Barton Nicole, Henson Cierra, Lopez Kimberly, Lambert Emma, Simmons Jordan, Taylor Erin, Silovsky Jane
Center on Child Abuse and Neglect, Department of Pediatrics, University of Oklahoma Health Sciences Center, 1000 NE 13th St Suite 4900, Oklahoma City, OK 73104, USA.
Center on Child Abuse and Neglect, Department of Pediatrics, University of Oklahoma Health Sciences Center, 1000 NE 13th St Suite 4900, Oklahoma City, OK 73104, USA.
Child Abuse Negl. 2025 Apr;162(Pt 3):107008. doi: 10.1016/j.chiabu.2024.107008. Epub 2024 Sep 5.
Problematic sexual behavior (PSB) between siblings can be a form of sibling sexual abuse (SSA). A notable gap in research are studies examining PSB among preschool-age children with siblings.
This study examined the impact of child maltreatment, exposure to family sexuality, and use of coercive sexual behavior on preschool-aged children PSB with siblings and with nonsiblings.
All 284 children were ages 3-6 years with PSB who had siblings in the home (197 initiated PSB with siblings and 87 initiated PSB with non-siblings).
The two groups were compared on types of PSB, use of coercion, child maltreatment history, exposure to family sexuality, and caregiver attitudes. Caregiver report measures were the Child Sexual Behavior Inventory- Third Edition (CSBI-III), the Family Sexuality Index, and intake form on maltreatment experienced (i.e., physical abuse, sexual abuse, emotional abuse, neglect, exposure to domestic violence, caregiver drug use, and failure to protect).
Maltreatment history was significant, t(258) = -3.36, p < .001; sibling initiators were associated with higher rates of sexual and physical abuse, and neglect than non-sibling. Exposure to family sexuality was significant with non-sibling initiators demonstrating greater exposure than the sibling group, t(282) = 2.66, p = .008. There was no significance between groups for types of PSB including use of coercion.
Results illuminated unique dynamics of PSB with siblings of preschool-aged children. A developmental framework integrating child maltreatment, impulsivity, environmental factors, and capabilities are key considerations for conceptualization, prevention, and response that is distinct from SSA of adolescents.
兄弟姐妹之间的问题性行为（PSB）可能是一种兄弟姐妹性虐待（SSA）形式。研究中的一个显著空白是对有兄弟姐妹的学龄前儿童的PSB进行研究。
本研究考察了儿童虐待、接触家庭性行为以及使用强制性性行为对学龄前儿童与兄弟姐妹及非兄弟姐妹之间PSB的影响。
所有284名儿童年龄在3至6岁，有PSB行为且家中有兄弟姐妹（197名儿童对兄弟姐妹发起PSB，87名儿童对非兄弟姐妹发起PSB）。
对两组儿童在PSB类型、强制行为的使用、儿童虐待史、接触家庭性行为以及照顾者态度方面进行比较。照顾者报告测量工具包括《儿童性行为量表第三版》（CSBI-III）、《家庭性指数》以及所经历虐待的 intake 表格（即身体虐待、性虐待、情感虐待、忽视、接触家庭暴力、照顾者吸毒以及未能保护）。
虐待史具有显著差异，t(258) = -3.36，p <.001；与非兄弟姐妹相比，对兄弟姐妹发起PSB的儿童遭受性虐待、身体虐待和忽视的比率更高。接触家庭性行为存在显著差异，对非兄弟姐妹发起PSB的儿童比兄弟姐妹组有更多接触，t(282) = 2.66，p =.008。在包括强制行为使用在内的PSB类型方面，两组之间没有显著差异。
研究结果揭示了学龄前儿童与兄弟姐妹之间PSB的独特动态。一个整合儿童虐待、冲动性、环境因素和能力的发展框架是概念化、预防和应对的关键考虑因素，这与青少年的SSA不同。
