Aydin Berna, Akbas Seher, Turla Ahmet, Dundar Cihad
a Department of Forensic Medicine, Faculty of Medicine , Ondokuz Mayis University , Atakum/Samsun , Turkey ;
b Department of Child and Adolescent Psychiatry, Faculty of Medicine , Ondokuz Mayis University , Atakum/Samsun , Turkey ;
Nord J Psychiatry. 2016 Aug;70(6):418-23. doi: 10.3109/08039488.2016.1143028. Epub 2016 Feb 23.
Background Social support has been shown to play a protective role against the development of post-traumatic stress disorder (PTSD) and depression in individuals exposed to trauma. Aims The purpose of this study was to investigate the effect of perceived social support on depression and PTSD in child victims of sexual abuse and to determine the relationship between them. Method In total 182 victims of sexual abuse aged 6-18 at time of interview were assessed. Clinical interviews, the Children's Depression Inventory (CDI) and the Child Posttraumatic Stress Reaction Index (CPTS-RI) were used to assess children's psychological status, while the Perceived Social Support Scale-Revised (PSSS-R) was used to measure social support. Results Girls had significantly higher median CDI and CPTS-RI scores than boys, while no significant difference was determined between boys and girls in terms of PSSS-R scores. A statistically significant negative correlation was determined between CDI and PSSS-R scores, CPTS-RI scores and PSSS-R scores in girls, while no significant correlation was identified in male victims. Conclusions In conclusion, we think that social support networks for victims of sexual abuse need to be broadened and increased, and that importance should be attached to protective approaches in that context.
社会支持已被证明对遭受创伤的个体预防创伤后应激障碍（PTSD）和抑郁症的发展具有保护作用。目的：本研究旨在调查感知到的社会支持对性虐待儿童受害者抑郁和创伤后应激障碍的影响，并确定它们之间的关系。方法：共评估了182名在访谈时年龄为6至18岁的性虐待受害者。采用临床访谈、儿童抑郁量表（CDI）和儿童创伤后应激反应指数（CPTS-RI）评估儿童的心理状况，同时使用修订后的感知社会支持量表（PSSS-R）测量社会支持。结果：女孩的CDI和CPTS-RI中位数得分显著高于男孩，而在PSSS-R得分方面，男孩和女孩之间未发现显著差异。女孩的CDI与PSSS-R得分、CPTS-RI得分与PSSS-R得分之间存在统计学上的显著负相关，而在男性受害者中未发现显著相关性。结论：总之，我们认为需要扩大和增加性虐待受害者的社会支持网络，并应在这一背景下重视保护措施。
