victims [RCT]) were questioned about methods of torture and subsequent sexual difficulties. Overall, the prevalence of sexual torture was 61% (women 80%, men 56%), but this was higher in the RCT than in the AI group. More Latin Americans than Europeans had been sexually tortured in the AI group. Prevalence of sexual difficulties was 32%, the RCT recording a significantly higher prevalence than the AI (43% vs 20%). Sexually tortured victims were more likely to have sexual difficulties (40%) than were non-sexually tortured victims (19%). Overall, there were more cases of sexual difficulties in victims from Africa and from Turkey/Middle East/Far East than in victims from Latin America and from Europe. In the RCT subsample, prevalence of sexual difficulties and anxiety was significantly higher in sexually tortured victims than in non-sexually tortured victims; the two groups were broadly similar with respect to depression and low self-esteem. Depressed victims and victims with low self-esteem were more likely to have sexual difficulties. In the RCT group, but not overall, prevalence of sexual difficulties was significantly associated with age but was independent of low self-esteem and of depression.

摘要

283名酷刑受害者(135名由国际特赦组织丹麦医疗小组检查,148名由国际酷刑受害者康复研究中心检查)被询问了酷刑方式及随后出现的性方面的问题。总体而言,性酷刑的发生率为61%(女性为80%,男性为56%),但在国际酷刑受害者康复研究中心检查的受害者中这一比例高于国际特赦组织小组。在国际特赦组织小组中,遭受性酷刑的拉丁美洲人比欧洲人更多。性方面问题的发生率为32%,国际酷刑受害者康复研究中心记录的发生率显著高于国际特赦组织小组(43%对20%)。遭受性酷刑的受害者比未遭受性酷刑的受害者更有可能出现性方面的问题(40%对19%)。总体而言,来自非洲以及土耳其/中东/远东地区的受害者出现性方面问题的案例比来自拉丁美洲和欧洲的受害者更多。在国际酷刑受害者康复研究中心的子样本中,遭受性酷刑的受害者出现性方面问题和焦虑的发生率显著高于未遭受性酷刑的受害者;在抑郁和自卑方面,两组大致相似。抑郁的受害者和自卑的受害者更有可能出现性方面的问题。在国际酷刑受害者康复研究中心小组中,而非总体情况,性方面问题的发生率与年龄显著相关,但与自卑和抑郁无关。

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