아동학대 피해 아동의 정신질환 유병률 조사
Study on Mental Disorders in Abused Children
2
조회
0
다운로드
12
인용
0
참고문헌
키워드
초록
Objectives Child abuse can affect mental and physical health of abused children. Accurate assessment of mental health of abused children is integral to providing proper treatment and preventing any further impact of childhood abuse on their future life. In this study, we investigated psychiatric illnesses among abused children. Methods Semi-structured interviews using the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version were conducted for 61 abused chil¬dren after obtaining consent from their guardians. We also assessed the relationship between the demographic data of these abused children and their diagnoses. Results Among the abused children, more than half had more than one psychiatric disorder. The most frequently diagnosed disorders were attention-deficit/hyperactivity disorder, posttrau¬matic stress disorder, depressive disorder, and oppositional defiant disorder. The incidence of posttraumatic stress disorder was higher in abused girls compared with abused boys. Abused children had a higher suicide risk than the general population. Among the parents of abused children, 50.8% had alcohol use disorders. Conclusion Among the abused children, 50.8% had psychiatric disorders. Administration of intensive psychiatric treatment to abused children, and prevention of child abuse by education, treatment, and monitoring high-risk parents is imperative.
Abstract
Objectives Child abuse can affect mental and physical health of abused children. Accurate assessment of mental health of abused children is integral to providing proper treatment and preventing any further impact of childhood abuse on their future life. In this study, we investigated psychiatric illnesses among abused children. Methods Semi-structured interviews using the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version were conducted for 61 abused chil¬dren after obtaining consent from their guardians. We also assessed the relationship between the demographic data of these abused children and their diagnoses. Results Among the abused children, more than half had more than one psychiatric disorder. The most frequently diagnosed disorders were attention-deficit/hyperactivity disorder, posttrau¬matic stress disorder, depressive disorder, and oppositional defiant disorder. The incidence of posttraumatic stress disorder was higher in abused girls compared with abused boys. Abused children had a higher suicide risk than the general population. Among the parents of abused children, 50.8% had alcohol use disorders. Conclusion Among the abused children, 50.8% had psychiatric disorders. Administration of intensive psychiatric treatment to abused children, and prevention of child abuse by education, treatment, and monitoring high-risk parents is imperative.
참고문헌 (36)
- Kempe CH, "The battered-child syndrome", JAMA, 181, pp.17~24 (1962)
- Helfer RE, "The battered child syndrome", Adv Pediatr, 15, pp.9~27 (1968)
- Dube SR, "Growing up with parental alcohol abuse: exposure to childhood abuse, neglect, and household dysfunction", Child Abuse Negl, 25, pp.1627~1640 (2001)
- Dube SR, "Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: the adverse childhood experiences study", Pediatrics, 111, pp.564~572 (2003)
- Dube SR, "Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: findings from the adverse childhood experiences study", JAMA, 286, pp.3089~3096 (2001)
- Ju S, "Experiences of family maltreatment by Korean children in Korean national protective services", Child Abuse Negl, 34, pp.18~27 (2010)
- Lansford JE, "A 12-year prospective study of the long-term effects of early child physical maltreatment on psychological, behavioral, and academic problems in adolescence", Arch Pediatr Adolesc Med, 156, pp.824~830 (2002)
- De Bellis MD, "Neuropsychological findings in pediatric maltreatment: relationship of PTSD, dissociative symptoms, and abuse", neglect indices to neurocognitive outcomes, 2013, pp.18, 171~183
- Teicher MH, "Childhood maltreatment and psychopathology:a case for ecophenotypic variants as clinically and neurobiologically distinct subtypes", Am J Psychiatry, 170, pp.1114~1133 (2013)
- Silverman AB, "The long-term sequelae of child and adolescent abuse: a longitudinal community study", Child Abuse Negl, 20, pp.709~723 (1996)
- Hadianfard H, "Child abuse in group of children with attention deficithyperactivity disorder in comparison with normal children", Int J Community Based Nurs Midwifery, 2, pp.77~84 (2014)
- Mandell DS, "The prevalence and correlates of abuse among children with autism served in comprehensive community-based mental health settings", Child Abuse Negl, 29, pp.1359~1372 (2005)
- Sullivan PM, "Maltreatment and disabilities: a population-based epidemiological study", Child Abuse Negl, 24, pp.1257~1273 (2000)
- Walsh C, "The relationship between parental psychiatric disorder and child physical and sexual abuse: findings from the ontario health supplement", Child Abuse Negl, 26, pp.11~22 (2002)
- Kaufman J, "p. 129-150", pp.129~150 (1989), Cambridge University Press
- Chang J, "Characteristics of child abuse in immigrant Korean families and correlates of placement decisions", Child Abuse Negl, 30, pp.881~891 (2006)
- Feng JY, "The meaning of child abuse for nurses in Taiwan", J Transcult Nurs, 16, pp.142~149 (2005)
- Kim DH, "Children’s experience of violence in China and Korea: a transcultural study", Child Abuse Negl, 24, pp.1163~1173 (2000)
- Kaufman J, "Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data", J Am Acad Child Adolesc Psychiatry, 36, pp.980~988 (1997)
- 김영신, "The Reliability and Validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version (K-SADS-PL-K)", Yonsei Medical Journal, 45(1), pp.81~89 (2004), 연세대학교의과대학
- van Ijzendoorn MH, "Elevated risk of child maltreatment in families with stepparents but not with adoptive parents", Child Maltreat, 14, pp.369~375 (2009)
- Afifi TO, "Child abuse and mental disorders in Canada", CMAJ, 186, pp.E324~E332 (2014)
- Walsh C, "The relationship between parental substance abuse and child maltreatment: findings from the ontario health supplement", Child Abuse Negl, 27, pp.1409~1425 (2003)
- Bierut LJ, "Familial transmission of substance dependence:alcohol, marijuana, cocaine, and habitual smoking: a report from the collaborative study on the genetics of alcoholism", Arch Gen Psychiatry, 55, pp.982~988 (1998)
- Livingston J, "Contribution of fetal alcohol syndrome to mental retardation", Lancet, 2, pp.1337~1338 (1986)
- Abel EL, "Fetal alcohol syndrome is now leading cause of mental retardation.", Lancet, 2, pp.1222~ (1986)
- Investigation of child abuse in Korea, "Ahn JJ", Ministry of Health and Welfare, ~ (2011)
- Teicher MH, "Sticks, stones, and hurtful words: relative effects of various forms of childhood maltreatment", Am J Psychiatry, 163, pp.993~1000 (2006)
- Choi J, "Preliminary evidence for white matter tract abnormalities in young adults exposed to parental verbal abuse", Biol Psychiatry, 65, pp.227~234 (2009)
- Briscoe-Smith AM, "Linkages between child abuse and attention-deficit", hyperactivity disorder in girls: behavioral and social correlates, 2006, pp.30, 1239~1255
- Fuller-Thomson E, "The relationship between early adversities and attention-deficit", hyperactivity disorder, 2015, pp.47, 94~101
- Cornellà Canals J, "Attention-deficit hyperactivity disorder symptoms and their relationship with child abuse: predictor and consequence", An Pediatr (Barc), 81, pp.398.e1~398.e5 (2014)
- Jonson-Reid M, "Child and adult outcomes of chronic child maltreatment", Pediatrics, 129, pp.839~845 (2012)
- Taussig HN, "Suicidality among preadolescent maltreated children in foster care", Child Maltreat, 19, pp.17~26 (2014)
- Rogers R, "Nurse administered structured clinical interviews improve psychiatric diagnosis and treatment in community settings", Evid Based Ment Health, 6, pp.109~ (2003)
- Robins LN, "The composite international diagnostic interview. An epidemiologic instrument suitable for use in conjunction with different diagnostic systems and in different cultures", Arch Gen Psychiatry, 45, pp.1069~1077 (1988)