Child Abuse & Neglect最新文献_第5页

Child maltreatment in young adults with residential youth care background: Prevalence and post-placement trends 有青少年寄宿照料背景的年轻成年人中的儿童虐待问题：发生率和安置后的趋势

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2024-10-11 DOI: 10.1016/j.chiabu.2024.107074

Mirjam Elisabeth Åsen , Inga Schalinski , Stine Lehmann , Stian Lydersen , Timo Von Oertzen , Hanne Klæboe Greger

Background

Young adults with residential youth care (RYC) background have often endured various forms of child maltreatment, impacting education, employment, health, mortality, and quality of life. There is limited research on the onset and duration of exposure to maltreatment before placement, as well as the prevalence of maltreatment occurring after children have been placed into out-of-home care.

Objective

This study aims to investigate: (1) The sex-specific prevalence and age chronology of self-reported exposure to child maltreatment, and (2) whether the rate of these maltreatment forms differ between the year before and after first out-of-home placement by the Child Welfare Service.

Participants and setting

This study is a part of VINGO, a Norwegian nation-wide 10-year follow-up examining the health and welfare of 157 (107 females) adults with RYC background.

Methods

The Maltreatment and Abuse Chronology of Exposure Scale was administered as an online questionnaire, and mean scores and percentages of maltreatment forms were compared. Differences between groups were examined using t-tests and Pearson's Chi-Squared test.

Results

Most participants, 154 of 157 (98 %), reported at least one form of child maltreatment. Females reported higher rates of sexual abuse than males (53 % vs. 22 %, p < .001). No other sex differences were found. A majority of participants (63 %) reported decreased maltreatment rates post-placement, while 37 % had stable or increasing rates.

Conclusions

Young adults with RYC background report high child maltreatment rates. Although out-of-home care provides protection, further development and improvement of initiatives aimed at reducing the risk of revictimization is likely needed.

背景有青少年寄宿照料（RYC）背景的青少年往往遭受过各种形式的虐待，影响了他们的教育、就业、健康、死亡率和生活质量。本研究旨在调查：（1）自我报告的儿童遭受虐待的性别特异性发生率和年龄时序；（2）这些虐待形式的发生率在儿童福利局首次将儿童安置在家庭外之前一年和之后一年是否存在差异。这项研究是挪威全国范围内对157名有RYC背景的成年人（107名女性）的健康和福利情况进行的为期10年的跟踪调查。方法以在线问卷的形式实施虐待和受虐年表，并比较平均得分和虐待形式的百分比。结果 157 名参与者中有 154 人（98%）报告至少遭受过一种形式的虐待。女性报告遭受性虐待的比例高于男性（53% 对 22%，P < .001）。没有发现其他性别差异。大多数参与者（63%）报告称，安置后虐待率有所下降，37%的参与者报告称虐待率保持稳定或有所上升。尽管家庭外照料提供了保护，但仍需要进一步发展和改进旨在降低再次受害风险的措施。

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引用次数: 0

The effects of COVID-19 on the development of reported incidents of child maltreatment over time: A systematic literature review COVID-19 对儿童虐待事件报告随时间发展的影响：系统性文献综述。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2024-10-10 DOI: 10.1016/j.chiabu.2024.107071

A. Jud , E. Orban , A. Kaman , U. Ravens-Sieberer , M. Jarczok , L.Y. Li , C. Laser , B. Ondruschka , J. Zwirner , M. Hildebrand , J. Ewert , C. Jung-Sievers , S. Wiegand-Grefe , V. Clemens

Background

During the COVID-19 pandemic, the life of families all over the world changed unprecedentedly, risks and vulnerabilities for child maltreatment might have altered. While several studies and reviews look at altered reports to child protective services and other organizations in the child protection system, particularly during the first lockdown in spring 2020, there is a gap in research on trends of reported child maltreatment incidents over time.

Objective

To bridge the gap on mid- to long-term developments and trends of changes over time, we aimed at summarizing findings on monthly breakdowns of CM reports over time during the pandemic.

Methods

In systematic searches of academic literature databases, we have identified 11 articles that adhere to the inclusion criteria of monthly breakdown data from child protective services during the COVID-19 pandemic with a pre-pandemic comparison period. Three additional grey literature reports haven been identified. Both studies and reports had to be published in either English, Arabic, French, German, Portuguese, or Spanish.

Results

Notably, overall, the level of reported incidents has decreased compared to the years before the COVID-19 pandemic. Overall, no clear and reliable picture emerges in developments by different types of reporters. If the number of reports decreases overall, consequently, the overall number or responses to reports does. Some studies, however, report an altered proportion of responses that increased.

Conclusion

There is still a lot to be investigated and understood when it comes to the impact of the COVID-19 pandemic on CM. Policy-makers are called to not only invest into more research on the topic, but, first and foremost, to anticipate a potentially surging need in improved responses to a vulnerable group.

背景：在 COVID-19 大流行期间，世界各地家庭的生活发生了前所未有的变化，虐待儿童的风险和脆弱性也可能随之改变。虽然有几项研究和综述探讨了向儿童保护服务机构和儿童保护系统中的其他组织报告的变化情况，特别是在 2020 年春季第一次封锁期间，但有关儿童虐待事件报告的长期趋势的研究仍是空白：为了弥补中长期发展和变化趋势方面的空白，我们旨在总结大流行病期间每月虐待儿童事件报告的细分结果：在对学术文献数据库进行系统搜索时，我们发现了 11 篇符合纳入标准的文章，这些文章涉及 COVID-19 大流行期间儿童保护服务的月度细分数据以及大流行前的对比时期。另外还发现了三篇灰色文献报告。研究和报告都必须以英语、阿拉伯语、法语、德语、葡萄牙语或西班牙语发表：结果：值得注意的是，与 COVID-19 大流行前几年相比，报告的事件数量总体上有所下降。总体而言，不同类型报告人的发展情况并不清晰可靠。如果报告数量总体减少，那么报告的总体数量或对报告的回应也会随之减少。然而，一些研究报告称，回应的比例有所上升：关于 COVID-19 大流行对中医的影响，仍有许多问题有待调查和了解。政策制定者不仅要对这一主题进行更多的研究，而且首先要预见到在改善对这一弱势群体的应对措施方面可能会激增的需求。

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引用次数: 0

Sibling sexual abuse: What do we know? What do we need to know? Stage 1 analysis of a 2-stage scoping review. 兄弟姐妹性虐待：我们知道什么？我们需要了解什么？两阶段范围界定审查的第一阶段分析。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2024-10-09 DOI: 10.1016/j.chiabu.2024.107076

Peter Yates, Eve Mullins, Amy Adams, Stephanie Kewley

Background: Sibling sexual abuse is a common form of intra-familial sexual abuse, yet it remains under-studied and under-recognised, leaving many children unprotected and unsupported. Practitioners need rigorously conducted evidence syntheses to inform decision making in this complex practice area.

Objective: A scoping review was conducted with the broad research question: What is known about sibling sexual abuse? in order to map the research and to establish areas of knowledge and gaps requiring attention.

Method: The review followed the guidelines of Arksey and O'Malley (2005), and through searches of 11 academic databases, 3 grey literature databases, journal handsearch and Google, identified 91 empirical papers for review.

Results: While poorly and inconsistently defined, sibling sexual abuse is a common form of child sexual abuse with significant consequences for the whole family. It may involve children of any age and sex, entail the full range of sexual behaviours, and can take place in families from across the socioeconomic spectrum. Disclosure is uncommon during childhood, with multiple barriers including the nature of the caregiving environment in which sibling sexual abuse often takes place. Official records are likely to under-report the frequency and duration of the abuse.

Conclusions: There is considerable scope for further research across all aspects of sibling sexual abuse. This paper represents the most comprehensive (albeit not complete) overview of the current body of knowledge in this field to date, and presents key findings as well as a summary of practice and research recommendations.

背景：兄弟姐妹之间的性虐待是一种常见的家庭内部性虐待形式，但对这种形式的研究和认识仍然不足，导致许多儿童得不到保护和支持。从业人员需要进行严格的证据综述，为这一复杂实践领域的决策提供依据：我们针对广泛的研究问题进行了一次范围界定审查：目的：围绕广泛的研究问题：对兄弟姐妹性虐待的了解有多少？综述遵循 Arksey 和 O'Malley（2005 年）的指导原则，通过搜索 11 个学术数据库、3 个灰色文献数据库、期刊检索和谷歌，确定了 91 篇经验性论文供综述使用：兄弟姐妹性虐待是一种常见的儿童性虐待形式，对整个家庭都有重大影响，但其定义不清且不一致。它可能涉及任何年龄和性别的儿童，包含各种性行为，并可能发生在不同社会经济阶层的家庭中。童年时期的披露并不常见，存在多重障碍，其中包括兄弟姐妹性虐待通常发生在照顾环境的性质中。官方记录很可能低估了性虐待的频率和持续时间：在兄弟姐妹性虐待的各个方面都有很大的进一步研究空间。本文是迄今为止对该领域现有知识的最全面（尽管并不完整）的概述，并介绍了主要发现以及实践和研究建议摘要。

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引用次数: 0

Effect of three group interventions on psychosocial functioning in adolescents exposed to interpersonal violence in Chile: A pilot clinical trial 三种小组干预措施对智利遭受人际暴力青少年社会心理功能的影响：试点临床试验。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2024-10-08 DOI: 10.1016/j.chiabu.2024.107073

Cristóbal Guerra , Emily P. Taylor , Valeria Arredondo

Background

In Chile demand for specialist care following exposure to interpersonal violence (IPV) in youth far exceeds capacity. Group interventions may improve access to care for youth.

Objective

To evaluate the effectiveness and acceptability of two low-intensity group interventions: Trama Focused Cognitive Behavioral Therapy (TF-CBT); Interpersonal Psychotherapy (IPT); and treatment as usual, Art therapy-based support (ATBS). Outcomes measured were post-traumatic stress symptoms, depression, interpersonal functioning and affect regulation.

Participants and Setting.

Participants were 67 Chilean youth aged 13–17 years, victims of IPV on a waiting list to receive specialist individual intervention.

Methods

Using a randomised controlled trial design, participants were randomly assigned to one of the interventions. Self-report measures were completed at 5 timepoints between baseline and follow up eight weeks after intervention ended. Dropout rates and attendance were also analysed.

Results

TF-CBT showed significant decreases for PTSD (d = 0.91) and depression (d = 0.77) symptoms, sustained at follow-up with affect regulation problems also showing significant decrease from baseline (d = 0.43). IPT showed significant decreases in PTSD symptoms (d = 0.64) and affect regulation problems (d = 0.66), both sustained at follow-up. ATBS showed statistically significant decrease for PTSD (d = 0.79) and interpersonal problems (d = 0.65) but only change in PTSD was sustained at follow-up. There were no significant differences in dropout or attendance between the interventions.

Conclusion

Group interventions provide a viable and effective first-phase option for reducing psychological distress in IPV-exposed youth in high-demand contexts. Effectiveness may be further improved through the more active involvement of parents and carers.

背景：在智利，青少年遭受人际暴力（IPV）后对专科治疗的需求远远超过了医疗能力。小组干预可以改善青少年获得护理的机会：目的：评估两种低强度团体干预措施的有效性和可接受性：目的：评估两种低强度团体干预措施的有效性和可接受性：Trama 聚焦认知行为疗法 (TF-CBT)；人际心理疗法 (IPT)；常规治疗，基于艺术疗法的支持 (ATBS)。测量结果包括创伤后应激症状、抑郁、人际功能和情感调节：参与者为 67 名 13-17 岁的智利青少年，他们都是 IPV 的受害者，正在等待接受专业的个人干预：采用随机对照试验设计，参与者被随机分配到其中一种干预措施中。从基线到干预结束八周后的随访，在五个时间点完成自我报告测量。此外，还对辍学率和出勤率进行了分析：TF-CBT 显示创伤后应激障碍症状（d = 0.91）和抑郁症状（d = 0.77）显著下降，并在随访中保持不变，情感调节问题也比基线（d = 0.43）显著下降。IPT 表明创伤后应激障碍症状（d = 0.64）和情感调节问题（d = 0.66）明显减少，在随访中均保持不变。ATBS 在创伤后应激障碍症状（d = 0.79）和人际关系问题（d = 0.65）方面有明显的统计学下降，但只有创伤后应激障碍症状的变化在随访中得以持续。干预措施之间在辍学率和出勤率方面没有明显差异：小组干预为在高需求环境中减少遭受 IPV 青少年的心理困扰提供了可行且有效的第一阶段选择。通过家长和照顾者更积极的参与，干预效果可能会进一步提高。

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引用次数: 0

The parental experience and emotional response to sibling sexual abuse: When a parent's most valuable gift becomes a source of trauma. 父母对兄弟姐妹遭受性虐待的经历和情感反应：当父母最宝贵的礼物成为创伤的根源时。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2024-10-07 DOI: 10.1016/j.chiabu.2024.107079

Tova Lewin, Brandy Black, Maria Socolof, Anat Talmon

Background: Sibling sexual abuse, believed to be the most common form of sexual abuse, is a marginalized area of study. Even so, available literature largely focuses on the survivors and a gap remains in understanding the experience of the parents in these circumstances.

Objective: The study aims to examine the experience of parents who learn that sexual abuse has been perpetrated on their child(ren) by a sibling(s).

Participants and setting: The sample includes 58 participants who identify as a parent of a child who was sexually abused by a sibling, a child who sexually harmed a sibling, or both. The sample was recruited by 5WAVES, a grassroots charity that supports families experiencing sibling sexual trauma.

Methods: Participants completed a voluntary and anonymous online questionnaire which inquired on how they learned of the abuse in their family as well as how they reacted and continue to cope. The current qualitative analysis follows a reflexive thematic method and is a portion of a larger mixed-methods study.

Results: Four overarching themes were identified: (1) Parental trauma experience upon learning of sibling sexual trauma, (2) Initial and continual parental emotional responses to the trauma, (3) Breakdown of the ideal family and (4) Parental attempts at coping.

Conclusions: These results recognize the unique trauma experienced by parents where sibling sexual abuse occurred in their family. It acknowledges the crucial need for clinicians, professionals, family and friends to support parents during this time in order that they can best support their children and family.

背景：兄妹性虐待被认为是最常见的性虐待形式，但却是一个边缘化的研究领域。即便如此，现有的文献主要集中在幸存者身上，在了解父母在这种情况下的经历方面仍然存在差距：本研究旨在探讨父母在得知其子女遭受兄弟姐妹性虐待后的经历：样本包括 58 名参与者，他们的父母有的认为自己的孩子受到了兄弟姐妹的性虐待，有的认为自己的孩子受到了兄弟姐妹的性伤害，有的认为自己的孩子同时受到了兄弟姐妹的性虐待和性伤害。样本由 5WAVES招募，这是一个为遭受兄弟姐妹性创伤的家庭提供支持的草根慈善机构：参与者自愿填写了一份匿名在线调查问卷，调查内容包括他们是如何得知自己的家庭遭受虐待的，以及他们是如何应对和继续应对的。目前的定性分析采用反思性主题方法，是一项大型混合方法研究的一部分：结果：确定了四大主题：(1) 父母在得知兄弟姐妹遭受性创伤后的创伤经历，(2) 父母对创伤最初和持续的情绪反应，(3) 理想家庭的破灭，以及 (4) 父母的应对尝试：这些结果认识到了在兄弟姐妹遭受性虐待的家庭中，父母所经历的独特创伤。结论：这些结果认识到了兄弟姐妹遭受性虐待的父母所经历的独特创伤，并认识到临床医生、专业人员、家人和朋友在这一时期为父母提供支持的重要必要性，以便他们能够为子女和家庭提供最好的支持。

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引用次数: 0

Why do prospective and retrospective measures of childhood maltreatment differ? Qualitative analyses in a cohort study 儿童虐待的前瞻性和回顾性衡量标准为何不同？一项队列研究的定性分析。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2024-10-03 DOI: 10.1016/j.chiabu.2024.107070

Oonagh Coleman , Jessie R. Baldwin , Terrie E. Moffitt , Louise Arseneault , Helen L. Fisher , Kelly Rose-Clarke , Andrea Danese

Background

Research indicates that prospective and retrospective measures of maltreatment often identify different groups of individuals, yet the reasons for these discrepancies remain understudied.

Objective

This study explores potential sources of disagreement between prospective and retrospective measures of maltreatment, utilising qualitative data from interviewers' notes.

Participants and setting

The Environmental Risk Longitudinal Twin Study includes 2232 children followed from ages 5–18. Prospective measures relied on caregiver interviews and researcher observations from ages 5–12, while retrospective measures involved self-reports via the Childhood Trauma Questionnaire at age 18.

Methods

We purposively sampled written interviewer notes from 36 participants who reported more types of maltreatment retrospectively than prospectively (‘new reports’ group) and 31 participants who reported fewer types retrospectively than prospectively (‘omitted reports’ group). We conducted a framework analysis of the notes, comparing between the two groups to explore explanations for measurement disagreement.

Results

Three categories of themes emerged related to measurement discrepancies: challenges with prospective measures, highlighting reasons given by the ‘new reports’ group for why maltreatment went undetected or was not adequately responded to prospectively; challenges with retrospective measures that highlight difficulties with openness and accuracy of self-reports; and differences in appraisals of violence or distressing childhood experiences between the two groups that might lead to new or omitted retrospective reports.

Conclusions

Our findings underscore potential mechanisms underlying the disagreement between prospective and retrospective measures, contributing to better understanding of these different constructs and more balanced interpretation of related findings.

背景：研究表明，对虐待的前瞻性和回顾性测量通常会识别出不同的个人群体，但造成这些差异的原因仍未得到充分研究：本研究利用访谈者笔记中的定性数据，探讨了虐待的前瞻性测量和回顾性测量之间出现分歧的潜在原因：环境风险纵向双胞胎研究包括对 2232 名 5-18 岁儿童的跟踪调查。前瞻性测量依赖于 5-12 岁期间对照顾者的访谈和研究人员的观察，而回顾性测量则涉及 18 岁时通过儿童创伤问卷进行的自我报告：我们有目的性地抽取了 36 名参与者（"新报告 "组）和 31 名参与者（"遗漏报告 "组）的书面访谈记录，前者回顾性报告的虐待类型多于后者（"新报告 "组），后者回顾性报告的虐待类型少于后者（"遗漏报告 "组）。我们对笔记进行了框架分析，对两组笔记进行了比较，以探索衡量分歧的原因：出现了三类与测量差异相关的主题：前瞻性测量的挑战，强调了 "新报告 "组给出的虐待未被发现或前瞻性响应不充分的原因；回顾性测量的挑战，强调了自我报告的开放性和准确性方面的困难；以及两组之间对暴力或令人痛苦的童年经历的评价差异，这可能会导致新的或遗漏的回顾性报告：我们的研究结果强调了前瞻性测量和回顾性测量之间存在分歧的潜在机制，有助于更好地理解这些不同的概念，并对相关研究结果做出更平衡的解释。

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引用次数: 0

Childhood maltreatment and non-suicidal self-injury in adolescent population: A systematic review and meta-analysis 青少年群体中的童年虐待与非自杀性自伤：系统回顾与荟萃分析

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2024-09-26 DOI: 10.1016/j.chiabu.2024.107048

Natalia Calvo , Jorge Lugo-Marín , Monterrat Oriol , Citlalli Pérez-Galbarro , Damià Restoy , Josep-Antoni Ramos-Quiroga , Marc Ferrer

Background

Non-suicidal self-injury (NSSI) is highly prevalent among adolescents. However, knowledge about the possible factors that might precede and influence its development remains scarce.

Objective

Our goal is to examine the impact of adverse childhood events, and more specifically of different types of childhood maltreatment (CM) in adolescent NSSI. This involves performing a systematic review and meta-analysis of the different CM subtypes (physical and emotional neglect, physical and emotional abuse, sexual abuse) in clinical and non-clinical samples of adolescents with NSSI.

Participants and methods

A digital search of the PsycInfo, PubMed and Web of Science platforms for articles published up to June 2022 was performed. The search terms were “self harm”, “non-suicidal self-injury”, “childhood maltreatment” and “adolescents”.

Results

Forty-six articles that fit the research objectives were included in the study, which covered a total of 1,505,430 adolescents, of whom 560,337 belonged to the NSSI group, while 945,093 were in the control group. The results describe strong positive associations between all CM subtypes and NSSI, especially with emotional abuse (odds ratio [OR] 2.91, 95 % CI 2.37–3.56) and sexual abuse (OR 2.72, 95 % CI 2.12–3.48), in clinical and non-clinical samples of adolescents.

Conclusions

The experience of CM, and especially emotional and/or sexual abuse, seems to be associated with a greater risk of developing NSSI in adolescence. Therefore, early identification and detection of children who have suffered or are suffering these forms of CM are of vital importance for instigating psychotherapeutic treatments that can minimize the risk of developing NSSI in adolescence.

背景非自杀性自伤（NSSI）在青少年中非常普遍。我们的目标是研究不良童年事件，特别是不同类型的童年虐待（CM）对青少年 NSSI 的影响。我们的目标是研究不良童年事件，特别是不同类型的童年虐待（CM）对青少年 NSSI 的影响。这包括对 NSSI 青少年的临床和非临床样本中的不同 CM 亚型（身体和情感忽视、身体和情感虐待、性虐待）进行系统回顾和荟萃分析。搜索关键词为 "自我伤害"、"非自杀性自伤"、"儿童虐待 "和 "青少年"。结果研究共纳入了46篇符合研究目标的文章，涵盖了1,505,430名青少年，其中560,337人属于NSSI组，945,093人属于对照组。结果表明，在临床和非临床青少年样本中，所有 CM 亚型与 NSSI 之间都存在很强的正相关性，尤其是情感虐待（几率比 [OR] 2.91，95 % CI 2.37-3.56）和性虐待（OR 2.72，95 % CI 2.12-3.48）。因此，及早识别和发现曾经或正在遭受这些形式的精神创伤的儿童，对于开展心理治疗以最大限度地降低青少年发生 NSSI 的风险至关重要。

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引用次数: 0

Acceptability and feasibility of trauma- and violence-informed care for intimate partner violence 以创伤和暴力为基础的亲密伴侣暴力护理的可接受性和可行性

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2024-09-26 DOI: 10.1016/j.chiabu.2024.107068

Gunjan Tiyyagura , John M. Leventhal , Paula Schaeffer , Marcie Gawel , Destanee Crawley , Ashley Frechette , Sakina Reames , Cindy Carlson , Tami Sullivan , Andrea Asnes

Background/objectives

Intimate partner violence (IPV) and child physical abuse frequently co-occur, yet IPV-exposed children are not routinely evaluated for abuse. Furthermore, IPV survivors often seek care for their children but not for themselves, making pediatric visits an opportunity to address IPV. We developed a trauma- and violence-informed care (TVIC)-based model that 1) evaluated IPV-exposed children and 2) linked survivor-caregivers to an IPV advocate.

We aimed to assess the feasibility and acceptability of the model.

Participants

Children < 3 who were reported to Child Protective Services (CPS) for exposure to IPV and their survivor-caregiver.

Methods

To examine feasibility, we calculated the percentage of 1) eligible children evaluated and 2) caregivers who met with an IPV advocate during the child's visit and followed up with the advocate. To assess acceptability, we conducted qualitative interviews with 30/41 caregivers about their perceptions of the model.

Results

From 7/1/20–6/30/22, 49 (22.7 %) of 216 eligible children were evaluated. Of 41 caregivers, six already were receiving IPV services; Of the remaining 35, 24 (68.6 %) met with an IPV advocate, and 22 (91.7 %) had ≥1 follow-up visit with an advocate.

We identified three themes: 1) Motivations for the visit, 2) Engagement with the model, and 3) Benefits. Caregivers attended the visit due to behavioral concerns about the child and a desire to comply with CPS. Engagement occurred as medical providers established rapport and provided support without judgment. Benefits included recognizing the impact of IPV on the child and immediate linkage to advocacy services.

Conclusion

A TVIC-based model is feasible and acceptable and could improve caregivers' engagement with the evaluation of IPV-exposed children for abuse and with IPV services, which have the potential to improve safety and promote well-being.

背景/目的亲密伴侣暴力（IPV）和儿童身体虐待经常同时发生，但对遭受 IPV 的儿童却没有进行常规的虐待评估。此外，IPV 幸存者通常会为他们的孩子寻求治疗，但不会为自己寻求治疗，这使得儿科就诊成为解决 IPV 问题的一个机会。我们开发了一种基于创伤和暴力知情护理（TVIC）的模式，该模式1）评估暴露于 IPV 的儿童，2）将幸存者护理者与 IPV 倡导者联系起来，我们旨在评估该模式的可行性和可接受性。参与者因遭受 IPV 而向儿童保护服务机构（CPS）报案的儿童及其幸存者照顾者。方法为了考察可行性，我们计算了以下两方面的百分比：1）符合评估条件的儿童；2）在儿童就诊期间与 IPV 倡导者会面并与倡导者进行后续联系的照顾者。为了评估可接受性，我们对 30/41 名照顾者进行了定性访谈，了解他们对该模式的看法。结果从 7/1/20 到 6/30/22，216 名符合条件的儿童中有 49 名（22.7%）接受了评估。在 41 位照顾者中，有 6 位已经在接受 IPV 服务；在其余 35 位照顾者中，有 24 位（68.6%）与 IPV 倡导者进行了会面，有 22 位（91.7%）与倡导者进行了≥1 次后续访问。看护人是出于对儿童行为的担忧和遵守 CPS 规定的愿望而进行探访的。由于医疗服务提供者建立了融洽的关系，并在不做评判的情况下提供了支持，因此参与度很高。结论：基于 TVIC 的模式是可行的、可接受的，可以提高看护者参与评估暴露于 IPV 的儿童是否受到虐待以及参与 IPV 服务的积极性，而 IPV 服务具有改善安全和促进福祉的潜力。

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引用次数: 0

A cross-cultural study of different facets of dissociation: Validity and relationship with childhood trauma 关于解离的不同方面的跨文化研究：有效性及与童年创伤的关系

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2024-09-26 DOI: 10.1016/j.chiabu.2024.107067

Hong Wang Fung , Anson Kai Chun Chau , Stanley Kam Ki Lam , Wai Tong Chien , Janet Yuen-Ha Wong

Background

Dissociative symptoms are often conceptualized as a response to childhood trauma. However, most previous studies did not consider dissociation as a multidimensional phenomenon and only focused on English-speaking samples.

Objectives

To establish the cross-cultural validity of dissociation and examine the relationship of childhood trauma with different specific dissociative symptoms across two different samples.

Participants and setting

Data from two surveys were analyzed (N = 781 Chinese-speaking adults and N = 468 English-speaking adults).

Methods

Participants completed the Childhood Trauma Subsection of the Brief Betrayal Trauma Survey and the Multiscale Dissociation Inventory (MDI) in their respective languages. We first established the measurement invariance of the MDI across the samples. Then, we examined the correlations between childhood trauma and different dimensions of dissociation.

Results

The six-factor structure of MDI achieved configural, metric and scalar invariance across the samples. In both samples, childhood trauma was significantly correlated with all facets of dissociation (rs = 0.227 to 0.450, p < .001), after controlling for age and gender. While depersonalization (r = 0.450) had the strongest correlation with childhood trauma in the Chinese-speaking sample, memory disturbance (r = 0.333) had the strongest correlation with childhood trauma in the English-speaking sample.

Conclusions

Dissociation is a valid, multidimensional construct associated with childhood trauma across cultures. Yet, social and cultural factors might influence this relationship. Further studies on the complex relationship between childhood trauma and different specific dissociative symptoms, as well as possible moderators, are needed.

背景解离症状通常被认为是对童年创伤的一种反应。方法受试者用各自的语言完成了 "简明背叛创伤调查 "中的 "童年创伤 "部分和 "多尺度解离量表"（MDI）。我们首先确定了 MDI 在不同样本间的测量不变性。然后，我们研究了童年创伤与解离的不同维度之间的相关性。结果MDI的六因素结构在不同样本间实现了构型、度量和标度的不变性。在两个样本中，在控制了年龄和性别之后，童年创伤与解离的所有方面都有显著相关性（rs = 0.227 至 0.450，p < .001）。在讲中文的样本中，人格解体（r = 0.450）与童年创伤的相关性最强，而在讲英语的样本中，记忆障碍（r = 0.333）与童年创伤的相关性最强。然而，社会和文化因素可能会影响这种关系。需要进一步研究童年创伤与不同特定分离症状之间的复杂关系以及可能的调节因素。

{"title":"A cross-cultural study of different facets of dissociation: Validity and relationship with childhood trauma","authors":"Hong Wang Fung , Anson Kai Chun Chau , Stanley Kam Ki Lam , Wai Tong Chien , Janet Yuen-Ha Wong","doi":"10.1016/j.chiabu.2024.107067","DOIUrl":"10.1016/j.chiabu.2024.107067","url":null,"abstract":"<div><h3>Background</h3><div>Dissociative symptoms are often conceptualized as a response to childhood trauma. However, most previous studies did not consider dissociation as a multidimensional phenomenon and only focused on English-speaking samples.</div></div><div><h3>Objectives</h3><div>To establish the cross-cultural validity of dissociation and examine the relationship of childhood trauma with different specific dissociative symptoms across two different samples.</div></div><div><h3>Participants and setting</h3><div>Data from two surveys were analyzed (<em>N</em> = 781 Chinese-speaking adults and <em>N</em> = 468 English-speaking adults).</div></div><div><h3>Methods</h3><div>Participants completed the Childhood Trauma Subsection of the Brief Betrayal Trauma Survey and the Multiscale Dissociation Inventory (MDI) in their respective languages. We first established the measurement invariance of the MDI across the samples. Then, we examined the correlations between childhood trauma and different dimensions of dissociation.</div></div><div><h3>Results</h3><div>The six-factor structure of MDI achieved configural, metric and scalar invariance across the samples. In both samples, childhood trauma was significantly correlated with all facets of dissociation (rs = 0.227 to 0.450, <em>p</em> < .001), after controlling for age and gender. While depersonalization (<em>r</em> = 0.450) had the strongest correlation with childhood trauma in the Chinese-speaking sample, memory disturbance (<em>r</em> = 0.333) had the strongest correlation with childhood trauma in the English-speaking sample.</div></div><div><h3>Conclusions</h3><div>Dissociation is a valid, multidimensional construct associated with childhood trauma across cultures. Yet, social and cultural factors might influence this relationship. Further studies on the complex relationship between childhood trauma and different specific dissociative symptoms, as well as possible moderators, are needed.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142323600","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

Implementation of family centered substance use treatment for pregnant and postpartum people to prevent the intergenerational transmission of adverse childhood experiences 对孕妇和产后妇女实施以家庭为中心的药物使用治疗，防止不良童年经历代代相传

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2024-09-25 DOI: 10.1016/j.chiabu.2024.107066

Mary Harbert Morgan , Jesse L. Coe , Elissa C. Kranzler , Kathryn Rehberg , Rachel Ingersoll , Natalie Namrow , Sarah Huber-Krum

Background

Family-centered substance use treatment (FCSUT) may have benefits for parents, children, and their families, and have the potential to decrease adverse childhood experiences (ACEs). Few treatment programs use FCSUT, even those that aim to serve pregnant and postpartum people.

Objectives

To understand how families are integrated into FCSUT services for pregnant and postpartum people, explore the perceived benefits of FCSUT for families and parents, and identify challenges to implementing FCSUT.

Participants and settings

Interviews with 26 administrators and providers working at FCSUT facilities and 27 pregnant and postpartum people who were currently receiving or had previously received services in the last two years from FCSUT facilities.

Methods

A qualitative thematic analysis was conducted using data from semi-structured in-depth interviews.

Results

The analysis revealed four themes: (1) the importance of families in treatment and recovery; (2) benefits of FCSUT for parents; (3) benefits of FCSUT for families; and (4) additional areas for FCSUT program growth. Despite reported benefits (e.g., improving parenting and communication skills; promoting healthy relationships with children, partners, and other family members; and facilitating a support system for long-term recovery), facilities and families face challenges integrating whole family units into treatment.

Conclusions

FCSUT may offer a range of benefits to pregnant and postpartum people and their families. Addressing challenges, such as fully integrating all family members into treatment, may improve FCSUT programs. Meeting the needs of all family members during treatment supports safe, stable, and nurturing relationships and environments for children that may decrease ACEs.

背景以家庭为中心的药物使用治疗（FCSUT）可能会给父母、儿童及其家庭带来好处，并有可能减少不良童年经历（ACEs）。目标了解如何将家庭融入为孕妇和产后妇女提供的以家庭为中心的药物使用治疗服务中，探讨以家庭为中心的药物使用治疗对家庭和父母的益处，并确定实施以家庭为中心的药物使用治疗所面临的挑战。参与者和环境对 26 名在以家庭为中心的药物使用治疗机构工作的管理者和提供者，以及 27 名目前正在或过去两年曾经在以家庭为中心的药物使用治疗机构接受过服务的孕妇和产后妇女进行了访谈。结果分析揭示了四个主题：（1）家庭在治疗和康复中的重要性；（2）FCSUT 对父母的益处；（3）FCSUT 对家庭的益处；以及（4）FCSUT 项目发展的其他领域。尽管报告了其益处（例如，提高养育子女和沟通技巧；促进与子女、伴侣和其他家庭成员的健康关系；以及促进长期康复的支持系统），但机构和家庭在将整个家庭单位纳入治疗中仍面临挑战。应对挑战，如将所有家庭成员完全融入治疗，可以改善 FCSUT 项目。在治疗过程中满足所有家庭成员的需求有助于为儿童提供安全、稳定和有教养的关系和环境，从而减少 ACE。

{"title":"Implementation of family centered substance use treatment for pregnant and postpartum people to prevent the intergenerational transmission of adverse childhood experiences","authors":"Mary Harbert Morgan , Jesse L. Coe , Elissa C. Kranzler , Kathryn Rehberg , Rachel Ingersoll , Natalie Namrow , Sarah Huber-Krum","doi":"10.1016/j.chiabu.2024.107066","DOIUrl":"10.1016/j.chiabu.2024.107066","url":null,"abstract":"<div><h3>Background</h3><div>Family-centered substance use treatment (FCSUT) may have benefits for parents, children, and their families, and have the potential to decrease adverse childhood experiences (ACEs). Few treatment programs use FCSUT, even those that aim to serve pregnant and postpartum people.</div></div><div><h3>Objectives</h3><div>To understand how families are integrated into FCSUT services for pregnant and postpartum people, explore the perceived benefits of FCSUT for families and parents, and identify challenges to implementing FCSUT.</div></div><div><h3>Participants and settings</h3><div>Interviews with 26 administrators and providers working at FCSUT facilities and 27 pregnant and postpartum people who were currently receiving or had previously received services in the last two years from FCSUT facilities.</div></div><div><h3>Methods</h3><div>A qualitative thematic analysis was conducted using data from semi-structured in-depth interviews.</div></div><div><h3>Results</h3><div>The analysis revealed four themes: (1) the importance of families in treatment and recovery; (2) benefits of FCSUT for parents; (3) benefits of FCSUT for families; and (4) additional areas for FCSUT program growth. Despite reported benefits (e.g., improving parenting and communication skills; promoting healthy relationships with children, partners, and other family members; and facilitating a support system for long-term recovery), facilities and families face challenges integrating whole family units into treatment.</div></div><div><h3>Conclusions</h3><div>FCSUT may offer a range of benefits to pregnant and postpartum people and their families. Addressing challenges, such as fully integrating all family members into treatment, may improve FCSUT programs. Meeting the needs of all family members during treatment supports safe, stable, and nurturing relationships and environments for children that may decrease ACEs.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319888","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