Exploring ethical practice in NGOS on mental health research in Malawi.

In recent years, an increasing trend in mental health research has been to collaborate with non-governmental organizations [NGOs] and their constituents. However, ethical difficulties can arise as a result of such partnerships. Understanding the ethics-related practices of NGOs engaged in mental health research is therefore critical. This study addressed these questions in a Malawian context. The goal of this study was to investigate NGO's ethical practices in relation to mental health research by identifying characteristics that influence ethical practices and investigating staff conceptualization of ethics and mental health. Twenty individuals who work for different local NGOs took part in one-on-one interviews or a workshop about their engagement in diverse research initiatives. They pinpointed the areas that needed improvement, as well as the challenges and chances to create partnerships and increase research capability. The diversity in conceptualizing mental health was a key influence on research practices, with heterogeneity in definitions reflected in the use of cultural, spiritual, behavioural, or medical terms. Notably, there was also a greater emphasis on procedural ethics than ethics-in-practice. Collaboration dynamics and limited staffing capacity were cited as major ethical practice considerations. Each of these elements have an impact on NGOs' ethical behaviour when conducting mental health research. Participants in the study saw engagement with notions of both ethics and mental health as lacking or rudimentary in their institutions and felt that they needed to be improved through capacity building and stronger research involvement.

Victimization and risk factors in children and adolescents admitted into outpatient protection center in northern Chile

The present study aimed to identify the proportion of victimization, types of victimization, and risk factors associated to children and adolescents who were admitted into an outpatient protection center for children and adolescents in northern Chile during the years 2016 and 2017. Secondary data from the database pertaining to the protection center was used. The sample was non-probabilistic and included 6,499 cases. The research was descriptive-comparative with a non-experimental retrospective cross-sectional design. The results showed a higher percentage of victimization by neglect, followed by witnessing domestic violence and child sexual abuse. The sociodemographic variables showed a higher percentage of victimization at the age of 6 to 9 and 14 to 17 years old, in children and adolescents who were in the first and second cycle of elementary school and were Chilean. It was found that children victimized by child sexual abuse and bullying also had a drug diagnosis record. Logistic regression analyses showed that gender, age, schooling, nationality, and a drug diagnosis record increase the probability of occurrence of certain types of victimization. The results showed the magnitude of the problem concerning victimizations experienced by children and adolescents in northern Chile and the need to generate prevention strategies for this population.

El presente estudio tuvo como objetivo identificar la proporción de victimización, tipos de victimización y factores de riesgo asociados a los niños, niñas y adolescentes que ingresaron a un Centro de Protección a la infancia en el norte de Chile durante los años 2016 y 2017. Se utilizaron datos secundarios de la base de datos del sistema de protección a la infancia. La muestra fue no probabilística e incluyó 6.499 casos. La investigación fue descriptiva-comparativa con un diseño no experimental retrospectivo de corte transversal. Los resultados mostraron un mayor porcentaje de victimización por negligencia, seguido por presenciar violencia doméstica y abuso sexual infantil. Las variables sociodemográficas mostraron un mayor porcentaje de victimización en la edad de 6 a 9 y de 14 a 17 años, en niños y adolescentes que cursaban el primer y segundo ciclo de primaria y eran chilenos. Se encontró que los niños víctimas de abuso sexual infantil y bullying también tenían un registro de diagnóstico de drogas. Los análisis de regresión logística mostraron que el género, la edad, la escolaridad, la nacionalidad y un registro de diagnóstico de drogas aumentan la probabilidad de ocurrencia de ciertos tipos de victimización. Los resultados evidencian la magnitud del problema de las victimizaciones que sufren los niños, niñas y adolescentes del norte de Chile y la necesidad de generar estrategias de prevención para esta población.

Mental Health Gap Action Programme intervention Guide (mhGAP-IG) for Child and Adolescent Mental Health in Low- and Middle-Income Countries (LMIC): A Systematic Review.

BACKGROUND: The Mental Health Gap Action Programme (mhGAP) supports engagement of non-specialists in mental health services in Low- and Middle-Income countries. Given this aim, assessment of the effectiveness of approaches under its remit is warranted. AIMS: We evaluated mhGAP approaches relating to child and adolescent mental health, focusing on provider / child outcomes, and barriers / facilitators of implementation. METHODS: Thirteen databases were searched for reviews and primary research on mhGAP roll out for child and adolescent mental health. RESULTS: Twelve studies were reviewed. Provider-level outcomes were restricted to knowledge gains, with limited evidence of other effects. Child-level outcomes included improved access to care, enhanced functioning and socio-emotional well-being. Organisational factors, clients and providers? attitudes and expectations, and transcultural considerations were barriers. CONCLUSIONS: Further attention to the practical and methodological aspects of implementation of evaluation may improve the quality of evidence of the effectiveness of approaches under its remit.

Consecuencias psicológicas del abuso sexual infantil cometido por representantes de la Iglesia Católica: Una revisión sistemática de la literatura / Psychological consequences of child sexual abuse by Catholic Church representatives: A systematic review of literature

El objetivo de esta revisión sistemática de la literatura sobre abuso sexual eclesiástico fue identificar el impacto psicológico de este tipo de violencia en las víctimas. Las búsquedas iniciales se realizaron entre el 10 de octubre de 2020 y el 17 de diciembre de 2020. Así, la actualización de búsquedas se realizó entre el 26 de octubre de 2020 y el 23 de enero de 2021. Los artículos incluidos se obtuvieron desde las bases de datos PsycINFO, Web of Science (WoS) y Scopus. Se establecieron criterios de inclusión, y se realizó una selección inicial por medio de los títulos y resúmenes, los cuales, fueron examinados por dos revisores de forma independientes. Los documentos seleccionados se examinaron utilizando el mismo proceso de revisores. Se incluyeron 18 estudios de 2.189 títulos y resúmenes revisados. En general, los estudios evidenciaron un impacto psicológico negativo posterior al abuso sexual infantil ocurrido en contextos eclesiásticos. Destacando el daño espiritual como una característica específica del abuso sexual eclesiástico, lo que, sumado, a las consecuencias habituales del abuso sexual, sitúa a las víctimas en una posición compleja al presentar un espectro más amplio de efectos negativos posteriores al abuso. Los hallazgos del presente estudio permiten una mejor comprensión de este problema y entregan antecedentes para el desarrollo de estrategias de recuperación adecuadas a las necesidades de estas víctimas.

The objective of this systematic review of the literature on ecclesiastical sexual abuse was to identify the psychological impacts of this type of violence on victims. The initial literature searches were conducted between October 10, 2020 and December 17, 2020. Thus, the update of searches was conducted between October 26, 2020 and January 23, 2021. The articles included were obtained from the PsycINFO, Web of Science (WoS) and Scopus databases. Inclusion criteria were established, and an initial selection was made by means of titles and abstracts, which were examined by two reviewers independently. The selected papers were examined using the same reviewer process. Eighteen studies were included out of 2,189 titles and abstracts reviewed. Overall, the studies evidenced a negative psychological impact following child sexual abuse occurring in church settings. Highlighting spiritual harm as a specific feature of ecclesiastical sexual abuse, which, in addition to the usual consequences of sexual abuse, places victims in a complex position of presenting a broader spectrum of negative effects following abuse. The findings of the present study allow a better understanding of this problem and provide background for the development of recovery strategies appropriate to the needs of these victims.

Victimization by Caregivers: Prevalence and Risk Factors in Chilean Children and Adolescents.

This study examined the prevalence and risk factors associated to victimization by caregivers in a national large sample of Chilean children and adolescents. 19,687 children and adolescents aged 12-17, selected by random probability sampling of 699 public schools in Chile who were surveyed by trained interviewers. Victimization by Caregivers was evaluated through a module of the Juvenile Victimization Questionnaire (JVQ). The prevalence (12 months) for physical abuse were (12.9%), for emotional abuse (27.9%), neglect (5.3%) and parental interference (3.5%). The results suggest as risk factors, sex, age, migration status, disability, geographical location, and type of school. The findings highlight the urgent need to address the issue of child maltreatment and victimization by caregivers in Chilean society and minimize its impact.

A Systematic Review of the Education and Awareness Interventions to Prevent Online Child Sexual Abuse.

Online child sexual abuse is highly prevalent in current society, in part, due to how technologically advanced children and adults have become. While much of the focus has been on perpetrator intervention, it is prudent to consider responses safeguarding children from potential perpetrators. Therefore, this review aimed to identify all the available empirical research on the prevention methods linked to education and awareness to determine the approaches' effectiveness, successes, and failures to aid future interventions. Databases were systematically searched for studies published between 2000 to 2020. Nine studies providing different prevention methods for online child sexual abuse were selected. A total sample of n = 672 and a descriptive approach was used for this study. While the interventions seemed to improve knowledge retainment of online safety, there was no significant change for risky online behavior. These findings provide specific suggestions for future interventions, particularly those focusing on risky online behaviors.

Online Sexual Abuse and Symptomatology in Chilean Adolescents: The Role of Peer Support.

Several authors are studying sexual abuse via the Internet and its consequences. However, the available studies have not sufficiently detected factors that could help reduce the symptoms that victims may experience. Given the importance of peers during adolescence, especially in the online world, the objective of this study was to evaluate the relationship between online sexual abuse, perceived peer support, and internalizing and externalizing symptomatology. Three hundred and eighty Chilean adolescents (M = 16.12 years, SD = .52, 49.7% girls, 50.3% boys) responded to a set of self-report instruments. The results showed a relationship between online sexual abuse and depressive symptomatology, as well as self-injurious and antisocial behaviors. In turn, peer support was inversely associated with internalizing symptomatology. Results of the study highlight the relevance of peers as factors in intervention programs for adolescents dealing with online sexual abuse.

Prevalence and Risk Factors of Peer Victimization in a National Sample of Chilean Children and Youth.

This research aimed to determine the prevalence and risk factors of peer victimization (PV) in a national sample of Chilean children and youth. We worked with secondary data of Encuesta Nacional de Polivictimización (2017). The sample was probabilistic and included 19,684 participants between 12 and 18 years (M = 14.7, SD = 1.59) from all Chilean regions. The participants answered an adapted version of the Juvenile Victimization Questionnaire to assess different violence forms. However, for the present study, only five items related to PV were considered. The results showed that a lifetime and the last 12 months' prevalence of PVwerevery high. More than half of the adolescents (60.3%) reported at least one type of victimization by peers throughout a lifetime. Gender differences were found; females have the highest rates of PV than males. These results have discussed the magnitude of this issue and promote the generation of prevention strategies.

Evaluación del efecto de intervenciones grupales basadas en TF-CBT e IPT en el funcionamiento psicosocial de adolescentes expuestos a violencia interpersonal en Chile: un protocolo de ensayo clínico piloto / TF-CBT and IPT based group intervention on psychosocial functioning in adolescents exposed to interpersonal violence in Chile: a pilot clinical trial protocol

Este artículo describe el protocolo para evaluar intervenciones con adolescentes expuestos a violencia interpersonal y sigue los lineamientos de CONSORT (Shulz et al., 2010). El objetivo es evaluar la efectividad de dos modelos de intervención grupal (Terapia Cognitivo Conductual Centrada en el Trauma, TF-CBT y Terapia Interpersonal, IPT) en la estabilización del funcionamiento psicosocial de adolescentes. Método. Este es un ensayo controlado aleatorizado con tres grupos: dos grupos de intervención (TF-CBT e IPT) y un grupo de control activo (arteterapia). Los participantes serán 84 adolescentes entre 13 a 17 años que están en lista de programas especializados. Los participantes serán asignados a uno de los tres grupos y participarán en 12 sesiones de terapia grupal. Se evaluará el progreso de los participantes en sintomatología de estrés postraumático y depresión, problemas de autorregulación e interpersonales. Las medidas se administrarán antes del inicio de la intervención, en sesiones seis, siete, doce y dos meses después de finalizada la intervención. También se evaluará la adherencia a la intervención y su aceptabilidad por parte de los participantes. Discusión. Este estudio busca contribuir al desarrollo de intervenciones basadas en evidencia en Chile para mejorar el acceso a la intervención especializada. Registro del protocolo: 19/05/2021, código ISRCTN10290141.

This paper describes the protocol developed in Chile to evaluate interventions for adolescents exposed to interpersonal violence and follows CONSORT guidelines (Shulz et al., 2010). The objective is to evaluate the effectiveness of two group intervention models (Trauma Focused Cognitive Behavioral Therapy and Interpersonal Therapy) in stabilising the psychosocial functioning of adolescent participants. Methods/Design. It is a randomised controlled trial with three groups: two intervention groups (TF-CBT and IPT) and an active control group (art therapy). The participants will be eighty-four adolescents between 13 to 17 years old on the waiting list for treatment in specialist trauma services. Participants will be assigned to one of three groups and participate in 12 group therapy sessions. Participants' progress in post-traumatic stress and depression symptomatology, self-regulation and interpersonal problems will be assessed. Measures will be administered before the start of the intervention, in sessions six, seven, twelve and two months after the end of the intervention. Adherence to the intervention and its acceptability by the participants will also be evaluated. Discussion. This study seeks to contribute to developing scalable, evidence-based interventions in the Chilean context to improve access to specialist intervention. Trial Registration. 19/05/2021, code ISRCTN10290141.

Un modelo para favorecer la ética y las buenas prácticas en investigación global e intercultural: aplicaciones en méxico y chile / A model to promote ethics and good practices in global and intercultural research: applications in méxico and chile / Um modelo para favorecer a ética e as boas práticas em pesquisa global e intercultural: aplicativos no méxico e no chile

Resumen La investigación intercultural plantea desafíos éticos complejos. Por ello, en el año 2019 se desarrolló un modelo de análisis de conflictos éticos en colaboración con más de 200 investigadores de más de 30 países. Este modelo parece pertinente para América Latina. El modelo propone que los desafíos éticos (y sus soluciones) dependen de cuatro factores presentes durante todo el proceso de investigación: el lugar donde se realiza la investigación, las personas involucradas, los principios éticos relevantes y los precedentes de investigaciones pasadas. En este artículo hacemos un análisis de la aplicabilidad de dicho modelo mediante dos análisis de casos referidos a la investigación con pueblos originarios en Chile y al trabajo con latinos migrantes en la frontera México-Estados Unidos.

Abstract Intercultural research poses critical ethical challenges. In 2019, in collaboration with more than 200 researchers from more than 30 countries, a group of researchers developed an ethical conflict analysis model that seems relevant for Latin America. The model proposes a flexible frame of reference where ethical challenges (and their solutions) depend on four factors present throughout the research process: the place where the research is carried out, the people involved, the relevant ethical principles, and the precedents from previous research. This article discusses the applicability of this model through two case analyses: one study with Indigenous peoples in Chile and the other with Latin-American migrants on the border between Mexico and US.

Resumo A pesquisa intercultural apresenta desafios éticos complexos. Por isso, em 2019, foi desenvolvido um modelo de análise de conflitos éticos em colaboração com mais de 200 pesquisas de mais de 30 países. Esse modelo parece pertinente para a América Latina, pois propõe que os desafios éticos (e suas soluções) dependem de quatro fatores presentes durante todo o processo de pesquisa: o lugar onde a pesquisa é realizada, as pessoas envolvidas, os princípios éticos relevantes e os precedentes de pesquisa passadas. Neste artigo, fazemos uma análise da aplicabilidade desse modelo mediante duas análises de casos referidos à pesquisa com povos originários no Chile e ao trabalho com latinos migrantes na fronteira México-Estados Unidos.

Online sexual harassment and depression in Chilean adolescents: Variations based on gender and age of the offenders.

BACKGROUND: Online sexual harassment in adolescence is associated with depressive symptoms. There is, however, a dearth of research investigating variability of symptom profiles in this population in relation to offender gender and age. OBJECTIVE: To identify the proportion of adolescents reporting online harassment by different types of offenders and compare their levels of depression. PARTICIPANTS AND SETTING: Participants were 18,872 Chilean students aged 12 to 17 years (3.063 of them online sexually harassed). METHODS: The study involved a secondary analysis of self-report data on online sexual harassment, poly-victimization, and depression collected as part of the National Poly-victimization Survey. RESULTS: In 37.6% of the cases the offender was male under 18, in 22.4% an adult male, in 14.5% a female under 18, and in 2.9% an adult female. In 22.5% of cases the offender could not be identified. An ANCOVA demonstrated levels of poly-victimization across the lifespan and frequency of online sexual harassment in the last year to predict depressive symptomatology. In females, higher levels of depressive symptoms were observed among those sexually harassed by either a female under 18, an offender whose age and gender the victim could not identify, or an adult male. In males, higher levels of depression were observed among those harassed by either an adult male, an offender whose age and gender the victim could not identify, or a male under 18. CONCLUSIONS: The current study highlights the importance of offender's age and gender in predicting depression levels in adolescent victims of online sexual harassment.

What do the potential recipients of disclosure of OSA say? Perspectives from adolescent residents in Scotland and Chile.

BACKGROUND: With the increase in internet use, new forms of child victimization like Online Sexual Abuse (OSA) have emerged. Children and adolescents rarely disclose these incidents and most disclosure happens around peers. OBJECTIVE: This research addresses the perspective of adolescents (not victims of OSA), potential recipients of the disclosure, within the context of disclosure of OSA committed by either adult or peer perpetrators. METHODS: The study was performed in two stages. We interviewed adolescents in Scotland and then conducted focus groups with adolescents from Chile. PARTICIPANTS AND SETTING: 51 adolescents (6 from Scotland and 45 from Chile) aged 15-20 years participated. RESULTS: Despite differences in age and cultural contexts, there were similarities in responses. Obstacles of disclosure included lack of clarity of OSA, prior levels of personal vulnerability, and gender factors (stereotypes and stigmatization). On the other hand, the disclosure process would be easier for adolescents with more personal resources (e.g. self-confidence) and when they have a supportive social environment, which includes parents, but especially peers. CONCLUSION: Disclosure of OSA is considered similar to the disclosure of offline sexual abuse. However, differences such as a lack of clarity regarding the boundaries of the relationships on the Internet, and presence of a generational gap between adolescents and their parents or tutors in the use of internet makes early disclosure of OSA highly challenging. Plans to facilitate disclosure should consider different components: behavioral (risky behaviors), emotional (feelings of fear and shame) and cognitive (lack of information, self-blame, stigma). This should be focused on adolescents, potential recipients of disclosure (parents, authorities and peers) and society, where the prejudices and practices that prevent disclosure begin.

Associations between Family Support and Online Sexual Abuse in Chilean Adolescents: The Mediational Role of Online Risk Behaviors.

This study evaluated the association between perceived family support, online risk behaviors, and online sexual abuse. This is a cross-sectional, quantitative study. The participants were 380 Chilean students aged 15 to 17 (M =16.12, SD = 0.59, 49.7% female, 50.3% male) who answered self-report instruments. Females experienced more online sexual abuse; however, males engaged in more online risk behaviors. The results of the regression analysis suggested that online risk behaviors was a predictor for online sexual abuse in both males and females. However, high perceived family support was only a protective factor against online risk behaviors and online sexual abuse for females. In addition, online risk behaviors was found to partially mediate the relationship between perceived family support and online sexual abuse for females only. The results of this study highlight the importance of online risk behaviors in the process of online sexual abuse. Also, the results highlighted the importance of family support as a protective factor against online sexual abuse and online risk behaviors mainly in females. For that reason, we think it is necessary to consider the gender variables in the prevention and intervention programs to face the risk of the internet during the adolescence.

Poly-Victimization and Coping Profiles: Relationship With Externalizing Symptoms in Adolescents.

Externalizing symptoms correspond to a set of behavioral problems related to aggressiveness and the violation of norms. These disorders are common during adolescence, especially in poly-victimized populations. However, not much is known about the mechanism underlying the relationship between poly-victimization and symptoms or about the factors that could play a protective role in this relationship. It is necessary to understand the factors that influence the development of these disorders to prevent them. The aim of this study was to evaluate the relationships among coping strategies, poly-victimization, and externalizing symptoms. The participants were 144 adolescent outpatients (M = 14.31, SD = 1.48) attending child and adolescent mental health services. The participants responded to three scales that examined their coping strategies, poly-victimization levels, and externalizing symptoms. The results showed that both poly-victimization and nonproductive coping were directly associated with externalizing symptomatology. In contrast, coping in reference to others and productive coping had inverse relationships with externalizing symptoms. Finally, the results of a cluster analysis revealed three groups of adolescents with different coping strategy profiles. The group with the least externalizing symptomatology was the "active-balanced" group (high use of coping in reference to others and productive coping combined with moderate use of nonproductive coping). The group with the greatest symptomatology was the "lonely" group (high use of productive and nonproductive coping but low use of coping in reference to others). The results suggest that poly-victimization and style of coping has an impact on the development of externalizing problems. These results may be useful for designing programs to prevent or treat externalizing disorders in adolescents.

Escala para evaluar indicadores de reparación en niños, niñas y adolescentes que han vivido maltrato grave (I-REPARACIÓN): estructura factorial en Chile / Scale to evaluate the recovery process in children and adolescents exposed to serious abuse (I-REPARACION): factorial structure in Chile

En este estudio se ofrece un análisis psicométrico de un instrumento que evalúa la reparación de las consecuencias del maltrato infantil en una muestra de adolescentes chilenos/as. La reparación es un concepto controvertido y complejo que requiere de instrumentos que logren capturar sus distintas dimensiones. En total participaron 491 adolescentes (M = 14,32; DT = 1,70; 74,7% de sexo femenino y 25,3% de sexo masculino) que fueron evaluados/as con el I-REPARACIÓN. Los resultados del análisis factorial exploratorio y confirmatorio apoyan la validez del instrumento ya que este reconoce tres dimensiones de la reparación coherentes con la teoría y evidencia previa: fortalecimiento de la identidad, integración de la experiencia y ausencia de sintomatología. A su vez los análisis de consistencia interna (alfa de Cronbach) apoyan la fiabilidad del instrumento dado que sus ítems miden el constructo de forma consistente. Se considera que, aunque se trata de resultados preliminares, los resultados ofrecen garantías psicométricas para el uso I-REPARACIÓN en el monitoreo del avance de las intervenciones en adolescentes expuestos/as a maltrato infantil.

This study offers a psychometric analysis of an instrument that assesses the recovery process of the consequences of child abuse in a sample of Chilean adolescents. Recovery is a controversial and complex concept that requires instruments that can capture its different dimensions. In total, 491 adolescents (M = 14,32; SD = 1,70; 74,7% girls, 25,3% boys) participated and were evaluated with the I-REPARACIÓN. The exploratory and confirmatory factor analysis results support the instrument's validity since it recognizes three dimensions of recovery consistent with theory and previous evidence: identity strengthening, integration of the traumatic experience, and absence of symptoms. In turn, internal consistency (Cronbach's alpha) analyses support the instrument reliability since its items measure the construct consistently. Although preliminary research, it is considered that the results offer psychometric guarantees for the use of I-REPARACIÓN in monitoring the progress of interventions in adolescents exposed to child abuse.

Invarianza factorial de una escala breve para evaluar abuso sexual online en adolescentes de España y chile / Factorial invariance of a brief scale to evaluate online sexual abuse in adolescents in Spain and Chile

El auge de Internet ha traído nuevas formas de victimización infantojuvenil, entre las que destaca el abuso sexual online. El estudio de esta forma de victimización es cada vez más frecuente a nivel mundial, pero existe escasez de instrumentos breves, en lengua española, que además ofrezcan buenas propiedades psicométricas. El objetivo del estudio fue examinar la estructura e invarianza factorial intercultural de una escala breve de abuso sexual online. Participaron 1.502 adolescentes de España y Chile de entre 15 y 17 años. Los resultados de los análisis factoriales exploratorios con una proporción de la muestra española (n = 698) sugieren que la escala de 12 ítems posee un único factor y adecuada consistencia interna. Los análisis factoriales confirmatorios con una segunda proporción de la muestra española (n = 402) y con la muestra chilena (n = 402) corroboran la estructura unifactorial en ambos países. Los análisis apoyan la invarianza factorial configuracional, pero se desecha la existencia de invarianza factorial estricta. Se discuten las implicaciones de los resultados al utilizar la escala y hacer comparaciones entre ambos países

The extended use of the Internet has produced new forms of victimization for children and youth, among which online sexual abuse stands out. The study of this form of victimization is frequent worldwide, but there is a lack of brief instruments in Spanish language which also offer good psychometric properties. The objective of the present study was to examine the factorial structure and intercultural factorial invariance of a brief scale of online sexual abuse. The participants were 1,502 adolescents from Spain and Chile between 15 and 17 years. The results of exploratory factor analyses with a proportion of the Spanish sample (n = 698) suggest that the 12-item scale has a single factor structure and adequate internal consistency. Confirmatory factor analyses with a second proportion of the Spanish sample (n = 402) and with the Chilean sample (n = 402) corroborate the unifactorial structure in both countries. The results support the configurational factorial invariance, but not the strict factorial invariance. We discuss the implications of the results when using the scale in both countries and making comparisons between them

Estructura factorial del Cuestionario de Experiencias Relacionadas con Internet en universitarios chilenos / Factorial structure of the Questionnaire of Experiences Related with Internet on Chilean university students

Resumen El uso de Internet está masificado en casi todo el mundo. Existe evidencia de que su uso excesivo tiene consecuencias negativas, por lo que es necesario contar con instrumentos que evalúen su uso. El Cuestionario de Experiencias Relacionadas con Internet (CERI) es un instrumento de dos factores que evalúan conflictos (intrapersonales e interpersonales) asociados a su uso excesivo. Estudios realizados en distintas partes del mundo han utilizado este instrumento sin analizar sus propiedades psicométricas con la suficiente profundidad y han privilegiado el uso del puntaje total en lugar del puntaje de los dos factores. Por esta razón, en este artículo se evalúan las propiedades psicométricas del instrumento en población chilena. Se realizaron dos estudios en los que participaron un total de 626 estudiantes universitarios (180 en el estudio 1 y 446 en el estudio 2) que respondieron el CERI y un cuestionario de abuso del teléfono móvil. En el estudio 1 se realizó un análisis factorial exploratorio que sugirió seleccionar la estructura unifactorial en lugar de la estructura bifactorial original, aunque ambas presentaban adecuada validez convergente (relaciones directas con el abuso del teléfono móvil). En el estudio 2 se realizó un análisis factorial confirmatorio y ambas estructuras factoriales presentaron buen ajuste, pero la consistencia interna del factor único fue mayor que la de los dos factores originales. Es necesario continuar evaluando la estructura factorial del CERI en orden a determinar cuál es la mejor alternativa factorial, mientras tanto la estructura unifactorial parece entregar mayores garantías psicométricas.

Abstract A large proportion of the world's population has access to the Internet. On the one hand this has brought undeniable benefits to society by facilitating access to information. But on the other hand, the excessive use of the Internet has also brought with it a series of new problems ranging from physical injuries (for example: tendinitis), psychological pathologies (for example: Internet addiction) to new forms of crime (for example: online sexual abuse). For this reason, it is necessary to have reliable and valid instruments that evaluate the use and abuse of the Internet. The Internet Related Experiences Questionnaire (CERI) has two factors that evaluate conflicts (intrapersonal factor, with 6 items and interpersonal factor, with 4 items) associated with excessive use of the Internet. Studies in different parts of the world (Spain, Chile and other Latin American countries) have used this instrument without analyzing its psychometric properties with sufficient depth. These studies have mostly used the total CERI score (10 items) instead of the two-factor structure, but they have not justified this choice. For this reason, this paper intends to analyze the factorial structure of the instrument, its convergent validity and its internal consistency in the Chilean population. We conducted two researches in which participated a total of 626 university students (180 in the study 1, and 446 in the study 2). The participants responded to the CERI and a questionnaire of abuse of the mobile phone (CERM). In the study 1, the results of exploratory factor analyzes suggest to use a unifactorial structure which included the 10 items, instead of the original bifactorial structure. In particular, in the bifactorial structure item 1 was not included in any factor (factorial loads less than .2), two items (items 5 and 10) presented similar factor loads in both factors and other two items (items 8 and 9) were included in the factor that it did not correspond. The single factor was greater internal consistency than that of the original intrapersonal and interpersonal factors (Cronbach´s alpha of .78, .68 and .56, respectively). Although both alternatives have adequate convergent validity (direct relations with mobile phone abuse). In study 2, a confirmatory factorial analysis was carried out in order to compare the unifactorial structure obtained in study 1 with the bifactorial structure of the original study. The results show that both factorial structures presented good fit, but again the internal consistency of the single factor was greater than that of the original intrapersonal factor and interpersonal factor (Cronbach´s alpha of .74, .61 and .51 respectively). The low reliability of interpersonal and intrapersonal factors may be due to the few number of items grouped in them (4 and 6 respectively). It is necessary to continue evaluating the factorial structure of the CERI in order to determine which is the best factorial alternative or if it is necessary to increase the number of items of interpersonal and intrapersonal factors. Although the results are not conclusive, for the moment, it seems advisable to use the one factor structure as it seems to give further psychometric guarantees.

Searching for Social Support Moderates the Relationship Between Polyvictimization and Externalizing Symptoms: A Brief Report.

Externalizing disorders emerge most readily during adolescence, especially in traumatized population. In this context, it is necessary to determine the factors influencing these disorders. The aim of this study was to evaluate the role of polyvictimization in developing externalizing symptoms while considering the possible effects of active coping related to the search for social support. The participants were 78 adolescents ( M = 14.18, SD = 1.63) cared for in child and adolescent protection public services in Chile. The results of multiple regression analysis indicated that polyvictimization was a good predictor of externalizing symptoms, but searching for social support acted as a moderator in that relationship. The results show that searching for social support acts as a protective factor and decreases the adverse influence of polyvictimization over externalizing symptoms. Prevention and intervention programs should consider improvements in the coping strategies of poly-victims with externalizing problems.

Depression, anxiety and PTSD in sexually abused adolescents: Association with self-efficacy, coping and family support.

Sexual abuse has the potential to generate serious emotional consequences for its victims, but there is high variability in the symptoms reported by different victims. Therefore, it is necessary to ascertain the factors associated with the symptoms presented by sexual abuse victims. The aim of the study was to use a single model to evaluate the relationship between sexual abuse characteristics (frequency, violence, relation with the aggressor and physical commitment), cognitive and behavioral factors (self-efficacy, active coping and perceived family support) and internalizing symptoms (anxiety, depression and posttraumatic stress) in a group of sexually abused adolescents. The participants included 106 female adolescent victims of sexual abuse (M=14.25years, SD=1.74). The results of a path analysis indicated that sexual abuse characteristics were unrelated to symptomatology. Only a negative relationship was observed between the victim's relationship with the aggressor and PTSD symptomatology. The violence of the sexual abuse was negatively related to self-efficacy, and self-efficacy was positively related to active coping and negatively related to symptomatology. Finally, the perception of family support was positively related to self-efficacy and negatively related to symptomatology. These results suggest the need to consider the studied factors in the process of psychotherapy with victims of sexual abuse.

Investigación sobre psicoterapia en abuso sexual infantil: ¿Una tarea pendiente en Chile? / Psychotherapy research with sexually abused children: A pending issue in Chile?

El abuso sexual infantil es un fenómeno de alta prevalencia que genera consecuencias negativas en el desarrollo de los niños expuestos a sus diversas formas. El objetivo de este trabajo es analizar la producción nacional de estudios referidos a la psicoterapia con víctimas de abuso sexual infantil. La muestra la componen ocho revistas y seis instituciones chilenas que trabajan con víctimas. De los solo 19 trabajos en el área, la mayoría se corresponden a la sistematización de experiencias de intervención. Igualmente, se aprecia una escasez de estudios empíricos. Con lo cual se manifiesta el desafío a las instituciones e investigadores de desarrollar estudios con el rigor metodológico necesario para generar conocimiento en el contexto nacional que nutra la labor de los psicoterapeutas que trabajan con víctimas.

Child sexual abuse is an outweighing phenomenon that generates negative consequences on children´s development. The aim of this research is to analyse the national research on psychotherapy with victims of child sexual abuse. Eight journals and six Chilean institutions form the research sample. From the only 19 studies in the area, the majority focus on the systematisation of experiences of intervention. Furthermore, there are few empiric studies. This highlights the challenge for institutions and researchers to conduct research with the required methodological rigour to enhance knowledge in the national context to provide assistance to psychotherapists working with these victims.