ABSTRACT

Child sexual abuse is a global issue affecting children. It burdens the entire society physically and mentally. It can cause eating disorders and non-suicidal self-injury in abused people (NSSI). Emotion regulation (ER) is an important etiological link between purging, NSSI, and abusive experiences. We interviewed 80 people, ranged in age from 13 to 20, of whom 62.5% had CSA, versus 30 healthy controls. The Toronto Alexithymia Scale, an eating disorders clinical interview, the Difficulties in Emotion Regulation Scale (DERS) to assess emotion dysregulation, the Self-punishment Scale to assess NSSI, the Mini-Kid for children under the age of 18, and the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I) for those aged 18 and older were given to victims. CSA was found in 62.5% of the participants. Emotional dysregulation was strongly linked to CSA. Descriptive and identifying difficulties in feelings and externally oriented thinking (p0.001, p0.03, p0.001) were found to be associated with the development of alexithymia. CSA participants had higher NSSI than controls, with 28% having severe self-punishment symptoms (P0.001). Finally, CSA is common in kids and teens. It has negative effects on future generations’ mental and physical health. All of these conditions can lead to alexithymia.

摘要

儿童性虐待是影响儿童的全球性问题。它给整个社会带来身心负担。它可能导致受虐待者的饮食失调和非自杀性自伤 (NSSI)。情绪调节 (ER) 是净化、NSSI 和虐待经历之间的重要病因学联系。我们采访了 80 人，年龄从 13 岁到 20 岁不等，其中 62.5% 患有 CSA，而健康对照组为 30 人。多伦多述情障碍量表、饮食失调临床访谈、情绪调节困难量表 (DERS) 评估情绪失调、自我惩罚量表评估 NSSI、18 岁以下儿童的 Mini-Kid 和结构化临床对 18 岁及以上的 DSM-IV 轴 I 障碍 (SCID I) 进行了采访。62.5% 的参与者发现 CSA。情绪失调与 CSA 密切相关。发现描述和识别感觉和外部导向思维的困难（p0.001，p0.03，p0.001）与述情障碍的发展有关。CSA 参与者的 NSSI 高于对照组，28% 的参与者有严重的自我惩罚症状 (P0.001)。最后，CSA 在儿童和青少年中很常见。它对后代的身心健康产生负面影响。所有这些情况都可能导致述情障碍。它对后代的身心健康产生负面影响。所有这些情况都可能导致述情障碍。它对后代的身心健康产生负面影响。所有这些情况都可能导致述情障碍。