Ü b e r s i c h tZusammenfassung Über die unmittelbaren Folgen sexueller Missbrauchserfahrungen in der Kindheit hinaus werden in der Forschung seit Jahrzehnten auch langfristige effekte thematisiert. Der beitrag gibt -gestützt v. a. auf reviews und Metaanalysen - einen Überblick zur befundlage. Längerfristige Folgen sexuellen Missbrauchs werden im hinblick auf eine Vielzahl somatischer, emotionaler, kognitiver, behavioraler und sozialer Merkmale analysiert. Weitere Forschungsfragen betreffen die interindividuelle Variabilität langfristiger effekte und die Determinanten der Art, schwere, Dauerhaftigkeit und des Verlaufs von Folgen sexuellen Kindesmissbrauchs. typische Forschungsprobleme, die sich im hinblick auf eine Zuordnung in Opferpopulationen nachweisbarer symptome zu einer längere Zeit zurückliegenden erfahrung ergeben, werden angesprochen.Schlüsselwörter sexueller Kindesmissbrauch · Langzeitfolgen · Psychosoziale Folgen · Gesundheitliche Folgen · retrospektive studien
Long-term consequences of sexual abuse of minorsAbstract beyond its immediate effects, experiences of sexual abuse in childhood have long been analyzed with regard to possible long-term consequences. based mainly on reviews and meta-analyses, this paper provides an overview on the state of research. Long-term effects of child sexual abuse have been researched with regard to numerous somatic, emotional, cognitive, behavioural and social characteristics. research also touches upon questions of interindividual variability of long-term effects and factors influencing type, severity, stability and development of sexual abuse in childhood effects. the paper addresses typical research problems related to establishing connections between symptoms found in victim populations and victim experiences made years or decades ago.
Although some anecdotal evidence for the phenomenon of abuse and neglect of community-dwelling older care recipients by in-home care services exists, there is an almost complete lack of data on this topic. In order to determine extent and risk factors of abuse and neglect of older care recipients by nurses, we conducted a self-report study among in-home care workers in the German city of Hanover. A total of 503 nurses took part in the study; the response rate was 43.3%. Nearly 40% of all respondents reported having abused or neglected at least one patient within the last 12 months. Psychological abuse/verbal aggression and neglect were most common. Serious problem behavior could be predicted by patients' aggressive behavior, the number of clients suffering from dementia, subjects' use of alcohol as a means of alleviating work-related stress, and nurses' general judgments of quality of care delivered by the respective in-home service. The results of this study show that the problem of abuse and neglect of care recipients is not limited to nursing homes and care by family members. Findings point at opportunities for prevention and accentuate the need for further research in this field.
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