One-year Cohort Follow-up on the Diagnosis and Posttraumatic Symptoms in Child Sexual Assault Victims in Korea.

Content Provider	Europe PMC
Author	Lee, Na-Hyun Lee, Junghan Cheon, Keun-Ah Kim, Kyung-yoon Song, Dong-Ho
Copyright Year	2022
Abstract	Objective The victims and their families of child sexual abuse (CSA) may confront persistent psychological sequela. We aimed to investigate 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 posttraumatic 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 progression during 1 year. It is postulated that PTSD may be a persistent major mental illness in the victims of CSA.
ISSN	17383684
Journal	Psychiatry Investigation
Volume Number	19
PubMed Central reference number	PMC9806508
Issue Number	12
PubMed reference number	36588439
e-ISSN	19763026
DOI	10.30773/pi.2022.0065
Language	English
Publisher	Korean Neuropsychiatric Association
Publisher Date	2022-12-22
Access Restriction	Open
Rights License	This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2022 Korean Neuropsychiatric Association
Subject Keyword	Child sexual abuse Posttraumatic stress disorder Family adaptability Family communication
Content Type	Text
Resource Type	Article
Subject	Biological Psychiatry Psychiatry and Mental Health