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“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
A latent profile analysis of social anxiety among Chinese left-behind children and adolescents: Associations with online parent-child communication and online social capital 中国留守儿童和青少年社交焦虑的潜在特征分析:与网络亲子交流和网络社会资本的关联。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-21 DOI: 10.1016/j.chiabu.2024.107102
Mingyue Zhang, Chan Zhang, Zhengyu Jiang, Yanling Liu

Background

Children and adolescents impacted by their left-behind status are more likely to suffer social anxiety. In this regard, as information and communication technology has developed, the role of online parent-child communication (OPCC) and online social capital (OSC) has become more important. However, few studies, if any, have examined the profiles of Chinese left-behind children and adolescents and their associations with OPCC and OSC.

Objective

First, to identify the profiles of social anxiety among Chinese left-behind children and adolescents by conducting latent profile analysis (LPA). Second, to determine associations between the profiles with OPCC, OSC, and three demographic factors (age, grade, and gender).

Participants and setting

A sample of 1358 left-behind children and adolescents (mean age: 13.87; range: 8–19) was recruited in southwest China.

Methods

LPA was used to analyze the sample for heterogeneity. Multinomial logistical regression analysis was adopted to assess the effectiveness of OPCC and the role of OSC.

Results

Three subgroups emerged: (1) Low social anxiety (25.7 %), (2) Moderate social anxiety (53.3 %), and (3) High social anxiety (21.0 %). Using multinomial logistical regression, results showed a higher possibility for left-behind children and adolescents with more OPCC and OSC to fall into the high social anxiety group.

Conclusions

Findings from the present study appear to contradict existing research, indicating that OPCC and OSC are negatively associated with the likelihood of falling into higher social anxiety, and it is necessary to address the importance of the quality of OPCC and the side effects of OSC in future research.
背景:受留守儿童和青少年身份的影响,他们更容易患上社交焦虑症。在这方面,随着信息和通信技术的发展,在线亲子沟通(OPCC)和在线社会资本(OSC)的作用变得越来越重要。然而,有关中国留守儿童和青少年的概况及其与网络亲子沟通(OPCC)和网络社会资本(OSC)的关系的研究却寥寥无几:首先,通过潜在特征分析(LPA)确定中国留守儿童和青少年的社交焦虑特征。其次,确定这些特征与OPCC、OSC以及三个人口统计学因素(年龄、年级和性别)之间的关联:在中国西南地区招募了 1358 名留守儿童和青少年(平均年龄:13.87 岁;范围:8-19 岁):采用 LPA 对样本进行异质性分析。方法:采用 LPA 对样本进行异质性分析,采用多项式统计回归分析评估 OPCC 的有效性和 OSC 的作用:出现了三个亚组:(1) 低度社交焦虑(25.7%),(2) 中度社交焦虑(53.3%),(3) 高度社交焦虑(21.0%)。使用多项式逻辑回归法得出的结果显示,OPCC和OSC较多的留守儿童和青少年更有可能属于高度社交焦虑组:本研究的结果似乎与现有研究相矛盾,表明OPCC和OSC与陷入较高社交焦虑的可能性呈负相关,有必要在今后的研究中探讨OPCC质量和OSC副作用的重要性。
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引用次数: 0
The Sibling Sexual Behaviour Mapping Tool (SSBMT): Supporting practitioner confidence, planning and competency when responding to sexual behaviours between siblings 兄弟姐妹性行为映射工具 (SSBMT):在应对兄弟姐妹之间的性行为时,增强从业人员的信心、计划性和能力。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-19 DOI: 10.1016/j.chiabu.2024.107080
Sophie King-Hill , Abby Gilsenan

Objectives

This paper outlines the development and initial pilot of the Sibling Sexual Behaviour Mapping Tool (SSBMT). Building on the findings of the National Project on Sibling Sexual Abuse (King-Hill, McCartan, et al., 2023) and work by Yates and Allardyce (2023), the tool was devised with the aim of supporting frontline child-protection social workers during the initial stages of working with families where sibling sexual behaviours (SSB) may be present.

Methods

This paper explores the rationale for the SSBMT design, and preliminary findings from the first phase of resource evaluation. The evaluation process comprised a small pilot with social workers across seven local authorities in the United Kingdom (UK). The pilot study sought to assess the workability and effectiveness of the SSBMT within social work practice, providing stakeholder insight prior to its launch. The study employed mixed methods to gain feedback on the SSBMT design, accessibility, ease of use and compatibility with current child protection work processes, which included training of 50 practitioners, surveys with 20 professionals and two semi-structured interviews.

Findings

The findings suggest that the SSBMT increased practitioner confidence when working with SSB, and promoted holistic, whole-family approaches in the initial stages of work with children and families affected by SSB.
目的:本文概述了 "兄弟姐妹性行为映射工具"(SSBMT)的开发和初步试用情况。该工具是在兄弟姐妹性虐待国家项目(King-Hill、McCartan 等人,2023 年)的研究成果以及 Yates 和 Allardyce(2023 年)的工作基础上设计的,目的是在与可能存在兄弟姐妹性行为(SSB)的家庭合作的初始阶段为一线儿童保护社会工作者提供支持:本文探讨了 SSBMT 的设计原理,以及第一阶段资源评估的初步结果。评估过程包括与英国(UK)七个地方当局的社会工作者进行小型试点。试点研究旨在评估 SSBMT 在社会工作实践中的可操作性和有效性,在其推出之前为利益相关者提供深入见解。该研究采用了混合方法来获取有关 SSBMT 设计、可访问性、易用性以及与当前儿童保护工作流程兼容性的反馈意见,其中包括对 50 名从业人员的培训、对 20 名专业人员的调查以及两次半结构化访谈:研究结果表明,在与受 SSB 影响的儿童和家庭开展工作的初始阶段,SSBMT 增强了从业人员在处理 SSB 问题时的信心,并促进了整体的、全家庭的方法。
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引用次数: 0
State-level structural sexism and adolescent sexual violence victimization in the US 美国州级结构性性别歧视与青少年性暴力受害情况
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-18 DOI: 10.1016/j.chiabu.2024.107096
Heeyoung Lee

Background

Adolescent sexual violence victimization is a significant public health issue in the United States. Structural sexism, a form of gender inequality at the societal level, may play a crucial role in influencing the prevalence of sexual violence victimization among adolescents.

Objective

This study aims to examine the association between state-level structural sexism and sexual violence victimization among adolescents and to explore how this relationship varies between male and female adolescents.

Participants and setting

Data was derived from a nationally representative sample of high school students in grades 9–12 across the United States who participated in the Youth Risk Behavior Surveillance System (YRBS) in 2017 and 2019.

Methods

A state-level structural sexism index was created from nine different items to reflect the multidimensional nature of structural sexism. This study employs multi-level regression analysis to investigate the impact of state-level structural sexism on three types of sexual violence victimization: sexual violence, sexual dating violence, and physical dating violence.

Results

This study revealed a significant interaction between structural sexism and gender. In states with higher levels of structural sexism, female adolescents reported increased likelihood of sexual violence (β = 0.013, p < .001), sexual dating violence (β = 0.006, p < .001), and physical dating violence (β = 0.006, p < .001) compared to males. Conversely, male adolescents in these states reported lower rates of victimization.

Conclusions

The results underscore the role of structural sexism in influencing sexual violence victimization among adolescents. Addressing structural sexism may be essential in mitigating the risk of sexual violence victimization, especially for female adolescents.
背景青少年性暴力受害是美国的一个重要公共卫生问题。结构性性别歧视是一种社会层面上的性别不平等,它可能在影响青少年性暴力受害率方面发挥着至关重要的作用。本研究旨在考察州级结构性性别歧视与青少年性暴力受害率之间的关系,并探讨这种关系在男性青少年和女性青少年之间有何不同。参与者和背景数据来源于2017年和2019年参加青少年危险行为监测系统(YRBS)的美国9-12年级高中生的全国代表性样本。方法从9个不同的项目中创建了一个州级结构性性别歧视指数,以反映结构性性别歧视的多维性。本研究采用多层次回归分析,调查州级结构性性别歧视对性暴力、性约会暴力和肢体约会暴力这三种性暴力受害情况的影响。在结构性性别歧视程度较高的州,与男性相比,女性青少年遭受性暴力(β = 0.013,p < .001)、性约会暴力(β = 0.006,p < .001)和身体约会暴力(β = 0.006,p < .001)的可能性更大。相反,这些州的男性青少年报告的受害率较低。解决结构性性别歧视问题可能对降低性暴力受害风险至关重要,尤其是对女性青少年而言。
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引用次数: 0
How do extreme weather events contribute to violence against children? 极端天气事件如何助长暴力侵害儿童行为?
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-18 DOI: 10.1016/j.chiabu.2024.107093
Simone Datzberger , Lottie Howard-Merrill , Jenny Parkes , Steven Kator Iorfa

Background

Only recently have research and policy begun to shine a light on the magnifying effects of EWEs (Extreme Weather Events) on children's exposure to violence. However, the links between EWEs and VAC (Violence against Children) remain under-theorised, poorly understood and often unacknowledged in policy and practice.

Objective

Identify, synthesize and analyse available evidence on the central characteristics and factors influencing the relationship between VAC and EWEs.

Methods

We conducted an extensive scoping review of the literature (academic and grey) to identify existing research and gaps in knowledge. Using flexible and iteratively developed search terms enabled us to identify direct violence – physical, sexual and emotional – and structural violence, rooted in inequitable and unjust systems and institutions.

Results

The relationship between VAC and EWEs is linked to gender; climate-induced mobility or immobility; child labour; and health. We found that VAC can intensify during EWEs, but the nature of this relationship is contextually specific. The relationship between VAC and EWEs is rooted in historical injustices, global systems and structures, and therefore disproportionately affects those living in poverty.

Conclusion

Studies have uncovered how increasing social, economic and emotional pressures following EWEs increase children's violence risk exposure. This may occur in their homes or in relief shelters. The violence may involve peers, or forms of hazardous labour that young people are compelled into because of the sudden need for families to rebuild or help make ends meet. More knowledge is needed to inform integrated, context-specific and culturally sensitive plans to better protect children from the consequences of EWEs.
背景:直到最近,研究和政策才开始关注极端天气事件(EWEs)对儿童遭受暴力的影响。然而,极端天气事件与针对儿童的暴力(VAC)之间的联系仍然没有得到充分的理论研究,人们对其了解甚少,在政策和实践中也往往不被承认:确定、综合并分析影响暴力侵害儿童行为与幼儿预警之间关系的核心特征和因素的现有证据:我们对文献(学术文献和灰色文献)进行了广泛的范围界定审查,以确定现有研究和知识空白。我们使用灵活、反复制定的搜索条件,确定了直接暴力--身体暴力、性暴力和情感暴力--以及植根于不公平、不公正的制度和机构的结构性暴力:结果:暴力侵害儿童行为与预警和预警系统之间的关系与性别、气候引起的流动性或不流动性、童工和健康有关。我们发现,脆弱性和适应会在预警期间加剧,但这种关系的性质因具体情况而异。脆弱性和适应与 EWE 之间的关系植根于历史上的不公正、全球体系和结构,因此对贫困人口的影响尤为严重:研究揭示了幼年外出后不断增加的社会、经济和情感压力如何增加了儿童遭受暴力侵害的风险。这可能发生在他们的家中或救济收容所。暴力可能涉及同龄人,也可能涉及年轻人因家庭突然需要重建或帮助维持生计而被迫从事的危险劳动。我们需要了解更多的知识,以便制定综合的、针对具体情况的、对文化敏感的计划,更好地保护儿童免受预警和紧急事件的影响。
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引用次数: 0
Childhood maltreatment and adult aggression: The moderating role of neurocognitive ability and substance use 童年虐待与成年后的攻击行为:神经认知能力和药物使用的调节作用
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-18 DOI: 10.1016/j.chiabu.2024.107094
Ashlee Curtis, Travis Harries, David Skvarc, Tahnee Guala, Peter G. Enticott, Peter G. Miller

Background

Achieving positive intervention outcomes for aggressive behaviour in adulthood is challenging. This difficulty is enhanced by the complex presentations of those engaging in such behaviours and the impact this has on their engagement with interventions.

Objective

This study assessed the cumulative impact of childhood maltreatment, substance use, and neurocognitive ability (working memory, cognitive flexibility, decision making, response inhibition, and cognitive control) on aggressive behaviour in adulthood.

Participants and setting

Adult participants (N = 179; 69 % female) recruited from the community, and clinical and forensic services, aged 18 to 81 (M = 40.5, SD = 15.9).

Methods

Participants completed an online Qualtrics survey and remote neurocognitive testing via Inquisit.

Results

We implemented an a priori approach, assessing three-way interactions between childhood maltreatment, substance use, neurocognitive ability, and aggression. No three-way interactions were significant. We then utilised a data-driven modelling approach, using automatic linear forward stepwise modelling to identify the most important variables for predicting aggression. Four were significant: physical maltreatment (b = 0.053, p < .001), drug use risk level (b = 0.015, p < .001), poorer response inhibition (b = 0.001, p = .016), and the interaction between poorer response inhibition and physical maltreatment (b = 0.205, p = .017).

Conclusions

Physical maltreatment in childhood, drug use risk level, and response inhibition impact significantly on adult aggression, indicating a need for early intervention for children who have experienced maltreatment. Consideration should be given to how maltreatment in childhood may impact on ability to engage with interventions as an adult, particularly response inhibition difficulties that may hinder skill implementation.
背景要对成年后的攻击性行为取得积极的干预效果具有挑战性。本研究评估了童年虐待、药物使用和神经认知能力(工作记忆、认知灵活性、决策制定、反应抑制和认知控制)对成年后攻击性行为的累积影响。方法参与者完成Qualtrics在线调查,并通过Inquisit进行远程神经认知测试。结果我们采用先验方法,评估了童年虐待、药物使用、神经认知能力和攻击行为之间的三方交互作用。三者之间的相互作用均不显著。然后,我们利用数据驱动建模法,使用自动线性逐步建模法来确定预测攻击行为的最重要变量。其中四个变量具有重要意义:身体虐待(b = 0.053,p < .001)、吸毒风险水平(b = 0.015,p < .001)、较差的反应抑制(b = 0.001,p = .016)以及较差的反应抑制与身体虐待之间的交互作用(b = 0.结论童年时期的身体虐待、吸毒风险水平和反应抑制能力对成年后的攻击行为有显著影响,表明需要对遭受虐待的儿童进行早期干预。应考虑童年时期的虐待如何影响成年后参与干预的能力,尤其是可能阻碍技能实施的反应抑制困难。
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引用次数: 0
The consequences of childhood maltreatment on dual-diagnosis psychiatric conditions and clinical outcomes in substance use disorders: A systematic review and meta-analysis 童年虐待对双重诊断精神疾病和药物使用障碍临床结果的影响:系统回顾和荟萃分析
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-16 DOI: 10.1016/j.chiabu.2024.107085
Bruna Alvim Stocchero , Leonardo Melo Rothmann , Eduardo Tavares Portolan , Thales Guimarães Lopes , Clarissa Ferraz-Rodrigues , Miguel Gomes Garcia , Joana Corrêa de Magalhães Narvaez , Rodrigo Grassi-Oliveira , Thiago Wendt Viola

Background

Evidence suggests that the phenotypic expression of substance use disorders (SUD) may be influenced by exposure to childhood maltreatment (CM).

Objective

To assess how CM could impact severity (relapse, treatment dropout, withdrawal), age of substance use onset, psychiatric dual diagnosis (depression, anxiety, PTSD, distress), and self-harm behavior/suicide attempts in adults with SUD, we performed a systematic review and meta-analyses.

Methods

We searched PubMed, Web of Science, PsycINFO, and Embase to identify articles examining the association of maltreatment (physical, sexual, or emotional abuse or neglect) before age 18 years with clinical features and course of illness SUD. Multilevel random effects models were performed. Heterogeneity was quantified using the I2 statistic. Subgroup/meta-regression analyses were employed to investigate sources of heterogeneity. Risk of bias was assessed using an adapted version of the Newcastle-Ottawa Quality Assessment Scale.

Results

Forty-five studies were included. CM was associated with all tested outcomes, such as anxiety (OR = 1.52; 95 % CI = 1.39, 1.65), depression (OR = 1.57; 95 % CI = 1.40, 1.77), PTSD (OR = 1.67; 95 % CI = 1.40, 1.99), psychological distress (OR = 1.49; 95 % CI = 1.24, 1.78), self-harm behavior and suicidal attempts (OR = 1.70; 95 % CI = 1.47, 1.96), SUD severity (OR = 1.15; 95 % CI = 1.04, 1.26), and younger age of onset use (OR = 0.76; 95 % CI = 0.69, 0.84). However, comparisons between outcomes revealed that the association was stronger for dual diagnosis symptoms/conditions than for measures of SUD severity itself. Meta-analyses for some outcomes had large statistical heterogeneity, though these were partly addressed through additional analyses. Gender, mean age of participants, polysubstance use pattern, substance of preference, and CM subtype were found to be moderators of these associations.

Conclusions

The consequences of CM on individuals with SUD are more closely linked to co-occurring psychiatric manifestations than to the severity of common clinical indicators (relapse, treatment dropout, withdrawal), and this finding has important implications.

Funding

None.

Systematic review registration

PROSPERO (CRD42021245936).
背景有证据表明,药物使用障碍(SUD)的表型表现可能会受到儿童虐待(CM)的影响。为了评估儿童虐待如何影响药物使用障碍的严重程度(复发、辍学、戒断)、药物使用的发病年龄、精神疾病的双重诊断(抑郁、焦虑、创伤后应激障碍、痛苦)以及成人药物使用障碍患者的自残行为/自杀企图,我们进行了一项系统综述和荟萃分析。方法我们检索了 PubMed、Web of Science、PsycINFO 和 Embase,以确定研究 18 岁前虐待(身体虐待、性虐待、情感虐待或忽视)与 SUD 临床特征和病程关系的文章。采用多层次随机效应模型。使用 I2 统计量对异质性进行量化。采用分组/元回归分析来研究异质性的来源。采用改编版的纽卡斯尔-渥太华质量评估量表对偏倚风险进行评估。CM与所有测试结果相关,如焦虑(OR = 1.52; 95 % CI = 1.39, 1.65)、抑郁(OR = 1.57; 95 % CI = 1.40, 1.77)、创伤后应激障碍(OR = 1.67; 95 % CI = 1.40, 1.99)、心理困扰(OR = 1.49; 95 % CI = 1.24, 1.78)、自残行为和自杀企图(OR = 1.70; 95 % CI = 1.47, 1.96)、SUD 严重程度(OR = 1.15; 95 % CI = 1.04, 1.26)和较年轻的开始使用年龄(OR = 0.76; 95 % CI = 0.69, 0.84)。然而,对不同结果进行比较后发现,双重诊断症状/条件的相关性要强于药物滥用严重程度本身的相关性。某些结果的 Meta 分析存在较大的统计异质性,但通过额外的分析,这些异质性得到了部分解决。性别、参与者的平均年龄、多种药物使用模式、偏好药物和慢性阻塞性肺病亚型被认为是这些关联的调节因素。结论慢性阻塞性肺病对患有慢性阻塞性肺病的个体造成的后果与并发精神病表现的关系比与常见临床指标(复发、治疗辍学、戒断)的严重程度的关系更为密切,这一发现具有重要的意义。
{"title":"The consequences of childhood maltreatment on dual-diagnosis psychiatric conditions and clinical outcomes in substance use disorders: A systematic review and meta-analysis","authors":"Bruna Alvim Stocchero ,&nbsp;Leonardo Melo Rothmann ,&nbsp;Eduardo Tavares Portolan ,&nbsp;Thales Guimarães Lopes ,&nbsp;Clarissa Ferraz-Rodrigues ,&nbsp;Miguel Gomes Garcia ,&nbsp;Joana Corrêa de Magalhães Narvaez ,&nbsp;Rodrigo Grassi-Oliveira ,&nbsp;Thiago Wendt Viola","doi":"10.1016/j.chiabu.2024.107085","DOIUrl":"10.1016/j.chiabu.2024.107085","url":null,"abstract":"<div><h3>Background</h3><div>Evidence suggests that the phenotypic expression of substance use disorders (SUD) may be influenced by exposure to childhood maltreatment (CM).</div></div><div><h3>Objective</h3><div>To assess how CM could impact severity (relapse, treatment dropout, withdrawal), age of substance use onset, psychiatric dual diagnosis (depression, anxiety, PTSD, distress), and self-harm behavior/suicide attempts in adults with SUD, we performed a systematic review and meta-analyses.</div></div><div><h3>Methods</h3><div>We searched PubMed, Web of Science, PsycINFO, and Embase to identify articles examining the association of maltreatment (physical, sexual, or emotional abuse or neglect) before age 18 years with clinical features and course of illness SUD. Multilevel random effects models were performed. Heterogeneity was quantified using the I<sup>2</sup> statistic. Subgroup/meta-regression analyses were employed to investigate sources of heterogeneity. Risk of bias was assessed using an adapted version of the Newcastle-Ottawa Quality Assessment Scale.</div></div><div><h3>Results</h3><div>Forty-five studies were included. CM was associated with all tested outcomes, such as anxiety (OR = 1.52; 95 % CI = 1.39, 1.65), depression (OR = 1.57; 95 % CI = 1.40, 1.77), PTSD (OR = 1.67; 95 % CI = 1.40, 1.99), psychological distress (OR = 1.49; 95 % CI = 1.24, 1.78), self-harm behavior and suicidal attempts (OR = 1.70; 95 % CI = 1.47, 1.96), SUD severity (OR = 1.15; 95 % CI = 1.04, 1.26), and younger age of onset use (OR = 0.76; 95 % CI = 0.69, 0.84). However, comparisons between outcomes revealed that the association was stronger for dual diagnosis symptoms/conditions than for measures of SUD severity itself. Meta-analyses for some outcomes had large statistical heterogeneity, though these were partly addressed through additional analyses. Gender, mean age of participants, polysubstance use pattern, substance of preference, and CM subtype were found to be moderators of these associations.</div></div><div><h3>Conclusions</h3><div>The consequences of CM on individuals with SUD are more closely linked to co-occurring psychiatric manifestations than to the severity of common clinical indicators (relapse, treatment dropout, withdrawal), and this finding has important implications.</div></div><div><h3>Funding</h3><div>None.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO (CRD42021245936).</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"158 ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441164","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
The effects of perpetrator power on the duration and number of children victimized in episodes of child sexual abuse linked to a federated youth serving organization 在与一个联合青年服务组织有关的儿童性虐待事件中,犯罪者的权力对受害儿童的持续时间和人数的影响
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-15 DOI: 10.1016/j.chiabu.2024.107012
Donald Palmer , Chloe Yi-Leen Cheung , Sarah H. Lum

Background

Qualitative research on child sexual abuse (CSA) in youth serving organizations (YSOs) indicates that powerful, high-status persons are better able to abuse children, because they have a superior capacity to obtain the acquiescence and overcome the resistance of children to their abusive advances, evade detection of their abusive behavior, and escape accountability for their detected abuse.

Objective

We conduct quantitative empirical analyses designed to confirm the presumption that powerful, high-status persons are better able to abuse children in YSOs.

Setting

We analyzed 85 episodes of CSA linked to Boys and Girls Clubs (BGCs) affiliated with the Boys and Girls Clubs of America, identified by a Hearst Connecticut reporting team.

Method

We conduct multivariate analyses that estimate the relationship between two sources of perpetrators' power and status (occupancy of a leadership position in their BGC and affiliations with other YSOs in their local BGC's community) and two public health consequences of the CSA they perpetrated (the duration of their abuse and the number of children they abused), controlling for a battery of possible confounds.

Results

Episodes of abuse perpetrated by persons who were leaders of their local BGCs victimized 1.9 more club-affiliated children than those that were perpetrated by lower-level staffers, while episodes of abuse perpetrated by persons affiliated with other YSOs in their local BGC’s community on average were 3.3 years longer and victimized 1.8 more club-affiliated children than those that were perpetrated by persons not affiliated with other YSOs.

Conclusion

YSO child safety measures, which currently focus on lower-level staffers' potential to abuse children, should be augmented to increase their focus on YSO leaders' and prominent community members' abusive potential.
背景有关青少年服务机构(YSOs)中儿童性虐待(CSA)的定量研究表明,有权势、地位高的人更有能力虐待儿童,因为他们有更强的能力获得儿童的默许并克服儿童对其施虐行为的抵制,逃避对其施虐行为的发现,以及逃避对其被发现的施虐行为的问责。我们对赫斯特康涅狄格州报告小组发现的与美国男孩女孩俱乐部下属男孩女孩俱乐部(BGCs)有关的 85 起 CSA 事件进行了分析。方法我们进行了多变量分析,估计了犯罪者的两种权力和地位来源(在其所在的 BGC 中担任领导职务以及与当地 BGC 社区中其他 YSO 的从属关系)与他们所实施的 CSA 的两种公共健康后果(虐待持续时间和受虐儿童人数)之间的关系,并对一系列可能的混杂因素进行了控制。结论目前的青少年服务组织儿童安全措施主要针对低级别工作人员虐待儿童的可能性,应加强对青少年服务组织领导者和知名社区成员虐待儿童可能性的关注。
{"title":"The effects of perpetrator power on the duration and number of children victimized in episodes of child sexual abuse linked to a federated youth serving organization","authors":"Donald Palmer ,&nbsp;Chloe Yi-Leen Cheung ,&nbsp;Sarah H. Lum","doi":"10.1016/j.chiabu.2024.107012","DOIUrl":"10.1016/j.chiabu.2024.107012","url":null,"abstract":"<div><h3>Background</h3><div>Qualitative research on child sexual abuse (CSA) in youth serving organizations (YSOs) indicates that powerful, high-status persons are better able to abuse children, because they have a superior capacity to obtain the acquiescence and overcome the resistance of children to their abusive advances, evade detection of their abusive behavior, and escape accountability for their detected abuse.</div></div><div><h3>Objective</h3><div>We conduct quantitative empirical analyses designed to confirm the presumption that powerful, high-status persons are better able to abuse children in YSOs.</div></div><div><h3>Setting</h3><div>We analyzed 85 episodes of CSA linked to Boys and Girls Clubs (BGCs) affiliated with the Boys and Girls Clubs of America, identified by a Hearst Connecticut reporting team.</div></div><div><h3>Method</h3><div>We conduct multivariate analyses that estimate the relationship between two sources of perpetrators' power and status (occupancy of a leadership position in their BGC and affiliations with other YSOs in their local BGC's community) and two public health consequences of the CSA they perpetrated (the duration of their abuse and the number of children they abused), controlling for a battery of possible confounds.</div></div><div><h3>Results</h3><div>Episodes of abuse perpetrated by persons who were leaders of their local BGCs victimized 1.9 more club-affiliated children than those that were perpetrated by lower-level staffers, while episodes of abuse perpetrated by persons affiliated with other YSOs in their local BGC’s community on average were 3.3 years longer and victimized 1.8 more club-affiliated children than those that were perpetrated by persons not affiliated with other YSOs.</div></div><div><h3>Conclusion</h3><div>YSO child safety measures, which currently focus on lower-level staffers' potential to abuse children, should be augmented to increase their focus on YSO leaders' and prominent community members' abusive potential.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"157 ","pages":"Article 107012"},"PeriodicalIF":3.4,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142438306","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
期刊
Child Abuse & Neglect
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