Abstract：
:To examine both mental and physical health profiles of children diagnosed as maltreated in the community, we studied diagnoses in the electronic health records (EHRs) of youth assigned maltreatment-related diagnoses (N = 406) and well-matched youth without a maltreatment-related diagnosis (N = 406) during a four-year period in a large healthcare system that covers eight hospitals and over 40 clinics. Data extracted automatically from the EHRs was supplemented by manual chart review. The odds of the maltreated group being assigned a code for mental illness was 2.69 times higher than the odds for the comparison group, with large differences in mood and anxiety disorders and suicidality. The odds of having an injury or poisoning diagnosis were 3.45 times higher in maltreated than in comparison youth. Maltreated youth were also less likely to have been immunized. Nevertheless, contrary to our hypothesis, maltreated youth had significantly lower rates of diagnoses across almost all major physical disease categories assessed and did not differ from comparison youth in terms of body mass index (BMI). Furthermore, maltreated youth were assigned fewer diagnoses than comparison youth whether they came in for at least one preventive visit or not. Findings suggest a need for health care professionals to be prepared to address the high rates of mental disorders in maltreated youth, to be more vigilant about possible physical disorders in this population, and to take greater advantage of opportunities to immunize these youth.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Karatekin C,Almy B,Mason SM,Borowsky I,Barnes Adoi
10.1016/j.chiabu.2018.07.019subject
Has Abstractpub_date
2018-10-01 00:00:00pages
23-33eissn
0145-2134issn
1873-7757pii
S0145-2134(18)30287-4journal_volume
84pub_type
杂志文章,多中心研究abstract：OBJECTIVE:The study's objective was to examine the relationship of polygraph findings to other indices of likelihood of sexual abuse and to case decisions by prosecutors, child protection workers, and professional evaluators. METHOD:This is an exploratory study of 42 cases with sexual abuse allegations and polygraph r...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(97)00060-4
更新日期：1997-10-01 00:00:00
abstract：OBJECTIVE:The goal of this study was to demonstrate the relationship between retrospective reports of child neglect, family of origin functioning, and current psychological distress. It was hypothesized that experience of childhood emotional neglect would be associated with lower levels of cohesion and adaptability in ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(03)00162-5
更新日期：2003-09-01 00:00:00
abstract：:This paper investigates how adults respond to sexual behavior among children in child care. Culturally, childhood sexuality is variously understood as natural curiosity, a sign of sexual abuse, or a symptom of a sex-offender in the making. Given these competing cultural meanings, how are sexual-like behaviors by child...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2014.07.002
更新日期：2014-10-01 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：BACKGROUND:Longitudinal data on health costs associated with physical and mental conditions are not available for children reported to child protection services. OBJECTIVE:To estimate the costs of hospitalization for physical and mental health conditions by child protection status, including out-of-home-care (OOHC) pl...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2019.104280
更新日期：2020-01-01 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：OBJECTIVE:Children with attention-deficit/hyperactivity disorder (ADHD) are at heightened risk for maltreatment in childhood and criminality as they enter into adolescence and early adulthood. Here, we investigated the effect of moderate to severe childhood maltreatment on later criminality among adolescents/young adul...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2012.08.003
更新日期：2012-11-01 00:00:00
abstract：:Although adolescents are severely and chronically physically abused, relatively little attention has been directed towards understanding this phenomenon. This study explored the family characteristics and the behavioral-emotional reactions of 77 adolescents who were physically maltreated. The youths were selected at a...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(85)90012-2
更新日期：1985-01-01 00:00:00
abstract：:The goals of the present study are to examine the relationship between childhood adversity and adult well-being among vulnerable young adults formerly placed in substitute care, and to investigate how characteristics of their social support networks mediate this association. A sample of 345 Israeli young adults (ages ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.07.020
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVES:To describe prevalence of childhood experiences of adversity in rural South African youth and their associations with health outcomes. METHODS:We analyzed questionnaires and blood specimens collected during a baseline survey for a cluster randomized controlled trial of a behavioral intervention, and also te...
journal_title：Child abuse & neglect
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.chiabu.2010.05.002
更新日期：2010-11-01 00:00:00
abstract：:Mothers with mental retardation with or without a history of child abuse and/or neglect were compared on a number of demographic variables. The reasons why children were or were not removed also were examined. The demographic comparisons showed that while those mothers with such a history generally had higher IQs, the...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(90)90003-c
更新日期：1990-01-01 00:00:00
abstract：:This paper describes the extent to which abused and neglected children report intimate partner violence (IPV) victimization and perpetration when followed up into middle adulthood. Using data from a prospective cohort design study, children (ages 0-11) with documented histories of physical and sexual abuse and/or negl...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2013.11.004
更新日期：2014-04-01 00:00:00
abstract：:A retrospective investigation of 97 psychologically maltreated children showed a clear relationship between clinical symptoms and the intensity of the abuse. Parental neglect resulted in impairment of intellectual and locomotor development and emotional and behavioral disorders. Neurotic manifestations of regressive t...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(83)90002-9
更新日期：1983-01-01 00:00:00
abstract：OBJECTIVE:Adaptation of the Multidimensional Trauma Recovery and Resilience (MTRR) in a Chilean sample. METHOD:Participants were 80 mothers drawn from two large metropolitan areas (Santiago and Temuco). Sample participants (in a case control design) were redivided in two groups: 40 mothers identified as physical abuse...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(03)00118-2
更新日期：2003-07-01 00:00:00
abstract：:Childhood maltreatment is a strong risk factor for subsequent violence, including violent behaviors in young adulthood and offspring maltreatment after becoming a parent. Little is known about the specific circumstances under which supportive relationships may help disrupt this cycle of violence throughout the life co...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.09.023
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVE:The current study examines multiple empirically based perspectives (i.e., child, caregiver, and clinician) of behavior and functioning as they contribute to the clinical and psychosocial profile of children (aged 5 to 17.5 years) with reported histories of sexual abuse. METHOD:A large, multi-site data set of...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(03)00035-8
更新日期：2003-05-01 00:00:00
abstract：:This study aimed to examine the pathways from child sexual abuse to sexual assault victimization and perpetration in adolescence and early adulthood, considering risky sexual behavior and lowered sexual self-esteem as mediator variables. In a two-wave longitudinal study with 2251 college students in Germany, male and ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2016.10.004
更新日期：2017-01-01 00:00:00
abstract：:Adoption is one of a range of options that can provide children in out-of-home care with permanency when they are unable to be reunified with their birth parents. This paper reports on how the adoption of children from out-of-home care is understood by professionals involved in making decisions about the permanent pla...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.07.011
更新日期：2017-10-01 00:00:00
abstract：:This paper reports on the first national survey of adults concerning a history of childhood sexual abuse. Victimization was reported by 27% of the women and 16% of the men. Higher rates of abuse were found among men who grew up in unhappy families, lived for some period with only their mothers, who were currently resi...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(90)90077-7
更新日期：1990-01-01 00:00:00
abstract：OBJECTIVE:The study aimed to assess children's personal safety knowledge by seeking their responses to video-delivered simulations of child maltreatment. METHOD:In seeking to do this, methodological and ethical difficulties were encountered. These arose during several phases of consultation, the refinement of an inter...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(00)00135-6
更新日期：2000-06-01 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:To examine trends by year in reports of victims of child maltreatment in the US Army Central Registry (ACR) during the period 1975-97. We report the rates/1,000 children of Army families of initial substantiated cases from 1988-97 and the number of cases of maltreatment as a percentage of total victims for ea...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(99)00060-5
更新日期：1999-09-01 00:00:00
abstract：OBJECTIVES:To measure the prevalence rate of rape among French adolescents; to analyze the associated health and behavioral problems; to analyze the use of the health care system by rape victims. METHOD:A national representative sample of 8,140 students attending public secondary schools in France (grades 8 to 12) fil...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(97)00044-6
更新日期：1997-09-01 00:00:00
abstract：OBJECTIVE:The present study extends prior research on childhood maltreatment and social functioning by examining the impact of early childhood physical abuse, sexual abuse, and neglect on rates of involvement in adult intimate relationships and relationship functioning. METHOD:Substantiated cases of child abuse and ne...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2004.02.005
更新日期：2004-11-01 00:00:00
abstract：:The present study examines multiple types of victimization simultaneously, their prevalence and characteristics in childhood and adolescence, and it examines the associations between victimization and poly-victimization on the one hand and single and multiple mental health and behavioral problems on the other. The sam...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2014.03.002
更新日期：2014-08-01 00:00:00
abstract：:Accumulating research suggests that rates of child sexual abuse are comparatively low in China. This commentary is an effort to evaluate whether it reflects a true lower prevalence or alternatively the effect of inhibited disclosure by victims. We conclude that while some estimates have almost certainly been affected ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2013.07.006
更新日期：2013-10-01 00:00:00
abstract：:This study was designed to define clinicians' ratings of the comments, behaviors, and affects of abused children and compare them with the same clinicians' decisions about the child's abuse status. The authors concluded that sexually anatomically correct dolls used alone are inadequate in providing enough information ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(92)90108-4
更新日期：1992-09-01 00:00:00
abstract：BACKGROUND:Methodological issues have been identified when quantifying exposure to adversity and abuse. To address a single type may obscure covarying effects. To sum multiple exposures gives equal weight to each. Latent class analysis (LCA) addresses this by identifying homogenous subpopulations. Most studies using LC...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2019.02.006
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:This study explores Korean immigrant mothers' attitudes toward child physical abuse based on an ecological perspective. METHOD:One hundred and forty-four Korean immigrant mothers who came to the US after age 16 and have at least one child under 18 years old participated in this study. Data were collected usi...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(01)00248-4
更新日期：2001-07-01 00:00:00
abstract：OBJECTIVE:The aims of this cross-sectional study were to examine the associations of various types of school bullying involvement experiences with different dimensions of anxiety symptoms on the Multidimensional Anxiety Scale for Children (MASC) and to examine the moderating effects of gender and age on the association...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2013.01.004
更新日期：2013-04-01 00:00:00
