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Patterns of adverse childhood experiences and their associations with depression, life satisfaction and short-form video addiction in Chinese college students 中国大学生的童年不良经历模式及其与抑郁、生活满意度和短视频成瘾的关系。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-24 DOI: 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.
背景:不良童年经历(ACE不良童年经历(ACEs)在东亚地区非常普遍,会增加成年后心理和行为并发症的易感性:目标:确定中国大学生的多重受害模式,并调查不同模式与抑郁症状、短片成瘾(SVA)和生活满意度之间的关联:本研究涵盖了来自中国四个城市中心的 13,307 名大学生(年龄 = 20.2;女性占 46.4%):方法:采用潜类分析法(LCA)分析大学生的ACE模式。采用三步法(R3step)探讨人口统计学特征对潜类分布的影响。此外,还采用了自动博尔克-克罗恩-哈根纳斯(BCH)方法来研究潜类对远端结果的影响:结果:留守经历是中国大学生最常见的 ACE。研究发现了四种 ACE 模式:1)无/极低 ACEs 等级(N = 8936,67.2%);2)父母缺席等级(N = 430,3.2%);3)低/中等 ACEs 等级(N = 3565,26.8%);4)高暴力和留守等级(N = 376,2.8%)。研究结果显示,与四种 ACEs 模式相关的健康结果呈逐步上升趋势。具体而言,从第一类到第四类,相关后果(抑郁、生活满意度和 SVA)的严重程度都在加剧:结论:不同的 ACEs 模式与不同程度的心理健康问题相关。结论:不同的 ACE 模式与不同程度的心理健康问题相关。与完全与父母分离的参与者相比,遭受虐待和忽视的参与者表现出更明显的心理健康挑战和成瘾倾向。
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引用次数: 0
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 打破沉默:我要告诉孩子他们的性虐待史吗?对父母向子女披露言语前性虐待行为的决策进行纵向分析:定性研究。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-24 DOI: 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.
背景:阿姆斯特丹性虐待案例(ASAC)让父母在向孩子披露言语前性虐待行为时进退两难。由于对言语前儿童性虐待(CSA)后果的了解有限,而且儿童对自己的经历没有自觉意识的情况非常罕见,因此向家长提供建议具有挑战性。为了增强建议和知识,我们探讨了家长多年来的经验:这项独特的定性研究引入了 "父母披露",即非犯罪父母向其子女披露 CSA,并调查了 ASAC 发现十年后的决策过程:方法:通过年度访谈收集纵向定性数据:总共有 41 位家长参加了 47 个孩子的访谈。2015年对20名家长进行了额外的深度访谈:定量数据显示,10 年来,半数以上儿童的父母披露了言语前 CSA。我们的分析表明,家长在做出披露决定时会陷入两难境地,并且是一个渐进的过程。影响决策的因素包括对污名化的恐惧、儿童的情感准备、感知到的益处和风险、父母的信仰、价值观以及 CSA 的情况:本研究强调了父母披露信息的复杂性,并表明这是一个持续的过程,而不是一个单一的事件。父母的选择是根据不断变化的环境和新信息而演变的。研究结果丰富了人们对父母披露信息决策的理解,强调了为父母提供量身定制的支持服务的必要性,以帮助他们度过言语犯罪前的后遗症。父母的披露是高度个性化的,需要以证据为基础的干预措施和政策。
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引用次数: 0
Aims & Scope 目标和范围
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-23 DOI: 10.1016/S0145-2134(24)00496-4
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引用次数: 0
“No one wants you back, you will stay here forever”: Exploring the story of the Israeli children who were held in captivity by Hamas "没有人希望你们回去,你们将永远留在这里":探索被哈马斯囚禁的以色列儿童的故事。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-23 DOI: 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.
背景:最近世界各地发生的武装冲突突出表明,绑架儿童和劫持人质的现象十分普遍,儿童权利、儿童发展和儿童福祉也备受关注。关于特定冲突背景下的儿童人质问题的研究很少:本研究旨在探讨 2023 年 10 月 7 日哈马斯领导的对以色列的袭击发生后,从加沙获释的以色列儿童所讲述的儿童人质事件。以色列媒体发表的儿童人质事件是根据对这些儿童的采访录音编写的:根据对 18 名 8 至 18 岁儿童和青少年的采访,确定了 57 个儿童采访对象。媒体对儿童的采访均使用希伯来语:方法:从以色列的热门新闻频道收集儿童访谈,并使用系统关键字进行人工搜索。还通过谷歌和 YouTube 进行了搜索。采用归纳式主题分析法,对所有收录的获释儿童人质采访录音进行了定性分析:产生了三大主题1)从以色列被绑架的事件,包含三个次主题,包括绑架经历、目睹暴行和进入加沙领土;2)被囚禁的故事,包含四个次主题,包括经历恶劣的环境条件、情感虐待、医疗疏忽、身体虐待和性虐待;3)从囚禁中获释,包括经历获释、被媒体报道、与其他人质分离、在离开时经历恐惧以及对自由的难以置信:2023 年被哈马斯囚禁的以色列儿童经历了可怕的经历。通过这些儿童自己的语言来研究他们的经历,对于证实他们的故事、见证和加深我们目前对这些儿童的创伤和权利受到侵犯的理解至关重要。本研究承认其方法的局限性,同时也证明了在符合道德规范的情况下从媒体收集儿童证词的可行性。本研究提倡今后开展研究,以审查全球各地在这种情况下被囚禁的儿童,并敦促在支持这些儿童时实施儿童权利范例和以创伤为基础的政策与实践。
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引用次数: 0
Differences in ambulance attendances between children with and without an identified history of out-of-home-care 有和没有家庭外护理史的儿童之间的救护车就诊率差异。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-22 DOI: 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 ,&nbsp;Susan Baidawi ,&nbsp;Christine Grove ,&nbsp;Tina Lam ,&nbsp;Rowan P. Ogeil ,&nbsp;Ziad Nehme ,&nbsp;Agatha Faulkner ,&nbsp;Naomi Beard ,&nbsp;Dan I. Lubman ,&nbsp;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> &lt; .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}
引用次数: 0
Associations between adverse childhood experiences and psychological distress among Swedish upper secondary school students 瑞典高中生童年不良经历与心理困扰之间的关系。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-22 DOI: 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.
背景:童年不良经历(ACE)对健康的不利影响已被广泛研究,主要集中在ACE对成年人的影响上。然而,有关ACE对青少年影响的研究却很少:本研究旨在调查ACE与瑞典青少年心理困扰之间的关联:2020年底,1561名瑞典青少年(15-19岁)参与了一项电子调查。调查内容包括有关学生家庭中酗酒和吸毒问题的问题、有关学生遭受身体和心理虐待经历的问题,以及评估学生心理健康的简易症状量表:方法:采用描述性统计和非参数比较统计:结果:近一半的研究对象表示曾经历过一次或多次 ACE。任何 ACE 都与较高程度的心理困扰有明显关联。在所研究的ACE中,心理虐待经历是导致心理困扰的最主要风险因素(在每个领域的ε2效应大小介于0.07和0.12之间,属于中等效应大小;在一般严重程度指数量表中,ε2 = 0.14属于较大效应大小)。经历的 ACE 数量与心理健康恶化之间存在正相关(r = 0.36):结论:本文讨论了任何 ACE、ACE 的累积次数,尤其是心理虐待对青少年心理健康的重大影响。为了进一步加深对这些关联的理解,并确定有效的干预措施来预防和减轻 ACE 对心理健康的负面影响,有必要开展更多的研究。
{"title":"Associations between adverse childhood experiences and psychological distress among Swedish upper secondary school students","authors":"Catrin Johansson ,&nbsp;Kourosh Bador ,&nbsp;Kandra Kmety ,&nbsp;Emilia Johansson ,&nbsp;Maivor Olsson-Tall ,&nbsp;Maria Råstam ,&nbsp;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}
引用次数: 0
Teach to say “NO” – A mixed methods evaluation of a child sexual abuse prevention training for primary school teachers in Phnom Penh, Cambodia 教你说 "不"--对柬埔寨金边小学教师预防儿童性虐待培训的混合方法评估。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-22 DOI: 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.
背景和目的:儿童性虐待是全世界争议的焦点。保护儿童免受性虐待并确保采用初级预防方法一直是低收入和中等收入国家的主要任务。本研究的目的是评估 "教你说不 "基于混合理论的儿童性虐待预防计划的有效性,方法是测量知识和态度,分析在学校环境中对小学教师进行干预的可行性和可接受性:共有来自柬埔寨金边 27 所公立学校的 146 名小学教师参与了这项研究,其中 29 名教师参与了定性研究:研究设计为混合方法研究,包括准实验研究和定性案例研究。向干预学校的教师提供为期 4 周的 "教你说不 "计划。两组教师分别在基线、第一次和第二次随访时填写了知识和态度问卷。定性研究通过面对面的深入访谈进行评估,以分析干预措施的可行性和可接受性:干预组和对比组的基线知识(t = 0.72,d = 0.131)和态度(t = -0.069,d = -0.011)得分相同。干预后,参与者的得分有了显著提高(p 结论:干预后,参与者的得分有了显著提高:这些研究结果表明,教师在儿童性虐待方面的知识存在缺口,因此强调了在这一领域开展培训以增强教师预防儿童性虐待知识的必要性。
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引用次数: 0
“This is not why we brought our children here!”: Tensions and challenges in responding to Adverse Childhood Experiences in African-background refugee families "这不是我们带孩子来这里的原因!":非洲裔难民家庭在应对童年不良经历时面临的矛盾和挑战。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-22 DOI: 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.
背景:有难民背景的儿童面临着更大的童年不良经历(ACEs)风险。然而,他们在获得支持服务方面仍然面临巨大挑战。目的:本文基于对家长和从业人员进行的一项更广泛的定性研究,分享了澳大利亚新南威尔士州(NSW)非洲裔难民家庭在应对ACE时所面临的紧张局势和挑战:研究采用了微观人种学定性方法。第一作者采访了 12 位家长和 12 位临床从业人员,并与非洲社区领袖进行了两次焦点小组讨论:第一次有 6 位参与者,第二次有 5 位参与者。笔录采用反思性主题分析法进行分析:三个中心主题反映了与应对 ACE 相关的紧张关系和挑战:对非正式支持的依赖、"混乱的 "儿童保护服务以及儿童保护系统中的漏洞。家长们通过各种文化和精神习俗来应对 ACE,并将大部分家庭资源用于满足直接受 ACE 影响的儿童的需求。这就牺牲了为受害者兄弟姐妹提供的资源,因为他们也直接或间接地经历了 ACE。专业应对措施是被动的,在重新安置之前的经历被忽视了。在将儿童带离家庭的情况下,父母与儿童福利服务机构之间的互动尤其具有对抗性:难民背景家庭在获得服务方面面临着独特的挑战,但他们也有能力,可以在解决 ACE 的合作干预中加以利用。文化敏感性和创伤知情支持模式可能有助于改善针对 ACEs 的干预措施。
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引用次数: 0
Child torture as a form of child abuse: An exploratory study of investigative aspects among 42 offenders 作为一种虐待儿童形式的儿童酷刑:对 42 名罪犯调查方面的探索性研究。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-21 DOI: 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.
背景:酷刑历来被描述为出于政治动机的虐待。在家庭环境中对儿童实施酷刑的现象研究较少,学术文章主要集中在法律或医学观点上。从一线专业人员的角度进行分析的文献几乎没有:本研究旨在确定儿童酷刑的共同特征,帮助执法、医疗和儿童保护机构更早地识别儿童酷刑,并提供更有效的调查和干预策略:本研究采用便利抽样法,以识别和收集与酷刑一致的严重虐待儿童案件。样本包括 42 名罪犯和 35 名受害者,代表 20 个家庭:研究人员审查并提取了执法案件档案中的数据,包括调查、医疗和儿童保护服务(CPS)报告,以及执法人员对犯罪者/证人的访谈记录和儿童法医访谈记录。研究生成了描述性统计和频率统计:犯罪者通常为女性(57%),最常见的是亲生母亲(38%),有暴力史(57%)。85% 的案件曾有 CPS 报告,其中不到一半得到证实。在一半以上的案件中(55%),执法部门发现了有关酷刑的数字文档。一半以上(54%)的受害者死于酷刑:这项研究表明,CT 是一种独特的儿童虐待形式,其严重性和普遍性尤为突出。识别、评估和记录身体和心理虐待的独特组合是有效干预的关键。
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引用次数: 0
Prevalence and pattern of child maltreatment at home among secondary school students in Ibadan North Local Government, Oyo State, Nigeria 尼日利亚奥约州伊巴丹北部地方政府中学生在家中虐待儿童的普遍程度和模式。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-21 DOI: 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.
背景:虐待儿童是一种危及儿童健康或生存的行为,通常由身负责任、信任或权力的个人所为。包括尼日利亚在内的发展中国家中学生受虐待的程度需要进一步探讨,对这一负担进行评估可为预防性干预措施提供依据:本研究旨在评估尼日利亚奥约州伊巴丹北部地方行政区中学生遭受家庭虐待的普遍程度、模式和相关因素:采用多阶段抽样程序在尼日利亚伊巴丹北区随机抽取的中学中对 422 名中学生进行了横断面研究:研究使用了一份预先测试过的半结构化问卷,由访谈者进行管理,其中包括社会人口学问题和 ISPCAN 儿童虐待筛查工具(ICAST-CH)的儿童家庭版问题。数据分析包括描述性统计和卡方检验,显著性水平设定为 5%:受访者的平均年龄为(13.9 ± 1.8)岁,52.1%为女性,69.5%与父母同住。超过四分之一(26.8%)的受访者遭受过各种形式的虐待,其中情感虐待和身体虐待的比例分别为 85.3% 和 81.8%,忽视虐待和性虐待的比例分别为 47.4% 和 55.9%。年龄、学校类型、父母教育程度和生活安排与所有形式的虐待经历都有显著关联:结论:所有形式的虐待儿童现象在学生中都很普遍。通过亲职教育计划和宣传活动让父母/监护人参与进来等措施对于减少虐待的发生至关重要。
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引用次数: 0
期刊
Child Abuse & Neglect
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