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探索儿童性虐待受害者的纵向犯罪途径:使用潜在变量建模的初步分析。

Exploring the longitudinal offending pathways of child sexual abuse victims: A preliminary analysis using latent variable modeling.

机构信息

Centre for Forensic Behavioural Science, Swinburne University of Technology and Victorian Institute of Forensic Mental Health (Forensicare), 505 Hoddle Street, Clifton Hill, 3068 Victoria, Australia.

出版信息

Child Abuse Negl. 2017 Apr;66:84-100. doi: 10.1016/j.chiabu.2017.01.005. Epub 2017 Jan 16.

Abstract

Very little research has been conducted to show the way in which criminal behavior unfolds over the life-course in children who have been sexually abused, and whether it differs from the 'age-crime' patterns consistently documented in the criminology literature. This study investigated the temporal pathways of criminal offending between the ages of 10-25 years among medically confirmed cases of child sexual abuse (CSA), and considered whether abuse variables, offense variables, and the presence of other adverse outcomes, were associated with heterogeneity in offending pathways among CSA survivors. This study utilized data gathered as part of a large-scale study involving the linkage of forensic examinations on 2759 cases of medically ascertained CSA between 1964 and 1995, to criminal justice and public psychiatric databases 13-44 years following abuse, together with a matched comparison sample of 2677 individuals. We used the subsample of 283 offending individuals (191 victims; 92 comparisons) for whom complete offending data were available. We compared the aggregate age-crime curves for CSA victims and comparisons, and applied longitudinal latent class analysis to identify distinct subgroups of offending pathways between ages 10-25 years within the abuse sample. Four latent pathways emerged among sexually abused offenders, labeled: Early-Onset/High-Risk/Adolescence-Limited; Intermediate-Onset/Low-Risk/Adolescence-Limited; Late-Onset/Low-Risk/Slow-Declining; and Early-Onset/High-Risk/Persistent offenders. Age at abuse, the nature and frequency of offending, and mental health problems, were associated with the offending pathway followed by CSA victims. Consistent with criminological literature, findings indicate considerable heterogeneity in the longitudinal offending patterns of offenders exposed to CSA. Implications for clinical practice and directions for research are highlighted.

摘要

针对遭受性虐待的儿童,犯罪行为如何在其整个生命历程中展开,以及其是否与犯罪学文献中一贯记录的“年龄-犯罪”模式不同,相关研究甚少。本研究调查了在 10 至 25 岁之间经医学确认的性虐待儿童(CSA)案例中犯罪行为的时间路径,并考虑了虐待变量、犯罪变量以及其他不良后果的存在是否与 CSA 幸存者犯罪行为路径的异质性相关。本研究利用了一项大规模研究的数据,该研究涉及将 1964 年至 1995 年间 2759 例经医学确认的 CSA 案例的法医检查结果与刑事司法和公共精神科数据库进行了关联,这些 CSA 案例发生在 13 至 44 年之后,同时还包括了一个具有可比性的 2677 名个体的对照样本。我们使用了 283 名有完整犯罪数据的犯罪个体的子样本(191 名受害者;92 名对照)。我们比较了 CSA 受害者和对照者的总年龄-犯罪曲线,并在滥用样本中应用纵向潜在类别分析来确定 10 至 25 岁之间不同的犯罪行为路径亚组。性虐待犯罪者中出现了四个潜在的犯罪行为路径,分别为:早期发病/高风险/青春期有限;中期发病/低风险/青春期有限;晚期发病/低风险/缓慢下降;早期发病/高风险/持续犯罪者。性虐待的发病年龄、犯罪的性质和频率以及心理健康问题都与 CSA 受害者所遵循的犯罪行为路径有关。与犯罪学文献一致的是,研究结果表明,遭受 CSA 暴露的犯罪者的纵向犯罪模式存在相当大的异质性。研究结果强调了对临床实践的影响和对研究的指导意义。

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