Hibbard R A, Ingersoll G M, Orr D P
Indiana University School of Medicine, Indianapolis.
Pediatrics. 1990 Dec;86(6):896-901.
In this replication study of adolescents in a nonclinical setting, the prevalence of reported problem behaviors, emotions, and abuse is evaluated, and the impact of abuse on multivariate emotional and behavioral risk is assessed. A total of 3998 students (69%) in a rural midwestern community in grades 7 to 12 participated in the study. Almost 20% of the students reported some form of physical and/or sexual abuse, with more girls than boys reporting sexual abuse (chi 2 = 48.5, P less than .001). Some problem behaviors (alcohol use) and emotions (trouble sleeping, difficulty with anger) were common among all adolescents and some were strongly associated with a history of abuse (especially, considering or attempting suicide, running away, laxative use, and vomiting to lose weight). Higher emotional and behavioral risk scores among abused students were confirmed. The effects of physical and sexual abuse on risk scores were independent and additive; no interaction was observed. An interaction of gender and sexual abuse on problem behavior was observed, with problem behavior being significantly greater among sexually abused boys. The results confirm increased risk of problem behaviors and negative feelings among abused adolescents when compared with nonabused peers, and better define influences of gender and abuse type on emotional and behavioral risks.
在这项针对非临床环境中青少年的重复研究中，评估了所报告的问题行为、情绪和虐待行为的发生率，并评估了虐待对多元情绪和行为风险的影响。中西部农村社区的3998名7至12年级学生（占69%）参与了该研究。近20%的学生报告遭受过某种形式的身体和/或性虐待，报告遭受性虐待的女孩比男孩更多（χ² = 48.5，P < 0.001）。一些问题行为（饮酒）和情绪（睡眠困难、易怒）在所有青少年中都很常见，有些则与虐待史密切相关（尤其是考虑自杀或企图自杀、离家出走、使用泻药和催吐减肥）。受虐学生的情绪和行为风险得分更高得到了证实。身体虐待和性虐待对风险得分的影响是独立且相加的；未观察到相互作用。观察到性别与性虐待在问题行为上存在相互作用，遭受性虐待的男孩的问题行为明显更严重。结果证实，与未受虐的同龄人相比，受虐青少年出现问题行为和负面情绪的风险增加，并更好地界定了性别和虐待类型对情绪和行为风险的影响。
