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致害因素与儿童受害影响:定性研究。

Predisposing Factors and Impact of Child Victimization: A Qualitative Study.

机构信息

Department of Family Medicine, Health Campus, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia.

Women's Health Development Unit, Health Campus, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia.

出版信息

Int J Environ Res Public Health. 2021 Sep 5;18(17):9373. doi: 10.3390/ijerph18179373.

Abstract

Sexual abuse of children is increasing at an alarming rate. This study aims to describe the risk factors and the effects of sexual abuse on children. This unobtrusive qualitative study was conducted on children aged 10 to 18 years old who experienced sexual abuse and followed-up at a psychiatric clinic between the years 2019 and 2021. The information from case records was transcribed. Thematic analysis was performed. Thirty case records were reviewed. The mean age of the victims was 14.6 years; 94% of the victims had experienced vaginal penetration, and 23% of the cases involved incest. The results indicated that socio-psychological predisposing factors involving family structure and dynamic dysfunction, low intrapersonal strength, social influence, and low family socioeconomic status could lead to sexual victimization. This sexual victimization can then lead to emotional turmoil, negative effects on cognitive, academic and social function, negative parental reactions toward the incident, the creation of baby-mother relationships and love-hate relationships, and a lack of goals and hope for the future. Children who experienced sexual abuse may show rape or pregnancy symptoms but may also show entirely non-specific ones. A thorough examination of their history, including biopsychosocial aspects, is necessary to appropriately care for them.

摘要

儿童性虐待的发生率正在以惊人的速度上升。本研究旨在描述儿童性虐待的危险因素和影响。本非介入性定性研究对 2019 年至 2021 年间在精神病诊所接受随访的 10 至 18 岁遭受性虐待的儿童进行了研究。从病历中转录了信息。进行了主题分析。审查了 30 份病历。受害者的平均年龄为 14.6 岁;94%的受害者经历过阴道穿透,23%的病例涉及乱伦。结果表明,涉及家庭结构和功能障碍、内在力量低、社会影响和家庭社会经济地位低等社会心理促成因素可能导致性受害。这种性受害可能会导致情绪波动、对认知、学业和社会功能产生负面影响、父母对事件的负面反应、母婴关系和爱恨交织的关系、以及缺乏目标和对未来的希望。遭受性虐待的儿童可能表现出强奸或怀孕的症状,但也可能表现出完全非特异性的症状。对他们的病史进行全面检查,包括生物心理社会方面,对于适当照顾他们是必要的。

相似文献

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Predisposing Factors and Impact of Child Victimization: A Qualitative Study.致害因素与儿童受害影响:定性研究。
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本文引用的文献

1
Sexual Violence Against Children.儿童性暴力。
Pediatr Clin North Am. 2021 Apr;68(2):427-436. doi: 10.1016/j.pcl.2020.12.006. Epub 2021 Jan 26.
2
The Psychiatric Consequences of Child and Adolescent Sexual Abuse.儿童及青少年性虐待的精神后果
Noro Psikiyatr Ars. 2015 Dec;52(4):393-399. doi: 10.5152/npa.2015.7472. Epub 2015 Dec 1.
3
Mother-child incest, psychosis, and the dynamics of relatedness.母子乱伦、精神病与亲属关系动态
J Trauma Dissociation. 2017 May-Jun;18(3):409-426. doi: 10.1080/15299732.2017.1295424. Epub 2017 Feb 26.
8
Child sexual abuse: report of 311 cases with review of literature.儿童性虐待:311例病例报告并文献综述
Pan Afr Med J. 2015 Jan 19;20:47. doi: 10.11604/pamj.2015.20.47.4569. eCollection 2015.
9
An epidemiological overview of child sexual abuse.儿童性虐待的流行病学概述。
J Family Med Prim Care. 2014 Oct-Dec;3(4):430-5. doi: 10.4103/2249-4863.148139.

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