한국 성폭행 피해 아동의 정신병리

• 영문명: Psychopathology of Sexually Abused Children In Korea
• 발행기관: 대한신경정신의학회
• 저자명: 김태경 김소향 최경숙 최지영 임자영 엄소용 신의진
• 간행물 정보: 『신경정신의학』제45권 제2호, 165~173쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2006.03.30

영문 초록

Objectives：This study aimed to identify psychopathologies of sexually abused children and intervening variables of symptom severity. Methods：Eighty-four school-aged children were identified for sexual abuse from a center for child sexual abuse by psychiatrists, clinical psychologists, and social workers. We analyzed correlations among symptom severity, types of sexual abuse, gender, age, relationship with the abuser, family system, and current and past psychopathologies. Results：The percentage of victims with particular psychiatric disorders (current) were 79.8%. Children without identifiable disorders were 20.2%, but these children had significantly increased scores on self report scales of anxiety (RCMAS), depression (CDI), and withdrawal scores on parental reports of child behavior checklist (K-CBCL). Sixty nine percent of abused children had primary diagnosis related to sexual abuse in DSM-IV diagnositic system. PTSD was 41.7%, depressive disorder was 38.1%, and anxiety disorder was 21.4%. Psychopathologies were more severe if perpetrators were of acquaintance or if victims had previous psychopathologies or parent-child relational problems. Types of primary caregiver and older age were also related to the severity of psychopathologies. Conclusion：Present study suggests that most victims of childhood sexual abuse suffer from significant psychological distress. Intervening variables are relationship with the perpetrator, previous mental health status, age of the child, type of the primary care taker, and the quality of parent-child relationship.

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REFERENCES

키워드

Child sexual abuse Psychopathology Symptom severity