Title:
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Assessing abused children in Saudi Arabia for behavioural and emotional disorders
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Child abuse is a worldwide phenomenon, known to have a psychological and social
impact on communities and individuals. This thesis reports a study conducted to
assess abused children in Saudi Arabia for behavioural and emotional disorders, as
there is a lack of psychological research into this problem in this context.
A mixed method approach was used for the research. In the quantitative section of
the study, children and their care givers were asked to complete the Spence
Children's Anxiety Scale, Child Behavior Checklist and the Family Environment
Scale. For the qualitative component, the abused children and their parents or
guardians were interviewed to discover the problems they experienced associated
with the abuse. A thematic analysis was then undertaken based on the notes taken
during the interviews. The study sample participants were interviewed in Riyadh,
and comprised two groups; 67 abused children and 19 caregivers (parents or
guardians), and the second 57 non-abused children and 39 parents. The results from
the quantitative data obtained from the abused children and their care givers were
compared with the results of the quantitative data obtained from non-abused children
and their caregivers. Both sets of data were compared with published norms for the
tests.
Examining the quantitative data, behavioural and emotional disorders were found to
be common among the abused children. However, the differences between abused
and non-abused children were not statistically significant on Spence Children's
Anxiety Scale, except for younger girls. The differences in total scores for the Child
Behavior Checklist between abused and non-abused children were statistically
significant for all children, except younger boys. The majority of the families of the
abused children were conflict-oriented families. Because the measures used were
developed with Western populations, it possible that some of the effects found
reflect cultural differences in child rearing practices and expectations of parents
about child behaviour. However, there was also evidence of the devastating effects
of child abuse and this was confirmed by the findings in the qualitative section of the
study.
In the interviews, the children showed emotional and behavioural problems
including fear, tension, anxiety, and depression. In addition, they reported
experiencing some behavioural and physical problems, such as shaking, rapid
heartbeat and sweating. The most common themes that emerged in relation to the
children were fear, thoughts of death, being forced to do things, lack of trust, low
self-esteem, alcohol and drugs, and psychological problems. Further analyses, which
categorised abused children according to whether they had suffered physical abuse
or not, or according to whether they had suffered sexual abuse or not, failed to show
any clear effect of type of abuse on ensuing psychological problems. Rather, this
group of abused Saudi children seemed to have a common set of problems.
The results of both quantitative and qualitative methods in this study clearly
illustrated that abused children are subject to high levels of behavioural and
emotional disorders. The results of the study justify further research on this
population, and should be used to improve psychological services for abused
children in Saudi Arabia.
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