McLeer S V, Dixon J F, Henry D, Ruggiero K, Escovitz K, Niedda T, Scholle R
Department of Psychiatry, School of Medicine and Biomedical Sciences, State University of New York, Buffalo, USA.
J Am Acad Child Adolesc Psychiatry. 1998 Dec;37(12):1326-33. doi: 10.1097/00004583-199812000-00017.
To determine the prevalence of psychiatric symptoms and disorders found in non-clinically referred, sexually abused children (nCR-SAC), aged 6 to 16 years, during the 30- to 60-day period after disclosure and termination of abuse.
Eighty nCR-SAC were compared with clinical and nonclinical groups of nonabused children matched by age, race, and socioeconomic status. Structured and semistructured interviews and standardized rating scales were used for assessment.
More posttraumatic stress disorder (PTSD) was found in the nCR-SAC than in the two comparison groups, and symptom severity was intermediate, except for symptoms of posttraumatic stress, trait anxiety, and depression, which were highest in the nCR-SAC.
Sexually abused children are at high risk for PTSD and symptoms of posttraumatic stress, anxiety, and depression in the immediate period after disclosure and termination of abuse. Findings indicate the need for routine and systematic evaluation for these symptoms and PTSD for treatment planning.
确定6至16岁非临床转诊的性虐待儿童（nCR-SAC）在虐待披露及终止后的30至60天内出现的精神症状和障碍的患病率。
将80名nCR-SAC与按年龄、种族和社会经济地位匹配的未受虐待儿童的临床组和非临床组进行比较。采用结构化和半结构化访谈以及标准化评定量表进行评估。
nCR-SAC中发现的创伤后应激障碍（PTSD）比两个对照组更多，症状严重程度处于中等水平，但创伤后应激症状、特质焦虑和抑郁症状在nCR-SAC中最高。
性虐待儿童在虐待披露及终止后的短期内患PTSD以及出现创伤后应激、焦虑和抑郁症状的风险很高。研究结果表明需要对这些症状和PTSD进行常规和系统评估，以制定治疗计划。
