Département de sexologie, Université du Québec à Montréal, Montréal, Canada.
Département de psychologie, Université du Québec à Montréal, Montréal, Canada.
J Affect Disord. 2021 Mar 1;282:820-828. doi: 10.1016/j.jad.2020.12.100. Epub 2020 Dec 29.
Child sexual abuse (CSA) is an important public health problem associated with an array of negative consequences. Although prevalence rates are well established from North America, few studies have focused on the extent of CSA and associated outcomes in youth from France.
This study aimed to: 1) estimate the prevalence of CSA, 2) assess the associations between CSA and health outcomes while exploring possible gender specificities and 3) document the contribution of revictimization on symptom complexity.
The sample involved 2309 participants aged between 14 and 23 years old (M = 19.55). Measures assessing CSA, other forms of child maltreatment and mental health problems were administered. Sexual revictimization and a host of protective factors (resilience, coping strategies, parental support) were also assessed.
CSA was reported by 13.1% of girls and 4.2% of boys. Regression analyses revealed that CSA was associated with all mental health outcomes except alcohol and drug use (other than cannabis) after controlling for sociodemographics and other forms of child maltreatment. Sexual revictimization was associated with symptom complexity. Emotion-centered and avoidance coping predicted symptom complexity while resilience and paternal support acted as protective factors.
The study relied on a cross-sectional design with a convenience sample, which limits the generalizability of results. The small number of boys reporting CSA precludes drawing firm conclusions as to the gender specificities in the outcomes associated with CSA.
Findings underscore the relevance of developing efficient prevention programs as CSA is linked to a host of negative outcomes.
儿童性虐待（CSA）是一个重要的公共卫生问题，与一系列负面后果有关。尽管北美的流行率已经得到很好的确立，但很少有研究关注法国青少年中 CSA 的程度和相关结果。
本研究旨在：1）估计 CSA 的流行率，2）评估 CSA 与健康结果之间的关联，同时探索可能的性别特异性，3）记录再受害对症状复杂性的贡献。
该样本包括 2309 名年龄在 14 至 23 岁之间的参与者（M=19.55）。评估 CSA、其他形式的儿童虐待和心理健康问题的措施。还评估了性再受害和一系列保护因素（适应力、应对策略、父母支持）。
13.1%的女孩和 4.2%的男孩报告了 CSA。回归分析显示，在控制社会人口统计学和其他形式的儿童虐待后，CSA 与除酒精和药物使用（除大麻外）以外的所有心理健康结果都有关。性再受害与症状复杂性有关。情绪中心和回避应对预测了症状复杂性，而适应力和父亲支持则起到了保护作用。
该研究依赖于横断面设计和方便样本，限制了结果的普遍性。报告 CSA 的男孩人数较少，无法就 CSA 相关结果的性别特异性得出明确结论。
研究结果强调了制定有效预防计划的重要性，因为 CSA 与一系列负面后果有关。
