Abstract：
:Munchausen by proxy has been reported involving children who have been given various drugs or toxins. In addition, there is a body of adult literature regarding covert anticoagulant ingestion. This is a case of an 11-month-old female who appears to combine features of both of these syndromes. This child presented with an acute left hemorrhagic otitis media. The physical examination was unremarkable except for the following: weight, fifth percentile; left external auditory canal filled with blood with the right external canal and tympanic membrane being normal; and several scattered 1 X 2 cm firm, movable, nontender, purple nodules on extremities, chest and forehead. The coagulation studies were consistent with Vitamin K deficiency secondary to anticoagulant ingestion. A serum warfarin study confirmed our suspicions. The mother was noted to have a dependent relationship with her child and characteristics of those involved in Munchausen by proxy: falsifying information and thwarting medical assessment. In addition, she displayed some of the characteristics found commonly in anticoagulant malingerers. She was depressed, with limited medical knowledge, and had access to warfarin. The mother was admitted for inpatient psychiatric care and the patient placed with an extended family member. This case report describes the use of an anticoagulant to induce illness in a child by a psychologically ill mother. This form of child abuse must be considered in the differential diagnoses of hemorrhagic disorders.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
White ST,Voter K,Perry Jdoi
10.1016/0145-2134(85)90031-6subject
Has Abstractpub_date
1985-01-01 00:00:00pages
349-52issue
3eissn
0145-2134issn
1873-7757pii
0145-2134(85)90031-6journal_volume
9pub_type
杂志文章abstract：OBJECTIVE:This study examined how childhood history of discipline (1) related to ratings of how severe and typical punishments were; and (2) predicted parents' use of discipline techniques. The influence of child culpability on these ratings was also investigated. METHOD:Ninety-nine New Zealand parents rated 12 physic...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(99)00043-5
更新日期：1999-07-01 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：: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：:Very little research has been conducted to show the way in which criminal behavior unfolds over the life-course in children who have been sexually abused, and whether it differs from the 'age-crime' patterns consistently documented in the criminology literature. This study investigated the temporal pathways of crimina...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.01.005
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVE:According to sociological and ecological models of abuse, typically nonabusive parents could behave abusively towards their children under certain circumstances. The purpose of this study was to examine factors that place parents at risk of abusing their children by predicting parents' use of discipline pract...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(98)00108-2
更新日期：1999-01-01 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：:In order to determine how well medical examiners agree on the significance of certain anogenital findings in children, preselected colposcopic photographs of the anogenital area of 16 patients were shown to 170 medical examiners (82% pediatricians) who were blinded as to the history on each patient. Findings rated mos...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(93)90087-l
更新日期：1993-09-01 00:00:00
abstract：OBJECTIVES:This article reviews the available evidence regarding the efficacy, effectiveness, ethics, and sustainability of approaches to strengthen systems to care for and protect children living outside family care in low- and middle-income countries. METHOD:For trafficked children, children of and on the street, ch...
journal_title：Child abuse & neglect
pub_type： 杂志文章,评审
doi：10.1016/j.chiabu.2012.09.005
更新日期：2012-10-01 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:This study was undertaken to reveal the prevalence and determinants of corporal punishment in preparatory (middle) and secondary (high) schools in Alexandria. METHODS:A cross sectional survey targeting preparatory and secondary school students enrolled in main stream public schools was conducted. The multist...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(98)00084-2
更新日期：1998-10-01 00:00:00
abstract：OBJECTIVE:Controlled studies have shown deliberate self-harm to be more common in abused populations, but no controlled studies have shown abuse to be more common in self-harming populations. This is the first controlled study to determine whether abuse experiences (sexual, physical, and psychological) occurred more co...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(01)00276-9
更新日期：2001-10-01 00:00:00
abstract：OBJECTIVE:To examine whether notified child maltreatment is associated with adverse psychological outcomes in adolescence, and whether differing patterns of psychological outcome are seen depending on the type of maltreatment. METHODS:The participants were 7,223 mother and child pairs enrolled in a population-based bi...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2012.11.008
更新日期：2013-05-01 00:00:00
abstract：:Research and policies on child and adolescent sexual exploitation frequently focus on the sexual exploitation of girls and fail to recognize the experiences of sexually exploited boys, including their potentially unique health care and social support needs. This oversight limits the ability of health care and social s...
journal_title：Child abuse & neglect
pub_type： 杂志文章,评审
doi：10.1016/j.chiabu.2017.01.019
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVE:This study compared the effectiveness of two types of instructor feedback (relative to no feedback) on investigative interviewers' ability to adhere to open-ended questions in simulated practice interviews about child abuse. METHOD:In one condition, feedback was provided at the end of each practice interview...
journal_title：Child abuse & neglect
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.chiabu.2007.08.002
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to determine whether reported childhood sexual abuse is related to the severity of symptoms in patients who experience auditory hallucinations. METHOD:A sample of 26 adult male and females with psychotic disorders involving auditory hallucinations were interviewed and were asked to ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(03)00139-x
更新日期：2003-08-01 00:00:00
abstract：:The Australian Royal Commission into Institutional Responses to Child Sexual Abuse has set in motion a number of systemic and organizational approaches to identify and respond to child sexual abuse. These include increased child abuse awareness, developing and enhancing child-safe organizational cultures and policies ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.08.026
更新日期：2017-12-01 00:00:00
abstract：:In the systems approach certain patterns of family interaction are seen as fitting with physical abuse towards children in the family. If these interactions are blocked or changed using specific family therapy interventions, the risk of further abuse will be significantly reduced. Identifying typical patterns of inter...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(89)90028-8
更新日期：1989-01-01 00:00:00
abstract：:Many youth experience ongoing trauma exposure, such as domestic or community violence. Clinicians often ask whether evidence-based treatments containing exposure components to reduce learned fear responses to historical trauma are appropriate for these youth. Essentially the question is, if youth are desensitized to t...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2011.05.002
更新日期：2011-08-01 00:00:00
abstract：:Since the initial description of Munchausen Syndrome by Proxy (MSBP) (Meadow, 1977), numerous cases have been reported varying from as simple as the complaint of a nonexistent symptom to those as complicated as altered laboratory tests leading to the false diagnosis of cystic fibrosis (Orenstein & Wasserman, 1986; Ros...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(94)00045-x
更新日期：1994-09-01 00:00:00
abstract：:The reporting of suspected CSA cases to authorities in a timely manner is important in preventing continued abuse and protecting abused children at early ages. The current study seeks to explore parents' intentions of reporting their own children's CSA experiences to authorities as well as their reporting willingness ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2016.12.006
更新日期：2017-02-01 00:00:00
abstract：:This article compares incest between biologic fathers and their daughters and stepfathers and their stepdaughters. The term "incest" is applied to each of these types of families. The sample for the study was located in a mental health treatment facility designed to work specifically with incestuous families and inclu...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(86)90058-x
更新日期：1986-01-01 00:00:00
abstract：OBJECTIVES:At 6 sites serving 21 communities, Alaska implemented Healthy Families Alaska, a home visitation program using paraprofessionals designed to decrease child abuse and neglect. The primary study objective was to compare changes over time in Child Protective Services outcomes by Healthy Families Alaska enrollme...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2007.08.004
更新日期：2008-03-01 00:00:00
abstract：:Cross-system collaboration among child welfare (CW), alcohol and other drugs (AOD), and court organizations shows promise in addressing the many needs of CW-involved families experiencing parental substance use disorders (SUDs). Research has suggested that differing perceptions of parents with SUDs among staff in thes...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2013.10.020
更新日期：2014-05-01 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：:This brief communication by Woodling and Heger on the use of colposcopy in the assessment of children who may have been sexually exploited raises some interesting and exciting new dimensions to our diagnostic approach. These are presented by the authors as early findings. The readers should note that standards have no...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(86)90039-6
更新日期：1986-01-01 00:00:00
abstract：OBJECTIVE:The present study aimed to assess the mental and physical health of children held within a British immigration detention center. METHOD:A total of 24 detained children (aged 3 months to 17 years) were assessed with their parents or carer after being referred by a registered legal charity. Thirteen were seen ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2008.10.005
更新日期：2009-09-01 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：BACKGROUND:Sweden has a high percentage of foreign-born residents (18.5 %) and one of the highest overdose death rates in Europe. For immigrant parents with risky substance use (RSU), risk factors associated with immigration status (e.g., economic strain and psychological stress) potentially heightening the risk of inv...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2019.104316
更新日期：2020-03-01 00:00:00
abstract：:Three recently diagnosed cases of caregiver-fabricated illness in a child at Seattle Children's Hospital shed light on a new manifestation of their caretakers' attention seeking. The patients' mothers were actively blogging about their children's reputed illnesses. Although it is not uncommon for parents of chronicall...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2013.12.002
更新日期：2014-03-01 00:00:00
abstract：OBJECTIVE:To evaluate the psychometric properties of a new measure, the Abuse-Related Beliefs Questionnaire (ARBQ), designed to assess abuse-related beliefs among adult survivors of childhood sexual abuse (CSA). Study 1 examined the structure of the scale, and Study 2 evaluated its reliability and validity. METHOD:One...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2006.01.004
更新日期：2006-08-01 00:00:00
