Robin R W, Chester B, Rasmussen J K, Jaranson J M, Goldman D
Laboratory of Neurogenetics, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Rockville, MD, USA.
Child Abuse Negl. 1997 Aug;21(8):769-87. doi: 10.1016/s0145-2134(97)00038-0.
There were two objectives; first, to investigate the prevalence and characteristics of child sexual abuse in an American Indian community, and second, to determine whether persons with histories of child sexual abuse are at greater risk to develop psychiatric disorders and behavioral problems than persons who report no such history.
A sample of 582 Southwestern American Indian tribal members was collected for a genetic and linkage study on alcoholism and psychiatric disorders in three large and interrelated pedigrees. Subjects were recruited from the community without knowledge of their clinical histories or those of their relatives. Child sexual abuse and psychiatric disorders were assessed using a semi-structured psychiatric interview.
Females were more likely to be sexually abused as children (49%) than were males (14%). Intrafamilial members accounted for 78% of the reported child sexual abuse. Sexually abused males and females were more likely to report childhood and adult behavioral problems than were nonabused subjects. There was a strong relationship between multiple psychiatric disorders and child sexual abuse, with sexually abused males and females more likely to be diagnosed with > or = 3 psychiatric disorders, both including and excluding alcohol dependence or abuse, than were nonabused subjects.
Child sexual abuse in this population is both an index of family dysfunction and community disorganization as well as a predictor of later behavioral patterns and psychopathology.
本研究有两个目的；其一，调查美国印第安社区儿童性虐待的患病率及特征；其二，确定有儿童性虐待史的人是否比无此病史的人患精神疾病和行为问题的风险更高。
收集了582名美国西南部印第安部落成员作为样本，用于对三个大型且相互关联的家系中的酗酒和精神疾病进行基因和连锁研究。研究对象从社区招募，对其临床病史或其亲属的病史并不知情。使用半结构化精神科访谈评估儿童性虐待和精神疾病。
女性儿童时期遭受性虐待的可能性（49%）高于男性（14%）。报告的儿童性虐待事件中，78%涉及家庭成员。与未受虐待的受试者相比，遭受性虐待的男性和女性更有可能报告童年和成年后的行为问题。多种精神疾病与儿童性虐待之间存在密切关系，与未受虐待的受试者相比，遭受性虐待的男性和女性更有可能被诊断患有≥3种精神疾病，包括或不包括酒精依赖或滥用。
该人群中的儿童性虐待既是家庭功能失调和社区混乱的指标，也是后期行为模式和精神病理学的预测因素。
