Sepers Annemariek J W, Maric Marija, Mooren Trudy M
ARQ National Psychotrauma Centre, Nienoord 13, 1112 XE Diemen, The Netherlands.
Department of Clinical Psychology, Utrecht University, Heidelberglaan 1, 3584 CH Utrecht, The Netherlands.
Children (Basel). 2025 Apr 29;12(5):580. doi: 10.3390/children12050580.
BACKGROUND/OBJECTIVES: Child abuse is a devastating problem, and effective interventions are needed. Interventions incorporating social support have been found to be more effective in reducing parental abuse than those that do not. The resolutions approach (RA) emphasizes collaborating with the family's social network. The present study aims to examine the role of social networks in RA.
This report presents the cases of two families (children aged 8-18) who are alleged to have committed child abuse. A mixed-method study was conducted. Qualitative data based on in-depth interviews, and quantitative data obtained by repeated assessments following a single-case design were integrated. Incidents of child abuse were assessed before treatment, at the end of treatment, and at follow-up, using the Conflict Tactics Scales. An idiosyncratic measurement was administered every fortnight during the intervention.
In both families, members acknowledged the value of involving their social network and reported decreased incidents of child abuse. One family succeeded in involving the network, and in this family, aggressive behavior stopped soon after RA started. Results were maintained during follow-up. In the other family, aggression stopped after the baseline period, according to the parents, but not according to their youngest child.
Although the involvement of social support is prescribed through the intervention protocol, several challenges hamper its realization. Recommendations are formulated for how to involve social network members in the context of family therapy when child safety is at risk. RA might be a valuable intervention to stop child abuse, but it needs further research.
背景/目的：虐待儿童是一个极具破坏性的问题，需要有效的干预措施。研究发现，包含社会支持的干预措施在减少父母虐待行为方面比不包含社会支持的措施更有效。解决问题方法（RA）强调与家庭的社会网络合作。本研究旨在探讨社会网络在RA中的作用。
本报告介绍了两个被指控存在虐待儿童行为的家庭（孩子年龄在8至18岁之间）的案例。进行了一项混合方法研究。整合了基于深入访谈的定性数据和通过单案例设计的重复评估获得的定量数据。使用冲突策略量表在治疗前、治疗结束时和随访时评估虐待儿童事件。在干预期间每两周进行一次特殊测量。
在两个家庭中，成员都认可让社会网络参与的价值，并报告虐待儿童事件有所减少。一个家庭成功地让社会网络参与进来，在这个家庭中，RA开始后攻击性行为很快就停止了。随访期间结果得以维持。在另一个家庭中，据父母说，攻击行为在基线期后停止了，但最小的孩子并不这么认为。
尽管干预方案规定了社会支持的参与，但仍有几个挑战阻碍其实现。针对在儿童安全面临风险的情况下如何让社会网络成员参与家庭治疗提出了建议。RA可能是一种阻止虐待儿童的有价值的干预措施，但还需要进一步研究。
