1 Department of Psychology, East Tennessee State University, Johnson City, TN, USA.
2 Department of Psychiatry and Behavioral Sciences, East Tennessee State University, Johnson City, TN, USA.
Child Maltreat. 2018 Feb;23(1):63-73. doi: 10.1177/1077559517720726. Epub 2017 Jul 21.
Child maltreatment and household dysfunction have long been linked to delinquency, adult criminality, and sexual offending. However, the association between adverse childhood experiences (ACEs), factors related to out-of-home placement, and the onset of maladaptive behaviors has not thoroughly been explored in adolescents who have engaged in sexually abusive behavior. In the present study, we examined archival records of 120 male youths who have received treatment for sexually abusive behavior. As expected, the male adolescents in this sample have experienced higher rates of ACEs than samples of adult males in the community, adult males who committed sexual offenses, and juvenile justice-involved males as reported in the literature. Discrete-time survival analyses yielded increased risks of onset of aggression and sexually abusive behavior during early childhood and mid-to-late childhood, with significant associations between higher ACE scores and a greater number of out-of-home placements. Implications and future directions are discussed.
儿童虐待和家庭功能障碍长期以来一直与青少年犯罪、成年犯罪和性犯罪有关。然而，在有过性虐待行为的青少年中，不良的童年经历（ACEs）、与离家安置有关的因素，以及适应不良行为的发生之间的关联，尚未得到彻底探讨。在本研究中，我们检查了 120 名接受过性虐待行为治疗的男性青少年的档案记录。正如预期的那样，与文献中报告的社区中成年男性、犯有性犯罪的成年男性和少年司法涉案男性相比，该样本中的男性青少年经历 ACEs 的比例更高。离散时间生存分析得出结论，在儿童早期和中晚期，攻击性和性虐待行为的发病风险增加，ACE 评分越高，离家安置次数越多，两者之间存在显著关联。讨论了其意义和未来方向。
