Psychological Sequelae of Dog Bites in Children: A Review.

IF 2 4区 医学 Q2 PEDIATRICS Children-Basel Pub Date : 2024-10-07 DOI:10.3390/children11101218
Laura Monti, Georgios D Kotzalidis, Valentina Arcangeli, Camilla Brozzi, Rossella Iacovino, Cristina Giansanti, Daniela Belella, Elisa Marconi, Silvia Maria Pulitanò, Marianna Mazza, Giuseppe Marano, Giorgio Conti, Delfina Janiri, Gabriele Sani, Daniela Pia Rosaria Chieffo
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Abstract

Background/objectives: Although rare in the Western world, dog bites may be lethal or lead to physically severe outcomes. However, little attention is given to their psychological consequences. We aimed to review their psychological consequences in children 1-14 years of age, focusing on the prevalence and nature of psychological disorders, evaluating the impact on future mental health of children and their families, and assessing the effectiveness of preventive interventions and measures.

Methods: On 23 May 2024, we investigated the PubMed, CINAHL, and PsycINFO/PsycARTICLES databases using ("dog bite" OR animal-induced OR animal-caused) AND (psychol* OR mental OR psychiatr* OR anxiety OR anxious OR depress* OR obsess* OR trauma* OR psychosis OR psychotic OR schizophren* OR schizoaffect*) filtered for ages 0-18 years. This resulted in 311 records, of which 50 were eligible. These included original research, case reports, patient surveys, and reviews/meta-analyses.

Results: Findings indicate that younger children are particularly vulnerable, often suffering head/neck bites, leading to severe injuries and psychological distress, with post-traumatic stress disorder (PTSD) being a common outcome. Symptoms such as nightmares, flashbacks, anxiety, and social withdrawal were frequently reported. Positive parental support and timely psychological interventions were found to mitigate these effects.

Conclusions: Interdisciplinary approaches integrating education, cognitive restructuring, and behaviour modification are needed to effectively prevent and address the psychological impacts of dog bites. Summarising, dog bites in children result in substantial psychological sequelae, necessitating robust prevention and intervention strategies to improve their quality of life and reduce the risk of chronic mental conditions.

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儿童被狗咬伤的心理后遗症:综述。
背景/目的:被狗咬伤虽然在西方世界很少见,但却可能致命或导致严重的身体后果。然而,人们很少关注其心理后果。我们旨在对 1-14 岁儿童被狗咬伤的心理后果进行回顾,重点关注心理障碍的发生率和性质,评估其对儿童及其家庭未来心理健康的影响,并评估预防性干预措施的有效性:2024 年 5 月 23 日,我们在 PubMed、CINAHL 和 PsycINFO/PsycARTICLES 数据库中使用("狗咬伤 "或动物引起的或动物造成的)和(psychol* 或 mental 或 psychiatr* 或 anxiety 或 anxious 或 depress* 或 obsess* 或 trauma* 或 psychosis 或 psychotic 或 schizophren* 或 schizoaffect*)对 0-18 岁儿童进行了筛选。最终得到 311 条记录,其中 50 条符合条件。这些记录包括原始研究、病例报告、患者调查和综述/总体分析:研究结果表明,年龄较小的儿童尤其容易受到伤害,他们经常会被咬伤头部/颈部,导致严重的伤害和心理困扰,创伤后应激障碍(PTSD)是常见的结果。恶梦、倒叙、焦虑和社交退缩等症状经常出现。研究发现,父母的积极支持和及时的心理干预可减轻这些影响:结论:要有效预防和解决狗咬伤造成的心理影响,需要采取综合教育、认知重组和行为矫正的跨学科方法。总之,被狗咬伤的儿童会产生严重的心理后遗症,因此有必要采取强有力的预防和干预策略,以提高他们的生活质量,降低患慢性精神疾病的风险。
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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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