Child Abuse Review最新文献

This study reexamined the organization of Young's 15 early maladaptive schemas (EMS) using confirmatory factors analyses based on different taxonomies of higher order schemas in children and adolescents. It also investigated whether there were any differences in EMS between community and clinical/residential samples. A Greek sample (N = 186) of 139 children living in the community and 47 children living in residential care (66.1% girls, aged 15.7 ± 1.4 years) completed the Greek version of the Schema Questionnaire for Children. We identified the single factor analysis as the most appropriate one in terms of interpretability and empirical indices. Regarding conditionality, the two-factor solution was partially validated. The clinical/residential sample presented statistically significantly higher scores on Dependence, Vulnerability to Harm, Emotional Deprivation, Insufficient Self-control, Conditional Schemas, Impaired Autonomy/Performance and Impaired Limits, in comparison to the community sample. Our results are consistent with the key theoretical assumptions underlying Schema Theory. Further research is required to substantiate these findings. Future research could use larger sized samples, consider different placements (residential care, foster families and kinship families) and implement longitudinal research designs.

This study aims to explore and describe the consequences in adults who were victims of child sexual abuse perpetrated by representatives of the Catholic Church in Chile. A qualitative methodology was used to analyse interviews with victims of childhood sexual abuse in Catholic institutional settings in different cities of the country. The results revealed that harm distributed in categories, including emotional, cognitive, interpersonal, self-regulation of behaviour and spiritual harm. This study contributes to understanding the phenomenon through the testimony of victims. In conclusion, this article offers insight into the profound and long-lasting impact of child sexual abuse in the Catholic Church context and its implications for adult life. The practical implications of this study may provide information to public policy and a potential commission for reparation and justice for victims of institutional child abuse in Chile.

Hyaline fibromatosis syndrome (or HFS, subcategorized as infantile systemic hyalinosis and juvenile hyaline fibromatosis) has presenting clinical features that may overlap with findings typically identified in cases concerning for nonaccidental trauma. For example, hyperpigmentation over bony prominences (an early presenting finding seen in the most severe cases of HFS) can raise concern for bruising in young infants.

In the following case report, we describe a 13-week-old female who initially presented as a hospital consult to our forensic child abuse team with concerns for bruising and re-presented to our team as an emergency department consult at 10 months of age with anal lesions, raising concerns for sexual abuse.

Both findings are known clinical features of HFS, which was subsequently diagnosed in this patient via genetic testing. While HFS is a rare syndrome, paediatricians should be aware of the symptoms and clinical features to consider when presented with a case that may be mistaken for abuse.

Abuse and neglect is a problem that has medical, legal and social dimensions; leaves permanent scars in the life of the child/young person; and causes serious injuries, disabilities and even mortality. The aim of this cross-sectional and descriptive study was to determine the attitudes of nursing students in the baccalaureate program towards reporting child abuse. The study was conducted with a sample of 546 students. Data were collected via the ‘Individual Identification Form’ and the ‘Healthcare Provider Attitudes Towards Child Maltreatment Reporting Scale’ administered during the fall semester. It was found that nursing students had high scores on the Healthcare Provider Attitudes Towards Child Maltreatment Reporting Scale, especially female students who had higher scores. In addition, it was found that as the years of study increased, students showed a more positive attitude towards reporting child abuse and neglect. It was determined that there was a statistically significant difference between being pleased with choosing the nursing profession and reporting child abuse and that students who were pleased to choose the nursing profession had better awareness of child abuse. Nursing students have an important responsibility for early diagnosis of abuse as they are likely to encounter child abuse situations during clinical practice. This study shows that the participants have a high level of positive attitude towards reporting child abuse, but their concerns about reporting are at an average level.