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Child Sexual Abuse in Pakistan: A Phenomenological Study on Parental Understanding and Prevention Strategies for Child Protection 巴基斯坦的儿童性虐待问题:关于父母对儿童保护的理解和预防策略的现象学研究
IF 1.9 4区 心理学 Q2 Medicine Pub Date : 2023-12-10 DOI: 10.1080/10538712.2023.2293115
Muhammad Ammad Khan, Erass Kamal, Rukham Nasir, Samana Batool, Inbisat Faisal
Child Sexual Abuse (CSA) is widespread and pervasive in Pakistan, presenting a significant threat to a child’s physical health, psychological well-being, and overall development. This study aimed t...
儿童性虐待 (CSA) 在巴基斯坦普遍存在,对儿童的身体健康、心理健康和全面发展构成严重威胁。这项研究的目的是...
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引用次数: 0
Acknowledgement 鸣谢
IF 1.9 4区 心理学 Q2 Medicine Pub Date : 2023-12-10 DOI: 10.1080/10538712.2023.2274718
Published in Journal of Child Sexual Abuse (Ahead of Print, 2023)
发表于《儿童性虐待期刊》(2023 年提前出版)
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引用次数: 0
Exploring the Role of Prior Sexual Abuse in the Commercial Sexual Exploitation of Boys and Young Men. 探讨先前性侵犯在男童和青年男子商业性剥削中的作用。
IF 1.9 4区 心理学 Q2 Medicine Pub Date : 2023-09-01 DOI: 10.1080/10538712.2023.2249878
Amanda Connella, Colby Valentine, Sandra Stone, Joan A Reid

Although there has been a large body of research conducted on girl and young women victims of commercial sexual exploitation, boy and young men victims do not receive the same attention. The scant research that exists demonstrates mixed findings on the prevalence of boys and young men as victims of commercial sexual exploitation. For example, some studies find they are not as likely to be victims and others find they are victimized equally, or in some cases, potentially even more so than girls and young women, depending on location. ECPAT published a study in 2013 that revealed a lack of awareness and misclassification of boys as victims and the lack of services available to help them. The purpose of this study is to replicate the ECPAT study and determine what changes might have occurred over the past decade. We consulted with key individuals involved in serving boys and young men and conducted a survey of anti-trafficking service agencies to gather current information on the boys/young men being referred to them for care, the dynamics of their victimization, their most pressing needs, the services/programs being offered, and gaps in service in their respective locations. Among other relevant findings, one commonality among the boys and young men served by the responding agencies was a history of sexual abuse. Findings inform service providers and contribute to advocacy efforts and policy recommendations at the local, state, and federal levels.

虽然对商业性剥削的女孩和年轻妇女受害者进行了大量研究,但男孩和年轻男子受害者没有得到同样的关注。现有的少量研究表明,男孩和年轻男子普遍成为商业性剥削的受害者,结果好坏参半。例如,一些研究发现,他们不太可能成为受害者,而另一些研究发现,他们受到的伤害同样严重,或者在某些情况下,可能比女孩和年轻妇女更严重,这取决于地点。ECPAT在2013年发表了一项研究,揭示了对男孩受害者缺乏认识和错误分类,以及缺乏可用的服务来帮助他们。本研究的目的是复制ECPAT的研究,并确定在过去十年中可能发生了什么变化。我们咨询了为男孩和年轻人提供服务的主要人士,并对反贩运服务机构进行了调查,以收集有关转介给他们的男孩/年轻人的最新信息,他们受害的动态,他们最迫切的需求,所提供的服务/项目,以及各自地区服务的差距。在其他相关调查结果中,回应机构服务的男孩和年轻男子的一个共同点是有性虐待史。调查结果为服务提供者提供信息,并有助于地方、州和联邦各级的宣传工作和政策建议。
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引用次数: 0
Stop the Silence: Thriving After Child Sexual Abuse 停止沉默:儿童性虐待后的繁荣
IF 1.9 4区 心理学 Q2 Medicine Pub Date : 2023-07-12 DOI: 10.1080/10538712.2023.2234356
Carly Bartick
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引用次数: 0
Development of a Brief Psychological Trauma Intervention for Child Sexual Abuse in India. 印度儿童性虐待心理创伤干预的发展。
IF 1.9 4区 心理学 Q2 Medicine Pub Date : 2023-07-01 Epub Date: 2023-08-28 DOI: 10.1080/10538712.2023.2249873
Vandana Choudhary, Sujata Satapathy, Rajesh Sagar

Despite the alarming increase in incidences of child sexual abuse (CSA) in India, intervention research remains preliminary and generic. Although Cognitive Behavior Therapy (CBT) has been found to be consistently effective in addressing the adverse consequences of CSA, none of the cultural adaptations of CBT have been evidenced in India so far. Hence, the present study was conceived to develop a CSA-focused brief CBT intervention for children between 7 and 13 years of age. Intervention development progressed through four steps: 1) a systematic review of literature; 2) a qualitative study, including focused group discussions, conducted with 19 mental health professionals; 3) development of the intervention; 4) expert evaluation and finalization. We developed the intervention with three key elements: restoring the child's functioning, assisting the child in processing, and managing trauma effectively and initiating the process of growth. The intervention predominantly followed the CBT framework while integrating culturally specified techniques. The intervention contains 8 modules and 18 sub-modules structured around three phases of intervention. The intervention is spread across a minimum of 6 required sessions and a maximum of 12 session held twice weekly for approximately 90-120 min duration. A list of 35 activities corresponding to each phase and sub-module of the present intervention has been designed as an intervention workbook. In conclusion, the newly developed intervention is a manualised, culturally competent, psychological intervention developed within the CBT framework for children aged 7-13 years with experience of CSA. The next phases include piloting intervention for feasibility.

尽管印度儿童性虐待(CSA)的发生率惊人地增加,但干预研究仍然是初步的和通用的。尽管认知行为疗法(CBT)已被发现在解决CSA的不良后果方面始终有效,但迄今为止,印度尚未证明CBT的文化适应。因此,本研究旨在为7至13岁的儿童开发一种以CSA为重点的简短CBT干预 年龄。干预发展通过四个步骤进行:1)对文献进行系统综述;2) 与19名心理健康专业人员进行的一项定性研究,包括重点小组讨论;3) 制定干预措施;4) 专家评估和定稿。我们制定的干预措施有三个关键要素:恢复儿童的功能,帮助儿童处理创伤,有效管理创伤并启动成长过程。干预主要遵循CBT框架,同时结合文化特定的技术。干预包括8个模块和18个子模块,围绕干预的三个阶段构建。干预措施分为至少6个所需疗程和最多12个疗程,每周两次,持续时间约为90-120 最小持续时间。与本干预措施的每个阶段和子模块相对应的35项活动清单已被设计为干预工作簿。总之,新开发的干预措施是在CBT框架内为7-13岁儿童开发的一种手动的、具有文化能力的心理干预措施 多年CSA工作经验。下一阶段包括可行性试验干预。
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引用次数: 0
The Lived Experiences of Female Relatives of Child Sexual Abuse Material (CSAM) Offenders in Ireland and the United Kingdom. 爱尔兰和联合王国儿童性虐待材料罪犯女性亲属的生活经历。
IF 1.9 4区 心理学 Q2 Medicine Pub Date : 2023-07-01 Epub Date: 2023-12-14 DOI: 10.1080/10538712.2023.2274888
Elaine Kavanagh, Elaine Kinsella, Patrick Ryan

There is a limited understanding about how an association with those that download Child Sexual Abuse Material (CSAM), a highly stigmatized crime, impacts the lives of their innocent family members. Non-offending family members are often considered a valuable protective resource for offender desistance and in safeguarding children from abuse. Therefore, the present study aimed to explore the lived experiences of female family members of CSAM offenders in Ireland and the United Kingdom to both identify and target areas for intervention thus ameliorating their ability to protect. A qualitative research design was adopted, and data analyzed via reflexive thematic analysis. Fifteen individuals self-selected for participation and interviews resulted in the identification of three key themes: Shattered Worldview, The Injured Self; Contamination by Association. The analysis highlighted how non-offending family members experienced considerable shame, trauma, and stigma with consequences that reached into every aspect of their lives. The findings are discussed in the context of the limited available literature along with research implications and recommendations for both policy and practice.

对于与下载儿童性虐待材料(CSAM)的人的联系如何影响他们无辜家庭成员的生活,人们的了解有限。非犯罪家庭成员通常被认为是一种宝贵的保护资源,有助于阻止犯罪和保护儿童免受虐待。因此,本研究旨在探索爱尔兰和英国CSAM罪犯女性家庭成员的生活经历,以确定并针对干预领域,从而提高她们的保护能力。采用定性研究设计,通过反身主题分析对数据进行分析。15名自我选择参加和访谈的人确定了三个关键主题:破碎的世界观、受伤的自我;协会污染。该分析强调了非犯罪家庭成员如何经历相当大的羞耻感、创伤和耻辱感,其后果影响到他们生活的方方面面。这些发现是在有限的可用文献的背景下进行讨论的,以及对政策和实践的研究意义和建议。
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引用次数: 0
How Do Survivor and Mandatory Reporter Status Correlate with Program Outcomes for an Adult-Focused Child Sexual Abuse Prevention Program? 一个以成人为中心的儿童性虐待预防项目的幸存者和强制报告者地位与项目结果如何相关?
IF 1.9 4区 心理学 Q2 Medicine Pub Date : 2023-07-01 Epub Date: 2023-12-14 DOI: 10.1080/10538712.2023.2277325
Jeffrey L Todahl, Simone Piper, Robyn E Metcalfe, Stephanie C Luther, Phyllis D Barkhurst, Keavy Cook, Mary Ratliff, Jeff M Gau

This exploratory study investigated group differences and pre-post changes in knowledge, beliefs, and behavior by mandatory reporters and Child Sexual Abuse (CSA) survivor status for a CSA prevention training designed for the general public. Of the 8,114 study participants, 32% identified as having experienced CSA, and 77% indicated they were mandatory reporters for child abuse and neglect. Mandatory reporters had higher baseline knowledge about CSA than those who were not mandatory reporters and reported more CSA preventative behaviors. Mandatory reporters continued to have higher levels of knowledge following the training. Survivors of CSA also had higher baseline knowledge about CSA and preventative behavior scores than individuals who are not survivors of CSA. Unlike mandatory reporters, they experienced fewer increases in knowledge. At posttest, there was no evidence of a difference in knowledge between CSA survivors and non-CSA survivors. For items related to beliefs, mandatory reporters had higher baseline scores than other participants. However, they had smaller gains, so mandatory reporters and non-mandatory reporters had more similar beliefs related to CSA after the training. There were few differences between CSA survivors and non-survivors on baseline beliefs related to CSA, though CSA survivors reported greater increases in beliefs that CSA prevention is their responsibility and in the idea that they know what to do to prevent CSA. These results have significant results for the development and evaluation of trauma-informed prevention programming.

本探索性研究调查了强制性报告者在知识、信念和行为方面的群体差异和职前变化,以及儿童性虐待(CSA)预防培训的幸存者状态。在8114名研究参与者中,32%的人认为自己经历过CSA, 77%的人表示他们是虐待和忽视儿童的强制性记者。强制性报告者对CSA的基线知识高于非强制性报告者,并报告了更多的CSA预防行为。强制性记者在培训后继续拥有更高的知识水平。与非CSA幸存者相比,CSA幸存者对CSA的基线知识和预防行为得分也更高。与强制记者不同,他们的知识增长较少。在后测中,没有证据表明CSA幸存者和非CSA幸存者之间的知识有差异。对于与信念相关的项目,强制性记者的基线得分高于其他参与者。然而,他们的收益较小,因此强制性记者和非强制性记者在培训后对CSA的相关信念更相似。CSA幸存者和非幸存者在CSA相关的基线信念上几乎没有差异,尽管CSA幸存者报告的CSA预防是他们的责任的信念和他们知道如何预防CSA的想法增加了。这些结果对创伤知情预防规划的制定和评估具有重要意义。
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引用次数: 0
Utilizing Insights on Shame to Enhance Empathy and Support for CSA Survivors in Clinical Practice. 在临床实践中利用羞耻的见解来增强对CSA幸存者的同情和支持。
IF 1.9 4区 心理学 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1080/10538712.2023.2214809
Lien-Chung Wei

Childhood sexual abuse (CSA) survivors often experience long-lasting shame, which can significantly impede their healing process and overall well-being. This letter to the editor, written by psychiatrist LienChung Wei, discusses the valuable insights gained from the article, "The Legacy of Shame following Childhood Sexual Abuse Disclosures." By better understanding the dynamics of shame and its relationship with CSA, mental health professionals can provide more empathetic and effective care to their patients who have experienced such trauma. The letter emphasizes the importance of creating a supportive and safe environment for patients to disclose their experiences and overcome the barriers that shame creates in their journey toward recovery. By applying these insights in clinical practice, mental health professionals can facilitate the healing process for CSA survivors and improve their overall well-being.

儿童期性虐待(CSA)幸存者通常会经历长期的羞耻,这可能会严重阻碍他们的康复过程和整体幸福感。这封写给编辑的信是由精神病学家魏连忠(LienChung Wei)撰写的,讨论了从文章《儿童性虐待曝光后的耻辱遗产》中获得的宝贵见解。通过更好地了解羞耻的动态及其与CSA的关系,心理健康专业人员可以为经历过这种创伤的患者提供更多同理心和有效的护理。这封信强调了为患者创造一个支持性和安全的环境的重要性,让他们能够公开自己的经历,并克服羞耻在他们走向康复的过程中造成的障碍。通过将这些见解应用于临床实践,心理健康专业人员可以促进CSA幸存者的康复过程,并提高他们的整体幸福感。
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引用次数: 0
Do You See What I See? Emotion Recognition Competencies in Sexually Abused School-Aged Children and Non-Abused Children. 你看到我看到的了吗?性虐待学龄儿童和非性虐待儿童的情绪识别能力。
IF 1.9 4区 心理学 Q2 Medicine Pub Date : 2023-07-01 Epub Date: 2023-08-06 DOI: 10.1080/10538712.2023.2243926
Justine Caouette, Louise Cossette, Martine Hébert

Child sexual abuse (CSA) is a worldwide phenomenon that has been linked to deleterious consequences. Adverse life events, such as sexual abuse, can compromise the development of emotional competencies, an important dimension of children's psychosocial development. This study aimed at evaluating emotion recognition competencies in sexually abused and non-abused children. The sample consisted of 97 sexually abused children (65 girls) and 78 non-abused children (56 girls) aged between 6 and 12 years. They were recruited in specialized intervention centers and elementary schools from the Montreal area. Recognition of joy, anger, fear, sadness, and neutral expressions was assessed using the Developmental Emotional Faces Stimulus Set (DEFSS; Meuwissen et al., 2017). Results of an ANCOVA revealed that the total scores of emotion recognition were significantly lower for victims of SA (M = 18.12, SE = 0.33) relative to non-abused children (M = 19.36, SE = 0.37), F(1,170) = 5.70, p < .05. Analyses performed on specific expressions yielded lower scores for the recognition of anger, F(1, 170) = 6.12, p = .014, partial η2 = .03, and joy, F(1, 170) = 8.04, p =.005, partial η2 = .04. Our findings highlight the importance of assessing emotion recognition competencies to improve intervention programs provided to sexually abused children and prevent the development of severe psychosocial problems.

儿童性虐待(CSA)是一种与有害后果有关的世界性现象。不良的生活事件,如性虐待,会影响情绪能力的发展,这是儿童心理社会发展的一个重要方面。本研究旨在评估性虐待和非性虐待儿童的情绪识别能力。样本包括97名6至12岁的性虐待儿童(65名女孩)和78名未受虐待儿童(56名女孩) 年。他们被蒙特利尔地区的专门干预中心和小学招募。使用发展性情绪面孔刺激集(DEFSS;Meuwissen等人,2017)评估对喜悦、愤怒、恐惧、悲伤和中性表情的识别。ANCOVA的结果显示SA患者的情绪识别总分显著较低(M = 18.12,SE = 0.33)相对于未受虐待的儿童(M = 19.36,SE = 0.37),F(1170) = 5.70,p F(1170) = 6.12,p = .014,偏η2 = .03和joy,F(1170) = 8.04,p=.005,部分η2 = .04.我们的研究结果强调了评估情绪识别能力的重要性,以改进为性虐待儿童提供的干预计划,并防止严重的心理社会问题的发展。
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引用次数: 0
Knowledge Gains from the Implementation of a Child Sexual Abuse Prevention Program and the Future of School-Based Prevention Education. 从实施儿童性虐待预防计划中获得的知识和学校预防教育的未来。
IF 1.9 4区 心理学 Q2 Medicine Pub Date : 2023-07-01 Epub Date: 2023-11-03 DOI: 10.1080/10538712.2023.2268618
Kate Guastaferro, Stacey L Shipe, Christian M Connell, Jacqueline L Holloway, Mary L Pulido, Jennie G Noll

School-based child sexual abuse (CSA) programs effectively increase students' CSA-related knowledge. This study focuses on an implementation trial of Safe Touches, an empirically supported, school-based CSA prevention program, that was disrupted by the COVID-19 pandemic. We sought to demonstrate gains in CSA-related knowledge following Safe Touches but were limited to a pre-post design. A total of 2,210 students across five counties in a Mid-Atlantic state received the Safe Touches workshop between September 2019 and March 2020. McNemar's chi-square test was used to assess changes in the proportion of correct responses pre-workshop (Time 1) and one-week post-workshop (Time 2). Students' CSA-related knowledge increased significantly based on changes in mean CSA knowledge scores and the number of correct item-level responses assessed at Time 1 and Time 2 (p < .000). Leveraging the experience of the facilitators' who delivered these workshops prior to the disruption of implementation, we gathered facilitators' perspectives to explore the viability of offering Safe Touches virtually. In July 2020, 16 facilitators completed an electronic survey designed to understand the viability of a virtual Safe Touches workshop. Three themes emerged from facilitator feedback on virtual programming: student engagement concerns, handling disclosures, and technology access to a virtual program. The findings of this study indicate that the Safe Touches workshop significantly increased CSA-related knowledge and, overall, facilitators supported further exploration and development of a virtual Safe Touches workshop. The transition of empirically supported school-based CSA prevention programs to a virtual delivery modality is necessary to maintain an effective means of primary prevention and opportunity for disclosure.

基于学校的儿童性虐待(CSA)项目有效地增加了学生的CSA相关知识。这项研究的重点是安全触摸的实施试验,这是一项经验支持的、以学校为基础的CSA预防计划,受到新冠肺炎大流行的干扰。我们试图证明安全触摸后CSA相关知识的进步,但仅限于后期设计。2019年9月至2020年3月,大西洋中部一个州的五个县共有2210名学生参加了安全触摸研讨会。McNemar卡方检验用于评估研讨会前(时间1)和研讨会后一周(时间2)正确回答比例的变化。根据平均CSA知识得分的变化以及在时间1和时间2评估的正确项目水平回答的数量,学生的CSA相关知识显著增加(p 虚拟安全触摸。2020年7月,16名主持人完成了一项电子调查,旨在了解虚拟安全触摸研讨会的可行性。辅导员对虚拟程序的反馈中出现了三个主题:学生参与问题、处理披露和虚拟程序的技术访问。这项研究的结果表明,安全触摸研讨会显著增加了CSA相关知识,总体而言,主持人支持进一步探索和开发虚拟安全触摸研讨会。有必要将经验支持的基于学校的CSA预防计划转变为虚拟交付模式,以保持有效的初级预防手段和披露机会。
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引用次数: 0
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Journal of Child Sexual Abuse
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