Romans S E, Martin J L, Anderson J C, Herbison G P, Mullen P E
Department of Psychological Medicine, Otago Medical School, Dunedin, New Zealand.
Am J Psychiatry. 1995 Sep;152(9):1336-42. doi: 10.1176/ajp.152.9.1336.
The authors investigated the association between sexual abuse in childhood and subsequent incidents of deliberate self-harm in women.
A random community sample of women (N = 252) that reported having been sexually abused as children was interviewed and compared to a similarly sized group (N = 225) that did not report abuse. The subgroup of women sexually abused as children who reported subsequent incidents of deliberate self-harm was then contrasted with abused women who did not report self-harm.
There was a clear statistical association between sexual abuse in childhood and self-harm that was most marked in those subjected to more intrusive and more frequent abuse. Self-harm was also associated with major interpersonal problems in the subject's family of origin and with becoming involved in further abusive relationships as an adult.
Sexual abuse in childhood is associated with later incidents of deliberate self-harm and may well be an etiologic factor in its development.
作者研究了童年期性虐待与女性随后故意自我伤害事件之间的关联。
对一个随机抽取的曾报告童年期遭受性虐待的女性社区样本（N = 252）进行访谈，并与一个规模相似但未报告遭受虐待的群体（N = 225）进行比较。然后，将报告随后有故意自我伤害事件的童年期遭受性虐待的女性亚组与未报告自我伤害的受虐女性进行对比。
童年期性虐待与自我伤害之间存在明显的统计学关联，这种关联在遭受更具侵入性和更频繁虐待的人群中最为显著。自我伤害还与受试者原生家庭中的重大人际问题以及成年后陷入进一步的虐待关系有关。
童年期性虐待与后来的故意自我伤害事件有关，很可能是其发生发展的一个病因因素。
