Asian journal of psychiatry · 2025
Prevalence of exposure to Adverse Childhood Experiences in the past and current Socio Emotional Behavioral Difficulties among institutionalised children.
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Rifai Ismail Zabiulla, Thulasingam Mahalakshmy, Kattimani Shivanand, Premarajan K C
Аннотация
BACKGROUND: Adverse Childhood Experiences (ACEs) such as abuse, neglect, and family disruptions are common among orphaned children and impact their socio-emotional development. Understanding these experiences is essential to tailor effective interventions.
OBJECTIVE: To estimate the prevalence of significant ACEs and socio-emotional behavioural difficulties (SEBD) among children (5-18 years) in Child Care Institutions (CCIs) in Puducherry, India, and assess the association between them.
METHODS: A cross-sectional analytical study was conducted across nine CCIs in Puducherry between April 2022 and October 2023, involving 195 children. Multistage sampling was used. ACEs before admission to CCIs were assessed through caretaker interviews and child records. Current SEBD was measured using validated tools from the caretakers' perspective. Proportions with 95 % CI were calculated. Spearman correlation and log-binomial regression were used to assess associations.
RESULTS: Among 195 children, 66.6 % were girls. Severe ACE exposure (≥4 ACEs) was found in 42.1 % (95 % CI: 35.2-49.1), with emotional neglect (60 %) being most common. Girls experienced more physical neglect (43.8 %) than boys (10.7 %). SEBD was present in 47.2 % (95 % CI: 40.2-54.2), mainly in the conduct domain (52.3 %). Higher scores on ACEs scale significantly correlated with conduct problems (rho = 0.2, p < 0.01). Children with SEBD had 1.82 times higher risk of having experienced ≥ 4 ACEs (p < 0.04).
CONCLUSION: The study identified the nature and burden of adversities and behavioural issues. Strengthening staff capacity for early identification and linking children to appropriate support services is essential.
OBJECTIVE: To estimate the prevalence of significant ACEs and socio-emotional behavioural difficulties (SEBD) among children (5-18 years) in Child Care Institutions (CCIs) in Puducherry, India, and assess the association between them.
METHODS: A cross-sectional analytical study was conducted across nine CCIs in Puducherry between April 2022 and October 2023, involving 195 children. Multistage sampling was used. ACEs before admission to CCIs were assessed through caretaker interviews and child records. Current SEBD was measured using validated tools from the caretakers' perspective. Proportions with 95 % CI were calculated. Spearman correlation and log-binomial regression were used to assess associations.
RESULTS: Among 195 children, 66.6 % were girls. Severe ACE exposure (≥4 ACEs) was found in 42.1 % (95 % CI: 35.2-49.1), with emotional neglect (60 %) being most common. Girls experienced more physical neglect (43.8 %) than boys (10.7 %). SEBD was present in 47.2 % (95 % CI: 40.2-54.2), mainly in the conduct domain (52.3 %). Higher scores on ACEs scale significantly correlated with conduct problems (rho = 0.2, p < 0.01). Children with SEBD had 1.82 times higher risk of having experienced ≥ 4 ACEs (p < 0.04).
CONCLUSION: The study identified the nature and burden of adversities and behavioural issues. Strengthening staff capacity for early identification and linking children to appropriate support services is essential.