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Effectiveness of psychosocial interventions in abused children and their families
Firoozeh Derakhshanpour1, Ahmad Hajebi2, Leili Panaghi3
1Psychiatric Department, Golestan University of Medical Sciences, Gorgan, Iran.
Insights
Psychosocial interventions significantly improved child-parent interaction and parental mental health in child abuse cases. These interventions reduced conduct problems and hyperactivity in children, demonstrating their effectiveness in a healthcare setting.
Area of Science:
- Child Psychology
- Public Health
- Mental Health Interventions
Background:
- Child abuse is a global public health and social issue.
- It involves caregiver failure to provide adequate care and protection.
- This study evaluated psychosocial interventions for abused children and families.
Purpose of the Study:
- To assess the effectiveness of psychosocial interventions for child abuse.
- To evaluate impacts on child behavior and parental mental health.
- To inform future development of psychosocial support systems.
Main Methods:
- Quasi-experimental study in a pediatric hospital's psychosocial support unit (2012-2013).
- Participants: Child abuse cases and their parents.
- Interventions: Parenting skills training, psychiatric treatment, supportive services.
- Assessments: Child Abuse Questionnaire, GHQ, SDQ at baseline and 3/6-month follow-ups.
- Statistical analysis: ANOVA with repeated measures, Friedman test.
Main Results:
- Significant improvements in mothers' general health (p<0.001).
- Reduced children's conduct problems (p<0.05) and hyperactivity (p<0.001).
- Decreased physical and emotional abuse (p<0.001).
Conclusions:
- Psychosocial interventions positively impacted child-parent interaction.
- Interventions enhanced parental mental health and reduced child behavioral issues.
- Findings support the integration and development of psychosocial interventions within healthcare systems.
Abstract:
Background: Child abuse is a significant public health and social problem worldwide. It can be described as a failure to provide care and protection for children by the parents or other caregivers. This study aimed at evaluating the effectiveness of psychosocial interventions in abused children and their families. Methods: This quasi-experimental study was conducted in the psychosocial support unit of a pediatric hospital in Bandar Abbas, Iran, from 2012 to 2013. The participants consisted of child abuse cases and their parents who referred to the psychosocial support unit to receive services. Services delivered in this unit included parenting skills training, psychiatric treatments, and supportive services. The effectiveness of the interventions was assessed with Child Abuse Questionnaire, General Health Questionnaire (GHQ), and Strengths and Difficulties Questionnaires (SDQ). Participants were assessed at baseline, at 3, and 6 months follow-ups. ANOVA with repeated measures and Friedman test were used to evaluate the effect of the interventions. Results: A total of 68 children and their parents enrolled in this study, of whom 53% were males. Post-intervention follow-ups revealed significant changes in mothers' general health questionnaire (p<0.001), and children's conduct problem (p<0.05), hyperactivity (p<0.001), and peer problems (p<0.05). Physical and emotional abuses significantly decreased (p<0.001). Conclusion: Our findings revealed that psychosocial interventions effectively improved child-parents interaction and mental health of parents. The effectiveness of interventions based on subgroup analysis and implications of the results have been discussed for further development of psychosocial interventions in the health system.
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