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학술저널
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이나현 (건양대학교) Junghan Lee (Yonsei University College of Medicine) Keun-Ah Cheon (Yonsei University College of Medicine) Kyung-yoon Kim (Sekwang Hospital) 송동호 (연세대학교)
저널정보
대한신경정신의학회 PSYCHIATRY INVESTIGATION PSYCHIATRY INVESTIGATION 제19권 제12호
발행연도
2022.12
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1,046 - 1,054 (9page)

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Objective The victims and their families of child sexual abuse (CSA) may confront persistent psychological sequela. We aimed to in vestigate the psychological symptoms, diagnosis, and family functions in children and adolescents with CSA. Methods We assessed the symptom scales at 6-month intervals, and conducted diagnostic re-assessments at 1-year intervals. Trauma Symptom Checklist for Children (TSCC), Trauma Symptom Checklist for Young Children (TSCYC), Family Adaptability and Cohesion Evaluation Scales IV (FACES-IV), and Family Communication Scale (FCS) scores were reported by children or parents. Results We found in parent-reported TSCYC, that posttraumatic stress symptoms domain scores significantly decreased with time progression. The scores decreased more in the evidence-based treatment group over time in anxiety and posttraumatic stress symptom domains of TSCC. In FACES-IV and FCS scores, indices of family function have been gradually increasing both after 6 months and after 1 year compared to the initial evaluation. Further, about 64% of the children diagnosed with psychiatric diseases, including posttrau matic stress disorder (PTSD) at the initial assessment maintained the same diagnosis at follow-up. Conclusion We observed changes in psychological symptoms and family functioning in sexually abused children with time progres sion during 1 year. It is postulated that PTSD may be a persistent major mental illness in the victims of CSA.

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