جستجوی مقالات مرتبط با کلیدواژه « sexual abuse » در نشریات گروه « روانشناسی »

Child sexual abuse is a significant public health issue and a major threat to the mental well-being of children. A child who experiences sexual abuse is at a greater risk of facing other negative childhood experiences. Understanding the risk factors and effects of sexual abuse is crucial for accurately assessing and preventing this issue.

The present study aimed to investigate the lived experience of girls who have experienced childhood sexual abuse. In this study, 8 girls who had experienced childhood sexual abuse were selected using purposive sampling and were interviewed using semi-structured interviews. It should be noted that sampling continued until data saturation was achieved. The data were initially recorded, coded, and then analyzed using the Colaizzi method in order to conduct the analysis.

The analysis of girls' experiences of sexual abuse yielded four themes: lack of betrayal, self-blame, stigmatization, and psychological trauma.

This study emphasizes the importance of preventive measures and increasing the attention of families and social institutions in supporting children and preventing sexual abuse in girls.

Due to the sensitivity of childhood and adolescence, it is necessary to study the underlying factors to prevent psychological and social harm, such as the sexual abuse of children and adolescents.

This study aimed to investigate the lived experience of children and adolescents about individual and family factors that underlie sexual abuse.

The approach of the present study was qualitative. Its strategy was phenomenological. A targeted sampling of critical cases, 15 children and adolescent victims have chosen who experienced sexual harassment and abuse and were referred to the Legal Medicine Center in Tehran, was completed based on theoretical saturation. The data collection process was during 2019. The data collection tool was a semi-structured interview. It was audio-recorded, and the content was converted into text. Then, the data were as concepts and categories. The research team, including the researcher, supervisors, and consultants, confirmed the validity of the interview tool. Also, the Participants confirmed the correctness of the coding process.

Research Findings showed that the main factors in the occurrence of abuse were (1) individual factors (misplaced trust, relationship with strangers, simplicity, stress, loneliness, inappropriate coverage, disregard for parental advice, and emotional dependence); And (2) family factors (poor relationship with parents, parental separation, parental strictness, busy motherhood, inconsideration by parents, poor parental supervision, running away from home, and fear of parents).

individual and family categories and comparing the results with the research background, identifying to prevent the underlying cause of sexual abuse.

Introductoin:

 Post-traumatic stress disorder is a severe psychological disorder, which arises due to undergoing a stressful and traumatic event. The present study aimed at identifying the effectiveness of Prolonged Exposure therapy in resilience and reducing the clinical symptoms in sexually abused girls with post-traumatic stress disorder.

The research design was a single subject of A-B type with a follow-up period. The statistical population of the study included all 12 to 18-year-old girls with post-traumatic stress disorder due to sexual harassment in Izeh city who were referred to the Social Emergency Center in 2020. Two of them were selected through purposive sampling. Three baseline sessions were considered for each subject. Intervention sessions were performed individually based on a prolonged exposure therapy program in 10 sessions of 90 minutes (2 days a week).Evaluations were performed by the PTSD Symptom Scale (Foa et al., 2018) and resilience questionnaire (Connor and Davidson, 2003) in three stages baseline, intervention sessions, and one month following the treatment. Data analysis was done using visual analysis of graphs, calculation of recovery percentage, and reliable percentage index.

Findings proved that with the beginning of the intervention, both subjects showed a decreasing and improving process in the scores of post-traumatic stress disorder syndrome, and an increasing and improving process in the scores of Connor and Davidson resilience scales. Subjects preserved these results for up to one month following the treatment.

Based on the findings, it is recommended that therapists in the field of children and adolescents use prolonged exposure therapy to increase resiliency and improve stress-made symptoms to achieve more effectiveness. These findings provide important implications for educating and promoting children's mental health.

The aim of this study was to investigate psychometric properties of Child Sexual Abuse and Gender Identity/Gender Dysphoria questionnaire in adolescents with mild intellectually disabled and with normal intelligence in Yazd. This is a descriptive cross-sectional study. The statistical population consisted of all boys and girls with mild intellectually disabled and with normal intelligence from public schools in the city of Yazd, Iran, that 300 people were selected by multi-stage sampling method. The tools were GIDYQ–AA and QCSA questionnaire. The results showed that all correlation coefficients, the questions of GIDYQ–AA and QCSA Questionnaire with the total score and subscales were significant for both groups (p<0.01). Cronbach's alpha coefficients calculated for the whole scale of sexual identity for intellectually disabled adolescents, 0.91, with normal IQ, 0.93 and its subscales and Cronbach's alpha coefficient in relation to the total scale of sexual abuse for intellectually disabled adolescent, 0.94, with normal IQ adolescent, 0.85 and its components separately, show the internal consistency of both questionnaires. Overall, the results showed that the scales of Child Sexual Abuse and Gender Identity/Gender Dysphoria questionnaire has a desirable and appropriate validity, reliability and it can be used for mild intellectually disabled and normal intelligence teenagers.

This study aimed to determine the effectiveness of TF-CBT on improving symptoms of PTSD in sexually abused children.

This quasi-experimental research was a single-subject research design with multiple baselines with follow-up. The statistical population consisted of all children of 9-12 years old, who have been sexually abused that referred to the Center of Clinical Tests of Forensic Medicine in 2016. In this study, sampling was purposeful, and 2 children were selected. The participants in situations of baseline, even sessions of intervention and one, two, three months and one, two years after intervention responded to the child post-traumatic symptom scale, the parent report of post-traumatic symptoms. Sixteen treatment sessions were administrated for each subject. Data analysis by using visual analysis chart, percentage of recovery, Effect size and PND was done.

The results showed that TF-CBT significantly improved symptoms of PTSD in clients at the end and in the process has been followed.

It could be concluded that TF-CBT is effectively improving symptoms of PTSD in sexually abused children and vulnerable children need specialists.

The aim of this study was to evaluate the effectiveness of Story counseling on reducing sexual anxiety in girls affected by sexual abuse. The research was applied in terms of purpose and pre-test-post-test in terms of experimental method. The study population included all girls with sexual anxiety caused by childhood rape referred to Navid Mehr Clinic located in Valiasr town of Tehran and the sample size was 12 people (6 in the experimental group and 6 in the control group). The sample group was selected voluntarily and available. Sexual anxiety questionnaire was used to assess sexual anxiety. The results showed that Story counseling is effective in reducing sexual anxiety in girls affected by sexual abuse. Due to the effectiveness of Story counseling, it is recommended to use this treatment in clinics and specialized counseling centers.

Sexual abuse is among the psychological trauma that seriously threatens the health of adolescents and requires them professional help. The aim of this study was to determine the effectiveness of ACT-CBT therapy and parent management training (PMT) on the affective capital of adolescent boy with sexual abuse. The research method was semi-experimental, and research design was three groups with three stages include pre-test, post-test and two months of follow-up. Among fifty 14-17 years old adolescent boys with sexual abuse in Isfahan, in the summer 2018, 45 adolescent were selected based on criteria of entry and exit and then randomly assigned in three groups, each group with 15 adolescent. Golparvar (2017) affective capital questionnaire was used to measure the dependent variable in the pretest, post-test and two months of follow-up. The ACT-CBT therapy and parent management training (PMT) received treatment in 10 sessions and the control group did not receive any treatment. The data were analyzed by repeated measure analysis of variance and post-hoc Bonferroni test. The results of multivariate analysis of covariance and post-hoc Bonferroni test showed that, only there is a significant difference between ACT-CBT therapy with parent management training (PMT) and the control group in affective capital (P <0.01), but there was no significant difference between parent management training (PMT) and the control group (P->0.05).

Emotional invalidation is a transdiagnostic process that can be relevant across a variety of disorders. Emotional invalidation (the perception of others as indifferent to one’s emotions) is associated with difficulty accepting emotions, maladaptive coping with emotions, perception of negative emotions as less controllable and comprehensible, and less psychological flexibility (Linehan, 1993; Leahy, Tirch, & Napolitano, 2011).
Childhood abuse (sexual and emotional abuse) may be considered prototypical experiences of invalidation of emotional experiences (Westpha, Leahy, Pala, & Wupperman, 2016; Leahy, 2015). Childhood abuse communicate that the child’s internal experiences do not matter. Furthermore, abusive caregivers who routinely punish emotional or sexual displays convey that negative emotions are unacceptable and unimportant (Leahy, 2015). Also in cross-sectional studies, childhood abuse has been found to be a predictor of depressive symptoms directly (Infurna et al., 2016; Jascheka, Carter-Pokrasa, Hea, Leea, & Canino, 2016).
Emotional invalidation is linked to a host of internalizing such as depression, anxiety, and social avoidance (Tanaka, Wekerle, Schmuck, & Paglia-Boak, 2011; Hong, & Lishner, 2016).The present study examined the predictive associations among childhood trauma (emotional and sexual), emotional invalidation and depressive symptoms in female college students with current major depressive disorder and with history of major depressive disorder. In summary, the following hypotheses are proposed:Hypothesis 1. Sexual abuse would contribute to the depressive symptoms through emotional invalidation.
Hypothesis 2. Emotional abuse would contribute to the depressive symptoms through emotional invalidation. The present investigation is a descriptive-cross-sectional study. The population of this study was 21,000 female college students in six different branches of Payam-e-Noor University with Persian languages (Baharestan, Eslamshahr, Shahryar, Tehran Souht, Robatkarim and Varamin). Data were obtained from college women enrolled in a clinical research study of mood disorders and behavior from the 2015 to 2016 academic year. Of these, 394 were selected through available sampling, of whom 92 met the criteria for current major depressive disorder (MDD) and 347 who had history of MDD in the last 12 months.
Measures
Beck Depression Inventory:The BDI-II (Beck, Steer, & Brown, 2000) was used to assess depressive symptoms during the last two weeks. It measures the severity of depression and consists of 21 items. The reliability and validity of the BDI-II have been well demonstrated both in clinical and non-clinical samples (Beck et al., 2000).
Structured Clinical Interview for DSM-IV Axis I & II (SCID): SCID is a structured diagnostic measure designed to assess DSM–IV Axis I and II disorders. The SCID showed good reliability in previous studies (Maffei et al., 1997).
Childhood Trauma Questionnaire - Short Form:The CTQ (Bernstein et al., 2003) retrospectively assesses the severity of different types of trauma and provides five subscales: Sexual abuse, emotional abuse, physical abuse, physical neglect, and emotional neglect. Each item is scored on a five-point Likert scale from. The CTQ has demonstrated excellent reliability, convergent, divergent and predictive validity in both clinical and non-clinical populations (Bernstein et al., 2003).
Leahy Emotional Schemas Scale (LESS; Leahy, 2002): This scale is made up of 50 items that are used to assess how one thinks about his own emotions. The LESS is a six-point Likert scale for each question (very true of me = 6 to very untrue of me = 1), it includes items regarding how they have dealt with emotional experiences during the last month. The results showed that depressive symptoms were significantly correlated with emotional (r = 0.46), sexual (r = 0.29) abuse and emotional invalidation (r = 0.51). In the present study, the 95% confidence interval (CI) of the indirect effects was obtained with 5000 bootstrap samples. The final step was to determine if the 95% CI for the estimated indirect effect included zero. An indirect effect is significant at the .05 level if the 95%CI does not include zero.
There was significant indirect effect (path ab) of sexual abuse on depression symptoms through emotional invalidation (CI=0.20 to 0.75). In other words, consistent with that first hypothesis, emotional invalidation significantly mediated the effect of sexual abuse on depression symptoms. In addition, the bootstrapping results indicated that the direct effect of sexual abuse on depression (path c’ = 1.05, p < 0.0001) remained significant when controlling emotional invalidation, thus suggesting partial mediation.
In addition, according to the bootstrapping results, emotional invalidation significantly mediated the effect of emotional abuse on depression symptoms (CI = 0.33 to 0.65). The direct effect of emotional abuse on depression (path c’ = 1.06, p < 0.0001) also remained significant when controlling emotional invalidation, thus suggesting partial mediation. The present study aimed to clarify whether emotional invalidation would explain the effect of childhood trauma (sexual and emotional abuse) on depressive symptoms. Consistent with our hypotheses, emotional invalidation partially mediated the effect of sexual and emotional abuse on depression. It is important to note, however, that this finding is consistent with previous studies (Leahy et al., 2011; Linehan, 1993; Infurna et al., 2016; Jascheka et al., 2016). Results from the current study suggested that one pathway by which sexual and emotional abuse may affect depressive symptoms is via emotional invalidation.
This finding can be explained by reffering to attachment theory. First, during the process of forming and maintaining attachment during early childhood, the rudiments of empathy, mirroring, and validation include the caregiver’s responsiveness to the child’s distress, which reinforces the child’s mental representation—“My feelings make sense to others.” Second, responsive soothing of the child’s feelings by the caregiver encourages the child to believe, “My distressed feelings can be soothed.” Initially, it is proposed that this “soothing” occurs through the caregiver’s attention and reassurance but later is “internalized” by the child in self-calming and optimistic self-statements, similar to Bowlby’s idea of internal working models, in this case the internal representation that one’s feelings make sense and can be calmed. Third, the child’s communication of feelings to the caregiver becomes an opportunity not only for expressing feelings but for the caregiver to link emotional states to external events that “cause” the feeling—“You’re upset because your brother hit you.” This attempt to comprehend the cause of feelings and to share them with the caregiver can also assist in differentiating these feelings—“It sounds like you are angry and hurt”—and in constructing a theory of mind that can be applied to both self and others. Indeed, without an adequate theory of mind, the child will be impaired in showing validation toward others and will be unable to soothe her own feelings and the feelings of others (Leahy et al., 2011).

The purpose of this study was to evaluate the efficacy of eye movement desensitization and reprocessing (EMDR) in reducing symptoms of anxiety disorders in sexually-abused students. The research method was semi experimental with pretest and posttest with control group. Fourteen adolescent girls who were sexually abused at the age of 12 to 18 years old were selected through convenient sampling and randomly assigned into the two experimental and control groups. Data in pretest were obtained by using the screen for child anxiety related emotional disorders-71 (SCARED-71). Then the EMDR therapy was performed for the experimental group through 5 to 8 sessions and at the end, a posttest was taken by all subjects of the experimental and control groups. The data were analyzed by multivariate analysis of covariance. The results revealed that the therapy is effective for reducing anxiety disorders including panic, GAD, OCD and PTSD in sexually-abused students. Therefore, we conclude that eye movement desensitization and reprocessing (EMDR) is effective to ameliorate this group of disorders.

The purpose of present research was to determine the effectiveness of life skills training on personality clinical symptom of sexual abuse victims
This research is a semi-experimental study which was performed by pre-test, post-test, follow-up design with control group. Participants were selected through the screening method which comprised 30 female clients over 18 years, low education and being held in welfare centers in Mashhad. Participants who got an above average score on questionnaires as follow: Sexual Victimization Questionnaire (SVQ), Life Skills Inventory (LSI), and Millon Clinical Multiaxial Inventory, 3th edition (MCMI-III) are eligible to join in groups. Then they were divided into two groups by simple random Sampling: experimental and control groups. The experimental group had been participated in 10 sessions (90 minutes) of life skills training for five weeks, while control group was in waiting list. Data were analyzed by using variance of repeated measures.
Findings: The results of this study revealed that a significant differences of clinical symptom of sexual abuse victims in three stages at (P