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告知可信赖的成年人:与在法医访谈之前和期间披露儿童性虐待的可能性相关的因素。

Telling a trusted adult: Factors associated with the likelihood of disclosing child sexual abuse prior to and during a forensic interview.

机构信息

University of Nebraska-Lincoln, Department of Psychology, 238 Burnett Hall, Lincoln, NE, 68588, USA.

Yale School of Medicine, Division of Prevention and Community Research, Department of Psychiatry, 300 George Street New Haven, CT, 06511, USA.

出版信息

Child Abuse Negl. 2021 Jun;116(Pt 1):104193. doi: 10.1016/j.chiabu.2019.104193. Epub 2019 Sep 24.

Abstract

BACKGROUND

Many child sexual abuse (CSA) survivors delay or withhold disclosure of their abuse, even when presenting for formal investigation interviews.

OBJECTIVE

This study examined factors that relate to the CSA disclosure process.

PARTICIPANTS AND SETTINGS

Participants were CSA victims (N = 1,732) presenting to a Child Advocacy Center (CAC) for a forensic interview.

METHOD

We tested a structural model to predict disclosure before and during a forensic interview using secondary data analysis.

RESULTS

Youth were less likely to disclose before a forensic interview if they witnessed domestic violence (β = -.233, p <  .05). Caregivers were less likely to believe the abuse allegation if the alleged perpetrator resided in the home β = -.386, p <  .05) and more likely to believe if the youth made a prior disclosure (β = .286, p <  .05). Youth were more likely to disclose during the forensic interview if they were older (β = .388, p <  .05), if the alleged perpetrator resided in their home (β = .209, p <  .05), if they disclosed prior (β = .254, p <  .05), and if their caregiver believed the allegation (β = .213, p < . 05). The alleged perpetrator residing in the youth's home (β = -0.082, p < .05) and making a prior disclosure (β = 0.060, p < .05) were both indirectly associated with forensic interview disclosure through caregiver belief.

CONCLUSIONS

Findings highlight the importance of the family context and caregiver belief in the disclosure process for youth involved in formal CSA investigations.

摘要

背景

许多儿童性虐待(CSA)幸存者会延迟或隐瞒虐待事件,即使他们已经接受正式的调查访谈。

目的

本研究旨在探讨与 CSA 披露过程相关的因素。

参与者和设置

参与者为 CSA 受害者(N=1732),他们前往儿童倡导中心(CAC)接受法医访谈。

方法

我们使用二次数据分析测试了一个预测披露的结构模型,该模型包括访谈前和访谈期间的披露。

结果

如果青少年目睹家庭暴力(β=-.233,p<.05),则在法医访谈前更不可能披露。如果被指控的施害者居住在家庭中(β=-.386,p<.05),照顾者更有可能不相信虐待指控,如果青少年之前做出过披露(β=.286,p<.05),则更有可能相信。如果青少年年龄较大(β=.388,p<.05),如果被指控的施害者居住在他们的家庭中(β=.209,p<.05),如果他们之前披露过(β=.254,p<.05),如果他们的照顾者相信指控(β=.213,p<.05),则青少年在法医访谈中更有可能披露。被指控的施害者居住在青少年的家庭中(β= -0.082,p<.05)和之前披露(β= 0.060,p<.05)都通过照顾者的信念与法医访谈披露间接相关。

结论

研究结果强调了家庭环境和照顾者信念在青少年参与正式 CSA 调查的披露过程中的重要性。

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