Holmberg Lars I, Hellberg Dan
Child Health Unit, Falun Hospital, Falun, Sweden.
Int J Adolesc Med Health. 2010 Apr-Jun;22(2):291-300. doi: 10.1515/ijamh.2010.22.2.291.
To study associations between sexual abuse of girls in childhood and variables affecting life in adolescence.
Anonymously, in the class room, all eligible female adolescents 13-18 years old (n = 1,428) in a medium-sized town completed a validated in-depth questionnaire (Q90) with 165 questions. A history of sexual offense was reported by 119 cases (8.3%, mean age 16.0 years). The remaining 1,309 girls (mean age 15.6 years) served as a comparison group.
Questions included body perception, health, including psychosomatic symptoms, depression, suicidal thoughts, psychiatric medication, general questions about present life, peer relations, smoking, alcohol use, delinquent behaviors, and sexual behaviors. In most areas, adolescents with a history of sexual offense responded unfavorably compared with the comparison groups. Some examples were that despite a similar body mass index, 47% of the cases felt overweight as against 31% of the remaining adolescents (p = .0001). Among the sexually abused adolescents, self-perceived depression was more common (60% vs. 37%, p = .0001), as was psychiatric medication (10% vs. 2%, p = .0003). Loneliness was reported by 23% of the cases versus 13% (p = .005). Smoking, alcohol use, and minor criminality showed similar results. Sexual risk behaviors, i.e. multiple sexual partners, unwanted pregnancies, and sexually transmitted infections did not differ between the two groups of girls.
Many adolescents with a history of childhood sexual offense feel unhappy, as is evident from the magnitude of the problems. This includes many aspects of adolescent life. It seems likely that the problems are at least partially related to sexual abuse in childhood.
研究女童童年期遭受性虐待与影响青春期生活的变量之间的关联。
在一所中等规模城镇的教室里，13至18岁的所有符合条件的女性青少年（n = 1428）匿名完成了一份经过验证的包含165个问题的深度问卷（Q90）。119例（8.3%，平均年龄16.0岁）报告有性侵犯史。其余1309名女孩（平均年龄15.6岁）作为对照组。
问题包括身体认知、健康，包括心身症状、抑郁、自杀念头、精神科用药、关于当前生活的一般问题、同伴关系、吸烟、饮酒、犯罪行为和性行为。在大多数方面，有性侵犯史的青少年与对照组相比反应不佳。一些例子是，尽管体重指数相似，但47%的受性侵者感觉超重，而其余青少年中这一比例为31%（p = 0.0001）。在遭受性虐待的青少年中，自我感觉抑郁更为常见（60%对37%，p = 0.0001），使用精神科药物的情况也是如此（10%对2%，p = 0.0003）。23%的受性侵者报告有孤独感，而对照组为13%（p = 0.005）。吸烟、饮酒和轻微犯罪情况也有类似结果。两组女孩在性风险行为方面，即多个性伴侣、意外怀孕和性传播感染方面没有差异。
许多有童年期性侵犯史的青少年感到不快乐，从问题的严重程度可见一斑。这包括青少年生活的许多方面。这些问题似乎至少部分与童年期性虐待有关。
