1
|
Wang S. The Global Prevalence of Child Sexual Exploitation and Abuse in Schools between 2012 and 2022: A Systematic Review and Meta-Analysis. JOURNAL OF SEX & MARITAL THERAPY 2024:1-26. [PMID: 39445899 DOI: 10.1080/0092623x.2024.2418541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2024]
Abstract
PURPOSE This review aimed to synthesize existing research on the prevalence of Child Sexual Exploitation and Abuse (CSEA) in schools, while also identifying key moderators that influence these rates. METHODS A comprehensive database search from 2012 to 2022 was conducted. Subgroup analyses and meta-regression were performed to examine the impact of various moderators on prevalence rates. RESULTS 70 studies with sample sizes ranging from 381 to 4,511 were included. The global prevalence of CSEA in schools was found to be 1.6%. Key moderators included the study's regional origin, the income level of the country, and the type of CSEA, with no significant variations noted based on gender, sample source/participant age, response rate, time period, data collection year, and publication year. DISCUSSION Highlighting the need for ongoing vigilance in CSEA prevention within schools, the study suggested targeted interventions based on identified moderating variables.
Collapse
Affiliation(s)
- Sichun Wang
- Childlight - Global Child Safety Institute, Moray House School of Education and Sport, The University of Edinburgh, Edinburgh, UK
| |
Collapse
|
2
|
Xu JJ, Xia L, Zheng JX, Wang CR, Dun WW, Wang G, Wang W, Guan SY, Hu J, Qiao Y, Zhang WJ, Wang MT, Fu BB, Wang G. Global, regional, and national burden of major depressive disorder and alcohol use disorder attributed to childhood sexual abuse in 204 countries and territories, 1999-2019: An analysis for the global burden of disease study 2019. J Affect Disord 2024; 369:800-812. [PMID: 39395677 DOI: 10.1016/j.jad.2024.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 09/28/2024] [Accepted: 10/02/2024] [Indexed: 10/14/2024]
Abstract
AIM This study aims to elucidate the impact of childhood sexual abuse (CSA) on major depressive disorder (MDD) and alcohol use disorder (AUD) globally, regionally, and nationally, informing targeted public health interventions and policy. METHODS Using data from the Global Burden of Disease (GBD) Study 2019, we assessed the impact of CSA on MDD and AUD, analyzing disability-adjusted life years (DALYs) per 100,000 population. Our analysis included age, sex, geographic locations, temporal trends in age-standardized rates (ASR), and examined the relationship between the social development index (SDI) and the burden of these disorders. RESULTS From 1990 to 2019, the global ASR for MDD attributable to CSA increased by 1.9 %, while AUD decreased by 17.1 %. Significant gender disparities emerged, with females showing higher ASRs for MDD and males for AUD. The highest burden was observed in the 35-44 age group. Geographical analysis revealed the highest ASRs for MDD in Sub-Saharan Africa and for AUD in Eastern Europe, Central Europe, and High-income North America. A U-shaped relationship between SDI and disorder burdens was also identified. CONCLUSIONS Our findings indicate a slight increase in MDD and a significant decrease in AUD burdens globally due to CSA, underscoring the need for targeted interventions considering gender, geographical, and developmental differences. This calls for strategies tailored to each country's unique development, culture, and regional specifics.
Collapse
Affiliation(s)
- Jin-Jie Xu
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China
| | - Lan Xia
- Minhang District Mental Health Center of Shanghai, Shanghai 201112, China
| | - Jin-Xin Zheng
- School of Global Health, Chinese Center for Tropical Diseases Research-Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Cheng-Rui Wang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China
| | - Wen-Wen Dun
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China
| | - Guang Wang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China
| | - Wei Wang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China
| | - Shi-Yang Guan
- Second Affiliated Hospital of Anhui Medical University, 678 Furong Road, Hefei, Anhui 230601, China
| | - Jia Hu
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China
| | - Yu Qiao
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China
| | - Wan-Jun Zhang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China
| | - Mei-Ti Wang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
| | - Bing-Bing Fu
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China.
| | - Gang Wang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China.
| |
Collapse
|
3
|
Talwar S, Osorio C, Sagar R, Appleton R, Billings J. What are the Experiences of and Interventions for Adult Survivors of Childhood Sexual Abuse in South Asia? A Systematic Review and Narrative Synthesis. TRAUMA, VIOLENCE & ABUSE 2024; 25:2957-2971. [PMID: 38385431 PMCID: PMC11370205 DOI: 10.1177/15248380241231603] [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: 02/23/2024]
Abstract
Adult survivors of childhood sexual abuse (CSA) may experience emotional, social, and psychological difficulties, heightened due to the interpersonal nature of harm. Despite the demonstrated effectiveness of trauma-focused treatments in the West, a culturally specific understanding of the needs of and treatments for survivors in South Asia is still in its infancy. The study aimed to systematically review research findings on the mental health impacts of CSA on adult survivors and current treatment approaches and their efficacy and acceptability in South Asia. Seven databases (Scopus, Ovid, CINAHL, ProQuest, EThOS, Google Scholar, and Dogpile) and five peer-reviewed South Asian journals were searched from inception until March 30, 2023. Searches included participants who were adult survivors of CSA of South Asian origin residing in South Asia. Studies on their mental health, different treatments, and the efficacy and acceptability of these treatments were included. Quality assessment tools were used to appraise the quality of included studies. The results were synthesized narratively. A total of 3,362 records were retrieved, and 24 articles were included in the final review. Twenty studies reported mental health impacts of CSA on adult survivors, four studies reported current treatments offered, and two studies were on recovery. However, no study focused on the efficacy or acceptability of the treatments being delivered. Even though the needs of adult CSA survivors in South Asia have been partly identified, there is very little research into the treatments for them.
Collapse
Affiliation(s)
| | - Carlos Osorio
- Division of Psychiatry, University College London, UK
- Talking Therapies Southwark, South London and Maudsley NHS Foundation Trust, UK
| | - Rajesh Sagar
- Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, DL, India
| | | | - Jo Billings
- Division of Psychiatry, University College London, UK
| |
Collapse
|
4
|
Russell DH, Trew S, Harris L, Dickson J, Walsh K, Higgins DJ, Smith R. Engaging Parents in Child-Focused Child Sexual Abuse Prevention Education Strategies: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2024; 25:3082-3098. [PMID: 38477488 PMCID: PMC11370176 DOI: 10.1177/15248380241235895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/14/2024]
Abstract
Parents are their children's first teachers and there are long-standing calls for their involvement in child sexual abuse prevention. In this rapid systematic review, we asked the following questions: what rationales are used to justify parental involvement in child-focused child sexual abuse (CSA) prevention programs? what approaches are used for parental engagement in child-focused CSA prevention programs? and what are the facilitators and barriers to parental involvement in child-focused CSA prevention programs? We searched CINAHL, Cochrane, ERIC, Medline, PsycInfo, Scopus, and SocINDEX in May 2021. A total of 57 papers met our inclusion criteria, comprised of 50 empirical studies, and 7 program descriptions. Rationales for parental involvement included monitoring and shaping parental attitudes toward CSA program delivery in schools; reinforcing children's learning at home; promoting parent-child communication about CSA prevention; building parent capacity to respond to child disclosures; and supporting program delivery for preschoolers. Types of parental involvement included the following: communication, learning at home, volunteering, decision-making, and collaboration with the community. Barriers to parent involvement included ineffective program engagement modalities, and parental fears and misconceptions.
Collapse
Affiliation(s)
- Douglas Hugh Russell
- Institute of Child Protection Studies, Australian Catholic University, Melbourne, VIC, Australia
| | - Sebastian Trew
- Institute of Child Protection Studies, Australian Catholic University, Canberra, ACT, Australia
| | - Lottie Harris
- Institute of Child Protection Studies, Australian Catholic University, Sydney, NSW, Australia
| | - Jessica Dickson
- Library Academic and Research Services, Australian Catholic University, Fitzroy, VIC, Australia
| | - Kerryann Walsh
- Queensland University of Technology, Brisbane, Australia
| | - Daryl John Higgins
- Library Academic and Research Services, Australian Catholic University, Fitzroy, VIC, Australia
| | - Rhiannon Smith
- Queensland University of Technology, Kelvin Grove, Australia
| |
Collapse
|
5
|
Guastaferro K, Melchior MS, Heng S, Trudeau J, Holloway JL. Maximizing the reach of universal child sexual abuse prevention: Protocol for an equivalence trial. Contemp Clin Trials Commun 2024; 41:101345. [PMID: 39188413 PMCID: PMC11345503 DOI: 10.1016/j.conctc.2024.101345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2024] [Revised: 07/19/2024] [Accepted: 07/27/2024] [Indexed: 08/28/2024] Open
Abstract
Background Child sexual abuse (CSA) affects 1 in 5 girls and 1 in 12 boys before age 18. Universal school-based prevention programs are an effective and cost-efficient method of teaching students an array of personal safety skills. However, the programmatic reach of universal school-based programs is limited by the inherent reliance on the school infrastructure and a dearth of available alternative delivery modalities. Methods The design for this study will use a rigorous cluster randomized design (N = 180 classrooms) to determine the equivalence of two delivery modalities of Safe Touches: as usual vs. modified. The as usual workshop will be delivered by two facilitators with live puppet skits (n = 90). Whereas, the modified workshop will be delivered by one facilitator using prerecorded skit videos (n = 90). We will determine the equivalence by measuring concept learning acquisition preworkshop to immediate postworkshop (Aim 1) and retention at 3-months postworkshop (Aim 2) among students in classrooms that receive the as usual or modified workshops. To conclude equivalence, it is imperative to also examine factors that may impact future dissemination and implementation, specifically program adoption among school personnel and implementation fidelity between the two modalities (Aim 3). Conclusion Study findings will inform the ongoing development of effective CSA prevention programs and policy decisions regarding the sustainable integration of such programs within schools. Clinical trial registration NCT06195852.
Collapse
Affiliation(s)
- Kate Guastaferro
- Department of Social and Behavioral Sciences, School of Global Public Health, New York University, 708 Broadway, 6th Floor Room 636, New York, NY, 10003, USA
| | - Mia S. Melchior
- Department of Social and Behavioral Sciences, School of Global Public Health, New York University, 708 Broadway, 6th Floor Room 636, New York, NY, 10003, USA
| | - Siyu Heng
- Department of Biostatistics, School of Global Public Health, New York University, 708 Broadway, 7th Floor Room 743, New York, NY, 10003, USA
| | - Jessica Trudeau
- New York Society for the Prevention of Cruelty to Children, 520 8 Avenue Suite 1401, New York, NY, 10018, USA
| | - Jacqueline L. Holloway
- New York Society for the Prevention of Cruelty to Children, 520 8 Avenue Suite 1401, New York, NY, 10018, USA
| |
Collapse
|
6
|
Brown MJ, Osinubi MO, Amoatika D, Haider MR, Kirklewski S, Wilson P, Hansen NB. Childhood Sexual Abuse and Compulsive Sexual Behavior Among Men Who Have Sex with Men Newly Diagnosed with HIV. AIDS Behav 2024; 28:3421-3429. [PMID: 38992227 PMCID: PMC11427551 DOI: 10.1007/s10461-024-04438-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/27/2024] [Indexed: 07/13/2024]
Abstract
Childhood sexual abuse (CSA) continues to be a public health challenge. The prevalence of experiencing CSA is higher among men who have sex with men (MSM) than the general population. CSA has been linked to compulsive sexual behavior (CSB) among varying populations but has not been examined among MSM who were newly diagnosed with HIV. Therefore, the aims of this study were to assess the direct association between CSA and CSB among newly diagnosed MSM living with HIV, and to identify the potential mediating roles of depressive symptoms and emotion regulation in the association between CSA and CSB. The study was a secondary data analysis using data obtained from 2012 to 2017 from two community HIV clinics in New York City (n = 202). CSA was operationalized with questions asking about sexual abuse during childhood/adolescence. CSB was measured using the 13-item Compulsive Sexual Behavior Inventory (CSBI). Depressive symptoms were measured using the 20-item Centers for Epidemiologic Studies Depression (CES-D) scale and emotion regulation was measured using a 36-item Difficulties in Emotion Regulation Scale (DERS). Path analysis was conducted to determine the mediating role of depressive symptoms and emotion regulation in the association between CSA and CSB. There was a statistically significant association between CSA and CSB (β = 0.160; p = 0.019). There were statistically significant indirect associations between CSA, depressive symptoms, emotion regulation, and CSB (depressive symptoms β = 0.0.071; p = 0.010; DERS: β = 0.080; p = 0.006). Depressive symptoms were also correlated with emotion regulation (r = 0.596; p < 0.001). The relationship between CSA and CSB was significantly mediated by depressive symptoms and emotion regulation. Trauma-informed interventions addressing depressive symptoms and difficulties in emotion regulation may help to reduce CSB among MSM living with HIV.
Collapse
Affiliation(s)
- Monique J Brown
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, South Carolina, USA.
- Arnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, Columbia, South Carolina, USA.
- Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
- Office for the Study on Aging, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
| | - Medinat Omobola Osinubi
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, South Carolina, USA
| | - Daniel Amoatika
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, South Carolina, USA
| | - Mohammad Rifat Haider
- Department of Health Policy and Management, College of Public Health, University of Georgia, Athens, Georgia
| | - Sally Kirklewski
- ENRICH Lab, Yale School of Public Health, New Haven, Connecticut, USA
| | - Patrick Wilson
- Department of Psychology, University of California Los Angeles, Los Angeles, CA, USA
| | - Nathan B Hansen
- Department of Health Promotion and Behavior, College of Public Health, University of Georgia, Athens, Georgia
| |
Collapse
|
7
|
Vonderlin R, Priebe K, Müller-Engelmann M, Fydrich T, Steil R, Resick PA, Schmahl C, Lindauer P, Kleindienst N, Bohus M. Long-term effects of dialectical behaviour therapy for posttraumatic stress disorder and cognitive processing therapy 9 months after treatment termination. Eur J Psychotraumatol 2024; 15:2393061. [PMID: 39221987 PMCID: PMC11370672 DOI: 10.1080/20008066.2024.2393061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2024] [Revised: 08/08/2024] [Accepted: 08/09/2024] [Indexed: 09/04/2024] Open
Abstract
Background: The complexity of posttraumatic stress disorder (PTSD) symptoms related to childhood abuse (CA) present challenges for effective psychotherapeutic treatment. Consequently, there is great interest in the long-term effectiveness of psychological treatments for this population.Objective: This study aims to investigate the long-term outcomes of Dialectical Behaviour Therapy for PTSD (DBT-PTSD) and Cognitive Processing Therapy (CPT) 9 months after treatment termination.Method: This is a long-term analysis from a randomised-controlled trial of DBT-PTSD versus CPT (registration number DRKS00005578). Initially, 193 individuals with CA-related PTSD were randomly allocated to receive either DBT-PTSD (n = 98) or CPT (n = 95). The primary outcome the Clinician-administered PTSD-Scale for DSM-5 (CAPS-5) was administred at baseline, treatment completion (15 months post-randomization) and at the 9-month follow-up. Secondary outcomes included self-reported PTSD severity (PCL-5), dissociation (DSS), severity of borderline symptoms (BSL-23), and psychosocial functioning (GAF).Results: No significant changes were observed in the primary (CAPS) and all other outcomes from post-intervention to 9-months follow-up in both the DBT-PTSD (CAPS: Mpost = 15.60, Mfollow-up = 14.93) and CPT group (CAPS: Mpost = 18.80, Mfollow-up = 17.41). Between-group analyses at 9-months follow-up were significantly in favour of DBT-PTSD compared to CPT with small to medium effect sizes on all outcomes ranging from d = 0.35 on the CAPS to d = 0.57 on the BSL-23 and GAF.Conclusions: Our results indicate that treatment effects of psychotherapy addressing complex presentations of PTSD persist 9 months after treatment termination. In addition, the superiority of DBT-PTSD as compared to CPT found at treatment termination, was confirmed at 9-months follow-up.Trial registration: German Clinical Trials Register identifier: DRKS00005578..
Collapse
Affiliation(s)
- Ruben Vonderlin
- Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany
| | - Kathlen Priebe
- Department of Psychiatry and Psychotherapy, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Meike Müller-Engelmann
- Institute of Psychology, Goethe University Frankfurt am Main, Frankfurt, Germany
- Department Psychology, Medical School Hamburg, Hamburg, Germany
| | - Thomas Fydrich
- Department of Psychology, Faculty of Life Sciences, Humboldt University, Berlin, Germany
| | - Regina Steil
- Institute of Psychology, Goethe University Frankfurt am Main, Frankfurt, Germany
| | - Patricia A. Resick
- Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA
| | - Christian Schmahl
- Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany
| | - Petra Lindauer
- Department of Economics and Media, Hochschule Fresenius University of Applied Sciences, Cologne, Germany
| | - Nikolaus Kleindienst
- Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany
| | - Martin Bohus
- Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany
- McLean Hospital, Harvard Medical School, Boston, MA, USA
| |
Collapse
|
8
|
Redmond A, Gaynor K, Naughton S, Clarke M. Recorded Rates of Trauma-Exposure in a Retrospective Epidemiologically Complete First-Episode Psychosis Cohort. Early Interv Psychiatry 2024. [PMID: 39215565 DOI: 10.1111/eip.13610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 08/09/2024] [Accepted: 08/11/2024] [Indexed: 09/04/2024]
Abstract
BACKGROUND Trauma plays an important role in the development and maintenance of psychosis. However, it is still under-examined in daily clinical practice. The current study investigated the rates of recording of trauma-exposure in the clinical histories of a first-episode psychosis (FEP) cohort attending an early intervention psychosis service. METHODS This study used a retrospective chart review methodology in a 6-year epidemiologically complete FEP cohort attending an early intervention psychosis service. The Trauma and Life Events Checklist was used to define the rate and types of trauma-exposure reported in clinical histories. The relationships were examined between recorded trauma-exposure and positive and negative symptoms, depression and duration of untreated psychosis at first assessment. RESULTS Trauma-exposure was frequently recorded within clinical histories. Childhood trauma-exposure was recorded in 47.4% of the sample, which is lower than may be expected. No significant relationships between the recorded trauma-exposure and symptom measures were found. A significant relationship was found between interpersonal stressors and positive symptoms, and work-related stress and negative symptoms, highlighting the importance of proximal stressful life events. DISCUSSION This study found that clinicians were frequently recording trauma-exposure in daily practice. However, it was unclear whether the recording of trauma-exposure highlighted led to systematic diagnosis, assessment or treatment of trauma for people with psychosis. The importance of treatment and service planning to include information about trauma-exposure is discussed.
Collapse
Affiliation(s)
- Aisling Redmond
- School of Psychology, University College Dublin, Belfield, Dublin, Ireland
| | - Keith Gaynor
- School of Psychology, University College Dublin, Belfield, Dublin, Ireland
- DETECT, Early Intervention in Psychosis Service, Blackrock, Dublin, Ireland
| | - Sean Naughton
- DETECT, Early Intervention in Psychosis Service, Blackrock, Dublin, Ireland
| | - Mary Clarke
- DETECT, Early Intervention in Psychosis Service, Blackrock, Dublin, Ireland
- School of Medicine, University College Dublin, Belfield, Dublin, Ireland
| |
Collapse
|
9
|
Wouters E, Constanty L, Urben S, Amoussou JR, Gasser J. Use of statement validity analysis in minors alleging sexual assault: A systematic review. J Forensic Sci 2024. [PMID: 39177223 DOI: 10.1111/1556-4029.15604] [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: 03/21/2024] [Revised: 06/18/2024] [Accepted: 07/18/2024] [Indexed: 08/24/2024]
Abstract
This systematic review aims to report on the use of Statement Validity Analysis (SVA) with minors involved in criminal justice proceedings. We conducted a literature search of six bibliographic databases up to March 2024. Additional searches were performed using citation tracing strategies. Nineteen studies published between 1991 and 2023 were retained. Most were published between 1991 and 2000, mainly in the USA. A scientific gap was observed for 10 years before studies resumed between 2011 and 2022. These 19 studies involved 2931 children; most were girls (n = 2080; 71%). The mean age was 9.4 years (SD = 2.40; min = 2; max = 17.5). Most studies did not mention the nature of the relationship between the child and the alleged perpetrator of sexual violence, three studies involved intra-family violence and six studies involved victims of intra- and extra-family violence. Nearly 75% of the interviewers were trained with SVA methods. Most were mental health professionals (52.6%) or police officers (15.8%). No study used the SVA as a whole, 10 studies used 19 criteria of the Criteria-Based Content Analysis (CBCA), and no study used the Validity Check List (VCL). Most studies performed SVA on interview transcripts (n = 8), and two studies performed their analysis on both verbatims and video. The conclusion of our literature review highlights the methodological weaknesses of these studies and encourages more research about the use of SVA in the judicial field to reduce the risk of misleading the judiciary.
Collapse
Affiliation(s)
- Emilie Wouters
- Department of Psychiatry, Unit of Child and Adolescent Forensic Psychiatry, Lausanne University Hospital and University of Lausanne, Prilly, Switzerland
| | - Lauriane Constanty
- Department of Psychiatry, Unit of Child and Adolescent Forensic Psychiatry, Lausanne University Hospital and University of Lausanne, Prilly, Switzerland
- Division of Child and Adolescent Psychiatry, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Sébastien Urben
- Division of Child and Adolescent Psychiatry, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Joëlle Rosselet Amoussou
- Medical Library-Cery, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Jacques Gasser
- Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| |
Collapse
|
10
|
Bergner-Koether R, Peschka L, Pastukhov A, Carbon CC, Steins-Loeber S, Hajak G, Rettenberger M. The Relevance of Hypersexuality and Impulsivity in Different Groups of Treatment-Seekers With and Without (Exclusive) Pedophilia. SEXUAL ABUSE : A JOURNAL OF RESEARCH AND TREATMENT 2024:10790632241271204. [PMID: 39104158 DOI: 10.1177/10790632241271204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/07/2024]
Abstract
Hypersexuality and impulsivity are regarded as risk factors for sexual offending against children. Studies exploring these factors in undetected men who offended or are at risk of offending are rare. This study aims to investigate hypersexuality and impulsivity in treatment-seeking men with and without a diagnosis of (exclusive) pedophilia who committed child sexual abuse (CSA), consumed child sexual abuse images (CSAI), or feel at risk of offending sexually. Data were obtained from three child abuse prevention projects in Bamberg, Germany. We employed self-report (BIS-11, HBI), objective measures (TSO), and risk assessment tools (STABLE-2007). We computed Bayesian ordinal logit and binomial generalized linear models to explore differences between groups and to predict lifetime CSA and CSAI. Hypersexuality scores were particularly pronounced in patients with exclusive and non-exclusive pedophilia. Patients without pedophilia scored similarly to nonclinical samples. Impulsivity measures did not consistently differ between groups. We could not predict lifetime CSA and CSAI using impulsivity and hypersexuality measures. Sexual rather than general impulsivity seems to be an issue in men with pedophilia. The motivation to offend in patients without pedophilia is discussed.
Collapse
Affiliation(s)
- Ralf Bergner-Koether
- Department for Sexual Medicine, Sozialstiftung Bamberg, Bamberg, Germany
- Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany
| | - Lasse Peschka
- Department for Sexual Medicine, Sozialstiftung Bamberg, Bamberg, Germany
- Department of General Psychology and Methodology, University of Bamberg, Bamberg, Germany
| | - Alexander Pastukhov
- Department of General Psychology and Methodology, University of Bamberg, Bamberg, Germany
| | - Claus-Christian Carbon
- Department of General Psychology and Methodology, University of Bamberg, Bamberg, Germany
| | - Sabine Steins-Loeber
- Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany
| | - Göran Hajak
- Department for Sexual Medicine, Sozialstiftung Bamberg, Bamberg, Germany
| | - Martin Rettenberger
- Centre for Criminology (Kriminologische Zentralstelle, - KrimZ), Wiesbaden, Germany
- Department of Psychology at the Johannes Gutenberg University Mainz (JGU), Germany
| |
Collapse
|
11
|
Wang W, Wang Y, Wang F, Chen H, Qin X, Yang L, Yang X, Yang L. Notable dysthymia: evolving trends of major depressive disorders and dysthymia in China from 1990 to 2019, and projections until 2030. BMC Public Health 2024; 24:1585. [PMID: 38872130 PMCID: PMC11170895 DOI: 10.1186/s12889-024-18943-7] [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: 09/17/2023] [Accepted: 05/23/2024] [Indexed: 06/15/2024] Open
Abstract
BACKGROUND Depressive disorders have been identified as a significant contributor to non-fatal health loss in China. Among the various subtypes of depressive disorders, dysthymia is gaining attention due to its similarity in clinical severity and disability to major depressive disorders (MDD). However, national epidemiological data on the burden of disease and risk factors of MDD and dysthymia in China are scarce. METHODS This study aimed to evaluate and compare the incidence, prevalence, and disability-adjusted life-years (DALYs) caused by MDD and dysthymia in China between 1990 and 2019. The temporal trends of the depressive disorder burden were evaluated using the average annual percentage change. The comparative risk assessment framework was used to estimate the proportion of DALYs attributed to risk factors, and a Bayesian age-period-cohort model was applied to project the burden of depressive disorders. RESULTS From 1990 to 2019, the overall age-standardized estimates of dysthymia in China remained stable, while MDD showed a decreasing trend. Since 2006, the raw prevalence of dysthymia exceeded that of MDD for the first time, and increased alternately with MDD in recent years. Moreover, while the prevalence and burden of MDD decreased in younger age groups, it increased in the aged population. In contrast, the prevalence and burden of dysthymia remained stable across different ages. In females, 11.34% of the DALYs attributable to depressive disorders in 2019 in China were caused by intimate partner violence, which has increasingly become prominent among older women. From 2020 to 2030, the age-standardized incidence, prevalence, and DALYs of dysthymia in China are projected to remain stable, while MDD is expected to continue declining. CONCLUSIONS To reduce the burden of depressive disorders in China, more attention and targeted strategies are needed for dysthymia. It's also urgent to control potential risk factors like intimate partner violence and develop intervention strategies for older women. These efforts are crucial for improving mental health outcomes in China.
Collapse
Affiliation(s)
- Wei Wang
- Department of Psychology, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, Shandong, 250012, China
| | - Yihe Wang
- Department of Neurology, The Second Hospital of Shandong University, Jinan, China
| | - Feng Wang
- Department of Education, Guangxi Normal University, Guilin, China
| | - Hui Chen
- Clinical Epidemiology Unit, Qilu Hospital of Shandong University, Jinan, China
- Clinical Research Center of Shandong University, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Xiaqing Qin
- Department of Psychology, Shandong Normal University, Jinan, China
| | - Lexia Yang
- Nursing Department, The Third Hospital of Jinan, Jinan, Shandong, 250000, China
| | - Xiaorong Yang
- Clinical Epidemiology Unit, Qilu Hospital of Shandong University, Jinan, China.
- Clinical Research Center of Shandong University, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
| | - Lejin Yang
- Department of Psychology, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, Shandong, 250012, China.
| |
Collapse
|
12
|
Hietamäki J, Husso M, Arponen T, Lahtinen HM. Differences Between Girls and Boys in the Disclosure of Sexual Violence. JOURNAL OF INTERPERSONAL VIOLENCE 2024; 39:2629-2654. [PMID: 38254297 PMCID: PMC11071602 DOI: 10.1177/08862605231221283] [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: 01/24/2024]
Abstract
This article addresses the differences between girls and boys in the disclosure of sexual violence. The dataset combines data from the Finnish Child Victim Survey (FCVS) of 2008 (N = 13,459) and 2013 (N = 11,364), focusing on victims of sexual violence, ages 11 to 17 years, from the perspectives of disclosure and gender. Frequency and percentage analysis, cross tabulation, and a Chi-square test were used in the analysis. In the FCVS for both years, around 85% of the victims were girls. In almost two-thirds of the cases, the offender was a relative, friend, or some other known person, while in more than one-third of the cases, the offender was unknown to the victim. The second most common case was that the victim knew the offender, who was not, however, a friend. Sexual violence was found to be, in many ways, gendered. Most of the victims were girls, and most of the offenders were men. There was also a gender difference in the disclosure of experiences. Twenty-one percent of the girls and 45% of the boys reported that they had not told anyone about their experiences. Irrespective of the type of offender, the victims most often (63%) told a peer about their experiences, while 23% told parents, and only 10% told authorities. Moreover, victims reported shame and fear, distrust toward adults, and disbelief that disclosure would be helpful as reasons for not disclosing their experiences. To address this problem, raising awareness of the phenomenon, promoting an atmosphere that supports disclosing experiences of sexual violence, and improving readiness to address them are required.
Collapse
Affiliation(s)
- Johanna Hietamäki
- Finnish Institute for Health and Welfare, Helsinki, Finland
- Faculty of Social Sciences and Business Studies, University of Eastern Finland, Kuopio, Finland
| | - Marita Husso
- Faculty of Social Sciences, Tampere University, Finland
| | - Tiia Arponen
- City of Lappeenranta, Lappeenranta, Finland
- Faculty of Social Sciences, University of Helsinki, Finland
| | - Hanna-Mari Lahtinen
- School of Educational Sciences and Psychology, University of Eastern Finland, Joensuu, Finland
| |
Collapse
|
13
|
Ifayomi M, Ali P, Ellis K. Child Sexual Abuse in Nigeria: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2024:15248380241254077. [PMID: 38812418 DOI: 10.1177/15248380241254077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2024]
Abstract
Child sexual abuse (CSA) is a major social and public health issue that creates short- and long-lasting impacts on victims, families, and society. While global researchers have considered the topic of CSA since the 19th century, the Nigerian context has been largely ignored. Yet, without sufficient evidence and understanding, making changes to practices and policies becomes almost impossible. The review aimed to gain insights into the nature and extent of CSA and identify areas for improvement in practice and research in Nigeria. This article presents the findings of a systematic review of 31 empirical articles related to CSA in Nigeria. Using key search terms along Boolean operators and truncation, PubMed, PsycINFO, CINAHL, ASSIA, PILOTS, African Journals Online, and Google Scholar were searched. A total of 1,325 studies were found, and 31 empirical studies, including 20 quantitative, 9 qualitative, and 2 mixed methods studies, were included. The review findings reveal the discourse on CSA and delve into various aspects such as its prevalence, manifestation patterns, root causes, management, and consequential impact on victims and societal domains. The gaps in the existing literature are identified and explored to identify areas for improvement in victim services, societal awareness, and healthcare practices and relevant policies. The sociocultural norms not only heightened children's vulnerability to sexual abuse but also posed significant barriers to them disclosing such abuse. Survivors of CSA often receive inadequate care, indicating a pressing need for improvements in this area. Implications for research, policy, and conclusion were discussed.
Collapse
Affiliation(s)
| | - Parveen Ali
- University of Sheffield, UK
- Sheffield University Interpersonal Violence Research Group, UK
| | | |
Collapse
|
14
|
Li Piani L, Somigliana E, Micci LG, Spinelli G, Barbara G. Going Beyond Childhood and Gender-Based Violence: Epigenetic Modifications and Inheritance. WOMEN'S HEALTH REPORTS (NEW ROCHELLE, N.Y.) 2024; 5:473-484. [PMID: 39035135 PMCID: PMC11257107 DOI: 10.1089/whr.2024.0010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/28/2024] [Indexed: 07/23/2024]
Abstract
Being exposed to childhood or gender-based violence is associated with subsequent adverse events in individual lives. Not only can it cause psychological distress but violence survivors suffer from a range of long-term adverse health outcomes, including higher morbidity, higher mortality, and higher risk of chronic diseases. Epigenetics may be involved in the determinisms of these long-term detrimental effects. A large body of evidence supports this biological mechanism to explain violence-related health impairment in the long term. However, studies specifically focusing on violence are scant and nonunivocal. Epigenetic modifications of genes involved in stress response and in the hypothalamus-pituitary-adrenal axis regulation are the most commonly and consistently reported. Promising evidence also emerged for the use of epigenetic clocks. Finally, although very limited, there is evidence supporting the notion that long-term health impairment may be transmitted from one generation to the other. Overall, despite promising, available evidence is yet incomplete. The overlap with pure psychological mechanisms of health impairment exposes the findings to confounders and hampers strong conclusions. Based on a literature search on PubMed/Embase, our narrative review aims to illustrate the evidence concerning the potential bond between epigenetics and violence, including also possible impacts on later generations. The goal is to encourage further research to help the development of a more holistic approach for such a vulnerable and often neglected population. Further research is warranted to precisely disentangle the role of epigenetics in mediating the long-term health impairment associated with childhood or gender-based violence. Advances in this area may open new avenues of treatment. Epigenetic modifications may indeed be reversible and could be an attractive therapeutic target to minimize the long-term consequences of childhood or gender-based violence.
Collapse
Affiliation(s)
- Letizia Li Piani
- Dept of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy
- Infertility Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Edgardo Somigliana
- Dept of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy
- Infertility Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
- SVSeD - Service for Sexual and Domestic Violence, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Laila Giorgia Micci
- SVSeD - Service for Sexual and Domestic Violence, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Gaia Spinelli
- Infertility Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
- SVSeD - Service for Sexual and Domestic Violence, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Giussy Barbara
- Dept of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy
- SVSeD - Service for Sexual and Domestic Violence, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| |
Collapse
|
15
|
Kildahl AN, Helverschou SB. Post-traumatic stress disorder and experiences involving violence or sexual abuse in a clinical sample of autistic adults with intellectual disabilities: Prevalence and clinical correlates. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2024; 28:1075-1089. [PMID: 37609889 PMCID: PMC11067401 DOI: 10.1177/13623613231190948] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/24/2023]
Abstract
LAY ABSTRACT Post-traumatic stress disorder is a mental health disorder that may be triggered by the experience of events perceived as terrifying or overwhelming. Examples of such events include being the victim of violence or sexual abuse. Compared with other people, autistic people have increased risk of being exposed to violence or sexual abuse. In addition, autistic people may be more vulnerable to developing post-traumatic stress disorder following such exposure. However, knowledge is limited concerning the prevalence of experiences involving violence and sexual abuse, and post-traumatic stress disorder, in autistic people with co-occurring intellectual disabilities. Detection of these experiences, and identification of post-traumatic stress disorder, may be challenging in these individuals, and previous research indicates that post-traumatic stress disorder symptoms may be overlooked or misinterpreted. In this study, we examined prevalence of post-traumatic stress disorder, violence and sexual abuse in a clinical sample of 88 autistic adults with intellectual disabilities referred for mental health assessment. Only 3.4% were diagnosed with post-traumatic stress disorder, even if experiences involving violence (34.1%) or sexual abuse (17.0%) were common. Anxiety and affective disorders were common diagnoses among participants with these experiences. Controlling for autism characteristics, level of intellectual disability and communication skills, experiences of violence/sexual abuse were found to be associated with a measure of 'challenging' behaviours. These results indicate that potentially traumatic experiences are common in autistic adults with intellectual disabilities referred for mental health assessment, and that post-traumatic stress disorder may be under-recognised. The findings highlight the importance of trauma screening and post-traumatic stress disorder assessment, as well as the importance of trauma-informed care, in this population.
Collapse
|
16
|
Halvorsen MS, Stige SH, Halvorsen JE, Binder PE, Måkestad E, Albaek AU, Andersen AC. Detecting child sexual abuse in child and adolescent psychiatry: a survey study of healthcare professionals' assessment practice. Int J Ment Health Syst 2024; 18:16. [PMID: 38637858 PMCID: PMC11025146 DOI: 10.1186/s13033-024-00632-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 03/25/2024] [Indexed: 04/20/2024] Open
Abstract
BACKGROUND Research shows that only around half of all survivors of child sexual abuse (CSA) disclose the abuse during childhood and adolescence. This is worrying, as CSA is related to substantial suffering later in life. The proportion of children and adolescents who have been exposed to CSA is significantly higher in Child and Adolescent Psychiatry (CAP) than in the general population. Healthcare professionals report that uncovering CSA is a complex and challenging task. However, we know little about how they proceed when uncovering CSA. More knowledge of healthcare personnel's experience is therefore necessary to facilitate and increase CSA disclosure. The study aims to explore how CAP healthcare professionals in Norway proceed when assessing and detecting CSA, how they experience this work, and what hinders or facilitates their efforts. METHODS The study employed a mixed method approach. Data was collected through an anonymous online survey, generating both quantitative and qualitative data. The sample consisted of 111 healthcare professionals in CAP, of whom 84% were women, with a mean age of 40.7 years (range 24-72; sd = 10.8). Mean years of CAP clinical experience were 8.3 years (range 0-41; sd = 7.5). The quantitative data was analysed using descriptive statistics, correlations, and independent sample t-tests, while the qualitative data was analysed using a team-based qualitative content analysis. RESULTS The results showed that detection of CSA was viewed as an important, but complex task in CAP, and the existing procedures were deemed to be insufficient. The therapists mostly felt confident about how to proceed when they suspected or detected CSA, yet they seldom detected CSA. In their initial assessment they applied standardised procedures, but if their suspicion of possible CSA persisted, they seemed to rely more on clinical judgement. Specific challenges and facilitators for CSA detection were identified, both in the individual and in the organisation. CONCLUSIONS The study highlights the challenges and complexities healthcare professionals and the CAP system face when assessing CSA, which may account for the low detection rate. The results show that healthcare professionals believe room for clinical autonomy and targeted competence development may improve CSA detection. Additionally, the findings suggest a need for CAP to define roles and responsibilities within and between agencies.
Collapse
Affiliation(s)
| | - Signe Hjelen Stige
- Department of Clinical Psychology, University of Bergen, Bergen, Norway.
| | | | - Per-Einar Binder
- Department of Clinical Psychology, University of Bergen, Bergen, Norway
| | | | - Ane Ugland Albaek
- Faculty of Health and Sport Sciences, Department of Psychosocial Health, University of Agder, Kristiansand, Norway
| | - Ann Christin Andersen
- Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU), Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- Department of Child and Adolescent Psychiatry, M?re og Romsdal Hospital Trust, Volda Hospital, Volda, Norway
| |
Collapse
|
17
|
Gewirtz-Meydan A, Godbout N, Canivet C, Peleg-Sagy T, Lafortune D. The Complex Interplay between BDSM and Childhood Sexual Abuse: A Form of Repetition and Dissociation or a Path Toward Processing and Healing? JOURNAL OF SEX & MARITAL THERAPY 2024; 50:583-594. [PMID: 38544460 DOI: 10.1080/0092623x.2024.2332775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/28/2024]
Abstract
In this theoretical paper the authors explore the connections between BDSM (i.e., practices involving bondage, discipline, dominance, submission, sadism, masochism) and CSA (childhood sexual abuse) in order to investigate the potential unconscious mechanisms at play and the therapeutic functions of BDSM practices among CSA victims. Drawing on the embodiment framework, the authors address how BDSM may serve as a form of unconscious repetition of traumatic experiences for certain CSA victims, with the aim of processing trauma and healing. A review of the empirical evidence regarding the links between BDSM and CSA trauma, along with the potential of BDSM to trigger trauma and elicit dissociation, guilt, or shame, is conducted. Finally, BDSM practices are reviewed through the concept of trauma-play, which involves deliberate rescripting. In short, the complex relationship between BDSM and CSA is highlighted, as well as its implications for understanding and potentially addressing trauma experiences in therapy.
Collapse
Affiliation(s)
- Ateret Gewirtz-Meydan
- School of Social Work, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel
| | - Natacha Godbout
- Department of Sexology, Université du Québec à Montréal, Montreal, Canada
| | - Cloé Canivet
- Department of Sexology, Université du Québec à Montréal, Montreal, Canada
| | - Tal Peleg-Sagy
- Department of Psychology, Ben Gurion University of the Negev, Beersheba, Israel
| | - David Lafortune
- Department of Sexology, Université du Québec à Montréal, Montreal, Canada
| |
Collapse
|
18
|
Lupariello F, Lauria B, Mirri F, Aguzzi S, Castagno E, Bondone C, Di Vella G. Child Sexual Abuse: Comparison of Male and Female Victims. Am J Forensic Med Pathol 2024; 45:33-39. [PMID: 38064319 DOI: 10.1097/paf.0000000000000902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2024]
Abstract
ABSTRACT In the scientific literature, few authors deal with child sexual abuse (CSA) in boys. In addition, these authors debate this phenomenon in most available articles without statistically evaluating the occurrence of different or similar distributions of variables under sex. In light of the above, the authors compared multiple variables between female and male samples. The aim was to explore the characteristics of boys' CSA, identifying the main differences existing compared with the same phenomenon occurring in girls. The authors selected 2 samples for sex: group A, females; group B, males. The authors statistically compared the main variables between the 2 groups. The study yielded the following main results: the population was characterized by 607 children (476 were females-group A; 131 were males-group B); the variables' source of the referral and the type of anogenital findings were statistically significant. These data gave new insights into the CSA phenomenon. Because this study pointed out that sexual abuse does not have the same characteristics in boys and girls, researchers and safeguarding agencies should consider the abovementioned differences when planning preventive strategies against CSA.
Collapse
Affiliation(s)
- Francesco Lupariello
- From the Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Sezione di Medicina Legale, "Università degli Studi di Torino," corso Galileo Galilei 22, 10126 Torino, Italy
| | - Barbara Lauria
- Dipartimento di Pediatria d'Urgenza, "A.O.U. Città della Salute e della Scienza" di Torino, Corso Bramante 88-89, 10126 Torino, Italy
| | - Federica Mirri
- From the Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Sezione di Medicina Legale, "Università degli Studi di Torino," corso Galileo Galilei 22, 10126 Torino, Italy
| | - Sonia Aguzzi
- Dipartimento di Pediatria d'Urgenza, "A.O.U. Città della Salute e della Scienza" di Torino, Corso Bramante 88-89, 10126 Torino, Italy
| | - Emanuele Castagno
- Dipartimento di Pediatria d'Urgenza, "A.O.U. Città della Salute e della Scienza" di Torino, Corso Bramante 88-89, 10126 Torino, Italy
| | - Claudia Bondone
- Dipartimento di Pediatria d'Urgenza, "A.O.U. Città della Salute e della Scienza" di Torino, Corso Bramante 88-89, 10126 Torino, Italy
| | - Giancarlo Di Vella
- From the Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Sezione di Medicina Legale, "Università degli Studi di Torino," corso Galileo Galilei 22, 10126 Torino, Italy
| |
Collapse
|
19
|
Fraser JM, Bradford JM, Pritchard C, Moulden HM. Childhood Sexual Abuse by Women of Boys Who Go On to Sexually Offend: Review and Critical Analysis. Curr Psychiatry Rep 2024; 26:45-52. [PMID: 38329571 DOI: 10.1007/s11920-024-01486-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/18/2023] [Indexed: 02/09/2024]
Abstract
PURPOSE OF REVIEW Sexual offending perpetrated by women has historically been overlooked and understudied, and the potentially unique impact of that abuse is even more so. RECENT FINDINGS Women who have sexually offended against children typically do so against older boys, use little or no forms of force or coercion during the abuse, and are unlikely to be prosecuted or sentenced following the abuse. Boys whom women have sexually abused are unlikely to report or disclose the abuse that they have experienced, perhaps because social structures surrounding sexual abuse of boys by women are designed to minimize, excuse, or even encourage such sexual contact. The intersection of these unique features may help understand the role of childhood sexual abuse perpetrated by women in subsequent sexual offending among adult men. Men who have sexually offended experience high rates of childhood sexual abuse perpetrated by women. The relationship between experienced sexual abuse and subsequent perpetration of sexual abuse is neither linear nor causal; however, the characteristics associated with this form of abuse, such as non-disclosure and lack of sentencing, may contribute to adulthood sexual maladjustment and vulnerability to offending among men.
Collapse
Affiliation(s)
- Julia M Fraser
- Department of Psychology, Neuroscience, and Behaviour, McMaster University, Hamilton, ON, Canada
- Forensic Psychiatry Program, St. Joseph's Healthcare Hamilton, West 5th Campus, 100 West 5th Street, Hamilton, ON, L8N 3K7, Canada
| | - John M Bradford
- Forensic Psychiatry Program, St. Joseph's Healthcare Hamilton, West 5th Campus, 100 West 5th Street, Hamilton, ON, L8N 3K7, Canada.
- Department of Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, ON, Canada.
- Division of Forensic Psychiatry, University of Ottawa, Ottawa, Canada.
| | - Chanie Pritchard
- Forensic Psychiatry Program, St. Joseph's Healthcare Hamilton, West 5th Campus, 100 West 5th Street, Hamilton, ON, L8N 3K7, Canada
- Department of Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, ON, Canada
- Integrated Forensic Program, Royal Ottawa Healthcare Group, Ottawa, Canada
| | - Heather M Moulden
- Forensic Psychiatry Program, St. Joseph's Healthcare Hamilton, West 5th Campus, 100 West 5th Street, Hamilton, ON, L8N 3K7, Canada
- Department of Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, ON, Canada
| |
Collapse
|
20
|
Chen J, Mark S, Mackin L, Paul SM, Cooper BA, Hammer MJ, Conley YP, Levine JD, Miaskowski C. Increased Stress Is Associated With Severe Pain and Decrements in Cognitive Function in Patients Receiving Chemotherapy. Semin Oncol Nurs 2024; 40:151577. [PMID: 38245388 DOI: 10.1016/j.soncn.2023.151577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 11/18/2023] [Accepted: 12/20/2023] [Indexed: 01/22/2024]
Abstract
OBJECTIVES Purposes were to identify subgroups of adult oncology patients (n = 1342) with distinct joint profiles of worst pain and cognitive function (CF) and evaluate for differences in demographic and clinical characteristics, as well as the severity of three distinct types of stress, resilience, and coping. DATA SOURCES Measures of pain and CF were evaluated six times over two cycles of chemotherapy. The other measures of demographic and clinical characteristics, stress, resilience, and coping were completed at enrollment (ie, prior to the second or third cycle of chemotherapy). RESULTS Using latent profile analysis, four distinct profiles were identified (ie, no pain + moderate CF [27.6%], moderate pain + high CF [22.4%] moderate pain and moderate CF [32.4%, both moderate], severe pain and low CF [17.5%, both severe]). Both moderate and both severe classes reported higher global, cancer-specific, and cumulative life stress, lower levels of resilience, and greater use of disengagement coping strategies. The Both severe class had higher occurrence rates for a number of adverse childhood experiences (ie, family violence in childhood, physical abuse at <16 years, forced sex at <16 years). Risk factors associated with membership in the two worst profiles included: being female, having a lower annual income, having a higher comorbidity burden, and having a poorer functional status. CONCLUSION Findings suggest that 72.4% of the patients reported pain scores in the moderate to severe range and 77.6% reported low to moderate levels of CF. Clinicians need to assess for both symptoms and various types of stress on a routine basis.
Collapse
Affiliation(s)
- Jacqueline Chen
- School of Nursing, University of California, San Francisco, CA
| | - Sueann Mark
- School of Nursing, University of California, San Francisco, CA
| | - Lynda Mackin
- School of Nursing, University of California, San Francisco, CA
| | - Steven M Paul
- School of Nursing, University of California, San Francisco, CA
| | - Bruce A Cooper
- School of Nursing, University of California, San Francisco, CA
| | | | | | - Jon D Levine
- School of Medicine, University of California, San Francisco, CA
| | - Christine Miaskowski
- School of Nursing, University of California, San Francisco, CA; School of Medicine, University of California, San Francisco, CA.
| |
Collapse
|
21
|
Qiao Z, Lafit G, Lecei A, Achterhof R, Kirtley OJ, Hiekkaranta AP, Hagemann N, Hermans KSFM, Boets B, Reininghaus U, Myin-Germeys I, van Winkel R. Childhood Adversity and Emerging Psychotic Experiences: A Network Perspective. Schizophr Bull 2024; 50:47-58. [PMID: 37318106 PMCID: PMC10754171 DOI: 10.1093/schbul/sbad079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
BACKGROUND AND HYPOTHESIS Childhood adversity is associated with a myriad of psychiatric symptoms, including psychotic experiences (PEs), and with multiple psychological processes that may all mediate these associations. STUDY DESIGN Using a network approach, the present study examined the complex interactions between childhood adversity, PEs, other psychiatric symptoms, and multiple psychological mediators (ie, activity-related and social stress, negative affect, loneliness, threat anticipation, maladaptive cognitive emotion regulation, attachment insecurity) in a general population, adolescent sample (n = 865, age 12-20, 67% female). STUDY RESULTS Centrality analyses revealed a pivotal role of depression, anxiety, negative affect, and loneliness within the network and a bridging role of threat anticipation between childhood adversity and maladaptive cognitive emotion regulation. By constructing shortest path networks, we found multiple existing paths between different categories of childhood adversity and PEs, with symptoms of general psychopathology (ie, anxiety, hostility, and somatization) as the main connective component. Sensitivity analyses confirmed the robustness and stability of the networks. Longitudinal analysis in a subsample with Wave 2 data (n = 161) further found that variables with higher centrality (ie, depression, negative affect, and loneliness) better predicted follow-up PEs. CONCLUSIONS Pathways linking childhood adversity to PEs are complex, with multifaceted psychological and symptom-symptom interactions. They underscore the transdiagnostic, heterotypic nature of mental ill-health in young people experiencing PEs, in agreement with current clinical recommendations.
Collapse
Affiliation(s)
- Zhiling Qiao
- Department of Neurosciences, Research Group Psychiatry, Center for Clinical Psychiatry, KU Leuven, Leuven, Belgium
| | - Ginette Lafit
- Department of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium
- Department of Psychology, Group on Quantitative Psychology and Individual Differences, KU Leuven, Leuven, Belgium
| | - Aleksandra Lecei
- Department of Neurosciences, Research Group Psychiatry, Center for Clinical Psychiatry, KU Leuven, Leuven, Belgium
| | - Robin Achterhof
- Department of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium
| | - Olivia J Kirtley
- Department of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium
| | - Anu P Hiekkaranta
- Department of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium
| | - Noëmi Hagemann
- Department of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium
| | - Karlijn S F M Hermans
- Strategy and Academic Affairs, Administration and Central Services, Leiden University, Leiden, The Netherlands
| | - Bart Boets
- Department of Neurosciences, Research Group Psychiatry, Center for Developmental Psychiatry, KU Leuven, Leuven, Belgium
| | - Ulrich Reininghaus
- Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Baden-Württemberg, Germany
- ESRC Centre for Society and Mental Health and Social Epidemiology Research Group, King’s College London, London, UK
| | - Inez Myin-Germeys
- Department of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium
| | - Ruud van Winkel
- Department of Neurosciences, Research Group Psychiatry, Center for Clinical Psychiatry, KU Leuven, Leuven, Belgium
- University Psychiatric Center (UPC), KU Leuven, Leuven, Belgium
| |
Collapse
|
22
|
Mathews B, Finkelhor D, Pacella R, Scott JG, Higgins DJ, Meinck F, Erskine HE, Thomas HJ, Lawrence D, Malacova E, Haslam DM, Collin-Vézina D. Child sexual abuse by different classes and types of perpetrator: Prevalence and trends from an Australian national survey. CHILD ABUSE & NEGLECT 2024; 147:106562. [PMID: 38061281 DOI: 10.1016/j.chiabu.2023.106562] [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: 08/24/2023] [Revised: 11/09/2023] [Accepted: 11/15/2023] [Indexed: 01/13/2024]
Abstract
BACKGROUND Little evidence exists about the prevalence of child sexual abuse (CSA) inflicted by different relational classes of perpetrators (e.g., parents; institutional adults; adolescents), and by individual types of perpetrators (e.g., fathers and male relatives; male teachers and male clergy; known and unknown adolescents). OBJECTIVE To generate evidence of the prevalence of CSA by different perpetrators, and trends by victim gender and age group. PARTICIPANTS AND SETTING The Australian Child Maltreatment Study collected information about CSA victimisation from a nationally-representative sample of 8503 individuals aged 16 and over. METHODS We analysed data about 42 perpetrator types, collapsed into eight classes. We generated national prevalence estimates of CSA inflicted by each perpetrator class and individual perpetrator type, and compared results by victim gender and age group. RESULTS Australian CSA prevalence was 28.5%, with the following prevalence by perpetrator classes: other known adolescents (non-romantic): 10.0%; parents/caregivers in the home: 7.8%; other known adults: 7.5%; unknown adults: 4.9%; adolescents (current/former romantic partners): 2.5%; institutional caregivers: 2.0%; siblings: 1.6%; unknown adolescents: 1.4%. Women experienced more CSA by all perpetrator classes except institutional caregivers. Age group comparison showed significant declines in CSA by parents/caregivers, and other known adults; and increases in CSA by adolescents (current/former romantic partners). Individual perpetrator type comparison showed declines in CSA by fathers, male relatives living in the home, non-resident male relatives, and other known male adults; and increases in CSA by known male adolescents, current boyfriends, and former boyfriends. CONCLUSIONS CSA by adults has declined, indicating positive impacts of prevention efforts. However, CSA by adolescents has increased. Further declines in CSA by adults are required and possible. Targeted prevention of CSA by adolescents must be prioritised.
Collapse
Affiliation(s)
- Ben Mathews
- School of Law, Queensland University of Technology (QUT), Brisbane, Australia; Australian Centre for Health Law Research, School of Law, Queensland University of Technology (QUT), Australia; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.
| | - David Finkelhor
- Crimes Against Children Research Center, Department of Sociology, University of New Hampshire, Durham, NH, USA
| | - Rosana Pacella
- Institute for Lifecourse Development, University of Greenwich, United Kingdom
| | - James G Scott
- Queensland Centre for Mental Health Research, Wacol, Australia; QIMR Berghofer, Medical Research Institute, Brisbane, Australia; Child Health Research Centre, The University of Queensland, Brisbane, Australia; Child and Youth Mental Health Service, Children's Health Queensland Hospital and Health Service, South Brisbane, Australia
| | - Daryl J Higgins
- Institute of Child Protection Studies, Australian Catholic University, Melbourne, Australia
| | - Franziska Meinck
- School of Social and Political Sciences, University of Edinburgh, United Kingdom; School of Public Health, University of the Witwatersrand, South Africa; OPTENTIA, Faculty of Humanities, North-West University, Vanderbijlpark, South Africa
| | - Holly E Erskine
- Queensland Centre for Mental Health Research, Wacol, Australia; School of Public Health, The University of Queensland, Brisbane, Australia; Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA
| | - Hannah J Thomas
- Queensland Centre for Mental Health Research, Wacol, Australia; QIMR Berghofer, Medical Research Institute, Brisbane, Australia; Child Health Research Centre, The University of Queensland, Brisbane, Australia
| | | | - Eva Malacova
- QIMR Berghofer, Medical Research Institute, Brisbane, Australia
| | - Divna M Haslam
- School of Law, Queensland University of Technology (QUT), Brisbane, Australia; Australian Centre for Health Law Research, School of Law, Queensland University of Technology (QUT), Australia; Parenting and Family Suppport Centre, University of Queensland, Brisbane, Australia
| | | |
Collapse
|
23
|
Miele C, Maquigneau A, Joyal CC, Bertsch I, Gangi O, Gonthier H, Rawlinson C, Vigourt-Oudart S, Symphorien E, Heasman A, Letourneau E, Moncany AH, Lacambre M. International guidelines for the prevention of sexual violence: A systematic review and perspective of WHO, UN Women, UNESCO, and UNICEF's publications. CHILD ABUSE & NEGLECT 2023; 146:106497. [PMID: 37832246 DOI: 10.1016/j.chiabu.2023.106497] [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: 04/11/2023] [Revised: 09/25/2023] [Accepted: 10/03/2023] [Indexed: 10/15/2023]
Abstract
BACKGROUND Sexual violence is a major public health issue worldwide, with a high prevalence and extensive human and financial costs. Implementing prevention programs is complex, requiring not only evidence-based practices and high ethical standards, but also close collaboration with local governments and non-governmental organizations. In order to guide and support all stakeholders necessary to achieve large-scale prevention (e.g., politicians, decision-makers, in-field professionals), it is essential to establish international benchmarks for the prevention of sexual violence. OBJECTIVE The main goal of this collaborative study was to conduct a systematic review of the frameworks adopted by WHO, UN Women, UNESCO, and UNICEF to help prevent sexual violence worldwide, according to the PRISMA methodology. A secondary objective was to highlight the levels of prevention and determinants of health targeted by these organizations. RESULTS Overall, 1008 references were identified, of which 50 met the inclusion criteria. All international guidelines were limited to primary or tertiary prevention, and they were not specifically dedicated to sexual violence. In addition, each organization had developed idiosyncratic prevention strategies. Common primary prevention determinants of health were still found across organizations, including education, socio-economic inequalities, and life skills training. Tertiary prevention was poorly developed and polarized between victims and perpetrators. Secondary prevention was never addressed, however, despite the effectiveness of approaches such as helplines for people sexually attracted to children. DISCUSSION Given these results, an international French-speaking consortium of professional teams, all involved in the secondary prevention of sexual violence, was recently formed with a ratified charter presented here.
Collapse
Affiliation(s)
- Cécile Miele
- Service de Psychiatrie Général, CMP B, CHU de Clermont-Ferrand, 58 rue Montalembert, 63000 Clermont-Ferrand, France; Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; Laboratoire de Recherche Qualipsy, EE 1901, Université de Tours, 3 rue des Tanneurs, BP 4103, 37041 Tours cedex 1, France.
| | - Aurélie Maquigneau
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; CRIR-AVS PACA, AP-HM, Hôpital Sainte-Marguerite, Pavillon 1 au 1er étage, 270 bd Sainte-Marguerite, 13274 Marseille Cedex 09, France.
| | - Christian C Joyal
- Université du Québec à Trois-Rivières, C.P. 500 Trois-Rivières, Québec, Canada
| | - Ingrid Bertsch
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; Laboratoire de Recherche Qualipsy, EE 1901, Université de Tours, 3 rue des Tanneurs, BP 4103, 37041 Tours cedex 1, France; UC3P, CHRU de Tours, 7 rue de la Dolve, 37000 Tours, France
| | - Océane Gangi
- Faculté de Droit, de Science Politique et de Criminologie, Université de Liège, Bâtiment B31, Quartier Agora, Place des Orateurs 3, 4000 Liège, Belgium; Service du SéOS, Unité de Psychopathologie légale, Rue Despars 92, 7500 Tournai, Belgium
| | - Hakim Gonthier
- Association DIS NO, avenue Saint-Paul 2, 1004 Lausanne, Switzerland
| | - Cloé Rawlinson
- Association DIS NO, avenue Saint-Paul 2, 1004 Lausanne, Switzerland
| | - Sylvie Vigourt-Oudart
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; CRIAVS Champagne-Ardenne, EPSM de la Marne, 1 chemin de Bouy - BP 70555, 51022 Châlons-en-Champagne, France
| | - Emeline Symphorien
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; CRIAVS Champagne-Ardenne, EPSM de la Marne, 1 chemin de Bouy - BP 70555, 51022 Châlons-en-Champagne, France
| | - Ainslie Heasman
- Centre for Addiction & Mental Health (CAMH), Toronto, Ontario, Canada
| | - Elizabeth Letourneau
- Moore Center for the Prevention of Child Sexual Abuse, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA
| | - Anne-Hélène Moncany
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; CRIAVS Midi-Pyrénées, CH Marchant, 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France
| | - Mathieu Lacambre
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; Filière de psychiatrie légale, CHU de Montpellier, 191 Av. du Doyen Gaston Giraud, 34295 Montpellier, France; INSERM Unit 1061, University of Montpellier, Montpellier, France.
| |
Collapse
|
24
|
Kaneda Y, Hamaki T, Tanimoto T. Breaking the silence: a new era for male sexual assault survivors in Japan. J Public Health Policy 2023; 44:698-700. [PMID: 37653102 DOI: 10.1057/s41271-023-00443-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/25/2023] [Indexed: 09/02/2023]
Affiliation(s)
- Yudai Kaneda
- School of Medicine, Hokkaido University, Kita15, Nishi7, Kita-ku, Sapporo, Hokkaido, Japan.
| | - Tamae Hamaki
- Department of Internal Medicine, Navitas Clinic Shinjuku, Tokyo, Japan
| | - Tetsuya Tanimoto
- Department of Internal Medicine, Jyoban Hospital of Tokiwa Foundation, Fukushima, Japan
| |
Collapse
|
25
|
Ferragut M, Cerezo MV, Ortiz-Tallo M, Rodríguez-Fernandez R. Effectiveness of child sexual abuse prevention programs on knowledge acquisition: A meta-analytical study. CHILD ABUSE & NEGLECT 2023; 146:106489. [PMID: 37804801 DOI: 10.1016/j.chiabu.2023.106489] [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: 05/26/2023] [Revised: 09/24/2023] [Accepted: 09/27/2023] [Indexed: 10/09/2023]
Abstract
BACKGROUND Child sexual abuse (CSA) is a type of maltreatment considered a global health problem. CSA is a traumatic experience with important consequences for the victim's health. It is essential to report the effectiveness of CSA prevention programs to offer society useful tools to combat this abuse. OBJECTIVE We aimed to study the effectiveness of CSA prevention programs on the knowledge acquisition based on comparing pre- and post-treatment changes, and also if their effectiveness is related to program-related and methodological variables. PARTICIPANTS AND SETTINGS Standardised mean change (with studies that report pre-post program measures) of the effectiveness of CSA prevention programs published between 2014 and 2021 was carried out. METHODS The general effectiveness of these programs and whether the results were influenced by program-related variables (the duration, the target population, participants' age, or the type of intervention) or by methodology-related factors (the agent who taught them, the geographical area where they were carried out or the way the programs were evaluated) were analysed. A total of 43 samples analysing knowledge about CSA as a dependent variable were included. RESULTS The results reported a combined effect size considered large (dMR = -0.96, 95 % CI [-1.10, -0.82], p < .001). High inter-study heterogeneity was observed in the meta-analysis, although only the geographic area where the studies were conducted appears as a significant moderator. CONCLUSIONS In conclusion, the prevention programs included in this analysis significantly improved the participants' knowledge acquisition.
Collapse
Affiliation(s)
- Marta Ferragut
- Department of Psychobiology and Methodology of Behavioral Sciences, Psychology and Speech Therapy Faculty, University of Malaga, Spain.
| | - M Victoria Cerezo
- Department of Psychobiology and Methodology of Behavioral Sciences, Psychology and Speech Therapy Faculty, University of Malaga, Spain
| | | | - Raquel Rodríguez-Fernandez
- Department of Methodology of Behavioral Sciences, Psychology Faculty, Distance Learning National University (UNED), Spain
| |
Collapse
|
26
|
von Franqué F, Bergner-Koether R, Schmidt S, Pellowski JS, Peters JH, Hajak G, Briken P. Individuals under voluntary treatment with sexual interest in minors: what risk do they pose? Front Psychiatry 2023; 14:1277225. [PMID: 38076694 PMCID: PMC10701425 DOI: 10.3389/fpsyt.2023.1277225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 10/16/2023] [Indexed: 05/14/2024] Open
Abstract
Child Sexual Abuse (CSA) and the production, use, and distribution of Child Sexual Abuse Material (CSAM) are key threats to children's mental health. From the perspective of indicated prevention, it can be assumed that some persons with a sexual interest in children commit such unreported crimes. Accordingly, the German Network kein Täter werden (meaning do not offend) has implemented a confidential treatment service for persons with a sexual interest in minors who voluntarily seek therapy, might or might not have offended but have not yet been detected or have fulfilled all legal requirements (here referred to as non-forensic individuals). However, this offer has been questioned for investing resources in a group which critics consider as low risk. The following study addresses the question of recidivism risks for CSA or viewing CSAM among non-forensic individuals. We found significantly higher rates of CSA/CSAM in our participants' history compared to a German study on a representative sample of males. Regarding CSAM, the recidivism rate of 39% was found to be 11 times higher than the expected recidivism rate based on previous publications. Regarding CSA, the recidivism rate of 14% was not significantly different from the expected rate reported for subjects with a conviction for a sexual contact offense. Among various risk instruments, only the CPORT with CASIC rating was able to predict CSA (AUC = 0.69, 95% CI = 0.55, 0.82) and CSAM (AUC = 0.63, 95% CI = 0.53, 0.73) among individuals with a history of CSAM, but with poor discrimination. We conclude that a large proportion of our sample poses a substantial risk and therefore treatment resources are well invested. However, further studies are needed to improve risk assessment among non-forensic clients.
Collapse
Affiliation(s)
- Fritjof von Franqué
- Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Ralf Bergner-Koether
- Department for Sexual Medicine, Sozialstiftung Bamberg, Bamberg, Germany
- Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany
| | - Stefanie Schmidt
- Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Jan S. Pellowski
- Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Jan H. Peters
- Department of Educational Psychology, University of Bamberg, Bamberg, Germany
| | - Göran Hajak
- Department for Sexual Medicine, Sozialstiftung Bamberg, Bamberg, Germany
| | - Peer Briken
- Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| |
Collapse
|
27
|
Hassan SZ, Sabet SS, Riegler MA, Baugerud GA, Ko H, Salehi P, Røed RK, Johnson M, Halvorsen P. Enhancing investigative interview training using a child avatar system: a comparative study of interactive environments. Sci Rep 2023; 13:20403. [PMID: 37989758 PMCID: PMC10663561 DOI: 10.1038/s41598-023-47368-2] [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: 06/19/2023] [Accepted: 11/13/2023] [Indexed: 11/23/2023] Open
Abstract
The impact of investigative interviews by police and Child Protective Services (CPS) on abused children can be profound, making effective training vital. Quality in these interviews often falls short and current training programs are insufficient in enabling adherence to best practice. We present a system for simulating an interactive environment with alleged abuse victims using a child avatar. The purpose of the system is to improve the quality of investigative interviewing by providing a realistic and engaging training experience for police and CPS personnel. We conducted a user study to assess the efficacy of four interactive platforms: VR, 2D desktop, audio, and text chat. CPS workers and child welfare students rated the quality of experience (QoE), realism, responsiveness, immersion, and flow. We also evaluated perceived learning impact, engagement in learning, self-efficacy, and alignment with best practice guidelines. Our findings indicate VR as superior in four out of five quality aspects, with 66% participants favoring it for immersive, realistic training. Quality of questions posed is crucial to these interviews. Distinguishing between appropriate and inappropriate questions, we achieved 87% balanced accuracy in providing effective feedback using our question classification model. Furthermore, CPS professionals demonstrated superior interview quality compared to non-professionals, independent of the platform.
Collapse
Affiliation(s)
| | | | - Michael Alexander Riegler
- Department of Holistic Systems, SimulaMet, 0167, Oslo, Norway
- Faculty of Technology, Art and Design, OsloMet, 0167, Oslo, Norway
| | | | - Hayley Ko
- Faculty of Social Sciences, OsloMet, 0167, Oslo, Norway
- Oral Health Centre of Expertise in Eastern Norway, 0369, Oslo, Norway
| | - Pegah Salehi
- Department of Holistic Systems, SimulaMet, 0167, Oslo, Norway
| | | | | | - Pål Halvorsen
- Department of Holistic Systems, SimulaMet, 0167, Oslo, Norway
- Faculty of Technology, Art and Design, OsloMet, 0167, Oslo, Norway
| |
Collapse
|
28
|
Stevenson MC, Rivers MA. When Disclosure Fails to Substantiate Abuse: Child and Perpetrator Race Predict Child Sexual Abuse Substantiation. CHILD MALTREATMENT 2023; 28:621-633. [PMID: 36932825 DOI: 10.1177/10775595231157729] [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: 06/18/2023]
Abstract
We examined the effects of child race, perpetrator race, and abuse disclosure status (within the context of a formal forensic interview) on abuse substantiation outcomes. Specifically, we coded child sexual abuse disclosure, abuse substantiation, and race of 315 children (80% girls, M age = 10, age range = 2-17; 75% White, 9% Black, 12% Biracial, 3% Hispanic, 1% Asian) who underwent a child forensic interview in a Midwestern child advocacy center. Supporting hypotheses, abuse substantiation was more likely in cases involving (a) abuse disclosure (vs. no disclosure), (b) White children (vs. children of color), and (c) perpetrators of color (vs. White perpetrators). Also supporting hypotheses, the effect of abuse disclosure on increased abuse substantiation was greater for White children than for children of color. This research suggests that even when children of color disclose their experiences of sexual abuse, they nonetheless face barriers to abuse substantiation.
Collapse
|
29
|
Hamza Hermis A, Tehrany PM, Hosseini SJ, Firooz M, Hosseini SR, Jamshidbeigi A, Zaboli Mahdiabadi M, Ghorbani Vajargah P, Mollaei A, Karkhah S, Takasi P, Alizadeh Otaghvar H, Farzan R. Prevalence of non-accidental burns and related factors in children: A systematic review and meta-analysis. Int Wound J 2023; 20:3855-3870. [PMID: 37224877 PMCID: PMC10588353 DOI: 10.1111/iwj.14236] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 05/02/2023] [Accepted: 05/04/2023] [Indexed: 05/26/2023] Open
Abstract
Non-accidental burns (NABs) in children had some adverse effects, such as severe burns, requiring skin grafting, and mortality. Previous studies reported NABs in the form of neglect, suspected abuse, and child abuse. Also, different statistics were estimated for the prevalence of NABs in children. Therefore, the current study aimed to comprehensively review and summarise the literature on the prevalence of NABs in children. Also, factors related to NABs as a secondary aim were considered in this review. Keywords combined using Boolean operators and searches were performed in international electronic databases, such as Scopus, PubMed, and Web of Science. Only studies in English were considered from the earliest to 1 March 2023. The analysis was performed using STATA software version 14. Finally, 29 articles were retrieved for the quantitative analysis. Results found that the prevalence of child abuse, suspected abuse, neglect, 'child abuse or suspect abused', and 'abuse, suspect abused, or neglect' was 6% (ES: 0.06, 95% confidence interval [CI]: 0.05-0.07), 12% (ES: 0.12, 95% CI: 0.09-0.15), 21% (ES: 0.21, 95% CI: 0.07-0.35), 8% (ES: 0.08, 95% CI: 0.07-0.09), and 15% (ES: 0.15, 95% CI: 0.13-0.16) among burns victims, respectively. Also, factors related to NABs are categorised into age and gender, agent and area of burns, and family features. Considering the results of the current study, planning for rapid diagnosis and designing a process to manage NABs in children is necessary.
Collapse
Affiliation(s)
| | - Pooya M. Tehrany
- Department of Orthopaedic Surgery, Faculty of MedicineNational University of MalaysiaBaniMalaysia
| | - Seyed Javad Hosseini
- Department of Pediatric Nursing, School of Nursing and MidwiferyMashhad University of Medical SciencesMashhadIran
- Department of NursingEsfarayen Faculty of Medical SciencesEsfarayenIran
| | - Mahbobeh Firooz
- Department of NursingEsfarayen Faculty of Medical SciencesEsfarayenIran
- School of Nursing and MidwiferyGolestan University of Medical SciencesGorganIran
| | - Seyed Reza Hosseini
- Student Research Committee, Faculty of Nursing and MidwiferyMashhad University of Medical SciencesMashhadIran
| | - Amirreza Jamshidbeigi
- Student Research Committee, Faculty of Nursing and MidwiferyMashhad University of Medical SciencesMashhadIran
| | | | - Pooyan Ghorbani Vajargah
- Burn and Regenerative Medicine Research CenterGuilan University of Medical SciencesRashtIran
- Department of Medical‐Surgical Nursing, School of Nursing and MidwiferyGuilan University of Medical SciencesRashtIran
| | - Amirabbas Mollaei
- Burn and Regenerative Medicine Research CenterGuilan University of Medical SciencesRashtIran
- Department of Medical‐Surgical Nursing, School of Nursing and MidwiferyGuilan University of Medical SciencesRashtIran
| | - Samad Karkhah
- Burn and Regenerative Medicine Research CenterGuilan University of Medical SciencesRashtIran
- Department of Medical‐Surgical Nursing, School of Nursing and MidwiferyGuilan University of Medical SciencesRashtIran
| | - Poorya Takasi
- Burn and Regenerative Medicine Research CenterGuilan University of Medical SciencesRashtIran
- Department of Medical‐Surgical Nursing, School of Nursing and MidwiferyGuilan University of Medical SciencesRashtIran
| | - Hamidreza Alizadeh Otaghvar
- Department of Plastic Surgery, Trauma and Injury Research CenterIran University of Medical SciencesTehranIran
| | - Ramyar Farzan
- Department of Plastic & Reconstructive Surgery, School of MedicineGuilan University of Medical SciencesRashtIran
| |
Collapse
|
30
|
Fu G, Xu Y, Pan M, Zhang Z, Zhang H, Zhao Y, Lin L, Ye Z, Liu J, Lan F, Luo D, Wang S, Zhu B, Liao X, Hong M, Chen J, Li Z, Yang G, Zhao Z, Liu Y, Ruan F, Yang C, Wang J. Ecological factors associated with child sexual abuse among 15- to 17-year-old adolescents in mainland China: implications for intervention. Front Public Health 2023; 11:1169669. [PMID: 37927859 PMCID: PMC10623125 DOI: 10.3389/fpubh.2023.1169669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 10/06/2023] [Indexed: 11/07/2023] Open
Abstract
Background Child sexual abuse is a major public health problem with adverse consequences for victims' physical, mental, and reproductive health. This cross-sectional study aimed to determine the prevalence of child sexual abuse and its associated factors among 15- to 17-year-old adolescents in mainland China. Methods From September 8, 2019 to January 17, 2020, a total of 48,660 participants were recruited by 58 colleges and universities across the whole country to complete the self-administered, structured, online questionnaire. This analysis was restricted to 3,215 adolescents aged between 15 and 17 years in mainland China. Chi-square tests and multivariate Logistic regression analyses were performed to identify individual, relationship, and community factors associated with child sexual abuse. Results The overall prevalence of child sexual abuse was 12.0%. More specifically, 13.0% of girls and 10.6% of boys reported that they were sexually abused prior to 18 years of age. At the individual level, being female, sexual minority identity, younger age, and higher levels of knowledge, skills and self-efficacy regarding condom use were significantly related to increased odds of reporting sexual abuse. At the relationship and community level, adolescents from disrupted families and those entering into a marriage, having casual sexual partners, and having first intercourse at a younger age were more likely to report sexual abuse. On the contrary, those who had never discussed sex-related topics with their family members at home and were offered school-based sexuality education later (vs. earlier) were less likely to report sexual abuse. Conclusion Multilevel prevention programs and strategies, including targeting adolescents with high-risk characteristics, educating young children and their parents about child sexual abuse prevention and optimizing the involvement of parents, school, community, society and government in comprehensive sexuality education, should be taken to reduce child sexual abuse among 15- to 17-year-old adolescents.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Chunyan Yang
- Department of Preventive Medicine, Hubei University of Science and Technology, Xianning, China
| | - Junfang Wang
- Department of Preventive Medicine, Hubei University of Science and Technology, Xianning, China
| |
Collapse
|
31
|
Wang SJ, Chang JJ, Cao LL, Li YH, Yuan MY, Wang GF, Su PY. The Relationship Between Child Sexual Abuse and Sexual Dysfunction in Adults: A Meta-Analysis. TRAUMA, VIOLENCE & ABUSE 2023; 24:2772-2788. [PMID: 35993405 DOI: 10.1177/15248380221113780] [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: 06/15/2023]
Abstract
Child sexual abuse (CSA) has been recognized as a risk factor for sexual dysfunction and has attracted increasing attention. However, controversies remain regarding related research. The aim is to calculate the pooled effect size estimate for the correlation between CSA and sexual dysfunction in adults by meta-analysis. Five bibliographic databases (PubMed, Cochrane Library, Web of Science, Embase, and PsycINFO) were comprehensively searched to clarify the association between CSA and sexual dysfunction in adults. We used a fixed-effects model to determine the total pooled effect size estimate and reported odds ratios (ORs) and the corresponding 95% confidence intervals (CIs). Subgroup analysis, publication bias analysis, and sensitivity analysis were conducted. Adults who had a history of CSA experienced a higher proportion of sexual dysfunction than adults with no history of CSA (OR = 1.68, 95% CI [1.49, 1.87]). Subgroup analysis showed that women with a history of CSA reported a higher proportion of sexual dysfunction than men with a history of CSA (men: OR = 1.45, 95% CI [1.05, 1.84]; women: OR = 1.62, 95% CI [1.42, 1.83]). The estimates of the effect sizes differed substantially depending on the CSA and sexual dysfunction instruments that were used in each study and the region of each sample. This meta-analysis provides conclusive evidence of an association between CSA and sexual dysfunction in adults. Currently known interventions for the treatment of sexual dysfunction after CSA have only been evaluated in women, so specific interventions should be designed for men CSA survivors who experience sexual impairment.
Collapse
Affiliation(s)
- Shao-Jie Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China
| | - Jun-Jie Chang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China
| | - Lei-Lei Cao
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China
| | - Yong-Han Li
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China
| | - Meng-Yuan Yuan
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China
| | - Geng-Fu Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China
- Ministry of Education of the People's Republic of China, Hefei, China
- Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, China
| | - Pu-Yu Su
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China
- Ministry of Education of the People's Republic of China, Hefei, China
- Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, China
| |
Collapse
|
32
|
Swaby H, Lievesley R. "Falling Through the Cracks": A Retrospective Exploration of the Barriers to Help-Seeking Among Men Convicted of Sexual Crimes. SEXUAL ABUSE : A JOURNAL OF RESEARCH AND TREATMENT 2023; 35:812-841. [PMID: 36537848 DOI: 10.1177/10790632221146501] [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: 06/17/2023]
Abstract
The prevalence and impact of sexual abuse is of global concern, and the alarming rates of victimization have inspired a focus on its prevention. Whilst research has begun to explore the experiences of non-offending individuals to inform prevention initiatives, there is limited exploration of those who have struggled with their sexual interests and go on to commit sexual crime. Arguably these individuals hold key information about gaps in service provision, which may inform approaches to crime prevention. This study aimed to provide a phenomenological exploration of the pre-offense experiences of convicted individuals' beliefs about help-seeking, their desires for support, and any barriers that might have prevented them from coming forward for help. Semi-structured interviews were conducted with 14 individuals convicted of sexual offenses (n = 13 against children; n = 1 sexually motivated violence), and interpretative phenomenological analysis elicited three superordinate themes: Desperation, Barriers to Help-seeking and A Way Forward. The findings shed light on the distressing experience of living with sexual interests that are so openly rejected by society and the many ways participants attempted to cope with this, including multiple failed attempts to seek help. Implications and limitations are discussed.
Collapse
|
33
|
Nuzzo JL, Powney D, Barry J. Comment on: "Gender-Based Violence is a Blind Spot for Sports and Exercise Medicine Professionals". Sports Med 2023; 53:1495-1497. [PMID: 37310671 DOI: 10.1007/s40279-023-01865-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/12/2023] [Indexed: 06/14/2023]
Affiliation(s)
- James L Nuzzo
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia.
| | - Deborah Powney
- School of Justice, University of Central Lancashire, Preston, UK
| | | |
Collapse
|
34
|
Sprott RA, Herbitter C, Grant P, Moser C, Kleinplatz PJ. Clinical Guidelines for Working with Clients Involved in Kink. JOURNAL OF SEX & MARITAL THERAPY 2023; 49:978-995. [PMID: 37439228 DOI: 10.1080/0092623x.2023.2232801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/14/2023]
Abstract
People involved in kink (BDSM or fetish) subcultures often encounter stigma and bias in healthcare settings or when seeking psychotherapy. Such individuals typically encounter well-meaning clinicians who are not prepared to provide culturally competent care or who have not recognized their own biases. Over a two-year period, a team of 20 experienced clinicians and researchers created clinical practice guidelines for working with people involved with kink, incorporating an extensive literature review and documentation of clinical expertise. This article summarizes the guidelines and discusses relevant issues facing clinicians and their clients, as well as implications for clinical practice, research and training.
Collapse
Affiliation(s)
- Richard A Sprott
- Human Development and Women's Studies, California State University, East Bay, CA, USA
| | - Cara Herbitter
- School of Medicine, Veteran Affairs Boston Healthcare System Boston University, West Roxbury, MA, USA
- Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, US
| | - Patrick Grant
- Clinical Psychology, Michael E. Debakey Veterans Affairs Medical Center, USA
| | - Charles Moser
- Diverse Sexualities Research and Education Institute (DSREI.org), San Francisco, CA, USA
| | | |
Collapse
|
35
|
Stea TH, Steigen AM, Dangmann CR, Granrud MD, Bonsaksen T. Associations between exposure to sexual abuse, substance use, adverse health outcomes, and use of youth health services among Norwegian adolescents. BMC Public Health 2023; 23:1330. [PMID: 37434128 DOI: 10.1186/s12889-023-16261-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 07/07/2023] [Indexed: 07/13/2023] Open
Abstract
BACKGROUND A strong association between sexual abuse and adverse health outcomes has been reported among adolescents. The present study aimed to provide more information about adverse health outcomes associated with sexual abuse and substance use, and to examine the use of youth health services among Norwegian adolescents. METHODS National representative cross-sectional study among 16-19-year-old Norwegian adolescents (n = 9784). Multivariable regression analyses, adjusted for socioeconomic status and age, were used to examine the association between exposure to sexual abuse, substance use and health risk factors, and the use of youth health services. RESULTS Adolescents exposed to sexual abuse had higher odds of depressive symptoms (males: OR:3.8; 95% CI:2.5-5.8, females: 2.9;2.4-3.5), daily headache (males: 5.3;2.8-10.1, females:1.9; 1.5-2.4), high medication use (males: 3.2;1.7-6.0, females: 2.0;1.6-2.6), self-harm (males: 3.8;2.4-6.0, females:3.2; 2.6-3.9), suicidal thoughts (males: 3.3; 2.2-5.0, females:3.0; 2.5-3.6) and suicide attempts (males: 9.5;5.6-16.0, females:3.6;2.7-4.9). Furthermore, exposure to sexual abuse was associated with higher odds of using school health services (males: 3.9;2.6-5.9, females: 1.6;1.3-1.9) and health services for youth (males: 4.8;3.1-7.6, females: 2.1;1.7-2.5). In general, substance use was associated with increased odds of adverse health related outcomes and use of youth health services, but the strength of the relationships varied according to sex. Finally, results indicated a significant interaction between sexual abuse and smoking that was associated with increased odds of having suicidal thoughts for males (2.6;1.1-6.5) but a decreased odds of having suicidal thoughts and have conducted suicide attempts once or more for females (0.6;0.4-1.0 and 0.5;0.3-0.9, respectively). CONCLUSIONS The present study confirmed a strong relationship between exposure to sexual abuse and health risks, especially among males. Moreover, males exposed to sexual abuse were much more likely to use youth health services compared to sexually abused females. Substance use was also associated with adverse health outcomes and use of youth health services, and interactions between sexual abuse and smoking seemed to influence risk of suicidal thoughts and attempts differently according to sex. Results from this study increase knowledge about possible health related effects of sexual abuse which should be used to identify victims and provide targeted treatment by youth health services.
Collapse
Affiliation(s)
- T H Stea
- Department of Health and Nursing Science, University of Agder, Kristiansand, Norway.
| | - A M Steigen
- Department of Health and Nursing Sciences, Inland Norway University of Applied Sciences, Elverum, Norway
| | - C R Dangmann
- Department of Social Sciences and Guidance, Faculty of Social and Health Science, Inland Norway University of Applied Sciences, Elverum, Norway
| | - M D Granrud
- Department of Social Sciences and Guidance, Faculty of Social and Health Science, Inland Norway University of Applied Sciences, Elverum, Norway
| | - T Bonsaksen
- Department of Health and Nursing Sciences, Inland Norway University of Applied Sciences, Elverum, Norway
- Department of Health, Faculty of Health Studies, VID Specialized University, Stavanger, Norway
| |
Collapse
|
36
|
Wang Y, Chen X, Zhou K, Zhang H. A Meta-Analysis of the Effects of Childhood Maltreatment on Elderly Depression. TRAUMA, VIOLENCE & ABUSE 2023; 24:1593-1607. [PMID: 35232293 DOI: 10.1177/15248380211073838] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Background: The present study aimed to synthesize the effects of five types of child maltreatment (physical abuse, emotional abuse, sexual abuse, physical neglect and emotional neglect) on late-life depression.Method: Four English-language databases (Web of Science, PsycINFO and PsycARTICLES, PubMed, and Cochrane Library) and three Chinese databases (China National Knowledge Infrastructure, Wanfang Database, and Weipu Database) were systematically reviewed, and data related to the association between child maltreatment and late-life depression were extracted. Ten studies involving 30,308 older adults were included, and the effect sizes were pooled using random-effect models.Findings: Except for sexual abuse, four types of child maltreatment were found to be positively associated with late-life depression. Physical abuse, emotional abuse and physical neglect were associated with elderly depression (PA: OR = 1.73, 95% CI = 1.55-1.95, p < .001; EA: OR = 1.92, 95% CI = 1.73-2.12, p < .001; PN: OR = 2.05, 95% CI = 1.15-3.67, p < .01) at a small level, and emotional neglect was associated with elderly depression (OR = 3.25, 95% CI = 1.43-7.39, p < .001) at an approximately moderate level. Gender moderated the relationship between physical neglect, emotional neglect, and late-life depression.Conclusion: Our findings highlight the significance of child maltreatment in the development of late-life depression, and underscore the need for future research and practice to explore potential ways to address late-life depression among older adults who suffered child maltreatment.
Collapse
Affiliation(s)
- Yang Wang
- Department of Social Work and Social Policy, Renmin University of China, Beijing, China
| | - Xiaoxuan Chen
- Department of Social Work and Social Policy, Renmin University of China, Beijing, China
| | - Ke Zhou
- Department of Social Work and Social Policy, Renmin University of China, Beijing, China
| | - Huiping Zhang
- Department of Social Work and Social Policy, Renmin University of China, Beijing, China
- Center for Studies of Sociological Theory and Method, Renmin University of China, Beijing, China
| |
Collapse
|
37
|
Todahl JL, Piper S, Metcalfe RE, Luther SC, Barkhurst PD, Cook K, Ratliff M, Gau JM. How Do Survivor and Mandatory Reporter Status Correlate with Program Outcomes for an Adult-Focused Child Sexual Abuse Prevention Program? JOURNAL OF CHILD SEXUAL ABUSE 2023; 32:979-996. [PMID: 37975619 DOI: 10.1080/10538712.2023.2277325] [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: 06/13/2023] [Accepted: 10/10/2023] [Indexed: 11/19/2023]
Abstract
This exploratory study investigated group differences and pre-post changes in knowledge, beliefs, and behavior by mandatory reporters and Child Sexual Abuse (CSA) survivor status for a CSA prevention training designed for the general public. Of the 8,114 study participants, 32% identified as having experienced CSA, and 77% indicated they were mandatory reporters for child abuse and neglect. Mandatory reporters had higher baseline knowledge about CSA than those who were not mandatory reporters and reported more CSA preventative behaviors. Mandatory reporters continued to have higher levels of knowledge following the training. Survivors of CSA also had higher baseline knowledge about CSA and preventative behavior scores than individuals who are not survivors of CSA. Unlike mandatory reporters, they experienced fewer increases in knowledge. At posttest, there was no evidence of a difference in knowledge between CSA survivors and non-CSA survivors. For items related to beliefs, mandatory reporters had higher baseline scores than other participants. However, they had smaller gains, so mandatory reporters and non-mandatory reporters had more similar beliefs related to CSA after the training. There were few differences between CSA survivors and non-survivors on baseline beliefs related to CSA, though CSA survivors reported greater increases in beliefs that CSA prevention is their responsibility and in the idea that they know what to do to prevent CSA. These results have significant results for the development and evaluation of trauma-informed prevention programming.
Collapse
Affiliation(s)
- Jeffrey L Todahl
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, USA
| | - Simone Piper
- Center for the Prevention of Abuse and Neglect, University of Oregon, Eugene, OR, United States of America
| | - Robyn E Metcalfe
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, USA
| | - Stephanie C Luther
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, USA
| | - Phyllis D Barkhurst
- Center for the Prevention of Abuse and Neglect, University of Oregon, Eugene, OR, United States of America
| | - Keavy Cook
- The Ford Family Foundation, Roseberg, OR, United States of America
| | - Mary Ratliff
- The Ford Family Foundation, Roseberg, OR, United States of America
| | - Jeff M Gau
- Center on Human Development, University of Oregon, Eugene, OR, United States of America
| |
Collapse
|
38
|
Gewirtz-Meydan A, Godbout N. Between pleasure, guilt, and dissociation: How trauma unfolds in the sexuality of childhood sexual abuse survivors. CHILD ABUSE & NEGLECT 2023; 141:106195. [PMID: 37116448 DOI: 10.1016/j.chiabu.2023.106195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 03/02/2023] [Accepted: 04/07/2023] [Indexed: 06/05/2023]
Abstract
BACKGROUND Childhood sexual abuse (CSA) is a significant risk factor for sexual difficulties in adulthood. OBJECTIVE In the current study we aimed to expand the understanding of the association between CSA and sexual difficulties by examining the moderating role of traumatic sexuality in the association between CSA and sexual difficulties among a sample of CSA survivors. PARTICIPANTS AND SETTING The hypothesized moderation model was examined among a sample of 393 CSA survivors. METHODS Significant interactions were probed using simple slopes tests using the interactions R package. RESULTS The results indicated main effects of traumatic sexuality on survivors' sexual difficulties: Greater severity of dissociation during sex was linked with greater sexual dysfunction and higher compulsive sexual behavior disorder (CSBD), and greater intrusiveness during sex and pleasing the other during sex were linked with higher CSBD. Experiencing higher sex-related guilt and/or shame and hypervigilance with regard to sex were associated with greater sexual dysfunction. As for the moderations, intrusiveness during sex and pleasing the other during sex moderated the association between CSA and sexual dysfunction. Intrusiveness during sex and sex-related guilt and/or shame moderated the association between CSA and CSBD. Intrusiveness during sex, pleasing the other during sex, and/or hypervigilance with regard to sex moderated the association between CSA and problematic pornography use. CONCLUSION This study points to the potential contribution of traumatic sexuality symptoms to sexual difficulties among survivors of CSA and lends support to the idea of offering trauma-focused therapy when treating the sexual difficulties of CSA survivors.
Collapse
Affiliation(s)
- Ateret Gewirtz-Meydan
- School of Social Work, Faculty of Social Welfare & Health Sciences, University of Haifa, Israel. agewirtz-@univ.haifa.ac.il
| | - Natacha Godbout
- Sexology department, Université du Québec à Montréal (UQAM), Canada.
| |
Collapse
|
39
|
Bartolomé-Valenzuela M, Pereda N, Guilera G. [Prevalence of adverse and victimization experiences in adult people with severe mental illness in Barcelona]. GACETA SANITARIA 2023; 37:102314. [PMID: 37348295 DOI: 10.1016/j.gaceta.2023.102314] [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: 10/08/2022] [Revised: 05/08/2023] [Accepted: 05/09/2023] [Indexed: 06/24/2023]
Abstract
OBJECTIVE To describe the extension of the adverse experiences, including victimization, lived in childhood and adulthood in a sample of people with severe mental illness residing in Barcelona, Spain. METHOD Descriptive, quantitative and cross-sectional study. Adverse and victimization experiences were assessed using 26 items from the Adverse Childhood Experiences Questionnaire (ACE-IQ). Items were included obtain information regarding victimization during adulthood. Seventy-four people with severe mental illness were interviewed (median age: 42.03 years; standard deviation: 9.60). RESULTS All participants reported at least two victimization experiences throughout their lifetime. The most frequent experiences were conventional crimes (87.8%) and victimization by caregivers (86.5%). Before age 18, half of the participants reported having experienced physical violence by their caregivers (52.7%) and almost one out of three reported to have been victim of sexual abuse (32.4%). Women were almost 13 times more likely to experience sexual victimization than men throughout their lifetime (odds ratio: 12.75; 95% confidence interval: 4.19-38.71). CONCLUSIONS Victimization experienced by people with severe mental illness is a widespread problem that has received little attention. The results of this study are consistent with those obtained in previous investigations and underscore the need to translate this knowledge into medical practice into medical practice, considering them in order to develop treatments with a comprehensive approach to mental health.
Collapse
Affiliation(s)
- Marina Bartolomé-Valenzuela
- Grupo de Investigación en Victimización Infantil y Adolescente (GReVIA), Departamento de Psicología Clínica y Psicobiología, Facultad de Psicología, Universidad de Barcelona, Barcelona, España
| | - Noemí Pereda
- Grupo de Investigación en Victimización Infantil y Adolescente (GReVIA), Departamento de Psicología Clínica y Psicobiología, Facultad de Psicología, Universidad de Barcelona, Barcelona, España.
| | - Georgina Guilera
- Grupo de Investigación en Victimización Infantil y Adolescente (GReVIA), Departamento de Psicología Social y Psicología Cuantitativa, Facultad de Psicología, Universidad de Barcelona, Barcelona, España
| |
Collapse
|
40
|
Pond R, Gillmore C, Blanchard N. Lived experiences of resilience for women who have experienced childhood sexual abuse: A systematic review of qualitative studies. CHILD ABUSE & NEGLECT 2023; 140:106152. [PMID: 37028256 DOI: 10.1016/j.chiabu.2023.106152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 02/13/2023] [Accepted: 03/16/2023] [Indexed: 05/06/2023]
Abstract
BACKGROUND Child sexual abuse (CSA) can have detrimental, long-lasting consequences but effects are diverse, and resilience, or attainment of better-than-expected outcomes, is possible. OBJECTIVE This systematic review synthesises qualitative research findings about lived experiences of resilience processes used by women who had been subjected to CSA. METHODS A comprehensive search was undertaken of major and minor article databases (e.g., PsychInfo, Medline, CINAHL, Web of Science, Scopus) and Google Scholar, with hand searching of reference lists and forward searching of retrieved articles. Eight studies met the inclusion criteria (peer-reviewed qualitative or mixed methods studies written in English about experiences of resilience by women who had experienced CSA). Data extraction, quality appraisal, and thematic analysis were performed. RESULTS Thematic analysis generated several process-related resilience themes: distancing oneself from sexual abuse; building healthy interpersonal, community, and cultural connections; drawing on spiritual belief systems; reframing the sexual abuse; placing blame with the perpetrator; reclaiming self-worth; taking control of one's life; and pursuing meaningful goals. For some, it involved forgiveness of self and others, reclaiming one's sexuality, and/or fighting against diverse forms of oppression. There was much evidence that resilience was a dynamic, personal and social-ecological phenomenon. CONCLUSION Counsellors and other professionals can use these findings to help women affected by CSA explore, develop, and strengthen factors that support resilience. Future research could explore the experiences of resilience for women with different cultural backgrounds, socioeconomic status, religious and/or spiritual affiliations.
Collapse
Affiliation(s)
- Rachael Pond
- Institute of Education, Massey University, Palmerston North, New Zealand.
| | - Christina Gillmore
- Institute of Education, Massey University, Palmerston North, New Zealand.
| | - Nan Blanchard
- Institute of Education, Massey University, Palmerston North, New Zealand
| |
Collapse
|
41
|
Sun K, Li A, Li Y, Xie J, Tong Y, Ma J, Wu Y. A cross-sectional study of non-suicidal self-injury in a Chinese adolescent inpatient cohort. Front Psychiatry 2023; 14:1109334. [PMID: 37293407 PMCID: PMC10244503 DOI: 10.3389/fpsyt.2023.1109334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Accepted: 05/05/2023] [Indexed: 06/10/2023] Open
Abstract
Background Non-suicidal self-injury (NSSI) is a significant predictor of completed suicide and is increasingly recognized as a serious public health concern. Multiple factors, including social, familial, mental, and genetic factors could influence the occurrence of this behavior. Identifying the early risk factors is important for screening and preventing this behavior. Methods Here, we recruited a total of 742 adolescent inpatient participants from a mental health center and conducted a series of diagnostic interviews and questionnaires to assess NSSI behavior and other events. Bivariate analysis was used to detect differences between groups in NSSI and non-NSSI. Then, binary logistic regression was fitted to identify predictors of NSSI as a function of these questionnaire scores. Results Of the 742 adolescents examined, a total of 382 (51.5%) participants engaged in NSSI. Bivariate analysis showed that age, gender, depression, anxiety, insomnia, and childhood trauma was significantly associated with NSSI. Logistic regression results suggested that females had 2.43 higher odds of engaging in NSSI when compared to their male counterparts (OR = 3.43, 95%CI = 2.09-5.74, p = 1.70 × 10-6). Depression was a primary risk predictor for NSSI with each additional increase in symptoms of depression increasing the odds of engaging in NSSI by 18% (OR = 1.18, 95%CI = 1.12-1.25, p = 2.25 × 10-8). Conclusion More than half of the adolescent inpatients with psychiatric disorders have NSSI experience. Depression and gender were the risk factors for NSSI. Age at a specific range had a high prevalence of NSSI.
Collapse
Affiliation(s)
- Ke Sun
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
| | - Anni Li
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
| | - Yichen Li
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
| | - Jun Xie
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
| | - Yonghao Tong
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
| | - Jun Ma
- Department of Child and Adolescent Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China
- Affiliated Wuhan Mental Health Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Yong Wu
- Research Center for Mental Health and Neuroscience, Wuhan Mental Health Center, Wuhan, Hubei, China
| |
Collapse
|
42
|
Winterstein TB, Avieli H, Gichaz M. Recovering the Lost Soul: Older Women's Reflections on Past Intrafamilial Child Sexual Abuse. QUALITATIVE HEALTH RESEARCH 2023; 33:426-439. [PMID: 36882288 DOI: 10.1177/10497323231159802] [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: 06/18/2023]
Abstract
Intrafamilial child sexual abuse (IFCSA) is a social problem with longstanding effects on victims' lives. While scholarly literature has focused on the adverse aftermath of sexual abuse, only a few studies have acknowledged older women's perspectives on their experience of IFCSA and their journey of healing and recovery. The aim of the present study was to explore how older survivors of IFCSA construct and shape their experience of healing in later life and the meaning they assign to this process. Narrative inquiry was selected to explore the narratives of 11 older women survivors of IFCSA. Participants were interviewed using a biographical narrative interviewing method. The narratives were then transcribed and analyzed using thematic, structural, and performance analyses. Four major themes emerged from the participants' narratives: Achieving closure; Spiritual framing of IFCSA as a platform for self-growth; Becoming whole in old age; and Looking to the future after IFCSA. During the aging years, IFCSA survivors may redefine their identity and their place in the world. Using life review processes, older women in this study were striving to heal and reconcile with their past.
Collapse
Affiliation(s)
| | - Hila Avieli
- Department of Criminology, Ariel University, Ariel, Israel
| | - Mili Gichaz
- Department of Gerontogy, University of Haifa, Ariel, Israel
| |
Collapse
|
43
|
Jimenez-Arista LE, Reid DB. Realization, Self-View, and Disclosure of Pedophilia: A Content Analysis of Online Posts. SEXUAL ABUSE : A JOURNAL OF RESEARCH AND TREATMENT 2023; 35:214-240. [PMID: 35503894 DOI: 10.1177/10790632221099256] [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: 06/14/2023]
Abstract
In order to treat individuals with pedophilia1 who are at risk of committing offenses, disclosure of the attraction must first take place. The aim of this study was to understand processes of initial recognition of pedophilic attraction, disclosure, and help-seeking. We conducted a qualitative content analysis of online posts from self-identified individuals with pedophilia, finding four categories: (1) Awareness and Initial Self-View (with emotions including denial, shame, and fear), (2) Disclosure (typically made to family, friends, or therapists, but also done online in an anonymous way), (3) People's Reactions to Disclosure (ranging from rejection to support), and (4) Current Self-View (including minimization, distortions, despair, resignation, and non-offending/anti-contact commitment). Our findings highlight the internal process experienced by individuals with pedophilia when first recognizing their attraction to minors, what is involved in disclosure, the importance of others' reactions after disclosure, and the factors that can reinforce a non-offending commitment. Clinical and social implications are discussed.
Collapse
Affiliation(s)
| | - Duncan B Reid
- Counseling and Counseling Psychology, 7864Arizona State University, Tempe, AZ, USA
| |
Collapse
|
44
|
Selai C, Elmalem MS, Chartier-Kastler E, Sassoon N, Hewitt S, Rocha MF, Klitsinari L, Panicker JN. Systematic review exploring the relationship between sexual abuse and lower urinary tract symptoms. Int Urogynecol J 2023; 34:635-653. [PMID: 35751671 PMCID: PMC9947020 DOI: 10.1007/s00192-022-05277-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 06/03/2022] [Indexed: 11/25/2022]
Abstract
INTRODUCTION AND HYPOTHESIS Patients presenting with lower urinary tract symptoms (LUTS) may report a history of sexual abuse (SA), and survivors of SA may report LUTS; however, the nature of the relationship is poorly understood. The aim of this review is to systematically evaluate studies that explore LUT dysfunction in survivors of SA. METHODS A systematic literature search of six databases, Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, CINAHL, AMED, and PsycINFO, was performed. The last search date was June 2021 (PROSPERO CRD42019122080). Studies reporting the prevalence and symptoms of LUTS in patients who have experienced SA were included. The literature was appraised according to the PRISMA statement. The quality of the studies was assessed. RESULTS Out of 272 papers retrieved, 18 publications met the inclusion criteria: studies exploring LUTS in SA survivors (n=2), SA in patients attending clinics for their LUTs (n=8), and cross-sectional studies (n=8). SA prevalence ranged between 1.3% and 49.6%. A history of SA was associated with psychosocial stressors, depression, and anxiety. LUTS included urinary storage symptoms, voiding difficulties, voluntary holding of urine and urinary tract infections. Most studies were of moderate quality. Assessment of SA and LUTS lacked standardisation. CONCLUSIONS The review highlights the need for a holistic assessment of patients presenting with LUTS. Although most of the studies were rated as being of 'moderate' quality, the evidence suggests the need to provide a "safe space" in clinic for patients to share sensitive information about trauma. Any such disclosure should be followed up with further assessment.
Collapse
Affiliation(s)
- Caroline Selai
- UCL Department of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, Queen Square, London, WC1N 3BG, UK.
- Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
| | - Michael S Elmalem
- UCL Department of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, Queen Square, London, WC1N 3BG, UK
- UCL Department of Brain Repair and Rehabilitation, Queen Square Institute of Neurology, Queen Square, London, UK
| | - Emmanuel Chartier-Kastler
- Department of Urology, Academic Hospital Pitié-Salpêtrière, Medical School, Sorbonne University, AP-HP, 47-83, Bd de l'Hôpital, 75651, Paris cedex 13, France
| | - Natalia Sassoon
- UCL Department of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, Queen Square, London, WC1N 3BG, UK
| | - Sam Hewitt
- UCL Department of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, Queen Square, London, WC1N 3BG, UK
| | - Maria Francisca Rocha
- UCL Department of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, Queen Square, London, WC1N 3BG, UK
| | - Larisa Klitsinari
- UCL Department of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, Queen Square, London, WC1N 3BG, UK
| | - Jalesh N Panicker
- Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK
- UCL Department of Brain Repair and Rehabilitation, Queen Square Institute of Neurology, Queen Square, London, UK
| |
Collapse
|
45
|
Pankowiak A, Woessner MN, Parent S, Vertommen T, Eime R, Spaaij R, Harvey J, Parker AG. Psychological, Physical, and Sexual Violence Against Children in Australian Community Sport: Frequency, Perpetrator, and Victim Characteristics. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:4338-4365. [PMID: 35944902 DOI: 10.1177/08862605221114155] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Childhood sport participation is associated with physical, social, and mental health benefits, which are more likely to be realized if the sport environment is safe. However, our understanding of children's experience of psychological, physical, and sexual violence in community sport in Australia is limited. The aims of this study were to provide preliminary evidence on the extent of experiences of violence during childhood participation in Australian community sport and to identify common perpetrators of and risk factors for violence. The Violence Towards Athletes Questionnaire (VTAQ) was administered online to a convenience sample of Australian adults (>18 years), retrospectively reporting experiences of violence during childhood community sport. Frequencies of experience of violence were calculated and Chi-square tests were conducted to determine differences between genders. In total, there were 886 respondents included in the analysis. Most survey respondents were women (63%) and about a third were men (35%). About 82% of respondents experienced violence in sport as a child. Psychological violence was most prevalent (76%), followed by physical (66%) and sexual (38%) violence. Peers perpetrated the highest rates of psychological violence (69%), and the rates of physical and psychological violence by coaches (both >50%) were also high. Age, sexual orientation, disability, and hours of weekly sport participation as a child were all associated with childhood experience of violence in sport. The rates of interpersonal violence against children in sport were high. This novel data on perpetrators of the violence and the risk factors for experiencing violence provides further context to inform safeguarding strategies in sport. A national prevalence study is recommended to advance our understanding of the childhood experiences of violence in Australian sport.
Collapse
Affiliation(s)
- Aurélie Pankowiak
- Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia
- Federation University, Ballarat, VIC, Australia
- International Research Network on Violence and Integrity in Sport (IRNOVIS), University of Antwerp, Belgium
- Université Laval, Québec, QC, Canada
| | - Mary N Woessner
- Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia
- International Research Network on Violence and Integrity in Sport (IRNOVIS), University of Antwerp, Belgium
- Université Laval, Québec, QC, Canada
| | - Sylvie Parent
- International Research Network on Violence and Integrity in Sport (IRNOVIS), University of Antwerp, Belgium
- Université Laval, Québec, QC, Canada
- Interdisciplinary Research Center on Intimate Relationship Problems and Sexual Abuse (CRIPCAS), QC, Canada
| | - Tine Vertommen
- International Research Network on Violence and Integrity in Sport (IRNOVIS), University of Antwerp, Belgium
- Thomas More University of Applied Sciences, Belgium
- University of Antwerp, Belgium
| | - Rochelle Eime
- Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia
- Federation University, Ballarat, VIC, Australia
| | - Ramon Spaaij
- Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia
- International Research Network on Violence and Integrity in Sport (IRNOVIS), University of Antwerp, Belgium
- University of Amsterdam, The Netherlands
| | - Jack Harvey
- Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia
- Federation University, Ballarat, VIC, Australia
| | - Alexandra G Parker
- Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia
- Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC, Australia
| |
Collapse
|
46
|
Suleiman Garba A. Child sexual abuse in Kaduna State, Northwestern Nigeria: A review of 420 police-reported cases. JOURNAL OF CHILD SEXUAL ABUSE 2023; 32:241-258. [PMID: 36710427 DOI: 10.1080/10538712.2023.2170844] [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: 09/13/2022] [Revised: 12/19/2022] [Accepted: 01/08/2023] [Indexed: 06/18/2023]
Abstract
Child sexual abuse affects millions of children globally but in Nigeria, hospital-based studies continue to report few cases, making it difficult to assess the magnitude and quality of care. This study aimed to overcome this challenge by reviewing police medical reports instead of hospital records. A total of 420 reports were retrieved from one police area command in Kaduna State, Northwestern Nigeria, between 2018 and 2021. The majority of the victims were females (65.5%), 5-14 years (70.2%), and familiar with their assailants (71.4%). Most of the assailants were men (99.0%), 20-40 years (29.1%), who acted alone (86.7%). Most of the reports contained history (79.3%), physical examination (49.6%), and laboratory results (>90%). Among female victims, the commonest genital findings were absent hymen (25.6%) and normal findings (17.6%). Among male victims, the commonest anal findings were normal findings (41.7%) and anal dilatation (23.6%). The victims tested positive for HIV (0.5%), hepatitis B (4.7%), hepatitis C (1.0%), and syphilis (0.8%). Higher positivity rates were noted among assailants. Treatments offered to the victims included antibiotics (30.2%), analgesics (11.9%), emergency contraception (6.7%), and psychotherapy (67.4%). The review calls for improved reporting, use of comprehensive treatment guideline, and training of service providers to improve the quality of care.
Collapse
Affiliation(s)
- Auwal Suleiman Garba
- Department of Community Medicine, Ahmadu Bello University Zaria, Kaduna State, Nigeria
- Institute of Child Health, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria
| |
Collapse
|
47
|
Jojo N, Nattala P, Seshadri S, Krishnakumar P, Thomas S. Knowledge of sexual abuse and resistance ability among children with intellectual disability. CHILD ABUSE & NEGLECT 2023; 136:105985. [PMID: 36603444 DOI: 10.1016/j.chiabu.2022.105985] [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: 08/23/2022] [Revised: 11/18/2022] [Accepted: 11/27/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND Sexual abuse is a global concern among children with intellectual disabilities. Sexual abuse is frequent and long-lasting when the victim is a child with an intellectual disability. Moreover, the rate of sexual abuse is two to eight times the rate in the general population. OBJECTIVE This study aimed to investigate the knowledge of sexual abuse and resistance ability among children with intellectual disabilities. PARTICIPANTS AND SETTING The study was conducted among 120 children with mild or moderate intellectual disabilities attending twelve schools for specific purposes. METHODS We adopted a cross-sectional design to assess knowledge and resistance ability. Personal Safety Questionnaire and Modified What If Situation Test were administered verbally during individual interviews. Institutional Ethics Committee approved our study. RESULTS Current study suggests that children with intellectual disabilities have average knowledge (M = 6.6, SD = 1.6) regarding sexual abuse. More than 90 % of children demonstrated poor reporting skills. Although children exhibited good knowledge in differentiating appropriate from inappropriate touch requests, most children reported they would not disclose this incident to anyone. CONCLUSIONS This study strongly suggests the need for a structured training program for children with intellectual disabilities to prevent sexual abuse.
Collapse
Affiliation(s)
- N Jojo
- Faculty of Health, University of Canberra, Bruce, ACT, Australia.
| | - P Nattala
- Department of Nursing, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India
| | - S Seshadri
- Department of Child and Adolescent Psychiatry, NIMHANS, Bangalore, India
| | - P Krishnakumar
- Institute of Mental Health and Neurosciences (IMHANS), Kozhikode, Kerala, India
| | - S Thomas
- Department of Statistics, Christ University, Bangalore, India
| |
Collapse
|
48
|
Aguerri JC, Molnar L, Miró-Llinares F. Old crimes reported in new bottles: the disclosure of child sexual abuse on Twitter through the case #MeTooInceste. SOCIAL NETWORK ANALYSIS AND MINING 2023. [DOI: 10.1007/s13278-023-01029-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
AbstractMovements such as #MeToo have shown how an online trend can become the vehicle for collectively sharing personal experiences of sexual victimisation that often remains unreported to the criminal justice system. These social media trends offer new opportunities to social scientists who investigate complex phenomena that, despite existing since time immemorial, are still taboo and difficult to access. They also bring technical difficulties, as the challenge to identify reports of victimisation, and new questions about the characteristic of the events, the role that victimisation testimonies play and the capacity to detect them by analysing their characteristics. To address these issues, we collected 91,501 tweets under the hashtag #MeTooInceste, posted from the 20 to 27 January 2021. A model was fitted using Latent Dirichlet Allocation that detected 1688 tweets disclosing experiences of child sexual abuse, with an accuracy of 91.3% [± 3%] and a recall of 93.1% [± 5%]. We performed Conjunctive Analysis of Case Configurations on the tweets identified as disclosures of victimisation and found that long tweets posted by users with small accounts, without URL or picture, were more likely to be related to disclosure of child sexual abuse. We discuss the possibilities of these trends and techniques offer for research and practice.
Collapse
|
49
|
Robin M, Schupak T, Bonnardel L, Polge C, Couture MB, Bellone L, Shadili G, Essadek A, Corcos M. Clinical Stakes of Sexual Abuse in Adolescent Psychiatry. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1071. [PMID: 36673831 PMCID: PMC9858972 DOI: 10.3390/ijerph20021071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 12/30/2022] [Accepted: 01/04/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND The extent and nature of sexual abuse (SA) and its consequences in psychiatry are still poorly described in adolescence. OBJECTIVE This article describes the frequency of SA reported in an adolescent population hospitalized in psychiatry, and assesses its links with the severity of mental disorders and the medical issues of these adolescents. METHODS The study includes 100 patients for whom SA has been mentioned, among all patients aged 13 to 17 years old hospitalized for about 4 years. The characteristics of sexual abuse were correlated with the medical severity of the patients, as well as the number, the duration of their hospitalization(s), and the time until disclosure. RESULTS The results show the central place of SA in adolescent psychiatry, with a prevalence of 28.5% and a cumulative hospital stay which is five times longer than average. Correlations have been observed between the number of suicide attempts and the number of abuses reported. The medical severity of patients is significantly increased when the named aggressor is an adult. The number of hospitalizations is positively correlated with the number of reported abuses, as well as with the intrafamilial and adult status of the perpetrator. Finally, an early age of onset, repeated abuse, and the intrafamilial nature of the abuse are associated with a longer time to disclosure. CONCLUSIONS The severity of adolescent psychiatric situation is statistically in favor of a history of SA, which should therefore be actively explored during care.
Collapse
Affiliation(s)
- Marion Robin
- Département de Psychiatrie de L’adolescent et du Jeune Adulte, Institut Mutualiste Montsouris, 75014 Paris, France
- Centre de Recherche en Epidémiologie et Santé des Populations, INSERM U1178, Team PsyDev, 94807 Villejuif, France
| | - Thomas Schupak
- Département de Psychiatrie de L’adolescent et du Jeune Adulte, Institut Mutualiste Montsouris, 75014 Paris, France
| | - Lucile Bonnardel
- Département de Psychiatrie de L’adolescent et du Jeune Adulte, Institut Mutualiste Montsouris, 75014 Paris, France
| | - Corinne Polge
- Département de Psychiatrie de L’adolescent et du Jeune Adulte, Institut Mutualiste Montsouris, 75014 Paris, France
| | - Marie-Bernard Couture
- Département de Psychiatrie de L’adolescent et du Jeune Adulte, Institut Mutualiste Montsouris, 75014 Paris, France
| | - Laura Bellone
- Département de Psychiatrie de L’adolescent et du Jeune Adulte, Institut Mutualiste Montsouris, 75014 Paris, France
| | - Gérard Shadili
- Département de Psychiatrie de L’adolescent et du Jeune Adulte, Institut Mutualiste Montsouris, 75014 Paris, France
- Centre de Soins, d’Accompagnement et de Prévention en Addictologie, Émergence Espace Tolbiac, 75013 Paris, France
| | - Aziz Essadek
- Laboratoire Interpsy, Université de Lorraine, 54015 Nancy, France
| | - Maurice Corcos
- Département de Psychiatrie de L’adolescent et du Jeune Adulte, Institut Mutualiste Montsouris, 75014 Paris, France
| |
Collapse
|
50
|
Ballús E, Comelles MC, Pasto MT, Benedico P. Children's drawings as a projective tool to explore and prevent experiences of mistreatment and/or sexual abuse. Front Psychol 2023; 14:1002864. [PMID: 36910819 PMCID: PMC9994450 DOI: 10.3389/fpsyg.2023.1002864] [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: 07/25/2022] [Accepted: 01/31/2023] [Indexed: 02/24/2023] Open
Abstract
Reality shows us that situations of mistreatment and sexual abuse in childhood are still seldom visible, despite their high prevalence around the world. It is essential to detect and address them, especially among children in situations of dire risk or neglect. The purpose of this study is to determine if graphic emotional indicators are expressed in the drawings of the projective Draw-a-Person (D.A.P) test, made by children in situations of dire risk or neglect. The sample is made up of 34 children, between the ages of 5 and 11 (17 girls and 17 boys), attended by Specialised Child and Adolescent Care Services of the Barcelona Town Hall (Spain). The drawings were coded quantitatively. The results indicated that most of the drawings show a frequency of graphic emotional indicators, as well as graphic indicators common to experiences of mistreatment and/or abuse, which confirm the existence of emotional problems. However, no significant differences based on gender and age were found, except for one indicator of sexual abuse (body omitted/distorted), which is significantly more common in the boys. Results also revealed that the drawings of human figure enable the children to express their experiences of traumatic situations which are difficult to verbalize. These findings have important implications for professionals, as the use of this projective technique can help to early identification and design treatment strategies in situations of mistreatment and/or abuse in children and their families.
Collapse
Affiliation(s)
- Elisabeth Ballús
- Department of Psychology, Universitat Ramon Llull, Barcelona, Catalonia, Spain
| | | | - Ma Teresa Pasto
- Barcelona City Council (Ajuntament de Barcelona), Barcelona, Spain
| | - Paula Benedico
- Department of Psychology, Universitat Ramon Llull, Barcelona, Catalonia, Spain
| |
Collapse
|