Abstract：
BACKGROUND:In fabricated or induced illness (FII), a child is harmed due to caregiver(s) behaviour and actions, carried out to convince mainly doctors that the child's physical and/or psychological health is more impaired than in reality. Harm is caused directly by the caregivers(s) and also often inadvertently by doctors' responses. OBJECTIVES:To describe: dynamics underlying FII; wider definition of FII; alerting signs for early recognition of possible FII; respective responsibilities of health, social care, education. METHODS:Literature review, clinical experience, expert opinion. RESULTS AND CONCLUSIONS:Caregivers are motivated by gain from having their child treated as ill, and/or by erroneous beliefs about their child's health, either way needing medical confirmation about their contentions. Their behaviour is therefore directed primarily towards doctors. Most cases of FII present unexplained discrepancies between caregiver reports/actions and independent observations of the child. More rarely, the child has actual signs of illness, induced by the caregiver, occasionally fatal. Children are harmed in all aspects of life: health, daily functioning including education, and psychologically. Harm emanates directly from the caregiver(s) but also unintentionally from medical responses. Illness induction and clear deception by the caregiver require immediate child protection. Otherwise, the initial focus is on assessing the child's current health and functioning rather than caregiver's mental health. If, beyond verified illness, there is no medical explanation for the child's reported ill-health, the family require help to function better. This requires co-ordinated, multidisciplinary rehabilitation and long-term monitoring. If caregivers refuse rehabilitation, child protection is required. Several unanswered questions remain.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Glaser Ddoi
10.1016/j.chiabu.2020.104649subject
Has Abstractpub_date
2020-10-01 00:00:00pages
104649eissn
0145-2134issn
1873-7757pii
S0145-2134(20)30304-5journal_volume
108pub_type
杂志文章abstract：:This study examined victim, family, and alleged perpetrator characteristics associated with fatal child maltreatment (FCM) in 685 cases identified by child welfare services in the state of Oklahoma over a 21-year period. Analyses also examined differences in child, family, and alleged perpetrator characteristics of de...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2013.04.014
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to explore how mothers' developmental history and current functioning affects their sexually abused children's functioning and recovery. METHOD:A sample of 67 African-American mothers and their sexually abused children participated in this study. Interviews and a range of adult ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(01)00268-x
更新日期：2001-09-01 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：:School staffs have a major role in the prevention, identification and referral of cases of child abuse and neglect. School administrators, teachers and school support staffs require knowledge about abuse and neglect, as well as a clear set of guidelines and procedures for dealing with it if they are to carry out these...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(83)90035-2
更新日期：1983-01-01 00:00:00
abstract：:The rate at which children are maltreated is one of the most sensitive measures of demographic, social, and economic conditions. Although the consequences of maltreatment and the effectiveness of treatment programs in reducing the incidence have been extensively studied, little attention has been given to identifying ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(94)00101-y
更新日期：1995-01-01 00:00:00
abstract：OBJECTIVE:This paper explores the characteristics associated with decisions to adopt or discontinue the use of filtering software, including a critical analysis of some explanations about why it is used or not used in households with children and adolescents. METHOD:This study consisted of a national telephone survey ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2004.05.008
更新日期：2005-07-01 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 better understand how neighborhood and individual factors are related to child maltreatment. METHOD:Using an ecological framework, a multi-level model (Hierarchical Linear Modeling) was used to analyze neighborhood structural conditions and individual risk factors for child abuse and neglect. Parents (n =...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(99)00076-9
更新日期：1999-11-01 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：:This study examined whether child abuse history in teen mothers impacts offspring externalizing problems indirectly, through its influence on attachment and maternal hostility. In a longitudinal sample of 112 teen mother-child dyads, mothers reported on their own abuse experiences, attachment and maternal hostility we...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2016.04.011
更新日期：2016-06-01 00:00:00
abstract：PROBLEM:Many children in Albania and other countries of Eastern Europe are being trafficked as part of the global business of human trafficking. OBJECTIVES:The study sought to identify the patterns of child trafficking involving Albanian children, and especially children's views of the role of family issues and the na...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2007.09.015
更新日期：2008-10-01 00:00:00
abstract：:Recalled abuse was examined in relation to dissociation in a sample of 312 undergraduates. The Physical Abuse Scale of the Assessing Environments III (Berger & Knutson, 1984) and a newly developed sexual abuse questionnaire measured recalled physical and sexual abuse. The Harvard Group Scale of Hypnotic Susceptibility...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(93)90022-w
更新日期：1993-07-01 00:00:00
abstract：BACKGROUND:In 2002, Georgia had the United States' eighth highest number of persons living with AIDS. Human immunodeficiency virus (HIV) transmission as a result of sexual abuse is uncommon but definitely occurs. In certain circumstances of sexual abuse, antiretroviral post-exposure prophylaxis (ARV-PEP) has been sugge...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2006.02.013
更新日期：2006-08-01 00:00:00
abstract：OBJECTIVE:The goal of this study was to compare rates of positive medical findings in a 5-year prospective study of 2384 children, referred for evaluation of possible sexual abuse, with two decades of research. The prospective study summarizes demographic information, clinical history, relationship of perpetrators, nat...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(02)00339-3
更新日期：2002-06-01 00:00:00
abstract：OBJECTIVE:Two main questions were asked: (1) what abuse characteristics relate to PTSD, depressive, and dissociative severity in adult survivors of child sexual abuse (CSA); and (2) what abuse characteristics influence the severity of dissociation during CSA. METHOD:89 female CSA survivors' current symptoms of PTSD, d...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(00)00225-8
更新日期：2001-01-01 00:00:00
abstract：:Prenatal exposure to illicit substances is a finding that typically requires reporting to a child protective services agency. We examine whether there is differential reporting to two public agencies, and whether it varies by race/ethnicity and region. We also study predictors of indicating a maltreatment report as cr...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2018.04.021
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:To determine if a commercially produced video, "What Do I Say Now?" (Committee for Children, 1996) leads to an increase in parent-child discussion about child sexual abuse (CSA). METHOD:Forty-five parents of children 2-6 years of age were randomly assigned to participate in either a CSA prevention workshop o...
journal_title：Child abuse & neglect
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0145-2134(98)00094-5
更新日期：1998-11-01 00:00:00
abstract：:This study examines how changes in the social and economic structure of neighborhoods relate to changes in child maltreatment report rates over an extended period. The panel study design allows us to partition the changes in child maltreatment report rates into a portion associated with how the levels of socio-economi...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2018.07.025
更新日期：2018-10-01 00:00:00
abstract：:A comparative study using matched samples was conducted to investigate the relationship between sexual abuse and substance abuse. The sample included 48 adolescent psychiatric inpatients who had been sexually abused (abuse group) and 48 psychiatric inpatients without a known history of such abuse (control group) match...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(89)90071-9
更新日期：1989-01-01 00:00:00
abstract：:Individual psychological factors have been shown to exacerbate risk for posttraumatic stress disorder (PTSD) symptoms in youth following maltreatment, but the novel contribution of the present study includes a focus on interactive relationships between these factors on specific PTSD symptom clusters. This study identi...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.04.028
更新日期：2017-07-01 00:00:00
abstract：:The prevalence of sexual abuse during childhood and adolescence in a national representative sample of Mexican youngsters is examined from a gender perspective using data from the 2007 National Survey on Exclusion, Intolerance and Violence in Public Institutions of High School Level Education. Of those surveyed, 1.76%...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2013.12.001
更新日期：2014-04-01 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:This study uses the developmental-ecological framework to examine a comprehensive set of paternal factors hypothesized to be linked to risk for paternal child abuse (PCA) among a diverse sample of fathers. Attention was given to fathers' marital status and their race/ethnicity (White, African American, and Hi...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2007.11.006
更新日期：2008-09-01 00:00:00
abstract：OBJECTIVE:This study aimed to examine the association among adverse childhood experiences, health-risk behaviors, and chronic disease conditions in adult life. STUDY POPULATION:One thousand and sixty-eight (1,068) males and females aged 35 years and older, and residing in selected urban communities in Metro Manila par...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2010.02.012
更新日期：2010-11-01 00:00:00
abstract：:Can we measure success in preventing child abuse? As the field of child abuse and neglect prevention matures intellectually and as more and more agencies require evaluative research to substantiate claims of programmatic success, this issue is emerging with ever growing vigor. This paper reviews efforts to set prevent...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(86)90076-1
更新日期：1986-01-01 00:00:00
abstract：:Adolescent psychiatric inpatients suffer high rates of childhood sexual abuse, trauma-related distress, and suicidality. This study evaluated the hypothesis that three domains of resiliency (i.e., Sense of Mastery, Sense of Relatedness, and Emotional Reactivity) would mediate the effect of trauma-related distress upon...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2019.01.012
更新日期：2019-03-01 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 strengthen the evidence-base for policy and practice for support of children outside of family care requires effective, efficient and sustainable mechanisms for monitoring and evaluation. Toward that end, two core questions guided a systematic review of evidence: What strategies are appropriate for monito...
journal_title：Child abuse & neglect
pub_type： 杂志文章,评审
doi：10.1016/j.chiabu.2012.09.006
更新日期：2012-10-01 00:00:00
abstract：BACKGROUND:Parenting a child with a disability has been shown to take a toll on physical health in mid to late life. However, the additional impact of a history of childhood maltreatment has not been explored. OBJECTIVE:This study examined the moderating effect of exposure to childhood maltreatment on the longitudinal...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104505
更新日期：2020-08-01 00:00:00
abstract：:A nationwide survey of county departments of social services revealed a need for medical services and consultation to child protection units. Over 92% of the 84 counties surveyed stated they had a problem meeting their medical needs and would be willing to hire a physician assistant as medical consultant to their coun...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(91)90025-9
更新日期：1991-01-01 00:00:00
