文章基本信息

标题：Psychological injury in victims of child sexual abuse: A meta-analytic review
本地全文：下载
作者：Bárbara G. Amado ; Ramón Arce ; Andrés Herraiz 等
期刊名称：Psychosocial Intervention
印刷版ISSN：1132-0559
出版年度：2015
卷号：24
期号：1
页码：49-62
语种：English
出版社：Colegio Oficial de Psicólogos de Madrid
摘要：In order to assess the effects of child/adolescent sexual abuse (CSA/ASA) on the victim’s probability of de-veloping symptoms of depression and anxiety, to quantify injury in populational terms, to establish the probability of injury, and to determine the different effects of moderators on the severity of injury, a me-ta-analysis was performed. Given the abundant literature, only studies indexed in the scientific database of reference, the Web of Science, were selected. A total of 78 studies met the inclusion criteria: they mea-sured CSA/ASA victimization or injury in terms of depression or anxiety symptoms, measured the effect size or included data for computing them, and provided a description of the sample. The results showed that CSA/ASA victims suffered significant injury, generally of a medium effect size and generalizable, vic-tims had 70% more probabilities of suffering from injury, and clinical diagnosis was significantly a more adequate measure of injury than symptoms. The probability of chronic injury (dysthymia) was greater than developing more severe injury, i.e., major depressive disorder (MDD). In the category of anxiety dis-orders, injury was expressed with a higher probability in specific phobia. In terms of the victim’s gender, females had significantly higher rates of developing a depressive disorder (DD) and/or an anxiety disorder (AD), quantified in a 42% and 24% over the baseline, for a DD and AD respectively. As for the type of abuse, the meta-analysis revealed that abuse involving penetration was linked to severe injury, whereas abuse with no contact was associated to less serious injury. The clinical, social, and legal implications of the re-sults are discussed.
其他摘要：In order to assess the effects of child/adolescent sexual abuse (CSA/ASA) on the victim’s probability of de-veloping symptoms of depression and anxiety, to quantify injury in populational terms, to establish the probability of injury, and to determine the different effects of moderators on the severity of injury, a me-ta-analysis was performed. Given the abundant literature, only studies indexed in the scientific database of reference, the Web of Science, were selected. A total of 78 studies met the inclusion criteria: they mea-sured CSA/ASA victimization or injury in terms of depression or anxiety symptoms, measured the effect size or included data for computing them, and provided a description of the sample. The results showed that CSA/ASA victims suffered significant injury, generally of a medium effect size and generalizable, vic-tims had 70% more probabilities of suffering from injury, and clinical diagnosis was significantly a more adequate measure of injury than symptoms. The probability of chronic injury (dysthymia) was greater than developing more severe injury, i.e., major depressive disorder (MDD). In the category of anxiety dis-orders, injury was expressed with a higher probability in specific phobia. In terms of the victim’s gender, females had significantly higher rates of developing a depressive disorder (DD) and/or an anxiety disorder (AD), quantified in a 42% and 24% over the baseline, for a DD and AD respectively. As for the type of abuse, the meta-analysis revealed that abuse involving penetration was linked to severe injury, whereas abuse with no contact was associated to less serious injury. The clinical, social, and legal implications of the re-sults are discussed.
关键词：Child sexual abuse; Adolescent sexual abuse; Psychological injury Victimization; Meta-analysis.
其他关键词：Child sexual abuse; Adolescent sexual abuse; Psychological injury Victimization; Meta-analysis.