Livingston R, Lawson L, Jones J G
Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock.
J Am Acad Child Adolesc Psychiatry. 1993 Sep;32(5):948-53. doi: 10.1097/00004583-199309000-00009.
This study was designed to test the influence of gender, type of abuse, and other factors on the development of psychopathology in abused children.
Forty-one children who had been abused repeatedly either physically or sexually by a parent or parent figure were given the revised Diagnostic Interview for Children and Adolescents.
Logistic regression analyses showed: conduct disorder was predicted by male gender and increasing age regardless of type of abuse; post-traumatic stress disorder was predicted by number of stressors other than abuse and not by sexual abuse versus physical abuse. Predictors of somatization, psychotic symptoms, suicidal ideation, and separation anxiety also were identified.
Gender, age, and stressors other than abuse contribute to the prediction of psychiatric disorder in abused children. Early interventions with young abused boys could help prevent development of violent behavior or conduct disorder; case work to reduce other stressors and treatments designed to reduce the impact of stressors may ameliorate developing post-traumatic stress disorders and other emotional disorders in abused children.
本研究旨在测试性别、虐待类型及其他因素对受虐儿童精神病理学发展的影响。
41名曾遭受父母或类似父母角色身体或性虐待的儿童接受了修订版的儿童及青少年诊断访谈。
逻辑回归分析显示：无论虐待类型如何，品行障碍由男性性别和年龄增长预测；创伤后应激障碍由除虐待外的应激源数量预测，而非性虐待与身体虐待。还确定了躯体化、精神病性症状、自杀观念和分离焦虑的预测因素。
性别、年龄及除虐待外的应激源有助于预测受虐儿童的精神障碍。对受虐幼童进行早期干预有助于预防暴力行为或品行障碍的发展；减少其他应激源的个案工作以及旨在减轻应激源影响的治疗可能会改善受虐儿童中正在发展的创伤后应激障碍和其他情绪障碍。
