The Rorschach records and Wechsler Intelligence Scale scores of sixty-six children between the ages of 5 and 13 were compared. Subjects in each group were from one of three conditions: children who have documented histories of physical abuse, children referred for clinical intervention with no history of abuse, and a community sample of children with no documented history of abuse or psychological treatment. Data from the groups were analyzed to examine evidence of increased reliance on ego functions related to motor activity and concurrent deficits in other areas of ego function by subjects in the physical abuse group. Results revealed that the physical abuse group showed a greater tendency toward color-dominant responses on the Rorschach than the comparison groups and that the Community control group produced records with lower extended form quality than the clinical groups. No significant differences were found for Performance/Verbal IQ split, EB style, Cooperative Movement or Aggressive content.

The purpose of this study was to explore the link between exposure to domestic violence (DV) and the presence of symptoms of anxiety in a population of justice-involved juveniles. The categories of DV were broken down into verbal abuse and physical abuse, along with a third category of juveniles that witnessed both forms of abuse within their households. This study compared the prevalence of anxiety in juveniles when faced with the different instances of DV through the use of data collected from a longitudinal study conducted by the Pathways to Desistance Project. The goal of the study was to further understand how the witnessing of specific forms of DV may result in a higher rate of symptoms of anxiety displayed within juveniles. This study will allow for professionals to better identify sources of anxiety and trends found in juvenile offenders exhibiting such internalized behavior, which may have been as a result of witnessing DV in their pasts. This study may lead to better handling and identification of anxiety disorders and symptoms in children and act as a red flag for potential domestic abuse in the child's household. This study may also allow for a higher likelihood of assistance given to children at a young age in order to prevent the development of behaviors they witness within the household and may reflect in the future.

Domestic violence from a male victim's perspective is something that is not discussed in society very much because information is very limited and incidents are often unreported. Research was done on this aspect of domestic violence to see how the types of abuse have had an impact on the victim from a physical and emotional perspective. The secondary data used for this study were from the Violence and Threats of Violence Against Women and Men in the United States, 1994-1996. Eight thousand men were selected to participate in the survey. The question of whether domestic violence is a problem was examined by race. It was determined that there was a relationship between these 2 variables with an actual significance of .000.

Adverse Childhood Experiences (ACEs) including experiences of neglect and abuse have been shown to negatively impact the victims’ health outcomes. While the ACE score methodology has been widely accepted as the method for measuring childhood trauma, the severity of the abuse has not been accounted for through research. The aim of this research was to assess the duration and frequency of childhood emotional and physical abuse in addition to prevalence among college aged adults, to bridge this gap in the literature. A modified ACE and health behavior questionnaire was administered online at one university beginning July through December of 2014. A sample of 965 participants aged ≥ 18 were included in this study. Two ACE questions, “did a parent or other adult in the household often or very often swear at you, insult you, put you down, or humiliate you? Or, act in any way that made you afraid that you might be physically hurt?” and “did a parent or other adult in the household often or very often push, grab, slap, or throw something at you? Or ever hit you so hard that you had marks or were injured?” were asked to measure the prevalence of emotional and physical abuse, respectively. Descriptive statistics were completed in SAS for age, race, gender, emotional abuse and physical abuse. Frequencies, proportions and corresponding p-values were reported. The sample distribution included: female (69%), age average 20 years (M = 20.21, SD = 4.07), and white (84.9%). In total 29.01% of the sample reported exposure to childhood emotional or physical abuse and 37.5% reported both experiences. Females reported a higher proportion of emotional abuse and less proportion of physical abuse (27.59% and 12.29%) compared to males (24.50% and 15.44%). However, gender differences were not significant, X2 = 1.01, p>0.05 and X2 = 1.77, p>0.05. Of those reporting abuse, about two thirds of emotional abuse and one third of physical abuse occurred frequently defined as occurring either ‘daily’, ‘at least once a week’ or ‘at least once a month’. Modal frequency was ‘at least once a week’ for both female (30.74%) and male (20.31%). More than half of the abusive experiences (60.3% emotional and 53.9% physical) happened for more than two years. Experiences of childhood emotional and physical abuse are common among this sample of college age adults and the occurrence of one type of abuse is most often accompanied by the occurrence of another. This result is consistent with national research that has been done on adult populations. In cases where abuse occurred for this sample, the experiences were frequent and for an extended period of time. An understanding of the prevalence of childhood physical and emotional abuse among college aged adults and the discussion of its implications should be included in college health and counseling programs. Knowledge of the frequency and duration of abuse is critical in identifying the high risk population and developing personalized and targeted programs addressing their specific needs.

This study examined the relationship between self-reported childhood physical and sexual abuse, relationship quality, possible gender differences, and clinical implications. Three hundred thirty eight women and 296 men who sought services at a university mental health clinic in the northeast region of the United States completed a 30-minute self-report assessment questionnaire before their first therapy session. Among the items in the questionnaire were measures of childhood physical abuse and sexual abuse, relationship stability, problems areas in the relationship, and other demographic information. Results from structural equation modeling indicated that childhood physical abuse influenced relationship quality for both men and women while childhood sexual abuse did not have a significant impact on relationship quality for either gender. The results of the study indicate that there may be more gender similarities than differences in experiences of childhood abuse and relationship quality than previous research suggests. Clinical implications and directions for future research are discussed.

No description available.

No / Introduction: The purpose was to determine if an age based, local diagnostic reference level for paediatric skeletal surveys could be established using retrospective data. Methods: All children below two years of age referred for a primary skeletal survey as a result of suspected physical abuse during 2017 or 2018 (n ¼ 45) were retrospectively included from a large Danish university hospital. The skeletal survey protocol included a total of 33 images. Dose Area Product (DAP) and acquisition parameters for all images were recorded from the Picture Archival and Communication System (PACS) and effective dose was estimated. The 75th percentile for DAP was considered as the diagnostic reference level (DRL). Results: The 75th percentile for DAP was 314 mGy*cm2 , 520 mGy*cm2 and 779 mGy*cm2 for children <1 month, 1e11 months and 12 < 24 months of age respectively. However, only the age group 1e11 months had a sufficient number of children (n ¼ 27) to establish a local DRL. Thus, for the other groups the DAP result must be interpreted with caution. Effective dose was 0.19, 0.26 and 0.18 mSv for children <1, 1e11 months and 12 < 24 months of age respectively. Conclusion: For children between 1 and 11 months of age, a local diagnostic reference level of 520 mGy*cm2 was determined. This may be used as an initial benchmark for primary skeletal surveys as a result of suspected physical abuse for comparison and future discussion. Implications for practice: While the data presented reflects the results of a single department, the suggested diagnostic reference level may be used as a benchmark for other departments when auditing skeletal survey radiation dose.

No description available.

No description available.

Ett stort antal barn utsätts regelbundet för fysiska övergrepp i hemmet. De allra flesta uppsöker BVC flera gånger under sina första sex levnadsår. Sjuksköterskan ges därmed goda möjligheter att undersöka och observera barnet samt skapa en bra relation till föräldrarna. Barn som utsätts för fysiska övergrepp upptäcks många gånger inte förrän det är för sent, när något allvarligt redan inträffat som leder till akut kontakt med hälso- och sjukvården. Det är viktigt att de utsatta barnens situation upptäcks så tidigt som möjligt i vårdkedjan, helst redan i samband med rutinbesök på barnavårdscentralen [BVC]. Syftet med studien var att beskriva hur sjuksköterskan på BVC upptäcker och hanterar att ett barn är utsatt för fysiska övergrepp i hemmet. Studien gjordes med en induktiv, deskriptiv kvalitativ ansats.  Genom ett strategiskt urval intervjuades sju informanter. Intervjuerna transkriberades ordagrant, texten analyserades med manifest innehållsanalys. Under arbetets gång växte tre kategorier fram: använder sina sinnen, möter olika hinder och söker stöd för att anmäla. Resultatet visade att upptäckten och hanteringen när ett barn är utsatt för fysiska övergrepp var en svår och komplex uppgift för sjuksköterskan som ofta kände sig villrådig och osäker på att fatta rätt beslut. Som svar på forskningsfrågan växte ett tema fram: genom att våga se och agera, som beskriver processen sjuksköterskan går igenom från det att hon får den första misstanken till dess att hon beslutar sig för att göra en anmälan. Författarna har under arbetets gång fått insikt i vikten av att sjuksköterskan har modet och förmågan att våga se och agera när ett barn är utsatt för fysiska övergrepp. Förhoppningen är att studien ska belysa vilka verktyg och strategier som krävs för att hantera den känslomässiga påfrestning och de dilemman som upptäckten innebär så att misstänkta övergrepp förhoppningsvis kan upptäckas, ifrågasättas och anmälas mycket tidigare för barnets bästa. / A large number of children are regularly physical abused in their homes. Most of them visit the child health center on several occasions during their first sex years. During this period of time the nurse has good opportunities to examine and observe the child and also to establish a good relationship to the parents. Abused children are often not recognized until the damage is already a fact, which usually occurs in connection to an emergency visit at the health care services. It is of most importance that these children are recognized as early as possible, preferably already at the regular check-ups at the child health center. The purpose of this study was to describe how the nurse on the child health center recognizes and deal with a child that has been physical abused in the home. The study has been done with a inductive, descriptive and qualitative approach. By a strategic selection seven informants were interviewed. The interviews were literally transcribed followed by a thorough analysis with focus on the manifest content. Through the process of the study three categories revealed: using their senses, meets various obstacles and seeking support for filing a report. The result showed difficulties in recognizing an abused child but also difficulties in how to deal with it once discovered. The nurse often feels hesitant and insecure in how to proceed and whether the right decision is made. In response to the research question a theme developed: by daring to look and act - describing the process a nurse goes through from getting the first suspicion until she decides to file a report. During the process of the study the authors have gained knowledge in the importance of the nurses´ courage and ability to see and act when a child has been physical abused. Hopefully this study will enlighten the necessary tools and strategies that are required to handle the emotional strain and the dilemma which the discovery means. And hopefully our study will contribute to an improvement in recognition, questioning and filing report of abused children at a much earlier stage.