Programas de prevención del abuso sexual en personas con discapacidad intelectual y del desarrollo

  1. Martínez-Fortún López, Mª Icíar 1
  2. Gesteira Santos, Clara 1
  3. Morán Rodríguez, Noelia 1
  4. García-Vera, María Paz 1
  5. Sanz Fernández, Jesús 1
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

Revista:
Revista Española de Discapacidad (REDIS)

ISSN: 2340-5104

Año de publicación: 2021

Título del ejemplar: REVISTA ESPAÑOLA DE DISCAPACIDAD | Junio - Noviembre 2021

Volumen: 9

Número: 1

Páginas: 75-100

Tipo: Artículo

DOI: 10.5569/2340-5104.09.01.04 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Revista Española de Discapacidad (REDIS)

Resumen

Las personas con discapacidad intelectual y del desarrollo, particularmente las mujeres, son especialmente vulnerables a las situaciones de abuso sexual. El objetivo principal de esta revisión es examinar los estudios empíricos sobre la efectividad de programas de prevención del abuso sexual en esta población. Una búsqueda sistemática en PsycINFO, Web of Science y Psicodoc, identificó diez estudios publicados sobre el tema. Los resultados obtenidos muestran que la mayoría de los programas de prevención están basados en la adquisición de habilidades conductuales y que hay otros centrados en la educación sexual. Aunque existen datos que demuestran la efectividad, sobre todo, de los programas de habilidades, la mayoría de los estudios no ofrecen resultados robustos con los que juzgar la efectividad de estas intervenciones. Las conclusiones de la revisión se centran en la necesidad de aumentar la investigación sobre la población con discapacidad intelectual y del desarrollo, especialmente en mujeres y en el ámbito del abuso sexual.

Referencias bibliográficas

  • Alemany, A. et al. (2012). Guía de intervención policial con personas con discapacidad intelectual. Fundación Carmen Pardo-Valcarce.
  • American Psychiatric Association-APA (2014). Guía de consulta de criterios diagnósticos del DSM-5: Spanish edition of the desk Reference to the diagnostic criteria from DSM-5. American Psychiatric Pub.
  • Barger, E. et al. (2009). Sexual assault prevention for women with intellectual disabilities: a critical review of the evidence. Intellectual and Developmental Disabilities, 47(4), pp. 249-262. https://doi.org/10.1352/1934-9556-47.4.249.
  • Bowman, R. A. et al. (2010). Sexual abuse prevention: a training program for developmental disabilities service providers. Journal of Child Sexual Abuse, 19, pp.119-127. https://doi.org/10.1080/10538711003614718.
  • Brackenridge, I. y Morrissey, C. (2010). Trauma and post-traumatic stress disorder (PTSD) in high secure forensic learning disability population: future direction for practice. Advances in Mental Health Intellectual Disabilities, 4, pp. 49-56. https://doi.org/10.5042/amhid.2010.0544.
  • Brown, H. y Turk, V. (1992). Defining sexual abuse as it affects adults with learning disabilities. Mental Handicap, 20, pp. 33-55. https://doi.org/10.1111/j.1468-3156.1992.tb00658.x.
  • Bruder, C. y Kroese, B. S. (2005). The efficacy of interventions designed to prevent and protect people with intellectual disabilities from sexual abuse: a review of the literature. The Journal of Adult Protection, 7, pp. 13-27. https://doi.org/10.1108/14668203200500009.
  • del Campo, A. y Fávero, M. (2020). Effectiveness of Programs for the Prevention of Child Sexual Abuse”. European Psychologist, 25(1), pp. 1-15. https://doi.org/10.1027/1016-9040/a000379.
  • Cavalcante, A. M. (2018). Discriminación interseccional: concepto y consecuencias en la incidencia de violencia sexual contra mujeres con discapacidad. Journal of Feminist, Gender and Women Studies, 7, pp. 15-25. http://dx.doi.org/10.15366/jfgws2018.7.002.
  • Chodan, W. et al. (2017). A randomized controlled trial on the effectiveness of a sexual abuse prevention programme for girls with intellectual disabilities: study protocol. Translational Developmental Psychiatric, 5(1), pp. 1407192. https://doi.org/10.1080/20017022.2017.1407192.
  • Chrastina, J. y Vecerova, H. (2018). Supporting Sexuality in Adults with Intellectual Disability- A short Review. Sexuality and Disability, 38, pp. 285-298. https://doi.org/10.1007/s11195-018-9546-8.
  • Comité Español de Representantes de Personas con Discapacidad, CERMI (2013). La transversalidad de género en las políticas públicas sobre discapacidad. Volumen II. Cinca.
  • Couwenhoven, T. (2013). La educación sexual es la prevención del abuso sexual. Revista Síndrome de Down, 30, pp. 9-14.
  • Doughty, H. A. y Kane, M. L. (2010). Teaching abuse-protection skills to people with intellectual disabilities: A review of the literature. Research in Developmental Disabilities, 31, pp. 331-337. https://doi.org/10.1016/j.ridd.2009.12.007.
  • Drew, N. et al. (2011). Human rights violations of people with mental and psychosocial disabilities: an unresolved global crisis. The Lancet, 378, pp. 1664-1675. https://doi.org/10.1016/S0140-6736(11)61458-X.
  • Dryden, E. M. et al. (2014). Effectiveness of the IMPACT: Ability program to improve safety and self-advocacy skills in high school students with disabilities. Journal of School Health, 84(12), pp. 793-801. https://doi.org/10.1111/josh.12211.
  • Dryden, E. M. et al. (2016). Effectiveness of IMPACT: ability to improve safety and self-advocacy skills in students with disabilities – follow-up study. Journal of School Health, 87, pp. 83-89. https://doi.org/10.1111/josh.12474.
  • Egemo-Helm, K. et al. (2007). An evaluation of in situ training to teach sexual abuse prevention skills to women with mental retardation. Behavioral Interventions, 22, pp. 99-119. https://doi.org/10.1002/bin.234.
  • España. Ley Orgánica 10/1995, de 23 de noviembre, del Código Penal. Boletín Oficial del Estado, 24 de noviembre de 1995, núm. 281, pp. 33987-34058.
  • Euser, S. et al. (2015). The prevalence of child sexual abuse in out-of-home care: increased risk for children with a mild intellectual disability. Journal of Applied Research in Intellectual Disabilities, 29, pp. 83–92. https://doi.org/10.1111/jar.12160.
  • Finkelhor, D. et al. (1990). Sexual abuse in a national survey of adult men and women: Prevalence, characteristics and risk factor. Child Abuse and Neglect, 14, pp. 19-28. https://doi.org/10.1016/0145-2134(90)90077-7.
  • Fisher, M. H. et al. (2015). Victimization and Social Vulnerability of Adults with Intellectual Disability: a review of research extending beyond Wilson and Brewer. Australian Psychologist, 51, pp. 114-127. https://doi.org/10.1111/ap.12180.
  • Giménez-García, C. et al. (2017). Abuso sexual y discapacidad intelectual: cómo identifican y valoran la experiencia las personas con discapacidad intelectual y los profesionales que les atiendes. International Journal of Developmental and Educational Psychology, 4, pp. 129-136. https://doi.org/10.17060/ijodaep.2017.n1.v4.1035.
  • Gomiz, M. P. (2016). La sexualidad y la maternidad como factores adicionales de discriminación (y violencia) en las mujeres con discapacidad. Revista Española de Discapacidad, 4(2), pp. 123-142. https://doi.org/10.5569/2340-5104.04.02.07.
  • Graff, H. J. et al. (2018). Relationships and Sexuality: How is a Young Adult with Intellectual Disability Supossed to Navigate?. Sex Disabil, 36, pp. 175-183. https://doi.org/10.1007/s11195-017-9499-3.
  • Griveo, A. et al. (2006). An evaluation of research and training resources for the sex education of people with moderate to severe learning disabilities. British Journal of Learning Disabilities, 35, pp. 30-37. https://doi.org/10.1111/j.1468-3156.2006.00401.x.
  • Gutiérrez de Piñeres, C. et al. (2009). Revisión teórica del concepto de victimización secundaria. Liberabit, 15(1), pp. 49-58.
  • Haseltine, B. y Miltenberger, R. G. (1990). Teaching self-protection skills to persons with mental retardation. American Journal on Mental Retardation, 95, pp. 188–197.
  • Hickson, L. et al. (2015). Randomized controlled trial to evaluate an abuse prevention curriculum for women and men with intellectual and developmental disabilities. American Journal on Intellectual and Developmental Disabilities, 6, pp. 490-503. https://doi.org/10.1352/1944-7558-120.6.490.
  • Khemka, I. y Hickson, L. (2008). ESCAPE-DD: An effective strategy-based curriculum for abuse prevention and empowerment for adults with developmental disabilities. Center for Opportunities and Outcomes for People with Disabilities, Teachers College, Columbia University.
  • Kim, Y. (2016). Evaluation of a sexual abuse prevention program for children with intelectual disabilities. Behavioral Interventions, 31, pp. 195-209. https://doi.org/10.1002/bin.1439.
  • Liberati, A. et al. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med 6(7), pp. e1000100. https://doi.org/10.1371/journal.pmed.1000100.
  • Lin, L. P. et al. (2009). Sexual assault of people with disabilities: results of a 2002–2007 national report in Taiwan. Research in Developmental Disabilities, 30, pp. 969–975. https://doi.org/10.1016/j.ridd.2009.02.001.
  • Lumley, V. A. et al. (1998). Evaluation of a sexual abuse prevention program for adults with mental retardation. Journal of Applied Behavior Analysis, 31, pp. 91-101. https://doi.org/10.1901/jaba.1998.31-91.
  • Lund, E. M. y Hammond, M. (2014). Single-session intervention for abuse awareness among people with developmental disabilities. Sex Disabil, 32, pp. 99-105. https://doi.org/10.1007/s11195-013-9335-3.
  • Martin S. L. et al. (2006). Physical and sexual assault of women with disabilities. Violence Against Women, 12, pp. 823–837. https://doi.org/10.1177/1077801206292672.
  • Martinello, E. (2014). Reviewing Strategies for Risk Reduction of Sexual Abuse of Children with Intellectual Disabilities: A Focus on Early Intervention. Sex Disabil, 32, pp. 167-174. https://doi.org/10.1007/s11195-014-9345-9.
  • McCarthy, M. (1993). Sexual experiences of women with learning disabilities in long stay hospitals. Sexuality and Disability, 11, pp. 277-286. https://doi-org.bucm.idm.oclc.org/10.1007/BF01102172.
  • Mevissen, L. y de Jongh, A. (2010). PTSD and its treatment in people with intellectual disabilities. A review of the literature. Clinical Psychology Review, 30, pp. 308-316. https://doi.org/10.1016/j.cpr.2009.12.005.
  • Mikton, C. et al. (2014). A systematic review of the effectiveness of intervention to prevent and respond to violence against personas with disabilities. Journal of Interpersonal Violence, pp. 1-20. https://doi.org/10.1177/0886260514534530.
  • Miltenberger, R. G. et al. (1999). Training and generalization of sexual abuse prevention skills for women with mental retardation. Journal of Applied Behavior Analysis, 32, pp. 385-388. https://doi.org/10.1901/jaba.1999.32-385.
  • Moher, D. et al. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine, 6(7), pp. e1000097. https://doi.org/10.1371/journal.pmed.1000097.
  • Morell-Mengual, V. et al. (2016). Sexualidad y abuso sexual en hombres y mujeres con discapacidad intelectual. En J. L. Castejón Costa (Coord.), Psicología y Educación: Presente y Futuro. ACIPE-Asociación Científica de Piscología y Educación.
  • Nosek, A. M. et al. (2001). Vulnerabilities for Abuse Among Women with Disabilities. Sexuality and Disability, 19, pp. 177-189. https://doi.org/10.1023/A:1013152530758.
  • Recio, M. et al. (2013). Abuso y Discapacidad Intelectual: orientaciones para la prevención y la actuación. Fundación Carmen Pardo-Valcarce.
  • Reiter, S. et al. (2007). Adolescents with intellectual disabilities as victims of abuse. Journal of Intellectual Disabilities, 11, pp. 371–387. https://doi.org/10.1177/1744629507084602.
  • Scotti, J. R. et al. (1996). College student attitudes concerning the sexuality of persons with mental retardation: Development of the Perceptions of Sexuality Scale. Sexuality and Disability, 14, pp. 249–263. https://doi.org/10.1007/BF02590098.
  • Sobsey, D. y Varnhagen, C. (1988). Sexual abuse and exploitation of people with disabilities. Health and Welfare Canada. Spencer, N. et al. (2005). Disabling conditions and registration for child abuse and neglect: a population-based study. Paediatrics, 116, pp. 609–613. https://doi.org/10.1542/peds.2004-1882.
  • Stromness, D. D. (1994). Sexually abused women with mental retardation: Hidden victims, absent resources. Women and Therapy, 14, pp. 139–152. https://doi.org/10.1300/J015v14n03_14.
  • Subdirección General de Planificación, Ordenación y Evaluación (13 de noviembre de 2020). Base estatal de datos de personas con valoración del grado de discapacidad. Informe a 31/12/2018. Imserso. https://www.imserso.es/imserso_01/documentacion/estadisticas/bd_estatal_pcd/index.htm.
  • Verdugo, M. A. et al. (2002). El abuso sexual en personas con discapacidad intelectual. Psicothema, 14, pp. 124-129.
  • Viñuela, L. (2009). Mujeres con discapacidad: un reto para la teoría feminista. Feminismo/s, 13, pp. 33-48. https://doi.org/10.14198/fem.2009.13.0.
  • Wigham, S. et al. (2011). The effects of traumatizing life events on people with intellectual disabilities: a systematic review. Journal of Mental Health Research in Intellectual Disabilities, 4, pp. 19-39. https://doi.org/10.1080/19315864.2010.534576.
  • Withers, P. y Morris, J. (2012). Sexual exploitation of people with intellectual disabilities. En E. Emerson et al. (Eds.), Clinical psychology and people with intellectual disabilities (pp. 273–292). John Wiley and Sons.