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Psychosocial interventions for children and adolescents with adverse childhood experiences: A systematic review and meta-analysis 对有不良童年经历的儿童和青少年的社会心理干预:系统回顾和荟萃分析。
IF 3.4 2区 心理学
Child Abuse & Neglect Pub Date : 2025-01-26 DOI: 10.1016/j.chiabu.2024.107244
Ping Mao , Ya Zou , Jonika Hash , Nannan Long , Minghui Tan , Jinfu Yang , Weichao Yuwen
{"title":"Psychosocial interventions for children and adolescents with adverse childhood experiences: A systematic review and meta-analysis","authors":"Ping Mao ,&nbsp;Ya Zou ,&nbsp;Jonika Hash ,&nbsp;Nannan Long ,&nbsp;Minghui Tan ,&nbsp;Jinfu Yang ,&nbsp;Weichao Yuwen","doi":"10.1016/j.chiabu.2024.107244","DOIUrl":"10.1016/j.chiabu.2024.107244","url":null,"abstract":"<div><h3>Backgrounds</h3><div>Exposure to adverse childhood experiences (ACEs) is associated with adverse neurobiological, developmental, cognitive, behavioral, psychological, and social consequences among children and adolescents. Psychosocial interventions hold promise for mitigating the negative impacts of ACEs, but there is a lack of updated and comprehensive evidence summarizing their effects qualitatively and quantitatively.</div></div><div><h3>Aims</h3><div>We performed a systematic review and meta-analysis of existing evidence on the effectiveness of psychosocial interventions on children's outcomes, including internalizing and externalizing problems.</div></div><div><h3>Methods</h3><div>We searched five database sources from inception to April 2024 for studies on the effectiveness of any psychosocial intervention in any outcome among children and adolescents aged 6–18 who experienced ACEs. We qualitatively synthesized the characteristics of the studies, samples, interventions, and outcomes. We quantitatively estimated the pooled effects of psychosocial interventions on a range of outcomes encompassing internalizing problems, externalizing problems, family relationships, coping, and self-esteem using meta-analysis. Additionally, we conducted a series of subgroup meta-analyses to compare the intervention effects based on sample and intervention characteristics.</div></div><div><h3>Results</h3><div>Forty-four studies were included, with 20 randomized controlled trials, nine controlled trials, and 15 pre-post trials. Significant intervention effects were observed in internalizing problems (standardized mean difference, SMD = −0.36) and externalizing problems (SMD = −0.57), but not in family relationships, coping, or self-esteem. Subgroup analyses have identified various effective interventions for internalizing problems and externalizing problems, respectively.</div></div><div><h3>Conclusions</h3><div>The evidence suggests that psychosocial interventions are effective in preventing internalizing and externalizing problems among children and adolescents who have experienced ACEs. Recommendations are provided for designing and evaluating future psychosocial interventions.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107244"},"PeriodicalIF":3.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Educational outcomes of care leavers and their matched peers: A gender perspective
IF 3.4 2区 心理学
Child Abuse & Neglect Pub Date : 2025-01-25 DOI: 10.1016/j.chiabu.2025.107276
Netta Achdut , Rami Benbenishty , Anat Zeira
{"title":"Educational outcomes of care leavers and their matched peers: A gender perspective","authors":"Netta Achdut ,&nbsp;Rami Benbenishty ,&nbsp;Anat Zeira","doi":"10.1016/j.chiabu.2025.107276","DOIUrl":"10.1016/j.chiabu.2025.107276","url":null,"abstract":"<div><h3>Background</h3><div>Educational gaps between care leavers and their same-age peers not in care are well documented. However, little is known about gender disparities in educational outcomes between care leavers and their matched peers.</div></div><div><h3>Objectives</h3><div>To examine and predict secondary school educational attainments (EA) and enrollment in postsecondary education (PSE) by (1) <em>study group:</em> care leavers versus their matched peers, (2) <em>gender:</em> men versus women, (3) <em>interaction</em> between study group and gender.</div></div><div><h3>Participants and setting</h3><div>Participants were alumni of educational (<em>n</em> = 21,654) and therapeutic (<em>n</em> = 3765) residential care facilities from 16 consecutive birth cohorts and same-age doubled-sized matched comparison groups (<em>n</em> = 43,308; <em>n</em> = 7530, respectively).</div></div><div><h3>Methods</h3><div>Bivariate analyses examined differences in secondary school EA and PSE enrollment, and multinomial and binary logistic models predicted secondary school EA and PSE enrollment.</div></div><div><h3>Results</h3><div>Care leavers from both residential settings showed poorer secondary school EA and lower PSE enrollment rates than their matched peers. Gaps between the study groups were far more pronounced in therapeutic facilities than in educational facilities. Women from all study groups outperformed men in both outcomes. Generally, there were greater disparities between female care leavers and their same-sex peers than between male care leavers and their same-sex peers, particularly in therapeutic settings. A complex pattern of interaction between study group and gender emerged in both residential settings.</div></div><div><h3>Conclusions</h3><div>Greater efforts and resources should be allocated to promote adolescents' academic performance in both types of settings to minimize the gaps between care leavers and their matched peers and between women and men, with special attention to men in therapeutic facilities.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107276"},"PeriodicalIF":3.4,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dimensions of perinatal and childhood adversities both merge and remain distinct
IF 3.4 2区 心理学
Child Abuse & Neglect Pub Date : 2025-01-25 DOI: 10.1016/j.chiabu.2025.107274
Eric R. Larson, Alexandra B. Moussa-Tooks
{"title":"Dimensions of perinatal and childhood adversities both merge and remain distinct","authors":"Eric R. Larson,&nbsp;Alexandra B. Moussa-Tooks","doi":"10.1016/j.chiabu.2025.107274","DOIUrl":"10.1016/j.chiabu.2025.107274","url":null,"abstract":"<div><h3>Background</h3><div>Perinatal and childhood periods are sensitive windows of development wherein adversity exposure can result in disadvantageous outcomes. Data-driven dimensional approaches that appreciate the co-occurrence of adversities allow for extending beyond specificity (individual adversities) and cumulative risk (non-specific summation of adversities) approaches to understand how the type and timing of adversities affect outcomes.</div></div><div><h3>Objective</h3><div>With evolving recommendations on what should be important in adversity research, we sought to establish a data-driven framework that accounts for both type and timing of adversity by (1) replicating dimensions of childhood adversities, (2) determining whether perinatal adversities form unique dimensions and (3) identifying whether adversities during the perinatal and childhood periods overlap or remain distinct.</div></div><div><h3>Methods</h3><div>Using 6815 9–10-year-olds from the baseline Adolescent Brain Cognitive Development (ABCD) study, mixed graphical models were fit independently to childhood adversities and perinatal adversities, and simultaneously to perinatal and childhood adversities, to model relationships among adversities.</div></div><div><h3>Results</h3><div>Data-driven clustering approaches estimated dimensions of adversity within networks. Six dimensions of childhood adversities and five dimensions of perinatal adversities were observed. When considered simultaneously, dimensions of perinatal and childhood adversities both merged (e.g., parental circumstances during perinatal and socioeconomic status during childhood) and stayed independent (e.g., obstetric complications during perinatal and neglect during childhood) underscoring the importance of considering both type and timing when studying early life adversity.</div></div><div><h3>Conclusions</h3><div>These results highlight that it may be appropriate to study certain adversity dimensions independently, whereas for others considering the impact of timing and potential continuity in exposure is critical. Recommendations for adversity research are discussed.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107274"},"PeriodicalIF":3.4,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effects of unconditional cash transfers on child abuse and neglect in early childhood: Evidence from New Zealand
IF 3.4 2区 心理学
Child Abuse & Neglect Pub Date : 2025-01-25 DOI: 10.1016/j.chiabu.2025.107260
Sophie Moullin, Barry Milne
{"title":"The effects of unconditional cash transfers on child abuse and neglect in early childhood: Evidence from New Zealand","authors":"Sophie Moullin,&nbsp;Barry Milne","doi":"10.1016/j.chiabu.2025.107260","DOIUrl":"10.1016/j.chiabu.2025.107260","url":null,"abstract":"<div><h3>Background</h3><div>Child abuse and neglect is recorded at higher rates in families with low incomes, and in contexts with lower public spending on families. However, it is not clear whether modest cash transfers could reduce rates.</div></div><div><h3>Objective</h3><div>To estimate the effects of unconditional cash transfers to mothers with children under 3 years of age on child abuse and neglect.</div></div><div><h3>Setting and participants</h3><div>In 2018, New Zealand - an ethnically diverse rich democracy with above average child poverty - introduced a “Families Package” of largely unconditional cash transfers for mothers of children aged 0–3. The majority of the package comprised a universal payment for children aged 0–1 of NZ$60 (US$37) a week, and a payment of up to that amount for families in all but the top third of incomes for children aged 1–3. Mothers chose whether to receive payments weekly, monthly or annually. We use administrative data for all children born in New Zealand between 2013 and 2019 (<em>N</em> = 172,170).</div></div><div><h3>Method</h3><div>Difference-in-difference estimation compared the difference in child abuse and neglect for 3-year-olds born before and after the introduction of the Families Package in July 2018, with the differences between the same birth month periods for children born in the previous 3 years.</div></div><div><h3>Results</h3><div>The Families Package reduced the odds of child protective services' referrals to family services in non-urgent cases of suspected maltreatment by 19 % overall (OR: 0.81, CI: 0.80–0.81, <em>p</em> = 0.003). The reduction was 26 % (OR: 0.74, CI: 0.61–0.91, p = 0.003) both for Māori, the indigenous people of New Zealand, and for those for whom child protective services had a record of concern for older siblings. The Families Package also reduced substantiated cases of neglect in single mother families (OR 0.6, CI 0.38–0.93, <em>p</em> = 0.022). There were no significant effects on urgent cases, substantiations of physical or emotional abuse, or hospitalizations for traumatic brain injuries.</div></div><div><h3>Conclusions</h3><div>Small unconditional cash transfers in early childhood can lead to meaningful reductions in non-acute cases of suspected child abuse and neglect among at-risk groups.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107260"},"PeriodicalIF":3.4,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of adverse childhood experiences on postpartum post-traumatic stress disorder in women: A prospective cohort study in China
IF 3.4 2区 心理学
Child Abuse & Neglect Pub Date : 2025-01-25 DOI: 10.1016/j.chiabu.2025.107275
Linli Zou , Shu Wang , Xiaolu Lai , Jingfen Chen , Daniel Krewski , Shi Wu Wen , Ri-hua Xie
{"title":"The impact of adverse childhood experiences on postpartum post-traumatic stress disorder in women: A prospective cohort study in China","authors":"Linli Zou ,&nbsp;Shu Wang ,&nbsp;Xiaolu Lai ,&nbsp;Jingfen Chen ,&nbsp;Daniel Krewski ,&nbsp;Shi Wu Wen ,&nbsp;Ri-hua Xie","doi":"10.1016/j.chiabu.2025.107275","DOIUrl":"10.1016/j.chiabu.2025.107275","url":null,"abstract":"<div><h3>Background</h3><div>Women are more prone to experience adverse childhood experiences (ACEs), placing them at higher risk of postpartum mental health disorders. However, research on ACEs, particularly their association with postpartum Post-Traumatic Stress Disorder (PTSD) in non-Western contexts, is limited.</div></div><div><h3>Objective</h3><div>To utilize a cumulative risk approach and latent class analysis (LCA) to operationalize ACEs among postpartum women in China and examine their association with postpartum PTSD.</div></div><div><h3>Methods</h3><div>In this prospective cohort study, 856 eligible participants from a tertiary hospital in Guangdong province of China between October 2022 and August 2023 completed assessments of demographic and obstetric characteristics, and ACEs within 2–3 days postpartum, followed by PTSD evaluation at 42 days postpartum. The cumulative risk approach and LCA were employed to operationalize ACEs, and their association with postpartum PTSD was assessed using log-binomial regression models, adjusting for potential confounders.</div></div><div><h3>Results</h3><div>Among the participants, 80.4 % (688/856) reported ACEs, with 18.2 % experiencing four or more ACEs, a threshold above which there was a particularly higher risk of postpartum PTSD in the adjusted model (OR = 8.27, 95 % CI = 3.08–22.20). LCA identified three groups: low ACEs, household and community violence, and multiple ACEs, with women in the multiple ACEs group exhibiting the most severe postpartum PTSD symptoms in the adjusted model (OR = 4.39, 95 % CI = 1.58–12.24).</div></div><div><h3>Conclusions</h3><div>This study demonstrates that ACEs are a significant risk factor for postpartum PTSD, especially for women who have experienced four or more ACEs, or multiple ACEs, placing them at particularly high risk for developing postpartum PTSD.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107275"},"PeriodicalIF":3.4,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence-based recommendations for partners and friends of adult survivors of child sexual abuse
IF 3.4 2区 心理学
Child Abuse & Neglect Pub Date : 2025-01-24 DOI: 10.1016/j.chiabu.2025.107271
Laura Tamés Carranza, Nereida Bueno-Guerra
{"title":"Evidence-based recommendations for partners and friends of adult survivors of child sexual abuse","authors":"Laura Tamés Carranza,&nbsp;Nereida Bueno-Guerra","doi":"10.1016/j.chiabu.2025.107271","DOIUrl":"10.1016/j.chiabu.2025.107271","url":null,"abstract":"<div><h3>Background</h3><div>Adult disclosure of child sexual abuse (CSA) is often addressed to partners and friends. The risk of negative reactions is high due to the stigma associated with CSA, however receiving social support is a protective factor. Therefore, educating the environment on how to face disclosure becomes crucial. Most education recommendations are focused on young victims, and the few addressed to adults are not evidence-based.</div></div><div><h3>Objective</h3><div>Our aim was to develop an evidence-based guide of action for adult CSA survivors' relatives.</div></div><div><h3>Methods</h3><div>First, we conducted a survey with individuals who had never received a disclosure to identify their concers if they recived a testimony of sexual abuse in their environment. The participants here were individuals who had never received a disclosure (N=9, 66.7% female; mean age: 39, SD: 17.63). Next, we elaborated a semi-structured interview based on these concerns to request recommendations from survivors on how to approach them during disclosure plus including questions about how their own disclosure flowed and which emotional needs they had. Finally, we conducted in-depth interviews with CSA survivors, collected their answers and performed a content-based analysis. The participants here were 12 CSA survivors (91.67%, female; mean age: 37.58, SD: 12.42).</div></div><div><h3>Results</h3><div>In general, disclosure appears to benefit from respecting five principles: (1) respecting survivors' timelines, including not reporting to the police until they feel ready for it (if adults, in case of children immediate report must be done instead); (2) letting them have control over the recipients of their victimization; (3) not associating their victimization with their identity; (4) asking them about their emotional experience rather than about the criminal act and (5) empathizing with each individual's need for forgiveness in three dimensions: themselves (self-blaming), the environment (lack of protection) and the abuser (aggression).</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107271"},"PeriodicalIF":3.4,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intergenerational transmission of childhood interpersonal trauma in adults entering therapy for intimate partner violence: The role of identity diffusion
IF 3.4 2区 心理学
Child Abuse & Neglect Pub Date : 2025-01-24 DOI: 10.1016/j.chiabu.2025.107258
Janik Gélinas , Aurélie Claing , Caroline Dugal , Claudia Savard , Marie-Ève Daspe , Katherine Péloquin , Natacha Godbout , Audrey Brassard
{"title":"Intergenerational transmission of childhood interpersonal trauma in adults entering therapy for intimate partner violence: The role of identity diffusion","authors":"Janik Gélinas ,&nbsp;Aurélie Claing ,&nbsp;Caroline Dugal ,&nbsp;Claudia Savard ,&nbsp;Marie-Ève Daspe ,&nbsp;Katherine Péloquin ,&nbsp;Natacha Godbout ,&nbsp;Audrey Brassard","doi":"10.1016/j.chiabu.2025.107258","DOIUrl":"10.1016/j.chiabu.2025.107258","url":null,"abstract":"<div><h3>Background</h3><div>Childhood Interpersonal Trauma (CIT) is a major public health issue that increases the risk of perpetrating and sustaining intimate partner violence (IPV) in adulthood, perpetuating intergenerational cycles of violence. Yet, the explanatory mechanisms behind the intergenerational transmission of trauma warrant further exploration.</div></div><div><h3>Objective</h3><div>This study explored identity diffusion as an explanatory mechanism linking cumulative and individual CIT (sexual, physical and psychological abuse, physical and psychological neglect, witnessing parental physical or psychological IPV, bullying) to IPV (sexual, physical, psychological, coercive control) and to the next generation's exposure to family violence. Gender differences (men, women, gender diversity) in these links were examined.</div></div><div><h3>Participants and setting</h3><div>A sample of 846 adults (60.4 % men, 36.4 % women, 3.2 % gender diverse) entering therapy across 21 community IPV specialized organizations were recruited.</div></div><div><h3>Methods</h3><div>Participants completed brief validated questionnaires assessing CIT, identity diffusion, IPV perpetration and victimization, and new generation's exposure to family violence.</div></div><div><h3>Results</h3><div>Four path analysis models showed that cumulative CIT, psychological neglect, and bullying were indirectly associated with adult IPV perpetration and victimization, and new generation family violence exposure through higher identity diffusion (βs ranging 0.037–0.091). Cumulative CIT was not related to IPV perpetration for gender diverse individuals, nor was identity diffusion related to IPV victimization for this group.</div></div><div><h3>Conclusions</h3><div>This study highlights the relevance of trauma-sensitive and identity-focused interventions that consider familial history and gender identity to effectively address the intergenerational transmission of trauma.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107258"},"PeriodicalIF":3.4,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Is this 'minor time' now? My time?" - Voice versus knowledge in child neglect proceedings, lessons from the guardian ad litem role in Israeli juvenile courtrooms.
IF 3.4 2区 心理学
Child Abuse & Neglect Pub Date : 2025-01-24 DOI: 10.1016/j.chiabu.2025.107269
Yael Rimer-Cohen
{"title":"\"Is this 'minor time' now? My time?\" - Voice versus knowledge in child neglect proceedings, lessons from the guardian ad litem role in Israeli juvenile courtrooms.","authors":"Yael Rimer-Cohen","doi":"10.1016/j.chiabu.2025.107269","DOIUrl":"https://doi.org/10.1016/j.chiabu.2025.107269","url":null,"abstract":"<p><strong>Background: </strong>Child Protection Legal Systems around the world work to toe the line between protecting children from possible harms and avoiding inflicting further harm by mistreating or misrecognizing the problems the children in question are facing. Despite growing efforts to enhance children's participation in child protection proceedings, there is still a lot of criticism from families and children directed at the state and the legal system.</p><p><strong>Objective: </strong>This inquiry attempts to locate at least one of the reasons for such criticism - the feeling of being excluded from the decision-making process.</p><p><strong>Participants and setting: </strong>6 juvenile courts were visited by the researcher, sitting in 30 court hearings and at the courts' area before and after hearings.</p><p><strong>Method: </strong>Observations were transcribed by researcher and analyzed using atlas.ti, extracting themes and recurring ideas.</p><p><strong>Results: </strong>The article analyses the matrix of different child-participation modes - which permit children's voices to be heard in the courtroom to varying degrees - and specifically different roles currently played by the guardians ad litem. The article frames the findings within the theory of epistemic injustice, identifying the places where the children's place as knowers and knowledge-producers is being denied.</p><p><strong>Conclusion: </strong>Despite - or in fact, because - the emphasis on participation and voice, there is still a long way to go before children are provided real epistemic power in the courtroom. Based on the inquiry findings, a policy recommendation is made: to incorporate the epistemic perspective from the poverty-informed paradigm, into the specialized training guardians go through, allowing for an epistemic rearrangement of the children's voices as knowledge-producers.</p>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":" ","pages":"107269"},"PeriodicalIF":3.4,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Timing of adverse childhood experiences and depressive, anxiety, comorbid symptoms among Chinese female nurses: A life course perspective
IF 3.4 2区 心理学
Child Abuse & Neglect Pub Date : 2025-01-24 DOI: 10.1016/j.chiabu.2025.107254
Siyu Zhu , Yuanfei Liu , Jiayao Ying , Denan Jiang , Wenhan Xiao , Jiali Zhou , Shiyi Shan , Chenhao Zhang , Lili Yang , Peige Song
{"title":"Timing of adverse childhood experiences and depressive, anxiety, comorbid symptoms among Chinese female nurses: A life course perspective","authors":"Siyu Zhu ,&nbsp;Yuanfei Liu ,&nbsp;Jiayao Ying ,&nbsp;Denan Jiang ,&nbsp;Wenhan Xiao ,&nbsp;Jiali Zhou ,&nbsp;Shiyi Shan ,&nbsp;Chenhao Zhang ,&nbsp;Lili Yang ,&nbsp;Peige Song","doi":"10.1016/j.chiabu.2025.107254","DOIUrl":"10.1016/j.chiabu.2025.107254","url":null,"abstract":"<div><h3>Background</h3><div>Nurses demonstrate a greater vulnerability to developing depressive and anxiety symptoms compared to the general population. Adverse Childhood Experiences (ACEs) are known risk factors for mental health issues, but impact of timing of these experiences remains unclear.</div></div><div><h3>Objective</h3><div>To investigate associations between timing of ACEs and depressive, anxiety, comorbid symptoms.</div></div><div><h3>Participants and setting</h3><div>Using convenience sampling, a cross-sectional study was conducted. The sample was 1966 female nurses from seven hospitals in Zhejiang Province, China.</div></div><div><h3>Methods</h3><div>Nurses completed a questionnaire assessing sociodemographic characteristics, ACEs, depressive and anxiety symptoms. Timing of ACEs was categorized as childhood, adolescence, and both periods. Comorbid symptoms referred to simultaneous presence of both depressive and anxiety symptoms. Multivariable logistic regression was used to examine associations between ACEs timing and mental health outcomes, presented as Odds Ratios (ORs) with 95 % Confidence Intervals (CIs).</div></div><div><h3>Results</h3><div>A total of 429 (21.82 %) participants experienced ACEs in both periods. ACEs occurring only in childhood, only in adolescence, and in both periods were all associated with increased depressive, anxiety, and comorbid symptoms. An increasing trend in number of ACEs from childhood to adolescence was linked to higher symptoms in adulthood. Familial ACEs in both periods were strongly linked to higher depressive (OR = 1.85, 95 % CI [1.14, 3.01]), anxiety (OR = 2.55, 95 % CI [1.41, 4.60]), and comorbid symptoms (OR = 2.92, 95 % CI [1.50, 5.70]).</div></div><div><h3>Conclusions</h3><div>The timing of ACEs influenced the development of mental health issues. It is imperative to provide targeted psychological support based on timing of ACEs to improve mental health in this population.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107254"},"PeriodicalIF":3.4,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early childhood educators' perspectives of the social functioning and strengths of children exposed to intimate partner violence
IF 3.4 2区 心理学
Child Abuse & Neglect Pub Date : 2025-01-24 DOI: 10.1016/j.chiabu.2025.107270
Madison L. Schulz , Alison Fogarty , Rebecca Giallo , Francine Dudfield , Catherine E. Wood
{"title":"Early childhood educators' perspectives of the social functioning and strengths of children exposed to intimate partner violence","authors":"Madison L. Schulz ,&nbsp;Alison Fogarty ,&nbsp;Rebecca Giallo ,&nbsp;Francine Dudfield ,&nbsp;Catherine E. Wood","doi":"10.1016/j.chiabu.2025.107270","DOIUrl":"10.1016/j.chiabu.2025.107270","url":null,"abstract":"<div><h3>Background</h3><div>Exposure to IPV can negatively impact children's social functioning. However, children exposed to IPV can also display significant strengths. The early educational environment can be a key factor promoting resilience outside of the family, with early educators in an ideal position to identify a broad range of social challenges, strengths and needs of children exposed to IPV. Despite this, no known studies have investigated early childhood educators' perspectives of the impacts of IPV on children's social functioning and their strengths. Understanding early educators' perspectives could help to provide insight into the social challenges, strengths and needs of children exposed to IPV.</div></div><div><h3>Objective</h3><div>The aim of this study was to understand the social functioning and strengths of children exposed to IPV from the perspective of early childhood educators.</div></div><div><h3>Participants and setting</h3><div>Semi-structured individual interviews were conducted with 12 early educators in a caring role for children aged three to five in Victoria, Australia.</div></div><div><h3>Method</h3><div>Thematic analysis was used to analyse the interviews.</div></div><div><h3>Results</h3><div>The first theme identified was impacts of IPV on child development that disrupts social functioning. Subthemes included: (i) difficulties with attachment and trust, (ii) emotional distress and dysregulation, and (iii) impacts on speech and language. The second theme identified was impacts of IPV on social play and peer relationships. Subthemes were (i) disconnection from peers through withdrawal or aggression, (ii) difficulties with social skills and play, (iii) trouble building and maintaining friendships, and (iv) vulnerable to being bullied. The final theme was children's strengths with subthemes including: (i) children's capacity for curiosity and learning with trusted relationships and (ii) learned ways of coping.</div></div><div><h3>Conclusions</h3><div>This study provided a comprehensive understanding of how IPV affects children's social relationships within an early educational context. The findings also highlighted how educators can be a key relational support for children exposed to IPV which is able to facilitate their capacity to learn skills such as emotion regulation and build their ability to engage in play and friendships. Further research on educators' experiences and training needs when supporting the social functioning and strengths of children exposed to IPV is needed.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107270"},"PeriodicalIF":3.4,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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