Pub Date : 2024-10-24DOI: 10.1016/j.chiabu.2024.107091
Jiao Xue , Hai Huang , Chunyan Zhou , Wenting Feng , Yanwei Ge , Yue Hu
Background
Adverse childhood experiences (ACEs) are widespread in East Asia, heightening the susceptibility to psychological and behavioral complications in adulthood.
Objective
To identify polyvictimization patterns among Chinese college students and investigate the associations between diverse patterns and symptoms of depression, short-form video addiction (SVA), and life satisfaction.
Participants and setting
This study encompassed 13,307 college students from four urban centers in China (Mage = 20.2; 46.4 % female).
Methods
Latent class analysis (LCA) was employed to discern patterns of ACEs among college students. The three-step method (R3step) was utilized to explore the influence of demographic characteristics on the distribution of latent classes. Additionally, the automatic Bolck-Croon-Hagenaars (BCH) Method was deployed to investigate the latent classes effect on distal outcomes.
Results
Left-behind experience was the most common ACE among Chinese college students. Four ACEs patterns were identified: 1) No/Very Low ACEs class (N = 8936, 67.2 %); 2) Parental Absence class (N = 430, 3.2 %); 3) Low/Moderate ACEs class (N = 3565, 26.8 %); and 4) High Violence and Left-behind class (N = 376, 2.8 %). The findings revealed a progressive escalation in healthy outcomes associated with the four ACEs patterns. Specifically, from the first class to the fourth, the severity of associated consequences (depression, life satisfaction and SVA) intensified.
Conclusions
Distinct ACEs patterns correlate with varying degrees of mental health issues. Compared to participants solely separated from parents, those exposed to abuse and neglect demonstrate more pronounced mental health challenges and addiction susceptibilities.
{"title":"Patterns of adverse childhood experiences and their associations with depression, life satisfaction and short-form video addiction in Chinese college students","authors":"Jiao Xue , Hai Huang , Chunyan Zhou , Wenting Feng , Yanwei Ge , Yue Hu","doi":"10.1016/j.chiabu.2024.107091","DOIUrl":"10.1016/j.chiabu.2024.107091","url":null,"abstract":"<div><h3>Background</h3><div>Adverse childhood experiences (ACEs) are widespread in East Asia, heightening the susceptibility to psychological and behavioral complications in adulthood.</div></div><div><h3>Objective</h3><div>To identify polyvictimization patterns among Chinese college students and investigate the associations between diverse patterns and symptoms of depression, short-form video addiction (SVA), and life satisfaction.</div></div><div><h3>Participants and setting</h3><div>This study encompassed 13,307 college students from four urban centers in China (M<sub>age</sub> = 20.2; 46.4 % female).</div></div><div><h3>Methods</h3><div>Latent class analysis (LCA) was employed to discern patterns of ACEs among college students. The three-step method (R3step) was utilized to explore the influence of demographic characteristics on the distribution of latent classes. Additionally, the automatic Bolck-Croon-Hagenaars (BCH) Method was deployed to investigate the latent classes effect on distal outcomes.</div></div><div><h3>Results</h3><div>Left-behind experience was the most common ACE among Chinese college students. Four ACEs patterns were identified: 1) No/Very Low ACEs class (N = 8936, 67.2 %); 2) Parental Absence class (N = 430, 3.2 %); 3) Low/Moderate ACEs class (N = 3565, 26.8 %); and 4) High Violence and Left-behind class (N = 376, 2.8 %). The findings revealed a progressive escalation in healthy outcomes associated with the four ACEs patterns. Specifically, from the first class to the fourth, the severity of associated consequences (depression, life satisfaction and SVA) intensified.</div></div><div><h3>Conclusions</h3><div>Distinct ACEs patterns correlate with varying degrees of mental health issues. Compared to participants solely separated from parents, those exposed to abuse and neglect demonstrate more pronounced mental health challenges and addiction susceptibilities.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-24DOI: 10.1016/j.chiabu.2024.107072
Esther M. van Duin , Vionna M.W. Tsang , Eva Verlinden , Guy A.M. Widdershoven , Sonja N. Brilleslijper-Kater , Arnoud P. Verhoeff , Ramon J.L. Lindauer
Background
The Amsterdam Sexual Abuse Case (ASAC) presented parents with a dilemma about disclosing preverbal sexual abuse to their child. Advising parents was challenging due to limited knowledge about the consequences of preverbal child sexual abuse (CSA) and the rarity of children having no conscious awareness of their experience. To enhance recommendations and knowledge, we explored parents' experiences over the years.
Objective
This unique qualitative study introduced “parental disclosure”, where non-offending parents disclose CSA to their child, and investigated the decision-making process spanning a decade after the ASAC discovery.
Methods
Longitudinal qualitative data were collected through yearly interviews.
Participants and setting
In total, 41 parents participated for 47 children. An additional in-depth interview was conducted with 20 parents in 2015.
Results
Quantitative data highlighted that over 10 years, parents of more than half of the children disclosed the preverbal CSA. Our analyses revealed that parental disclosure decisions entail dilemmas and unfold as a gradual process. Factors influencing decision-making included fear of stigma, child's emotional readiness, perceived benefits and risks, parental beliefs, values, and CSA circumstances.
Conclusion
This study underscores the complex nature of parental disclosure and shows that it is an ongoing process rather than a singular event. Parents' choices evolved based on changing circumstances and new information. Outcomes enrich the understanding of parental disclosure decision-making, highlighting the need for tailored support services to aid parents navigating the aftermath of preverbal CSA. Parental disclosure is highly individualized and calls for evidence-based interventions and policies.
{"title":"Breaking the silence: Do I tell my child about their sexual abuse history? Longitudinal analysis of parental decision-making regarding disclosure of preverbal sexual abuse by parents to their child: A qualitative study","authors":"Esther M. van Duin , Vionna M.W. Tsang , Eva Verlinden , Guy A.M. Widdershoven , Sonja N. Brilleslijper-Kater , Arnoud P. Verhoeff , Ramon J.L. Lindauer","doi":"10.1016/j.chiabu.2024.107072","DOIUrl":"10.1016/j.chiabu.2024.107072","url":null,"abstract":"<div><h3>Background</h3><div>The Amsterdam Sexual Abuse Case (ASAC) presented parents with a dilemma about disclosing preverbal sexual abuse to their child. Advising parents was challenging due to limited knowledge about the consequences of preverbal child sexual abuse (CSA) and the rarity of children having no conscious awareness of their experience. To enhance recommendations and knowledge, we explored parents' experiences over the years.</div></div><div><h3>Objective</h3><div>This unique qualitative study introduced “parental disclosure”, where non-offending parents disclose CSA to their child, and investigated the decision-making process spanning a decade after the ASAC discovery.</div></div><div><h3>Methods</h3><div>Longitudinal qualitative data were collected through yearly interviews.</div></div><div><h3>Participants and setting</h3><div>In total, 41 parents participated for 47 children. An additional in-depth interview was conducted with 20 parents in 2015.</div></div><div><h3>Results</h3><div>Quantitative data highlighted that over 10 years, parents of more than half of the children disclosed the preverbal CSA. Our analyses revealed that parental disclosure decisions entail dilemmas and unfold as a gradual process. Factors influencing decision-making included fear of stigma, child's emotional readiness, perceived benefits and risks, parental beliefs, values, and CSA circumstances.</div></div><div><h3>Conclusion</h3><div>This study underscores the complex nature of parental disclosure and shows that it is an ongoing process rather than a singular event. Parents' choices evolved based on changing circumstances and new information. Outcomes enrich the understanding of parental disclosure decision-making, highlighting the need for tailored support services to aid parents navigating the aftermath of preverbal CSA. Parental disclosure is highly individualized and calls for evidence-based interventions and policies.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-23DOI: 10.1016/j.chiabu.2024.106907
Carmit Katz , Ma'ayan Jacobson , Gal Friedman-Hauser , Michal Aviad , Ilil Levin , Noga Tsur
Background
Recent armed conflicts around the world have highlighted that child abduction and hostage-taking are pervasive, and of high concern for child rights, child development, and well-being. Little research exists on child hostages in specific conflict contexts.
Objective
This study was designed to examine child hostage stories conveyed by the Israeli children who were released from captivity in Gaza, post the October 7, 2023, Hamas-led attack on Israel. Child hostage stories, as published in Israeli media, were based on recorded interviews with the children.
Participants and setting
Fifty-seven child interviews were identified, based on 18 children and youth who were aged 8 to 18. The child interviews in the media were in Hebrew.
Methods
Child interviews were gathered from popular Israeli news channels, which were manually searched using systematic keywords. A search was also conducted through Google and YouTube. All of the included recorded interviews with the released child hostages were analyzed qualitatively, using inductive thematic analysis.
Results
Three main themes were generated: 1) the event of being kidnapped from Israel, with three sub-themes, including the kidnapping experience, atrocities witnessed, and entering the territory of Gaza; 2) the story of captivity, with four sub-themes including experiencing harsh environmental conditions, emotional abuse, medical neglect, physical and sexual abuse; and 3) the release from captivity, including experiencing the release, being put into a media show, separating from other hostages, experiencing fear during the exiting, and experiencing disbelief about their freedom.
Conclusions
The Israeli children held captive by Hamas in 2023 endured horrific experiences. Researching these children's experiences through their own words is essential for validating their stories, bearing witness, and deepening our current understanding of the trauma and the violation of these children's rights. This study acknowledges the limitations in its methodology, while also demonstrating the viability of collecting children's testimonies from the media when done ethically. This research advocates for future studies to examine children held captive in such contexts around the globe, and urges the implementation of children's rights paradigm and trauma-informed policy and practice in supporting these children.
{"title":"“No one wants you back, you will stay here forever”: Exploring the story of the Israeli children who were held in captivity by Hamas","authors":"Carmit Katz , Ma'ayan Jacobson , Gal Friedman-Hauser , Michal Aviad , Ilil Levin , Noga Tsur","doi":"10.1016/j.chiabu.2024.106907","DOIUrl":"10.1016/j.chiabu.2024.106907","url":null,"abstract":"<div><h3>Background</h3><div>Recent armed conflicts around the world have highlighted that child abduction and hostage-taking are pervasive, and of high concern for child rights, child development, and well-being. Little research exists on child hostages in specific conflict contexts.</div></div><div><h3>Objective</h3><div>This study was designed to examine child hostage stories conveyed by the Israeli children who were released from captivity in Gaza, post the October 7, 2023, Hamas-led attack on Israel. Child hostage stories, as published in Israeli media, were based on recorded interviews with the children.</div></div><div><h3>Participants and setting</h3><div>Fifty-seven child interviews were identified, based on 18 children and youth who were aged 8 to 18. The child interviews in the media were in Hebrew.</div></div><div><h3>Methods</h3><div>Child interviews were gathered from popular Israeli news channels, which were manually searched using systematic keywords. A search was also conducted through Google and YouTube. All of the included recorded interviews with the released child hostages were analyzed qualitatively, using inductive thematic analysis.</div></div><div><h3>Results</h3><div>Three main themes were generated: 1) the event of being kidnapped from Israel, with three sub-themes, including the kidnapping experience, atrocities witnessed, and entering the territory of Gaza; 2) the story of captivity, with four sub-themes including experiencing harsh environmental conditions, emotional abuse, medical neglect, physical and sexual abuse; and 3) the release from captivity, including experiencing the release, being put into a media show, separating from other hostages, experiencing fear during the exiting, and experiencing disbelief about their freedom.</div></div><div><h3>Conclusions</h3><div>The Israeli children held captive by Hamas in 2023 endured horrific experiences. Researching these children's experiences through their own words is essential for validating their stories, bearing witness, and deepening our current understanding of the trauma and the violation of these children's rights. This study acknowledges the limitations in its methodology, while also demonstrating the viability of collecting children's testimonies from the media when done ethically. This research advocates for future studies to examine children held captive in such contexts around the globe, and urges the implementation of children's rights paradigm and trauma-informed policy and practice in supporting these children.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.chiabu.2024.107086
Ryan Baldwin , Susan Baidawi , Christine Grove , Tina Lam , Rowan P. Ogeil , Ziad Nehme , Agatha Faulkner , Naomi Beard , Dan I. Lubman , Debbie Scott
Background
Children in out-of-home-care (OOHC) are a vulnerable population, typically with complex needs, however there is minimal research examining the behavioural presentations that lead to the increased use of acute emergency care by OOHC children.
Objective
This study aimed to describe differences in lifetime complexity factors identified during ambulance attendances between children with and without an identified history of OOHC. Further, this study aimed to describe whether having an identified history of being in OOHC was associated with increased utilisation of emergency care resources and increased likelihood of multiple ambulance attendances.
Method
Electronic patient care records from ambulance attendances during the period January 2017 and June 2023 for 27,565 children 0–17 years in Victoria, Australia were examined.
Results
Children with an identified history of OOHC had a substantially higher co-occurrence of substance-related harms, violence, self-harm, suicide ideation and attempts, a developmental or intellectual disability and mental health conditions compared with children where there was no identified OOHC history. As hypothesised, logistic regression found, after controlling for all complexity factors, an identified history of OOHC increased likelihood of multiple ambulance attendances (OR = 2.65; 95 % CI: 2.17–3.24, p < .001).
Conclusions
The findings suggest children within OOHC have increasingly complex comorbidities, and this may be associated with increased emergency care utilisation. Development of tailored support to these multiple and complex needs is necessary to help reduce repeated emergency care responses for this at-risk population.
背景:家庭外护理(OOHC)儿童是一个弱势群体,通常具有复杂的需求,然而,对导致家庭外护理儿童更多地使用急性急诊护理的行为表现的研究却很少:本研究旨在描述在救护车就诊过程中发现的有和无OOHC病史儿童的终生复杂性因素的差异。此外,该研究还旨在描述有明确的OOHC病史是否与急诊资源利用率的增加以及多次乘坐救护车的可能性增加有关:对澳大利亚维多利亚州27565名0-17岁儿童在2017年1月至2023年6月期间的救护车就诊电子病人护理记录进行了研究:结果:与未发现有OOHC病史的儿童相比,发现有OOHC病史的儿童同时出现药物相关伤害、暴力、自残、自杀意念和自杀未遂、发育或智力障碍以及精神健康状况的几率要高得多。正如假设的那样,逻辑回归发现,在控制了所有复杂因素后,已确定的OOHC病史会增加儿童多次乘坐救护车的可能性(OR = 2.65; 95 % CI: 2.17-3.24, p 结论:OOHC病史会增加儿童多次乘坐救护车的可能性(OR = 2.65; 95 % CI: 2.17-3.24, p 结论:OOHC病史会增加儿童多次乘坐救护车的可能性:研究结果表明,OOHC 患儿的合并症越来越复杂,这可能与急诊护理使用率增加有关。有必要针对这些多重和复杂的需求提供量身定制的支持,以帮助减少这一高风险人群反复使用急诊护理的情况。
{"title":"Differences in ambulance attendances between children with and without an identified history of out-of-home-care","authors":"Ryan Baldwin , Susan Baidawi , Christine Grove , Tina Lam , Rowan P. Ogeil , Ziad Nehme , Agatha Faulkner , Naomi Beard , Dan I. Lubman , Debbie Scott","doi":"10.1016/j.chiabu.2024.107086","DOIUrl":"10.1016/j.chiabu.2024.107086","url":null,"abstract":"<div><h3>Background</h3><div>Children in out-of-home-care (OOHC) are a vulnerable population, typically with complex needs, however there is minimal research examining the behavioural presentations that lead to the increased use of acute emergency care by OOHC children.</div></div><div><h3>Objective</h3><div>This study aimed to describe differences in lifetime complexity factors identified during ambulance attendances between children with and without an identified history of OOHC. Further, this study aimed to describe whether having an identified history of being in OOHC was associated with increased utilisation of emergency care resources and increased likelihood of multiple ambulance attendances.</div></div><div><h3>Method</h3><div>Electronic patient care records from ambulance attendances during the period January 2017 and June 2023 for 27,565 children 0–17 years in Victoria, Australia were examined.</div></div><div><h3>Results</h3><div>Children with an identified history of OOHC had a substantially higher co-occurrence of substance-related harms, violence, self-harm, suicide ideation and attempts, a developmental or intellectual disability and mental health conditions compared with children where there was no identified OOHC history. As hypothesised, logistic regression found, after controlling for all complexity factors, an identified history of OOHC increased likelihood of multiple ambulance attendances (<em>OR</em> = 2.65; 95 % CI: 2.17–3.24, <em>p</em> < .001).</div></div><div><h3>Conclusions</h3><div>The findings suggest children within OOHC have increasingly complex comorbidities, and this may be associated with increased emergency care utilisation. Development of tailored support to these multiple and complex needs is necessary to help reduce repeated emergency care responses for this at-risk population.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.chiabu.2024.107089
Catrin Johansson , Kourosh Bador , Kandra Kmety , Emilia Johansson , Maivor Olsson-Tall , Maria Råstam , Nóra Kerekes
Background
The detrimental impacts of adverse childhood experiences (ACEs) on health have been extensively studied, mainly focusing on the effects of ACEs on adults. However, there is a dearth of studies exploring their influences on adolescents.
Objective
This study aims to investigate the associations between ACEs and psychological distress among Swedish adolescents.
Participants and setting
At the end of 2020, 1561 Swedish adolescents (15–19-years-old) participated in an electronic survey. The survey encompassed questions about alcohol and drug use problems within the students' families, questions about the students' experiences of physical and psychological abuse, and the administration of the Brief Symptom Inventory to assess their mental health.
Methods
Descriptive and comparative non-parametric statistics were applied.
Results
Nearly half of the study population reported experiencing one or more ACEs. Exposure to any ACE was significantly associated with a higher level of psychological distress. Of the ACEs examined, the experience of psychological abuse was the most substantial risk factor for psychological distress (with medium effect sizes of ε2 between 0.07 and 0.12 on each domain and a large effect size of ε2 = 0.14 on the General Severity Index scale). There was a positive correlation (r = 0.36) between the number of ACEs experienced and worsened mental health.
Conclusions
The significant impacts of any ACE, the cumulative number of ACEs, and, particularly, psychological abuse on adolescent mental health are discussed. To further enhance the understanding of these associations and identify effective interventions to prevent and mitigate the negative impact of ACEs on mental health, additional research is warranted.
{"title":"Associations between adverse childhood experiences and psychological distress among Swedish upper secondary school students","authors":"Catrin Johansson , Kourosh Bador , Kandra Kmety , Emilia Johansson , Maivor Olsson-Tall , Maria Råstam , Nóra Kerekes","doi":"10.1016/j.chiabu.2024.107089","DOIUrl":"10.1016/j.chiabu.2024.107089","url":null,"abstract":"<div><h3>Background</h3><div>The detrimental impacts of adverse childhood experiences (ACEs) on health have been extensively studied, mainly focusing on the effects of ACEs on adults. However, there is a dearth of studies exploring their influences on adolescents.</div></div><div><h3>Objective</h3><div>This study aims to investigate the associations between ACEs and psychological distress among Swedish adolescents.</div></div><div><h3>Participants and setting</h3><div>At the end of 2020, 1561 Swedish adolescents (15–19-years-old) participated in an electronic survey. The survey encompassed questions about alcohol and drug use problems within the students' families, questions about the students' experiences of physical and psychological abuse, and the administration of the Brief Symptom Inventory to assess their mental health.</div></div><div><h3>Methods</h3><div>Descriptive and comparative non-parametric statistics were applied.</div></div><div><h3>Results</h3><div>Nearly half of the study population reported experiencing one or more ACEs. Exposure to any ACE was significantly associated with a higher level of psychological distress. Of the ACEs examined, the experience of psychological abuse was the most substantial risk factor for psychological distress (with medium effect sizes of ε<sup>2</sup> between 0.07 and 0.12 on each domain and a large effect size of ε<sup>2</sup> = 0.14 on the General Severity Index scale). There was a positive correlation (<em>r</em> = 0.36) between the number of ACEs experienced and worsened mental health.</div></div><div><h3>Conclusions</h3><div>The significant impacts of any ACE, the cumulative number of ACEs, and, particularly, psychological abuse on adolescent mental health are discussed. To further enhance the understanding of these associations and identify effective interventions to prevent and mitigate the negative impact of ACEs on mental health, additional research is warranted.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.chiabu.2024.107097
Swarnamala Kantipudi , Montakarn Chuemchit
Background and objective
Child sexual abuse is a point of contention around the world. Protecting children from sexual abuse and ensuring primary prevention approaches has been a predominant task for LMICs. The research objective is to evaluate the effectiveness of the “teach to say-NO” blended theory-based CSA prevention program by measuring knowledge and attitudes and analyzing the feasibility and acceptability of the intervention among primary school teachers in a school environment.
Participants and setting
In total, 146 primary schoolteachers from 27 public schools in Phnom Penh, Cambodia were employed. and 29 teachers were employed for the qualitative study.
Method
The study was designed as a mixed-method study, consisting of a quasi-experimental study and a qualitative case study. The “teach to say-NO” program was delivered to intervention schoolteachers for 4 weeks. Both groups completed knowledge and attitude questionnaires at baseline, first, and second follow-up. The qualitative study was evaluated through in-depth face-to-face interviews conducted to analyze the feasibility and acceptability of intervention.
Results
Study participants had poor knowledge on CSA and at baseline the knowledge (t = 0.72, d = 0.131) and attitude (t = −0.069, d = −0.011) scores between the intervention and comparison groups were the same. After the intervention participants demonstrated a significant improvement (p < 0.05) within and between groups. The feasibility and acceptability of the intervention “teach to say-NO” themes were coded into three main areas: interest of participation, challenging factors, and benefits.
Conclusion
These findings suggest the presence of knowledge gaps concerning child sexual abuse among teachers, thus highlighting the imperative for training in this field to enhance teachers' knowledge on CSA prevention.
{"title":"Teach to say “NO” – A mixed methods evaluation of a child sexual abuse prevention training for primary school teachers in Phnom Penh, Cambodia","authors":"Swarnamala Kantipudi , Montakarn Chuemchit","doi":"10.1016/j.chiabu.2024.107097","DOIUrl":"10.1016/j.chiabu.2024.107097","url":null,"abstract":"<div><h3>Background and objective</h3><div>Child sexual abuse is a point of contention around the world. Protecting children from sexual abuse and ensuring primary prevention approaches has been a predominant task for LMICs. The research objective is to evaluate the effectiveness of the “<em>teach to say</em>-NO” blended theory-based CSA prevention program by measuring knowledge and attitudes and analyzing the feasibility and acceptability of the intervention among primary school teachers in a school environment.</div></div><div><h3>Participants and setting</h3><div>In total, 146 primary schoolteachers from 27 public schools in Phnom Penh, Cambodia were employed. and 29 teachers were employed for the qualitative study.</div></div><div><h3>Method</h3><div>The study was designed as a mixed-method study, consisting of a quasi-experimental study and a qualitative case study. The “<em>teach to say-NO</em>” program was delivered to intervention schoolteachers for 4 weeks. Both groups completed knowledge and attitude questionnaires at baseline, first, and second follow-up. The qualitative study was evaluated through in-depth face-to-face interviews conducted to analyze the feasibility and acceptability of intervention.</div></div><div><h3>Results</h3><div>Study participants had poor knowledge on CSA and at baseline the knowledge (t = 0.72, d = 0.131) and attitude (t = −0.069, d = −0.011) scores between the intervention and comparison groups were the same. After the intervention participants demonstrated a significant improvement (p < 0.05) within and between groups. The feasibility and acceptability of the intervention “teach to say-NO” themes were coded into three main areas: interest of participation, challenging factors, and benefits.</div></div><div><h3>Conclusion</h3><div>These findings suggest the presence of knowledge gaps concerning child sexual abuse among teachers, thus highlighting the imperative for training in this field to enhance teachers' knowledge on CSA prevention.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.chiabu.2024.107101
Amani Kasherwa , Elizabeth Fernandez , Caroline Lenette
Background
Refugee-background children face increased risks of Adverse Childhood Experiences (ACEs). However, their access to support services continues to pose significant challenges. A need exists to understand how families and child welfare services respond to ACEs to inform the design of culturally responsive interventions.
Purpose
Based on a broader qualitative study with parents and practitioners, this article shares the findings on the tensions and challenges of addressing ACEs in African-background refugee families in New South Wales (NSW), Australia.
Methodology
The research employed a qualitative micro-ethnographic approach. The first author interviewed 12 parents and 12 clinical practitioners and conducted two focus group discussions with African community leaders: the first with six and the second with five participants. Transcripts were analysed using reflexive thematic analysis.
Results
Three central themes reflected the tensions and challenges associated with responding to ACEs: reliance on informal support, the “messy” child protection services, and gaps in the child protection system. Parents responded to ACEs through various cultural and spiritual practices and by allocating most family resources to the needs of the children directly affected by ACEs. This came at the expense of resources available for the victim's siblings, who were also experiencing ACEs directly or vicariously. Professional responses were reactive, and the experiences taking place before resettlement were overlooked. Interactions between parents and child welfare services were particularly adversarial in the case of child removal from the family.
Conclusion
Refugee-background families face unique challenges in accessing services, but they also have capacities that can be harnessed in collaborative interventions addressing ACEs. Culturally responsive and trauma-informed support models may assist in improving interventions addressing ACEs.
{"title":"“This is not why we brought our children here!”: Tensions and challenges in responding to Adverse Childhood Experiences in African-background refugee families","authors":"Amani Kasherwa , Elizabeth Fernandez , Caroline Lenette","doi":"10.1016/j.chiabu.2024.107101","DOIUrl":"10.1016/j.chiabu.2024.107101","url":null,"abstract":"<div><h3>Background</h3><div>Refugee-background children face increased risks of Adverse Childhood Experiences (ACEs). However, their access to support services continues to pose significant challenges. A need exists to understand how families and child welfare services respond to ACEs to inform the design of culturally responsive interventions.</div></div><div><h3>Purpose</h3><div>Based on a broader qualitative study with parents and practitioners, this article shares the findings on the tensions and challenges of addressing ACEs in African-background refugee families in New South Wales (NSW), Australia.</div></div><div><h3>Methodology</h3><div>The research employed a qualitative micro-ethnographic approach. The first author interviewed 12 parents and 12 clinical practitioners and conducted two focus group discussions with African community leaders: the first with six and the second with five participants. Transcripts were analysed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Three central themes reflected the tensions and challenges associated with responding to ACEs: reliance on informal support, the “messy” child protection services, and gaps in the child protection system. Parents responded to ACEs through various cultural and spiritual practices and by allocating most family resources to the needs of the children directly affected by ACEs. This came at the expense of resources available for the victim's siblings, who were also experiencing ACEs directly or vicariously. Professional responses were reactive, and the experiences taking place before resettlement were overlooked. Interactions between parents and child welfare services were particularly adversarial in the case of child removal from the family.</div></div><div><h3>Conclusion</h3><div>Refugee-background families face unique challenges in accessing services, but they also have capacities that can be harnessed in collaborative interventions addressing ACEs. Culturally responsive and trauma-informed support models may assist in improving interventions addressing ACEs.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-21DOI: 10.1016/j.chiabu.2024.107092
Joy Lynn E. Shelton , Barbara L. Knox , James E. Hardie , Taylor E. Burd , Tia A. Hoffer , Kristen E. Slater
Background
Torture has traditionally been described in the context of politically motivated abuse. Torture of children in the familial context is a less studied phenomenon, with scholarly articles focused on legal or medical viewpoints. Analysis from a frontline professional's perspective is virtually nonexistent in the literature.
Objective
The present study seeks to identify the common features of child torture and assist law enforcement, medical, and child protection agencies in earlier identification and inform more effective investigative and intervention strategies.
Participants and setting
A convenience sampling method was used to identify and collect cases involving severe child maltreatment consistent with torture. The sample included 42 offenders and 35 victims, representing 20 households.
Methods
Researchers reviewed and extracted data from law enforcement case files, to include investigative, medical, and child protective services (CPS) reports, as well as recorded law enforcement interviews of offenders/witnesses and child forensic interviews. Descriptive and frequency statistics were generated.
Results
Offenders were often female (57 %), most commonly biological mothers (38 %), with a history of violence (57 %). Prior CPS reports were noted in 85 % of cases, less than half of which were substantiated. In over half of the cases (55 %), law enforcement discovered digital documentation of the torture. Over half (54 %) of the victims died as a result of the torture.
Conclusions
This study demonstrated how CT is a distinct form of child maltreatment that is especially severe and pervasive. Recognition, assessment and documentation of the unique constellation of physical and psychological abuse are key to an efficient intervention.
{"title":"Child torture as a form of child abuse: An exploratory study of investigative aspects among 42 offenders","authors":"Joy Lynn E. Shelton , Barbara L. Knox , James E. Hardie , Taylor E. Burd , Tia A. Hoffer , Kristen E. Slater","doi":"10.1016/j.chiabu.2024.107092","DOIUrl":"10.1016/j.chiabu.2024.107092","url":null,"abstract":"<div><h3>Background</h3><div>Torture has traditionally been described in the context of politically motivated abuse. Torture of children in the familial context is a less studied phenomenon, with scholarly articles focused on legal or medical viewpoints. Analysis from a frontline professional's perspective is virtually nonexistent in the literature.</div></div><div><h3>Objective</h3><div>The present study seeks to identify the common features of child torture and assist law enforcement, medical, and child protection agencies in earlier identification and inform more effective investigative and intervention strategies.</div></div><div><h3>Participants and setting</h3><div>A convenience sampling method was used to identify and collect cases involving severe child maltreatment consistent with torture. The sample included 42 offenders and 35 victims, representing 20 households.</div></div><div><h3>Methods</h3><div>Researchers reviewed and extracted data from law enforcement case files, to include investigative, medical, and child protective services (CPS) reports, as well as recorded law enforcement interviews of offenders/witnesses and child forensic interviews. Descriptive and frequency statistics were generated.</div></div><div><h3>Results</h3><div>Offenders were often female (57 %), most commonly biological mothers (38 %), with a history of violence (57 %). Prior CPS reports were noted in 85 % of cases, less than half of which were substantiated. In over half of the cases (55 %), law enforcement discovered digital documentation of the torture. Over half (54 %) of the victims died as a result of the torture.</div></div><div><h3>Conclusions</h3><div>This study demonstrated how CT is a distinct form of child maltreatment that is especially severe and pervasive. Recognition, assessment and documentation of the unique constellation of physical and psychological abuse are key to an efficient intervention.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-21DOI: 10.1016/j.chiabu.2024.107090
Abayomi T. Olarinmoye , Obioma C. Uchendu
Background
Child maltreatment is an action that endangers a child's health or survival and is often committed by individuals in positions of responsibility, trust, or power. The extent of maltreatment among secondary school students in developing countries, including Nigeria, requires further exploration, and evaluating this burden can inform preventive interventions.
Objective
The study aimed to evaluate the prevalence, pattern and factors associated with maltreatment at home among secondary school students in Ibadan North LGA, Oyo State, Nigeria.
Participants and setting
A cross-sectional study including 422 students in secondary school was conducted in randomly selected secondary schools in Ibadan North LGA, Nigeria using a multistage-sampling procedure to select students.
Methods
The study used a pre-tested, semi-structured, questionnaire administered by the interviewer, incorporating questions on sociodemographic and the child home version of the ISPCAN Child Abuse Screening Tool (ICAST-CH). Data analysis involved descriptive statistics and the Chi-square test, done by setting the significance level at 5 %.
Results
Respondents had a mean age of 13.9 ± 1.8 years, with 52.1 % being female and 69.5 % living with their parents. More than a quarter (26.8 %) of the respondents experienced all forms of maltreatment, with emotional and physical maltreatment rates at 85.3 % and 81.8 %, respectively, and neglect and sexual maltreatment at 47.4 % and 55.9 %. Age, school type, Parental education, and living arrangements were significantly associated with experience of all forms of maltreatment.
Conclusions
All child maltreatment forms were significantly present among the students. Measures like engaging parents/guardians through parenting programs and sensitization efforts are crucial in reducing the occurrence of maltreatment.
{"title":"Prevalence and pattern of child maltreatment at home among secondary school students in Ibadan North Local Government, Oyo State, Nigeria","authors":"Abayomi T. Olarinmoye , Obioma C. Uchendu","doi":"10.1016/j.chiabu.2024.107090","DOIUrl":"10.1016/j.chiabu.2024.107090","url":null,"abstract":"<div><h3>Background</h3><div>Child maltreatment is an action that endangers a child's health or survival and is often committed by individuals in positions of responsibility, trust, or power. The extent of maltreatment among secondary school students in developing countries, including Nigeria, requires further exploration, and evaluating this burden can inform preventive interventions.</div></div><div><h3>Objective</h3><div>The study aimed to evaluate the prevalence, pattern and factors associated with maltreatment at home among secondary school students in Ibadan North LGA, Oyo State, Nigeria.</div></div><div><h3>Participants and setting</h3><div>A cross-sectional study including 422 students in secondary school was conducted in randomly selected secondary schools in Ibadan North LGA, Nigeria using a multistage-sampling procedure to select students.</div></div><div><h3>Methods</h3><div>The study used a pre-tested, semi-structured, questionnaire administered by the interviewer, incorporating questions on sociodemographic and the child home version of the ISPCAN Child Abuse Screening Tool (ICAST-CH). Data analysis involved descriptive statistics and the Chi-square test, done by setting the significance level at 5 %.</div></div><div><h3>Results</h3><div>Respondents had a mean age of 13.9 ± 1.8 years, with 52.1 % being female and 69.5 % living with their parents. More than a quarter (26.8 %) of the respondents experienced all forms of maltreatment, with emotional and physical maltreatment rates at 85.3 % and 81.8 %, respectively, and neglect and sexual maltreatment at 47.4 % and 55.9 %. Age, school type, Parental education, and living arrangements were significantly associated with experience of all forms of maltreatment.</div></div><div><h3>Conclusions</h3><div>All child maltreatment forms were significantly present among the students. Measures like engaging parents/guardians through parenting programs and sensitization efforts are crucial in reducing the occurrence of maltreatment.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}