Predicting long-term outcomes for women sexually abused in childhood: Contribution of abuse severity versus family environment
Predicting long-term outcomes for women sexually abused in childhood: Contribution of abuse severity versus family environment
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DOI：
10.1016/j.chiabu.2004.12.006
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发表时间：
2005-03-01
影响因子：
4.8
通讯作者：
Ellis, MA
中科院分区：
文献类型：
--
作者：
Fassler, IR;Amodeo, M;Ellis, MA
目的：儿童性虐待（CSA）与不良的成人心理社会结果有关，尽管一些报告描述了轻微的长期影响。为了解释女性 CSA 的异质性结果，人们对一系列 CSA 相关因素进行了研究，从个体 CSA 事件的严重程度到童年家庭环境。本研究比较了预测成人结局的三个因素：多维 CSA 严重程度、是否存在 CSA 以及家庭环境。 方法：在 290 名在完整家庭中长大的社区居住妇女中研究了 CSA 对成人结局的影响。采用标准化测量和重点访谈来收集数据，并以兄弟姐妹作为间接信息提供者。 结果：将多维 CSA 严重程度量表与存在或不存在 CSA 的二分测量进行比较，结果表明，严重程度量表对成人结局的预测价值并不比二分测量更大，也没有那么简洁。童年家庭环境量表显着增加了二分法测量的预测能力。结论：对于预测长期结果，CSA 经历的具体特征可能不如 CSA 的发生和女性家庭环境重要。 (c) 2005 年，爱思唯尔有限公司出版。
Objective: Child sexual abuse (CSA) has been associated with adverse adult psychosocial outcomes, although some reports describe minimal long-term effects. The search for explanations for the heterogeneous outcomes in women with CSA has led to an examination of a range of CSA-related factors, from the severity of individual CSA incidents to the childhood family environment. This study compares three factors for predicting adult outcomes: a multidimensional CSA Severity Scale, the presence or absence of CSA, and family environment.Methods: The effect of CSA on adult outcomes was examined among 290 community-dwelling women raised in intact families. Standardized measures and a focused interview were used to collect data, with siblings as collateral informants.Results: Comparison of a multidimensional CSA Severity Scale to a dichotomous measure of the presence or absence of CSA showed that the Severity Scale did not have greater predictive value for adult outcomes than the dichotomous measure, nor was it as parsimonious. Childhood family environment scales added significantly to the predictive ability of the dichotomous measure.Conclusion: The specific characteristics of a CSA experience may be less important than the occurrence of CSA and the family environment of women for predicting long-term outcomes. (c) 2005 Published by Elsevier Ltd.