Rimsza M E, Berg R A, Locke C
Department of Pediatrics, Maricopa Medical Center, Phoenix, AZ 85010.
Child Abuse Negl. 1988;12(2):201-8. doi: 10.1016/0145-2134(88)90028-2.
A chart review and telephone interview of 72 sexual abuse victims was conducted to determine if children and adolescents who are victims of sexual abuse suffer from symptoms similar to the "rape trauma syndrome," which has been reported in adults. Symptoms similar to the rape trauma syndrome were found in 48 of the 72 abused children and only 26 of the matched control group, p less than .01. Common somatic complaints in the sexual abuse patients included dysuria, vaginal discharge and chronic abdominal pain. Some of the emotional and behavioral problems noted during the follow-up period among the sexual abuse patients included sleep problems, runaway behavior, and suicide attempts. The duration of abuse and age of the victim at the time of abuse significantly affected the frequency of reported somatic symptoms, but the type of abuse and type of assailant did not significantly affect the frequency of reported somatic and emotional reactions. There was no difference in the occurrence of school problems and early pregnancy between sexually abused patients and controls. Since 67% of all sexually abused patients suffered from emotional and somatic reactions, close follow-up of these patients is indicated.
对72名性虐待受害者进行了病历审查和电话访谈，以确定遭受性虐待的儿童和青少年是否患有与成人中报告的“强奸创伤综合征”类似的症状。在72名受虐儿童中，有48名出现了与强奸创伤综合征类似的症状，而在匹配的对照组中只有26名出现此类症状，p值小于0.01。性虐待患者常见的躯体主诉包括排尿困难、阴道分泌物异常和慢性腹痛。在随访期间，性虐待患者出现的一些情绪和行为问题包括睡眠问题、离家出走行为和自杀未遂。虐待的持续时间和受害者在受虐时的年龄显著影响报告的躯体症状频率，但虐待类型和攻击者类型对报告的躯体和情绪反应频率没有显著影响。性虐待患者和对照组在学业问题和早孕发生率方面没有差异。由于所有性虐待患者中有67%患有情绪和躯体反应，因此有必要对这些患者进行密切随访。
