Rebecca Menhart , Kerstin Stellermann-Strehlow , Astrid Helling-Bakki , Rita Horvay , Nele Dippel , Sibylle Maria Winter
{"title":"A systematic review and meta-analysis of medical and psychosocial care procedures for children and adolescents after (online) sexual abuse","authors":"Rebecca Menhart , Kerstin Stellermann-Strehlow , Astrid Helling-Bakki , Rita Horvay , Nele Dippel , Sibylle Maria Winter","doi":"10.1016/j.chiabu.2025.107540","DOIUrl":"10.1016/j.chiabu.2025.107540","url":null,"abstract":"<div><h3>Background and objective</h3><div>Child sexual abuse (CSA) and online child sexual abuse (OCSA) continue to pose an increasing challenge. Although structured interventions exist for CSA, no established framework currently addresses OCSA, and research on effective care procedures is scarce. Initially focused on OCSA, this review expanded to include CSA due to the absence of OCSA-specific studies, enabling a more comprehensive synthesis. The review outlines medical and psychosocial care procedures after CSA and provides recommendations for OCSA.</div></div><div><h3>Methods and results</h3><div>53 studies published between 1995 and 2022 identified medical and psychosocial interventions for children and adolescents up to 17.11 years old who have experienced CSA. 17 studies with a medical focus tend to follow a common thread after CSA, although some focus on different procedural steps. Psychosocial interventions (36 articles) showed a high degree of diversity, with trauma-focused cognitive behavioral therapy (TF-CBT), adapted forms of cognitive behavioral therapy (CBT), group therapy and individual settings proving particularly effective. A subgroup meta-analysis of 31 psychosocial studies yielded a weighted mean effect size of 1.14 [0.98; 1.29], indicating the effectiveness of all psychotherapeutic interventions, with a high heterogeneity of <em>I</em><sup>2</sup> = 82 %.</div></div><div><h3>Conclusions</h3><div>The review reveals a research gap, the lack of studies on interventions and their effectiveness in OCSA, which urgently needs to be addressed. It highlights the need for comprehensive, interdisciplinary medical and psychosocial interventions after CSA, whereby adapted interventions for OCSA are needed. This study is limited by the absence of OCSA-specific interventions, constraints on subgroup analyses due to limited data, and the high heterogeneity of included psychosocial studies. Further research on procedures specific to OCSA and training for professionals dealing with it are strongly indicated.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"166 ","pages":"Article 107540"},"PeriodicalIF":3.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The implementation of secondary prevention programs for individuals attracted to children in the community: A discussion article on the context.","authors":"Olga Sánchez de Ribera, Genée Pienaar","doi":"10.1016/j.chiabu.2025.107514","DOIUrl":"https://doi.org/10.1016/j.chiabu.2025.107514","url":null,"abstract":"<p><p>Traditional responses to child sexual abuse (CSA) have predominantly focused on criminal justice interventions. Recently, attention has shifted towards secondary prevention programs targeting non-offending adults sexually attracted to minors (ASAMs). This discussion article explores the legal, political and cultural contexts influencing the development and implementation of such programs. It begins by clarifying the concepts of pedophilia and hebephilia, then outlines the value of adopting a public health approach to CSA prevention. It reviews secondary prevention programs targeting ASAMs across various countries, highlighting how contextual factors affect their design, delivery, and outcomes. Recommendations are offered to improve the implementation, transferability, and overall effectiveness of these programs.</p>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":" ","pages":"107514"},"PeriodicalIF":3.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maternal parenting stress, children's social competence, and externalizing problems: A three-wave longitudinal study in intimate partner violence affected families","authors":"Xuan Wang","doi":"10.1016/j.chiabu.2025.107525","DOIUrl":"10.1016/j.chiabu.2025.107525","url":null,"abstract":"<div><h3>Background</h3><div>Although the relationship between parenting stress and children's externalizing problems has been well-documented, limited evidence exists in high-stress family contexts, such as those affected by inter-parental intimate partner violence (IPV), which severely impacts both parents and children. Additionally, previous studies often neglect a child-centric perspective, particularly the role of children's social competence as a potential mediator in these dynamics.</div></div><div><h3>Objective</h3><div>This study aimed to explore the longitudinal relationships among maternal parenting stress, children's social competence, and externalizing problems in IPV-affected families.</div></div><div><h3>Participants and setting</h3><div>Using data from The Future of Families and Child Wellbeing Study, 718 dyads of abused mothers and their children were included at ages 5, 9, and 15.</div></div><div><h3>Methods</h3><div>Cross-lagged panel models were employed to analyze the directional relationship between variables, and bootstrap analysis was used to test potential indirect pathways.</div></div><div><h3>Results</h3><div>In IPV-affected families, children's externalizing problems directly increased maternal parenting stress, while children's social competence directly reduced externalizing problems. Maternal parenting stress and children's social competence showed a bidirectional relationship. Additionally, parenting stress indirectly influenced children's externalizing problems through social competence; children's social competence predicted parenting stress through externalizing problems; children's externalizing problems predicted social competence through parenting stress.</div></div><div><h3>Conclusions</h3><div>Children's externalizing problems and social competence directly influenced maternal parenting stress, whereas maternal parenting stress's effect on children's externalizing problems was indirect and mediated by social competence over a longer time frame. The findings highlight the bidirectionality of parent-child dynamics in IPV-affected families and underscore the distinct roles of parent-driven and child-driven factors.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"166 ","pages":"Article 107525"},"PeriodicalIF":3.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Kempe , S. Nagi , M. Kadji , H. McDowell , K. Sawyer , P.R. Labelle , N. Racine
{"title":"Exploring interventions for men and fathers who perpetrate violence against women and children: A scoping review","authors":"S. Kempe , S. Nagi , M. Kadji , H. McDowell , K. Sawyer , P.R. Labelle , N. Racine","doi":"10.1016/j.chiabu.2025.107502","DOIUrl":"10.1016/j.chiabu.2025.107502","url":null,"abstract":"<div><h3>Background</h3><div>Violence against women and children —including physical, sexual, and emotional abuse—remains a significant public health issue and frequently co-occurs within families. Although several interventions have been developed for men and fathers who perpetrate violence against woman and children, many do not assess their impact on children. Despite clear evidence of the harmful effects of violence on children's wellbeing, there is limited research examining how these intervention influence child outcomes.</div></div><div><h3>Objective</h3><div>This scoping review aimed to assess the impact of IPV intervention programs on child outcomes.</div></div><div><h3>Methods</h3><div>To identify studies, a comprehensive search strategy was developed using relevant subject headings and keywords. It was executed by a research librarian in July 2024 across seven databases and yielded 4493 studies. After screening references, four articles met the inclusion criteria of this review. Three studies reported improved child outcomes, with child ages ranging from 0 to 18 years old. Three studies used clinician- and parent-reported questionnaires, while the fourth conducted qualitative interviews with children and youth. Four programs were evaluated: Caring Dads: Safer Children (<em>n</em> = 38), Keeping Safe Together (<em>n</em> = 8), and Building Strong Families (<em>n</em> = 3045 fathers), and one unnamed program (<em>n</em> = 138).</div></div><div><h3>Conclusion</h3><div>The findings highlight a significant lack of research on the impact of IPV intervention programs on child outcomes. Further research will better inform policy makers, researchers, and clinicians on developing and adjusting the content and structure of intervention programs to effectively support both fathers and their children.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"166 ","pages":"Article 107502"},"PeriodicalIF":3.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy of delivery models in early intervention: Findings from Germany's nurse-family partnership on family and child welfare services and pediatric medical incidents in high-risk families","authors":"Gabriella Conti , Malte Sandner , Tilman Brand , Sören Kliem","doi":"10.1016/j.chiabu.2025.107513","DOIUrl":"10.1016/j.chiabu.2025.107513","url":null,"abstract":"<div><h3>Background</h3><div>This study examines the efficacy of two different delivery models of the ProKind intervention, a German adaptation of the Nurse-Family Partnership (NFP): The continuous model (CM) with visits exclusively delivered by NFP-trained midwives, and a tandem model (TM) with visits delivered by a midwife during pregnancy and a social worker postnatally.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of different delivery models in the ProKind intervention on reducing surveillance by the child protection service (CPS), foster care placements, and pediatric medical incidents.</div></div><div><h3>Participants and setting</h3><div>755 pregnant disadvantaged women were randomized into intervention (<em>n</em> = 394) and control groups (<em>n</em> = 361).</div></div><div><h3>Methods</h3><div>Longitudinal multicenter RCT with two follow-up phases (phase I: birth to 36 months, phase II: approx. 7th birthday). Average treatment effects were estimated using augmented inverse probability weighting (AIPW) in combination with lasso to select relevant control variables.</div></div><div><h3>Results</h3><div>The CM significantly reduces hospital visits across both phases (ATE = −7.20, <em>p</em> < .001). Trends indicated reduced surveillance by the CPS (ATE = −5.24 PP, <em>p</em> = .10) and foster care placements (ATE = −2.25 PP, <em>p</em> = .09) in phase II. No significant differences were found for the TM for any outcome. The full sample analysis showed significant differences in hospital visits (ATE = −3.58 <em>P</em> < .005) in phase II.</div></div><div><h3>Conclusions</h3><div>The CM reduces hospital visits and shows potential in lowering the need for surveillance by the CPS and foster care placements. These findings highlight the importance of delivery models in home visitation programs and suggest that midwife-led interventions can achieve sustained positive outcomes for high-risk families.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"166 ","pages":"Article 107513"},"PeriodicalIF":3.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Jeanne Childs , Grace A. Bailey , Lucy J. Griffiths , Helen Hodges , Martin Elliott , Laura Elizabeth Cowley
{"title":"Disabilities in children receiving social care and support in Wales and factors associated with placement into care: A population-based data linkage study","authors":"Michael Jeanne Childs , Grace A. Bailey , Lucy J. Griffiths , Helen Hodges , Martin Elliott , Laura Elizabeth Cowley","doi":"10.1016/j.chiabu.2025.107510","DOIUrl":"10.1016/j.chiabu.2025.107510","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the prevalence of disability amongst children receiving care and support in Wales (2017–2021), and examine the proportion of disabled children with different combinations of disabilities, by their care status (in care/not in care). To investigate risk factors associated with placement in care amongst these children.</div></div><div><h3>Method</h3><div>We used Children Receiving Care and Support Census records held in the Secure Anonymized Information Linkage Databank linked to demographic records and the Children Looked After Census. We used bar charts and UpSet plots for data visualization and conducted multivariable logistic regression analyses to model factors associated with disabled children being placed in care.</div></div><div><h3>Results</h3><div>Of 37,765 children receiving care and support, 10,720 (28 %) had a disability and 3385 (32 %) disabled children were placed in care. The most common impairments were risk perception (44 %) and mental health problems (41 %). Infants <1 year were more likely to enter care compared with children aged ≥16 (Odds Ratio 3.00, 95 % Confidence Interval 1.93–4.66). Black children (1.64, (1.09–2.42)), and children of mixed (2.34, (1.77–3.08)), or ‘other’ (1.81, (1.16–2.77)) ethnicity were more likely to enter care compared with White children. Child mental health problems were associated with entering care (1.82 (1.60–2.07)) as were the following parental factors: mental ill health (1.45 (1.31–1.62)), substance/alcohol misuse (3.23 (2.87–3.64)), learning disabilities (2.97 (2.56–3.45)), and domestic abuse (1.47 (1.30–1.65)).</div></div><div><h3>Conclusions</h3><div>This novel, population-wide evidence will contribute to the planning and provision of targeted care and support for disabled children and their families, to help prevent children entering care.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"166 ","pages":"Article 107510"},"PeriodicalIF":3.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence of types of adverse childhood experiences in forensic male patient populations: A systematic review and meta-analysis","authors":"Elanor Lucy Webb , Benedetta Lupattelli Gencarelli , Malaika Khan , Karunveer Chatha , Petch Umpunjun , Sanjith Kamath , Grace Trundle , Deborah J. Morris","doi":"10.1016/j.chiabu.2025.107503","DOIUrl":"10.1016/j.chiabu.2025.107503","url":null,"abstract":"<div><h3>Background</h3><div>Exposure to early trauma has long been recognised as a risk factor for poor mental health outcomes and offending behaviour. Nevertheless, insight into the early lives of males accessing forensic mental health services remains limited.</div></div><div><h3>Objective</h3><div>This review sought to synthesise evidence on, and report the combined prevalence estimates of, adverse childhood experiences (ACE) in male forensic (non-prison) populations.</div></div><div><h3>Methods</h3><div>A systematic literature search of seven databases was conducted to identify peer-reviewed articles reporting the prevalence of direct ‘childhood maltreatment’ ACEs and indirect ‘household’ ACEs in males accessing forensic mental health services. Random effects models were generated to determine pooled prevalence rates.</div></div><div><h3>Results</h3><div>Overall, 19 papers were included, representing 25 predominantly western samples (<em>n</em> = 16,353 participants). The majority (69 %) of articles were appraised as low quality, though no significant differences in prevalence estimates based on quality were found. Despite being of lesser focus, highest pooled prevalence estimates were obtained for parental separation (51.9 %, 95 % CI: 42–61 %), emotional neglect (42.7 %, 95 % CI: 29–57 %) and household substance abuse (38.6 %, 95 % CI: 31–47 %). High heterogeneity was apparent for all ACEs.</div></div><div><h3>Conclusion</h3><div>In consideration of the incongruity between the types of ACEs most commonly investigated and those most pervasive in treatment-seeking male forensic populations, the need to attend to a range of early adversities in both research and clinical practice is indicated. Several implications and avenues for future research are discussed.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"166 ","pages":"Article 107503"},"PeriodicalIF":3.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Huimin Chen , Luming Liu , Liying Zhang , Wenchao Wang
{"title":"Childhood maltreatment affects posttraumatic stress symptoms, posttraumatic growth, and prosocial behavior in emerging adulthood: A developmental cascade model","authors":"Huimin Chen , Luming Liu , Liying Zhang , Wenchao Wang","doi":"10.1016/j.chiabu.2025.107508","DOIUrl":"10.1016/j.chiabu.2025.107508","url":null,"abstract":"<div><h3>Background</h3><div>Childhood maltreatment has a significant impact on posttraumatic stress symptoms (PTSS), posttraumatic growth (PTG), and prosocial behavior in emerging adults. However, the mechanisms underlying the enduring effect and the impact of maltreatment types remain unclear.</div></div><div><h3>Objective</h3><div>This study aims to explore the effects of childhood abuse and neglect on PTSS, PTG, and prosocial behavior and examine the developmental cascade among them.</div></div><div><h3>Participants and setting</h3><div>The sample consisted of 794 college students (51.6 % male, Mage = 19.05 ± 1.31 years) from two universities in China.</div></div><div><h3>Methods</h3><div>Four waves of longitudinal data were utilized to investigate the developmental cascade linking childhood abuse and neglect to PTSS, PTG, and prosocial behavior in emerging adulthood.</div></div><div><h3>Results</h3><div>Childhood abuse was positively associated with PTSS and prosocial behavior, while childhood neglect was negatively associated with PTSS, PTG, and prosocial behavior. Over time, PTSS and prosocial behavior exhibited a bidirectional negative lagged relationship, while prosocial behavior had a unidirectional positive lagged effect on PTG.</div></div><div><h3>Conclusion</h3><div>Childhood abuse and neglect generally exert negative effects on PTSS, PTG and prosocial behavior. These impacts can engender a vicious cycle through the mutual predictive effect among PTSS, PTG, and prosocial behavior.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"166 ","pages":"Article 107508"},"PeriodicalIF":3.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hue Trong Duong , Akansha Sirohi , Kathleen M. Baggett , Lucy Popova
{"title":"Preventing child corporal punishment: The influence of racial cues on intervention message reactance and behavioral intentions","authors":"Hue Trong Duong , Akansha Sirohi , Kathleen M. Baggett , Lucy Popova","doi":"10.1016/j.chiabu.2025.107509","DOIUrl":"10.1016/j.chiabu.2025.107509","url":null,"abstract":"<div><h3>Background</h3><div>Child corporal punishment (CP) is a form of adverse childhood experiences (ACEs), and interventions and educational messages about CP are needed. However, CP prevention messages targeting minority racial groups can cause reactance against the message because the messages are perceived as communicating the dominant racial group's ideologies and restricting parents' freedom to discipline their children.</div></div><div><h3>Objective</h3><div>This study examined how racial cues presented in CP prevention messages influenced message reactance and behavioral intentions.</div></div><div><h3>Participants</h3><div>394 Black parents who had a child 10 years of age or younger (75 % low-income, 67 % mothers, <em>M</em><sub>age</sub> = 38) were randomly assigned to view CP prevention messages incorporating either similar or dissimilar racial source.</div></div><div><h3>Methods</h3><div>This study employed an experimental design. Participants were exposed to CP intervention messages and then responded to a questionnaire. Interaction effects of racial cues and message format on empathy were examined using a two-way analysis of covariance. Structural equation modeling was used to examine the message reactance mechanism through which racial cues influenced intentions to use CP.</div></div><div><h3>Results</h3><div>Results indicated that racial cues predicted empathy, which reduced psychological reactance and intentions to use CP. Participants, who received the message with similar racial source, reported higher empathy compared to those with a message of dissimilar racial source. The association between exposure to racial cues and CP intent were statistically significant as mediated by empathy, perceived freedom threat, and psychological reactance.</div></div><div><h3>Conclusions</h3><div>Results indicated the efficacy of race-tailored CP prevention messages and provided evidence for child abuse intervention campaigns to design messages to persuade parents of minority racial groups.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"166 ","pages":"Article 107509"},"PeriodicalIF":3.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}