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Physical and Sexual Child Abuse

  • Michael E. HöllwarthEmail author
  • Erich Sorantin
Living reference work entry
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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.

Keywords

Child maltreatment Physical abuse Sexual abuse Shaken baby syndrome Retinal hemorrhages Munchausen by proxy syndrome 

References

  1. American Academy of Pediatrics. Visual diagnosis of child abuse. 2nd ed. Elk Grove Village: American Academy of Pediatrics; 2003.Google Scholar
  2. 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
  3. Berkowitz CD. Physical abuse of children. N Engl J Med. 2017;377(4):399–400.PubMedGoogle Scholar
  4. Brown CVR, Canty TG Jr, Canty TG Sr. Injury of the GI tract from child abuse. Pediatrics. 1998;102(suppl):803–7.Google Scholar
  5. 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.CrossRefGoogle Scholar
  6. 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.CrossRefGoogle Scholar
  7. Committee on Child Abuse and Neglect. Protecting children from sexual abuse by health care providers. Pediatrics. 2011;128:407–26.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. Finkelhor D. The international epidemiology of child sexual abuse. Child Abuse Negl. 1994;18:409–17.CrossRefGoogle Scholar
  10. Finkelhor D. The prevention of childhood sexual abuse. Futur Child. 2009;19:169–94.CrossRefGoogle Scholar
  11. 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
  12. 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.
  13. 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.CrossRefGoogle Scholar
  14. 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.CrossRefGoogle Scholar
  15. 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.
  16. Hussey JM, Chang JJ, Kotch JB. Child maltreatment in the United States: prevalence, risk factors, and adolescent health consequences. Pediatrics. 2006;118:933–42.CrossRefGoogle Scholar
  17. 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.CrossRefGoogle Scholar
  18. Jenny C. Evaluating infants and young children with multiple fractures. Pediatrics. 2006;118:1299–303.CrossRefGoogle Scholar
  19. Jenny C, Isaac R. The relation between child death and child maltreatment. Arch Dis Child. 2006;91(265):269.Google Scholar
  20. 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.
  21. Kellogg N. The evaluation of sexual abuse in children. Pediatrics. 2005;116:506–12.CrossRefGoogle Scholar
  22. Kellogg N. Evaluation of suspected child physical abuse. Pediatrics. 2007;119:1232–41.CrossRefGoogle Scholar
  23. Lancon JA, Haines DE, Parent AD. Anatomy of the shaken baby syndrome. Anat Rec. 1998;253:13–8.CrossRefGoogle Scholar
  24. Ledbetter DJ, Hatch EL Jr, Feldman KW, et al. Diagnostic and surgical implications of child abuse. Arch Surg. 1988;123:1101–5.CrossRefGoogle Scholar
  25. Levine AV. Ocular manifestations of child abuse. Ophtalmol Clin N Am. 1990;3:249–64.Google Scholar
  26. Listman DA, Bechtel K. Accidental and abusive head injury in young children. Curr Opin Pediatr. 2003;15:299–303.CrossRefGoogle Scholar
  27. 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.
  28. 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.CrossRefGoogle Scholar
  29. Murray LK, Nguyen A, Cohen JA. Child sexual abuse. Child Adolesc Psychiatr Clin N Am. 2014;23:321–37.CrossRefGoogle Scholar
  30. 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.CrossRefGoogle Scholar
  31. 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.CrossRefGoogle Scholar
  32. Palusci VJ, Kay AJ, Council on Child Abuse and Neglect, et al. Identifying child abuse fatalities during infancy. Pediatrics. 2019;144(3):e20192076.CrossRefGoogle Scholar
  33. Palusci VJ, Fischer H. Child abuse and neglect – a diagnostic guide: Corringham Road, London: Manson Publishing; 2012.Google Scholar
  34. Paradise JE. Current concepts in preventing sexual abuse. Curr Opin Pediatr. 2001;13:402–7.CrossRefGoogle Scholar
  35. 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.CrossRefGoogle Scholar
  36. 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.CrossRefGoogle Scholar
  37. Reece RM, Sege R. Childhood head injury: accidental or inflicted? Arch Pediatr Adolesc Med. 2000;154:11–5.PubMedGoogle Scholar
  38. Reijneveld SA, van der Wal MF, Brugman E, et al. Infant crying and abuse. Lancet. 2004;364:1340–2.CrossRefGoogle Scholar
  39. NCANDS. Report from the states on child maltreatment incidence. Washington, DC: US Government Printing Office; 1998.Google Scholar
  40. Rubin D, Lane W, Ludwig S. Child abuse prevention. Curr Opin Pediatr. 2001;13:388–401.CrossRefGoogle Scholar
  41. Sapp MV, Vandeven AM. Update on childhood sexual abuse. Curr Opin Pediatr. 2005;17:258–64.CrossRefGoogle Scholar
  42. 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
  43. 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
  44. 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.CrossRefGoogle Scholar
  45. 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.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2020

Authors and Affiliations

  1. 1.Department of Paediatric and Adolescent SurgeryMedical UniversityGrazAustria
  2. 2.Department of Pediatric RadiologyMedical UniversityGrazAustria

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