Kolko D J, Moser J T, Weldy S R
Child Psychiatric Treatment Service, Western Psychiatric Institute & Clinic, University of Pittsburgh School of Medicine.
Child Abuse Negl. 1988;12(4):529-41. doi: 10.1016/0145-2134(88)90070-1.
Several behavioral and emotional indicators of child sexual abuse were compared for both sexually (n = 29) and physically abused (n = 52) children from a sample of 103 hospitalized psychiatric patients. The measures included (1) scores from a factor-analyzed sexual abuse symptom checklist covering home/community behavior that was rated by parents during a clinical interview and (2) frequency counts of psychological symptoms exhibited by the children during a 3-week period of hospitalization. Results of a 2 (sexual abuse status) X 2 (physical abuse status) X 2 (gender) Multivariate Analysis of Variance indicated that sexually abused children exhibited greater sexual behavior, fear/mistrust/anxiety, and withdrawal at home, and greater sexual behavior, fear/anxiety, and sadness in the hospital than nonabused children. In contrast, there were no significant differences between physically abused and nonabused children, and no significant interactions. Few significant correlations were found between symptoms exhibited at home and in the hospital.
从103名住院精神科患者样本中选取了遭受性虐待的儿童（n = 29）和遭受身体虐待的儿童（n = 52），对几种儿童性虐待的行为和情绪指标进行了比较。测量指标包括：（1）在临床访谈中由父母评定的、经过因素分析的性虐待症状清单中有关家庭/社区行为的得分，以及（2）儿童在住院3周期间表现出的心理症状的频次计数。一项2（性虐待状况）×2（身体虐待状况）×2（性别）多变量方差分析的结果表明，与未受虐待的儿童相比，遭受性虐待的儿童在家中表现出更多的性行为、恐惧/不信任/焦虑和退缩行为，在医院表现出更多的性行为、恐惧/焦虑和悲伤情绪。相比之下，遭受身体虐待的儿童与未受虐待的儿童之间没有显著差异，也没有显著的交互作用。在家中和医院表现出的症状之间几乎没有显著相关性。
