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Deprivation-related adverse childhood experiences and cognitive function among older adults: Mediating role of depression symptoms 与匮乏有关的童年不良经历与老年人的认知功能:抑郁症状的中介作用
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-15 DOI: 10.1016/j.chiabu.2024.107088
Na Zhang , Yisong Yao , Limin Li , Mingjun Sun , Baihe Zhou , Hong Fu , Binjin Guo , Qing Li , Wang Jinfu , Wenhui Jiang

Background

Cognitive dysfunction imposes a heavy economic burden on families and society. Depression and deprivation-related adverse childhood experiences (ACEs) are important factors that contribute to cognitive dysfunction. However, few studies have explored these complex interactions.

Objective

This study aimed to elucidate the mediating effect of depression on the relationship between deprivation-related ACEs and cognitive function in older adults.

Methods

This national, cross-sectional study used data from the 2020 Chinese Longitudinal Aging Social Survey. Information regarding depression, ACEs, and cognitive function was collected from individuals aged 60 years and older. A structural equation model was used to examine the mediating effect of depression on the relationship between deprivation-related ACEs and cognitive function.

Results

A total of 9828 participants were included in this study. Their mean total cognitive function score was 13.488 ± 3.006. The results showed that sex, age, educational level, marital status, body mass index, registered residence, chronic disease situation, health, smoking, living alone, life satisfaction, social security, and internet use were all related to cognitive function (P < 0.05). Deprivation-related ACEs were negatively correlated with cognitive function (r = −0.132, P < 0.01). And depression symptoms were negatively correlated with cognitive function (r = −0.158, P < 0.01). The mediating effect analysis indicated that depression symptoms had a significant mediating effect between the 3 dimensions of deprivation-related ACEs and cognitive function.

Conclusions

This study highlighted that improvement of deprivation-related ACEs was indirectly related to a reduced likelihood of cognitive dysfunction through depression in older adults. With the limitations of cross-sectional studies, validation through longitudinal design studies is deemed necessary. Future interventions should focus on alleviating depression symptoms to prevent cognitive decline and impairment in this population.
背景认知功能障碍给家庭和社会带来了沉重的经济负担。抑郁和与贫困相关的不良童年经历(ACEs)是导致认知功能障碍的重要因素。这项全国性横断面研究使用了 2020 年中国老龄社会纵向调查的数据。这项全国性横断面研究使用了 2020 年中国老龄社会纵向调查的数据,收集了 60 岁及以上老年人有关抑郁、ACE 和认知功能的信息。研究采用结构方程模型来检验抑郁对与贫困相关的 ACE 与认知功能之间关系的中介效应。他们的平均认知功能总分为 13.488 ± 3.006。结果显示,性别、年龄、受教育程度、婚姻状况、体重指数、户籍所在地、慢性病情况、健康状况、吸烟、独居、生活满意度、社会保障和互联网使用均与认知功能有关(P < 0.05)。与贫困相关的 ACE 与认知功能呈负相关(r = -0.132,P <0.01)。抑郁症状与认知功能呈负相关(r = -0.158,P <0.01)。中介效应分析表明,抑郁症状在与贫困相关的 ACEs 的 3 个维度与认知功能之间具有显著的中介效应。鉴于横断面研究的局限性,有必要通过纵向设计研究进行验证。未来的干预措施应侧重于缓解抑郁症状,以预防该人群认知能力下降和受损。
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引用次数: 0
'Does age and maltreatment matter? A survey experiment of the nordic populations' attitudes towards participation'. 年龄和虐待重要吗?对北欧人口参与态度的调查实验"。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-14 DOI: 10.1016/j.chiabu.2024.107077
Hege Stein Helland

Background: Balancing children's right to participate and their need for protection constitutes a core dilemma in child protection. The CRC obligates states to facilitate and ensure participation for all children, regardless of age and maturity. Still, children are repeatedly excluded from child protection proceedings on paternalistic grounds, even in the child-centric and child-rights-oriented Nordic countries.

Objective: From a policy theory perspective, this study explores the participation-protection dilemma by investigating Nordic citizens' attitudes towards children's participation and need for protection. Specifically, it examines how children's age and type of maltreatment affect these attitudes.

Participants and setting: Survey data from a representative sample of the populations in Denmark, Finland, Iceland, Norway and Sweden (N = 5073).

Methods: The study utilises an experimental survey methodology, using a between-subjects factorial vignette design. The child's age (5 or 15 years) and type of maltreatment exposure (sexual violence, physical violence, or emotional neglect) are systematically varied across the vignettes randomly assigned to the population.

Results: Nordic citizens support children's participation in child protection, but country differences exist. There is less support for participation for younger children and higher levels of protective attitudes. The type of maltreatment did not matter for citizens' assessment of participation. However, citizens are more protective towards children exposed to emotional neglect, especially younger children.

Conclusions: Children's right to participate is widely accepted in the Nordic population, yet normative barriers persist. The study sheds light on the paradox of persisting violation of children's participatory rights despite supportive national policies and legal structures that facilitate implementation.

背景:平衡儿童的参与权和保护需求是儿童保护的核心难题。儿童权利公约》规定,各国有义务促进和确保所有儿童的参与,无论其年龄和成熟程度如何。然而,即使在以儿童为中心、以儿童权利为导向的北欧国家,儿童也屡屡因家长式作风而被排除在儿童保护程序之外:本研究从政策理论的角度出发,通过调查北欧公民对儿童参与和保护需求的态度,探讨参与与保护之间的两难困境。具体而言,本研究探讨了儿童的年龄和虐待类型对这些态度的影响:调查数据来自丹麦、芬兰、冰岛、挪威和瑞典具有代表性的人口样本(N = 5073):研究采用实验调查方法,采用主体间因子小插图设计。儿童的年龄(5 岁或 15 岁)和遭受虐待的类型(性暴力、肢体暴力或情感忽视)在随机分配给人群的小故事中会有系统地变化:结果:北欧公民支持儿童参与儿童保护,但各国之间存在差异。年龄较小的儿童对参与的支持度较低,而保护态度的支持度较高。虐待类型与公民的参与评估无关。然而,公民对受到情感忽视的儿童,尤其是年龄较小的儿童,更具有保护性:结论:儿童的参与权得到了北欧民众的广泛认可,但规范性障碍依然存在。这项研究揭示了一个悖论,即尽管国家政策和法律结构支持促进儿童参与权的落实,但侵犯儿童参与权的现象依然存在。
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引用次数: 0
The potential influences of COVID-19 and social vulnerability measures on child maltreatment in the United States: Spatial temporal cluster analysis and negative binomial regression COVID-19 和社会脆弱性措施对美国儿童虐待的潜在影响:时空聚类分析和负二项回归
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-10-12 DOI: 10.1016/j.chiabu.2024.107082
Tae Kyung Park , Hui-Peng Liew , Hyunji Lee

Background

Although existing research has reported the impacts of COVID-19 on child abuse and neglect (CAN), little attention was paid to the relationship between spatial patterns in the trends of COVID-19 cases and their effects on the prevalence of CAN cases.

Objective

This study examined the associations between trends of confirmed cases of COVID-19 and child removal due to physical abuse and neglect at the county level in the U.S while taking the social vulnerability into account.

Participants and setting

This study utilized three secondary data sets nationally collected.

Methods

Spatial-temporal cluster analysis was used to classify and assign trends in confirmed cases of COVID-19 into their distinctive clusters. These spatial-temporal clusters were then used as independent variables in the negative binomial regression (NBR) models.

Results

Average cases of physical abuse and neglect increased as the growth rates of confirmed cases of COVID-19 were accelerated except for the counties assigned to the cluster characterized by moderately low increase and very high increases. NBR found social vulnerability measures have no effects on child removal due to physical abuse and neglect after controlling spatial-temporal clusters of the confirmed cases of COVID-19.

Conclusions

Our study indicates that concentration of disaster has certain effects on child maltreatment. This suggests that child welfare pay special attention to the areas that undergo steep increases in confirmed cases under public health crises.
背景虽然现有研究已经报告了 COVID-19 对儿童虐待和忽视(CAN)的影响,但很少关注 COVID-19 案例趋势的空间模式与其对 CAN 案例流行率的影响之间的关系。方法采用空间-时间聚类分析法对 COVID-19 确诊病例的趋势进行分类,并将其归入不同的聚类中。结果随着 COVID-19 确诊病例增长率的加快,身体虐待和忽视的平均病例数也随之增加,但被分配到以中低增幅和极高增幅为特征的群组中的县除外。NBR 发现,在控制 COVID-19 确诊病例的空间-时间集群后,社会脆弱性措施对因身体虐待和忽视而导致的儿童迁移没有影响。我们的研究表明,灾害的集中性对儿童虐待有一定的影响,这建议儿童福利机构特别关注公共卫生危机下确诊病例急剧增加的地区。
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引用次数: 0
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 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 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。
{"title":"The effects of COVID-19 on the development of reported incidents of child maltreatment over time: A systematic literature review","authors":"A. Jud ,&nbsp;E. Orban ,&nbsp;A. Kaman ,&nbsp;U. Ravens-Sieberer ,&nbsp;M. Jarczok ,&nbsp;L.Y. Li ,&nbsp;C. Laser ,&nbsp;B. Ondruschka ,&nbsp;J. Zwirner ,&nbsp;M. Hildebrand ,&nbsp;J. Ewert ,&nbsp;C. Jung-Sievers ,&nbsp;S. Wiegand-Grefe ,&nbsp;V. Clemens","doi":"10.1016/j.chiabu.2024.107071","DOIUrl":"10.1016/j.chiabu.2024.107071","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"157 ","pages":"Article 107071"},"PeriodicalIF":3.4,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407208","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
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 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 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 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 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 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。
{"title":"Childhood maltreatment and non-suicidal self-injury in adolescent population: A systematic review and meta-analysis","authors":"Natalia Calvo ,&nbsp;Jorge Lugo-Marín ,&nbsp;Monterrat Oriol ,&nbsp;Citlalli Pérez-Galbarro ,&nbsp;Damià Restoy ,&nbsp;Josep-Antoni Ramos-Quiroga ,&nbsp;Marc Ferrer","doi":"10.1016/j.chiabu.2024.107048","DOIUrl":"10.1016/j.chiabu.2024.107048","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>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.</div></div><div><h3>Participants and methods</h3><div>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”.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"157 ","pages":"Article 107048"},"PeriodicalIF":3.4,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142323598","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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