Garnefski N, Diekstra R F
Department of Clinical and Health Psychology, University of Leiden, The Netherlands.
J Am Acad Child Adolesc Psychiatry. 1997 Mar;36(3):323-9. doi: 10.1097/00004583-199703000-00010.
To compare sexually abused boys with sexually abused girls and with their non-sexually abused counterparts with regard to (1) the type of mental health problems they experience; and (2) the number and patterns of such problems.
The sample comprised 745 secondary school students, aged 12 to 19 years, with a self-reported history of sexual abuse (151 boys and 594 girls) and 745 matched students without such a history. Sexually abused and non-sexually abused boys and girls were compared with regard to four problem categories: emotional problems, aggressive/criminal behaviors, addiction-risk behaviors, and suicidality.
A larger proportion of sexually abused adolescents than nonabused adolescents reported problems in the separate categories and in a combination of problem categories. Sexually abused boys had considerably more emotional and behavioral problems, including suicidality, than their female counterparts. There were differences between the specific combinations of problem categories reported by sexually abused girls and boys. These differences could not be attributed to the finding that sexually abused boys were more often the victim of concurrent physical abuse than sexually abused girls.
The results suggest that although there was a strong association between being sexually abused and the existence of a multiple problem pattern in both sexes, the aftermath for boys might be even worse or more complex than for girls.
比较遭受性虐待的男孩与遭受性虐待的女孩以及未遭受性虐待的同龄人，比较内容包括：（1）他们所经历的心理健康问题类型；（2）此类问题的数量和模式。
样本包括745名12至19岁的中学生，他们自我报告有性虐待史（151名男孩和594名女孩）以及745名匹配的无此类病史的学生。对遭受性虐待和未遭受性虐待的男孩和女孩在四个问题类别上进行比较：情绪问题、攻击/犯罪行为、成瘾风险行为和自杀倾向。
与未受虐待的青少年相比，更大比例的遭受性虐待的青少年报告在各个类别以及问题类别的组合中存在问题。遭受性虐待的男孩比女孩有更多的情绪和行为问题，包括自杀倾向。遭受性虐待的女孩和男孩报告的问题类别具体组合存在差异。这些差异不能归因于以下发现：遭受性虐待的男孩比遭受性虐待的女孩更常成为同时遭受身体虐待的受害者。
结果表明，虽然遭受性虐待与男女存在多种问题模式之间有很强的关联，但对男孩的影响可能比女孩更严重或更复杂。
