Slusser M M
Issues Ment Health Nurs. 1995 Sep-Oct;16(5):481-91. doi: 10.3109/01612849509006947.
All adults who interact with preschool children need to be aware of possible indicators of sexual abuse. This information is especially important to advanced practice psychiatric/mental health nurses who interact with preschool-aged children in clinical, therapeutic, educational, research, legal, and community settings and to other nurses working in pediatric settings. Because there are few, if any, absolute physical indicators of child sexual abuse, the identification of empirically based emotional and behavioral indicators is important. This article reviews six studies that sought to identify such indicators for the preschool population. Studies reviewed confirm that not all sexually abused children are equally traumatized. When sexually abused children were compared to groups of non-sexually abused children receiving psychiatric services only one discriminating variable consistently arose. When overt sexual behavior, inappropriate for age, is manifested by a preschool-aged child, sexual abuse should be suspected. The identification of manifestations of sexual abuse in preschool-aged children is an appropriate topic for nursing research.
所有与学龄前儿童有互动的成年人都需要留意性虐待的可能迹象。对于在临床、治疗、教育、研究、法律和社区环境中与学龄前儿童打交道的高级执业精神科/心理健康护士，以及在儿科环境中工作的其他护士而言，这些信息尤为重要。由于儿童性虐待几乎没有绝对的身体迹象，因此识别基于实证的情绪和行为迹象非常重要。本文回顾了六项旨在为学龄前儿童群体识别此类迹象的研究。所回顾的研究证实，并非所有遭受性虐待的儿童都会受到同等程度的创伤。将遭受性虐待的儿童与仅接受精神科服务的非性虐待儿童群体进行比较时，始终只出现一个区分变量。当学龄前儿童表现出与年龄不符的公开性行为时，应怀疑存在性虐待。识别学龄前儿童性虐待的表现是护理研究的一个合适主题。
