Baril Karine, Tourigny Marc, Paillé Pierre, Pauzé Robert
a Faculty of Education, University of Sherbrooke , Québec , Canada.
b School of Social Services , University Laval , Québec , Canada.
J Child Sex Abus. 2016 Jul;25(5):504-23. doi: 10.1080/10538712.2016.1176096.
Considering the importance of mother's support in the adaptation of a sexually abused child, it is relevant to determine if the mothers and children involved in an intergenerational cycle of child sexual victimization differ from dyads in which only the child has been abused. The purpose of this study was to compare mother-child dyads with sexually abused children according to whether the mother had herself been victim of child sexual abuse. The sample included 87 dyads with sexually abused children aged 3-18 years old and their mothers (44 reporting maternal and child abuse), followed by social welfare services of the province of Quebec (Canada). The two groups of mothers were compared on their past family abuse experiences and past family relations, their mental health history, their current psychological distress, their parenting behaviors, and their current levels of family functioning. Children were compared on their adaptation. Multivariate analyses indicated that mothers reporting child sexual abuse were more likely to report more other maltreatments in their childhood and greater prevalence of lifetime history of alcohol abuse disorders, dysthymia, and panic disorder compared with mothers who had not experienced CSA. Compared to children whose mothers had not experienced CSA, those whose mothers had experienced CSA showed higher rates of problems behaviors and were more likely to report having been sexually abused by a trusted person. These results highlight the specific clinical needs for the assessment and treatment for sexually abused children whose mothers experienced child sexual abuse.
考虑到母亲的支持在性虐待儿童适应过程中的重要性,确定参与代际儿童性虐待循环的母亲和孩子是否与仅孩子遭受虐待的二元组有所不同是很有意义的。本研究的目的是根据母亲自己是否曾是儿童性虐待的受害者,对有性虐待儿童的母婴二元组进行比较。样本包括87个有3至18岁性虐待儿童及其母亲的二元组(44个报告有母亲和儿童虐待情况),由加拿大魁北克省的社会福利服务机构跟踪调查。对两组母亲在她们过去的家庭虐待经历和家庭关系、心理健康史、当前的心理困扰、养育行为以及当前的家庭功能水平方面进行了比较。对儿童在其适应情况方面进行了比较。多变量分析表明,与未经历过儿童性虐待的母亲相比,报告有儿童性虐待的母亲更有可能报告自己童年时期有更多其他虐待情况,以及酒精滥用障碍、心境恶劣和惊恐障碍的终生患病率更高。与母亲未经历过儿童性虐待的儿童相比,母亲经历过儿童性虐待的儿童表现出更高的问题行为发生率,并且更有可能报告曾被信任的人进行性虐待。这些结果突出了对母亲经历过儿童性虐待的性虐待儿童进行评估和治疗的特定临床需求。