Masilo Gaboipolelwe M, Davhana-Maselesele Mashudu
Department of Nursing Science, North-West University.
Curationis. 2017 Jul 25;40(1):e1-e9. doi: 10.4102/curationis.v40i1.1689.
South Africa is reported to have the highest rate of sexual assault in the world with over 40% of cases occurring among children. Children who are sexually abused have support programmes and policies to assist them in coping, but there are no support programmes for mothers or caretakers. Caretakers need support for themselves and assisting them will incrementally benefit children under their care. Often mothers of these children experience shock, anger, disbelief and suffer secondary trauma such as depression and post-traumatic stress disorder (PTSD) following their children's sexual abuse disclosure and yet there are no guidelines for support to these mothers within North-West province (NWP)Objectives: The study seeks to develop guidelines for support to mothers of sexually abused children in NWP.
Concurrent convergence triangulation mixed method design was employed in this study. The population consisted of mothers of sexually abused children (SAC) (n = 17 participants for the qualitative component and n = 180 participants for the quantitative component). A sample of mothers of SAC was purposely selected.
The participants indicated significant levels of depression because of lack of support by stakeholders. Guidelines for support to assist mothers cope with their secondary trauma were developed based on the literature review, study findings as well as an ecological model of the impact of sexual assault on women's mental health. The results also showed extreme PTSD (47.8%), little support (38.8%), not coping (76.1%) and depression (36.1%).
The stakeholders should consider a positive approach to support mothers whose children are sexually abused.
据报道,南非是世界上性侵犯发生率最高的国家,超过40%的案件发生在儿童中。遭受性虐待的儿童有支持项目和政策来帮助他们应对,但没有针对母亲或照顾者的支持项目。照顾者自身需要支持,帮助他们将逐步使他们所照顾的儿童受益。这些儿童的母亲在孩子披露性虐待事件后,往往会经历震惊、愤怒、怀疑,并遭受诸如抑郁和创伤后应激障碍(PTSD)等继发性创伤,然而在西北省(NWP)却没有针对这些母亲的支持指南。
本研究旨在制定西北省性虐待儿童母亲的支持指南。
本研究采用了同步收敛三角混合方法设计。研究对象包括性虐待儿童的母亲(SAC)(定性部分有17名参与者,定量部分有180名参与者)。有目的地选取了性虐待儿童母亲的样本。
参与者表示,由于利益相关者缺乏支持,她们有显著的抑郁情绪。基于文献综述、研究结果以及性侵犯对女性心理健康影响的生态模型,制定了帮助母亲应对继发性创伤的支持指南。结果还显示,存在极端创伤后应激障碍(47.8%)、支持极少(38.8%)、无法应对(76.1%)和抑郁(36.1%)的情况。
利益相关者应考虑采取积极的方法来支持那些孩子遭受性虐待的母亲。