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The purpose of the present study was to explore the effects of multiple interpersonal traumas on psychiatric diagnosis and behavior problems of sexually abused children in Korea. With 495 children (ages 4–13 years) referred to a public counseling center for sexual abuse in Korea, we found significant differences in the rate of psychiatric diagnoses (r = .23) and severity of behavioral problems (internalizing d = 0.49, externalizing d = 0.40, total d = 0.52) between children who were victims of sexual abuse only (n = 362) and youth who were victims of interpersonal trauma experiences in addition to sexual abuse (n = 133). The effects of multiple interpersonal trauma experiences on single versus multiple diagnoses remained significant in the logistic regression analysis where demographic variables, family environmental factors, sexual abuse characteristics, and postincident factors were considered together, odds ratio (OR) = 0.44, 95% confidence interval (CI) = [0.25, 0.77], p < .01. Similarly, multiple regression analyses revealed a significant effect of multiple interpersonal trauma experiences on severity of behavioral problems above and beyond all aforementioned variables (internalizing β =.12, p = .019, externalizing β = .11, p = .036, total β = .14, p =.008). The results suggested that children with multiple interpersonal traumas are clearly at a greater risk for negative consequences following sexual abuse.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:多重人際創傷對韓國受性侵犯兒童心理適應障礙的影響

撮要:本研究探討韓國受性侵犯兒童在多重人際創傷下的精神病判斷和行為問題。對象為一所公營性侵犯輔導中心的495位兒童(年齡為4到13歲),其中受性侵犯兒童(n=362) 與人際創傷和受性侵犯少年(n=133)之間,存在統計上顯著差異,包括精神病患病率(r=0.23)和行為問題的程度(內在化d=0.49, 外在化d=0.40, 全部d=0.52)。使用人口特徵、家庭環境因素、性侵犯特徵和事後因素合併考慮,邏輯回歸分析得出多重人際創傷對單一或多個精神病判斷有統計上顯著影響(OR=0.44, 95% CI=﹝0.25, 0.77﹞, p<.01﹞。使用上述因素而作多重回歸分析,亦顯示多重人際創傷對行為問題的嚴重程度有顯著影響(內在化β= .12, p= .019;外在化β= .11, p = .036;全部β= .14, p= .008),研究結果提出多重創傷的兒童有較高風險在性侵犯後出現不良後果。

标题:多重人际创伤对韩国受性侵犯儿童心理适应障碍的影响

撮要:本研究探讨韩国受性侵犯儿童在多重人际创伤下的精神病判断和行为问题。对象为一所国营性侵犯辅导中心的495位儿童(年龄为4到13岁),其中受性侵犯儿童(n=362) 与人际创伤和受性侵犯少年(n=133)之间,存在统计上显着差异,包括精神病患病率(r=0.23)和行为问题的程度(内在化d=0.49, 外在化d=0.40, 全部d=0.52)。使用人口特征、家庭环境因素、性侵犯特征和事后因素合并考虑,逻辑回归分析得出多重人际创伤对单一或多种精神病判断有统计上显着影响(OR=0.44, 95% CI=﹝0.25, 0.77﹞, p<.01﹞。使用上述因素而作多重回归分析,亦显示多重人际创伤对行为问题的严重程度有显着影响(内在化β= .12, p= .019;外在化β= .11, p = .036;全部β= .14, p= .008),研究结果提出多重创伤的儿童有较高风险在性侵犯后出现不良后果。