Ensink K, Godbout N, Bigras N, Lampron J, Sabourin S, Normandin L
École de psychologie, Université Laval, 2325 rue des Bibliothèques, Quebec, QC, G1V 0A6, Canada.
Département de sexologie, Université de Québec à Montreal, 405 Rue Sainte-Catherine Est, Montreal, QC, H2L 2C4, Canada.
Child Psychiatry Hum Dev. 2018 Aug;49(4):621-631. doi: 10.1007/s10578-017-0778-0.
The aim of this longitudinal study was to examine the course of sexualized behavior problems (SBP) over 2 years in a sample comprised of 104 children aged 2-12, including 62 children with histories of child sexual abuse (CSA). Parents completed questionnaires assessing SBP, internalizing and externalizing difficulties at baseline, as well as 2 years later. In more than half (56.7%) of children with clinically significant SBP at baseline, sexualized behaviors persisted and remained at a clinically significant level over time. In children with CSA, 48.4% presented persistent SBP, 27.4% presented transitory SBP, while 19.4% did not present clinically significant SBP at either time. CSA increased the relative risk of persistent SBP 3.29 times, and for each one-unit increase in scores of externalizing difficulties, the odds of persistent SBP increased by 21%. The findings suggest that SBP consequent to CSA, especially when it co-occurs with externalizing difficulties, is likely to remain at levels warranting clinical intervention.
这项纵向研究的目的是，在一个由104名2至12岁儿童组成的样本中，考察两年内性化行为问题（SBP）的发展过程，其中包括62名有儿童性虐待（CSA）史的儿童。家长在基线时以及两年后完成了评估SBP、内化和外化困难的问卷。在基线时具有临床显著SBP的儿童中，超过半数（56.7%）的性化行为持续存在，并随着时间推移保持在临床显著水平。在有CSA史的儿童中，48.4%表现为持续性SBP，27.4%表现为短暂性SBP，而19.4%在任何时候都没有临床显著的SBP。CSA使持续性SBP的相对风险增加了3.29倍，外化困难得分每增加一个单位，持续性SBP的几率就增加21%。研究结果表明，CSA导致的SBP，尤其是当它与外化困难同时出现时，很可能会保持在需要临床干预的水平。
