عوامل فردی و خانوادگی زمینه‌ساز سوءاستفاده جنسی در تجارب کودکان و نوجوانان

نوع مقاله : پژوهش اصیل

نویسندگان

1 دانشجوی دکتری مشاوره، دانشگاه آزاد اسلامی واحد سنندج، سنندج، ایران

2 استاد مرکز تحقیقات علوم رفتاری، دانشگاه علوم پزشکی بقیه الله، تهران، ایران

3 دانشیارگروه مشاوره خانواده ، واحد سنندج ،دانشگاه آزاد اسلامی ، سنندج، ایران

4 استادیار گروه روانشناسی، واحد سنندج ،دانشگاه آزاد اسلامی ، سنندج، ایران

5 دانشیار مرکز تحقیقات پزشکی قانونی، سازمان پزشکی قانونی کشور، تهران، ایران

چکیده

با توجه به حساسیت دوران کودکی و نوجوانی، بررسی عوامل زمینه‌ای برای پیشگیری از آسیب‌های روانی و اجتماعی مانند آزار جنسی کودکان و نوجوانان ضروری است. این مطالعه باهدف بررسی تجربیات زیسته کودکان و نوجوانان در مورد عوامل فردی و خانوادگی زمینه‌ساز آزار جنسی انجام شد. رویکرد پژوهش حاضر کیفی بود. استراتژی آن پدیدارشناسانه بود. نمونه‌گیری هدفمند از موارد بحرانی، 15 کودک و نوجوان قربانی که مورد آزار و اذیت و آزار جنسی قرارگرفته بودند و به مرکز پزشکی قانونی شهر تهران مراجعه کرده بودند، بر اساس اشباع نظری تکمیل شد. فرایند جمع‌آوری داده‌ها در طول سال 1398 انجام شد ابزار گردآوری داده‌ها مصاحبه نیمه ساختاریافته بود. صدا ضبط شد و محتوا به متن تبدیل شد. سپس داده‌ها به‌صورت مفاهیم و مقوله­ها بودند. گروه تحقیق شامل اساتید راهنما و مشاور، اعتبار ابزار مصاحبه را تائید کردند. همچنین، شرکت‌کنندگان صحت فرآیند کدگذاری را تائید نمودند. یافته‌های پژوهش نشان داد که عوامل اصلی بروز آزار (1) عوامل فردی (اعتماد نابجا، رابطه با غریبه‌ها، سادگی، استرس، تنهایی، پوشش نامناسب، بی‌توجهی به توصیه‌های والدین و وابستگی عاطفی) بوده است؛ و (2) عوامل خانوادگی (رابطه ضعیف با والدین، جدایی والدین، سختگیری والدین، مشغله مادر، بی‌توجهی والدین، نظارت ضعیف والدین، فرار از خانه و ترس از والدین). در مقایسه نتایج با پیشینه تحقیق، مقوله‌های فردی و خانوادگی برای پیشگیری از عوامل زمینه‌ای آزار جنسی. شناسایی شد.

کلیدواژه‌ها


عنوان مقاله [English]

Individual and Family Factors Underlying Sexual Abuse in Children and Adolescents Experience

نویسندگان [English]

  • Zahra Mohammadi 1
  • Khodabakhsh Ahmadi 2
  • Mahmoud Goudarzi 3
  • Hamzeh Ahmadian 4
  • Seyed Mehdi Saberi 5
1 PhD Student in Counseling, Islamic Azad University, Sanandaj Branch, Sanandaj, Iran
2 2. Professor of Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
3 Associate Professor ,Family Counseling Department, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran.
4 Assistant Professor, Department of Psychology , Sanandaj Branch, Islamic Azad University Sanandaj, Iran
5 Associate Professor, Forensic Medicine Research Center, Forensic Medicine Organization, Tehran, Iran
چکیده [English]

Background: 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. Objective: This study aimed to investigate the lived experience of children and adolescents about individual and family factors that underlie sexual abuse. Method: 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. Findings: 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).Conclusion: individual and family categories and comparing the results with the research background, identifying to prevent the underlying cause of sexual abuse.

کلیدواژه‌ها [English]

  • children and adolescents
  • sexual abuse
  • underlying factors
  • individual and family
Abbasi, Maryam (2017), Study of child abuse in terms of family micro-system and related factors (with emphasis on social work interventions), the third international conference on new research in management, economics, and humanities, available on 2021-08-16 [In Persian]. https://civilica.com/doc/549481
Abeid, M., Muganyizi, P., Olsson, P., Darj, E., & Axemo, P. (2014). Community perceptions of rape and child sexual abuse: a qualitative study in rural Tanzania. BMC international health and human rights, 14(1), 1-13. https://doi.org/10.1186/1472-698X-14-23
Afshar, A., & Shahbazi, M. (2021). Evaluation of the effectiveness of desensitization and reprocessing treatment with eye movements on shame and guilt in women with childhood sexual abuse. Journal of Cognitive Analytical Psychology, 12 (44), 13-26. [In Persian].  https://psy.journals.iau-garmsar.ac.ir/article_684370.html
Aghei Goldiani, P., & Ghiasi. Z. (2021). Evaluation of the effectiveness of Story style counseling on reducing sexual anxiety in girls affected by sexual abuse. Journal of New Ideas in Psychology, 8 (12), 1-6. [In Persian].  https://jnip.ir/browse.php?a_id=444&slc_lang=fa&sid=1&printcase=1&hbnr=1&hmb=1
Alaggia, R., Collin-Vézina, D., & Lateef, R. (2019). Facilitators and barriers to child sexual abuse (CSA) disclosures: A research update (2000–2016). Trauma, Violence, & Abuse20(2), 260-283. https://doi.org//10.1177/1524838017697312
Aliaei Zand, Sh. & Vakili, S. (2010). The effect of immunization training in the prevention of sexual harm in adolescent girls with mental retardation. Psychology of exceptional people. 2 (8). 76-55. [In Persian]. https://jpe.atu.ac.ir/article_2158.html
Alirezaei, S., & Mirzaei Najmabadi, Kh. (2019). The effect of school-based educational programs in preventing child sexual abuse: A systematic review study. Journal of Child Mental Health, 6 (3), 307-319. [In Persian].  https://iranjournals.nlai.ir/handle/123456789/661242
Alivardinia, A. Hassani, M. R. and Ebrahimi, E. (2013). Family factors child abuse. Social Welfare Quarterly, 13, 5 (50), 110-71. [In Persian]. http://refahj.uswr.ac.ir/article-1-1355-fa.html
Ashby, B. D., & Kaul, P. (2016). Post-traumatic stress disorder after sexual abuse in adolescent girls. Journal of Pediatric and adolescent gynecology, 29(6), 531-536. https://doi.org/10.1016/j.jpag.2016.01.127
Azam Naqavi, M. Fatehizadeh; M. Abedi, M. R.  (2007). Cognitive Consequences of Child Abuse in Adolescent Girls. Thought 4 (45). 140-125. [In Persian]. https://www.magiran.com/paper/371883
Bagheripanah, M., & Jomhari, F. (2019). Determining the effectiveness of life skills training on improving the general health and courage of sexually abused adolescent girls. Community Health, 13 (1), 54-63. [In Persian].  http://chj.rums.ac.ir/article_93043.html
Corbin, Juliet M. & Strauss, Anselm (2011). Principles of Qualitative Research Methodology: Basic Theory, Procedures, and Methods. Translated by Buick Mohammadi. Tehran: Institute of Humanities and Cultural Studies. [In Persian]. https://www.gisoom.com/book/11051298/
Danaeifard, H. & Kazemi, H. (2010). Promoting interpretive research in the organization: A review of the philosophical foundations and the process of implementing the phenomenological method. Management, improvement, and transformation studies. 20 (61). 148-121. [In Persian]. https://jmsd.atu.ac.ir/article_4180.html
Ebadi, Sh. Jalili, B. Madani, S. (2005). Child abuse in Iran. Tehran: Aknoon Publications. [In Persian]. https://www.gisoom.com/book/1301410
Ebrahimi Qavam, S. & Khatibzadeh, M. (2013). Investigating the family situation of runaway girls with emphasis on their abuse. Female police studies. 1 (19). 92-78. [In Persian]. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=212055
Ghazizadeh, S., Mashhadi, A., Tabibi, Z., & Soltanifar. A. (2021). The effectiveness of trauma-focused cognitive-behavioral therapy on post-traumatic stress disorder in children experiencing sexual abuse. Clinical Psychology, 12 (4). [In Persian].  https://jcp.semnan.ac.ir/article_4892.html
Gil, Elena. (2007). Helping abused and injured children. Translation, Mehrzad Farahati (2014). Tehran: Arjmand. [In Persian]. https://www.fadakbook.ir/product/8743/
Habibi, S. Falah, M. H. & Amopour, M. (2017). The effects of child abuse on children's personality traits. Quarterly Journal of Psychological Studies and Educational Sciences. 3 (2). 120-106. [In Persian]. http://uctjournals.com/farsi/archive/psychology/1396/summer/10.pdf
Hallajzadeh, H .Shad Manfat, M. & Kabiri, S. (2019). The effect of social and cultural capital on parents' knowledge and practice about child abuse. Sociology of Social Institutions, 5 (12), 138-1[In Persian]. http://journals.umz.ac.ir/article_2135_a8414019ff94991c86d749342a5738b3.pdf
Henderson, C. (2002). Faculty conceptions about the teaching and learning of problem-solving in introductory Calculus-Based Physics. The University of Minnesota, Twin Cities: Unpublished Doctoral Dissertation. https://www.proquest.com/openview/56f0f74904a78728a76e30dfb480c83c/
Irenyi M, Bromfield L, Beyer L, Higgins D. (2006). Child maltreatment in organizations: Risk factors and strategies for prevention. Child Abuse Prevention, 25, 1-23. http://www.aifs.gov.au/nch/pubs/issues/issues25/issues25.pdf
Jaberzadeh Ansari, Sh. (2015). The effectiveness of child sex education on increasing mothers' sexual knowledge and attitude and increasing children's knowledge in preventing sexual abuse. Master Thesis, Al-Zahra University. [In Persian]. https://civilica.com/doc/1129332/]
Kamel Abbasi, A. & Aghamohammadian Sharabaf, H. (2010). Child Abuse: A Review of Child Sexual Abuse. The first national student conference on social factors affecting health, available on 2021-08-16 [In Persian]. https://civilica.com/doc/95146
Khodayari Fard, M. & .Abedini, Y. (2015) Theories and principles of family therapy and its application in the treatment of disorders in children and adolescents. Second edition. Tehran: University of Tehran Press. [In Persian]. https://www.gisoom.com/book/1688875/
Kholasezadeh G, Bakhshi H, Nazer M, Sayadi AR, Pourgholami M, Rabbani AH. (2007) Child Abuse Prevalence Among Addicts Referred to the Rafsanjan Addiction Withdrawal Center in 2005 Journal of Rafsanjan University of Medical Sciences.6 (1): 37-44. [In Persian]. http://jssu.ssu.ac.ir/article-1-1092-fa.pdf
Khoshabi, Katayoun (2005). Report a case of sexual abuse. Journal of Social Welfare. 2 (7). 140-125. [In Persian]. http://refahj.uswr.ac.ir/article-1-2253-fa.html
Laleh Zari, Mehdi (2017). Investigation of the frequency of physical abuse of children in cases of reported child abuse to the social emergency bases of the Welfare Organization of Bandar Abbas. Doctoral dissertation. Central Library of Hormozgan University of Medical Sciences. [In Persian]. http://eprints.hums.ac.ir/1334/
Lewis, T., McElroy, E., Harlaar, N., & Runyan, D. (2016). Does the impact of child sexual abuse differ from maltreated but non-sexually abused children? A prospective examination of the impact of child sexual abuse on internalizing and externalizing behavior problems. Child abuse & neglect, 51, 31-40. https://doi.org/10.1016/j.chiabu.2015.11.016
Mahdavi, M. (2011). Crime Prevention (Circuit Growth Prevention). Tehran: Samat Publications. [In Persian]. https://www.gisoom.com/book/1778624/
Mahmoudi Qaraei, Javad (2017). Sexual abuse of children: methods of preventing child sexual abuse and how to deal with it. Tehran: Drop Publishing. [In Persian]. https://www.gisoom.com/book/11326801/
Malekshahi, F.  & Farhadi, A. (2013). Prevalence of child abuse among middle school students in Khorramabad in 2011. Quarterly Journal of Yafteh. 15 (5), 31-39. [In Persian]. http://yafte.lums.ac.ir/article-1-1491-fa.html
McDermott, S., Martin, M., Weinrich, M., & Kelly, M. (2015). Program evaluation of a sex education curriculum for women with mental retardation. Research in Developmental Disabilities20(2), 93-106. https://doi.org/10.1016/S0891-4222(98)00035-3
Meinck, F., Cluver, L. D., Boyes, M. E., & Mhlongo, E. L. (2015). Risk and protective factors for physical and sexual abuse of children and adolescents in Africa: A review and implications for practice. Trauma, Violence, & Abuse, 16(1), 81-107. https://www.gisoom.com/book/11326801/
Mikton, C., & Butchart, A. (2009). Child maltreatment prevention: a systematic review of reviews. Bulletin of the World Health Organization, 87, 353-361. https://doi.org/10.2471/blt.08.057075
Mirzaei, J. khodaei, M. R. Mohammadkhani, P. (2007). The effect of sexual violence on post-traumatic stress disorder (PTSD). Rehabilitation Archive. 7 (4). 74-65. [In Persian]. http://rehabilitationj.uswr.ac.ir/article-1-27-fa.html
 Namdari, P. (2011) Prevalence of abuse in middle school students in Khorramabad. Iranian Journal of Psychiatry and Clinical Psychology (Thought and Behavior). 9 (1). 70-62. [In Persian].  https://www.sid.ir/fa/Journal/ViewPaper.aspx?id=31107
Ounjit, W. (2015). Social and cultural dimensions of adolescent sexual relationships in Thailand. Procedia-Social and Behavioral Sciences, 171, 606-612. https://doi.org/10.1016/j.sbspro.2015.01.167
Pernicano, P. (2017). Trauma-Centered Family Intervention: Using Metaphor and Play to Victims of Abuse and Neglect. Translated by Saeed Khankeshloo, Mahgol Tavakoli, Maryam Khami & Golita Amsaki. Tehran: Arjmand Publications. [In Persian]. https://www.arjmandpub.com/Book/1209
Sadock, B. J., & Sadock, V. A. (2015). Summary of Psychiatry: Behavioral Sciences of Clinical Psychiatry. Translation, Farzin Rezaei (2015). Tehran: Arjmand Publications. [In Persian]. https://www.arjmandpub.com/Book/1209
Salimi, A. & Davari, M. (2015).The Sociology of Tilt. Qom: Qom Research Institute and University. [In Persian]. https://www.gisoom.com/book/11115867/
Scoglio, A. A., Kraus, S. W., Saczynski, J., Jooma, S., & Molnar, B. E. (2021). A systematic review of risk and protective factors for revictimization after child sexual abuse. Trauma, Violence, & Abuse, 22(1), 41-53. https://doi.org/10.1177%2F1524838018823274
Thammaraksa, P., Powwattana, A., Lagampan, S., & Thaingtham, W. (2014). Helping teachers conduct sex education in secondary schools in Thailand: overcoming culturally sensitive barriers to sex education. Asian nursing research, 8(2), 99-104.  https://doi.org/10.1016/j.anr.2014.04.001
Yousefzadeh, E. (2012).The effectiveness of self-protection component training on increasing knowledge and skills of sexual harassment prevention in preschool girls. Master Thesis, Allameh Tabatabai University of Tehran. [In Persian]. https://ganj.irandoc.ac.ir/#/articles/78084e422e7d5bd3398ff08d3ea8fa89
Zahrabi Moghadam, J. NoahJah, S. Diodar, M. Sedaghat, D. Z. Adibpour, M. & Sepahvand, Z. (2012). Frequency of child abuse and some related factors in children aged 2-5 years under the auspices of health centers in Ahvaz and Haftgol in 2010. Gentashapir Journal. 3 (1). 245-237. [In Persian]. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=155171
ZareMoghadam, A. A. (2014). Identifying warning factors in the occurrence of sexual harassment of children with mental retardation. The First National Conference on Individual and Social Empowerment of People with Special Needs, South Khorasan - Ghaen, Islamic Azad University, Ghaenat Branch. [In Persian].  https://www.civilica.com/Paper-ISEPP01-ISEPP01_165.html