Abstract：
OBJECTIVE:To compare the cases of child abuse (CA) with other admissions in a pediatric intensive care unit (PICU) for differences in patient-specific health care costs, severity of illness (SI) and mortality, and describe their outcome. METHOD:A retrospective cohort study of all patients admitted to the PICU between January 1991 and August 1994. Discharge diagnosis, age, SI, mortality rate, length of stay, hospitalization charges ($Hosp), and mortality were retrieved. RESULTS:There were 937 admissions; 13 were secondary to CA. Cases of CA represented 1.4% of admissions and 17% of deaths. CA patients had the highest SI (61%), $Hosp ($30,684), daily charges ($5,294) and mortality rates (53%) than any other group. In our patients, SI is a factor that affects charges. Even when compared to a cohort group with SI, child abuse patients had higher daily hospitalization charges (p < .05). The medical bills for the acute care of a CA patient averaged $35,641 per case. Even with these expenditures, 70% died and 60% of the survivors had severe residual morbidity. CONCLUSION:These results confirm that interventional medical care in response to severe CA is very costly and the ultimate outcome is significantly worse than other diseases. Therefore, we believe it is imperative to allocate resources to prevention.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Irazuzta JE,McJunkin JE,Danadian K,Arnold F,Zhang Jdoi
10.1016/s0145-2134(97)00036-7subject
Has Abstractpub_date
1997-08-01 00:00:00pages
751-7issue
8eissn
0145-2134issn
1873-7757pii
S0145213497000367journal_volume
21pub_type
杂志文章abstract：BACKGROUND:Most children exposed to father-perpetrated domestic violence (DV) continue to have contact or live with fathers, yet there is little research on the impact of fathering in the context of domestic violence. OBJECTIVE:This paper aimed to identify pathways from children's exposure to father-perpetrated DV to ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104866
更新日期：2021-02-01 00:00:00
abstract：:Official reports of maltreatment involving adolescent victims were compared to those involving younger children in a representative sample of protective services' reports drawn from New York State in 1985. Specific case characteristics, including age, gender, ethnicity of the victim, and source of report, are describe...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(88)90027-0
更新日期：1988-01-01 00:00:00
abstract：BACKGROUND:To monitor stability of care, the proportion of children in England who have experienced three or more placements in the preceding 12-month period is published in government statistics. However, these annual snapshots cannot capture the complexity and heterogeneity of children's longitudinal care histories. ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104689
更新日期：2020-11-01 00:00:00
abstract：:War is a correlate of child abuse in several respects. War generally elevates the level of violence in the warring society, and thus increases risk for abuse. War disrupts communities and families (and thereby presumably undermines social support systems and increases single parenthood). War kills and maims children a...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(08)80009-9
更新日期：1993-11-01 00:00:00
abstract：OBJECTIVE:The purpose of the present study was to evaluate the relationship between various levels of parent-child physical violence and psychological symptoms reported by college students, while controlling for demographic variables, severity and frequency of violence, and co-occurrence of parental psychological aggre...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2008.12.001
更新日期：2009-01-01 00:00:00
abstract：:This study examined to what extent the symptoms of dissociative mothers interfered with their parenting and their subjective experiences of mothering. A group of 54 dissociative inpatient or day-patient mothers, 20 nondissociative inpatient mothers, and 20 hospital staff mothers were screened for Dissociative Disorder...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(96)00082-8
更新日期：1996-10-01 00:00:00
abstract：:Delaying or refraining from seeking advice and support in difficult parenting situations is identified as an important risk factor for child abuse and neglect. This study tested whether the extent of delays in support seeking is associated with working alliance for parents with mild intellectual disabilities (MID) and...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2014.04.006
更新日期：2014-09-01 00:00:00
abstract：:This research examined cognitive coping strategies associated with resilience in a nonclinical sample of child sexual abuse (CSA) survivors. In Study 1, 180 college women completed surveys assessing self-enhancing cognitive distortions of reality, known as positive illusions, and CSA history. CSA survivors and nonvict...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(96)00062-2
更新日期：1996-08-01 00:00:00
abstract：:When compared to children from the general population, sexually abused children receive more medical services, both for physical and mental health problems. However, possible differences between sexually abused boys and girls remain unknown. The lack of control group in studies that find gender differences also preven...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.02.038
更新日期：2017-04-01 00:00:00
abstract：:Physically maltreated children display a range of serious psychological problems. Despite the availability of effective treatment of similar problems in other populations of children, direct psychological treatment of abused children has rarely been reported. It is argued that such direct treatment, while constituting...
journal_title：Child abuse & neglect
pub_type： 杂志文章,评审
doi：10.1016/0145-2134(92)90029-q
更新日期：1992-01-01 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：:Data is presented identifying factors associated with the impact of sexual abuse on children. A group of 369 sexually abused children and a comparison group of 318 children recruited from the community were compared on a parent-completed behavior rating scale. Data describing the abused children were also available fr...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(87)90059-7
更新日期：1987-01-01 00:00:00
abstract：:Using a community sample of 192 adult women who had been sexually abused during childhood, the present study tested the hypothesis that perceived stigma, betrayal, powerlessness, and self-blame mediate the long-term effects of child sexual abuse. A path analysis indicated that the level of psychological distress curre...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(96)00019-1
更新日期：1996-05-01 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：:This study examined (a) the extent of heterogeneity in the patterns of developmental trajectories of language development and academic functioning in children who have experienced maltreatment, (b) how maltreatment type (i.e., neglect or physical abuse) and timing of abuse explained variation in developmental trajecto...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.07.018
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:The aim of this prospective study was to identify risk factors for the development of psychological disturbance in sexually abused children, enabling recognition of the need for appropriate psychological intervention and provision. METHOD:A city-wide study of children aged 16 or under was carried out, with a...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(98)00068-4
更新日期：1998-09-01 00:00:00
abstract：:Mothers with a substance use disorder (SUD) are at risk for maladaptive parenting practices, and have heightened likelihood of having experienced childhood adversity themselves. In addition, parental reflective functioning (PRF), a capacity underlying sensitive caregiving, is often low in mothers with SUD. This study ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2018.05.007
更新日期：2018-07-01 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
abstract：:Infants have the highest rates of maltreatment reporting and entries to foster care. Prenatal substance exposure is thought to contribute to early involvement with child protective services (CPS), yet there have been limited data with which to examine this relationship or variations by substance type. Using linked bir...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.10.002
更新日期：2018-02-01 00:00:00
abstract：:The staff of Brent Family Service Unit, a voluntary social work agency operating in London, has developed a range of broadly based services to bring about real changes in the behaviour of families who suffer child abuse. The paper argues that integrated teams of workers containing a variety of roles, experiences and a...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(82)90087-4
更新日期：1982-01-01 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：OBJECTIVE:The paper addresses the impacts of the type of abuse and sibling adoption upon family functioning. The specific objectives are to test the relationships: (1). between an adopted child's previous type of abuse and postadoptive family functioning; (2). between an adopted child's previous type of abuse and the c...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(02)00374-5
更新日期：2002-10-01 00:00:00
abstract：:This study is a qualitative analysis of the attributions of sisters (abused and nonabused sister dyads, n = 10 and abused sister dyads, n = 10) who grew up in an incestuous family. While the sibling subsystem is reported to be the most important and enduring relational environment in the life of the family, little is ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(96)00132-9
更新日期：1997-01-01 00:00:00
abstract：BACKGROUND:Increasingly, evidence-based treatment guidelines emphasize the role of parents in first-line treatment approaches for child and adolescent psychiatric disorders. Yet there are no best practice guidelines for practitioners on the identification and reporting of suspicions and disclosures of child maltreatmen...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2018.11.010
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVE:To evaluate the success of specialized community-based treatment for reducing adolescent sexual reoffending and explore the predictive utility of variables assessed regarding sexual and nonsexual recidivism. METHOD:Recidivism data (criminal charges) were collected for 58 offenders participating in at least 1...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(00)00147-2
更新日期：2000-07-01 00:00:00
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：BACKGROUND:Adversity may negatively impact young children's sleep but receiving home visitation services could buffer children from this potential consequence of adversity. OBJECTIVE:This study examined whether young children's adverse experiences increased their risk for sleep problems and if Promoting First Relation...
journal_title：Child abuse & neglect
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.chiabu.2018.12.016
更新日期：2019-03-01 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：:Participation in organized activities has been largely regarded as beneficial for academic and socioemotional development for adolescents, but the impacts of various types of organized activities for adolescents at risk for maltreatment have been rarely tested. In this study, we investigated the differential impacts o...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.09.026
更新日期：2018-04-01 00:00:00
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 doct...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104649
更新日期：2020-10-01 00:00:00
