With the increase in survival for children with cancer, part of the focus of current research is aimed towards evaluating how these children are adapting psychosocially. Neurocognitive deficits have been well established. However, there are multiple facets encompassing quality of life, including general mental health, lifestyles and health behaviors, and academic and cognitive functioning. The relationship between neurocognitive and psychosocial functioning has yet to be thoroughly evaluated. The purpose of this study was to investigate the relationship between neurocognitive and psychosocial functioning in survivors of brain tumors and acute lymphoblastic leukemia. Data was collected from existing archival database comprised of patients of the at Cook Children's Medical Center in Texas. The sample consisted of 177 patients between the ages of 3 and 12 who were at least two years post-diagnosis. Measures used included the NEPSY and the Behavioral Assessment for Children. Statistical analyses included a several one-way analysis of variances, an independent samples t-test, a univariate analysis of variance, a hierarchical multiple regression, and odds ratio analyses. Results indicated survivors treated with neurosurgery alone appear to be less at risk for developing behavior problems than other treatment modalities. Also, brain tumor survivors demonstrate more problematic behaviors than survivors of acute lymphoblastic leukemia. Visuospatial functioning, diagnosis, and type of treatment were found to be predictive variables of behavior problems. Attention, and perhaps language, deficits may predispose children to more problems in their behavior. It is concluded that there are other factors affecting behavior in this population that were not accounted for in this analysis. It is recommended for future studies to research the individual clinical scales of the Behavior Assessment System for Children, obtain information from multiple informants, study this relationship longitudinally, and research additional factors that may be influencing the relationship between neurocognitive and psychosocial functioning. This provides evidence of risk factors that should be monitored as the child returns home and to school.

Impairments in aspects of social cognition have been found in children who have experienced maltreatment; however, the long-term impact of childhood maltreatment on social cognition is less well understood. This study examined areas of social cognition that may be associated with poor psychological, social, and emotional outcomes in adults who have experienced intra-familial childhood maltreatment. In a sample of university students (N = 68), childhood maltreatment was associated with social cognitive impairment in two models of emotional intelligence (EI), trait EI and ability EI, and advanced theory of mind (ToM). Higher frequency and severity of specific subtypes of childhood maltreatment predicted lower trait EI, ability EI, and ToM. In particular, neglect predicted lower ToM and ability EI scores. Psychological abuse alone predicted lower trait EI while physical abuse was not a significant predictor for any of the social-cognitive variables. Further, the data showed maternal vs. paternal maltreatment predicted specific social cognitive outcomes. Understanding the relationship between social cognitive deficits and intra-familial maltreatment may guide clinical and community assessment and treatment approaches, as well as provide information on the pervasive and continuing impact of childhood maltreatment. / February 2017

Evaluations are often an expectation that funders have for non-profit organizations such as Winnipeg’s child advocacy centre, Snowflake Place for Children and Youth (Snowflake Place). The purpose of this study was to evaluate the effectiveness of Snowflake Place through the use of a mixed methods case study evaluation employing the tenets of utilization-focused evaluation. A total of 30 interviews were conducted, with individuals from key service providing partners of Snowflake Place and non-offending caregivers of children who were forensic interviewed at Snowflake Place. This study also analyzed the data tracked by Snowflake Place on its service recipients. The results show that although the organization has only been operating for three years, Snowflake Place is able to provide consistent high quality services such as forensic interviews. Results indicate that Snowflake Place has the potential to improve upon the overall positive experiences of both service providing partners and service recipients. / February 2017

Bakgrund: Sjuksköterskan har anmälningsplikt vid misstanke eller kännedom om barnmisshandel. Alla barn ska skyddas från fysiskt våld från förälder eller annan vuxen. Tidiga insatser kan göra skillnad och förhindra konsekvenser som alkohol- eller drogmissbruk och psykisk ohälsa. Syfte: Syftet är att beskriva sjuksköterskans upplevelser av att handha fall där barn misstänks ha utsatts för fysisk misshandel i hemmet. Metod: En allmän litteraturstudie baserad på tio vetenskapliga artiklar varav sju med kvalitativ metod, två med kvantitativa metod samt en med mixad metod. Resultat: Resultatet visade att det fanns bristande protokoll och riktlinjer, otillräcklig utbildning samt olika upplevelser av ansvar som sjuksköterska gällande misstänkta fall av fysisk barnmisshandel. Det framkom en bristande kommunikation mellan instanser, en svårighet i att upprätthålla professionalitet i mötet med familjen och ett behov av stöd för sjuksköterskan. Slutsats: Sjuksköterskan är i behov av adekvat utbildning, rätt stöd och en förbättrad kommunikation. De kulturella aspekterna inom området bör beaktas. Klinisk betydelse: Resultatet kan för sjuksköterskor inom hälso- och sjukvård bidra till en ökad kunskap och förståelse för misstänkt fysisk barnmisshandel i hemmet. Vidare kan resultatet bidra till ökat intresse för utveckling inom området. / Background: The nurse has the duty of notification on suspicion or knowledge about child abuse. All children shall be protected from physical violence from a parent or other adults. Early intervention can make a difference and prevent consequences as alcohol- or drug abuse and mental illness. Aim: The aim is to describe nurses' experiences of managing cases where children are suspected to have been subjected to physical abuse in the home. Method: A general literature study based on ten scientific articles. Seven were conducted through qualitative methods, two with quantitative methods and one with mixed methods. Result: The result presented that there was a lack of protocols and guidelines, insufficient training and different experiences of accountability as a nurse regarding suspected cases of physical child abuse. It presented a lack of communication between agencies, a difficulty in maintaining professionalism in the meeting with the family and a need for support for the nurse. Conclusion: The nurse is in need of proper education, proper support and improved communication skills. The cultural aspects of the area should be considered. Clinical significance: The result can for nurses in health care contribute to a greater knowledge and understanding of suspected physical child abuse in the home. Furthermore, the results can contribute to increased interest in development of the area.

This dissertation examined certain distal and proximal relational factors and emotional capabilities of individuals in therapeutic programs in Greece. The three studies aimed to extend existing work by examining links between distal (child abuse reports) and proximal (adult attachment, social support) relation factors with psychological health outcomes of substance users in addiction treatment programs. The results from the three studies supported the view that: a) distal (childhood maltreatment) and proximal (attachment organization) relational factors are important predictors of substance users’ well-being; b) proximal factors (anxious attachment) mediate effects of abusive experiences; c) emotional capabilities and specifically regulatory processes have a prominent role as mediators of relational factors on substance users’ well-being.

Background: Child maltreatment is a serious health concern in the United States (U.S.) affecting as many as one in four children throughout their lifetime (Finkelhor, Turner, Ormond, & Hamby, 2013). In 2013, a reported 678, 932 victims of child maltreatment were reported to Child Protective Services (CPS), and of those cases 1,520 were fatal (CDC, 2015a). Out of all the various types of child maltreatment, Shaken Baby Syndrome (SBS) is the leading cause of child abuse deaths in the U.S. (CDC, n.d.). While current research has focused on validating the effectiveness of educational interventions, very few studies have analyzed the efficacy of individualized, patient-centered action plans. Such data would be beneficial to assess the usefulness of action plans in preparing caregivers for coping with an inconsolable infant at home. Purpose: To enhance caregiver knowledge about SBS and to provide parents with the skills and resources necessary to cope effectively and efficiently at home when unable to console their infant. Methods: This study utilized a quasi-experimental pre-test/post-test design. Participants were recruited from the Franciscan Women’s Health Associates located at St. Joseph Medical Center in Tacoma, Washington and were members of the Centering prenatal groups. The entirety of the study was completed during these groups including the pre-test, intervention, action plan, and post-test. Data was analyzed through the utilization of descriptive statistics as well as a paired t test. Results: Overall, results revealed that participant (n=26) knowledge significantly improved after the educational intervention (p=0.000) with a mean score of 87.56% on the pre-test and a mean score of 95.38% on the post-test. In addition, a majority of participants (57.5%) found both the action plan and the education to be extremely useful. Discussion: The results of this study were consistent with current evidence indicating that education on SBS, the dangers of shaking, and healthy coping mechanisms significantly impacts caregiver knowledge. In addition, a majority of participants viewed the action plans favorably identifying that they would be beneficial if they felt frustrated. Future research is warranted to gather more information on the long-term outcomes of educational interventions as well as individualized action plans.

Although numerous studies examining variables related to child abuse have been done in recent years, little is known about how abusing parents perceive their abused children's attitudes and behaviors. The present study attempted to examine parental perceptions of personality characteristics of children as a function of whether the parent abused the child. The Personality Inventory for Children (PIC) was utilized to obtain parental perceptions of their children's attitudes and behaviors. Twenty parents consisting of 10 abusers and 10 nonabusers were contacted through social agencies. Parents and children were matched for age, sex, and race. Of the 16 personality variables studied, only one significantly differentiated the two groups. Abused children were perceived as significantly more withdrawn than the nonabused matched sample. Results of this study suggest that various personality types are involved in the abusive cycle. Further research is needed to explore this promising area.

The problem with which this study is concerned is that of a descriptive analysis of counseling techniques being used by selected child welfare workers. The method determining the counseling techniques being used was a questionnaire. Seven counseling techniques were tested on the questionnaire. The questionnaire was developed through the use of various sources. Validity and reliability of the questionnaire were not tested. The findings were inconclusive, based upon the data. The workers tended to show eclectic use of techniques. Psychoanalysis and client-centered therapy did poll the greatest number of positive responses. Z-scores and probability between the counseling techniques were determined. The findings supported the responses received by psychoanalysis and client-centered therapy. No recommendations were made.

This project used a content analysis methodology to determine the agenda-setting capacity of the media to influence child welfare legislation in a state legislature. With a foundation in agenda-setting theory, this study identifies how the coverage of child abuse and neglect in the print media impacts decision-makers to introduce legislation related to child abuse and neglect. Through a comparison of the issues covered in the newspaper with the issues receiving legislative attention, this study showed that media influence varies by topic, with some topics being more open to media affects than others. A second component of this study analyzed how child abuse and neglect is portrayed in four newspapers circulating across the state. With an emphasis on identifying the types of issues that receive media attention in Virginia, this qualitative study showed key themes and patterns prevalent in child welfare coverage. The media demonstrates an affinity for covering episodic, micro-level instances of abuse, and thematic, macro-level systemic issues. These findings show media focus is concentrated on extreme and unusual cases of abuse and those issues that will evoke shock and emotion from the reader.

M.A. / The incidence of child abuse in southern Africa is problematic to such an extent that it is described by Machel (as cited in Richter, Dawes & Higson-Smith, 2004. p. ix) as "an assault, a war upon our children". The numbers and estimates surrounding, not only sexual abuse, but also physical abuse seem to be rising exponentially. This leads to the obvious deduction that adult survivors are also rising exponentially, and as such need focus and care, since the aftermath of abuse is far reaching, impacting every sphere of their lives. Destructive behaviour and thought patterns characterise all aspects of their interaction with the self and others, which paints a bleak and painful picture for their futures. To compound the aftermath, very few studies have focused on aspects beyond the aftermath, few have gone on to explain and focus attention on whether healing can take place, and if so, how it can be brought about. This important source of hope for the survivors has been neglected for far too long, leaving the survivors struggling with the question of whether positive change is at all possible? This study aims to address that question and to focus on the experience of the process of healing. The participants were members of a support group for survivors. A qualitative approach was followed with the focus on conceptual analysis. Two open-ended questionnaires were constructed. The first questionnaire was administered pre-intervention and the second questionnaire post-intervention. As a qualitative study, information is included regarding the researcher's experience, and is interpreted from the researcher's perspective. It was found that growth and change is indeed possible. Participants showed more insight into their behaviour and actions and were mostly able to cease destructive behaviours, achieve positive goals set for themselves, or were at least in the process of changing some aspects they felt needed attention. Due to analysis taking place on a group, as well as, individual level, individual differences became very visible. In this study, those aspects participants still found problematic were also highlighted. It is suggested that those aspects be scrutinised in future studies. A reflection on the healing process also occurred and is viewed as a platform for future studies to build on.