Tsang Vionna M W, Verlinden Eva, van Duin Esther M, Twisk Jos W R, Brilleslijper-Kater Sonja N, Gigengack Maj R, Verhoeff Arnoud P, Lindauer Ramón J L
Department of Child and Adolescent Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Department of Epidemiology, Health Promotion & Healthcare Innovation, Public Health Service of Amsterdam (GGD Amsterdam), Amsterdam, The Netherlands.
Child Psychiatry Hum Dev. 2021 Oct;52(5):891-902. doi: 10.1007/s10578-020-01067-5. Epub 2020 Oct 3.
Longitudinal research of CSA in infancy and early childhood is scarce. The current study examined the long-term course of psychological outcomes (PTSD, dissociation and internalizing and externalizing behavioral problems) in children who were sexually abused in the early childhood. Additionally, we looked into the outcomes for their parents by assessing PTSD symptoms and negative emotional reactions towards the sexual abuse of their child. We examined the outcomes for five consecutive years in a sample of children (n = 45) who were sexually abused at a very young age (0-3) and their parents (n = 42), included in the Amsterdam Sexual Abuse Case-study. We found that outcomes following CSA in early childhood go beyond PTSD symptoms and can manifest in atypical symptoms such as behavioral problems. Parents experienced persistent PTSD in the years following CSA disclosure. CSA in very young children warrants long-term monitoring, as negative outcomes still present 8 years later.
关于婴幼儿期性虐待(CSA)的纵向研究很少。本研究调查了在幼儿期遭受性虐待的儿童的心理结果(创伤后应激障碍、分离以及内化和外化行为问题)的长期发展过程。此外,我们通过评估创伤后应激障碍症状以及对其孩子遭受性虐待的负面情绪反应来研究他们父母的情况。我们对阿姆斯特丹性虐待案例研究中的一组在很小的时候(0 - 3岁)遭受性虐待的儿童(n = 45)及其父母(n = 42)连续五年的情况进行了调查。我们发现,幼儿期性虐待后的结果不仅仅是创伤后应激障碍症状,还可能表现为行为问题等非典型症状。父母在性虐待事件披露后的几年里一直患有创伤后应激障碍。幼儿期的性虐待需要长期监测,因为八年之后仍存在负面结果。