Personal, Family, and Environmental Factors Associated with Somatic Complaints in School-Aged Child Victims of Sexual Abuse.

IF 1.7 Q2 FAMILY STUDIES

Journal of Child & Adolescent Trauma Pub Date : 2024-10-16 eCollection Date: 2025-03-01 DOI:10.1007/s40653-024-00665-y

Hina F Raza, Laetitia Mélissande Amédée, Pascale Domond, Massimiliano Orri, Sylvana Côté, Martine Hébert

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引用次数: 0

Abstract

Little is known about somatic complaints in school-aged child victims of sexual abuse and the associated risk factors. Given that somatic symptoms can lead to functional impairment and decreased health-related quality of life, identifying associated factors in the child's environment is essential. This study aimed to identify personal, family, and environmental factors associated with somatic complaints among child victims of sexual abuse. The sample included 654 children (68.8% girls; M = 8.96 years, SD = 1.88) seeking services after disclosure of child sexual abuse. Hierarchical linear regression models were used to investigate the associations between personal, family, and environmental factors, and somatic symptoms. Sex differences in the associations between risk factors and the level of somatic symptoms were systematically tested. Most children (58%) had at least one somatic symptom (M girls = 1.37, SD = 1.44 and M boys = 1.04, SD = 1.38). After controlling for sex and age, stress related to sexual abuse disclosure (β = 0.16, 95% CI [0.08, 0.23]), parental distress (β = 0.18, 95% CI [0.10, 0.26]), the number of stressful life events experienced (β = 0.12, 95% CI [0.05, 0.20]) and neighborhood social deprivation (β = 0.21, 95% CI [0.01, 0.42]) were independently associated with greater level of somatic complaints. Stress related to sexual abuse disclosure, parental distress, the number of stressful life events, and neighborhood social deprivation were associated with higher levels of somatic complaints in this population.

Supplementary information: The online version contains supplementary material available at 10.1007/s40653-024-00665-y.

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个人、家庭和环境因素与学龄儿童性虐待受害者的躯体抱怨有关。

对于遭受性虐待的学龄儿童的躯体症状以及相关的风险因素，我们知之甚少。鉴于躯体症状可导致功能损害和健康相关生活质量下降，确定儿童环境中的相关因素至关重要。本研究旨在确定与性虐待儿童受害者的躯体投诉相关的个人、家庭和环境因素。样本包括654名儿童(68.8%为女孩；M = 8.96岁，SD = 1.88)在披露儿童性虐待后寻求服务。使用层次线性回归模型来调查个人、家庭和环境因素与躯体症状之间的关系。系统地测试了危险因素与躯体症状水平之间相关性的性别差异。大多数儿童（58%）至少有一种躯体症状（M名女孩= 1.37,SD = 1.44， M名男孩= 1.04,SD = 1.38）。在控制了性别和年龄之后，与性虐待披露相关的压力（β = 0.16, 95% CI[0.08, 0.23]）、父母痛苦（β = 0.18, 95% CI[0.10, 0.26]）、经历过压力生活事件的次数（β = 0.12, 95% CI[0.05, 0.20]）和社区社会剥夺（β = 0.21, 95% CI[0.01, 0.42]）与躯体抱怨的较高水平独立相关。与性虐待披露、父母痛苦、压力生活事件数量和社区社会剥夺相关的压力与该人群中较高水平的躯体抱怨相关。补充信息：在线版本包含补充资料，提供地址为10.1007/s40653-024-00665-y。

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来源期刊

Journal of Child & Adolescent Trauma Multiple-

CiteScore

3.00

自引率

6.70%

发文量

期刊介绍： Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives. Among the topics examined in the Journal of Child & Adolescent Trauma: The effects of childhood maltreatment Loss, natural disasters, and political conflict Exposure to or victimization from family or community violence Racial, ethnic, gender, sexual orientation or class discrimination Physical injury, diseases, and painful or debilitating medical treatments The impact of poverty, social deprivation and inequality Barriers and facilitators on pathways to recovery The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.