Search results for "Child health."
showing 10 items of 1822 documents
Maternal inconsistent socialization: An interactional pattern with maltreated children
1995
Most child abuse episodes take place in the context of child-rearing conflicts. Parents show a lack of competence in appropriately solving these conflicts, producing an escalating phenomenon which eventually ends in verbal and/or physical aggression towards the child. The main purpose of this study is to test the role of inconsistent socialization in the development of prolonged dyadic coercive exchanges. Observational information from 15 mother-child dyads referred for psychological treatment for abuse and 15 non-clinical dyads was obtained at home. Results show the mother's indiscriminate attention following prosocial child behaviour was significantly higher in abusive dyads, while disrup…
Visible but unreported: a case for the "not serious enough" cases of child maltreatment.
1995
This study examined the psychosocial characteristics of cases of child maltreatment labelled as "not serious enough." The sample consisted of cases of suspected physical abuse (N = 48), neglect (N = 13), and psychological maltreatment (N = 8) identified by teachers, and a nonabused comparison group (N = 283). Characteristics of children and their parents were evaluated at three ecological levels: individual, family, and social. Results indicated a poor personal and social adjustment of the children in the maltreatment groups, and suggest that the definition of cases of maltreatment as not serious enough does not represent the psychological reality of these children. Discriminant analysis in…
Modifying the family process in two cases of physical child abuse and secondary functional encopresis
1998
In this article, a treatment working model is proposed and applied to two cases of multiproblem families with severe physical child abuse. Stimulus events that directly affect the likelihood of a physically abusive episode and setting factors that play an important indirect role because they increase the number of confrontations and decrease parental competence are considered. The child abuse cases involved major parenting deficits, maternal psychopathology, a major psychosomatic problem (childhood encopresis), and symptoms of childhood conduct disorder, which occurred in a setting of family distress, low income, and sibling distress. This study demonstrates how a two-phase comprehensive p…
The Economic Burden of Child Maltreatment in High Income Countries.
2015
Maltreatment is a common cause of children’s functional and emotional impairment. Costs for the society are high, as a substantial amount of resources have been allocated for various types of services connected to maltreatment of children. These include acute treatment, long-termcare, family rehabilitation programs, and judiciary activities.There is a long-lasting debate on how child abuse could be prevented or reduced. How can the costs of related services be contained? What is the role of pediatricians in such efforts? This article raises these important questions within the framework of the debate opened by the article by Gerber-Grote et al regarding the role of health economics in impro…
Childhood adversities and distress - The role of resilience in a representative sample.
2016
While adverse childhood experiences have been shown to contribute to adverse health outcomes in adulthood, specifically distress and somatic symptoms, few studies have examined their joint effects with resilient coping style on adult adjustment. Hence, we aim to determine the association between resilient coping and distress in participants with and without reported childhood adversities. A representative German community sample (N = 2508) between 14-92 years (1334 women; 1174 men) was examined by the short form of the Childhood Trauma Questionnaire, the Brief Resilience Coping Scale, standardized scales of distress and somatoform symptoms. Childhood adversity was associated with reduced ad…
Minimization of childhood maltreatment is common and consequential: results from a large, multinational sample using the childhood trauma questionnai…
2016
Childhood maltreatment has diverse, lifelong impact on morbidity and mortality. The Childhood Trauma Questionnaire (CTQ) is one of the most commonly used scales to assess and quantify these experiences and their impact. Curiously, despite very widespread use of the CTQ, scores on its Minimization-Denial (MD) subscale-originally designed to assess a positive response bias-are rarely reported. Hence, little is known about this measure. If response biases are either common or consequential, current practices of ignoring the MD scale deserve revision. Therewith, we designed a study to investigate 3 aspects of minimization, as defined by the CTQ's MD scale: 1) its prevalence; 2) its latent struc…
Disentangling the dynamics of social assistance: A linked survey—Register data cohort study of long-term social assistance recipients in Norway
2020
Social assistance is a means-tested benefit that is supposed to be a short-term, temporary economic support. Understanding why some individuals are in repeated or continuous need of social assistance is thus of obvious policy relevance, but the dynamics of social assistance receipt remain poorly understood. In 2005, a survey among long-term recipients of social assistance in Norway collected data on (a) childhood disadvantages, (b) health status, (c) health behaviors, (d) psychological resources, and (e) social ties, in addition to basic sociodemographic information. This rich survey data has been linked with tax register data from 2005–2013, enabling us to explore the detailed characterist…
Battered child syndrome: cerebral ultrasound and CT findings after vigorous shaking.
1992
Child abuse by whiplash-shaking can lead to severe cerebral damage, neurological defects and mental retardation. Cerebral damage has been found with and without external evidence of head injury. We report the sonographic findings in two children after traumatization due to repetitive vigorous whiplash shaking. Cerebral sonography revealed cerebral edema at admission or within 48 hours thereafter. Follow-up studies demonstrated development of marked brain atrophy in both cases. The sonographic findings were confirmed by cranial computerized tomography. Doppler sonography was used to monitor cerebral perfusion by measuring intracranial blood flow. The clinical history of the patients demonstr…
Mothers' abusive childhood predicts child abuse
1999
To examine the intergenerational transmission of abuse, the study compared 25 mothers whose child had been under the supervision of the child protection services (CPS) with 25 mothers who had had no contact with the CPS. The groups were compared with respect to their own self-reported childhood abuse, their abuse of their own child and punitiveness. The data were gathered using interviews and files. There were no significant differences between the groups in self-reported childhood physical abuse, but the CPS mothers had experienced more childhood psychological abuse, especially rejection, accusations, terrorizing and corrupting. The groups did not differ in the self-reported physical or ps…
Lichen sclerosus Mistaken for Sexual Abuse – Prevention of Victimization
2014
This case report describes the forensic examination of 7 girls aged between 4-11 years with suspected sexual abuse. The children had been reported by local pediatricians, hospital physicians or authorities such as the youth welfare office and police due to mucosal changes in the anogenital area. All children presented with a clearly delimited, porcelain-like white discoloration of the skin in the anal and genital area with atrophic conversion to parchment-like skin. The markedly vulnerable skin exhibited very different manifestations of hemorrhagic dermal and mucosal defects in the area of the labia, the clitoris, the perineum and the perianal region. The hymen was intact in all cases. The …