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COVID-19 如何影响家庭内儿童性虐待?以色列和美国从业者报告的比较分析。

How does COVID-19 impact intrafamilial child sexual abuse? Comparison analysis of reports by practitioners in Israel and the US.

机构信息

Hebrew University of Jerusalem, Tel Aviv University, Mission Kids Child Advocacy Center, Montgomery County, Pennsylvania, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.

Hebrew University of Jerusalem, Tel Aviv University, Mission Kids Child Advocacy Center, Montgomery County, Pennsylvania, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.

出版信息

Child Abuse Negl. 2021 Jun;116(Pt 2):104779. doi: 10.1016/j.chiabu.2020.104779. Epub 2020 Oct 19.

Abstract

BACKGROUND

There is consensus in child sexual abuse (CSA) literature that intrafamilial child sexual abuse (IFCSA) has a tremendous impact on children and families while simultaneously creating challenges for practitioners. COVID-19 impacted countries worldwide and generated a global crisis resulting in impacts on daily life, however, it's effect on IFCSA is unknown.

OBJECTIVE

This study aimed to compare professional perspectives and experiences working with IFCSA with respect to the context of the COVID-19 pandemic within the United States and Israel.

PARTICIPANTS AND SETTING

Participants were therapeutic, child welfare and legal professionals, who provided services to children involved in IFCSA.

METHODS

This qualitative cross-cultural comparative study analyzes professional experiences of IFCSA during COVID-19 based on an open-ended questionnaire answered online, with 37 responses from the US and 23 responses from Israel.

RESULTS

Findings reveal mostly negative changes in the dynamics of IFCSA families during COVID-19, including financial, environmental, and emotional hardships, as well as some positive changes in the relationships among family members. In terms of professional interventions, concerns were raised that COVID-19 has been detrimental to the disclosure of IFCSA, with plummeting child abuse reports. Further, risk and benefits of transferring to internet based or telephonic therapeutic interventions were shared.

CONCLUSIONS

Governmental and community efforts are needed to develop a safety net of protective factors to reduce IFCSA risks and increase resiliency during the COVID-19 pandemic and future global crises. Moreover, enhanced strategies to accessing and supporting families remotely such as using technology could improve identification and response to IFCSA.

摘要

背景

儿童性虐待(CSA)文献中存在共识,即家庭内儿童性虐待(IFCSA)对儿童和家庭有巨大影响,同时也给从业者带来挑战。COVID-19 对全球各国造成影响,引发全球性危机,对日常生活造成影响,但它对 IFCSA 的影响尚不清楚。

目的

本研究旨在比较美国和以色列在 COVID-19 大流行背景下,专业人员处理 IFCSA 的观点和经验。

参与者和设置

参与者为治疗、儿童福利和法律专业人员,他们为涉及 IFCSA 的儿童提供服务。

方法

本跨文化定性比较研究基于在线开放式问卷分析 COVID-19 期间 IFCSA 的专业经验,共收到来自美国的 37 份和以色列的 23 份回复。

结果

研究结果显示,COVID-19 期间 IFCSA 家庭动态大多发生负面变化,包括经济、环境和情感困难,以及家庭成员之间的一些关系出现积极变化。在专业干预方面,有人担心 COVID-19 不利于 IFCSA 的披露,儿童虐待报告大幅下降。此外,还分享了将治疗干预转为互联网或电话治疗的风险和益处。

结论

需要政府和社区努力建立一个保护因素的安全网,以降低 COVID-19 大流行和未来全球危机期间 IFCSA 的风险并增强其恢复力。此外,增强远程获取和支持家庭的策略,如使用技术,可以改善 IFCSA 的识别和应对。

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