Choudhary Vandana, Satapathy Sujata, Sagar Rajesh
a All India Institute of Medical Sciences , New Delhi , India.
J Child Sex Abus. 2019 May-Jun;28(4):489-510. doi: 10.1080/10538712.2018.1563262. Epub 2019 Jan 25.
With an alarming increase in reported cases of Child Sexual Abuse (CSA) in India, the present study was conceived in an attempt to unearth the impact of CSA from the perspective of children, their caregivers, and the professionals dealing with them using qualitative research methodology. The secondary objective of the study was to discuss the clinical implications of the obtained findings for conducting culturally sensitive psychological assessment and intervention for CSA in India. Thus, in-depth interviews with 11 children and 7 Focused Group Discussions (FGDs) with 21 caregivers and 27 professionals were conducted. A total of 59 sample participants were recruited, and a thematic analysis was done. Six broad themes were identified from 223 generated codes-impact on behavioral, emotional, cognitive functioning and academics, psychopathology, biological, and social functioning. Four essential recommendations were concluded from the study, i.e., multidimensional impact assessment as a mandatory clinical practice, developing and utilizing culturally sensitive assessment & intervention protocols, incorporation of family-focused approach and multidisciplinary treatment team approach to ensure the holistic well-being of each chilsd in India.
随着印度儿童性虐待(CSA)报告病例惊人地增加,本研究旨在采用定性研究方法,从儿童、其照料者以及处理这些儿童问题的专业人员的角度,挖掘儿童性虐待的影响。该研究的次要目标是讨论所获研究结果对在印度进行具有文化敏感性的儿童性虐待心理评估和干预的临床意义。因此,对11名儿童进行了深入访谈,并与21名照料者和27名专业人员进行了7次焦点小组讨论(FGD)。总共招募了59名样本参与者,并进行了主题分析。从223个生成的代码中确定了六个广泛的主题——对行为、情感、认知功能和学业、精神病理学、生物学和社会功能的影响。该研究得出了四项重要建议,即在印度将多维影响评估作为强制性临床实践,制定并使用具有文化敏感性的评估和干预方案,采用以家庭为中心的方法和多学科治疗团队方法,以确保每个儿童的整体福祉。