Department of Clinical Psychology, 3rd Floor, M.V.G Building, National Institute of Mental Health and Neuro Sciences, Karnataka, India.
Department of Clinical Psychology, 3rd Floor, M.V.G Building, National Institute of Mental Health and Neuro Sciences, Karnataka, India.
Asian J Psychiatr. 2021 Mar;57:102558. doi: 10.1016/j.ajp.2021.102558. Epub 2021 Jan 27.
The present study aimed to develop a qualitative measure for assessment of child sexual abuse (CSA) awareness and perceived barriers to CSA disclosure based on adolescents' perspectives and expert consensus. Focus group discussions (FGD) were conducted with the adolescents (n = 10) and the Delphi method was used to gain expert consensus (n = 5). The FGDs were audio recorded and Delphi method was conducted via email. Salient domains and themes were identified through manual thematic analysis of the qualitative data obtained from both the methods. Data validity and authentication was obtained through data and researcher triangulation. The qualitative measure for assessment of CSA awareness and perceived barriers to CSA disclosure consisting of 13 qualitative questions was developed based on these domains and expert opinion. The test-version was administered to a pilot sample of 20 adolescents meeting the inclusion criteria for this study. Based on their feedback on ease of understanding and clarity, questions were modified and rearranged. Participation rate was found to be high amongst adolescents as they readily agreed to engage in the study. Findings further indicated that the ambit of CSA awareness includes knowledge of multiple aspects like forms of sexual abuse, characteristics associated with people at risk for perpetration and at risk for victimisation, prevalent beliefs about CSA, prevention strategies and CSA legislation in India. Perceived barriers to CSA disclosure were identified in the context of self, others and the society. Implications for research, and the need for preventive frameworks for CSA in Indian context are discussed.
本研究旨在根据青少年的观点和专家共识，开发一种定性的儿童性虐待（CSA）意识评估和对 CSA 披露的感知障碍的衡量标准。采用焦点小组讨论（FGD）的方法对青少年（n=10）进行研究，并采用 Delphi 法征求专家共识（n=5）。FGD 进行了录音，Delphi 法通过电子邮件进行。通过对两种方法获得的定性数据进行手动主题分析，确定了显著的领域和主题。通过数据和研究人员的三角验证来确保数据的有效性和真实性。根据这些领域和专家意见，制定了一个包含 13 个定性问题的 CSA 意识评估和对 CSA 披露的感知障碍的定性衡量标准。根据他们对理解和清晰度的反馈，对问题进行了修改和重新排列。根据纳入本研究的标准，对 20 名青少年进行了测试版的测试，发现他们的参与率很高。研究结果进一步表明，CSA 意识的范围包括对多个方面的了解，例如性虐待的形式、与施害者和受害者风险相关的特征、对 CSA 的普遍看法、预防策略和印度的 CSA 立法。在自我、他人和社会的背景下，确定了 CSA 披露的感知障碍。讨论了 CSA 在印度背景下的研究意义和预防性框架的必要性。
