Child Abuse & Neglect最新文献_第7页

Social network strategies in child maltreatment prevention: A scoping review 预防儿童虐待的社会网络策略：范围综述。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-29 DOI: 10.1016/j.chiabu.2025.107853

Yiran Zhang , Shuting Yuan , Jinyu Chen , Qiuchang Cao , Xuemei Xiao , Huajie Gu , Si Chen , Manjun Kim , Zhanjun Xing

Background

Social network strategies have emerged as a popular component of child maltreatment prevention programs. However, limited evidence exists on how these strategies are applied and whether they contribute meaningfully to program outcomes.

Objectives

This scoping review aims to synthesize how social network strategies are used in child maltreatment prevention programs and their associated outcomes.

Methods

This study reviewed 23 peer-reviewed studies published between 2010 and 2023. Eligible studies included interventions that incorporated social network strategies and targeted parents or caregivers. Our results are structured to reflect a three-level social network intervention framework—intra-personal, inter-personal, and contextual.

Results

Most studies (n = 18) were conducted in high-income countries and focused on mothers. Contextual strategies (e.g., forming groups) were most common, followed by intra-personal (e.g., building social skills) and inter-personal strategies (e.g., strengthening tie). While most studies reported positive parenting and support outcomes, only 10 out of 23 included studies specifically examined the outcomes of network strategies.

Conclusion

Despite the popularity of certain intrapersonal and contextual network strategies, several network change strategies remain underutilized in child maltreatment prevention programs. Additionally, because few studies measured outcomes associated with network strategies, the potential psychosocial benefit of network strategies needs to be interpreted with caution. Future research should systematically incorporate network theories in the design of network strategies and intentionally measure their impact on maltreatment prevention outcomes across diverse socio-economic contexts.

背景：社会网络策略已经成为儿童虐待预防计划的一个流行组成部分。然而，关于这些策略如何应用以及它们是否对项目结果有意义的贡献的证据有限。目的：本综述旨在综合社会网络策略如何用于儿童虐待预防项目及其相关结果。方法：本研究回顾了2010年至2023年间发表的23项同行评议研究。合格的研究包括结合社会网络策略和目标父母或照顾者的干预措施。我们的研究结果反映了一个三个层次的社会网络干预框架——个人内部、人际间和环境。结果：大多数研究（n = 18）在高收入国家进行，重点关注母亲。情境策略（如组建团队）是最常见的，其次是人际内策略（如建立社交技能）和人际间策略（如加强联系）。虽然大多数研究报告了积极的养育和支持结果，但23项研究中只有10项专门研究了网络策略的结果。结论：尽管某些人际和情境网络策略很受欢迎，但在儿童虐待预防项目中，一些网络改变策略仍未得到充分利用。此外，由于很少有研究测量与网络策略相关的结果，因此需要谨慎解释网络策略的潜在心理社会效益。未来的研究应系统地将网络理论纳入网络策略的设计中，并有意地衡量它们对不同社会经济背景下预防虐待结果的影响。

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引用次数: 0

Most important predictors of father-child contact in the U.S. child welfare system: A machine learning approach 美国儿童福利系统中最重要的亲子接触预测指标：机器学习方法。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-29 DOI: 10.1016/j.chiabu.2025.107870

Joyce Y. Lee , Garrett T. Pace , Keunhye Park , Hunmin Cha , Yujeong Chang , Amy Xu

Background

Little attention has been paid to comprehensively understanding multisystem-level factors that promote father involvement in the context of the U.S. child welfare system. Using novel data science methods, such as machine learning, could further advance child welfare research on father involvement.

Objective

The current exploratory study applied an ecological systems framework to national child welfare survey data and used random forest, a type of machine learning, to identify the most important predictors of father-child contact across multiple system levels (i.e., individual, family, neighborhood, child welfare systems).

Participants and settings

Data came from the National Survey of Child and Adolescent Wellbeing-Third Cohort (N = 2380).

Methods

Random forest was used for variable importance analysis using 124 multisystem-level predictors.

Results

Fathers' sociodemographic characteristics (e.g., race/ethnicity, education) were among the most important predictors of father-child contact, followed by caseworker characteristics (e.g., other language spoken), service referrals by the child welfare system (e.g., health, legal), family economic condition and composition (e.g., access to food, number of children), and child characteristics (e.g., sex).

Conclusions

Factors at different system levels interact in complex ways to predict father-child contact. Child welfare researchers can consider machine learning as a complementary method to traditional statistics. Methodological advantages machine learning brings include enhancing predictive accuracy, handling large amounts of data, and modeling complex and non-linear relationships with numerous predictors. These advantages allow for uncovering new quantitative insights and patterns to advance child welfare research, practice, and policies.

背景：在美国儿童福利制度的背景下，很少有人关注全面理解促进父亲参与的多系统层面因素。使用新的数据科学方法，如机器学习，可以进一步推进关于父亲参与的儿童福利研究。目的：本探索性研究将生态系统框架应用于国家儿童福利调查数据，并使用随机森林（一种机器学习）来识别跨多个系统层面（即个人、家庭、社区、儿童福利系统）的亲子接触最重要的预测因子。参与者和环境：数据来自全国儿童和青少年健康调查-第三队列（N = 2380）。方法：采用随机森林法对124个多系统级预测因子进行变量重要性分析。结果：父亲的社会人口学特征（如种族/民族、教育程度）是亲子接触最重要的预测因素，其次是社会工作者特征（如其他语言）、儿童福利系统的服务转介（如健康、法律）、家庭经济状况和组成（如获取食物、子女数量）和儿童特征（如性别）。结论：不同系统层面的因素以复杂的方式相互作用预测亲子接触。儿童福利研究人员可以考虑将机器学习作为传统统计的补充方法。机器学习带来的方法优势包括提高预测准确性，处理大量数据，以及与众多预测因子建立复杂和非线性关系的建模。这些优势可以揭示新的定量见解和模式，以推进儿童福利研究、实践和政策。

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引用次数: 0

The intergenerational cycle of substance use and its association with child maltreatment and school maladjustment: A path analysis 物质使用的代际循环及其与儿童虐待和学校适应不良的关系：路径分析

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-25 DOI: 10.1016/j.chiabu.2025.107865

Jinyung Kim , Haelim Lee , Haksoon Ahn

Background and objective

Although the intergenerational transmission of substance use and trauma is well-documented, the full pathways linking substance use, child maltreatment, and school maladjustment remain underexamined across three generations. This study aims to examine the pathway from maternal grandparents' substance use to youth substance use and school maladjustment through biological mother's alcohol use and child maltreatment behaviors.

Participants and setting

Utilizing multiple waves from the Future of Families & Child Wellbeing, the study sample included 2198 biological mothers (M = 40.67) and their children (M = 15.50).

Methods

This study analyzed the pathways connecting maternal grandparents' substance use history to youth school maladjustment, using biological mother's alcohol use, child maltreatment, and youth substance use as mediators. Three separate models were tested for each maltreatment type: psychological aggression, physical abuse, and neglect.

Results

Across the three maltreatment models, six statistically significant positive direct paths were identified, with one non-significant direct path from the maternal grandparents' substance use to youth substance use. The mediation effects of maternal alcohol use, child maltreatment, and youth substance use were significant in all models.

Conclusions

Social work practitioners may use these findings to employ trauma-informed practice in early childhood interventions, with a special focus on the prevention of multi-generational substance use and child maltreatment. In particular, local child welfare agencies could strengthen collaboration with community partners, as well as with the school system, to provide evidence-based programs for both caregivers and youth.

背景和目的虽然物质使用和创伤的代际传递已被充分记录，但在三代人之间，物质使用、儿童虐待和学校适应不良之间的完整途径仍未得到充分研究。本研究旨在通过亲生母亲的酒精使用和儿童虐待行为，探讨外祖父母物质使用对青少年物质使用和学校适应不良的影响途径。利用《家庭与儿童幸福的未来》中的多个波，研究样本包括2198名生母（M = 40.67）及其子女（M = 15.50）。方法以生母酒精使用、儿童虐待和青少年物质使用为中介，分析外祖父母物质使用史与青少年学校适应不良之间的关系。对每种虐待类型分别测试了三个独立的模型：心理攻击、身体虐待和忽视。结果在三种虐待模式中，发现了六条具有统计学意义的正直接路径，其中一条不显著的外祖父母物质使用与青少年物质使用的直接路径。母亲酒精使用、儿童虐待和青少年物质使用的中介作用在所有模型中都是显著的。社会工作从业者可以利用这些发现在早期儿童干预中采用创伤知情实践，特别关注预防多代物质使用和儿童虐待。特别是，地方儿童福利机构可以加强与社区伙伴以及学校系统的合作，为照顾者和青少年提供基于证据的方案。

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引用次数: 0

Childhood maltreatment and suicidal behaviors among heterosexual and sexual minority youth in China 中国异性恋和性少数群体青少年的童年虐待和自杀行为。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-24 DOI: 10.1016/j.chiabu.2025.107867

Chenxi Zhang, Nan Zhang, Zixuan Xu, Jie Hu, Meiqi Guan, Lengyi Zhang, Yuqin Dai, Wenhua An, Ziyan Yin, Yanmei Zhang, Yizhen Yu

Background

Childhood maltreatment (CM) is a recognized risk factor for suicide. Lesbian, gay, bisexual, and questioning (LGBQ) individuals tend to report CM and suicide more frequently compared to heterosexual individuals. However, limited research explored the association between CM and suicidal behaviors among LGBQ adolescents.

Objective

To explore the association between CM and suicidal behaviors among heterosexual and LGBQ adolescents in China.

Participants and setting

A cross-sectional survey was conducted among 9927 adolescents aged 15–19 years from five provinces in China, using a multi-stage cluster sampling method.

Methods

Demographic data, CM, and suicidal behaviors were collected through a self-reported questionnaire. The associations were examined via a set of logistic regression analyses.

Results

Among the participants, 27.0 % experienced CM, and 21.6 % reported suicidal behaviors in the past year. Among heterosexual adolescents, all five subtypes of CM were associated with suicidal behaviors, and the risk level increased with cumulative types of CM (CCM). In LGBQ individuals, emotional abuse (OR = 2.48, 95 % CI: 1.12–5.51) and emotional neglect (OR = 2.36, 95 % CI: 1.27–4.38) were associated with higher odds of suicidal behaviors. A potential “sensitive window effect” was observed in LGBQ individuals, with the suicide risk level peaking at exposure to two CCM (OR = 4.16, 95 % CI: 2.13–8.16), followed by a plateau with further exposure. PAF analysis indicated a higher CM-related suicide risk in LGBQ individuals, with emotional neglect accounting for 18.2 % of suicide attempts, compared to 12.6 % in heterosexuals.

Conclusions

In this cross-sectional study, CM was significantly associated with suicidal behaviors, with the strength of the associations differing by sexual orientation. The cumulative impact of maltreatment also exhibited different patterns between sexual orientation groups. These findings suggest that incorporating sexual orientation into suicide risk assessment may enhance support for adolescents with histories of maltreatment.

背景：儿童虐待（CM）是公认的自杀风险因素。与异性恋者相比，女同性恋、男同性恋、双性恋和质疑者（LGBQ）倾向于报告CM和自杀的频率更高。然而，在LGBQ青少年中，关于CM与自杀行为之间关系的研究有限。目的：探讨中国异性恋和LGBQ青少年CM与自杀行为的关系。对象与环境：采用多阶段整群抽样方法，对中国5个省份9927名15-19岁的青少年进行了横断面调查。方法：通过自述问卷收集人口统计资料、CM和自杀行为。通过一组逻辑回归分析来检验这些关联。结果：在参与者中，27.0%的人在过去一年中经历过CM， 21.6%的人报告过自杀行为。在异性恋青少年中，所有5种CM亚型均与自杀行为相关，且风险水平随CM累积类型（CCM）而增加。在LGBQ个体中，情感虐待（OR = 2.48, 95% CI: 1.12-5.51）和情感忽视（OR = 2.36, 95% CI: 1.27-4.38）与较高的自杀行为发生率相关。在LGBQ个体中观察到潜在的“敏感窗口效应”，自杀风险水平在暴露于两个CCM时达到峰值（OR = 4.16, 95% CI: 2.13-8.16），随后在进一步暴露时达到平稳期。PAF分析表明，LGBQ个体与cm相关的自杀风险更高，其中情感忽视占自杀企图的18.2%，而异性恋者为12.6%。结论：在本横断面研究中，CM与自杀行为显著相关，且这种关联的强度因性取向而异。虐待的累积影响在不同的性取向群体中也表现出不同的模式。这些发现表明，将性取向纳入自杀风险评估可能会增强对有虐待史的青少年的支持。

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引用次数: 0

Clinical forensic examinations and prosecution in Danish child physical abuse cases 丹麦儿童身体虐待案件的临床法医检查和起诉。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-24 DOI: 10.1016/j.chiabu.2025.107864

Liselott Slot , Lykke Thorlacius-Ussing , Daniella Justesen , Anne Birgitte Dyhre Bugge , Niels Lynnerup , Jytte Banner , Carl Johan Wingren

Background

Despite the central role of forensic medical examinations in child physical abuse cases, evidence on how their findings impact prosecution is scarce.

Objective

We studied the association between the dependent variable, filing of formal charges, and independent variables related to the child, suspect, and case characteristics, the acts of violence, and forensic findings, such as cutaneous lesions.

Participants and setting

We included 221 children aged between four and 14 years who were reported as victims of suspected physical abuse to the Copenhagen Police between April 1, 2020 and December 31, 2022. All the children participated in a video-recorded interview and underwent a clinical forensic medical examination.

Methods

Data were extracted from police reports, court documents, and forensic reports. Logistic regression models were applied.

Results

Formal charges were filed in 56 cases (25 %). Children's disclosures of violence exposure were associated with the filing of formal charges, irrespective of forensic findings (abuse-related findings: OR = 5.4, 95 % CI [1.7, 16.6]; accidental/unspecific findings: OR = 3.9, 95 % CI [1.4, 10.9]). In cases where violence was undisclosed but abuse-related lesions were found, a borderline association was observed (OR = 3.2, 95 % CI [0.9, 11.8]).

Conclusion

The child's disclosure of violence seems of importance for filing formal charges, and the forensic medical examination may be important in the absence of such disclosure, but this needs confirmation in larger studies. Knowledge of factors that influence prosecution decisions may contribute to secure systematic assessment of every child physical abuse case.

背景：尽管法医检查在儿童身体虐待案件中发挥核心作用，但关于法医检查结果如何影响起诉的证据很少。目的：我们研究了因变量、正式指控的提交，以及与儿童、嫌疑人和案件特征、暴力行为和法医发现（如皮肤病变）相关的自变量之间的关联。参与者和环境：我们纳入了221名年龄在4至14岁之间的儿童，他们在2020年4月1日至2022年12月31日期间向哥本哈根警方报告为疑似身体虐待的受害者。所有儿童都参加了录象采访，并接受了临床法医检查。方法：数据摘自警方报告、法庭文件和法医报告。采用Logistic回归模型。结果：正式起诉56例（25%）。儿童对暴力暴露的披露与正式指控的提交有关，而不考虑法医调查结果（与虐待有关的调查结果：OR = 5.4, 95% CI[1.7, 16.6]；意外/非特异性调查结果：OR = 3.9, 95% CI[1.4, 10.9]）。在未披露暴力行为但发现虐待相关病变的病例中，观察到一种边缘关联（OR = 3.2, 95% CI[0.9, 11.8]）。结论：儿童对暴力行为的披露似乎对提出正式指控很重要，在没有这种披露的情况下，法医检查可能很重要，但这需要在更大规模的研究中得到证实。了解影响起诉决定的因素可能有助于对每一起儿童身体虐待案件进行安全系统的评估。

{"title":"Clinical forensic examinations and prosecution in Danish child physical abuse cases","authors":"Liselott Slot , Lykke Thorlacius-Ussing , Daniella Justesen , Anne Birgitte Dyhre Bugge , Niels Lynnerup , Jytte Banner , Carl Johan Wingren","doi":"10.1016/j.chiabu.2025.107864","DOIUrl":"10.1016/j.chiabu.2025.107864","url":null,"abstract":"<div><h3>Background</h3><div>Despite the central role of forensic medical examinations in child physical abuse cases, evidence on how their findings impact prosecution is scarce.</div></div><div><h3>Objective</h3><div>We studied the association between the dependent variable, filing of formal charges, and independent variables related to the child, suspect, and case characteristics, the acts of violence, and forensic findings, such as cutaneous lesions.</div></div><div><h3>Participants and setting</h3><div>We included 221 children aged between four and 14 years who were reported as victims of suspected physical abuse to the Copenhagen Police between April 1, 2020 and December 31, 2022. All the children participated in a video-recorded interview and underwent a clinical forensic medical examination.</div></div><div><h3>Methods</h3><div>Data were extracted from police reports, court documents, and forensic reports. Logistic regression models were applied.</div></div><div><h3>Results</h3><div>Formal charges were filed in 56 cases (25 %). Children's disclosures of violence exposure were associated with the filing of formal charges, irrespective of forensic findings (abuse-related findings: <em>OR</em> = 5.4, 95 % <em>CI</em> [1.7, 16.6]; accidental/unspecific findings: <em>OR</em> = 3.9, 95 % <em>CI</em> [1.4, 10.9]). In cases where violence was undisclosed but abuse-related lesions were found, a borderline association was observed (<em>OR</em> = 3.2, 95 % <em>CI</em> [0.9, 11.8]).</div></div><div><h3>Conclusion</h3><div>The child's disclosure of violence seems of importance for filing formal charges, and the forensic medical examination may be important in the absence of such disclosure, but this needs confirmation in larger studies. Knowledge of factors that influence prosecution decisions may contribute to secure systematic assessment of every child physical abuse case.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"172 ","pages":"Article 107864"},"PeriodicalIF":3.4,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835393","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

Intergenerational patterns of child protection system involvement in an Australian population cohort 澳大利亚人口队列中儿童保护系统参与的代际模式

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-20 DOI: 10.1016/j.chiabu.2025.107844

Melissa J. Green , Emma McKenzie , Oliver Watkeys , Melissa Mei Yin Cheung , Kimberlie Dean , Kirstie O'Hare , Ken Zulumovski , Merran Butler , Vaughan J. Carr , Stacy Tzoumakis

Background

There is substantial diversity in patterns of intergenerational maltreatment within families.

Objective

To characterise familial patterns of child protection contacts across generations among a representative population sample of Australian children.

Participants and setting

Participants were 75,784 Australian children (followed from birth to age ~18 years) and their parents from the New South Wales Child Development Study.

Methods

Child protection (CP) data (child: 2001–2021; parents: 1971–2021) were used to categorise family members into four subpopulations according to intergenerational patterns of contact with the CP system. Sociodemographic factors and CP system contacts were examined for all family members within intergenerational CP groups, using binary logistic regression.

Results

Most families (67.8%) had no contact with child protection across generations. Approximately 31% of children were known to CP services, relative to 5% of mothers and 1.7% fathers in the cohort. The majority of children known to CP services (85%) had no parental history of maltreatment (‘cycle initiator’ families). Almost 79% of children whose parents had historical CP records were also known to CP services (‘cycle maintainers’; representing 15% of all children known to CP services) and 21% were unknown to child protection services (classed as ‘cycle breakers’; representing 4% of all children known to CP services). Parents classified as ‘cycle maintainers’ had more serious, frequent, and earlier involvement with the CP system, and higher levels of disadvantage, compared to other groups.

Conclusions

Socioeconomic drivers of intergenerational CP system involvement deserve attention from policy makers.

家庭内部代际虐待的模式存在很大差异。目的分析澳大利亚儿童代表性人群样本中跨代儿童保护接触的家族模式。参与者和背景参与者是来自新南威尔士州儿童发展研究的75,784名澳大利亚儿童（从出生到18岁）及其父母。方法利用子女保护（CP）数据（儿童：2001-2021年；父母：1971-2021年），根据与CP系统接触的代际模式将家庭成员分为4个亚群。采用二元逻辑回归对代际CP组中所有家庭成员的社会人口学因素和CP系统联系进行了检查。结果绝大多数家庭（67.8%）跨代无儿童保护接触。大约31%的儿童接受过CP服务，而在该队列中，只有5%的母亲和1.7%的父亲接受过CP服务。大多数接受过CP服务的儿童（85%）没有父母虐待史（“周期发起者”家庭）。在父母有CP历史记录的儿童中，近79%的儿童也接受过CP服务（“循环维持者”，占所有接受过CP服务的儿童的15%），21%的儿童不知道接受过儿童保护服务（归类为“循环打破者”，占所有接受过CP服务的儿童的4%）。与其他组相比，被归类为“循环维护者”的父母更严重、更频繁、更早地参与到CP系统中，并且处于更高的劣势。结论代际CP系统参与的社会经济驱动因素值得政策制定者关注。

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引用次数: 0

Adolescent online child sexual abuse material offending in Turkey: Psychosocial and forensic profiles from NCMEC reports and child protection implications 土耳其青少年在线儿童性虐待材料犯罪：来自NCMEC报告的社会心理和法医档案及其对儿童保护的影响

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-20 DOI: 10.1016/j.chiabu.2025.107851

Neşe Kavruk Erdim , Gamze Baş

Background

Adolescent involvement in online child sexual abuse material (CSAM) poses a growing child-protection challenge worldwide. Reports from the U.S. National Center for Missing and Exploited Children (NCMEC) often trigger investigations, yet psychosocial profiles in non-Western contexts remain underexamined.

Objective

To describe psychosocial, clinical, and offense-related characteristics of adolescents referred after NCMEC reports in Turkey and to explore associations with offense patterns.

Participants and setting

A retrospective cohort of 35 adolescents (97.1 % male; mean age = 14.2 years) evaluated by the national forensic psychiatry board between January 2021 and August 2025.

Methods

Forensic reports were coded for demographics, family background, psychosocial context, offense type/platform, and motivations. Descriptive statistics summarized profiles, and group differences were tested.

Results

Most adolescents lived with both parents (85.7 %), had no psychiatric history (80.0 %), and reported no substance use (74.3 %). CSAM involvement was predominantly distribution/sharing (97.1 %), while production was rare (2.9 %). Platforms included Instagram (14.3 %), Discord (8.6 %), Facebook (8.6 %), and WhatsApp (5.7 %), though in many cases platform was unknown (62.9 %). Motivations included unawareness of illegality (25.7 %), peer influence (20.0 %), and sexual or digital curiosity (14.3 % each). A small subgroup (11.4 %) demonstrated co-occurring descriptive characteristics across the social, clinical, and online-behavior domains. Motivation did not predict distribution/production, and platform use did not differ significantly by age. Among the materials detected, 94.3 % depicted prepubescent children, and no cases involved self-generated or peer-produced imagery.

Conclusions

Adolescent CSAM offending in this context appears shaped more by developmental immaturity, peer dynamics, and digital environments than by entrenched psychopathology. Prevention may support legal awareness education, interventions targeting peer norms, and digital literacy within child-protection and school systems.

青少年参与在线儿童性虐待材料（CSAM）在全球范围内对儿童保护提出了日益严峻的挑战。来自美国国家失踪和受虐儿童中心（NCMEC）的报告经常引发调查，但非西方背景下的社会心理状况仍未得到充分研究。目的描述土耳其NCMEC报告后转诊的青少年的社会心理、临床和犯罪相关特征，并探讨其与犯罪模式的关系。在2021年1月至2025年8月期间，由国家法医精神病学委员会评估的35名青少年（97.1%为男性，平均年龄= 14.2岁）的回顾性队列。方法根据人口统计学、家庭背景、社会心理环境、犯罪类型/平台和动机对法医报告进行编码。描述性统计总结了概况，并检验了组间差异。结果大多数青少年与父母共同生活（85.7%），无精神病史（80.0%），无药物使用（74.3%）。CSAM的参与主要是分配/分享（97.1%），而生产很少（2.9%）。平台包括Instagram（14.3%）、Discord（8.6%）、Facebook（8.6%）和WhatsApp(5.7%)，尽管在许多情况下，平台是未知的（62.9%）。动机包括不知道违法性（25.7%）、同伴影响（20.0%）以及对性或数字的好奇（各占14.3%）。一小部分人（11.4%）表现出在社交、临床和在线行为领域同时发生的描述性特征。动机不能预测发行/生产，平台使用也不会因年龄而有显著差异。在检测到的材料中，94.3%描绘了青春期前的儿童，没有案例涉及自我生成或同伴生成的图像。结论：在这种情况下，青少年CSAM犯罪似乎更多地受到发育不成熟、同伴动态和数字环境的影响，而不是根深蒂固的精神病理。预防可以支持法律意识教育、针对同伴规范的干预措施以及儿童保护和学校系统内的数字扫盲。

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引用次数: 0

Development and Validation of Risk Assessment Models for Anxiety and Depression in Chinese Children with Childhood Household Dysfunction 中国儿童家庭功能障碍焦虑抑郁风险评估模型的建立与验证。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-18 DOI: 10.1016/j.chiabu.2025.107842

Ping Mao , Jing Xia , Jia Yang , Xinyi Hou , Ya Zou , Jingjing Liu , Lixia Cai , Xiaoliang Tong , Wei He

Background

Children exposed to childhood household dysfunction (CHD) are at high risk for anxiety and depression. However, few tools are available for early identification. This study developed two risk assessment models for anxiety and depression in children with CHD to enable early detection and intervention.

Methods

A cross-sectional study recruited 1276 children with CHD from Changsha, Hunan, who were randomly divided into training and validation sets (7:3). Bidirectional stepwise multivariate logistic regressions were used to develop models based on socio-demographic, individual, family, and societal levels. Model performance was assessed using receiver operating characteristic (ROC) curves, area under the curve (AUC), sensitivity, specificity, and accuracy (ACC).

Results

Among the participants, 736 (57.8 %) had depression risk, and 892 (70.0 %) had anxiety risk. The Anxiety Risk Model included seven variables: gender, grade, rumination, adolescent life events, number of childhood trauma experiences, positive coping style, and sleep quality. It demonstrated strong performance with an AUC of 0.875 (95 % CI: 0.852–0.897) in the training set and 0.864 (95 % CI: 0.826–0.902) in the validation set, with a sensitivity of 74.3 %, specificity of 79.6 %, and an accuracy of 75.1 %. The Depression Risk Model included five variables: grade, rumination, adolescent life events, positive coping style, and sleep quality, with an AUC of 0.895 (95 % CI: 0.874–0.916) in the training set and 0.869 (95 % CI: 0.829–0.908) in the validation set, with sensitivity of 75.1 %, specificity of 80.9 %, and accuracy of 76.8 %.

Conclusion

The two risk assessment models offer valuable insights into the early identification of children at risk of depression and anxiety within similar urban adolescent populations. These findings necessitate further validation using longitudinal designs within larger and more diverse populations to confirm the models' generalizability and robustness before recommendations for wider clinical application can be made.

背景：暴露于儿童家庭功能障碍（CHD）的儿童是焦虑和抑郁的高危人群。然而，很少有工具可用于早期识别。本研究建立了两种冠心病儿童焦虑和抑郁风险评估模型，以便早期发现和干预。方法：采用横断面研究方法，从湖南长沙市招募1276例冠心病患儿，随机分为训练组和验证组（7:3）。采用双向逐步多元逻辑回归建立基于社会人口统计学、个人、家庭和社会层面的模型。采用受试者工作特征（ROC）曲线、曲线下面积（AUC）、敏感性、特异性和准确性（ACC）评估模型的性能。结果：736人（57.8%）存在抑郁风险，892人（70.0%）存在焦虑风险。焦虑风险模型包括七个变量：性别、年级、反思、青春期生活事件、童年创伤经历次数、积极应对方式和睡眠质量。该方法在训练集的AUC为0.875 (95% CI: 0.852-0.897)，在验证集的AUC为0.864 (95% CI: 0.826-0.902)，灵敏度为74.3%，特异性为79.6%，准确率为75.1%。抑郁风险模型包括年级、反刍、青少年生活事件、积极应对方式、睡眠质量5个变量，训练集的AUC为0.895 (95% CI: 0.874-0.916)，验证集的AUC为0.869 (95% CI: 0.829-0.908)，灵敏度为75.1%，特异性为80.9%，准确率为76.8%。结论：这两种风险评估模型为在相似的城市青少年人群中早期识别有抑郁和焦虑风险的儿童提供了有价值的见解。这些发现需要在更大、更多样化的人群中使用纵向设计进一步验证，以确认模型的通用性和稳健性，然后才能提出更广泛的临床应用建议。

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引用次数: 0

Beyond additive risk: Intersectional inequalities in sexual violence by sex, race and ethnicity, and sexual orientation 除了附加风险之外：性别、种族和民族以及性取向导致的性暴力的交叉不平等。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-16 DOI: 10.1016/j.chiabu.2025.107843

Nasir Z. Bashir , James Lane

Background

Sexual violence during youth has serious consequences for short- and long-term health and wellbeing. It is not well understood how risk of sexual violence varies across intersecting social identities.

Objective

This study aims to investigate disparities in sexual violence experienced amongst adolescents, at the intersections of sex, race and ethnicity, and sexual orientation.

Participants and setting

Data were extracted from the 2023 National Youth Risk Behavior Survey, a biennial school-based cross-sectional study conducted across the United States.

Methods

A multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) was carried out, defining 40 intersectional strata by sex, race and ethnicity, and sexual orientation. Three outcomes were evaluated: (i) ever having forced sexual intercourse, (ii) any sexual violence in the past year, (iii) dating sexual violence in the past year.

Results

There was substantial between-stratum heterogeneity in predicted probabilities of forced intercourse and sexual violence. The highest risk strata overwhelmingly comprised non-heterosexual individuals and females, whilst the lowest risk strata comprised heterosexual individuals and males. Fixed effects of sex, race and ethnicity, and sexual orientation explained 82.4 % to 86.8 % of the between-stratum variance, but residual variance remained. The median odds ratio (MOR) indicated that risk of ever having had forced intercourse could double depending on intersectional identity (MOR: 2.04; 95 % CI: 1.73 to 2.54).

Conclusions

Findings support the hypothesis that risk is concentrated in multiply marginalized groups. Intersectional multilevel modelling revealed stark inequalities in adolescent sexual violence risk that are not fully explained by additive effects.

背景：青年时期的性暴力对短期和长期的健康和福祉都有严重后果。人们还不太清楚性暴力的风险在不同的社会身份中是如何变化的。目的：本研究旨在调查不同性别、种族和民族以及性取向的青少年在性暴力方面的差异。参与者和环境：数据来自2023年全国青少年风险行为调查，这是一项在美国进行的两年一次的以学校为基础的横断面研究。方法：采用MAIHDA（个体异质性和歧视性准确性）进行多水平分析，按性别、种族和民族、性取向划分40个交叉阶层。评估了三个结果：(i)曾经被迫性交，（ii）过去一年中任何性暴力，（iii）过去一年中约会中的性暴力。结果：强迫性交和性暴力的预测概率在不同阶层之间存在明显的异质性。风险最高的人群绝大多数是非异性恋者和女性，而风险最低的人群包括异性恋者和男性。性别、种族和民族以及性取向的固定效应解释了82.4%至86.8%的阶层间差异，但残余差异仍然存在。中位优势比（MOR）表明，曾经强迫性交的风险可能会因交叉身份而增加一倍（MOR: 2.04; 95% CI: 1.73至2.54）。结论：研究结果支持风险集中在多个边缘群体的假设。交叉多层模型揭示了青少年性暴力风险的明显不平等，这并不能完全用累加效应来解释。

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引用次数: 0

Aims & Scope 目标及范围

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-16 DOI: 10.1016/S0145-2134(25)00605-2

引用次数: 0