Assessment Of Suspected Child Abuse Cases At Pediatric Psychiatry Clinic, Medicolegal Study

N. Ramadan, Mervat Abd Elnaby, Maha Ahmed, N. Attia, N. Fayed
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Abstract

Background: Child abuse is still a major public health problem, especially in developing countries. The current study aims to assess suspected child abuse cases regarding the abuse type, its different patterns, and its relation to children's psychiatric disorders Materials and Methods: The current study is a prospective and retrospective cross-sectional statistical study conducted on suspected child abuse cases at the psychiatric outpatient clinic. All children suspected to be abused were included in this study. Parents were asked a prepared questionnaire about child abuse and their possible parental risk factors. Results: All children in this study were exposed to both emotional and physical abuse and only 10 cases were exposed to sexual abuse. Out of 360 children, 71.9% were males, 60% were in school age, and children with Attention Deficit Hyperactive Disorder (ADHD) were more abused and so the first child in the family. The more abusing families were of married parents, from urban areas, and had low income. Less-educated parents, working fathers, and nonworking mothers were common abusers. Substance abuse, smoking, and parental history of childhood abuse were significant risk factors for abuse. Conclusion: This study showed that physical and emotional abuse were common and significantly related to child psychiatric disease.
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儿童精神病学诊所疑似虐待儿童个案的评估,医学法律研究
背景:虐待儿童仍然是一个主要的公共卫生问题,特别是在发展中国家。本研究旨在评估疑似虐待儿童案例的虐待类型、不同类型及其与儿童精神障碍的关系。材料与方法:本研究对精神科门诊疑似虐待儿童案例进行前瞻性和回顾性横断面统计研究。所有怀疑受到虐待的儿童都被纳入本研究。父母们被要求填写一份关于虐待儿童及其可能的父母风险因素的问卷。结果:本研究中所有儿童均遭受过精神虐待和身体虐待,仅有10例儿童遭受过性虐待。在360名儿童中,71.9%为男性,60%为学龄儿童,患有注意缺陷多动障碍(ADHD)的儿童更容易受到虐待,因此是家庭中的第一个孩子。虐待儿童的家庭大多是已婚家庭,来自城市地区,收入较低。受教育程度较低的父母、有工作的父亲和没有工作的母亲是常见的施虐者。药物滥用、吸烟和父母童年虐待史是发生虐待的重要危险因素。结论:身心虐待与儿童精神疾病有显著的关系。
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