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噩梦和闪回:商业性剥削儿童对被安置在住宿照料中的女性青少年的影响。

Nightmares and flashbacks: The impact of commercial sexual exploitation of children among female adolescents placed in residential care.

机构信息

Canada Research Chair in Rehabilitation of Vulnerable Adolescent Girls, Department of Psychoeducation, Université de Sherbrooke, 150 Place Charles-Le Moyne Longueuil, Québec J4K 0A8, Canada.

Department of Society, Culture and Language, University of South Florida, St-Petersburg, United States.

出版信息

Child Abuse Negl. 2020 Feb;100:104195. doi: 10.1016/j.chiabu.2019.104195. Epub 2019 Sep 30.

DOI:10.1016/j.chiabu.2019.104195
PMID:31582275
Abstract

BACKGROUND

Important unresolved questions remain concerning the specific vulnerabilities and intervention needs of female adolescents who experience commercial sexual exploitation of children (CSEC), when compared to other highly vulnerable female adolescents.

OBJECTIVE

This study aimed to assess differences in the level of post-traumatic symptoms reported by those who experienced CSEC during adolescence and those who did not.

PARTICIPANTS AND SETTING

The study used longitudinal data collected from 125 French-speaking female adolescents who were placed in residential centers between the ages 12 and 17 years.

METHOD

Post-traumatic symptoms were assessed at Time 1 and Time 6, while CSEC involvement was assessed at Times 1-5. One-way ANOVAs were performed to inspect differences in the level of post-traumatic symptoms at Time 6 between the participants who reported CSEC during adolescence (n = 70; 56.0%) and those with no history of CSEC (n = 55; 44.0%). Hierarchical regressions examined the effects of CESC while controlling for age, immigration status, child sexual abuse, and post-traumatic symptoms reported at Time 1.

RESULTS

CSEC during adolescence predicted higher levels of general post-traumatic symptoms, anxious arousal, intrusive experiences, defensive avoidance, and dissociation.

CONCLUSIONS

CSEC experiences intensify the existing vulnerabilities to traumatic sequelae that characterize female adolescents who are placed in residential care.

摘要

背景

与其他高度脆弱的女性青少年相比,经历商业性儿童色情剥削的女性青少年的具体脆弱性和干预需求仍存在重要的未解决问题。

目的

本研究旨在评估经历过青春期商业性性剥削的女性青少年与未经历过的女性青少年在创伤后症状水平上的差异。

参与者和设置

该研究使用了从 125 名法语女性青少年收集的纵向数据,这些青少年在 12 至 17 岁之间被安置在住宿中心。

方法

创伤后症状在第 1 次和第 6 次评估,而商业性性剥削的参与在第 1 次至第 5 次评估。单向方差分析用于检查在第 6 次评估时报告有青春期商业性性剥削经历的参与者(n=70;56.0%)和没有商业性性剥削经历的参与者(n=55;44.0%)之间创伤后症状水平的差异。分层回归检验了 CESC 的影响,同时控制了年龄、移民身份、儿童性虐待和第 1 次评估时报告的创伤后症状。

结果

青春期的商业性性剥削预测了更高水平的一般创伤后症状、焦虑唤醒、侵入性体验、防御性回避和分离。

结论

商业性性剥削经历加剧了使被安置在住宿护理中的女性青少年具有创伤后后果的现有脆弱性。

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