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메뉴E-ISSN : 2733-4538
The purpose of this study was to explore the effects of multiple interpersonal traumas on psychological maladjustments in sexually abused children. With 275 sexually abused children(ages 4-13), we assessed contributions of cumulative of interpersonal traumas other than the current alleged sexual abuse(witnessing or victim of violent crime, physical abuse, sexual abuse, witness of domestic violence, confronted with traumatic news) on symptoms of PTSD, internalizing/externalizing behavior problems, sexual behaviors. We found a significant contribution of multiple interpersonal traumas on internalizing/externalizing behavior problems and sexual behaviors in a hierarchial regression analysis where demographic variables(age, sex), environment factor(family income, family structure), sexual abuse characteristics(severity of abuse, duration of abuse, relationship with perpetrator), and post-incident factors(disclosure, delay in help) were considered together. However, the effect of multiple interpersonal trauma experiences on PTSD symptoms was not significant. The result of this study indicate that experiences of multiple traumas must be considered when understanding psychological maladjustment following child sexual abuse. Limitations of this study and suggestions for future research discussed.
김영신, 천근아, 김붕년, 유희정, 김재원, 소유경, 조수철, 장순아, 서동향, 배명옥, 노주선, Levental, B., Cook, E., McBurnett, K. (2003). 한국판 K-SADS-PL. 중앙문화사.
노충래 (1993). 아동성학대의 치료. 학지사.
오경자, 이혜련, 홍강의, 하은혜 (1997). 아동・청소년 행동평가 척도. 서울: 중앙적성출판사.
Achenbach, T. M., & Edelbrock, C. (1983). Manual for Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: University Association in Psychiatry.
Ackerman, P. T., Newton, J. E. O., McPherson, W. B., Jones, J. G., & Dykman, R. A. (1998). Prevalence of post-traumatic stress disorder and other pyschiatric diagnosis in tree groups of abused children(sexual, physical, and both). Child Abuse and Neglect, 22, 759-774.
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental disorders, 4th ed. Washington, D. C.: American Psychiatric Association.
Arata, C. M. (1998). To tell or not to tell: current functioning of child sexual abuse survivors who disclosed their victimization. Child Maltreatment, 3(1), 63-71.
Bagley, C., & Ramsay, R. (1986). Sexual abuse in childhood: Psychosocial outcomes and implications for social work practice. Journal of Social Work and Human Sexuality, 4, 33-47.
Beitchman, J. H., Zucker, K. J., Hood, J. E., daCosta, G. A., Akman, D., & Cassavia, E. (1991). A review of the short-term effects of child sexual abuse. Child Abuse and Neglect, 15, 537-556.
Boney-McCoy, S., & Finkelhor, D. (1995). Prior victimization: A risk factor for child sexual abuse and for PTSD-related symptomatology among sexually abused youth. Child Abuse and Neglect, 19(12), 1401-1421.
Briere, J. (2001). Trauma Symptom Checklist for Young Children: professional manual. Odessa, FI. Psychological Association.
Briere, J., & Elliot, D. M. (2003). Prevalence and psychological sequela of self-reported childhood physical and sexual abuse in a general population sample of men and women. Child Abuse & Neglect, 27, 1205-1222.
Briere J., & Jordan, C. E. (2009). Childhood maltreatment, intervening variables, and adult psychological difficulties in women. an overview. Trauma Violence, 10(4), 375-388.
Briere, J., Kaltman, S., & Green, B. L. (2008). Accumulated Childhood Trauma and Symptom Complexity. Journal of Traumatic Stress, 21(2), 223-226.
Browne, A. & Finkelhor D. (1986). Impact of child sexual abuse: a review of the research. Psychological Bulletin, 99(1), 66-77.
Burgess, A. W., Hartman, C. R., & McCormack, A. (1987). Abused to abuser: Antecedents of socially deviant behaviors. American Journal of Psychiatry, 144, 1431-1436.
Choi, J. Y. & Oh, K. J. (unpublished manuscript). The effects of multiple traumas on psychological maladjustment in sexually abused children.
Cloitre, M., Miranda R., Stovall-McClough K. C., & Han H. (2005). Beyond PTSD: Emotion regulation and interpersonal problems as predictors of functional impairment in survivors of childhood abuse. Behavior Therapy, 36, 119-124.
Cloitre, M., Stolbach, B. C., Herman, J. L., van der Kolk, B., Pynoos, R., Wang, J., & Petkova, E. (2009). A developmental approach to complex PTSD: childhood and adult cumulative trauma as predictors of symptom complexity. Journal of Traumatic Stress, 22(5), 399-408.
Conte, J. R., & Schuerman, J. R. (1987). Factors associated with and increased impact of child sexual abuse. Child Abuse and Neglect, 11, 201-211.
Courtois, C. A. (1979). The incest experience and its aftermath. Victimology, 4, 337-347.
Deblinger, E., McLeer, S. V., Atkins, M. S., Ralphe, D., & Foa, E. (1989). Post-traumatic stress in sexually abused, physically abused, and nonabused children. Child Abuse & Neglect, 13, 403-408.
Fergusson, D. M., Boden, J. M., & Horwood, L. J. (2008). Exposure to childhood sexual and physical abuse and adjustment in early adulthood. Child Abuse and Neglect, 32, 607-619.
Fergusson, D. M., Horwood, L. J., & Lynskey M. T. (1997). Childhood sexual abuse, adolescent sexual behaviors and sexual revictimization. Child Abuse and Neglect, 21(8), 789-803.
Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2007). Poly-victimization: A neglected component in child victimization. Child Abuse and Neglect, 31, 7-26.
Friedrich, W. M., Fisher, J. L., Dittner, C. A., Acton, R., Berliner, L. Butler, J., Damon, L., Davies, W. H., Gray, A., & Wright, J. (2001). Child sexual behavior inventory: normative, psychiatric, and sexual abuse comparisons. Child Maltreatment, 6(1), 37-49.
Friedrich, W. N., Grambsch, P., Damon, L. Hewitt, S. K., Koverola, C., & Lang, R. A. (1991). Child sexual behavior inventory; Normative and clinical comparison. Psychological Assessment, 4, 303-311.
Kendall-Tackett K. A., Williams L. M., & Finkelhor D. (1993). Impact of sexual abuse on children; a review and synthesis of recent Empirical studies. Psychology Bulletin, 110, 164-180.
Langmade, C. J. (1983). The Impact of pre-and postpubertal onset of incest experience in adult women as measured by sex anxiety, sex guilty, sexual satisfaction and sexual behavior. Dissertation Abstracts International, 44, 917B.(University Microfilm No. 3592).
Letoruneau, E. J., Scheonwald, S. K., & Sheidow, A. J. (2004). Children and adolescent with sexual behavior problems. Child Maltreatment, 9, 49-61.
Luster, T., & Small, S. A. (1997). Sexual abuse history and problem in adolescence: exploring the effects of moderating variables. Journal of Marriage and the Family, 59, 131-142.
McLeers, S. V., Deblinger, E., Atkins, M. A., Foa, E. B., & Ralphe, D. L. (1988). Post-traumatic stress disorder in sexually abused children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 650-654.
Paolucci, E. O., & Violato, C. (2001). A meta-analysis of the published research on the effects of child sexual abuse. Journal of Psychology, 135(1), 17-36.
Pelcovitz, D., Van der Kolk, B. A., Roth., S., Mandel, F., Kaplan, S., & Resick, P. (1997). Development of a criteria set and a structured interview for disorders of extreme stress (SIDES). Journal of Traumatic Stress, 18, 449- 459.
Roth, S., Newman, E., Pelcovitz, D., vander de Kolk, B., & Mandel, F. S. (1997). Complex PTSD in victims exposed to sexual and physical abuse: Results from the DSM-IV field trial for posttraumatic stress disorder. Journal of Traumatic Stress, 10(4), 539-555.
Russell, D. E. H. (1986). The secret trauma: Incest in the lives of girls and women. New York: Basic Books.
Schaff, K. K., & McCanne T. R. (1998). Relationship of childhood sexual, physical, and combined sexual and physical abuse to adult victimization and posttraumatic stress disorder. Child Abuse and Neglect, 22(11), 1119-1133.
Scheeringa, M. S., Zeanah, C. H., Myers, L., & Putman, F. W. (2003). New finding alternative set of criteria for posttraumatic stress disorder(PTSD) for preschool children. Journal of the American Academy of Child & Adolescent Psychiatry 42(5), 561-570.
Shields, A., & Cicchetti, D. (2001). Parental maltreatment and emotion dysregulation as risk factors for bullying and victimization in middle childhood. Journal of Clinical Child Psychology, 30(3), 349-363.
Sim, L. Friedrich, W. N., Davies, W. H., Trentham, B., Lengua, L., & Pithers, W. (2005). The child behavior checklist as an indicator of posttraumatic stress disorder and dissociation in normative, psychiatric, and sexually abused children. Journal of Traumatic Stress, 18, 6, 697-705.
Smith, D., Letourneau, E. J., Saunders, B. E., Kilpatrick, D. G., Resnick, H. S., & Best, C. L. (2000). Delay in disclosure of childhood rape: Results from a national survey. Child Abuse and Neglect, 24, 273-287.
Trickett, P. K., Noll, J. G., Reiffman, A., & Putnam, F. W. (2001). Variants of intrafamilial sexual abuse experience: Implications for long-term development. Journal of Development and Psychopathology, 13, 1001-1019.
Tufts' New England Medical Center, Division of Child Psychiatry (1984). Sexually exploited children: Service and research project. Final report for the Office of Juvenile Justice and Delinquency Prevention. Washington, DC: US. Department of Justice.
Wozencraft, T., Wagner, W., and Pellegrim, A. (1991). Depression and suicide ideation in sexually abused children. Child Abuse and Neglect, 15, 505-511.