Descartes Christine H, Maharaj Priya E, Quammie Mercedes, Mills Janelle, Ramesar Mala, Pulwarty Harold
Department of Behavioural Sciences, Faculty of Social Sciences, The University of the West Indies, St. Augustine, Trinidad.
Mental Health Department, Gulf View Medical Centre, San Fernando, Trinidad.
J Child Adolesc Trauma. 2019 Dec 12;13(4):419-427. doi: 10.1007/s40653-019-00293-x. eCollection 2020 Dec.
Child welfare systems in the Caribbean tend not to take multi-type maltreatment into account when assessing and treating victims of child maltreatment. This study aimed to provide evidence of the prevalence of multi-type maltreatment and patterns of co-occurrence of child abuse and neglect among children and adolescents in community residences across Trinidad. One hundred and two children and adolescents completed the Childhood Trauma Questionnaire which captured five abuse and neglect types: emotional abuse, physical abuse, sexual abuse, physical neglect and emotional neglect. The correlation analyses revealed significant positive relationships among the three types of abuse and a moderate positive correlation between the two types of neglect. T-test results indicated that girls were more likely than boys to experience physical abuse, emotional abuse and sexual abuse, however boys also reported high levels of abuse and neglect. The findings suggest that children are likely to face multiple forms of abuse and neglect that may contribute to its alarming severity and chronicity. Children in community residences are a population of particular interest given that residential care may be considered either a risk or a protective factor depending on the quality of care provided. Recommendations for future research and intervention strategies are proposed.
加勒比地区的儿童福利系统在评估和治疗受虐待儿童受害者时,往往没有考虑到多种形式的虐待情况。本研究旨在提供特立尼达社区住所中儿童和青少年遭受多种形式虐待以及虐待与忽视并发模式的流行证据。102名儿童和青少年完成了儿童创伤问卷,该问卷涵盖了五种虐待和忽视类型:情感虐待、身体虐待、性虐待、身体忽视和情感忽视。相关分析显示,三种虐待类型之间存在显著的正相关关系,两种忽视类型之间存在中度正相关关系。t检验结果表明,女孩比男孩更有可能遭受身体虐待、情感虐待和性虐待,然而男孩报告的虐待和忽视水平也很高。研究结果表明,儿童可能面临多种形式的虐待和忽视,这可能导致其令人震惊的严重性和长期性。鉴于根据所提供的照料质量,寄宿照料可能被视为一种风险因素或保护因素,社区住所中的儿童是一个特别值得关注的群体。文中还提出了对未来研究和干预策略的建议。