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Physical and Sexual Child Abuse

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Abstract

Child maltreatment is a major public health problem worldwide. It has lifelong consequences for the affected children and is associated with substantial reduction of their well-being and health. The knowledge of the changes in the behavior of the children suffering from physical or sexual abuse is important for all medical professions. Specialized child protection teams within the hospital or as a part of the social network are trained to perform these investigations in a very careful way for the child. This chapter describes the typical signs and consequences in cases of physical or sexual child abuse and Munchausen by proxy syndrome.

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References

  • American Academy of Pediatrics. Visual diagnosis of child abuse. 2nd ed. Elk Grove Village: American Academy of Pediatrics; 2003.

    Google Scholar 

  • Barlow J, Johnston I, Kendrick D, et al. Individual and group-based parenting programmes for the treatment of physical child abuse and neglect. Cochrane Databas Syst Rev. 2006;19:CD005463.

    Google Scholar 

  • Berkowitz CD. Physical abuse of children. N Engl J Med. 2017;377(4):399–400.

    PubMed  Google Scholar 

  • Brown CVR, Canty TG Jr, Canty TG Sr. Injury of the GI tract from child abuse. Pediatrics. 1998;102(suppl):803–7.

    Google Scholar 

  • Castro Á, Ibáñez J, Maté B, et al. Childhood sexual abuse, sexual behavior, and revictimization in adolescence and youth: a mini review. Front Psychol. 2019;10:2018.

    Article  Google Scholar 

  • Christoffersen MN, Armour C, Lasgaard M, et al. The prevalence of four types of child maltreatment in Denmark. Clin Pract Epidemiol Ment Health. 2013;9:149–56.

    Article  Google Scholar 

  • Committee on Child Abuse and Neglect. Protecting children from sexual abuse by health care providers. Pediatrics. 2011;128:407–26.

    Article  Google Scholar 

  • Douglas EM, Mohn BL. Fatal and non-fatal child maltreatment in the US: an analysis of child, caregiver, and service utilization with the national child abuse and neglect data set. Child Abuse Negl. 2014;38:42–51.

    Article  Google Scholar 

  • Finkelhor D. The international epidemiology of child sexual abuse. Child Abuse Negl. 1994;18:409–17.

    Article  CAS  Google Scholar 

  • Finkelhor D. The prevention of childhood sexual abuse. Futur Child. 2009;19:169–94.

    Article  Google Scholar 

  • Finkelhor D, Shattuck A, Turner HA, et al. The lifetime prevalence of child sexual abuse and sexual assault assessed in late adolescence. J Adolesc Health 2014; S1054-139X: 854–859.

    Google Scholar 

  • Freisthler B, Wolf JP, Hodge AI, et al. Alcohol use and harm to children by parents and other adults. Child Maltreat. 2019:1077559519878514. https://doi.org/10.1177/1077559519878514.

  • Guterman NB, Tabone JK, Bryan GM, et al. Examining the effectiveness of home-based parent aide services to reduce risk for physical child abuse and neglect: six-month findings from a randomized clinical trial. Child Abuse Negl. 2013;37:566–77.

    Article  Google Scholar 

  • Hennes H, Kini N, Palusci VJ. The epidemiology, clinical characteristics and public health implications of shaken baby syndrome. J Aggression Maltreatment Trauma. 2001;5:19–40.

    Article  Google Scholar 

  • Herrenkohl TI, Hong S, Klika JB, et al. Developmental impacts of child abuse and neglect related to adult mental health, substance use, and physical health. J Fam Violence. 2013;28 https://doi.org/10.10007/s10896-012-9474-9.

  • Hussey JM, Chang JJ, Kotch JB. Child maltreatment in the United States: prevalence, risk factors, and adolescent health consequences. Pediatrics. 2006;118:933–42.

    Article  Google Scholar 

  • Iffland B, Brähler E, Neuner F, et al. Frequency of child maltreatment in a representative sample of the German population. BMC Public Health. 2013;13:980–7.

    Article  Google Scholar 

  • Jenny C. Evaluating infants and young children with multiple fractures. Pediatrics. 2006;118:1299–303.

    Article  Google Scholar 

  • Jenny C, Isaac R. The relation between child death and child maltreatment. Arch Dis Child. 2006;91(265):269.

    Google Scholar 

  • Kaplan DM, Moore JL, Hirway P, et al. A comprehensive pediatric acute sexual assault protocol: from emergency department to outpatient follow-up. Pediatr Emerg Care. 2018; https://doi.org/10.1097/PEC.0000000000001652.

  • Kellogg N. The evaluation of sexual abuse in children. Pediatrics. 2005;116:506–12.

    Article  Google Scholar 

  • Kellogg N. Evaluation of suspected child physical abuse. Pediatrics. 2007;119:1232–41.

    Article  Google Scholar 

  • Lancon JA, Haines DE, Parent AD. Anatomy of the shaken baby syndrome. Anat Rec. 1998;253:13–8.

    Article  CAS  Google Scholar 

  • Ledbetter DJ, Hatch EL Jr, Feldman KW, et al. Diagnostic and surgical implications of child abuse. Arch Surg. 1988;123:1101–5.

    Article  CAS  Google Scholar 

  • Levine AV. Ocular manifestations of child abuse. Ophtalmol Clin N Am. 1990;3:249–64.

    Google Scholar 

  • Listman DA, Bechtel K. Accidental and abusive head injury in young children. Curr Opin Pediatr. 2003;15:299–303.

    Article  Google Scholar 

  • Manay N Collin-Vézina D. Recipients of children’s and adolescents’ disclosures of childhood sexual abuse: a systematic review. Child Abuse Negl 2019:104192. https://doi.org/10.1016/j.chiabu.2019.104192.

  • McClure RJ, Davis PM, Meadow SR, et al. Epidemiology of Munchausen syndrome by proxy, non-accidental poisoning, and non-accidental suffocation. Arch Dis Child. 1996;75:57–61.

    Article  CAS  Google Scholar 

  • Murray LK, Nguyen A, Cohen JA. Child sexual abuse. Child Adolesc Psychiatr Clin N Am. 2014;23:321–37.

    Article  Google Scholar 

  • Newton AW, Vandeven AM. Unexplained infant and child death: a review of sudden infant death syndrome, sudden unexplained infant death, and child maltreatment fatalities including shaken baby syndrome. Curr Opin Pediatr. 2006;18:196–200.

    Article  Google Scholar 

  • Norman RE, Byambaa M, De R, et al. The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS Med. 2012;9:e1001349.

    Article  Google Scholar 

  • Palusci VJ, Kay AJ, Council on Child Abuse and Neglect, et al. Identifying child abuse fatalities during infancy. Pediatrics. 2019;144(3):e20192076.

    Article  Google Scholar 

  • Palusci VJ, Fischer H. Child abuse and neglect – a diagnostic guide: Corringham Road, London: Manson Publishing; 2012.

    Google Scholar 

  • Paradise JE. Current concepts in preventing sexual abuse. Curr Opin Pediatr. 2001;13:402–7.

    Article  CAS  Google Scholar 

  • Pereda N, Guilera G, Forns M, et al. The international epidemiology of child sexual abuse: a continuation of Finkelhor (1994). Child Abuse Negl. 2009;33:331–42.

    Article  Google Scholar 

  • Price EA, Rush LR, Perper JA, et al. Cardiopulmonary resuscitation-related injuries and homicidal blunt abdominal trauma in children. Am J Forensic Med Pathol. 2000;21:307–10.

    Article  CAS  Google Scholar 

  • Reece RM, Sege R. Childhood head injury: accidental or inflicted? Arch Pediatr Adolesc Med. 2000;154:11–5.

    CAS  PubMed  Google Scholar 

  • Reijneveld SA, van der Wal MF, Brugman E, et al. Infant crying and abuse. Lancet. 2004;364:1340–2.

    Article  Google Scholar 

  • NCANDS. Report from the states on child maltreatment incidence. Washington, DC: US Government Printing Office; 1998.

    Google Scholar 

  • Rubin D, Lane W, Ludwig S. Child abuse prevention. Curr Opin Pediatr. 2001;13:388–401.

    Article  CAS  Google Scholar 

  • Sapp MV, Vandeven AM. Update on childhood sexual abuse. Curr Opin Pediatr. 2005;17:258–64.

    Article  Google Scholar 

  • Sedlak AJ, Mettenburg J, Basena M, et al. Fourth national incidence study of child abuse and neglect (NIS-4). Washington, DC: U.S. Department of Health and Human Services, Administration for Children and Families; 2010.

    Google Scholar 

  • Walter R. Child maltreatment 2002. Washington, DC: U.S. Department of Health and Human Services, National Clearinghouse on Child Abuse and Neglect; 2004.

    Google Scholar 

  • Weder N, Zhang H, Jensen K, et al. Child abuse, depression, and methylation in genes involved with stress, neural plasticity, and brain circuitry. J Am Acad Adolesc Psychiatry. 2014;53:417–24.

    Article  Google Scholar 

  • Wells RG, Vetter C, Laud P. Intracranial hemorrhage in children younger than 3 years: prediction of intent. Arch Pediatr Adolesc Med. 2002;156:252–7.

    Article  Google Scholar 

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Correspondence to Michael E. Höllwarth .

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Höllwarth, M.E., Sorantin, E. (2020). Physical and Sexual Child Abuse. In: Puri, P. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38482-0_134-1

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  • DOI: https://doi.org/10.1007/978-3-642-38482-0_134-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-38482-0

  • Online ISBN: 978-3-642-38482-0

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Chapter history

  1. Latest

    Physical and Sexual Child Abuse
    Published:
    21 July 2020

    DOI: https://doi.org/10.1007/978-3-642-38482-0_134-2

  2. Original

    Physical and Sexual Child Abuse
    Published:
    13 February 2020

    DOI: https://doi.org/10.1007/978-3-642-38482-0_134-1