Mullen P E, Martin J L, Anderson J C, Romans S E, Herbison G P
Department of Psychological Medicine, University of Otago, New Zealand.
Child Abuse Negl. 1996 Jan;20(1):7-21. doi: 10.1016/0145-2134(95)00112-3.
The associations between giving a history of physical, emotional, and sexual abuse in children and a range of mental health, interpersonal, and sexual problems in adult life were examined in a community sample of women. Abuse was defined to establish groups giving histories of unequivocal victimization. A history of any form of abuse was associated with increased rates of psychopathology, sexual difficulties, decreased self-esteem, and interpersonal problems. The similarities between the three forms of abuse in terms of their association with negative adult outcomes was more apparent than any differences, though there was a trend for sexual abuse to be particularly associated to sexual problems, emotional abuse to low self-esteem, and physical abuse to marital breakdown. Abuse of all types was more frequent in those from disturbed and disrupted family backgrounds. The background factors associated with reports of abuse were themselves often associated to the same range of negative adult outcomes as for abuse. Logistic regressions indicated that some, though not all, of the apparent associations between abuse and adult problems was accounted for by this matrix of childhood disadvantage from which abuse so often emerged.
在一组社区女性样本中，研究了儿童期遭受身体、情感和性虐待的经历与成年后一系列心理健康、人际关系及性方面问题之间的关联。对虐待进行定义以确定明确遭受过虐待的群体。任何形式的虐待史都与精神病理学发生率增加、性方面困难、自尊降低及人际关系问题有关。三种形式的虐待在与成年负面后果的关联方面，相似之处比差异更为明显，不过存在一种趋势，即性虐待尤其与性问题相关，情感虐待与低自尊相关，身体虐待与婚姻破裂相关。在家庭背景混乱或破裂的人群中，各类虐待更为常见。与虐待报告相关的背景因素本身往往也与和虐待相同范围的成年负面后果相关。逻辑回归分析表明，虐待与成年问题之间一些（尽管并非全部）明显的关联是由这种常常出现虐待情况的童年不利因素矩阵造成的。
