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Lee W. Strain, Anger, and Violent Behavior of South Korean Adolescents. JOURNAL OF INTERPERSONAL VIOLENCE 2024; 39:2395-2414. [PMID: 38084385 DOI: 10.1177/08862605231218222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2024]
Abstract
Although general strain theory (GST) highlights the mediating role of anger between strain and violent behavior, the extant body of literature has been criticized for lack of rigorous testing of the mediating role of anger and lack of application in different cultural contexts. To cover this research gap, the current study investigated the mediating effect of anger between primary sources of strain of South Korean adolescents (i.e., parental abuse, academic-related strain, and negative relations to teacher) and violent behavior. Using structural equation modeling based on a nationally representative longitudinal dataset (n = 3,120), this study found a significant mediating role of anger in connecting strain and violent behavior of South Korean adolescents. Results from the present study support the main proposition of the GST on the mediating role of anger and its applicability in a cross-cultural context. Theoretical and practical implications are discussed.
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Affiliation(s)
- Wonki Lee
- University of Florida, Gainesville, USA
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2
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Kanagasabai U, Thorsen V, Zhu L, Annor FB, Chiang L, McOwen J, Augusto A, Manuel P, Kambona C, Coomer R, Kamagate F, Ramphalla P, Denhard L, Cain M, Hegle J, de Barros RB, Saenz S, Kamami M, Patel P. Adverse childhood experiences, HIV and sexual risk behaviors - Five sub-Saharan countries, 2018-2020. CHILD ABUSE & NEGLECT 2024; 150:106541. [PMID: 38114359 DOI: 10.1016/j.chiabu.2023.106541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 10/31/2023] [Accepted: 11/07/2023] [Indexed: 12/21/2023]
Abstract
BACKGROUND Adverse childhood experiences (ACEs) have been shown to have negative, lasting effects on health including increasing the likelihood of engaging in sexual risk behaviors. OBJECTIVE This study aimed to identify associations between exposures to ACEs and sexual risk behaviors and HIV service utilization among young people. PARTICIPANTS AND SETTING A sample of 8023 sexually active young people (19-24 year olds) from five sub-Saharan African countries participated Violence Against Children and Youth Surveys (VACS). METHODS Descriptive analysis of demographic variables, individual ACEs, cumulative ACEs, sexual risk behaviors, HIV testing, antiretroviral treatment (ART) and Antenatal Care (ANC) attendance were completed. Bivariate and multivariable logistic regression analyses were conducted to assess the associations between both individual and cumulative ACEs, sexual HIV risk behaviors, and service utilization while controlling for important covariates such as demographic, having ever been pregnant, had an STI, and used contraception. RESULTS Exposure to three or more ACEs was higher among males (26.1 %) compared to females (21.3 %); p = 0.003. The most prominent sexual risk behavior for females was having sexual partners who were at least 5 years older (45.7 % compared to males 3.7 %; p < 0.0001) whereas in males it was no or infrequent condom use (45.3 % compared to females 30.1 %; p < 0.0001). Males and females exposed to childhood sexual violence had seven and four times the odds of engaging in transactional sex (aOR = 7.34, 95 % CI: [3.5-15.0]) and (aOR =3.75, 95 % CI: [2.3-6.2], respectively. Females exposed to three or more ACEs were four times more likely to engage in transactional sex (aOR = 4.85, 95 %, CI: [1.6-14.4]) compared to those who did not experience any ACEs. Males exposed to three or more ACEs were two times more likely to engage in early sexual debut (aOR = 2.2, 95 % CI: [1.3-3.4]),]) compared to those who did not experience any ACEs. Females who had witnessed IPV or violence in the community had significantly higher odds of getting tested for HIV (aOR = 2.16, 95 % CI: [1.63-2.87]) and (aOR = 1.36, 95 % CI: [1.03-1.81]), respectively. CONCLUSIONS This study demonstrated that experiencing ACEs during childhood is associated with higher HIV risk behaviors in sub-Saharan Africa (SSA) with unique differences between males and females.
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Affiliation(s)
| | - Viva Thorsen
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, USA.
| | - Liping Zhu
- Division of Violence Prevention, Centers for Disease Control and Prevention, Atlanta, USA
| | - Francis B Annor
- Division of Violence Prevention, Centers for Disease Control and Prevention, Atlanta, USA
| | - Laura Chiang
- Division of Violence Prevention, Centers for Disease Control and Prevention, Atlanta, USA
| | - Jordan McOwen
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Mozambique
| | | | - Pedro Manuel
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Mozambique
| | - Caroline Kambona
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Kenya
| | - Rachel Coomer
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Namibia
| | - Fathim Kamagate
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Cote d'Ivoire
| | - Puleng Ramphalla
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Lesotho
| | - Langan Denhard
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, USA
| | - Meagan Cain
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, USA
| | - Jennifer Hegle
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, USA
| | | | - Shantal Saenz
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, USA
| | - Mwikali Kamami
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, USA
| | - Pragna Patel
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, USA
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3
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Potter F, Dohrmann K, Rockstroh B, Schauer M, Crombach A. The impact of experiencing severe physical abuse in childhood on adolescent refugees' emotional distress and integration during the COVID-19 pandemic. Front Psychol 2022; 13:1023252. [PMID: 36506980 PMCID: PMC9729708 DOI: 10.3389/fpsyg.2022.1023252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 10/26/2022] [Indexed: 11/25/2022] Open
Abstract
Background Accumulating evidence highlights the importance of pre- and post- migration stressors on refugees' mental health and integration. In addition to migration-associated stressors, experiences earlier in life such as physical abuse in childhood as well as current life stress as produced by the COVID-19-pandemic may impair mental health and successful integration - yet evidence on these further risks is still limited. The present study explicitly focused on the impact of severe physical abuse in childhood during the COVID-19 pandemic and evaluated the impact of these additional stressors on emotional distress and integration of refugees in Germany. Methods The sample included 80 refugees, 88.8% male, mean age 19.7 years. In a semi-structured interview, trained psychologists screened for emotional distress, using the Refugee Health Screener, and integration status, using the Integration Index. The experience of severe physical abuse in childhood was quantified as a yes/no response to the question: "Have you been hit so badly before the age of 15 that you had to go to hospital or needed medical attention?" Multiple hierarchical regression analyses further included gender, age, residence status, months since the start of the COVID-19 pandemic and length of stay in Germany to predict emotional distress and integration. Results Two regression analyses determined significant predictors of (1) emotional distress (adjusted R 2 = 0.23): duration of being in the pandemic (ß = 0.38, p < 0.001) and severe physical abuse in childhood (ß = 0.31, p = 0.005), and significant predictors of (2) integration (adjusted R 2 = 0.53): length of stay in Germany (ß = 0.62, p < 0.001), severe physical abuse in childhood (ß = 0.21, p = 0.019) and emotional distress (ß = -0.28, p = 0.002). Conclusion In addition to migration-associated stressors, severe physical abuse in childhood constitutes a pre-migration risk, which crucially affects the well-being, emotional distress and integration of refugees in Germany.
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Affiliation(s)
- Flurina Potter
- Department of Psychology, University of Konstanz, Konstanz, Germany,*Correspondence: Flurina Potter,
| | - Katalin Dohrmann
- Department of Psychology, University of Konstanz, Konstanz, Germany
| | | | - Maggie Schauer
- Department of Psychology, University of Konstanz, Konstanz, Germany
| | - Anselm Crombach
- Department of Psychology, University of Konstanz, Konstanz, Germany,Department of Psychology, University of Saarbrücken, Saarbrücken, Germany
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Vulliamy P, Hancorn K, Glasgow S, West A, Davenport RA, Brohi K, Griffiths MP. Age-related injury patterns resulting from knife violence in an urban population. Sci Rep 2022; 12:15250. [PMID: 36163382 PMCID: PMC9512781 DOI: 10.1038/s41598-022-17768-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2021] [Accepted: 07/30/2022] [Indexed: 12/01/2022] Open
Abstract
Interpersonal violence involving knives is a major public health problem. The majority of patients are young people in urban areas, but little is known about age-specific patterns of injury and recent trends in injury characteristics. We performed a retrospective cohort study of all patients presenting to an urban major trauma centre with stab injuries resulting from assault between 2012 and 2018. A total of 3583 patients were included. Young people (age under 25) were more likely to have sustained multiple stab wounds compared to older people (43% vs 35%, p < 0.001) and had significantly higher rates of stab injuries involving the lower limbs, groin and buttocks. The annual number of injuries increased steadily during the study period in patients aged under 25 (r2 = 0.82, p = 0.005) and those over 25 (r2 = 0.95, p < 0.001). Over time, limb and junctional injuries accounted for an increasing proportion of stab wounds in young people, overtaking torso injuries as most common pattern of injury by the end of the study period. These findings illustrate the influence of age on injury patterns resulting from knife violence, and support the expansion of outreach initiatives promoting bystander-delivered haemorrhage control of extremity wounds.
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Affiliation(s)
- P Vulliamy
- Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, E1 2AT, UK
| | - K Hancorn
- The Royal London Hospital Major Trauma Centre, Barts Health NHS Trust, Whitechapel, E1 1FR, UK
| | - S Glasgow
- Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, E1 2AT, UK
| | - A West
- The Royal London Hospital Major Trauma Centre, Barts Health NHS Trust, Whitechapel, E1 1FR, UK
| | - R A Davenport
- Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, E1 2AT, UK.,The Royal London Hospital Major Trauma Centre, Barts Health NHS Trust, Whitechapel, E1 1FR, UK
| | - K Brohi
- Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, E1 2AT, UK.,The Royal London Hospital Major Trauma Centre, Barts Health NHS Trust, Whitechapel, E1 1FR, UK
| | - M P Griffiths
- The Royal London Hospital Major Trauma Centre, Barts Health NHS Trust, Whitechapel, E1 1FR, UK.
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Fraser AM, Gaias LM, Guevara AMM, Johnson SL. A Person-centered Approach to Violence Exposure in Postwar Colombian Youth: Demographic Covariates and Positive Youth Development Outcomes. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP13533-NP13559. [PMID: 33832382 DOI: 10.1177/08862605211005136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
While the negative impact of extensive exposure to community violence and armed conflict is known, less emphasis has been focused on outcomes supportive of resilience. It is critical to begin exploring these constructs to both promote healing from decades-long conflict and to inform targeted interventions that focus on positive youth development in contexts of adversity. This study thus utilized a person-centered approach to estimate violence exposure profiles among 3,443 Colombian youth to explore what demographic covariates and positive youth development outcomes, such as school engagement, hope, goals, social competence, future expectations, and barriers to education were associated with each violence exposure profile. Four profiles emerged: a low exposure profile, a high community violence profile, a some combined exposure profile, and a high combined exposure profile, each with various levels of community violence witnessing and victimization as well as armed conflict exposure. Demographic covariance results showed older, urban, male youth were more likely to be in the high violence exposure profiles compared to the low exposure group. Youth in the high combined exposure profile were more likely to have lower hope, educational expectations, and social competence compared to the low exposure group. Findings highlight that a person-centered approach provides a more multidimensional view of adolescent violence exposure. Demographic differences suggested the importance of tailoring violence prevention initiatives to the local context. Finally, results concerning positive youth development outcomes suggest that resiliency-oriented constructs, which can be instrumental toward youth's postwar healing and growth, should be emphasized among populations who experience high levels of co-occurring exposure.
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Savell SM, Womack SR, Wilson MN, Lemery-Chalfant K, Shaw DS. Indirect Associations between Middle-Childhood Externalizing Behaviors and Adolescent Substance Use through Late-Childhood Exposure to Violence. J Youth Adolesc 2022; 51:628-642. [PMID: 35107744 PMCID: PMC8994499 DOI: 10.1007/s10964-022-01575-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 01/12/2022] [Indexed: 10/19/2022]
Abstract
Longitudinal research to understand individual risk factors in childhood associated with exposure to violence and substance use is needed to inform prevention efforts. The present study tested indirect associations between age 8.5 externalizing behaviors and age 16 substance use through age 9.5 violence victimization and witnessing. Participants were 650 racially diverse (48.6% European American, 28.1% African American, 13.3% multiracial, and 10.0% other), predominantly socioeconomically disadvantaged youth (49% female). Externalizing behaviors were associated with higher levels of violence victimization and witnessing. The indirect path from externalizing behaviors to substance use was significant through victimization but not witnessing violence. Interventions aimed at reducing early externalizing behaviors may reduce risk for violence victimization, which may, in turn, reduce risk for adolescent substance use.
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Affiliation(s)
- Shannon M Savell
- Department of Psychology, University of Virginia, Charlottesville, USA.
| | - Sean R Womack
- Department of Psychology, University of Virginia, Charlottesville, USA
| | - Melvin N Wilson
- Department of Psychology, University of Virginia, Charlottesville, USA
| | | | - Daniel S Shaw
- Department of Psychology, University of Pittsburgh, Pittsburgh, USA
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DiClemente CM, Richards MH. Community Violence in Early Adolescence: Assessing Coping Strategies for Reducing Delinquency and Aggression. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2022; 51:155-169. [PMID: 31549863 PMCID: PMC7089820 DOI: 10.1080/15374416.2019.1650365] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Objective: Exposure to community violence has disabling effects on the mental health of youth in the US, especially for African American adolescents from underserved, urban communities, fostering increased externalizing problems. The current study assessed the utility of problem-focused, emotion-focused, and avoidant coping strategies for reducing aggression and delinquency amidst this uncontrollable stress. It was hypothesized that greater use of avoidant strategies would most consistently reduce externalizing behaviors over time, with these effects being stronger for boys than girls. Method: Following confirmatory factor analyses, longitudinal moderated moderation analyses were conducted with a sample of 263 Black students from low-income, urban areas (60% female, M = 11.65 years), who completed surveys in sixth, seventh, and eighth grades. Results: For sixth grade boys who witnessed violence, using more problem-focused strategies increased delinquency in eighth grade, whereas less use of problem-focused, emotion-focused, and avoidant coping increased eighth grade delinquency for girls with both indirect and direct violence exposure. Girls showed a similar pattern for aggression in seventh and eighth grade. Problem-focused coping was endorsed most frequently overall by boys and girls. Violence exposure was associated with greater use of avoidant strategies in sixth grade. Conclusions: These results suggest that using fewer coping strategies was detrimental for girls, while boys may require more resources to support their coping efforts. This research enhances understanding of how boys and girls adaptively cope with community violence differently, while addressing concerns with conceptualizing categories of coping to inform clinicians in these communities.
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Walsh C, Smyth R. Partners in prevention: the role of health systems in the prevention of youth violence in post-conflict Northern Ireland. CRIME PREVENTION AND COMMUNITY SAFETY 2022; 24:369-386. [PMCID: PMC9461464 DOI: 10.1057/s41300-022-00159-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/24/2022] [Indexed: 06/28/2023]
Abstract
Interpersonal violence is a wicked and complex issue with youth disproportionately affected. Its effects are multifaceted, placing an additional burden across systems. Despite this, there continues to be an exclusive focus on police recorded crime data in the context of post-conflict Northern Ireland. Given the enduring issue around police legitimacy, it is likely that police-related crime data are limited in its capacity to estimate incidences and trends of youth violence. Leveraging insights from other sources of data can add significant value in the prevention of youth violence. For example, there is significant utility in the use of health-related data in the prevention of higher-harm violence; however, in the context of Northern Ireland this has been under-evaluated. This retrospective cohort study sought to illustrate what could be gleaned using a novel approach to Emergency Department (ED) data. Routinely collected data captured from youth aged 12–25 attending an ED trauma centre for violence-related injuries between August 2020 and August 2021 were collated, coded and analysed. We found that young men were most likely to present to ED with violence-related injuries; incidences were temporally clustered across several months of the year (i.e. Summer); and younger aged youth were at greater risk of violence-related injuries during the afternoon and early evening. These findings illustrate the utility of health data for violence prevention and the potential for integrating administrative datasets in the design of prevention policy. Limitations and implications for practice are discussed.
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Affiliation(s)
- Colm Walsh
- School of Social Sciences, Education and Social Work, Queen’s University Belfast, Belfast, UK
| | - Ryan Smyth
- Western Health and Social Care Trust, Londonderry, Northern Ireland
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9
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Hartanto A, Lua VY, Quek FY, Yong JC, Ng MH. A critical review on the moderating role of contextual factors in the associations between video gaming and well-being. COMPUTERS IN HUMAN BEHAVIOR REPORTS 2021. [DOI: 10.1016/j.chbr.2021.100135] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Mroczkowski MM, Walkup JT, Appelbaum PS. Assessing Violence Risk in Adolescents in the Pediatric Emergency Department: Systematic Review and Clinical Guidance. West J Emerg Med 2021; 22:533-542. [PMID: 34125023 PMCID: PMC8202995 DOI: 10.5811/westjem.2021.1.49233] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Accepted: 01/24/2021] [Indexed: 11/21/2022] Open
Abstract
Introduction Violence risk assessment is one of the most frequent reasons for child and adolescent psychiatry consultation with adolescents in the pediatric emergency department (ED). Here we provide a systematic review of risk factors for violence in adolescents using the risk factor categories from the MacArthur Violence Risk Assessment study. Further, we provide clinical guidance for assessing adolescent violence risk in the pediatric ED. Methods For this systematic review, we used the preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2009 checklist. We searched PubMed and PsycINFO databases (1966–July 1, 2020) for studies that reported risk factors for violence in adolescents. Results Risk factors for adolescent violence can be organized by MacArthur risk factor categories. Personal characteristics include male gender, younger age, no religious affiliation, lower IQ, and Black, Hispanic, or multiracial race. Historical characteristics include a younger age at first offense, higher number of previous criminal offenses, criminal history in one parent, physical abuse, experiencing poor child-rearing, and low parental education level. Among contextual characteristics, high peer delinquency or violent peer-group membership, low grade point average and poor academic performance, low connectedness to school, truancy, and school failure, along with victimization, are risk factors. Also, firearm access is a risk factor for violence in children and adolescents. Clinical characteristics include substance use, depressive mood, attention deficit hyperactivity disorder, antisocial traits, callous/unemotional traits, grandiosity, and justification of violence. Conclusion Using MacArthur risk factor categories as organizing principles, this systematic review recommends the Structured Assessment of Violence Risk in Youth (SAVRY) risk- assessment tool for assessing adolescent violence risk in the pediatric ED.
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Affiliation(s)
- Megan M Mroczkowski
- Columbia University Irving Medical Center, Department of Psychiatry, New York, New York
| | - John T Walkup
- Ann & Robert H. Lurie Children's Hospital of Northwestern University, Department of Psychiatry and Behavioral Sciences, Chicago, Illinois
| | - Paul S Appelbaum
- Columbia University Irving Medical Center, Department of Psychiatry, New York, New York
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Choi B. Cycle of Violence in Schools: Longitudinal Reciprocal Relationship Between Student's Aggression and Teacher's Use of Corporal Punishment. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:1168-1188. [PMID: 29294980 DOI: 10.1177/0886260517741627] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The purpose of this study is to examine the longitudinal reciprocal relationship between student's aggression and teacher's use of corporal punishment. An autoregressive cross-lagged model was analyzed with the data drawn from 4,051 Korean secondary students (male = 2,084, female = 1,967), in Gyeonggi Education Panel Study for three waves (seventh-ninth grades). Results revealed that student's aggression provoke teacher's use of corporal punishment and also teacher's use of corporal punishment provokes student's aggression. It is important in that it suggests the cycle of violence with the reciprocal relationship between student's aggression and teacher's use of corporal punishment, rather than positing the unidirectional effects. Practically, teachers should keep in mind that corporal punishments, which are at least partially attributable to student's aggression, actually worsen the problem and lead to a cycle of violence in schools. Accordingly, they should instead respond with alternative disciplinary strategies or direct interventions dealing with the causes of aggression.
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Affiliation(s)
- Boungho Choi
- Korean National Police University, Asan, Republic of Korea
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12
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Examining Student–Teacher Relationship and Callous–Unemotional Traits in Children with Adverse Childhood Experiences. SCHOOL MENTAL HEALTH 2020. [DOI: 10.1007/s12310-020-09397-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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13
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Takahashi K, Ozawa E, Harizuka S. Impact of corporal punishment on victims' future violent behavior in extracurricular sports. Heliyon 2020; 6:e04903. [PMID: 32984604 PMCID: PMC7495053 DOI: 10.1016/j.heliyon.2020.e04903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Revised: 05/07/2020] [Accepted: 09/08/2020] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Over 500 cases of school-based corporal punishment (CP) are reported annually in Japan. A major feature of CP in Japanese schools is its high prevalence during extracurricular sports activities. OBJECTIVE The purpose of this study was to examine the influence of having suffered a CP-related injury on victims' later use of CP in an athletics environment. PARTICIPANTS AND SETTING Participants were 704 undergraduate students of a sports instructor training course who were recruited as volunteers during classes. METHODS A questionnaire on past experiences of CP and later perpetration of CP was administered to the participants. It was found that 31.3% of the students had experienced CP and 2.3% had perpetrated CP on others. We conducted logistic regression analyses with CP as an objective dependent variable and gender, grade and past CP experience (elementary, junior high school, or high school) as explanatory variables. RESULTS The results of the analysis revealed that having experienced CP had a significant relationship with the victims' perpetration of CP. Elementary school was the only life stage for which there was a significant correlation between having been a victim of CP and practicing it in the future. CONCLUSIONS Many studies have explored the use of CP in families, while others have demonstrated that physical education students who received CP themselves are more likely to find CP an acceptable method of maintaining discipline. This is the first study that investigates whether students who experienced CP show a higher prevalence of CP perpetration. The findings indicate that experiencing CP in childhood is a risk factor for future use of CP. Proper care is required for children who have experienced CP at a young age.
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Affiliation(s)
- Kayo Takahashi
- Graduate School of Clinical Psychology, Kagoshima University, Kagoshima, Japan
| | - Eiji Ozawa
- Faculty of Human-Environment Studies, Kyushu University, Fukuoka, Japan
| | - Susumu Harizuka
- Faculty of Human Sciences, Chikushi Jogakuen University, Fukuoka, Japan
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Lee DB, Hsieh HF, Stoddard SA, Heinze JE, Carter PM, Goldstick JE, Cunningham MC, Cunningham RM, Zimmerman MA. Longitudinal pathway from violence exposure to firearm carriage among adolescents: The role of future expectation. J Adolesc 2020; 81:101-113. [PMID: 32408115 PMCID: PMC7325611 DOI: 10.1016/j.adolescence.2020.03.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2019] [Revised: 03/24/2020] [Accepted: 03/25/2020] [Indexed: 12/14/2022]
Abstract
INTRODUCTION Exposure to violence is a risk factor for firearm carriage. Youth exposed to violence also have difficulty envisioning positive future outcomes (e.g., educational outcomes), which can increase the likelihood of firearm carriage over time. Researchers, however, have not yet examined whether changes in exposure to violence over time can influence the developmental trajectories of firearm carriage. To address this gap, we (1) examined the longitudinal association between exposure to violence and firearm carriage (grades 9 to 12) and then (2) examined whether changes in future expectations mediated this longitudinal association. METHOD The longitudinal association between exposure to violence and firearm carriage through future expectations was examined among 850 adolescents from the Flint Adolescent Study. Participants were recruited from four high schools in a midwestern city in the United States. Parallel latent growth models and latent growth mediation models were estimated. RESULTS A positive association was observed between the rate of change in exposure to violence and firearm carriage. Exposure to violence also indirectly increased the risk for firearm carriage over time by decreasing future expectation in the 9th grade. CONCLUSIONS Our results support the idea that helping youth develop positive attitude about educational success may help reduce firearm carriage. Increasing positive expectations about future may help prevent firearm carriage within the context of violence exposure.
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Affiliation(s)
- Daniel B Lee
- Children's Minnesota Research Institute, Children's Minnesota Hospitals and Clinics, Minneapolis, MN, USA.
| | - Hsing-Fang Hsieh
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Sarah A Stoddard
- Department of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor, MI, USA
| | - Justin E Heinze
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Patrick M Carter
- Department of Emergency Medicine, Michigan Medicine, Ann Arbor, MI, USA
| | - Jason E Goldstick
- Department of Emergency Medicine, Michigan Medicine, Ann Arbor, MI, USA
| | - Mary C Cunningham
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA
| | | | - Marc A Zimmerman
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA
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Hemming L, Bhatti P, Shaw J, Haddock G, Pratt D. Words Don't Come Easy: How Male Prisoners' Difficulties Identifying and Discussing Feelings Relate to Suicide and Violence. Front Psychiatry 2020; 11:581390. [PMID: 33362602 PMCID: PMC7758448 DOI: 10.3389/fpsyt.2020.581390] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 11/11/2020] [Indexed: 11/16/2022] Open
Abstract
Suicide and violence are prevalent within male prisons in the UK. It has been suggested that alexithymia may be associated with both suicide and violence. Alexithymia can be defined as an inability to identify or discuss emotions. The present study aimed to qualitatively explore male prisoners' experiences of alexithymia and how these experiences may relate to suicide and violence. Fifteen male prisoners were recruited from two prisons in the North West of England. All participants had experienced suicidal and/or violent thoughts and/or behaviors in the past 3 months, and all screened positive on an established measure of alexithymia. Participants took part in a qualitative interview during which they were also given the opportunity to provide drawings of their emotions. Data were transcribed and analyzed using thematic analysis, with a collaborative approach taken between researchers and an individual with lived experience of residing in prison. The results indicated that male prisoners tended not to talk about their emotions with others, due to external pressures of residing in prison in addition to internal difficulties with recognizing and articulating emotions. Not discussing emotions with others was associated with a build-up of emotions which could result in either an emotional overload or an absence of emotions. Both experiences were perceived to be associated with hurting self or others, however, participants also identified a "safety valve" where it was acknowledged that using more adaptive approaches to releasing emotions could prevent harm to self and others. These findings suggest three main clinical implications; (1) a cultural shift in male prisons is needed which encourages open communication of emotions (2) individualized support is needed for those identified as experiencing a difficulty in recognizing and articulating emotions and (3) prison staff should encourage alternative ways of releasing emotions such as by using harm minimization or distraction techniques.
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Affiliation(s)
- Laura Hemming
- Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, United Kingdom.,Manchester Academic Health Sciences Centre, Manchester, United Kingdom
| | - Peer Bhatti
- Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, United Kingdom.,Manchester Academic Health Sciences Centre, Manchester, United Kingdom
| | - Jennifer Shaw
- Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, United Kingdom.,Manchester Academic Health Sciences Centre, Manchester, United Kingdom.,Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom
| | - Gillian Haddock
- Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, United Kingdom.,Manchester Academic Health Sciences Centre, Manchester, United Kingdom.,Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom
| | - Daniel Pratt
- Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, United Kingdom.,Manchester Academic Health Sciences Centre, Manchester, United Kingdom.,Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom
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Prevalence and correlates of partner violence among adolescent girls and young women: Evidence from baseline data of a cluster randomised trial in Tanzania. PLoS One 2019; 14:e0222950. [PMID: 31593577 PMCID: PMC6782098 DOI: 10.1371/journal.pone.0222950] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Accepted: 09/10/2019] [Indexed: 11/19/2022] Open
Abstract
Background Little has been documented about partner violence among adolescent girls and young women (AGYW) who are out of school, a factor associated with HIV acquisition. To understand areas for prioritising HIV prevention intervention efforts, we explored the prevalence and correlates of partner violence among out of school AGYW in Shinyanga, Tanzania. Methods A cross-sectional analysis of data from AGYW aged 15–23 years recruited in a cluster randomised trial conducted between October and December 2017 was used to examine correlates of partner violence. Data were collected through an Audio Computer-Assisted Self-interview. Multivariate logistic regression analysis was used to evaluate the association. Results 2276 (75.5%) AGYW were sexually active. Of these, 816 (35.9%) reported having experienced violence from partners in the last six months. After adjusting for other covariates, being formerly married (AOR = 1.55, 95% CI:1.02, 2.37), having children (AOR = 1.79, 95% CI:1.47, 2.16), anxiety and depression symptoms (AOR = 3.27, 95%CI: 2.15, 4.96), having engaged in sex work in the past six months (AOR = 1.92, 95% CI: 1.45, 2.53) and economic deprivation (AOR = 1.61, 95% CI: 1.34,1.92) were significantly associated with partner violence. Conclusions Almost one in three sexually active AGYW had experienced partner violence in the 6 months preceding the survey. The findings underscore the need for future research to focus on understanding the reasons and dynamics underlying high level of partner violence among AGYW. Furthermore, there is a need for implementing intervention programs that aim to reduce economic deprivation among AGYWs and address social norms and structures perpetuating violence against AGYW. Trial registration ClinicalTrials.gov—IDNCT03597243.
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van Domburgh L, Geluk C, Jansen L, Vermeiren R, Doreleijers T. Antisocial Behavior and Victimization Over 2-Year Follow-Up in Subgroups of Childhood Arrestees. JOURNAL OF INTERPERSONAL VIOLENCE 2019; 34:3780-3806. [PMID: 29294607 DOI: 10.1177/0886260516672052] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Not only are childhood onset offenders at high risk of becoming serious persistent offenders, they are also at high risk of becoming victimized themselves. Furthermore, studies in the general population suggest that a combined perpetrator-victim group can be distinguished from a perpetrator-only and a victim-only group on individual and family risk factors. The current study investigated the co-occurrence of offending and victimization among first-time arrestees and the 2-year predictive value of previously found clusters of dynamic risk factors of offending. Childhood first-time arrestees (N = 308; Mage = 10.3, SD = 1.45) were clustered into three groups based on dynamic risk factors of offending in the individual, peer, school, and family domains: a pervasive high, an externalizing intermediate, and a low problem group. Police records and self-report data on re-offending and victimization of these children were collected over a 2-year follow-up period. Compared with the low problem group, the prevalence of re-offending was higher in both the externalizing intermediate group and the pervasive high group. The pervasive high group was most likely to display co-occurring future antisocial behavior and victimization. These findings emphasize that attention should be paid to victimization in addition to future antisocial behavior, especially if additional internalizing and family problems are present. Furthermore, the differences in re-offending and victimization between subgroups of childhood onset offenders stress the need for specific interventions tailored to the risk profile of a child.
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Affiliation(s)
- Lieke van Domburgh
- 1 VU University Medical Center, Duivendrecht, The Netherlands
- 2 Intermetzo, Zutphen, The Netherlands
| | - Charlotte Geluk
- 1 VU University Medical Center, Duivendrecht, The Netherlands
| | - Lucres Jansen
- 1 VU University Medical Center, Duivendrecht, The Netherlands
| | - Robert Vermeiren
- 1 VU University Medical Center, Duivendrecht, The Netherlands
- 3 Leiden University Medical Center, Leiden, The Netherlands
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Kyegombe N, Banks LM, Kelly S, Kuper H, Devries KM. How to conduct good quality research on violence against children with disabilities: key ethical, measurement, and research principles. BMC Public Health 2019; 19:1133. [PMID: 31420030 PMCID: PMC6698022 DOI: 10.1186/s12889-019-7456-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Accepted: 08/08/2019] [Indexed: 12/01/2022] Open
Abstract
Background Approximately one billion children experience violence every year. Violence against children is an urgent global public health concern and violation of children’s rights. It is also a risk factor for serious negative health and social outcomes and is therefore addressed within the Sustainable Development Goals (SDGs). Children with disabilities, who make up one in 20 children worldwide, are particularly vulnerable to violence although good quality data are lacking on causes and means of prevention of violence against children with disabilities. Key challenges exist in the measurement of disability and violence, which in part explains the dearth in evidence. Improving research on violence against children with disabilities This paper provides guidance on how to conduct good quality, ethical, and inclusive research on violence against children with disabilities, particularly in low-income settings. The lack of an international agreed ‘gold standard’ frustrates efforts to measure violence across settings and time. Careful consideration must be given to the design of survey tools. Qualitative and participatory research methods also offer important opportunities to explore children’s subjective understanding and experiences of violence. Challenges also exist around the measurement of disability. Disability may be measured by asking directly about disability, through self-reported functioning, or through the presence of impairments or health conditions. These approaches have strengths and limitations and should build on what children are able to do and include appropriate adaptations for specific impairments where necessary. Ethical research also requires adherence to ethical guidelines and approvals, obtaining informed consent, appropriate child protection responses, and careful consideration of interviewer-related issues including their selection, training, and welfare. Key methodological gaps remain - how to include children with severe communication challenges in research; how to respond in instances of weak child protection systems; designing sampling procedures that adequately represent children with disabilities in large-scale violence surveys; and determining how best to ask about violence safely in large-scale surveys and monitoring data. This paper further advocates for the dissemination of research results in inclusive and accessible formats. Conclusion With careful planning, challenges in collecting data on disability and violence can be overcome to generate evidence in this neglected area.
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Affiliation(s)
- Nambusi Kyegombe
- Gender Violence and Health Centre, Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, 15, London, WC1H 9SH, UK.
| | - Lena Morgon Banks
- International Centre for Evidence in Disability, Department of Clinical Research, London School of Hygiene and Tropical Medicine, Keppel St, London, WC1E 7HT, UK
| | - Susan Kelly
- Gender Violence and Health Centre, Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, 15, London, WC1H 9SH, UK
| | - Hannah Kuper
- International Centre for Evidence in Disability, Department of Clinical Research, London School of Hygiene and Tropical Medicine, Keppel St, London, WC1E 7HT, UK
| | - Karen M Devries
- Gender Violence and Health Centre, Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, 15, London, WC1H 9SH, UK
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The association of maltreatment and socially deviant behavior––Findings from a national study with adolescent students and their parents. ACTA ACUST UNITED AC 2019. [DOI: 10.1016/j.mhp.2019.01.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Scherer JN, Silvello D, Volpato VL, Roglio VS, Fara L, Ornell F, von Diemen L, Kessler FP, Pechansky F. Predictive factors associated with driving under the influence among Brazilian drug-using drivers. ACCIDENT; ANALYSIS AND PREVENTION 2019; 123:256-262. [PMID: 30553128 DOI: 10.1016/j.aap.2018.12.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Revised: 12/04/2018] [Accepted: 12/05/2018] [Indexed: 06/09/2023]
Abstract
The incidence of driving under the influence of psychoactive substances (DUI) and its recidivism can be curtailed by the proper identification of specific and predictive characteristics among drug users. In this sense, interpersonal violence (IV), psychiatric comorbidity and impulsivity seem to play an important role in DUI engagement according to previous studies. There are, however, limited data originated from low and middle income countries. In the present study, drug-using Brazilian drivers reporting DUI (n = 75) presented a higher prevalence of bipolar disorders (BD; DUI: 8% vs. non-DUI: 0%, p < 0.001), lower prevalence of obsessive-compulsive disorder (OCD; DUI: 0% vs. non-DUI: 12.6%, p < 0.001), and higher prevalence of childhood trauma (DUI: 65.3% vs. non-DUI: 46.8%, p = 0.022) than those not reporting DUI (n = 79). The evaluation of impulsivity though the Barratt Impulsivity Scale, which give impulsivity scores ranging from 30 to 120, showed higher impulsivity scores in the DUI group (80.4 ± 8) than in the non-DUI group (77.2 ± 10, p = 0.045). In general, subjects were young adults (mean age of 36 ± 9 years), Caucasians (58.4%), not married (61.0%), and with elementary schooling (40.3%) with no significant differences in demographic characteristics between drivers with and without DUI behavior. A multiple Poisson regression model showed that individuals reporting IV as perpetrators and history of childhood trauma were more likely to report DUI (PR: 1.66, 95%CI 1.22-2.7; PR: 1.57, 95%CI 1.02-2.42, respectively). The overlapping of violent situations (childhood trauma, IV and DUI) in some individuals presented here corroborates literature data suggesting that DUI can be an externalizing expression of a range of risky behavior, such as impulsiveness and aggressiveness. Moreover, while BD and higher impulsivity scores seem to act as risk factors for DUI, OCD was shown as a protective factor. These results corroborate the hypothesis that individuals with high risk for DUI could probably be identified by multidimensional assessment of cognitive, risky taking, and personality traits, which perhaps could facilitate the development of focused interventions.
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Affiliation(s)
- Juliana N Scherer
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil.
| | - Daiane Silvello
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Vanessa L Volpato
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Vinícius S Roglio
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Letícia Fara
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Felipe Ornell
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Lisia von Diemen
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Felix Paim Kessler
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Flavio Pechansky
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
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Vulliamy P, Faulkner M, Kirkwood G, West A, O’Neill B, Griffiths MP, Moore F, Brohi K. Temporal and geographic patterns of stab injuries in young people: a retrospective cohort study from a UK major trauma centre. BMJ Open 2018; 8:e023114. [PMID: 30401726 PMCID: PMC6231558 DOI: 10.1136/bmjopen-2018-023114] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES To describe the epidemiology of assaults resulting in stab injuries among young people. We hypothesised that there are specific patterns and risk factors for injury in different age groups. DESIGN Eleven-year retrospective cohort study. SETTING Urban major trauma centre in the UK. PARTICIPANTS 1824 patients under the age of 25 years presenting to hospital after a stab injury resulting from assault. OUTCOMES Incident timings and locations were obtained from ambulance service records and triangulated with prospectively collected demographic and injury characteristics recorded in our hospital trauma registry. We used geospatial mapping of individual incidents to investigate the relationships between demographic characteristics and incident timing and location. RESULTS The majority of stabbings occurred in males from deprived communities, with a sharp increase in incidence between the ages of 14 and 18 years. With increasing age, injuries occurred progressively later in the day (r2=0.66, p<0.01) and were less frequent within 5 km of home (r2=0.59, p<0.01). Among children (age <16), a significant peak in injuries occurred between 16:00 and 18:00 hours, accounting for 22% (38/172) of injuries in this group compared with 11% (182/1652) of injuries in young adults. In children, stabbings occurred earlier on school days (hours from 08:00: 11.1 vs non-school day 13.7, p<0.01) and a greater proportion were within 5 km of home (90% vs non-school day 74%, p=0.02). Mapping individual incidents demonstrated that the spike in frequency in the late afternoon and early evening was attributable to incidents occurring on school days and close to home. CONCLUSIONS Age, gender and deprivation status are potent influences on the risk of violent injury in young people. Stab injuries occur in characteristic temporal and geographical patterns according to age group, with the immediate after-school period associated with a spike in incident frequency in children. This represents an opportunity for targeted prevention strategies in this population.
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Affiliation(s)
- Paul Vulliamy
- Centre for Trauma Sciences, Queen Mary University of London, London, UK
| | | | - Graham Kirkwood
- Institute of Health and Society, Newcastle University, Newcastle-upon-Tyne, UK
| | - Anita West
- Trauma Service, The Royal London Hospital, Barts Health NHS Trust, London, London, UK
| | - Breda O’Neill
- Trauma Service, The Royal London Hospital, Barts Health NHS Trust, London, London, UK
| | - Martin P Griffiths
- Trauma Service, The Royal London Hospital, Barts Health NHS Trust, London, London, UK
| | - Fionna Moore
- South East Coast Ambulance Service NHS Foundation Trust, Crawley, UK
| | - Karim Brohi
- Centre for Trauma Sciences, Queen Mary University of London, London, UK
- Trauma Service, The Royal London Hospital, Barts Health NHS Trust, London, London, UK
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Merrill KG, Knight L, Namy S, Allen E, Naker D, Devries KM. Effects of a violence prevention intervention in schools and surrounding communities: Secondary analysis of a cluster randomised-controlled trial in Uganda. CHILD ABUSE & NEGLECT 2018; 84:182-195. [PMID: 30114680 PMCID: PMC6137080 DOI: 10.1016/j.chiabu.2018.06.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Revised: 02/21/2018] [Accepted: 06/11/2018] [Indexed: 05/20/2023]
Abstract
The Good School Toolkit is effective in reducing staff violence against children in Ugandan primary schools. A secondary analysis of cluster-randomised trial data was conducted to investigate intervention effects on school operational culture, and on normative beliefs and violence against children from caregivers outside of school. Students and staff completed cross-sectional surveys at baseline in 2012 and follow-up in 2014. Students' caregivers completed follow-up surveys only. Data from 3820 students, 597 staff, and 799 caregivers were included in cross-sectional analyses at follow-up. Statistically significant intervention effects were observed for aspects of school operational culture, including students' greater perceived emotional support from teachers and peers, students' greater identification with their school, students' and staffs' lower acceptance of physical discipline practices in school, and students' and staffs' greater perceived involvement in school operations. Outside the school, the intervention was associated with significantly lower normative beliefs accepting the use of physical discipline practices in schools (adjusted mean difference, AMD: -0.77; 95%CI: -0.89 to -0.66; p < 0.001) and at home (AMD: -0.67; 95%CI: -0.80 to -0.54; p < 0.001), based on aggregated caregiver reports. No differences between groups were observed in past-week violence against children at home. This intervention shows promise as a platform for addressing violence against children within the school environment and surrounding community.
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Affiliation(s)
- Katherine G Merrill
- London School of Hygiene and Tropical Medicine, Department of Global Health and Development, 15-17 Tavistock Place, London, WC1H 9SH, United Kingdom.
| | - Louise Knight
- London School of Hygiene and Tropical Medicine, Department of Global Health and Development, 15-17 Tavistock Place, London, WC1H 9SH, United Kingdom
| | - Sophie Namy
- Raising Voices, Plot 16 Tufnell Drive, Kamwokya P.O. Box 6770 Kampala, Uganda
| | - Elizabeth Allen
- London School of Hygiene and Tropical Medicine, Department of Medical Statistics, Keppel Street, London, WC1E 7HT, United Kingdom
| | - Dipak Naker
- Raising Voices, Plot 16 Tufnell Drive, Kamwokya P.O. Box 6770 Kampala, Uganda
| | - Karen M Devries
- London School of Hygiene and Tropical Medicine, Department of Global Health and Development, 15-17 Tavistock Place, London, WC1H 9SH, United Kingdom
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Jennings WG, Perez NM, Reingle Gonzalez JM. Conduct Disorder and Neighborhood Effects. Annu Rev Clin Psychol 2018; 14:317-341. [DOI: 10.1146/annurev-clinpsy-050817-084911] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Wesley G. Jennings
- School of Criminal Justice, College of Applied Arts, Texas State University, San Marcos, Texas 78666, USA
| | - Nicholas M. Perez
- School of Criminology, Criminal Justice, and Emergency Management, College of Health and Human Services, California State University, Long Beach, California 90840, USA
| | - Jennifer M. Reingle Gonzalez
- Division of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, University of Texas, Dallas, Texas 75390, USA
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Kersten L, Vriends N, Steppan M, Raschle NM, Praetzlich M, Oldenhof H, Vermeiren R, Jansen L, Ackermann K, Bernhard A, Martinelli A, Gonzalez-Madruga K, Puzzo I, Wells A, Rogers JC, Clanton R, Baker RH, Grisley L, Baumann S, Gundlach M, Kohls G, Gonzalez-Torres MA, Sesma-Pardo E, Dochnal R, Lazaratou H, Kalogerakis Z, Bigorra Gualba A, Smaragdi A, Siklósi R, Dikeos D, Hervás A, Fernández-Rivas A, De Brito SA, Konrad K, Herpertz-Dahlmann B, Fairchild G, Freitag CM, Popma A, Kieser M, Stadler C. Community Violence Exposure and Conduct Problems in Children and Adolescents with Conduct Disorder and Healthy Controls. Front Behav Neurosci 2017; 11:219. [PMID: 29163090 PMCID: PMC5681536 DOI: 10.3389/fnbeh.2017.00219] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2017] [Accepted: 10/20/2017] [Indexed: 11/13/2022] Open
Abstract
Exposure to community violence through witnessing or being directly victimized has been associated with conduct problems in a range of studies. However, the relationship between community violence exposure (CVE) and conduct problems has never been studied separately in healthy individuals and individuals with conduct disorder (CD). Therefore, it is not clear whether the association between CVE and conduct problems is due to confounding factors, because those with high conduct problems also tend to live in more violent neighborhoods, i.e., an ecological fallacy. Hence, the aim of the present study was: (1) to investigate whether the association between recent CVE and current conduct problems holds true for healthy controls as well as adolescents with a diagnosis of CD; (2) to examine whether the association is stable in both groups when including effects of aggression subtypes (proactive/reactive aggression), age, gender, site and socioeconomic status (SES); and (3) to test whether proactive or reactive aggression mediate the link between CVE and conduct problems. Data from 1178 children and adolescents (62% female; 44% CD) aged between 9 years and 18 years from seven European countries were analyzed. Conduct problems were assessed using the Kiddie-Schedule of Affective Disorders and Schizophrenia diagnostic interview. Information about CVE and aggression subtypes was obtained using self-report questionnaires (Social and Health Assessment and Reactive-Proactive aggression Questionnaire (RPQ), respectively). The association between witnessing community violence and conduct problems was significant in both groups (adolescents with CD and healthy controls). The association was also stable after examining the mediating effects of aggression subtypes while including moderating effects of age, gender and SES and controlling for effects of site in both groups. There were no clear differences between the groups in the strength of the association between witnessing violence and conduct problems. However, we found evidence for a ceiling effect, i.e., individuals with very high levels of conduct problems could not show a further increase if exposed to CVE and vice versa. Results indicate that there was no evidence for an ecological fallacy being the primary cause of the association, i.e., CVE must be considered a valid risk factor in the etiology of CD.
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Affiliation(s)
- Linda Kersten
- Department of Child and Adolescent Psychiatry, Psychiatric University Hospital, University of Basel, Basel, Switzerland
| | - Noortje Vriends
- Department of Child and Adolescent Psychiatry, Psychiatric University Hospital, University of Basel, Basel, Switzerland
| | - Martin Steppan
- Department of Child and Adolescent Psychiatry, Psychiatric University Hospital, University of Basel, Basel, Switzerland
| | - Nora M. Raschle
- Department of Child and Adolescent Psychiatry, Psychiatric University Hospital, University of Basel, Basel, Switzerland
| | - Martin Praetzlich
- Department of Child and Adolescent Psychiatry, Psychiatric University Hospital, University of Basel, Basel, Switzerland
| | - Helena Oldenhof
- Department of Child and Adolescent Psychiatry, VU University Medical Center, Amsterdam, Netherlands
| | - Robert Vermeiren
- Department of Child and Adolescent Psychiatry, VU University Medical Center, Amsterdam, Netherlands
| | - Lucres Jansen
- Department of Child and Adolescent Psychiatry, VU University Medical Center, Amsterdam, Netherlands
| | - Katharina Ackermann
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany
| | - Anka Bernhard
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany
| | - Anne Martinelli
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany
| | | | - Ignazio Puzzo
- Broadmoor High Secure Hospital, West London Mental Health NHS Trust, Crowthorne, United Kingdom
| | - Amy Wells
- Department of Psychology, University of Southampton, Southampton, United Kingdom
| | - Jack C. Rogers
- School of Psychology, University of Birmingham, Birmingham, United Kingdom
| | - Roberta Clanton
- School of Psychology, University of Birmingham, Birmingham, United Kingdom
| | - Rosalind H. Baker
- School of Psychology, University of Birmingham, Birmingham, United Kingdom
| | - Liam Grisley
- School of Psychology, University of Birmingham, Birmingham, United Kingdom
| | - Sarah Baumann
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital, RWTH Aachen, Aachen, Germany
| | - Malou Gundlach
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital, RWTH Aachen, Aachen, Germany
| | - Gregor Kohls
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital, RWTH Aachen, Aachen, Germany
| | | | | | - Roberta Dochnal
- Faculty of Medicine, Child and Adolescent Psychiatry, Department of the Child Health Center, Szeged University, Szeged, Hungary
| | - Helen Lazaratou
- Department of Child and Adolescent Psychiatry, National and Kapodistrian University of Athens, Athens, Greece
| | - Zacharias Kalogerakis
- Department of Child and Adolescent Psychiatry, National and Kapodistrian University of Athens, Athens, Greece
| | | | - Areti Smaragdi
- Center of Addiction and Mental Health, Toronto, ON, Canada
| | - Réka Siklósi
- Faculty of Medicine, Child and Adolescent Psychiatry, Department of the Child Health Center, Szeged University, Szeged, Hungary
| | - Dimitris Dikeos
- Department of Psychiatry, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Amaia Hervás
- University Hospital Mutua Terrassa, Barcelona, Spain
| | | | | | - Kerstin Konrad
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital, RWTH Aachen, Aachen, Germany
| | - Beate Herpertz-Dahlmann
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital, RWTH Aachen, Aachen, Germany
| | - Graeme Fairchild
- Department of Psychology, University of Bath, Bath, United Kingdom
| | - Christine M. Freitag
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany
| | - Arne Popma
- Department of Child and Adolescent Psychiatry, VU University Medical Center, Amsterdam, Netherlands
| | - Meinhard Kieser
- Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany
| | - Christina Stadler
- Department of Child and Adolescent Psychiatry, Psychiatric University Hospital, University of Basel, Basel, Switzerland
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Banks LM, Kelly SA, Kyegombe N, Kuper H, Devries K. "If he could speak, he would be able to point out who does those things to him": Experiences of violence and access to child protection among children with disabilities in Uganda and Malawi. PLoS One 2017; 12:e0183736. [PMID: 28926598 PMCID: PMC5604937 DOI: 10.1371/journal.pone.0183736] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2017] [Accepted: 08/05/2017] [Indexed: 11/24/2022] Open
Abstract
Introduction There is growing evidence that children with disabilities face an increased risk of violence globally. While child protection mechanisms to prevent and respond to violence–including formal government systems and more informal programmes and activities run by local communities or NGOs–are slowly becoming operationalised in low- and- middle-income countries, little is known about whether existing mechanisms are disability-inclusive. The aim of this study is to provide a better understanding of children with disabilities’ experiences of violence and their access to available child protection mechanisms in low resource settings. Methods This study was conducted in Kasungu and Mulanje districts in Malawi and Kamuli district in Uganda between October-December 2015. In-depth, semi-structured interviews were conducted with approximately 20 purposively selected child/caregiver pairs in each country (43 pairs total). Interviews with key informants involved in the provision of child protection and disability support were also conducted. All interviews were recorded, transcribed and coded in NVivo. Thematic Analysis, complemented by constant comparison as described in Grounded Theory, was used to analyse the data. Results Almost all children with disabilities reported experiencing violence, with verbal abuse and bullying the most common forms. Very few of these children sought recourse through available child protection mechanisms. Some of the key factors impeding access to child protection for children with disabilities included: lack of local government disability-inclusive planning and budgeting; centralization of limited disability and social protection services; financial barriers to seeking and receiving care; and stigma and negative attitudes toward disabilities. Conclusion Children with disabilities face both high levels of violence and high barriers to accessing available child protection mechanisms. There is an urgent need to ensure that all efforts to prevent and respond to violence against children are more disability-inclusive. In addition, it may be appropriate to target child protection mechanisms specifically toward children with disabilities because of the different and intersecting vulnerabilities that they face.
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Affiliation(s)
- Lena Morgon Banks
- International Centre for Evidence in Disability, Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, United Kingdom
- * E-mail:
| | - Susan A. Kelly
- Gender Violence and Health Centre, Department of Global Health and Development, London School of Hygiene &Tropical Medicine, London, United Kingdom
| | - Nambusi Kyegombe
- Gender Violence and Health Centre, Department of Global Health and Development, London School of Hygiene &Tropical Medicine, London, United Kingdom
| | - Hannah Kuper
- International Centre for Evidence in Disability, Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - Karen Devries
- Gender Violence and Health Centre, Department of Global Health and Development, London School of Hygiene &Tropical Medicine, London, United Kingdom
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Kyegombe N, Namakula S, Mulindwa J, Lwanyaaga J, Naker D, Namy S, Nakuti J, Parkes J, Knight L, Walakira E, Devries KM. How did the Good School Toolkit reduce the risk of past week physical violence from teachers to students? Qualitative findings on pathways of change in schools in Luwero, Uganda. Soc Sci Med 2017; 180:10-19. [PMID: 28314229 PMCID: PMC5390768 DOI: 10.1016/j.socscimed.2017.03.008] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Revised: 03/04/2017] [Accepted: 03/06/2017] [Indexed: 11/16/2022]
Abstract
Violence against children is a serious violation of children's rights with significant impacts on current and future health and well-being. The Good School Toolkit (GST) is designed to prevent violence against children in primary schools through changing schools' operational cultures. Conducted in the Luwero District in Uganda between 2012 and 2014, findings from previous research indicate that the Toolkit reduced the odds of past week physical violence from school staff (OR = 0.40, 95%CI 0.26-0.64, p < 0.001), corresponding to a 42% reduction in risk of past week physical violence. This nested qualitative study involved 133 interviews with students, teachers, school administration, and parents, and two focus group discussion with teachers. Interviews were conducted using semi-structured tools and analysed using thematic analysis complemented by constant comparison and deviant case analysis techniques. Within a context of normative acceptance of corporal punishment this qualitative paper reports suggestive pathways related to teacher-student relationships through which reductions in violence operated. First, improved student-teacher relationships resulted in improved student voice and less fear of teachers. Second, the intervention helped schools to clarify and encourage desired behaviour amongst students through rewards and praise. Third, many teachers valued positive discipline and alternative discipline methods, including peer-to-peer discipline, as important pathways to reduced use of violence. These shifts were reflected in changes in the views, use, and context of beating. Although the GST is effective for reducing physical violence from teachers to students, violence persisted, though at significantly reduced levels, in all schools with reductions varying across schools and individuals. Much of the success of the Toolkit derives from the support it provides for fostering better student-teacher relationships and alternative discipline options. Such innovation could usefully be incorporated in teacher training syllabi to equip teachers with knowledge and skills to maintain discipline without the use of fear or physical punishment.
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Affiliation(s)
- N Kyegombe
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom.
| | | | | | | | - D Naker
- Raising Voices, 16 Tufnell Drive, Kamwokya, P.O. Box 6770, Kampala, Uganda
| | - S Namy
- Raising Voices, 16 Tufnell Drive, Kamwokya, P.O. Box 6770, Kampala, Uganda
| | - J Nakuti
- Raising Voices, 16 Tufnell Drive, Kamwokya, P.O. Box 6770, Kampala, Uganda
| | - J Parkes
- University College London, Institute of Education, University College London, 20 Bedford Way, London WC1H 0AL, United Kingdom
| | - L Knight
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom
| | - E Walakira
- School of Social Sciences, Makerere University, P.O Box 7062, Kampala, Uganda
| | - K M Devries
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom
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de Macedo Bernardino Í, Barbosa KGN, da Nóbrega LM, Cavalcante GMS, e Silva JAL, d’Avila S. Physical violence against Brazilian children and adolescents: a 4-year study. J Public Health (Oxf) 2016. [DOI: 10.1007/s10389-016-0707-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Hecker T, Hermenau K, Crombach A, Elbert T. Treating Traumatized Offenders and Veterans by Means of Narrative Exposure Therapy. Front Psychiatry 2015; 6:80. [PMID: 26157395 PMCID: PMC4475792 DOI: 10.3389/fpsyt.2015.00080] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Accepted: 05/14/2015] [Indexed: 11/21/2022] Open
Abstract
Violent offenders and soldiers are at high risk of developing appetitive aggression and trauma-related disorders, which reduce successful integration into societies. Narrative exposure therapy (NET) for forensic offender rehabilitation (FORNET) aims at reducing symptoms of traumatic stress (e.g., posttraumatic stress disorder) and controlling readiness for aggressive behavior. It follows the logic of the evidence-based trauma-focused NET with special emphasis on violent acts in past and future behavior. In NET, the therapist guides the client by means of exposure through his traumatic experiences in chronological order linking the negative emotions, such as fear, shame, and disgust, to the past context and integrating the traumatic experiences into the autobiographical memory. During FORNET, we also encourage verbalization of any positive emotions and experiences linked to past violent and aggressive behaviors. This recall of positive emotions (linked to the there and then) is contrasted with feelings that emerge during the narration process (here and now). In this way, the therapist helps the client to anchor the whole range of sensory and bodily experiences, cognitions, and emotions to the contextual cues. Over the process of the therapy, we support the client to begin the role change from a violent offender to a citizen, who is capable of living a non-violent and socially adjusted life. Finally, the client develops visions and wishes for the future to support a successful integration into society. Several studies with veterans and violent youths have proven the feasibility of FORNET, found evidence of a positive outcome (recovered mental health, fewer offenses committed, less drug intake, and improved integration into civil society), and highlighted the importance of addressing the whole range of experiences while treating violent offenders or veterans.
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Affiliation(s)
- Tobias Hecker
- Department of Psychology, Division of Psychopathology and Clinical Intervention, University of Zurich, Zurich, Switzerland
- Vivo International (www.vivo.org)
| | - Katharin Hermenau
- Vivo International (www.vivo.org)
- Department of Psychology, Division of Clinical Neuropsychology, University of Konstanz, Konstanz, Germany
| | - Anselm Crombach
- Vivo International (www.vivo.org)
- Department of Psychology, Division of Clinical Neuropsychology, University of Konstanz, Konstanz, Germany
| | - Thomas Elbert
- Vivo International (www.vivo.org)
- Department of Psychology, Division of Clinical Neuropsychology, University of Konstanz, Konstanz, Germany
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Crombach A, Bambonyé M. Intergenerational violence in Burundi: Experienced childhood maltreatment increases the risk of abusive child rearing and intimate partner violence. Eur J Psychotraumatol 2015; 6:26995. [PMID: 26679146 PMCID: PMC4696461 DOI: 10.3402/ejpt.v6.26995] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2015] [Revised: 10/19/2015] [Accepted: 11/01/2015] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Experiencing abuse during childhood affects the psychological well-being of individuals throughout their lives and may even influence their offspring by enhancing the likelihood of an intergenerational transmission of violence. Understanding the effects of childhood maltreatment on child-rearing practices and intimate partner violence might be of particular importance to overcome the consequences of violent conflicts in African societies. OBJECTIVE Using Burundi as an example, we aimed to explore the associations between childhood maltreatment, intimate partner violence, perceived partner intimidation, gender and the probability of violently acting out against one's own children or romantic partner. METHODS Amongst a sample of 141 men and 141 women in the capital of Burundi, we identified those who had biological children and those who lived or had lived in relationships. Using culturally appropriate instruments, we enquired about their exposure to childhood maltreatment and partner violence as well as their inclinations to act out violently. RESULTS We found that childhood maltreatment and perceived partner intimidation were strong predictors for the perpetration of violence against children. Moreover, we found that women were more likely to use violence against children if they experienced partner violence and less likely to resort to violence if they felt intimidated. Men were more likely to perpetrate violence against their partner. Childhood maltreatment was again a strong predictor. The more women experienced partner violence, the more they fought back. CONCLUSIONS Childhood maltreatment is a strong predictor for domestic violence and has to be addressed to interrupt the cycle of violence in post-conflict countries.
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Affiliation(s)
- Anselm Crombach
- Department of Psychology, University of Konstanz, Konstanz, Germany.,Department of Clinical Psychology, University Lumière of Bujumbura, Bujumbura, Burundi.,NGO Vivo International e.V., Konstanz, Germany;
| | - Manassé Bambonyé
- Department of Clinical Psychology, University Lumière of Bujumbura, Bujumbura, Burundi
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Crombach A, Elbert T. The benefits of aggressive traits: a study with current and former street children in Burundi. CHILD ABUSE & NEGLECT 2014; 38:1041-1050. [PMID: 24411982 DOI: 10.1016/j.chiabu.2013.12.003] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2013] [Revised: 11/15/2013] [Accepted: 12/02/2013] [Indexed: 06/03/2023]
Abstract
Aggressive behavior in children and youths is commonly associated with exposure to violence and maltreatment. Consequently, aggressive behavior has often been explained as a form of reactive behavior in response to violence-inflicted mental suffering. However, perpetrating violence can become appealing, fascinating and exciting, i.e., may acquire appetitive, self-rewarding aspects. We postulated that this appetitive form of aggression reduces the vulnerability for developing Posttraumatic Stress Disorder (PTSD) in insecure and violent environments. Furthermore we investigated the extent to which reactive aggression and appetitive aggression account for recent violent behavior in children and youths. We conducted semi-structured interviews in a sample of 112 children and youths (Mage=15.9 years) recruited from the streets, families and a residential center for vulnerable children in Burundi. We investigated the cumulative exposure to traumatic events and to domestic and community violence, assessed the recently committed offenses, the severity of PTSD symptoms, and the potential for reactive and appetitive aggression. Reactive aggression was positively related to PTSD, whilst appetitive aggression was negatively related to PTSD. Children higher in appetitive aggression were also more likely to display violent behavior. These results suggest that an appetitive perception of violence may be an useful adaption to insecure and violent living conditions reducing the vulnerability of children for trauma-related mental disorders. However, positive feelings experienced through violent or cruel behavior are also an important risk factor for ongoing aggressive behavior and therefore need to be considered in prevention strategies.
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Affiliation(s)
- Anselm Crombach
- Department of Psychology, University of Konstanz, Box D23, 78457 Konstanz, Germany; Department of Psychology, University Lumière of Bujumbura, Burundi; Vivo International e.V., Germany(1)
| | - Thomas Elbert
- Department of Psychology, University of Konstanz, Box D23, 78457 Konstanz, Germany; Department of Psychology, University Lumière of Bujumbura, Burundi; Vivo International e.V., Germany(1)
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Hecker T, Hermenau K, Isele D, Elbert T. Corporal punishment and children's externalizing problems: a cross-sectional study of Tanzanian primary school aged children. CHILD ABUSE & NEGLECT 2014; 38:884-892. [PMID: 24360761 DOI: 10.1016/j.chiabu.2013.11.007] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/12/2013] [Revised: 11/13/2013] [Accepted: 11/15/2013] [Indexed: 06/03/2023]
Abstract
The adverse effect of harsh corporal punishment on mental health and psychosocial functioning in children has been repeatedly suggested by studies in industrialized countries. Nevertheless, corporal punishment has remained common practice not only in many homes, but is also regularly practiced in schools, particularly in low-income countries, as a measure to maintain discipline. Proponents of corporal punishment have argued that the differences in culture and industrial development might also be reflected in a positive relationship between the use of corporal punishment and improving behavioral problems in low-income nations. In the present study we assessed the occurrence of corporal punishment at home and in school in Tanzanian primary school students. We also examined the association between corporal punishment and externalizing problems. The 409 children (52% boys) from grade 2 to 7 had a mean age of 10.49 (SD=1.89) years. Nearly all children had experienced corporal punishment at some point during their lifetime both in family and school contexts. Half of the respondents reported having experienced corporal punishment within the last year from a family member. A multiple sequential regression analysis revealed that corporal punishment by parents or by caregivers was positively related to children's externalizing problems. The present study provides evidence that Tanzanian children of primary school age are frequently exposed to extreme levels of corporal punishment, with detrimental consequences for externalizing behavior. Our findings emphasize the need to inform parents, teachers and governmental organizations, especially in low-income countries, about the adverse consequences of using corporal punishment be it at home or at school.
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Affiliation(s)
- Tobias Hecker
- Department of Psychology, University of Konstanz, 78567 Konstanz, Germany; vivo international, Germany(1)
| | - Katharin Hermenau
- Department of Psychology, University of Konstanz, 78567 Konstanz, Germany; vivo international, Germany(1)
| | - Dorothea Isele
- Department of Psychology, University of Konstanz, 78567 Konstanz, Germany; vivo international, Germany(1)
| | - Thomas Elbert
- Department of Psychology, University of Konstanz, 78567 Konstanz, Germany; vivo international, Germany(1)
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Roth M, Neuner F, Elbert T. Transgenerational consequences of PTSD: risk factors for the mental health of children whose mothers have been exposed to the Rwandan genocide. Int J Ment Health Syst 2014; 8:12. [PMID: 24690436 PMCID: PMC3978019 DOI: 10.1186/1752-4458-8-12] [Citation(s) in RCA: 80] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2013] [Accepted: 03/25/2014] [Indexed: 11/10/2022] Open
Abstract
Background Understanding how parental Posttraumatic Stress Disorder (PTSD) may or may not affect the development and mental health in the offspring is particularly important in conflict regions, where trauma-related illness is endemic. In Rwanda, organised atrocities and the genocide against the Tutsi of 1994 have left a significant fraction of the population with chronic PTSD. The aim of the present investigation was to establish whether PTSD in mothers is associated with symptoms of depression, anxiety, and aggressive and antisocial behaviour in their children. Methods A community sample of 125 Rwandan mothers who experienced the genocide of 1994 and their 12-year-old children were interviewed. Using a structured interview, symptoms of maternal PTSD and children’s depression, anxiety, and aggressive and antisocial behaviour were assessed by trained and on-site supervised local B.A. psychologists. The interview also included a detailed checklist of event types related to family violence. Results In showing that a maternal PTSD was not associated with child’s psychopathology, the results contradict the assumption of straight “trans-generational trauma transmission”. Instead, a child’s exposure to maternal family violence posed a significant risk factor for a negative mental health outcome. Furthermore, it was not maternal PTSD-symptoms but mother’s exposure to family violence during her own childhood that was associated with the magnitude of adversities that a child experiences at home. Conclusions Contrary to a simple model of a trans-generational transmission of trauma, neither maternal PTSD nor maternal traumatic experiences were directly associated with symptoms of anxiety, depression, or antisocial and aggressive behaviour in the children. Instead, the present results suggest a relationship between parental child rearing practices and children’s mental health. Furthermore, the study details the “cycle of violence”, showing a significant link between maternal violence against a child and its mother’s experience of childhood maltreatment.
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Affiliation(s)
| | | | - Thomas Elbert
- Department of Psychology, University of Konstanz, 78457 Konstanz, Germany.
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Podgurski I, Lyons JS, Kisiel C, Griffin G. Understanding Bad Girls: The Role of Trauma in Antisocial Behavior Among Female Youth. ACTA ACUST UNITED AC 2014. [DOI: 10.1080/0886571x.2014.880275] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Stephenson Z, Woodhams J, Cooke C. Sex differences in predictors of violent and non-violent juvenile offending. Aggress Behav 2014; 40:165-77. [PMID: 24014192 DOI: 10.1002/ab.21506] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2013] [Accepted: 08/09/2013] [Indexed: 11/06/2022]
Abstract
In response to concerns regarding the rise in female juvenile violent crime and the dearth of gender-specific research, this study aimed to identify predictors of violent offending in female offenders. Data were extracted from risk assessments of 586 male and female juvenile offenders (aged 11-17 years) conducted between 2005 and 2009 by the Youth Offending Service in Gloucestershire, an English county. Information regarding the young people's living arrangements, family and personal relationships, education, emotional/mental health, thinking and behavior, and attitudes to offending was recorded. Comparisons were made between the violent male offenders (N = 185), the violent female offenders (N = 113), the non-violent male offenders (N = 150), and the non-violent female offenders (N = 138) for these variables. These were followed by a multinomial logistic regression analysis. The findings indicated that engaging in self-harm was the best predictor of being a female violent offender, with the predictors of giving into pressure from others and attempted suicide nearing significance. Furthermore, non-violent females were significantly less likely to lose control of their temper and more likely to give in to pressure from others than their violent counterparts. Non-violent males were significantly less likely to lose control of their temper and more likely to self-harm and give in to pressure from others than violent males. Although many similarities existed between sexes for predictors of violent offending, the findings of this study indicate that more attention needs to be paid to the mental health of female offenders.
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Affiliation(s)
- Zoe Stephenson
- School of Psychology; University of Birmingham; Birmingham UK
| | | | - Claire Cooke
- Department of Natural and Social Sciences; University of Gloucestershire; Gloucestershire UK
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Laye AM, Mykota DB. Rural Canadian Youth Exposed to Physical Violence. CANADIAN JOURNAL OF SCHOOL PSYCHOLOGY 2014. [DOI: 10.1177/0829573514521772] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Exposure to physical violence is an unfortunate reality for many Canadian youth as it is associated with numerous negative psychosocial effects. The study aims to assist in understanding resilience in rural Canadian youth exposed to physical violence. This is accomplished by identifying the importance of protective factors, as measured by the Resiliency Scale for Children and Adolescents (RSCA), and physical violence exposure, when used together, in predicting disruptive behavior, depression, and posttraumatic stress. Results indicate positive emotional reactivity is more important in protecting youth from developing psychological symptoms than sense of mastery and sense of relatedness. Differences between the effect of hearing reports, witnessing, and being victim to violence as well as differences between male and female youth were found. The study adds to the research on physical violence exposure, protective factors, and internalizing/externalizing problems in rural youth, with implications for implementing school-based programs.
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Bacchini D, Affuso G, De Angelis G. Moral vs. non-moral attribution in adolescence: Environmental and behavioural correlates. EUROPEAN JOURNAL OF DEVELOPMENTAL PSYCHOLOGY 2013. [DOI: 10.1080/17405629.2012.744744] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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McCoy DC. Early Violence Exposure and Self-Regulatory Development: A Bioecological Systems Perspective. Hum Dev 2013. [DOI: 10.1159/000353217] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Harris B. Jewish Quotas in Clinical Psychology? TheJournal of Clinical Psychologyand the Scandal of 1945. REVIEW OF GENERAL PSYCHOLOGY 2009. [DOI: 10.1037/a0015688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
In 1945 Frederick Thorne, editor of the Journal of Clinical Psychology, proposed to limit the acceptance of Jewish applicants to clinical psychology graduate schools. A public scandal erupted over this proposed limit, which was modeled on Jewish quotas in medical education. Criticized by the mass media and most psychologists, Thorne's proposal was repudiated by the Eastern Psychological Association and the Society for the Psychological Study of Social Issues. Using private correspondence, oral histories, and published articles, this mostly forgotten episode in the history of clinical psychology is recreated. It is argued that the 1945 campaign against Jewish quotas prepared activists for the 1950s campaign against racial segregation and the Brown v. Board of Education Supreme Court case. Because the participants in 1945 came from all specialties in psychology, it is suggested that this story is of significance to the field as a whole, rather than just to historians of social issues.
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Affiliation(s)
- Ben Harris
- Department of Psychology, University of New Hampshire
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Chauhan P, Reppucci ND. The Impact of Neighborhood Disadvantage and Exposure to Violence on Self-Report of Antisocial Behavior Among Girls in the Juvenile Justice System. J Youth Adolesc 2008; 38:401-16. [DOI: 10.1007/s10964-008-9326-3] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2008] [Accepted: 08/01/2008] [Indexed: 11/29/2022]
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