Butler D J, Qualheim K, Turkal N, Wissing M
Department of Family and Community Medicine, Columbia Family Practice Residency Program, Medical College of Wisconsin, Milwaukee.
Arch Fam Med. 1993 Jan;2(1):29-33. doi: 10.1001/archfami.2.1.29.
Although the majority of childhood sexual abuse victims are women, male children are also at risk for sexual assault and consequent long-term effects including major psychiatric disorders, substance abuse, sexual dysfunction, and somatization syndromes. Male patients sexually abused in childhood or adolescence may present to the primary-care physician with specific interpersonal or developmental crises or with persistent depression, anxiety, or somatic complaints. The physician can serve a therapeutic role by validating the patient's experience and can provide the patient with information on the prevalence and consequences of male sexual abuse. Assessment of the impact of sexual abuse will rely on the sensitive and systematic evaluation of critical variables related to the abuse. More severely traumatized patients will require assessment for suicide potential and referral for mental health services.
虽然大多数儿童性虐待受害者是女性，但男童也面临遭受性侵犯的风险以及随之而来的长期影响，包括严重精神障碍、药物滥用、性功能障碍和躯体化综合征。在童年或青春期遭受性虐待的男性患者可能会因特定的人际关系或发育危机，或因持续的抑郁、焦虑或躯体不适而前来初级保健医生处就诊。医生可以通过认可患者的经历发挥治疗作用，并可为患者提供有关男性性虐待的发生率和后果的信息。对性虐待影响的评估将依赖于对与虐待相关的关键变量进行敏感而系统的评估。受创伤更严重的患者将需要评估自杀可能性并转介至心理健康服务机构。
