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An Investigation Into the Positive and Negative Outcomes for Clinicians Working With Child Survivors of Sexual Abuse
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2025-01-28 DOI: 10.1002/car.70015
Diarmuid Sheehan, Joanne Nelson, Alan Carr

Working with children who have experienced child sexual abuse (CSA) may have a negative impact on a clinician's wellbeing. However, there is some evidence to indicate CSA work may also result in positive outcomes for the clinician. This study aimed to explore the positive and negative outcomes for clinicians working with CSA. Eighteen clinicians working across a range of services in Ireland and the United Kingdom participated in this study. All were involved in the management of CSA, and their ages ranged between 31 and 53 years (mean = 41.9 years). Participants were recruited through an opt-in regime following a targeted advertisement and email campaign. Semi-structured interviews were completed to explore clinicians' perceived experiences of the positive and negative outcomes of CSA work. Data was analysed using thematic analysis. The thematic analysis developed four themes and four subthemes. The first two were ‘Protecting the Clinician’ and ‘Fulfilment from CSA Work’, which identified participants' subjective understanding of what systemic supports and personal actions maintain their psychological and physical wellbeing. The third and fourth themes, ‘Intrapersonal Disruption’ and ‘The Multiple Challenges of CSA Work’, described the difficulties of working with CSA and the negative impact it can have for clinicians. Findings highlight the importance of supporting clinicians to develop protective strategies to manage the negative impact of CSA work while also acknowledging the positive outcomes, notably a sense of fulfilment associated with working in this specialist area.

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引用次数: 0
Factors Related to Parents' Sensitivity to Violence Against Child in Türkiye: A Cross-Sectional Study
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2025-01-26 DOI: 10.1002/car.70016
Ozge Nur Dogan, Taner Artan, Ahmed Taha Arifoglu, Aylin Arici

The literature indicates that parents can also be perpetrators of violence against children, which is influenced by various factors. This study investigated the relationships between parents' prosocial behaviour, educational status and adverse childhood experiences on their tendency to engage in physical violence against children. A quantitative research design and convenience sampling were utilized, with 500 parents residing in Türkiye, who had children under 18 years of age. The statistical significance level was set at p < 0.05, with a reliability interval of 95%. The data were evaluated using a moderated moderation analysis method. The results of the study indicated that the asssociation of parents' adverse childhood experiences on prosocial behaviour and sensitivity to child-directed violence varies depending on their level of education. The interaction between adverse childhood experiences and educational level was found to have a significant association with the relationship between parents' prosocial behaviour and sensitivity to child-directed violence. Various recommendations were made at the end of the study.

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引用次数: 0
Barnahus Is Coming: A Reflexive Thematic Analysis of How Child Sexual Abuse Services at a Dublin Hospital Adapt and Respond
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2025-01-09 DOI: 10.1002/car.70014
Eimear Lacey, Mary Collins

The Barnahus Model, influencing how professionals across child protection, criminal justice and health come together to support families, has become the core model of response to concerns of child sexual abuse (CSA) in Europe and represents a significant social innovation currently being developed in Ireland. In 2019, Barnahus West in Galway, Ireland, was launched. Two additional services, Barnahus South and East, are in development. Nine senior professionals, across three internal services in a Dublin hospital and members of this organisations Barnahus steering group, participated in semistructured interviews on this topic. This reflexive thematic analysis, utilising the lenses of leadership, innovation and change, explores how already existing services based in this Dublin hospital may adapt and respond to facilitate this social innovation. Three themes were identified: Focus of Change Management, Barriers to Change and First Steps to Implementation. Recommendations include that a collective leadership approach is best suited to implementation of this change. The steering group would also benefit from utilising a formal change model to support their work. Small-scale testing of an initial cross-system response to CSA to inform wider implementation of systemic change is recommended.

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引用次数: 0
Peer Victimization Among a Clinical Sample of Turkish Youth With Autism Spectrum Disorder
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-12-22 DOI: 10.1002/car.70008
Yagmur Gündüz, Alper Alnak, Murat Coskun

Young subjects with developmental disabilities are vulnerable and may experience frequent peer victimization. Quantifying the risk and associated factors and consequences of peer victimization among this vulnerable population would have clinical and public health implications. In this descriptive cross-sectional study, we aimed to investigate peer victimization and relationships with psychiatric comorbidity and sociodemographic/socioeconomic variables in a clinical sample of young subjects with ASD without ID in a nonwestern country. The Revised Olweus Bully/Victim Questionnaire and a semistructured diagnostic instrument were used to investigate victimization experiences and psychiatric disorders, respectively. The majority of the subjects (68.8%) experienced victimization (verbal, relational or physical) by their peers. Only 45% (18/40) of the victims' parents were aware of their child's victimization status. Frequency of generalized anxiety disorder and self-reported anxiety scores were higher in those with more severe victimization. A binary logistic regression analysis for victimization yielded significant associations for having a single parent, a higher maternal educational level, a lower paternal educational level and higher depression scores. Psychiatric evaluation of young subjects with ASD should include questioning about bullying experiences. Because parents may not be aware of bullying experience, disclosing bullying experience only depending on the parental report may cause an underreport of bullying among young subjects with ASD.

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引用次数: 0
Developing an Understanding of Complex Trauma Among Child Sexual Assault Survivors in South Africa: Implications for Practice 在南非儿童性侵犯幸存者中发展对复杂创伤的理解:对实践的启示。
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-12-10 DOI: 10.1002/car.70012
Shanaaz Mathews, Lizette M. Berry

South Africa has extraordinarily high levels of CSA with profound immediate and long-term mental health outcomes. This study aimed to investigate the mental health adjustment of children who experienced CSA and accessed support services using mixed methods. Structured interviews using validated mental health screening tools were conducted with children, between the ages of 7–18 years at three intervals over a 10-month period. Semi-structured qualitative interviews were conducted with primary caregivers to explore their views on the child's adjustment, and a validated parenting measure was used to assess parenting practices over time. Nearly 20% of all children met the clinical criteria for depression, but younger children showed increased recovery from depression over time. More than a third (37%) of younger children had full-symptom PTSD at baseline, with about a quarter (24%) of adolescents meeting the full-symptom PTSD criteria. We found that although full-symptom PTSD decreased to 26% for younger children, there was a slight increase (32%) in full-symptom PTSD among adolescents. Children's experiences of poly-victimisation were highlighted through caregiver interviews combined with caregivers' own experiences of unresolved trauma. Therapeutic models need to address the complex nature of trauma that children experience and unresolved trauma experienced by many families to break this intergenerational cycle.

南非的CSA水平非常高,具有深远的即时和长期心理健康结果。本研究旨在采用混合方法探讨经历CSA并获得支持服务的儿童的心理健康适应情况。使用有效的心理健康筛查工具对7-18岁的儿童进行了结构化访谈,在10个月的时间内分三个间隔进行。对主要照顾者进行了半结构化的定性访谈,以探讨他们对儿童适应的看法,并使用一种有效的育儿措施来评估一段时间以来的育儿实践。近20%的儿童符合抑郁症的临床标准,但随着时间的推移,年龄更小的儿童从抑郁症中恢复的速度更快。超过三分之一(37%)的年幼儿童在基线时有PTSD的全部症状,约四分之一(24%)的青少年符合PTSD的全部症状标准。我们发现,虽然全症状PTSD在幼儿中下降到26%,但在青少年中有轻微的增加(32%)。通过对照顾者的访谈,结合照顾者自己未解决的创伤经历,强调了儿童多重受害的经历。治疗模式需要解决儿童所经历的创伤的复杂性,以及许多家庭所经历的未解决的创伤,以打破这种代际循环。
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引用次数: 0
Self-Esteem, Family Support and Online Grooming Risk Among Adolescents: The Role of Problematic Internet Usage 青少年的自尊、家庭支持与网络诱拐风险:有问题的互联网使用的作用
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-12-10 DOI: 10.1002/car.70007
Yahya Aktu

The online grooming risk (OGR) among adolescents has risen due to the development of technology and the growing use of social media. Although crucial links have been described among family support, self-esteem and OGR, little is known about the mechanisms problematic Internet usage has in these links. This study aims to investigate the mediating role of problematic Internet usage in the relationship among family support, self-esteem and OGR. The participants consist of a total of 406 adolescents in Türkiye, with 283 girls and 123 boys (age, mean ± standard deviation = 16.25 ± 1.68). The relationships among the variables were examined using the Pearson correlation, while mediation analyses were carried out using structural equation modelling. Correlational analyses reveal family support to be negatively associated with both OGR and problematic Internet usage. Meanwhile, family support was positively correlated with self-esteem. Similarly, a positive and statistically significant relationship was determined between OGR and problematic Internet usage. The results indicate problematic Internet usage to mediate the relationship between family support and OGR as well as the relationship between self-esteem and OGR. These results highlight the importance of paying attention to adolescents' mental health regarding problematic Internet usage by considering the protective factors of self-esteem and family support due to their close association with OGR.

由于科技的发展和社交媒体的日益普及,青少年的在线梳理风险(OGR)有所上升。虽然已经描述了家庭支持、自尊和OGR之间的关键联系,但对有问题的互联网使用在这些联系中的机制知之甚少。本研究旨在探讨问题性网络使用在家庭支持、自尊与家庭自尊关系中的中介作用。参与者共包括 rkiye青少年406人,其中女孩283人,男孩123人(年龄,平均值±标准差= 16.25±1.68)。变量之间的关系使用Pearson相关性进行检验,而中介分析使用结构方程模型进行。相关分析显示,家庭支持与OGR和有问题的互联网使用均呈负相关。同时,家庭支持与自尊正相关。同样,在OGR和有问题的互联网使用之间确定了正的和统计上显著的关系。研究结果表明,网络使用问题在家庭支持和自尊之间起中介作用。这些结果强调了关注青少年网络使用问题的心理健康的重要性,考虑自尊和家庭支持的保护因素,因为自尊和家庭支持与网络使用密切相关。
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引用次数: 0
Frequency of Child Abuse Before, During and After Confinement by COVID-19: A Multicentre Cross-Sectional Study in Bogotá 2019冠状病毒病在分娩前、期间和之后虐待儿童的频率:波哥大多中心横断面研究<e:1>
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-12-10 DOI: 10.1002/car.70010
Maria Camila Zuloaga-Sarmiento, Juan Jose Nofal-Ladino, Maria Alejandra Palacios-Ariza, Johana Benavides-Cruz, Maria Esperanza Duran, German Darío Briceño

Child abuse represents a significant global issue with profound short- and long-term social consequences. The COVID-19 pandemic exacerbated risk factors associated with child abuse, particularly during confinement periods. This study aimed to assess the frequency of child abuse in three health institutions in Bogotá from 2019 to 2021, encompassing the pre-pandemic, social isolation and social reopening phases. A cross-sectional analysis was conducted involving patients under 18 years diagnosed with child abuse through the ‘Buen Trato’ program at Clinica Colsanitas S.A. The study calculated the overall frequency of abuse across different periods and utilized descriptive statistics to characterize the cases. A total of 294 cases were identified, with a median age of 9.3 years; 60.9% were female, and 42.5% were adolescents. Sexual abuse emerged as the most prevalent form of abuse, primarily perpetrated by parents. The overall confirmed child abuse frequency was 47.6%, with a notable rise in cases during the pandemic: pre-pandemic (confirmed/reported: 104/207; 50.2%), social isolation (144/302; 47.7%) and social reopening (46/109; 42.2%). Interestingly, during the social isolation period, there was a decline in reported suspected abuse cases in health institutions, likely due to access barriers created by confinement measures.

虐待儿童是一个重大的全球性问题,具有深远的短期和长期社会影响。COVID-19 大流行加剧了与虐待儿童相关的风险因素,尤其是在禁闭期间。本研究旨在评估2019年至2021年波哥大三家医疗机构中虐待儿童的频率,包括大流行前、社会隔离和社会重新开放阶段。研究对通过Colsanitas S.A.诊所的 "Buen Trato "项目确诊为虐待儿童的18岁以下患者进行了横断面分析,计算了不同时期虐待儿童的总体频率,并利用描述性统计对病例进行了特征描述。共发现 294 个案例,中位年龄为 9.3 岁;60.9% 为女性,42.5% 为青少年。性虐待是最普遍的虐待形式,主要由父母实施。经证实的虐待儿童事件的总体发生率为 47.6%,在大流行期间,虐待儿童事件明显增加:大流行前(经证实/报告:104/207;50.2%)、社会隔离期(144/302;47.7%)和社会重新开放期(46/109;42.2%)。有趣的是,在社会隔离期间,医疗机构报告的疑似虐待病例有所减少,这可能是由于禁闭措施造成的出入障碍。
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引用次数: 0
What Is the Outcome When Schools Report Concern for a Child to the Norwegian Child Welfare and Protection Services? 当学校向挪威儿童福利和保护服务机构报告对儿童的关注时,结果如何?
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-12-10 DOI: 10.1002/car.70009
Svein Arild Vis, Camilla Lauritzen

School teachers are a professional group that are responsible for a large proportion of reports concerning suspected child abuse and neglect. This study looks at which concerns are more often reported by schools and if these reports are more likely substantiated when the school is the reporter. The study was designed as a retrospective case-file study (N = 883). Results show that concerns about the child being exposed to physical abuse were notably more frequent in reports from schools compared to other reporters and were more often substantiated when the reports came from schools as opposed to other reporting agencies. The odds for substantiation of abuse were 6.4 times higher if an abuse concern had been raised in the report compared to when it had not. This effect was not significantly mediated by the school being the reporter. School reports contain to a lesser extent concern about risk factors within the family and local environment. This is not necessarily a shortcoming on behalf of schools but may represent conditions that a teacher has less knowledge of and that constitute a ‘blind spot’ for employees in the education sector. The child welfare service must take this into account when assessing school reports.

学校教师是一个专业群体,他们负责处理大部分有关疑似虐待和忽视儿童的报告。本研究探讨了哪些问题更常由学校报告,以及当学校是报告人时,这些报告是否更有可能得到证实。本研究是一项回顾性个案研究(N = 883)。结果表明,与其他报告机构相比,学校报告中对儿童遭受身体虐待的担忧明显更频繁,而且学校报告比其他报告机构报告更容易得到证实。如果报告中曾提出虐待问题,则证实虐待的几率是未提出虐待问题的 6.4 倍。学校作为报告人对这一影响的中介作用并不明显。学校报告对家庭和当地环境中风险因素的关注程度较低。这不一定是学校的缺点,但可能代表了教师不太了解的情况,也是教育部门员工的 "盲点"。儿童福利服务机构在评估学校报告时必须考虑到这一点。
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引用次数: 0
The Sexual Exploitation of Children in the Care of the Irish State—Professionals' Perspectives 爱尔兰政府对儿童的性剥削——专业人士的观点
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-12-10 DOI: 10.1002/car.70013
Mary Canning, Marie Keenan, Ruth Breslin

Drawing on interviews with key stakeholders who have diverse experience of working with children in Ireland, this article highlights that children in residential care are being targeted for sexual exploitation in an organised manner, by networks or gangs of predatory men. The study found that current staffing challenges in the care environment are making it difficult for children to develop trusting relationships to feel sufficiently comfortable to disclose their experiences of sexual exploitation and seek help. It also found that some professionals saw children who were sexually exploited in residential care as ‘problematic’ or even at times inadvertently blamed them for their own exploitation. It further found that the risk of sexual exploitation for children is increased when care staff lack the skills and language to identify, speak about and respond to reports of sexual exploitation. Although there is some evidence of children in families being sexually exploited, a particular context for targeting children for sexual exploitation, that of being in state care, is clearly highlighted in this paper and aligns with evidence from other jurisdictions. The findings suggest a need for a national policy on the protection of children in care from sexual exploitation that would not only prioritise the issue but would trigger increased training and education of social carers, social workers and the Irish police force on the complexities underpinning sexual exploitation so that they are better equipped to protect children in care.

本文通过对爱尔兰儿童工作经验丰富的主要利益相关者的访谈,强调了寄宿照料机构中的儿童正成为有组织的性剥削目标,这些性剥削目标是由掠夺性男性组成的网络或团伙。研究发现,目前照料环境中人员配置方面的挑战使得儿童难以建立信任关系,从而无法自如地披露其遭受性剥削的经历并寻求帮助。研究还发现,一些专业人员将寄宿照料环境中遭受性剥削的儿童视为 "有问题 "的儿童,甚至有时不经意地将自己遭受性剥削的责任归咎于这些儿童。调查还发现,如果保育人员缺乏识别、谈论和应对性剥削报告的技能和语言,儿童遭受性剥削的风险就会增加。虽然有一些证据表明家庭中的儿童受到了性剥削,但本文明确强调了针对儿童性剥削的特殊背景,即国家照料的背景,并与其他司法管辖区的证据相一致。研究结果表明,有必要制定一项关于保护受照料儿童免受性剥削的国家政策,该政策不仅要将这一问题列为优先事项,而且要加强对社会照料者、社会工作者和爱尔兰警察部队的培训和教育,使他们了解性剥削背后的复杂性,从而更好地保护受照料儿童。
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引用次数: 0
Gender-Based Violence in Children's SportBy Gretchen Kerr, London: Routledge, 2023. 170 pp. £125.00 (hardcover), ISBN: 9780367473662 《儿童运动中的性别暴力》,格雷琴·克尔著,伦敦:劳特利奇出版社,2023年。170页,125.00英镑(精装),ISBN: 9780367473662
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-12-10 DOI: 10.1002/car.70011
Sivakumar Iyyanar, Sree Govind Bharatvaraj
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引用次数: 0
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Child Abuse Review
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