29 research outputs found

    Minori stranieri vittime diabuso: quale ruolo per il pediatra?

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    Il percorso storico dell’abuso all’infanzia ha acquisito poi ulteriore complessità nell’ultimo decennio, anche a causa dei molti cambiamenti che hanno investito le società occidentali, caratterizzate dall’emergere di nuove strutture familiari, dal progresso tecnologico e dalla multietnicità. Si sono così moltiplicate le forme di violenza tra coetanei, sono emersi con forza i fenomeni della pedopornografia e della pedofilia on line, stanno acquisendo una sempre maggiore rilevanza gli abusi a danno di bambini stranieri e nomadi. Il capitolo si concentra su quest’ultimo tema, di fronte al quale il pediatra si sente spesso impreparato, ma le cui cifre evidenziano un trend crescente

    L’abuso all’infanzia e all’adolescenza:prospettiva storica e questioni aperte

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    Il capitolo affronta il tema dell'abuso sessuale a danno di minorenni nei suoi risvolti clinici, giuridici, psicoforensi

    La guerra vista attraverso uno schermotelevisivo: possibili conseguenze sui bambini e sugli adolescenti

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    Il capitolo affronta il complesso tema della relazione tra bambini e media, anche nei suoi risvolti legati alla salute mentale e all'educazion

    Child abuse and neglect, amental health perspective

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    Child maltreatment is one of the major public health issue and a worldwide concern. It is clearly evident that research on child maltreatment lived a scientific maturation during the last two decades. Nonetheless, as highlighted by the US National Institutes of Health, it still “lacks a level of sophistication necessary to address adequately the critical scientific and clinical issues . . . There have been only a handful of longitudinal studies on course and outcome of maltreatment in children” (The neglect of child neglect, Editorial Lancet, 2003). On one side, the time has come to address some fundamental questions relating to definitions, classifications, measurement, interpretation of abuse statistics, effective prevention and treatment interventions. On the other side, research in the field of psychological abuse and neglect has to be promoted. Psychological abuse and neglect seem to remain a low priority, with very few resources, initiatives and studies. As evidenced in a study by the International Journal of Child Abuse and Neglect (Behl et al, 2003), during the past 22 years, the percentage of articles examining child physical abuse declined, while the proportion of research published on sexual abuse rose. At the same time, the percentage of articles examining child neglect and emotional abuse remained consistently low. In this chapter we present advances in the field of child abuse and neglect, both in clinics and research. Central areas will be covered, including epidemiology of child abuse and neglect, definitions, impact of abuse, prevention and treatment. Similarly, controversial topics, unanswered questions and the need for further research will be highlighted

    Promoting resilience and psychological well-being in vulnerable life stages

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    The magnitude of children and adolescentmental disorders, taken with the limited investments andavailability of services, argue for preventive and earlytreatment interventions capable of promoting healthy developmentand psychological well-being, both bystrengthening protective factors and reducing risk factors

    Un approccio evolutivo emultifattoriale alla depressione in adolescenza

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    A lungo considerata entità diagnostica di scarsa rilevanza sociale e dalla vaga definizione sintomatologica, la depressione in adolescenza rappresenta senza dubbio oggi un’emergenza di sanità pubblica. Il presente articolo presenta gli avanzamenti teorici nell'ambito della valutazione e dell'intervent

    How to train professionals to effectively manage child abuse cases? The case-example of a university–based multidisciplinary training program in Italy

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    Despite the increasing number of child psychological, physical and sexual abuse cases, and the subsequent need for interagency interventions, professional knowledge about the dynamics, nature, strengths and dif- ficulties of the integrated response to child abuse is not universal. In addition to this, training programs for the delivery of a multidisciplinary approach to child abuse cases has always received little attention. The purpose of this chapter is to describe the postgraduate training course “Assessment and treatment approach when handling child abuse cases and paedophilia”, developed by the University of Modena and Reggio Emilia (Italy), as an example of a university based and multidisciplinary training to child abuse professionals. This program is aimed at assisting graduated communities’ professionals - such as child psychiatrists, psychologists, social workers, educators, law enforcement officers, judges and lawyers - to develop evidence based strategies to respond to child abuse. First the training program will be presented, describing contents and methods used to facilitate critical reflection and analysis of practice/policy: lec- tures, case studies, work-groups and team-building, web-based and experiential learning. Furthermore, the impact on trainee knowledge, attitudes, and behaviors will be described and discussed on the basis of the existing literature. Barriers to multidisciplinary work such as work style and communication differences among professions, attitudes and behaviors toward children, will be also critically discussed

    Parental flooding as mediator in the relationship between children emotional/behavioral difficulties and resilience in times of Covid-19.

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    With a 3-wave study, we explored whether parental stress during COVID-19 pandemic helps to shape the link between child emotional and behavioral difficulties and resilience. A survey targeting Italian families with children aged 5-10 years was conducted online. Time 1 (June 2020) was completed by parents of 158 children (48% boys, mean age = 7.4 years; SD = 1.8 years); 68 and 49 parents respectively completed Time 2 (December 2020) and Time 3 (June 2021). We hypothesized that parental ability to handle family conflicts would mediate the relationship between children’s difficulties and their resilience in the unfolding of the pandemic. Results of mediation analyses showed that Time 1 child difficulties were associated with Time 2 higher parental flooding (b = -.45, s.e. = .22, p = .04) and Time 2 high parental flooding was related to Time 3 decreased child resilience (b = .09, s.e. = .04, p = .03). The direct effect of early children’s difficulties on their later resilience was not significant (b = -.08, s.e. = .07, p = .23), as parental flooding fully mediated their relationship (b = -.09, s.e. = .05, 95% C.I. = -.1993, -.0052). Knowing that children’s difficulties interact with parental stress in determining resilience during stressful periods can guide tailored interventions
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