Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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A Cohort Study of Children and Adolescents Victims with Sexual Abuse in Korea and Their Initial Assessment Results

아동청소년 성폭력 피해자들을 위한 코호트 연구 : 코호트 구축과 초기 평가 결과

  • Kim, Kyung-Yoon (Department of Psychiatry, Sekwang Hospital) ;
  • Lee, Na-Hyun (Department of psychiatry, Konyang University College of Medicine) ;
  • Cheon, Keun-Ah (Department of Psychiatry, Yonsei University College of Medicine) ;
  • Song, Dong-Ho (Department of Psychiatry, Yonsei University College of Medicine)
  • 김경윤 (세광병원 정신건강의학과) ;
  • 이나현 (건양대학교 의과대학 정신건강의학교실) ;
  • 천근아 (연세대학교 의과대학 정신과학교실) ;
  • 송동호 (연세대학교 의과대학 정신과학교실)
  • Received : 2018.10.27
  • Accepted : 2019.06.21
  • Published : 2019.06.30
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Abstract

Objectives : The goals of the study are how to establish the cohort systems for the children and adolescents victims with sexual abuse in Korea and to identify the risk and protective factors that influence mental health in child sexual abuse (CSA). This is initial assessment data based on the analysis of cohort variables for baseline evaluation of subjects. Methods : We constructed the cohort systems for CSA victims recruited by Seoul Sunflower Children Center, CSA victims protection center. The initial assessment data which consisted of demographic and psychological inventories of CSA victims and their parents/families, psychiatric diagnoses were the results of statistical analysis of 65 subjects under 19 years old for 3 years 7 months. Results : The initial data were followings : female participants, N=56; mean age, 11.6 (SD=4.5); the most sexual assault, molestation 71.8%; victims, family and acquaintance 87.1%; 61.5% of the subjects diagnosed with psychiatric disorder; 29.2% diagnosed with PTSD and 23.1% diagnosed with depression. Mean duration for abuse to report is 1.5 years. Mean score of IES-R-K, TSCYC-avoidant and CBCL-problematic behavior were increased above clinical cut-off. Conclusions : CSA victims tend to have high risks in mental health problem. The cohort study could provide the risk and protective factors of CSA in mental health, and construct the predictive model for mental illness in Korea.

연구목적 코호트 연구의 목적은 국내 아동청소년 성폭력 피해자 코호트 시스템 구축과 피해자들의 정신건강에 작용하는 위험요인과 보호요인을 규명하기 위함이며, 이 연구는 코호트 참여자들의 참여 당시 초기 평가 결과를 분석한 예비 결과이다. 방 법 서울 해바라기아동센터를 통해 3년 7개월간 모집한 19세 이하의 65명 아동청소년 성폭력 피해자 및 그 가족들의 인구학적, 성폭력 관련 요인 및 정신심리학적 상태와 정신건강학적 진단을 평가하여 초기자료를 분석하였다. 결 과 초기 평가 자료의 예비 분석 결과는 다음과 같다. 여성 대상자 56명, 대상자 평균나이 12.4세(SD=4.4), 성폭력 추행 71.8%, 친족 및 지인 가해자 87.1% 였고, 피해자의 61.5%가 성폭력 피해와 관련된 정신의학적 진단을 받았으며 이중 외상 후 스트레스 장애가 29.2%, 우울장애가 23.1%로 나타났다. 피해 이후 발고까지 걸린 기간은 평균 1.5년이었다. IES-R-K, TSCYC 외상 후 스트레스장애-회피 항목과 CBCL의 총문제행동 항목이 임상적으로 유의하게 증가한 결과를 나타내었다. 결 론 아동청소년 성폭력 피해자는 정신건강학적 문제가 발생할 위험성이 높은 경향을 가지고 있다. 코호트 연구는 국내 성폭력 피해자들의 정신건강에 영향을 미치는 위험요인과 보호요인을 확인하고 예측모형을 설립할 수 있을 것이다.

Keywords

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Fig. 1. Procedures of the cohort study.

Table 1.Instruments for assessments

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Table 2. Characteristics of the subjects (N=65)

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Table 3. Characteristics of sexual abuse and offender (N=65)

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Table 4. Initial diagnosis of the subjects (N=65)

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Table 5. Scale scores of the instruments for the subjects

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Table 6. Scale scores of instruments for family and social environments

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