Bi Shuang, Rancher Caitlin, Johnson Emily, Cook Katrina, McDonald Renee, Jouriles Ernest N
a Department of Psychology , Southern Methodist University , Dallas , TX , USA.
b Dallas Children's Advocacy Center , Dallas , TX , USA.
J Child Sex Abus. 2019 Apr;28(3):333-344. doi: 10.1080/10538712.2018.1544599. Epub 2018 Nov 19.
Child sexual abuse (CSA) is a robust predictor of trauma symptoms. Past research has identified many correlates of trauma symptoms following disclosure of CSA. Theory suggests that loss of social contact may be another important contributor to adolescents' trauma symptoms following CSA. A clinical sample of 166 adolescents (95% female) between 11 and 19 years (M = 13.80, SD = 1.87) reported on perceived loss of social contact, the extent to which the CSA was coercive, appraisals of self-blame for the abuse, supportiveness of a primary non-abusing caregiver, and trauma symptoms. The adolescent's relationship to the abuser, abuse severity and duration were coded from forensic interviews. Results indicated that greater perceived loss of social contact was associated with higher levels of trauma symptoms, even after controlling for other correlates of trauma symptoms and demographic variables. These findings suggest that perceived loss of social contact may be an important variable to consider in assessing and intervening with adolescents who have been sexually abused.
儿童性虐待（CSA）是创伤症状的一个有力预测指标。过去的研究已经确定了许多CSA披露后创伤症状的相关因素。理论表明，社会联系的丧失可能是CSA后青少年创伤症状的另一个重要促成因素。一项针对166名11至19岁青少年（95%为女性，M = 13.80，SD = 1.87）的临床样本进行了研究，这些青少年报告了感知到的社会联系丧失、CSA的强制程度、对虐待的自责评估、主要非虐待照顾者的支持程度以及创伤症状。青少年与施虐者的关系、虐待的严重程度和持续时间是从法医访谈中编码得到的。结果表明，即使在控制了创伤症状的其他相关因素和人口统计学变量之后，更高的感知到的社会联系丧失与更高水平的创伤症状相关。这些发现表明，在评估和干预遭受性虐待的青少年时，感知到的社会联系丧失可能是一个需要考虑的重要变量。
