Department of Anatomy, Tomo Riba Institute of Health and Medical Sciences, Naharlagun, Arunachal Pradesh, India; MAHE-FAIMER International Institute for Leadership in Interprofessional Education, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.
Clinical Division, ICMR-National Institute of Nutrition, Hyderabad, Telangana, India.
Acta Psychol (Amst). 2023 Mar;233:103837. doi: 10.1016/j.actpsy.2023.103837. Epub 2023 Jan 28.
Child abuse is a major public health concern with deep rooted squeal events on adult mental health. The childhood negligence and abusive events is connected invariably with anxiety and depressive disorders in adult life.
The study focused to determine the prevalence of child abuse, and connection of child abuse with depression and anxiety in course of adulthood, and to evaluate the effect of Interprofessional approach on the knowledge and awareness on child abuse and legal polices among young adult students of health professions in Arunachal Pradesh, India.
Four hundred sixty-one young adult health professions students from Tomo Riba Institute of Health and Medical Sciences (TRIHMS) and related health sciences institutes in the Itanagar capital complex region of Arunachal Pradesh between age group of 18-25 years.
A semi structured self-administered questionnaire was adopted to measure the prevalence of child abuse, Patient Health Questionnaire-9 (PHQ-9) questionnaire to grade the severity of depression and Generalized Anxiety Disorder-7 (GAD-7) questionnaire to grade severity of anxiety. Interprofessional intervention interactive sessions with a psychologist, psychiatrist, and advocate were held after pre-test. Before and after the intervention, the participants' awareness and knowledge on various types of child abuse& negligence and legal policies were assessed.
The overall prevalence of child abuse in any form was 73.42 %. Physical abuse was the most frequent form, accounting for 65.26 %, followed by childhood negligence (62.63 %), emotional abuse (53.15 %), and sexual abuse (23.42 %). Higher incidence of psychological distress with depression (80 %) and anxiety (55.52 %) was observed in participants with previous history of childhood abuse. There was a significant improvement in the knowledge and awareness on various forms of child abuse and negligence (p < 0.05) and legal policies (16.05 % before intervention, 85.90 % after intervention) (p < 0.05) after intervention sessions with interprofessional members.
The interprofessional interactive sessions exhibited significant improvement in the knowledge and awareness in terms of child abuse and policies in all domains. Utmost need and necessity of including implementation of interprofessional intervention interactive sessions or counselling program in academic institutions specially in developing states where there is a lack of awareness and easy access to services.
儿童虐待是一个主要的公共卫生问题，对成年人的心理健康有着深远的影响。儿童时期的忽视和虐待事件总是与成年后的焦虑和抑郁障碍有关。
本研究旨在确定儿童虐待的发生率，以及儿童虐待与成年期抑郁和焦虑的关系，并评估跨专业方法对印度阿鲁纳恰尔邦首府地区托莫·里巴卫生与医学科学学院（TRIHMS）和相关卫生科学学院的青年保健专业学生在儿童虐待和法律政策方面的知识和意识的影响。
461 名年龄在 18-25 岁之间的青年保健专业学生来自特里姆健康与医学科学研究所（TRIHMS）和阿鲁纳恰尔邦首府地区的相关卫生科学研究所。
采用半结构式自我管理问卷来测量儿童虐待的发生率，使用患者健康问卷-9（PHQ-9）问卷来评估抑郁的严重程度，使用广泛性焦虑障碍-7（GAD-7）问卷来评估焦虑的严重程度。在预测试后，进行了跨专业的互动干预会议，包括心理学家、精神科医生和倡导者。在干预前后，评估了参与者对各种类型的儿童虐待和忽视以及法律政策的意识和知识。
任何形式的儿童虐待的总发生率为 73.42%。身体虐待是最常见的形式，占 65.26%，其次是儿童忽视（62.63%）、情感虐待（53.15%）和性虐待（23.42%）。有儿童期虐待史的参与者心理困扰的发生率较高，包括抑郁（80%）和焦虑（55.52%）。在与跨专业成员进行互动干预会议后，参与者对各种形式的儿童虐待和忽视（p<0.05）以及法律政策（16.05%干预前，85.90%干预后）（p<0.05）的知识和意识有了显著提高。
跨专业互动会议在儿童虐待和政策的所有领域都显著提高了知识和意识。在发展中国家，特别是在缺乏意识和难以获得服务的情况下，最需要和必要的是在学术机构中实施跨专业干预互动会议或咨询计划。
