对（在线）性虐待后儿童和青少年的医疗和社会心理护理程序的系统回顾和荟萃分析

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-05-29 DOI:10.1016/j.chiabu.2025.107540

Rebecca Menhart , Kerstin Stellermann-Strehlow , Astrid Helling-Bakki , Rita Horvay , Nele Dippel , Sibylle Maria Winter

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引用次数: 0

摘要

背景与目的儿童性虐待（CSA）和网络儿童性虐待（OCSA）继续构成越来越大的挑战。尽管存在针对CSA的结构化干预措施，但目前还没有针对OCSA的既定框架，对有效护理程序的研究也很少。最初的重点是OCSA，由于缺乏OCSA特异性研究，本综述扩展到CSA，从而实现了更全面的综合。该审查概述了CSA后的医疗和社会心理护理程序，并为OCSA提供了建议。方法和结果1995年至2022年间发表的53项研究确定了对经历CSA的17.11岁以下儿童和青少年的医疗和心理社会干预措施。17项以医学为重点的研究倾向于遵循CSA后的共同线索，尽管有些研究侧重于不同的程序步骤。社会心理干预（36篇文章）显示出高度的多样性，以创伤为重点的认知行为治疗（TF-CBT）、适应形式的认知行为治疗（CBT）、团体治疗和个人设置证明特别有效。对31项社会心理研究的亚组荟萃分析得出加权平均效应值为1.14 [0.98；[1.29]，表明所有心理治疗干预措施的有效性，异质性高（I2 = 82%）。结论本综述揭示了OCSA的研究空白，缺乏对干预措施及其有效性的研究，急需解决这一问题。该报告强调，在儿童性暴力事件后，需要进行全面、跨学科的医疗和心理社会干预，因此需要针对儿童性暴力事件采取适应的干预措施。由于缺乏针对ocsa的干预措施，由于数据有限，对亚组分析的限制，以及纳入的社会心理研究的高度异质性，本研究受到限制。强烈建议进一步研究OCSA的具体程序，并对处理OCSA的专业人员进行培训。

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A systematic review and meta-analysis of medical and psychosocial care procedures for children and adolescents after (online) sexual abuse

Background and objective

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.

Methods and results

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 I² = 82 %.

Conclusions

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.

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.