Cohen J A, Mannarino A P
Medical College of Pennsylvania, USA.
J Am Acad Child Adolesc Psychiatry. 1996 Oct;35(10):1402-10. doi: 10.1097/00004583-199610000-00028.
The role of demographic, developmental, and familial mediating factors on treatment outcome of sexually abused preschool children was evaluated.
Sixty-seven sexually abused preschool children and their parents were evaluated shortly after disclosure of sexual abuse and then were provided with one of two treatment interventions. At the completion of treatment, the parents and their children were reevaluated. Parents completed the Child Behavior Checklist, the Child Sexual Behavior Inventory, and the Weekly Behavior Report to measure a variety of emotional and behavioral symptoms in children. Parents also completed the Beck Depression Inventory, the Family Adaptability and Cohesion Evaluation Scale-III, the Parent Emotional Reaction Questionnaire, the Parental Support Questionnaire, and the Maternal Social Support Index. Children completed the Preschool Symptom Self-Report to assess self-reported affective symptoms and the Battelle Developmental Inventory and the Peabody Picture Vocabulary Test to assess developmental level.
Correlational analyses were conducted to analyze the relationships between the hypothesized mediating variables and the outcome measures at posttreatment across the two treatment groups. Multiple regression analyses were also performed. Both parental depression and parental emotional distress correlated significantly with several of the child outcome measures. Battelle scores were significantly negatively correlated with several outcome measures. Multiple regression analyses demonstrated that the Parent Emotional Reaction Questionnaire remained a highly significant predictor of treatment outcome.
The findings indicate a strong correlation between parental emotional distress related to the abuse and treatment outcome in sexually abused preschool children, independent of the type of treatment provided. The findings indicate the importance of addressing parental distress related to the abuse in providing effective treatment to sexually abused preschool children.
评估人口统计学、发育及家庭中介因素对遭受性虐待的学龄前儿童治疗结果的作用。
67名遭受性虐待的学龄前儿童及其父母在性虐待事件披露后不久接受评估，随后接受两种治疗干预之一。治疗结束时，对父母及其子女进行重新评估。父母完成儿童行为检查表、儿童性行为量表和每周行为报告，以测量儿童的各种情绪和行为症状。父母还完成了贝克抑郁量表、家庭适应性和凝聚力评估量表-III、父母情绪反应问卷、父母支持问卷和母亲社会支持指数。儿童完成学龄前症状自我报告以评估自我报告的情感症状，并完成贝特尔发育量表和皮博迪图片词汇测试以评估发育水平。
进行相关分析以分析两个治疗组治疗后假设的中介变量与结果测量之间的关系。还进行了多元回归分析。父母抑郁和父母情绪困扰均与多项儿童结果测量显著相关。贝特尔得分与多项结果测量显著负相关。多元回归分析表明，父母情绪反应问卷仍然是治疗结果的高度显著预测指标。
研究结果表明，与虐待相关的父母情绪困扰与遭受性虐待的学龄前儿童的治疗结果之间存在强烈关联，与所提供的治疗类型无关。研究结果表明，在为遭受性虐待的学龄前儿童提供有效治疗时，解决与虐待相关的父母困扰非常重要。
