Search results for "perinatology"

Child maltreatment by nursing staff and caregivers in German institutions: A population-representative analysis.

2019

Abstract Background Child maltreatment by caregivers seem to make a significant contribution to general maltreatment rates. Interestingly, research assessing prevalence rates of maltreatment mainly focuses on individual components either in relation to different types of maltreatment or in relation to different types of institutions. Objective The current study assesses prevalence rates for child maltreatment by caregivers in hospitals, rehabilitation centers, facilities for the disabled, schools, Kindergartens, and after-school care or residential care. Participants and setting: In a cross-sectional survey, a representative sample of the German population above the age of 14 (N = 2,516) wa…

Perceived neighborhood social disorder and residents' attitudes toward reporting child physical abuse.

2004

OBJECTIVE: This study aimed to explore the relationship between perceived neighborhood social disorder and attitudes toward reporting child physical abuse. METHOD: Data from a national probabilistic sample (N=9,759) were used. Responses about the perception of neighborhood social disorder, perceived frequency of child physical abuse in Spanish families, and willingness to report a case of child physical abuse to the police were collected through face-to-face interviews in respondents' homes. RESULTS: Multivariate logistic regression analysis showed that perceived neighborhood social disorder was negatively related to residents' attitudes toward reporting child physical abuse. These results …

Sequential analyses in coercive mother-child interaction: the predictability hypothesis in abusive versus nonabusive dyads.

1999

Abstract Objective: A two-fold purpose guided the present study: 1) To test the sequential relationship between the child’s aversive behavior and both the predictability and the compliance episodes, as well as the sequential relationship between these two mothering episodes proposed by the new predictability hypothesis (Wahler, Williams, & Cerezo, 1990) ; 2) to explore whether or not these patterns are specific to these dysfunctional dyads by using a nonabusive comparison group. Method: Fifty mother-child dyads, 25 abusive and 25 nonabusive, participated in this study. Lag sequential analyses were carried out on 302 hours of direct observation, 178 hours in the abusive group, and 124 in the…

Beliefs in the necessity of corporal punishment of children and public perceptions of child physical abuse as a social problem.

2008

Psychological defense styles, childhood adversities and psychopathology in adulthood.

2003

OBJECTIVE: The present study explores the link between reported sexual and/or physical abuse and psychological defense styles, as well as the association of both with psychological distress in adulthood. In two patient samples that differ in psychological distress and somatization, we examine whether the adversities reported and immature defense styles are associated with psychopathological symptoms. METHOD: We examined 266 consecutive inpatients in the psychosomatic department and 109 consecutive inpatients who had been treated for low-back pain in the orthopedic department of a German university hospital. Psychological defense styles were assessed by a two-factor solution of the German mo…

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…

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…