Allen Brian
Center for the Protection of Children, Penn State Hershey Children's Hospital, 500 University Drive, Hershey, PA, 17033, USA.
Child Psychiatry Hum Dev. 2017 Apr;48(2):189-199. doi: 10.1007/s10578-016-0633-8.
Research examining children with sexual behavior problems (SBP) almost exclusively relies on caregiver reports. The current study, involving a sample of 1112 children drawn from a prospective study, utilizes child self-reports and teacher reports, as well caregiver-reports. First, analyses examined children displaying any SBP; a second set of analyses specifically examined children displaying interpersonal forms of SBP. Caregivers reported greater internalizing, externalizing, and social problems for children with general SBP and/or interpersonal SBP when compared to children without SBP. Caregiver concerns were rarely corroborated by teacher and child reports. Protective services records indicated that SBP was linked to childhood sexual abuse, but sexual abuse occurred in the minority of these cases. Physical abuse was more common among children with interpersonal forms of SBP. The data in the current study suggest the need for multiple reporters when assessing children presenting with SBP and that conventional views of these children may be misleading.
针对有性行为问题（SBP）儿童的研究几乎完全依赖于照料者的报告。本项研究从一项前瞻性研究中抽取了1112名儿童作为样本，采用了儿童自我报告、教师报告以及照料者报告。首先，分析考察了表现出任何性行为问题的儿童；第二组分析专门考察了表现出人际形式性行为问题的儿童。与没有性行为问题的儿童相比，照料者报告显示，有一般性行为问题和/或人际形式性行为问题的儿童存在更多内化问题、外化问题和社交问题。教师和儿童报告很少证实照料者所担心的问题。保护服务记录表明，性行为问题与儿童期性虐待有关，但这类情况中发生性虐待的只是少数。身体虐待在表现出人际形式性行为问题的儿童中更为常见。本研究中的数据表明，在评估有性行为问题的儿童时需要多个报告来源，而且对这些儿童的传统看法可能会产生误导。
