Mathews Shanaaz, Abrahams Naeemah, Jewkes Rachel
South African Medical Research Council, Cape Town, South Africa.
J Child Sex Abus. 2013;22(6):639-57. doi: 10.1080/10538712.2013.811137.
Large numbers of children are affected by child sexual abuse in South Africa. This study aimed to assess psychological adjustment of children post sexual assault. In-depth, semistructured interviews were conducted with caretakers, and structured interviews using mental health assessment screening tools were given to children at three intervals over a five-month period after presentation at a sexual assault center. Almost half of the children met clinical criteria for anxiety, and two-thirds met criteria for full symptom post-traumatic stress disorder two to four weeks post disclosure. With standard care, we observed some recovery; 43.3% of children still met full symptom post-traumatic stress disorder nearly six months post disclosure. Our findings indicate that current practice in South Africa does not promote adequate recovery for children.
在南非，大量儿童受到性虐待。本研究旨在评估遭受性侵犯后儿童的心理调适情况。对照料者进行了深入的半结构化访谈，并在儿童在性侵犯中心就诊后的五个月内分三个时间段，使用心理健康评估筛查工具对儿童进行了结构化访谈。近一半的儿童符合焦虑症的临床标准，三分之二的儿童在披露事件后的两到四周符合创伤后应激障碍的全部症状标准。在接受标准护理后，我们观察到了一些恢复情况；在披露事件近六个月后，仍有43.3%的儿童符合创伤后应激障碍的全部症状标准。我们的研究结果表明，南非目前的做法并不能促进儿童的充分康复。
