Hébert Martine, Amédée Laetitia Mélissande, Tremblay-Perreault Amélie
Université du Québec à Montréal, Montreal, Québec, Canada.
J Child Sex Abus. 2024 Sep 20:1-19. doi: 10.1080/10538712.2024.2403996.
Post-traumatic stress disorder (PTSD) symptoms are frequent in child victims of sexual abuse. Authors argued that early trauma could lead to alterations in development that go far beyond the primary symptoms of PTSD and have proposed that Complex PTSD (C-PTSD) involving alterations in attachment, biology, affect regulation, consciousness, behavioral regulation, cognition, and self-concept, may better describe children experiencing chronic trauma at an early developmental stage. The aim of the study was to disentangle the diversity of profiles in child victims of sexual abuse based on the C-PTSD framework. Latent profile analysis was used to identify distinct subgroups in a sample of 861 sexually abused children aged 6 to 12. Children and their non-offending parents completed questionnaires evaluating PTSD symptoms and measures documenting alterations in development characteristics of C-PTSD. Latent profile analysis identified a best-fitting model consisting of three profiles: (40.7% of children), (32.8% of children), and (26.5% of children). Compared to others, children in the profile were more likely to have experienced more forms of interpersonal trauma and showed impairments in several domains. Findings underscore the importance of tailoring interventions to efficiently address the needs of young victims of sexual trauma.
创伤后应激障碍（PTSD）症状在遭受性虐待的儿童受害者中很常见。作者认为，早期创伤可能导致发育改变，远远超出PTSD的主要症状，并提出复杂创伤后应激障碍（C-PTSD）涉及依恋、生物学、情绪调节、意识、行为调节、认知和自我概念的改变，可能更能描述在早期发育阶段经历慢性创伤的儿童。该研究的目的是基于C-PTSD框架理清遭受性虐待儿童的特征多样性。潜在剖面分析用于在861名6至12岁遭受性虐待的儿童样本中识别不同的亚组。儿童及其非犯罪父母完成了评估PTSD症状的问卷以及记录C-PTSD发育特征改变的测量。潜在剖面分析确定了一个最佳拟合模型，该模型由三个剖面组成：（40.7%的儿童）、（32.8%的儿童）和（26.5%的儿童）。与其他儿童相比，处于剖面的儿童更有可能经历更多形式的人际创伤，并在几个领域表现出损伤。研究结果强调了定制干预措施以有效满足年轻性创伤受害者需求的重要性。
