Lee Hyun Ji, Choi Jungtae, Kim Jae-Won, Kim Kihyun
Department of Social Welfare, Sungkyunkwan University, Seoul, Republic of Korea.
Eunpyeonggu Family Center, Seoul, Republic of Korea.
Psychiatry Investig. 2025 May;22(5):564-573. doi: 10.30773/pi.2024.0289. Epub 2025 May 15.
By focusing on a person-centered approach using latent class analyses (LCA), this study examined the patterns of sexual victimization among children and adolescents in South Korea and compared the psycho-behavioral outcomes of these classes.
Participants were 546 females aged 6-17, including 117 sexual victimization survivors and 429 non-victims in South Korea. LCA, an analysis of covariance, and Bonferroni post-hoc tests were conducted. Psychological and behavioral outcomes were measured using the Korean version of the Child Behavior Checklist 6-18 and the Youth Self Report. Variables include internalizing (anxious/depressed, withdrawn/depressed, somatic complaints), externalizing (rule-breaking, aggressive behavior), social, thought, and attention problems.
Based on the fit statistics, proportion of each class, and interpretability, a three-class solution was selected as the best fitting model. Profile 1 mainly involved survivors of rape, which first occurred in adolescence through social relations involving alcohol, drugs, or filming. Profile 2 mainly comprised survivors of both rape and physical sexual harassment by close relations, such as family members or relatives, more than once. Profile 3 mainly comprised survivors of sexual harassment by strangers or social relations. Statistically significant differences were suggested in the psych-behavioral outcomes of the profiles compared with the non-victim group.
These findings highlight the importance of examining experiences of sexual violence in a multifaceted manner. This approach may provide more effective interventions for survivors and allow clinicians to gain an in-depth understanding of sexual victimization in children and adolescents while also increasing the understanding of potential psycho-behavioral consequences.
本研究采用潜在类别分析(LCA),聚焦于以个人为中心的方法,考察了韩国儿童和青少年性侵害的模式,并比较了这些类别的心理行为结果。
研究对象为546名6 - 17岁的女性,其中包括117名韩国性侵害幸存者和429名非受害者。进行了潜在类别分析、协方差分析和Bonferroni事后检验。使用韩国版的儿童行为检查表6 - 18和青少年自我报告来测量心理和行为结果。变量包括内化问题(焦虑/抑郁、退缩/抑郁、躯体不适)、外化问题(违规、攻击行为)、社交、思维和注意力问题。
基于拟合统计量、每个类别的比例和可解释性,选择了一个三类解决方案作为最佳拟合模型。类别1主要涉及强奸幸存者,首次发生在青春期,通过涉及酒精、毒品或拍摄的社会关系。类别2主要包括多次遭受家庭成员或亲属等亲密关系的强奸和身体性骚扰的幸存者。类别3主要包括陌生人或社会关系性骚扰的幸存者。与非受害者组相比,这些类别的心理行为结果存在统计学上的显著差异。
这些发现凸显了多方面考察性暴力经历的重要性。这种方法可能为幸存者提供更有效的干预措施,并使临床医生能够深入了解儿童和青少年的性侵害情况,同时也增进对潜在心理行为后果的理解。