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1.
Artigo em Inglês | MEDLINE | ID: mdl-35681995

RESUMO

In 2020, the number of reported cases of child maltreatment in Germany has never been higher and most of them showed signs of neglect. Most of the time, dental neglect (DN) appears together with a general form of neglect, and includes, apart from caries, many other negative short- and long-term effects for the affected child. In this study, the prevalence of DN in Germany and the way dental practices are currently addressing the topic are examined. Moreover, this study explored whether the experiences of German dentists with DN are related to their work experience, their gender or further education about DN. The data was collected using an anonymous questionnaire. The hypotheses were tested using unpaired t-tests based on differences in mean values. The three most common reasons for a suspected case of child maltreatment were the interaction of children with parents, or a legal guardian, insufficient oral or general hygiene, and grave caries. Even though most of the participating dentists agree that it is the task of the dentist to report suspected cases of child maltreatment, only few of them have done so in the past themselves. Not only insecurity about recognition and whom to contact in the suspected case, but also concern about unfounded suspicion were the most common reasons not to report a suspected case of DN. The detection and communication of suspected cases should be encouraged in order to protect affected children.


Assuntos
Maus-Tratos Infantis , Criança , Família , Alemanha/epidemiologia , Humanos , Percepção , Inquéritos e Questionários
2.
BMJ Open ; 12(6): e060477, 2022 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-35688592

RESUMO

OBJECTIVE: To identify the heterogeneity of adverse childhood experiences (ACEs) as well as their association with cognitive function in an elderly Chinese population. DESIGN: A retrospective cohort study. PARTICIPANTS: The data were from the latest wave of the China Health and Retirement Longitudinal Study and a total of 7222 participants aged ≥60 were included. PRIMARY AND SECONDARY OUTCOME MEASURES: Latent class analysis was used to identify the classes characterised by 11 types of ACEs. Cognitive function was measured by the Mini-Mental State Examination (MMSE) and cognitive impairment was defined by education-specific threshold MMSE scores. Logistic models were constructed to examine the relationship between ACE classes and cognitive impairment. Several childhood and adulthood confounding factors were considered. RESULTS: Three ACE latent classes were identified. Of them, 76.09% were in the 'Low ACEs' class, 15.43% were in the 'Household dysfunction' class and 8.49% were in the 'Child maltreatment' class. The people in the 'Low ACEs' class seemed to have better childhood family financial situations and higher education levels. The population in the 'Household dysfunction' class tended to live in rural areas and have a higher proportion of men, whereas people in the 'Child maltreatment' class showed a significantly higher proportion of women and higher levels of chronic diseases. 'Child maltreatment' was related to a higher risk of cognitive impairment (OR=1.37, 95% CI: 1.12 to 1.68), while the risk of 'Household dysfunction' was not significantly different from that of the 'Low ACEs' participants (OR=1.06, 95% CI: 0.90 to 1.26). CONCLUSIONS: The findings supported differences in cognitive function in elderly Chinese people exposed to different types of ACEs.


Assuntos
Experiências Adversas da Infância , Maus-Tratos Infantis , Adulto , Idoso , Criança , Maus-Tratos Infantis/psicologia , China/epidemiologia , Cognição , Estudos de Coortes , Feminino , Humanos , Estudos Longitudinais , Masculino , Estudos Retrospectivos
3.
J Pers Disord ; 36(3): 264-276, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35647775

RESUMO

Exposure to childhood maltreatment (CM) increases the risk of developing borderline personality disorder (BPD). However, it remains unclear what mechanisms might mediate this link. One candidate of interest is difficulties with emotion regulation. This study aims to examine the pattern of relations among CM, difficulties with emotion regulation, and the risk of developing BPD. A total of 162 individuals diagnosed with current BPD and 162 matched healthy controls completed self-reported questionnaires assessing CM and difficulties with emotion regulation. The authors found high correlations between CM and BPD diagnosis (r = .73, p < .001). Difficulties with emotion regulation were found to mediate the link between CM and BPD diagnosis (p < .001). Results suggest that CM may play a key role in the etiology of BPD and that difficulties with emotion regulation might be a mediating component between CM and BPD.


Assuntos
Transtorno da Personalidade Borderline , Maus-Tratos Infantis , Regulação Emocional , Transtorno da Personalidade Borderline/psicologia , Criança , Emoções/fisiologia , Humanos , Autorrelato
4.
Transl Psychiatry ; 12(1): 219, 2022 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-35650188

RESUMO

Childhood maltreatment (CM) and genetic vulnerability are both risk factors for psychosis, but the relations between them are not fully understood. Guided by the recent identification of genetic risk to CM, this study investigates the hypothesis that genetic risk to schizophrenia also increases the risk of CM and thus impacts psychosis risk. The relationship between schizophrenia polygenetic risk, CM, and psychotic-like experiences (PLE) was investigated in participants from the Utrecht Cannabis Cohort (N = 1262) and replicated in the independent IMAGEN cohort (N = 1740). Schizophrenia polygenic risk score (SZ-PRS) were calculated from the most recent GWAS. The relationship between CM, PRS, and PLE was first investigated using multivariate linear regression. Next, mediation of CM in the pathway linking SZ-PRS and PLE was examined by structural equation modeling, while adjusting for a set of potential mediators including cannabis use, smoking, and neuroticism. In agreement with previous studies, PLE were strongly associated with SZ-PRS (B = 0.190, p = 0.009) and CM (B = 0.575, p < 0.001). Novel was that CM was also significantly associated with SZ-PRS (B = 0.171, p = 0.001), and substantially mediated the effects of SZ-PRS on PLE (proportion mediated = 29.9%, p = 0.001). In the replication cohort, the analyses yielded similar results, confirming equally strong mediation by CM (proportion mediated = 34.7%, p = 0.009). Our results suggest that CM acts as a mediator in the causal pathway linking SZ-PRS and psychosis risk. These findings open new perspectives on the relations between genetic and environmental risks and warrant further studies into potential interventions to reduce psychosis risk in vulnerable people.


Assuntos
Cannabis , Maus-Tratos Infantis , Transtornos Psicóticos , Esquizofrenia , Criança , Patrimônio Genético , Predisposição Genética para Doença , Humanos , Transtornos Psicóticos/complicações , Transtornos Psicóticos/genética , Esquizofrenia/complicações , Esquizofrenia/genética , Adulto Jovem
5.
Saudi Med J ; 43(6): 610-617, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35675939

RESUMO

OBJECTIVES: To shed light on types, family profiles, risk factors, and outcomes of child neglect in Saudi Arabia. METHODS: A retrospective chart review was carried out at King Abdullah Specialized Children's Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia. Cases of child neglect diagnosed by the Suspected Child Abuse and Neglect (SCAN) team were reviewed. Data were extracted from patients' electronic charts and SCAN team records. RESULTS: A total of 309 cases of child neglect were diagnosed between 2015-2019. Mean age of victims was 4.4±4.1 years, and 51.8% were male gender.Supervisory neglect was the most common form (63.1%), followed by medical neglect (39.2%), emotional neglect (6.8%), physical neglect (5.5%), and educational neglect (3.2%). Children between the ages of one and 3 years were 3.3 times more likely to be victims of supervisory neglect and girls were 4.5 times more likely to be victims of educational neglect. Children living with ≥4 siblings were 7 times more likely to be victims of physical neglect and 1.9 times of medical neglect. With regard to emotional neglect, children of unemployed fathers were 3.5 times more likely to be parentally neglected than children of employed fathers. Worsening of the underlying disease (30%) and internal injuries (23.5%) were the most common consequences of neglect. Mortality attributed to neglect was documented in 8 (2.6%) children. CONCLUSION: Although child neglect is common in Saudi Arabia, it has not been recognized as an important cause of morbidity and mortality of children. This implies the need for a national protocol that would help identify high-risk families for early detection and implementation of prevention programs.


Assuntos
Maus-Tratos Infantis , Criança , Maus-Tratos Infantis/psicologia , Pré-Escolar , Escolaridade , Feminino , Humanos , Lactente , Masculino , Estudos Retrospectivos , Fatores de Risco , Arábia Saudita/epidemiologia
6.
Transl Psychiatry ; 12(1): 231, 2022 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-35668084

RESUMO

There has been a lack of high-quality evidence concerning the association between childhood maltreatment and psychiatric diagnoses particularly for Axis II disorders. This study aimed to examine the association between childhood maltreatment exposure and Axis I and Axis II psychiatry disorders using electronic health records. In this study, the exposed group (n = 7473) comprised patients aged 0 to 19 years with a first-time record of maltreatment episode between January 1, 2001 and December 31, 2010, whereas the unexposed group (n = 26,834) comprised individuals of the same gender and age who were admitted into the same hospital in the same calendar year and month but had no records of maltreatment in the Hong Kong Clinical Data Analysis and Reporting System (CDARS). Data on their psychiatric diagnoses recorded from the date of admission to January 31, 2019 were extracted. A Cox proportional hazard regression model was fitted to estimate the hazard ratio (HR, plus 95% CIs) between childhood maltreatment exposure and psychiatric diagnoses, adjusting for age at index visit, sex, and government welfare recipient status. Results showed that childhood maltreatment exposure was significantly associated with subsequent diagnosis of conduct disorder/ oppositional defiant disorder (adjusted HR, 10.99 [95% CI 6.36, 19.01]), attention deficit hyperactivity disorder (ADHD) (7.28 [5.49, 9.65]), and personality disorders (5.36 [3.78, 7.59]). The risk of psychiatric disorders following childhood maltreatment did not vary by history of childhood sexual abuse, age at maltreatment exposure, and gender. Individuals with a history of childhood maltreatment are vulnerable to psychiatric disorders. Findings support the provision of integrated care within the primary health care setting to address the long-term medical and psychosocial needs of individuals with a history of childhood maltreatment.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Maus-Tratos Infantis , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Criança , Maus-Tratos Infantis/psicologia , Registros Eletrônicos de Saúde , Hong Kong/epidemiologia , Humanos , Transtornos da Personalidade
7.
Stud Health Technol Inform ; 290: 1070-1071, 2022 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-35673210

RESUMO

In recent years, the annual number of child deaths due to child abuse has been around 50 per year in Japan. On the other hand, the actual situation of dangerous physical abuse cases such as abuse with residual has not been clarified. Therefore, this study investigated children with trauma suspected of being physically abused, using the health insurance claims data of Japan. There were cases with trauma which are likely to have sequelae. Since this study used the sampling data, there is a high possibility that there will be a considerable number of cases of high-risk abuse.


Assuntos
Maus-Tratos Infantis , Criança , Bases de Dados Factuais , Humanos , Lactente , Seguro Saúde , Japão/epidemiologia
8.
BMJ Paediatr Open ; 6(1)2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35648803

RESUMO

BACKGROUND: A possible association between child abuse and neglect (CAN) and functional constipation (FC) has been described in adults, however, limited data are available in children. Our objective was to determine the prevalence of suspected CAN in children with FC as compared with their healthy peers. METHODS: A case-control study was carried out in children aged 3-10 years. Children with FC were recruited at a tertiary outpatient clinic, and healthy controls were recruited at schools. Parents were asked to fill out questionnaires about the history and behaviour of their child, children were inquired using a semistructured interview about experienced traumatic events and sexual knowledge. The interview was scored by two independent observers. The prevalence of suspected CAN was determined according to the questionnaires and interview. RESULTS: In total, 228 children with FC and 153 healthy controls were included. Both groups were age and gender comparable (50% females, median age 6 years (not significant)). No significant difference in the prevalence of suspected CAN was found between children with FC and healthy controls (23.3% vs 30.1%, 95% CI 0.44 to 1.12, p=0.14), including a suspicion of sexual, emotional and physical abuse. CONCLUSION: Suspected CAN was detected in both children with FC as in healthy controls. The possible association between CAN and FC in children could not be confirmed.


Assuntos
Maus-Tratos Infantis , Adulto , Estudos de Casos e Controles , Criança , Constipação Intestinal/diagnóstico , Feminino , Humanos , Masculino , Abuso Físico , Prevalência
9.
Child Abuse Negl ; 129: 105640, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35662684

RESUMO

BACKGROUND: The Adverse Childhood Experiences International Questionnaire (ACE-IQ) collects additional data (e.g., witness community violence/terrorism) than the previous version. Despite ACE-IQ is widely used and validated in several languages, no reviews focus on this measure. OBJECTIVE: The main goals are to: 1) synthesize the ACE-IQ prevalence rates and average means among community samples, both for total ACE and single dimensions (e.g., intrafamily abuse, bullying); 2) discuss these data in light of the characteristics of studies and samples; 3) identify main research lines of the field. PARTICIPANTS AND SETTING: The search for studies using the ACE-IQ with community participants was conducted on seven academic databases, including retrieval of grey literature. The screening process led to include 63 documents. METHODS: A systematic review following the PRISMA guidelines was performed. RESULTS: 1) On average, 75% of community respondents experienced ACEs, with a mean of three, primarily emotional abuse and bullying. 2) Males experienced more ACEs, but they were underrepresented, as well as children and adolescents. Most studies were conducted in Asia or Africa, and different geographical areas showed different pathways of prevalence in subdimensions. 3) Most research focused on prevalence and relationships between ACE-IQ scores and respondents' mental and physical health, suicide and parenting, focusing on intrafamily ACEs more than on those outside the household. CONCLUSIONS: Several issues emerged in terms of lack of reporting prevalence or means, lack of studies in Europe, America and Oceania, and no attention to collective/community/peer violence, plus a lack of consensus toward the dimensions of the ACE-IQ.


Assuntos
Experiências Adversas da Infância , Maus-Tratos Infantis , Adolescente , Criança , Maus-Tratos Infantis/psicologia , Humanos , Masculino , Prevalência , Inquéritos e Questionários , Violência
10.
Child Abuse Negl ; 129: 105689, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35679812

RESUMO

BACKGROUND: Among the more than 400,000 children in foster care, there is a small group who will run away from care and face increased risks of negative outcomes. Previous studies on the predictors of running away from care use limited samples or outdated data. OBJECTIVE: The present study replicates and extends prior research by presenting an updated analysis of predictors of running away from foster care as well as 10-year trends in the prevalence and predictors of running from care. PARTICIPANTS AND SETTING: This study uses the Adoption and Foster Care Analysis and Reporting System (AFCARS) data to assess the runaway status of 597,911 children who were involved in foster care in 2019. Longitudinal trend analyses utilize AFCARS data from 2010 to 2019. METHOD: Using chi-square/t-tests and binary logistic regression analyses, this study investigates individual- and case-level predictors of running away from foster care programs. RESULTS: Findings show that girls (OR = 1.29, p < .001), African American children (OR = 1.89, p < .001), and older children (OR = 1.61, p < .001) are at increased risk of running away from foster care. Removal reasons such as child substance abuse (OR = 1.65, p < .001), abandonment (OR = 1.38, p < .001), and child behavioral problems (OR = 1.31, p < .001) are also associated with an increased risk. Analysis of 10-year trends shows a steady decline in running from care: 1.40% in 2010 to 0.98% in 2019. The profile of risk factors is stable overall, with a few notable exceptions. CONCLUSIONS: The percent of children running from foster care is at a 10-year low. Prevention and intervention efforts regarding running from care must focus on the needs of African American and Hispanic children, especially girls, as well as children with substance use or behavior problems. Given that programs rarely have prospective information regarding why children leave care and the negative consequences of labeling children as "runaways," shifting language to "missing from care" should be considered.


Assuntos
Maus-Tratos Infantis , Jovens em Situação de Rua , Corrida , Transtornos Relacionados ao Uso de Substâncias , Adolescente , Criança , Feminino , Cuidados no Lar de Adoção , Humanos , Estudos Prospectivos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Estados Unidos/epidemiologia
11.
J Med Internet Res ; 24(6): e36445, 2022 06 13.
Artigo em Inglês | MEDLINE | ID: mdl-35700024

RESUMO

BACKGROUND: The COVID-19 pandemic has created environments with increased risk factors for household violence, such as unemployment and financial uncertainty. At the same time, it led to the introduction of policies to mitigate financial uncertainty. Further, it hindered traditional measurements of household violence. OBJECTIVE: Using an infoveillance approach, our goal was to determine if there were excess Google searches related to exposure to child abuse, intimate partner violence (IPV), and child-witnessed IPV during the COVID-19 pandemic and if any excesses are temporally related to shelter-in-place and economic policies. METHODS: Data on relative search volume for each violence measure was extracted using the Google Health Trends application programming interface for each week from 2017 to 2020 for the United States. Using linear regression with restricted cubic splines, we analyzed data from 2017 to 2019 to characterize the seasonal variation shared across prepandemic years. Parameters from prepandemic years were used to predict the expected number of Google searches and 95% prediction intervals (PI) for each week in 2020. Weeks with searches above the upper bound of the PI are in excess of the model's prediction. RESULTS: Relative search volume for exposure to child abuse was greater than expected in 2020, with 19% (10/52) of the weeks falling above the upper bound of the PI. These excesses in searches began a month after the Pandemic Unemployment Compensation program ended. Relative search volume was also heightened in 2020 for child-witnessed IPV, with 33% (17/52) of the weeks falling above the upper bound of the PI. This increase occurred after the introduction of shelter-in-place policies. CONCLUSIONS: Social and financial disruptions, which are common consequences of major disasters such as the COVID-19 pandemic, may increase risks for child abuse and child-witnessed IPV.


Assuntos
COVID-19 , Maus-Tratos Infantis , Violência por Parceiro Íntimo , COVID-19/epidemiologia , Criança , Humanos , Pandemias , Ferramenta de Busca , Estados Unidos
14.
Soc Sci Med ; 305: 115093, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35660697

RESUMO

Professionals occupy a position of esteem in society. Doctors and health professionals tend to score especially highly on public opinion surveys of trust. Sexual violence and abuse (SVA) by medical professionals towards their patients is a grave breach of that confidence. This paper uses thematic analysis of a paradigmatic case study of doctor abuse, drawn from a larger sample of semi-structured interviews conducted for an Economic and Social Research Council (ESRC) funded United Kingdom (UK) study 2015-2018 into justice and gender based violence. It explores how professional authority can both facilitate and conceal sexual coercion through building dependency; use of language and authorship of the official record; and by functional complicity and 'data doubling' within intra and inter-professional cultures. While there is an established literature on child sexual abuse, including in institutional contexts, this paper focuses on the lived experience of grooming and sexual violence of an adult survivor of doctor abuse.


Assuntos
Sobreviventes Adultos de Maus-Tratos Infantis , Abuso Sexual na Infância , Maus-Tratos Infantis , Adulto , Criança , Coerção , Humanos , Violência
15.
Recurso educacional aberto em Espanhol | CVSP - Argentina | ID: oer-4054

RESUMO

Tipos de maltratos contra las niñeces y adolescencias. Visibilización e identificación de escenarios y presentaciones posibles. Complejidades actuales. Primeras escuchas: Detección precoz de riesgos e identificación de factores protectores en el ambiente familiar y social. La importancia de la construcción de redes y dispositivos que estén centrados en la atención socio comunitaria. Promoción de buenas prácticas sanitarias para garantizar la restitución de derechos desde una perspectiva de abordaje integral, interdisciplinario, intersectorial y preventivo-comunitario. Exponen Carolina Rodríguez Planes y Maria Soledad Cartasso.


Assuntos
Maus-Tratos Infantis , Violência Doméstica , Violência , Delitos Sexuais , Abuso Sexual na Infância
16.
Recurso educacional aberto em Espanhol | CVSP - Argentina | ID: oer-4055

RESUMO

Violencias Sexuales contra Niñeces y Adolescencias. Representaciones sociales e imaginarios sobre la problemática: Incidencias en las prácticas sanitarias. Situaciones emergentes e ingresos en el sistema de salud: primeras escuchas, evaluaciones, tratamientos y seguimientos posibles. Confección de Informes e Historia Clínica. Abordaje interdisciplinario, integral y sociocomunitario en niñeces y adolescencias. Expone Susana Toporosi, Licenciada en Psicología, Miembro del Consejo de Redacción de la Revista Topía de Psicoanálisis, Sociedad y Cultura, Investigadora en Investigaciones clínicas UBACyT, Fac. de Psicología, UBA, sobre abuso sexual infantojuvenil.


Assuntos
Delitos Sexuais , Abuso Sexual na Infância , Maus-Tratos Infantis
17.
Recurso educacional aberto em Espanhol | CVSP - Argentina | ID: oer-4056

RESUMO

Problematizar el modelo de abordaje de las violencias contra las niñeces y adolescencias en los equipos, servicios e instituciones de salud. Prácticas y representaciones que se traducen en violencias en y desde el campo de la salud. Abordaje de las violencias desde una perspectiva integral de atención de la salud que garanticen la restitución de derechos. Expone Julieta Calmels, Licenciada en Psicología UBA, actualmente Subsecretaría de Salud Mental, Consumos Problemáticos y Violencias en el ámbito de la salud pública y Directora del Centro de Estudios sobre Violencias y Abuso de la Facultad de Psicología. (UNR)


Assuntos
Delitos Sexuais , Violência de Gênero , Maus-Tratos Infantis , Violência Doméstica , Abuso Sexual na Infância
18.
Am J Prev Med ; 62(6 Suppl 1): S16-S23, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35597579

RESUMO

Through the Essentials for Childhood program, the Centers for Disease Control and Prevention funds 7 state health departments (states) to address the urgent public health problem of adverse childhood experiences and child abuse and neglect, in particular. Through interviews and document reviews, the paper highlights the early implementation of 2 primary prevention strategies from the Centers for Disease Control and Prevention's child abuse and neglect technical package with the greatest potential for broad public health impact to prevent adverse childhood experiences-strengthening economic supports and changing social norms. States are focused on advancing family-friendly work policies such as paid family and medical leave, livable wage policies, flexible and consistent work schedules, as well as programs and policies that strengthen household financial security such as increasing access to Earned Income Tax Credit. In addition, states are launching campaigns that focus on reframing the way people think about child abuse and neglect and who is responsible for preventing it. State-level activities such as establishing a diverse coalition of partners, program champions, and state action planning have helped to leverage and align resources needed to implement, evaluate, and sustain programs. States are working to increase awareness and commitment to multisector efforts that reduce adverse childhood experiences and promote safe, stable, nurturing relationships and environments for children. Early learning from this funding opportunity indicates that using a public health approach, states are well positioned to implement comprehensive, primary prevention strategies and approaches to ensure population-level impact for preventing child abuse and neglect and other adverse childhood experience.


Assuntos
Experiências Adversas da Infância , Maus-Tratos Infantis , Criança , Maus-Tratos Infantis/prevenção & controle , Características da Família , Humanos , Renda , Normas Sociais
19.
Am J Prev Med ; 62(6 Suppl 1): S6-S15, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35597583

RESUMO

Research on adverse childhood experiences is a vital part of the data-to-action link and the development of evidence-based public health and violence prevention practice. Etiological research helps to elucidate the key risk and protective factors for adverse childhood experiences and outcome research examines the consequences of exposure to them. Evaluation research is critical to building the evidence base for strategies that are likely to have a significant impact on preventing and reducing adverse experiences during childhood. Implementation research efforts inform the movement and scale-up of evidence-based findings to public health practice. The Centers for Disease Control and Prevention's Division of Violence Prevention located in the National Center for Injury Prevention and Control is investing in a number of research initiatives that are designed to advance what is known about the causes and consequences of adverse childhood experiences (i.e., etiological research), the strategies that are effective at reducing and preventing them (i.e., evaluation research), and how to best adapt and scale effective strategies (i.e., implementation research). This article complements the other articles in this Special Supplement by briefly providing a review of reviews for each of these areas and highlighting recent research investments and strategic directions by the Centers for Disease Control and Prevention in the area of child abuse and neglect and adverse childhood experience prevention. Research investments are critical to advancing the evidence base on the prevention of adverse childhood experiences and to ensure safe, stable, and nurturing relationships and environments so that all children can live to their fullest potential.


Assuntos
Experiências Adversas da Infância , Maus-Tratos Infantis , Centers for Disease Control and Prevention, U.S. , Criança , Maus-Tratos Infantis/prevenção & controle , Humanos , Fatores de Proteção , Estados Unidos , Violência
20.
J Child Sex Abus ; 31(4): 393-411, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35635066

RESUMO

The Catholic Church has faced a large number of complaints against its representatives for sexual crimes that involved children and adolescents as victims. The objective of this study was to characterize the dynamics of this type of event, its characteristics, and its effects in terms of mental health and social consequences, as well as the spiritual damage generated. The sample comprised 182 victims from Spain and Chile, divided into three mutually exclusive groups (n = 40 committed by a representative of the Catholic Church; n = 85 by a family member; n = 57 by a perpetrator outside the family and the Church). The results show that victims of child sexual abuse (CSA) by a representative of the Catholic Church and other perpetrators are similar in many respects (e.g., religiosity, characteristics of the abuse, and mental health and social problems), but that the effects on religiosity are more serious for victims of the clergy, affecting their belief in God. Finally, the extreme decline in belief in God, due to CSA, is an important predictor for most mental health and social problems. Our results show the need to include the Catholic identity, faith and spirituality in the therapeutic context.


Assuntos
Abuso Sexual na Infância , Maus-Tratos Infantis , Adolescente , Catolicismo/psicologia , Criança , Abuso Sexual na Infância/psicologia , Clero , Humanos , Saúde Mental
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