A meta-analysis of the published research on the effects of child sexual abuse
A meta-analysis of the published research on the effects of child sexual abuse
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DOI：
10.1080/00223980109603677
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发表时间：
2001-01-01
影响因子：
2.7
通讯作者：
Violato, C
中科院分区：
文献类型：
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作者：
Paolucci, EO;Genuis, ML;Violato, C
对已发表的关于儿童性虐待 (CSA) 影响的研究进行了荟萃分析，针对 6 种结果进行了分析：创伤后应激障碍 (PTSD)、抑郁、自杀、性乱、受害者-施暴者循环和学业成绩不佳。 1981 年至 1995 年间发表的 37 项研究涉及 25,367 人。许多研究发表于 1994 年 (24; 65%)，并且大多数是在美国完成的 (22: 59%)。对所有六个因变量进行编码，并计算每个结果的效应大小 (d)。每个结果变量的平均未加权和加权 ds 分别为：PTSD 为 0.50 和 0.40，抑郁症为 0.63 和 0.44，自杀为 0.63 和 0.44，性乱为 0.59 和 0.29，受害者-犯罪者循环为 0.41 和 0.16，学业成绩为 0.24 和 0.19。文件抽屉分析表明，需要 277 项无效 ds 的研究才能否定目前的发现。这些分析提供了明确的证据，证实了 CSA 与随后对发展的短期和长期负面影响之间的联系。当评估各种潜在中介变量（例如性别、社会经济地位、虐待类型、受虐待年龄、与施暴者的关系以及虐待事件数量）时，ds 没有统计学上的显着差异。目前的荟萃分析结果支持创伤的多方面模型，而不是 CSA 的特定性虐待综合症。
A meta-analysis of the published research on the effects of child sexual abuse (CSA) was undertaken for 6 outcomes: posttraumatic stress disorder (PTSD), depression, suicide, sexual promiscuity, victim-perpetrator cycle, and poor academic performance. Thirty-seven studies published between 1981 and 1995 involving 25,367 people were included. Many of the studies were published in 1994 (24; 65%), and most were done in the United States (22: 59%). All six dependent variables were coded, and effect sizes (d) were computed for each outcome. Average unweighted and weighted ds for each of the respective outcome variables were .50 and .40 for PTSD, .63 and .44 for depression, .63 and .44 for suicide, .59 and .29 for sexual promiscuity, .41 and .16 for victim-perpetrator cycle, and .24 and .19 for academic performance. A file drawer analysis indicated that 277 studies with null ds would be required to negate the present findings. The analyses provide clear evidence confirming the link between CSA and subsequent negative short- and long-term effects on development. There were no statistically significant differences on ds when various potentially mediating variables such as gender, socioeconomic status, type of abuse, age when abused, relationship to perpetrator, and number of abuse incidents were assessed. The results of the present mete-analysis support the multifaceted model of traumatization rather than a specific sexual abuse syndrome of CSA.