Linking Childhood Sexual Abuse and Early Adolescent Risk Behavior: The Intervening Role of Internalizing and Externalizing Problems
Linking Childhood Sexual Abuse and Early Adolescent Risk Behavior: The Intervening Role of Internalizing and Externalizing Problems
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DOI：
10.1007/s10802-012-9656-1
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发表时间：
2013-01-01
影响因子：
3.6
通讯作者：
Runyan, Desmond
中科院分区：
文献类型：
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作者：
Jones, Deborah J.;Lewis, Terri;Runyan, Desmond
大量文献将儿童性虐待（CSA）与后来的物质使用和性风险行为联系起来；然而，相对而言，很少有实证研究致力于确定青少年中CSA与危险行为之间的联系机制，对男孩中这一过程的研究就更少了。为了弥补文献中的这一空白，本研究通过看护人在12岁时报告的内化和外化问题的干预作用，研究了儿童性虐待（CSA；从2岁到12岁）轨迹组对14岁时危险行为（酒精使用和性交）的间接影响。对来自儿童虐待和忽视纵向研究（LONGSCAN）的青少年亚样本（n = 657性行为；n = 667酒精使用）进行了分析，这是一项针对有虐待风险的青少年的多地点前瞻性研究。对于男孩和女孩来说，CSA通过外化问题对性交存在间接影响。同样的模式也出现在饮酒上，但仅限于女孩。研究结果不支持男孩或女孩内化问题的间接途径。调查结果表明，应加强预防工作的重点目标，以便在青春期过渡期间维护受虐待男孩和女孩的健康和安全。
A robust literature links childhood sexual abuse (CSA) to later substance use and sexual risk behavior; yet, relatively little empirical attention has been devoted to identifying the mechanisms linking CSA to risky behavior among youth, with even less work examining such processes in boys. With the aim of addressing this gap in the literature, the current study examined the indirect effect of childhood sexual abuse (CSA; from age 2 to 12) trajectory group on risky behavior at age 14 (alcohol use & sexual intercourse) via the intervening role of caregiver-reported internalizing and externalizing problems at age 12. Analyses were conducted with a subsample of youth (n = 657 sexual intercourse; n = 667 alcohol use) from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), a multisite prospective study of youth at risk for maltreatment. For boys and girls, there was an indirect effect from CSA to sexual intercourse through externalizing problems. The same pattern emerged for alcohol use, but only for girls. Findings did not support an indirect path through internalizing problems for either boys or girls for either outcome. Findings suggest more focal targets for prevention efforts aimed at maintaining the health and safety of maltreated boys and girls during the adolescent transition.