Kimerling R, Calhoun K S
Department of Psychology, University of Georgia, Athens 30602-3013.
J Consult Clin Psychol. 1994 Apr;62(2):333-40. doi: 10.1037//0022-006x.62.2.333.
In an effort to clarify the relationship between the experience of sexual assault and physical health, rape victims and a matched comparison group were repeatedly assessed for somatic symptoms, psychological distress, health care use, and self-rated health perceptions during the year immediately after the assault. Women who experienced sexual assault reported more somatic complaints, poorer perceptions of physical health, greater psychological distress, and increased use of medical services. However, victims did not show a significantly higher use of mental health services and continued to seek medical attention at the end of the year after the assault, when health perceptions and somatic symptoms were no longer significantly elevated. The use of mental health services and social support as moderating variables are examined, and implications for the medical and psychological treatment of sexual assault victims are discussed.
为了厘清性侵犯经历与身体健康之间的关系，研究人员对强奸受害者及一组匹配的对照组在遭受性侵犯后的一年内，就躯体症状、心理困扰、医疗保健利用情况和自我评定的健康认知进行了多次评估。经历过性侵犯的女性报告了更多的躯体不适、对身体健康的较差认知、更严重的心理困扰以及医疗服务使用的增加。然而，受害者并未表现出对心理健康服务的显著更高使用，并且在性侵犯发生后的年末，当健康认知和躯体症状不再显著升高时，她们仍继续寻求医疗关注。研究探讨了将心理健康服务的使用和社会支持作为调节变量的情况，并讨论了对性侵犯受害者进行医学和心理治疗的意义。
