Background: This study examines child abuse in sports environments through Ecological Systems Theory, revealing the multifaceted nature of abuse and the impact of environmental factors at various levels.
Methods: With a study design using the phenomenology approach, a qualitative research method, data were collected through semi-structured, in-depth interviews with 11 Turkish participants, including 5 athletes, 4 coaches, and 2 academics with coaching experience in Sports Sciences. Thematic analysis was used to evaluate the data, categorizing findings into four levels: microsystem, mesosystem, exosystem, and macrosystem.
Results: Findings show that at the microsystem level, children are exposed to physical, emotional, and sexual abuse, as well as neglect, largely through interactions with coaches and teammates. Physical abuse includes non-contact forms, like dehydration and forced training, and contact abuse, such as violence from coaches and peers. Emotional abuse manifests through psychological pressures and verbal attacks, creating a toxic environment. At the mesosystem level, excessive parental trust in coaches reduces oversight, leaving children vulnerable. In the exosystem, inadequate supervision of coaches and a lack of response to abuse cases by sports clubs worsen the issue. At the macrosystem level, cultural norms and societal attitudes normalize abuse, especially affecting female athletes.
Conclusions: The study highlights the need for comprehensive interventions, including family awareness, stricter coach oversight, and robust policies within sports organizations to protect children. By emphasizing the interaction of individual, familial, and societal factors, this research underscores the importance of collective efforts to ensure safer sports environments.
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http://dx.doi.org/10.3390/children11121487 | DOI Listing |
JAMA Netw Open
January 2025
Department of Child and Adolescent Psychiatry-Psychotherapy, University Hospital Ulm, Ulm, Germany.
Importance: Associations between child maltreatment (CM) and health have been studied broadly, but most studies focus on multiplicity (number of experienced subtypes of CM). Studies assessing multiple CM characteristics are scarce, partly due to methodological challenges, and were mostly conducted in patient samples.
Objective: To determine the importance of CM characteristics in association with physical multimorbidity in adulthood for women and men in a German representative sample.
Forensic Sci Med Pathol
January 2025
Department of Advanced Biomedical Sciences, School of Medicine, University of Naples Federico II, Via S. Pansini, 5, Naples, 80131, Italy.
The dissection of the aorta is a serious and potentially fatal consequence of cocaine use. Nonetheless, the underlying mechanisms and characteristics of this phenomenon remain to be deeply studied. The autopsy case of a 46-year-old white male found irresponsive and unconscious in his house and had a history of abusing cocaine is presented.
View Article and Find Full Text PDFCurr Pain Headache Rep
January 2025
Division of Perioperative Informatics, Department of Anesthesiology, University of California, San Diego, La Jolla, CA, USA.
Purpose Of Review: Artificial intelligence (AI) offers a new frontier for aiding in the management of both acute and chronic pain, which may potentially transform opioid prescribing practices and addiction prevention strategies. In this review paper, not only do we discuss some of the current literature around predicting various opioid-related outcomes, but we also briefly point out the next steps to improve trustworthiness of these AI models prior to real-time use in clinical workflow.
Recent Findings: Machine learning-based predictive models for identifying risk for persistent postoperative opioid use have been reported for spine surgery, knee arthroplasty, hip arthroplasty, arthroscopic joint surgery, outpatient surgery, and mixed surgical populations.
Psychol Trauma
January 2025
Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences.
Objective: Youth may develop posttraumatic stress disorder (PTSD) following a hurricane. Triaging of mental health services is crucial to effectively deliver trauma-focused interventions following natural disasters. Given the increased likelihood of hurricanes due to the current climate crisis, this study sought to examine the dose-response effect between hurricane-related stressors and PTSD, identify a cumulative stressor cutoff score based on the number of hurricane-related stressors experienced, and identify important individual hurricane-related stressors in explaining PTSD symptoms among youth.
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