A Comparative Study of the Victims of Child Sexual Abuse and Physical Abuse in the Psychological Trauma and Physical Health

• Main Authors: Szu-Fang, Yang, 楊思芳
• Other Authors: Yuan-Yu, Ting
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/86667300001503020994

碩士 === 國立高雄師範大學 === 諮商心理與復健諮商研究所 === 104 === The purpose of this study is to compare the differences between the victims of child sexual abuse and physical abuse in their psychological trauma and physical health. Questionnaire Survey is mainly used in this study. And the quantitative data was collected from the sample consisted of 52 victims of child sexual abuse and 52 victims physical abuse aged form 9 to 16 years old, who had been the clients serviced by the Centers of Prevention of Domestic Violence and Sexual Assault, social welfare organizations and counseling centers in Taiwan. Instruments used in this study include basic personal information, psychological abuse trauma scale and physical health scale. Data obtained in this study were analyzed by descriptive statistics, Nonparametric Statistics (Mann-Whitney U test and Kruskal-Wallis H test), logistic regression. The main findings were as follows: 1.The types of injury of child sexual abuse or physical abuse can be distinguished efficiently by “physical pain”,“boundary trauma” and “medical care visits”, especially by “physical pain”. 2.The severest aspect of psychological trauma in the victims of child sexual abuse or child physical abuse is “self trauma” and the “physical function” were the worst aspect in their physical health 3.Among those victims of child physical abuse, the severities of “boundary trauma”, “complex post-traumatic stress reaction”, “physical function” and “physical pain” on the female victims are even serious than on the male victims. 4.Regarding to the age from which a first memory of being sexual abused can be retrieved, those who “could not clearly remember” have severer “complex post-traumatic stress reaction” than those who had started being sexual abused “at the age under 7” and severer “boundary trauma” than those who were firstly sexual abused “at the age above 8.” 5.The “physical function” of the victims who had been physically abused for “more than 3 times” are worse than who had been abused for “1 or 2 times”. 6.Comparing the victims who had been abused firstly “at the age above 8”, the victims of physical abuse have severer “boundary trauma” and the victims of sexual abuse has more serious “physical pain.” 7.Comparing the victims who had been abused firstly “at the age under 7”, the victims of sexual abuse have severer “self trauma” than those who were “physically abused”. And comparing the victims who had been abused firstly “at the age above 8” there are more serious “physical pain” shown on the victims of sexual abuse than the victims of physical abused. 8.Among the victims “above 14 years old”, the victims of “sexual abuse” have more serious “complex post-traumatic stress reaction” and “physical pain” than the victims of “physical abused.” 9.In the victims of child sexual abuse, the victims who had been abused firstly “at the age above 14” has higher frequencies of medical care visits, than the victims who experienced first abuse “at the age under 13.” 10.The victims of child sexual abuse who meet one or more conditions as “above 14 years old”, “has been abused for 1 or 2 times” or “experience first abuse at the age above 8” will have severer “physical pain” than the victims of “physical abuse.” 11.Comparing the victims under the age of 13, the victims of child physical abuse have higher frequencies of medical care visits than the victims of sexual abuse. Finally, the researcher provide suggestions as references for care givers, social welfare related systems and child protective service workers who are specialized in counselling, legislation and medical profession according to the findings of this study.