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性虐待儿童的精神障碍。

Mental Disorders in Sexually Abused Children.

机构信息

University Clinic Center of Republic of Srpska, Faculty of Medicine, University of Banja Luka, 78000 Banja Luka, Bosnia and Herzegovina,

出版信息

Psychiatr Danub. 2020 Oct;32(Suppl 3):349-352.

PMID:33030451
Abstract

Sexual abuse in childhood is associated with many adverse consequences for survival during their lifetime. Numerous research studies clearly show the link between sexual abuse of children and the spectrum of unfavorable mental, social, sexual, interpersonal and behavioral as well as physical health consequences. Current research shows the strongest link between sexual abuse of children and the presence of depression, alcohol and abuse of other psychoactive substances and nutritional disorders in surviving women and anxiety-related disorders in male survivors. There is also an increased risk of re-victimization, especially for girls. Negative effects of mental health in children with sexual abuse include posttraumatic symptoms, depression, helplessness, negative evaluation, aggressive behavior and behavioral problems. Recent research links sexual assault on children with psychotic disorders, including schizophrenia and dysfunctional disorders, as well as personality disorders. Sexual abuse of children involving penetration is specifically identified as a risk factor for the development of psychotic and schizophrenic symptoms. Many studies have shown that sexual victimization in childhood is a significant risk factor for suicidal ideation and suicidal behaviors.

摘要

童年期性虐待与终生生存的许多不良后果有关。大量研究清楚地表明,儿童性虐待与一系列不利的心理、社会、性、人际关系和行为以及身体健康后果之间存在关联。目前的研究表明,儿童性虐待与幸存女性中抑郁、酒精和其他精神活性物质滥用以及营养障碍以及男性幸存者中与焦虑相关的障碍之间存在最强的关联。再次成为受害者的风险也会增加,尤其是女孩。遭受性虐待的儿童心理健康的负面影响包括创伤后症状、抑郁、无助、负面评价、攻击行为和行为问题。最近的研究将儿童性侵犯与精神病包括精神分裂症和功能障碍以及人格障碍联系起来。涉及到穿透的儿童性虐待被特别确定为发展精神病和精神分裂症症状的危险因素。许多研究表明,儿童期性受害是自杀意念和自杀行为的一个重要危险因素。

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