Brayden R M, Deitrich-MacLean G, Dietrich M S, Sherrod K B, Altemeier W T
Department of Pediatrics, Vanderbilt University, Nashville, TN, USA.
Child Abuse Negl. 1995 Oct;19(10):1255-62. doi: 10.1016/0145-2134(95)00078-m.
Women who are sexually abused are at increased risk for having mental health problems long after the abuse. Other nonexploitive experiences can also be psychologically detrimental, may coexist with sexual abuse, and may explain some portion of subsequent mental health problems. This study addresses the association between childhood sexual abuse and a woman's psychological functioning, independent of the quality of parental nurturance received during childhood and other variables which may influence mental health. Of 609 women completing mental health and self-concept measures, 98 reported sexual abuse; 110 of the remaining women were selected as comparisons. Women sexually abused as children scored lower on measures of mental health status. Both sexual abuse and fewer years of education were related to lower scores on a psychological well-being scale after variance accounted for by family and demographic variables was removed. Sexual abuse was not a predictor of general self-concept scores after the removal of family and demographic variables, but sexual abuse was independently associated with the subscale measuring the physical aspect of self-concept. These findings lend support to theorized causal links between child sexual abuse and some aspects of later psychological difficulties.
遭受性虐待的女性在虐待结束很久之后出现心理健康问题的风险会增加。其他非剥削性经历也可能对心理有害，可能与性虐待并存，并且可能解释后续心理健康问题的一部分原因。本研究探讨童年期性虐待与女性心理功能之间的关联，独立于童年期所接受的父母养育质量以及其他可能影响心理健康的变量。在完成心理健康和自我概念测量的609名女性中，98人报告遭受过性虐待；其余女性中有110人被选为对照组。童年期遭受性虐待的女性在心理健康状况测量中得分较低。在去除家庭和人口统计学变量所解释的方差后，性虐待和受教育年限较少均与心理健康量表得分较低有关。在去除家庭和人口统计学变量后，性虐待不是总体自我概念得分的预测因素，但性虐待与测量自我概念身体方面的子量表独立相关。这些发现为儿童性虐待与后期某些心理困难方面之间的理论因果联系提供了支持。
