Shaw Jon A, Lewis John E, Chitiva Harvey A, Pangilinan Andrew R
Dr. Shaw is Professor and Chief, Mental Health Hospital Center, UM/Jackson Memorial Medical Center. Dr. Lewis is Associate Professor and Dr. Chitiva is a psychiatrist, Department of Psychiatry and Behavioral Sciences, Leonard H. Miller School of Medicine, University of Miami. Mr. Pangilinan is a psychology fellow in the Department of Psychiatry, University of Miami, Miami FL.
J Am Acad Psychiatry Law. 2017 Sep;45(3):325-331.
We have discovered in our clinical review that sexually abused girls have significantly better therapeutic outcomes than girls who have been victims of sex trafficking. Thus, we compared the mental health records of 25 adolescent female victims of commercial sexual exploitation with a group of 25 girls with a history of sexual abuse matched for age. Exclusion criteria included IQ <70, organicity, and psychosis. Victims of sexual exploitation were more likely to be in foster care; to have arrests, suspensions from school, and a history of running away; to abuse drugs; to be more impaired in social and school activities; to be withdrawn and depressed; to manifest social and thought problems and aggressive and rule-breaking behaviors; and to have a diagnosis of mood or conduct disorder or both. The results of this study suggest that the psychopathology of girl victims of sexual exploitation is markedly different from that of sexually abused girls.
我们在临床回顾中发现，遭受性虐待的女孩比遭受性交易的女孩有显著更好的治疗效果。因此，我们将25名遭受商业性剥削的青春期女性受害者的心理健康记录与一组年龄匹配的有性虐待史的25名女孩进行了比较。排除标准包括智商低于70、器质性病变和精神病。性剥削受害者更有可能处于寄养状态；有被捕、被学校停学和离家出走的历史；滥用药物；在社交和学校活动中受到更大损害；孤僻和抑郁；表现出社交和思维问题以及攻击性行为和违规行为；并被诊断患有情绪或行为障碍或两者皆有。这项研究的结果表明，性剥削受害女孩的精神病理学与性虐待女孩明显不同。
