Deblinger E, McLeer S V, Atkins M S, Ralphe D, Foa E
Medical College of Pennsylvania, Eastern Pennsylvania Psychiatric Institute.
Child Abuse Negl. 1989;13(3):403-8. doi: 10.1016/0145-2134(89)90080-x.
This investigation compared the rates of post-traumatic stress disorder symptoms across sexually abused, physically abused, and nonabused psychiatrically hospitalized children matched for age, sex, and socioeconomic status. Among the sexually abused children, 20.7% met diagnostic criteria for post-traumatic stress disorder compared with 6.9% of the physically abused and 10.3% of the nonabused children. Although these overall rates were not significantly different across groups, they were significantly high to reinforce the need for further study of post-traumatic stress in childhood. Further, significant symptom rate differences across groups were found with respect to specific post-traumatic stress symptoms. Specifically, sexually abused children exhibited significantly higher rates of inappropriate sexual behaviors than either the physically abused or nonabused children. In addition, both the sexually abused and physically abused groups showed a tendency to exhibit more avoidant/dissociative symptoms as compared to the nonabused children. Results are discussed in terms of their clinical and research implications.
本研究比较了遭受性虐待、身体虐待以及未受虐待的精神病住院儿童（年龄、性别和社会经济地位相匹配）的创伤后应激障碍症状发生率。在遭受性虐待的儿童中，20.7%符合创伤后应激障碍的诊断标准，相比之下，遭受身体虐待的儿童为6.9%，未受虐待的儿童为10.3%。尽管这些总体发生率在各组之间没有显著差异，但高到足以凸显进一步研究儿童创伤后应激障碍的必要性。此外，在特定的创伤后应激症状方面，发现各组之间存在显著的症状发生率差异。具体而言，遭受性虐待的儿童表现出不适当性行为的发生率显著高于遭受身体虐待或未受虐待的儿童。此外，与未受虐待的儿童相比，遭受性虐待和身体虐待的儿童均表现出更多的回避/分离症状倾向。研究结果从临床和研究意义方面进行了讨论。
