Abstract:
OBJECTIVE:Although reports of child maltreatment have increased yearly since national data were first collected in 1976, little information is available about changes in the characteristics of children reported. Therefore, to examine changes over time in recognition and reporting in a medical setting, we compared referrals to a hospital-based child abuse committee in the late 1960s and early 1990s. DESIGN:Retrospective, cross-sectional review of medical records and logs of the hospital's child abuse committee. SETTINGS:Ambulatory, emergency, and inpatient services at Yale-New Haven Hospital. PATIENTS:Medical records were reviewed for 101 of the 165 children referred to the child abuse committee in 1968-1969 (early group) and 107 of the 843 children referred in 1990-1991 (late group). Cases of sexual abuse were excluded. RESULTS:Referrals for nonsexual abuse cases increased from 80 children per year in the early group to 181.5 per year in the late group; the late group was characterized by a larger number of newborn referrals (1% vs. 52%, p < .001). When non-newborns were compared, the two groups were similar with respect to gender and race, but the late group had fewer patients with private insurance (31% vs. 12%, p < .05). The late group also had more female-headed households (32% vs. 67%, p < .05) and more parents with a history of substance abuse (4% vs. 49%, p < .001). Excluding newborns, who were all classified as "at-risk," the types of problems were classified as abuse (41% early vs. 29% late), neglect (41% vs. 35%), and "at-risk" (16% vs. 35%). Although the types of injuries were similar: superficial injuries (20% vs. 16%), burns (9% vs. 8%), and fractures (6% vs. 4%), fewer maltreated children suffered physical injuries in the late group (71% vs. 49%, p < .05). CONCLUSIONS:A substantial change has occurred in referrals to the hospital's child abuse committee for abuse or neglect. Most referrals have become socially high-risk newborns and children or children with minimal injuries. This shift is likely due to broader definitions of maltreatment and earlier recognition of troubled families.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Thomas DE,Leventhal JM,Friedlaender Edoi
10.1016/s0145-2134(00)00239-8keywords:
subject
Has Abstractpub_date
2001-02-01 00:00:00pages
203-13issue
2eissn
0145-2134issn
1873-7757pii
S0145-2134(00)00239-8journal_volume
25pub_type
杂志文章abstract:OBJECTIVE:The aim of this study was to examine the differential effects of multi-types of maltreatment in an adolescent sample. Different combinations of maltreatment (emotional, sexual, physical, neglect) were examined in relation to both negative affect and externalizing symptoms in male and female youth. METHOD:One...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2006.09.006
更新日期:2007-04-01 00:00:00
abstract::The issue of sexual abuse in the family backgrounds of offenders and mothers of victims is explored in a clinical sample of 154 cases of intrafamilial sexual abuse. More than a third of the offenders and about half of the mothers had experienced or been exposed to sexual abuse as children. Cases were divided into thos...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(89)90058-6
更新日期:1989-01-01 00:00:00
abstract::Using cross-sectional data from rural left-behind children aged 10-17 years in the Henan Province of China, the present study examined the roles of father-child cohesion, mother-child cohesion, and friend companionship in emotional adaptation (loneliness, depression, and life satisfaction) among children left behind b...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2015.07.005
更新日期:2015-10-01 00:00:00
abstract::Over the last decade, Comprehensive Family Assessment (CFA) has become a best practice in child welfare. Comprehensive Family Assessments go beyond risk assessment to develop a full picture of the child's and family's situation. When appropriately synthesized, assessment information can lead to a clear articulation of...
journal_title:Child abuse & neglect
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.chiabu.2014.12.001
更新日期:2015-06-01 00:00:00
abstract::Home Weekends are the main channel of contact between children in placement and their parents. This practice is of special interest because of both the hopes it raises and the risk it entails. The present research examines public welfare agency practice in this domain. Interviews were held with 45 social workers (from...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(05)80002-x
更新日期:1994-11-01 00:00:00
abstract:OBJECTIVE:This study examined specific aspects of child sexual abuse in relation to symptom severity among hospitalized patients diagnosed with bulimia nervosa. METHOD:Participants were 45 hospitalized bulimic women who reported a history of child sexual abuse. Structured interviews were conducted in order to obtain d...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(00)00195-2
更新日期:2000-11-01 00:00:00
abstract::Bleach is a common household product which can cause caustic injuries. Its effects on mucosal tissues and the eye have been well-described in the literature. However, there is little information published regarding the appearance and effect of bleach on a child's skin. We report three children who sustained chemical b...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2013.02.009
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:To learn about primary care physicians' experiences in identifying and reporting injuries caused by physical abuse. METHOD:Two qualitative analysts facilitated a focus group of six Chicago area, primary care physicians. Physicians representing diverse practice settings were selected to participate in the dis...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2004.03.013
更新日期:2004-09-01 00:00:00
abstract::Available evidence has shown that the type of abuse perpetrated on children depends considerably on the social and other factors inherently faced by these children. A total of 119 cases of physical abuse was detected by the Suspected Child Abuse and Neglect (SCAN) Team of General Hospital, Kuala Lumpur in 1991. Eighty...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(94)90025-6
更新日期:1994-05-01 00:00:00
abstract::Child protection workers (CPWs) are frequently exposed to client violence, both psychological and physical, in their line of work whether they operate in the community or in residential settings. Despite this known vulnerability, research on the subject has lagged. The current study sought to analyze CPWs' experiences...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2018.04.027
更新日期:2018-07-01 00:00:00
abstract::This brief synopsis of an organizational perspective on early development represents an integration of three major areas of the author's research: that of a detailed observational study of early mother-infant interaction over the first three years of life; that of a continuous neonatal state and caregiving interaction...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(87)90007-x
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:To establish the nature and extent of maltreatment experiences, coping strategies, and behavioral/emotional problems, and their relationships, in a sample of Palestinian adolescents. METHOD:A study of 97 male adolescents aged 15-19 years, and attending a vocational training center based in the Gaza Strip. Ad...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2002.12.002
更新日期:2004-01-01 00:00:00
abstract::The aim of the current study was to assess the validity of the sex-plus versus sex-only categorization method for distinguishing between different types of adolescent sex offenders (ASOs; Butler & Seto, 2002). It is hypothesized that this categorization method has utility when attempting to distinguish between general...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2014.03.003
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVE:This exploratory study examined the discriminant validity of 10 human-figure features commonly used by many proponents of the draw-a-person (DAP) projective technique as evidence of childhood sexual abuse. Two exploratory features were also examined. METHOD:Rather than drawing human figures, 64 children (M =...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2004.10.013
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:Despite the number of studies showing the link between maternal adverse childhood experiences (ACEs) and offspring's neural development and mental health, little is known about the impacts of maternal ACEs on offspring's academic performance in the adolescent period. OBJECTIVE:To examine the associations be...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2020.104478
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:Identifying factors associated with school functioning of abused children is important in prevention of long-term negative outcomes associated with school failure. The purpose of this study was to examine the degree to which parent emotional expressiveness and children's self-regulation predicted early school...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2011.11.008
更新日期:2012-04-01 00:00:00
abstract::A survey was completed involving three of the key professional groups engaged in the investigation and treatment of child sexual abuse. Police, child welfare and community mental health in a large, rural geographic area in Canada completed attitudinal items relating to professional response to child sexual abuse. An e...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(92)90045-s
更新日期:1992-01-01 00:00:00
abstract::Evaluation of developmentally disabled persons for physical signs of sexual abuse presents many challenges to the practitioner. This group is especially vulnerable to all types of abuse. A group of 35 mentally retarded females from a residential treatment facility was examined by the child abuse medical team at Harbor...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(90)90098-e
更新日期:1990-01-01 00:00:00
abstract::This paper reports the findings in a study of the incidence of periosteal elevation in children and its possible relationship to child abuse. Two separate sets of radiographs of the skeleton of children were taken for a variety of diagnostic purposes. The suspected abuse set consisted of 59 radiographs taken for suspe...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(82)90041-2
更新日期:1982-01-01 00:00:00
abstract::Recent revelations about the scope and severity of past child sexual abuse in German institutions set off a broad public debate on this issue, and led to the establishment of a politically appointed Round Table committee and an Independent Commissioner whose mandates were to reappraise the issue and develop recommenda...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2013.05.007
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to examine the relationship between a history of physical and/or sexual abuse and current suicidality in college-age women. It was hypothesized that abuse history would significantly predict level of suicidality. A secondary hypothesis was that abuse status would predict attitude...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(00)00187-3
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to further the validation process of the Adolescent Dissociative Experiences Scale (A-DES). In this study, a 6-item Likert response format with descriptors was used when responding to the A-DES rather than the 11-item response format used in the original A-DES. METHOD:The intern...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2004.01.006
更新日期:2004-07-01 00:00:00
abstract::Skeletal surveys (SSs) have been identified as a key component of the evaluation for suspected abuse in young children, but variability in SS utilization has been reported. Thus, we aimed to describe the utilization patterns, yield, and risks of obtaining SS in young children through a systematic literature review. We...
journal_title:Child abuse & neglect
pub_type: 杂志文章,meta分析
doi:10.1016/j.chiabu.2017.11.004
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:Cultural and familial ties are crucial for the overall well-being of children. Extant research and permanency planning practices support the reunification of children with their families when possible. In 1978, the Indian Child Welfare Act (ICWA) was enacted to promote cultural and familial preservation for I...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2004.06.012
更新日期:2004-12-01 00:00:00
abstract::Reports to CPS agencies of child maltreatment cases come from a variety of community sources. Which kinds of cases are underreported, overreported, or not reported at all, and why? We address these questions by examining the discrepancies between cases known to CPS agencies and those known to professionals who regular...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(93)90056-b
更新日期:1993-05-01 00:00:00
abstract::The present study sought to determine whether the persistence of problematic sexualized behaviors (PSBs) committed by boys in the Massachusetts child welfare system would lend support to previous taxonomies categorizing offenders as early-onset/life course-persistent, adolescence-onset/adolescence-limited, or childhoo...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.03.024
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVE:The main aim of this study was to investigate the effect of war-related trauma on the subsequent social adjustment and functioning of young Cambodian refugees. METHOD:This longitudinal study of 67 young Cambodian refugees in Montreal interviewed in the first year of high school and then 2 years later examine...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(99)00100-3
更新日期:1999-12-01 00:00:00
abstract::This study examined change trajectories of aggressive behaviors among children in long-term residential care in Israel and identified various child-, family-, and placement-related predictors of the change trajectories. Records of 799 children (average age at the beginning of the four years=10.4, 33.1% female) in thei...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.01.020
更新日期:2017-03-01 00:00:00
abstract::The objective of this study was to identify individual, family and caregiver risk factors for serious child maltreatment, resulting in hospitalization or death, among children and families investigated by Child Protective Services (CPS). We conducted a matched case-control study of 234 children who sustained fatal or ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2016.11.003
更新日期:2017-01-01 00:00:00
abstract::Clinical reports suggest that mothers and fathers in incestuous families exhibit characteristic personality traits. Typically the father/perpetrator is described as powerful and domineering, the mother weak and submissive. The present study examined individual personality characteristics of 65 nonoffending mothers and...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(95)00019-5
更新日期:1995-05-01 00:00:00