Indiana University - Purdue University, Department of Psychology, 402 North Blackford St., LD126, Indianapolis, IN, 46143, USA.
Department of Psychology, University of Miami, 5665 Ponce De Leon Blvd, Room 422, Coral Gables, FL, 33146, USA.
Child Abuse Negl. 2018 May;79:269-278. doi: 10.1016/j.chiabu.2018.02.023. Epub 2018 Mar 20.
Youth that are victims of commercial sexual exploitation of children (CSEC) have a host of clinical problems and often run away from home, residential care, and treatment, which complicates and limits treatment effectiveness. No research to date has attempted to predict running away in CSEC victims. The present study aimed to 1) characterize a clinically referred sample of girls who were victims of CSEC and compare them to other high-risk girls (i.e., girls who also have a history of trauma and running away, but deny CSEC); and 2) examine the utility of using the Youth Level of Service/Case Management Inventory (YLS/CMI) to predict future running away. Data were collected from de-identified charts of 80 girls (mean age = 15.38, SD = 1.3, 37.9% White, 52.5% CSEC victims) who were referred for psychological assessment by the Department of Child Services. Girls in the CSEC group were more likely to have experienced sexual abuse (χ = 6.85, p = .009), an STI (χ = 6.45, p = .01), a post-traumatic stress disorder diagnosis (χ = 11.84, p = .001), and a substance use disorder diagnosis (χ = 11.32, p = .001) than high-risk girls. Moderated regression results indicated that YLS/CMI scores significantly predicted future running away among the CSEC group (β = 0.23, SE = .06, p = .02), but not the high-risk group (β = -.008, SE = .11, p =.90). The YLS/CMI shows initial promise for predicting future running away in girls who are CSEC victims. Predicting running away can help identify those at risk for and prevent running away and improve treatment outcomes. We hope current findings stimulate future work in this area.
青少年商业性剥削儿童受害者（CSEC）会有一系列临床问题，并且经常离家出走、离开收容所和治疗机构，这使得治疗变得复杂和受限。迄今为止，没有研究试图预测 CSEC 受害者的逃跑行为。本研究旨在：1）描述一个临床转介的 CSEC 受害女孩样本，并将其与其他高风险女孩（即有创伤和逃跑史但否认 CSEC 的女孩）进行比较；2）检验使用青少年服务/案件管理清单（YLS/CMI）预测未来逃跑的效用。数据来自儿童服务部进行心理评估的 80 名女孩（平均年龄 15.38 岁，标准差 1.3，37.9%为白人，52.5%为 CSEC 受害者）的匿名图表。CSEC 组的女孩更有可能经历过性虐待（χ²=6.85，p=0.009）、性传播感染（χ²=6.45，p=0.01）、创伤后应激障碍诊断（χ²=11.84，p=0.001）和物质使用障碍诊断（χ²=11.32，p=0.001）。调节回归结果表明，YLS/CMI 评分显著预测了 CSEC 组未来的逃跑行为（β=0.23，SE=0.06，p=0.02），但对高风险组没有预测作用（β=-0.008，SE=0.11，p=0.90）。YLS/CMI 显示出预测 CSEC 受害女孩未来逃跑的初步潜力。预测逃跑可以帮助识别那些有逃跑风险的人，并预防逃跑，从而改善治疗结果。我们希望当前的研究结果能激发该领域的进一步研究。
