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Sample records for abuse modelling study

  1. Comparing Reasons for Quitting Substance Abuse with the Constructs of Behavioral Models: A Qualitative Study

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    Hamid Tavakoli Ghouchani

    2015-03-01

    Full Text Available Background and Objectives: The world population has reached over seven billion people. Of these, 230 million individuals abuse substances. Therefore, substance abuse prevention and treatment programs have received increasing attention during the past two decades. Understanding people’s motivations for quitting drug abuse is essential to the success of treatment. This study hence sought to identify major motivations for quitting and to compare them with the constructs of health education models. Materials and Methods: In the present study, qualitative content analysis was used to determine the main motivations for quitting substance abuse. Overall, 22 patients, physicians, and psychotherapists were selected from several addiction treatment clinics in Bojnord (Iran during 2014. Purposeful sampling method was applied and continued until data saturation was achieved. Data were collected through semi-structured, face-to-face interviews and field notes. All interviews were recorded and transcribed. Results: Content analysis revealed 33 sub-categories and nine categories including economic problems, drug-related concerns, individual problems, family and social problems, family expectations, attention to social status, beliefs about drug addiction, and valuing the quitting behavior. Accordingly, four themes, i.e. perceived threat, perceived barriers, attitude toward the behavior, and subjective norms, were extracted. Conclusion: Reasons for quitting substance abuse match the constructs of different behavioral models (e.g. the health belief model and the theory of planned behavior.

  2. An Alternative Counseling Model for Alcohol Abuse in College: A Case Study

    Science.gov (United States)

    Hayes, B. Grant; Curry, Jennifer; Freeman, Mark S.; Kuch, Tyson H.

    2010-01-01

    Abstinence education remains a prevailing approach for addressing college student alcohol abuse. This case study illustrates an alternative method of intervening that combines motivational interviewing, harm reduction, and a brief solution-focused model. The counseling approach illustrated emphasizes reduction in, rather than abstinence from,…

  3. PET Studies in Nonhuman Primate Models of Cocaine Abuse: Translational Research Related to Vulnerability and Neuroadaptations

    OpenAIRE

    Gould, Robert W.; Duke, Angela N.; Nader, Michael A.

    2013-01-01

    The current review highlights the utility of positron emission tomography (PET) imaging to study the neurobiological substrates underlying vulnerability to cocaine addiction and subsequent adaptations following chronic cocaine self-administration in nonhuman primate models of cocaine abuse. Environmental (e.g., social rank) and sex-specific influences on dopaminergic function and sensitivity to the reinforcing effects of cocaine are discussed. Cocaine-related cognitive defic...

  4. Longitudinal histories as predictors of future diagnoses of domestic abuse: modelling study

    OpenAIRE

    Reis, Ben Y.; Kohane, Isaac Samuel; Mandl, Kenneth David

    2009-01-01

    Objective: To determine whether longitudinal data in patients’ historical records, commonly available in electronic health record systems, can be used to predict a patient’s future risk of receiving a diagnosis of domestic abuse. Design: Bayesian models, known as intelligent histories, used to predict a patient’s risk of receiving a future diagnosis of abuse, based on the patient’s diagnostic history. Retrospective evaluation of the model’s predictions using an independent testing set. Set...

  5. Healing from Childhood Sexual Abuse: A Theoretical Model

    Science.gov (United States)

    Draucker, Claire Burke; Martsolf, Donna S.; Roller, Cynthia; Knapik, Gregory; Ross, Ratchneewan; Stidham, Andrea Warner

    2011-01-01

    Childhood sexual abuse is a prevalent social and health care problem. The processes by which individuals heal from childhood sexual abuse are not clearly understood. The purpose of this study was to develop a theoretical model to describe how adults heal from childhood sexual abuse. Community recruitment for an ongoing broader project on sexual…

  6. Typological and Integrative Models of Sexual Abuse

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    Demidova L.Y.,

    2014-11-01

    Full Text Available We discuss the basic typological and integrative theoretical models that explain the occurrence of child sexual abuse and the differences detected among the perpetrators of crimes against sexual integrity of minors. A comprehensive review of the theoretical concepts of sexual abuse in our country, in fact has not been carried out, and in this paper for the first time we made such an attempt. It is shown that the existing notions of sexual abuse largely overlap each other, but each of the models somehow takes into account the factors not explicitly addressed in other concepts. Systematic consideration of the theoretical models of sexual abuse can generalize and systematize the available data on the mechanisms of pedophile behavior. This review provides an opportunity to develop a new benchmark in the study of sexual abuse, get closer to building the most accurate and comprehensive model. In turn, this may contribute to solving the questions about the factors, dynamics, and the prevention of criminal sexual conduct against children

  7. Adolescent Victims of Abuse: A Treatment Model.

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    Anderson-Merchant, Darlene

    This paper presents a theory and model for treating adolescent victims of physical and sexual abuse and neglect. The theory examines issues related to abuse or neglect and the effect that an abusive history has on adolescent development. Specific issues noted are depression, anger, low self-esteem, self-shame, lack of trust, a sense of…

  8. A Qualitative Study of Childhood Sexual Abuse Survivors in Taiwan: Toward a Transactional and Ecological Model of Coping

    Science.gov (United States)

    Wang, Yu-Wei; Heppner, P. Paul

    2011-01-01

    In this study, we aimed to explore the experiences of 10 female Taiwanese childhood sexual abuse (CSA) survivors (age range = 20-39 years) to broaden our understanding of the post-abuse coping process in a Chinese sociocultural context. This investigation was grounded on a feminist paradigm, and the consensual qualitative research method (Hill et…

  9. Typological and Integrative Models of Sexual Abuse

    OpenAIRE

    Demidova L.Y.,; Dvorjanchikov N.V.,

    2014-01-01

    We discuss the basic typological and integrative theoretical models that explain the occurrence of child sexual abuse and the differences detected among the perpetrators of crimes against sexual integrity of minors. A comprehensive review of the theoretical concepts of sexual abuse in our country, in fact has not been carried out, and in this paper for the first time we made such an attempt. It is shown that the existing notions of sexual abuse largely overlap each other, but each of the mode...

  10. A study of elder abuse in Korea.

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    Oh, Jinjoo; Kim, Hesook Suzie; Martins, Diane; Kim, Heegul

    2006-02-01

    This study investigates the state of elder abuse in Korea, and its related factors in a population-based survey. A total of 15,230 persons were interviewed at their homes in 1999. The rate of old people who experienced any one category of abuse was 6.3%, and emotional abuse was the most frequent while physical abuse was least prevalent. The experience of abuse seemed to be associated with personal characteristics such as age, gender, educational level, and economic dependency as well as the physical and mental health status. In addition, family characteristics such as the type of household, the family's economic level, and the quality of family relations were found to be associated with the presence of abuse. PMID:15913631

  11. Domestic abuse against minors: A victomological study

    OpenAIRE

    SORIN M. RĂDULESCU

    2008-01-01

    The study presents the main findings of the secondary analysis conducted by the author on the statistics of the Prosecutors' Office with the High Court of Cassation and Justice in the period between 2005 and the first semester of 2007, regarding domestic physical and sexual abuse against minors. The study emphasizes the increase or decrease trends in the number of victims of domestic abuse according to the category of crime (for example manslaughter, battery resulting in death, battery and ot...

  12. Child physical abuse and adult mental health: a national study.

    Science.gov (United States)

    Sugaya, Luisa; Hasin, Deborah S; Olfson, Mark; Lin, Keng-Han; Grant, Bridget F; Blanco, Carlos

    2012-08-01

    This study characterizes adults who report being physically abused during childhood, and examines associations of reported type and frequency of abuse with adult mental health. Data were derived from the 2000-2001 and 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions, a large cross-sectional survey of a representative sample (N = 43,093) of the U.S. population. Weighted means, frequencies, and odds ratios of sociodemographic correlates and prevalence of psychiatric disorders were computed. Logistic regression models were used to examine the strength of associations between child physical abuse and adult psychiatric disorders adjusted for sociodemographic characteristics, other childhood adversities, and comorbid psychiatric disorders. Child physical abuse was reported by 8% of the sample and was frequently accompanied by other childhood adversities. Child physical abuse was associated with significantly increased adjusted odds ratios (AORs) of a broad range of DSM-IV psychiatric disorders (AOR = 1.16-2.28), especially attention-deficit hyperactivity disorder, posttraumatic stress disorder, and bipolar disorder. A dose-response relationship was observed between frequency of abuse and several adult psychiatric disorder groups; higher frequencies of assault were significantly associated with increasing adjusted odds. The long-lasting deleterious effects of child physical abuse underscore the urgency of developing public health policies aimed at early recognition and prevention.

  13. Domestic abuse against minors: A victomological study

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    SORIN M. RĂDULESCU

    2008-02-01

    Full Text Available The study presents the main findings of the secondary analysis conducted by the author on the statistics of the Prosecutors' Office with the High Court of Cassation and Justice in the period between 2005 and the first semester of 2007, regarding domestic physical and sexual abuse against minors. The study emphasizes the increase or decrease trends in the number of victims of domestic abuse according to the category of crime (for example manslaughter, battery resulting in death, battery and other types of violence, rape, incest, sexual corruption, etc. as well as in relation to aggressors and victims.

  14. Elder abuse and dementia--a pilot study.

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    Cooney, C; Mortimer, A

    1995-01-01

    An anonymous postal questionnaire was distributed to 200 members of a voluntary organisation providing information and support for the carers of dementia sufferers. Carers were asked about the possible occurrence of verbal, physical abuse and neglect. Those carers who admitted to any form of abuse were compared with those who did not and risk factors in both carers and patients were analysed to determine risk factors for abuse. Fifty-five per cent of carers admitted to some form of abuse with verbal abuse being the most common form. Verbal abuse was associated with a poor premorbid relationship and social isolation of the carer and was found to be a risk factor for physical abuse. Those carers who had high GHQ scores and who had been caring for longer were more likely to physically abuse the person they cared for. This study supports the hypothesis that various categories of abuse have different correlates.

  15. Testing the sexually abused-sexual abuser hypothesis: A prospective longitudinal birth cohort study.

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    Leach, Chelsea; Stewart, Anna; Smallbone, Stephen

    2016-01-01

    The sexually abused-sexual abuser hypothesis posits that persons, especially males, who are sexually abused as children are at particular risk of sexually abusing others later in life. We tested this hypothesis by prospectively examining associations between maltreatment and offending in a birth cohort of 38,282 males with a maltreatment history and/or at least one finalized offense. We examined these associations within the context of the wider birth population. Proportionally few boys were the subject of official notifications for sexual abuse (14.8% of maltreated boys, and 1.4% of the birth population); proportionally very few of these sexually abused boys (3%) went on to become sexual offenders; and, contrary to findings typically reported in retrospective clinical studies, proportionally few sexual offenders (4%) had a confirmed history of sexual abuse. Poly-victimization (exposure to multiple types of maltreatment) was significantly associated with sexual offending, violent offending, and general (nonsexual, nonviolent) offending. We found no specific association between sexual abuse and sexual offending, and nor did we find any association between sexual abuse and sexual offending specifically within the poly-victimized group. The total number of sexual abuse notifications did make a small unique contribution to the variance in sexual offending compared to other offending. Implications concerning maltreated boys and male sexual offenders are discussed. PMID:26615777

  16. Promoting Effective Interviewing of Sexually Abused Children: A Pilot Study

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    Cheung, Monit

    2008-01-01

    Objective: This study is centered on interviewing techniques with alleged child sexual abuse victims who do and do not disclose sexual abuse. Method: Ninety randomly selected videotapes are reviewed, and the interviewing techniques are recorded on a 69-item Child Sexual Abuse Interviewing Skills Instrument. Results: The nondisclosure children are…

  17. Abuse

    Science.gov (United States)

    ... Paying for Care Insurance Medicare Medicare Part D Benefits Medicaid Tax Deductions & Credits Legal Matters Planning Ahead Legal Documents alz.org » Caregiver Center » Safety » Abuse Text size: A A A Special Situations First Responders Traveling In a Disaster Abuse Find your local Chapter ...

  18. Temperament Pathways to Childhood Disruptive Behavior and Adolescent Substance Abuse: Testing a Cascade Model

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    Martel, Michelle M.; Pierce, Laura; Nigg, Joel T.; Jester, Jennifer M.; Adams, Kenneth; Puttler, Leon I.; Buu, Anne; Fitzgerald, Hiram; Zucker, Robert A.

    2009-01-01

    Temperament traits may increase risk for developmental psychopathology like Attention-Deficit/Hyperactivity Disorder (ADHD) and disruptive behaviors during childhood, as well as predisposing to substance abuse during adolescence. In the current study, a cascade model of trait pathways to adolescent substance abuse was examined. Component…

  19. Impact Evaluation of a Cognitive Behavioral Group Therapy Model in Brazilian Sexually Abused Girls

    Science.gov (United States)

    Habigzang, Luisa Fernanda; Damasio, Bruno Figueiredo; Koller, Silvia Helena

    2013-01-01

    This study evaluated the impact of a cognitive behavioral group therapy model in Brazilian girls who had experienced sexual abuse. The effect of the waiting period before treatment and the enduring effectiveness of the treatment after six and 12 months were also evaluated. Forty-nine female sexual abuse victims between the ages of 9 and 16…

  20. Gender as Individual Risk Factor for Elderly Abuse: Findings from First National Prevalence Study in Macedonia

    OpenAIRE

    Marijana Markovik; Dimitrinka Jordanova Peshevska

    2014-01-01

    BACKGROUND:  National prevalence study of elderly abuse in Macedonia intended to explore prevalence and risk factors of elder abuse and neglect.  This paper is focused on influence of the gender as individual risk factor, according to ecological model, on elderly abuse and neglect. METHODS: Culturally validated questionnaire and Geriatric Depression scale was used for data collection. Mini Mental State Examination (MMSE) test, was used for sample selection. Cutting score was 20. The resea...

  1. Prescription Opioid Abuse, Prescription Opioid Addiction, and Heroin Abuse among Adolescents in a Recovery High School: A Pilot Study

    Science.gov (United States)

    Vosburg, Suzanne K.; Eaton, Thomas A.; Sokolowska, Marta; Osgood, Eric D.; Ashworth, Judy B.; Trudeau, Jeremiah J.; Muffett-Lipinski, Michelle; Katz, Nathaniel P.

    2016-01-01

    The progression from prescription opioid (RXO) abuse to RXO addiction is not well understood in adolescents, nor is the progression from RXO addiction to heroin abuse. The purpose of this pilot study was to characterize the development of RXO drug abuse, RXO drug addiction, and heroin abuse in a small cohort of adolescents recovering from opioid…

  2. Treatment and prevention of elder abuse and neglect: where knowledge and practice meet-a model for intervention to prevent and treat elder abuse in Israel.

    Science.gov (United States)

    Alon, Sara; Berg-Warman, Ayelet

    2014-01-01

    Successful handling of elder abuse and neglect requires various interventions. This article presents findings from an evaluation study of a model for intervention implemented in three municipalities in Israel. Data from 558 older adults, exposed to abuse and treated through the program, and interviews with victims, abusers, and professionals revealed that improvement was achieved in 66% of the cases. In 20% of the cases, the abuse was stopped. The most widespread type of intervention consisted of individual counseling. Legal intervention yielded the highest rate of improvement (82%). Provision of supportive services for victims of neglect was found to be most effective (82% of improvement in the situation).

  3. HSV-2 and Substance Abuse amongst Adolescents: Insights through Mathematical Modelling

    Directory of Open Access Journals (Sweden)

    A. Mhlanga

    2014-01-01

    Full Text Available Herpes simplex virus infection is mostly spread and occurs more commonly among substance abusing adolescents as compared to the nonsubstance abusing. In this paper, a mathematical model for the spread of HSV-2 within a community with substance abusing adolescents is developed and analysed. The impacts of condom use and educational campaigns are examined. The study suggests that condom use is highly effective among adolescents, when we have more of them quitting than becoming substance abusers. Measures such as educational campaigns can be put in place to try and reduce adolescents from becoming substance abusers. Further, we applied optimal control theory to the proposed model. The controls represent condom use and educational campaigns. The objective is based on maximising the susceptible nonsubstance abusing adolescents, while minimising the susceptible substance abusing adolescents, the infectious nonsubstance abusing adolescents, and the infectious substance abusing adolescents. We used Pontrygin’s maximum principle to characterise the optimal levels of the two controls. The resulting optimality system is solved numerically. Overall, the application of the optimal control theory suggests that more effort should be devoted to condom use as compared to educational campaigns.

  4. Prevalent Intravenous Abuse of Methylphenidate Among Treatment-Seeking Patients With Substance Abuse Disorders: A Descriptive Population-Based Study

    OpenAIRE

    Bjarnadottir, Gudrun D.; Haraldsson, Haraldur M.; Rafnar, Bjarni O.; Sigurdsson, Engilbert; Steingrimsson, Steinn; Johannsson, Magnus; Bragadottir, Helena; Magnusson, Andres

    2015-01-01

    Objectives: Prescription rates of methylphenidate (MPH) are sharply rising in most Western countries. Although it has been reported that MPH has abuse potential, little is known about the prevalence of intravenous (IV) abuse of MPH. The aim of the study was to investigate the prevalence of IV MPH abuse among treatment-seeking IV substance abusers in Iceland. Methods: This is a descriptive population-based study using a semistructured interview assessing sociodemographics, substance abuse hist...

  5. Supporting Teachers, Strengthening Families: A Model Child Abuse Prevention Approach

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    Olson, Maril

    2007-01-01

    This article talks about a model child abuse prevention approach called, "Supporting Teachers, Strengthening Families." It is NAEYC's professional development initiative to help early childhood educators play leading roles in preventing child abuse and neglect through family strengthening efforts. It focuses on six strategies that high-quality…

  6. Healing from Childhood Sexual Abuse: A Theoretical Model

    OpenAIRE

    Draucker, Claire Burke; Martsolf, Donna S.; Roller, Cynthia; Knapik, Gregory; Ross, Ratchneewan; Stidham, Andrea Warner

    2011-01-01

    Childhood sexual abuse (CSA) is a prevalent social and healthcare problem. The processes by which individuals heal from CSA are not clearly understood. The purpose of this study was to develop a theoretical model to describe how adults heal from CSA. Community recruitment for an on-going, broader project on sexual violence throughout the lifespan, referred to as the Sexual Violence Study, yielded a subsample of 48 women and 47 men who had experienced CSA. During semi-structured, open-ended in...

  7. A Study of the Cycle of Abuse among Child Molesters.

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    Coxe, Ray; Holmes, William

    2001-01-01

    This study of 147 sex offenders on probation explores whether there is support for the cycle of abuse theory among child molesters. Results indicate that being abused as a child is related to being a child molester. It was also found that the MMPI-2 did not predict the status of the subjects in regard to being abused as a child and having a victim…

  8. Drug abuse in Nigeria: a review of epidemiological studies.

    Science.gov (United States)

    Pela, O A; Ebie, J C

    1982-01-01

    This paper reviews the available literature on the epidemiology of drug abuse in Nigeria. Depending on the definition used, substances which are abused include antibiotics, antidiarrhoeals, laxatives, pain-relieving drugs, sedatives, amphetamines and cannabis. This review is, however, limited to studies on substances which alter behaviour or mood. These drugs include cannabis, sedative-hypnotics, amphetamines and alcohol. For some classes of drugs there has been a noticeable shift in patterns of drug abuse, for example, from abuse of methaqualone to barbiturates. The abuse of volatile solvents and other substances has also been noted. The review shows that there is no age limit among drug abusers. Studies on the influence of social class have been contradictory. Factors which indicate a predisposition to initial drug use have been similar to those reported in other cultures. Although the studies agreed on the classes of drugs abused and the changing patterns of drug abuse, there has been no uniform reporting system. This situation is attributed to financial constraints. Large-scale surveys which should incorporate most of the core items in any epidemiological study on substance abuse have been suggested. PMID:6985029

  9. Counselor Treatment of Coexisting Domestic Violence and Substance Abuse: A Qualitative Study.

    Science.gov (United States)

    Chartas, Nicole D.; Culbreth, John R.

    2001-01-01

    This study explored the philosophical issues hindering the linkage of substance abuse and domestic violence treatment. Results suggest that counselors tend to use treatment models that could not concurrently assign responsibility and address either present or past victimization. (Author)

  10. Rorschach Responses of Sexually Abused Children: An Exploratory Study.

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    Clinton, Gregory T.; Jenkins-Monroe, Valata

    1994-01-01

    Using archival data, this study compared Rorschach protocols of 94 sexually abused children to the Exner norms in order to determine the potential usefulness of the Rorschach test in the area of child abuse assessment and treatment. Of the 18 Rorschach variables studied, 17 significantly distinguished at least one subject group from the norms.…

  11. [Clinical study of BRON-L syrup (cough suppressant) abuse].

    Science.gov (United States)

    Miyatake, Ryosuke; Doi, Tomoko; Date, Kenji; Naitoh, Tomomichi; Suwaki, Hiroshi

    2002-02-01

    In 1980s, abuse and dependence of BRON-W syrup (cough suppressant), which contains methylephedrine, dihydrocodeine, chlorpheniramine and caffeine, were prevalent in Japan. Pharmacological and clinical studies suggest that methylephedrine and dihydrocodeine cause dependence. Although BRON-L syrup, newly modified cough suppressant contains only chlorpheniramine and caffeine, there still are abuse and dependence of this drug. In this report, three cases of BRON-L syrup abuse are demonstrated. All cases started using BRON-L syrup in the late teens in their peer groups, and dropped out from school. Case 1 misused only BRON-L syrup, but case 2 and 3 were multi-drug abusers (case 2: amphetamine, cocaine, and marijuana, case 3: solvent, alcohol, bromovalerylurea), and had kept in tough with the peer groups. Case 2 and 3 hospitalized more than 2 times. Withdrawal symptoms, such as headache, insomnia, and irritability were mild and improved in a few weeks after drug use was stopped. These findings suggest that 1) psychosocial backgrounds of these cases are in common with those of BRON-W syrup abusers, but 2) the clinical course and prognosis of multi-drug abusers are different from the BRON single abuser, 3) chlorpheniramine and caffeine possibly cause dependence, 4) abusers are likely to choose BRON brand although two main dependence-producing constituents are removed from it now. Therefore, prevention and care of BRON-L abusers requires both psychosocial and pharmacological aspects. PMID:11915306

  12. Sexual abuse predicts functional somatic symptoms : An adolescent population study

    NARCIS (Netherlands)

    Bonvanie, Irma J.; van Gils, Anne; Janssens, Karin A. M.; Rosmalen, Judith G. M.

    2015-01-01

    The main aim of this study was to investigate the effect of childhood sexual abuse on medically not well explained or functional somatic symptoms (FSSs) in adolescents. We hypothesized that sexual abuse predicts higher levels of FSSs and that anxiety and depression contribute to this relationship. I

  13. 42 CFR Appendix to Part 54a - Model Notice of Individuals Receiving Substance Abuse Services

    Science.gov (United States)

    2010-10-01

    ..., ET SEQ., FOR SUBSTANCE ABUSE PREVENTION AND TREATMENT SERVICES Pt. 54a, App. Appendix to Part 54a—Model Notice of Individuals Receiving Substance Abuse Services Model Notice to Individuals Receiving Substance Abuse Services No provider of substance abuse services receiving Federal funds from the...

  14. Alcohol Abuse and Dependence Symptoms: A Multidimensional Model of Common and Specific Etiology

    OpenAIRE

    Simons, Jeffrey S.; Carey, Kate B.; Wills, Thomas A.

    2009-01-01

    This study tested a theoretical model hypothesizing differential pathways from five predictors to alcohol abuse and dependence symptoms. The participants were college students (N= 2,270) surveyed on two occasions in a 6-month prospective design. Social norms, perceived utility of alcohol use, and family history of alcohol problems were indirectly associated with Time 2 (T2) abuse and dependence symptoms through influencing level of alcohol consumption. Poor behavioral control had a direct eff...

  15. Modeling Risk for Child Abuse and Harsh Parenting in Families with Depressed and Substance-abusing Parents

    OpenAIRE

    Kelley, Michelle L.; Lawrence, Hannah R.; Milletich, Robert R.; Hollis, Brittany F.; Henson, James M.

    2015-01-01

    Children with substance abusing parents are at considerable risk for child maltreatment. The current study applied an actor-partner interdependence model to examine how father only (n = 52) and dual couple (n = 33) substance use disorder, as well as their depressive symptomology influenced parents’ own (actor effects) and the partner's (partner effects) overreactivity in disciplinary interactions with their children, as well as their risk for child maltreatment. Parents completed the Center f...

  16. PET IMAGING STUDIES IN DRUG ABUSE RESEARCH.

    Energy Technology Data Exchange (ETDEWEB)

    Fowler, J.S.; Volkow, N.D.; Ding, Y.S.; Logan, J.; Wang, G.J.

    2001-01-29

    There is overwhelming evidence that addiction is a disease of the brain (Leshner, 1997). Yet public perception that addiction is a reflection of moral weakness or a lack of willpower persists. The insidious consequence of this perception is that we lose sight of the fact that there are enormous medical consequences of addiction including the fact that a large fraction of the total deaths from cancer and heart disease are caused by smoking addiction. Ironically the medical school that educates physicians in addiction medicine and the cancer hospital that has a smoking cessation clinic are vanishingly rare and efforts at harm reduction are frequently met with a public indignation. Meanwhile the number of people addicted to substances is enormous and increasing particularly the addictions to cigarettes and alcohol. It is particularly tragic that addiction usually begins in adolescence and becomes a chronic relapsing problem and there are basically no completely effective treatments. Clearly we need to understand how drugs of abuse affect the brain and we need to be creative in using this information to develop effective treatments. Imaging technologies have played a major role in the conceptualization of addiction as a disease of the brain (Fowler et al., 1998a; Fowler et al., 1999a). New knowledge has been driven by advances in radiotracer design and chemistry and positron emission tomography (PET) instrumentation and the integration of these scientific tools with the tools of biochemistry, pharmacology and medicine. This topic cuts across the medical specialties of neurology, psychiatry, cancer and heart disease because of the high medical, social and economic toll that drugs of abuse, including and especially the legal drugs, cigarettes and alcohol, take on society. In this chapter we will begin by highlighting the important role that chemistry has played in making it possible to quantitatively image the movement of drugs as well as their effects on the human brain

  17. Economic abuse in the lives of women abused by an intimate partner: a qualitative study.

    Science.gov (United States)

    Sanders, Cynthia K

    2015-01-01

    This article presents qualitative findings of a study that examined the role of financial issues and economic factors in the lives of women who have experienced intimate partner violence (IPV). Eight themes emerged in discussions with women about the ways in which money and economic issues played a role in their experiences of abuse. Taken together, women's discussions clearly support an "economic abuse" dimension of IPV. Implications for safely advancing the economic well-being of low-income survivors are discussed. PMID:25548376

  18. The Multicultural Model in Chemical Abuse Prevention and Intervention.

    Science.gov (United States)

    Griswold-Ezekoye, Stephanie

    1985-01-01

    Applies the concept of multiculturalism to chemical abuse prevention and intervention programs. Provides a model for implementation and describes projects with a similar conceptual basis. Acknowledges the cultural foundations for developing positive self-understanding. Promotes the development of culture-specific prevention strategies. (Author/LHW)

  19. Child Physical Abuse and Adult Mental Health: A National Study

    OpenAIRE

    Sugaya, Luisa; Hasin, Deborah S.; Olfson, Mark; Lin, Keng-Han; Grant, Bridget F.; Blanco, Carlos

    2012-01-01

    This study characterizes adults who report being physically abused during childhood, and examines associations of reported type and frequency of abuse with adult mental health. Data were derived from the 2000–2001 and 2004–2005 National Epidemiologic Survey on Alcohol and Related Conditions, a large cross-sectional survey of a representative sample (N = 43,093) of the U.S. population. Weighted means, frequencies, and odds ratios of sociodemographic correlates and prevalence of psychiatric dis...

  20. A study of sexual abuse in an Asian community.

    OpenAIRE

    Moghal, N E; Nota, I K; Hobbs, C. J.

    1995-01-01

    Sexual abuse in Asian ethnic minority populations in the UK has not previously been investigated. There remain professionals as well as lay people who deny its existence on the basis of assumptions about culture and religion. This retrospective study highlights the existence and difference in the incidence, pattern of presentation, and management in cases of Asian sexual abuse compared with that reported on the indigenous population.

  1. Woman abuse in South Africa: an exploratory study.

    Science.gov (United States)

    Dangor, Z; Hoff, L A; Scott, R

    1998-04-01

    This study aims to address the problem of woman abuse in South Africa as a basis for program development for survivors of violence. It also presents documentation for the expansion of social, health, and legal services for abused women and children. Ethnographic interviews were conducted on 37 South African women from various community settings and institutions in the Johannesburg region. Two focus groups discussed issues from the interview data. Two aspects of woman abused in South Africa were revealed in this study, namely, the endemic culture of violence, and the existence of cheap labor of domestic workers. It was observed that women abuse and sexual assault are rampant because of the endemic culture of violence and by customs, culture, and tradition which tends to objectify women and make them feel like male property. Regarding child and elderly abuse, it appears that more cases are being reported in South Africa. This study confirms the need for national survey data and in-depth research with abused women themselves in order to acquire a clearer picture of the personal, familial, and societal costs of violence against women. Furthermore, acknowledgement of domestic violence and its overall burden on community stability and health is vital in implementing reforms in South Africa. PMID:12295438

  2. Woman abuse in South Africa: an exploratory study.

    Science.gov (United States)

    Dangor, Z; Hoff, L A; Scott, R

    1998-04-01

    This study aims to address the problem of woman abuse in South Africa as a basis for program development for survivors of violence. It also presents documentation for the expansion of social, health, and legal services for abused women and children. Ethnographic interviews were conducted on 37 South African women from various community settings and institutions in the Johannesburg region. Two focus groups discussed issues from the interview data. Two aspects of woman abused in South Africa were revealed in this study, namely, the endemic culture of violence, and the existence of cheap labor of domestic workers. It was observed that women abuse and sexual assault are rampant because of the endemic culture of violence and by customs, culture, and tradition which tends to objectify women and make them feel like male property. Regarding child and elderly abuse, it appears that more cases are being reported in South Africa. This study confirms the need for national survey data and in-depth research with abused women themselves in order to acquire a clearer picture of the personal, familial, and societal costs of violence against women. Furthermore, acknowledgement of domestic violence and its overall burden on community stability and health is vital in implementing reforms in South Africa.

  3. Child Abuse in the Family: An Analytical Study

    Directory of Open Access Journals (Sweden)

    D Shojaeizadeh

    2001-07-01

    Full Text Available The prevalence of child abuse in the world is 47 per 1000. According to the Child Protective Service agency (CPS more than 3 million children were abused in the USA in 1998. There was 1.7% increase in comparison with 1996. The prevalence of child abuse in the USA is 15 per 1000. A crosssectional study was conducted in order to determine the frequency, and influential factors on child abuse among families in Tehran. A sample of 420 students was selected from secondary school girls in Tehran in 1999. A questionnaire was used for data collection, and the collected data were analysed through statistical tests such as X2 and other forms of descriptive tests. The findings of research showed that in terms of abnormal (unexpectedly bad behaviour, 28% of the sample were faced quarrelsome and bitted by their fathers. The mothers' reactions for similar behaviour were more or less the same: 34.9% quarrelsome and 7% bitting. Child abuse, physically and emotionally, has had significant relation with socioeconomic status of families as well as having interaction with mentally ill or addicted person(s among families. Mothers' employment, religious beliefs, and parents' educational attainments also demonstrated significant relations with child abuse. A statistically significant relationship has also been found between mothers' employment, addicted or mentally ill person among family members, and doubtful child sexual abuse.To prevent child abuse the following actions should be taken: Education of parents about children rights and how to treat their children. Establishment of centers to protect the children at risk. Education of young couples to take more reponsibility of having children.

  4. Childhood abuse and fear of childbirth--a population-based study

    DEFF Research Database (Denmark)

    Lukasse, Mirjam; Vangen, Siri; Øian, Pål;

    2010-01-01

    Childhood abuse affects adult health. The objective of this study was to examine the association between a self-reported history of childhood abuse and fear of childbirth.......Childhood abuse affects adult health. The objective of this study was to examine the association between a self-reported history of childhood abuse and fear of childbirth....

  5. Advances in genetic studies of substance abuse in China

    Institute of Scientific and Technical Information of China (English)

    Yan SUN; Shiqiu MENG; Jiali LI; Jie SHI; Lin LU

    2013-01-01

    Summary:The importance of genetic factors in substance addiction has long been established. The rationale for this work is that understanding of the function of addiction genes and delineation of the key molecular pathways of these genes would enhance the development of novel therapeutic targets and biomarkers that could be used in the prevention and management of substance abuse. Over the past few years, there has been a substantial increase in the number of genetic studies conducted on addiction in China;these studies have primarily focused on heroin, alcohol, and nicotine dependence. Most studies of candidate genes have concentrated on the dopamine, opioid, and serotonin systems. A number of genes associated with substance abuse in Caucasians are also risk factors in Chinese, but several novel genes and genetic risk factors associated with substance abuse in Chinese subjects have also been identified. This paper reviews the genetic studies of substance abuse performed by Chinese researchers. Genotypes and alleles related to addictive behavior in Chinese individuals are discussed and the contributions of Chinese researchers to the international corpus of knowledge about the genetic understanding of substance abuse are described.

  6. Modeling risk for child abuse and harsh parenting in families with depressed and substance-abusing parents.

    Science.gov (United States)

    Kelley, Michelle L; Lawrence, Hannah R; Milletich, Robert J; Hollis, Brittany F; Henson, James M

    2015-05-01

    Children with substance abusing parents are at considerable risk for child maltreatment. The current study applied an actor-partner interdependence model to examine how father only (n=52) and dual couple (n=33) substance use disorder, as well as their depressive symptomology influenced parents' own (actor effects) and the partner's (partner effects) overreactivity in disciplinary interactions with their children, as well as their risk for child maltreatment. Parents completed the Center for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1977), the overreactivity subscale from the Parenting Scale (Arnold, O'Leary, Wolff, & Acker, 1993), and the Brief Child Abuse Potential Inventory (Ondersma, Chaffin, Mullins, & LeBreton, 2005). Results of multigroup structural equation models revealed that a parent's own report of depressive symptoms predicted their risk for child maltreatment in both father SUD and dual SUD couples. Similarly, a parent's report of their own depressive symptoms predicted their overreactivity in disciplinary encounters both in father SUD and dual SUD couples. In all models, partners' depressive symptoms did not predict their partner's risk for child maltreatment or overreactivity. Findings underscore the importance of a parent's own level of depressive symptoms in their risk for child maltreatment and for engaging in overreactivity during disciplinary episodes.

  7. Modeling risk for child abuse and harsh parenting in families with depressed and substance-abusing parents.

    Science.gov (United States)

    Kelley, Michelle L; Lawrence, Hannah R; Milletich, Robert J; Hollis, Brittany F; Henson, James M

    2015-05-01

    Children with substance abusing parents are at considerable risk for child maltreatment. The current study applied an actor-partner interdependence model to examine how father only (n=52) and dual couple (n=33) substance use disorder, as well as their depressive symptomology influenced parents' own (actor effects) and the partner's (partner effects) overreactivity in disciplinary interactions with their children, as well as their risk for child maltreatment. Parents completed the Center for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1977), the overreactivity subscale from the Parenting Scale (Arnold, O'Leary, Wolff, & Acker, 1993), and the Brief Child Abuse Potential Inventory (Ondersma, Chaffin, Mullins, & LeBreton, 2005). Results of multigroup structural equation models revealed that a parent's own report of depressive symptoms predicted their risk for child maltreatment in both father SUD and dual SUD couples. Similarly, a parent's report of their own depressive symptoms predicted their overreactivity in disciplinary encounters both in father SUD and dual SUD couples. In all models, partners' depressive symptoms did not predict their partner's risk for child maltreatment or overreactivity. Findings underscore the importance of a parent's own level of depressive symptoms in their risk for child maltreatment and for engaging in overreactivity during disciplinary episodes. PMID:25724658

  8. Time-varying effect models for ordinal responses with applications in substance abuse research

    OpenAIRE

    Dziak, John J.; Li, Runze; Zimmerman, Marc A.; Buu, Anne

    2014-01-01

    Ordinal responses are very common in longitudinal data collected from substance abuse research or other behavioral research. This study develops a new statistical model with free SAS macro’s that can be applied to characterize time-varying effects on ordinal responses. Our simulation study shows that the ordinal-scale time-varying effects model has very low estimation bias and sometimes offers considerably better performance when fitting data with ordinal responses than a model that treats th...

  9. Pavlovian sign-tracking model of alcohol abuse.

    Science.gov (United States)

    Tomie, Arthur; Sharma, Nikyta

    2013-09-01

    While poorly controlled alcohol drinking is a prominent symptom of alcohol abuse, its environmental determinants remain poorly understood. The Sign-Tracking Model (STM), developed by Tomie and his associates, postulates that poorly controlled alcohol drinking is due to the development of signal-directed behaviors induced by Pavlovian sign-tracking procedures. In laboratory studies of animal learning, presentation of the lever (conditioned stimulus, CS) followed by the presentation of the food (unconditioned stimulus, US) induces sign-tracking conditioned response (CR) performance, wherein rats approach and contact, then express consummatory-like responses (i.e., licking, gnawing, and chewing) directed at the lever CS. The Pavlovian sign-tracking CR is an involuntary acquired reflexive response. It is poorly controlled and elicited by the presentation of the CS. STM proposes that poorly controlled alcohol drinking in humans may be due to repeated pairings of the alcohol sipper (e.g., cocktail glass) CS with alcohol's rewarding effects US, resulting in sign-tracking CR performance. The cocktail glass CS will elicit Pavlovian sign-tracking CR performance of reflexive and involuntary alcohol intake. This paper reviews evidence in the Pavlovian conditioning literature that in animals the positive contingency between the alcohol sipper CS and alcohol US induces sign-tracking of alcohol drinking. Also reviewed is evidence that in human beings alcohol drinking is a direct function of the positive contingency between a particular alcohol glassware CS and alcohol US. Implications of these findings for the Sign-Tracking Model (STM) are discussed.

  10. Developmental models of substance abuse relapse

    OpenAIRE

    Ramo, Danielle Elizabeth

    2008-01-01

    Most models of addiction treatment outcome and relapse have been formulated on adult populations, with only modest consideration of developmental factors which are salient issues for substance use disordered (SUD) youth. The dominant cognitive behavioral model of addiction relapse (Marlatt & Gordon, 1985) has been compelling in its description of how situational context (e.g., high risk situations) interacts with cognitive factors (e.g., self-efficacy, coping resources) to elevate risk for re...

  11. Animal Models of Substance Abuse and Addiction: Implications for Science, Animal Welfare, and Society

    OpenAIRE

    Lynch, Wendy J.; Nicholson, Katherine L.; Dance, Mario E; Morgan, Richard W; Foley, Patricia L.

    2010-01-01

    Substance abuse and addiction are well recognized public health concerns, with 2 NIH institutes (the National Institute on Drug Abuse and the National Institute on Alcohol Abuse and Alcoholism) specifically targeting this societal problem. As such, this is an important area of research for which animal experiments play a critical role. This overview presents the importance of substance abuse and addiction in society; reviews the development and refinement of animal models that address crucial...

  12. Sexual Abuse Experiences of Women in Peru: An Exploratory Study

    Science.gov (United States)

    Deboer, Rebekah E.; Tse, Luke M.

    2010-01-01

    This ethnographic study relied primarily on case notes and interviews with the president of Centro Prenatal Vida Nueva, a pregnancy center in Lima, Peru, to study the sexual abuse experiences of 33 Peruvian women. Given the language limitations of the researchers, the analyses were completed in collaboration with the president of the center, a…

  13. Amelioration of sexual fantasies to sexual abuse cues in an adult survivor of childhood sexual abuse: a case study.

    Science.gov (United States)

    Wilson, Jane E; Wilson, Keith M

    2008-12-01

    Although sexual dysfunction of childhood sexual abuse survivors has received considerable attention, other sexual difficulties experienced by survivors of CSA, such as sexual fantasies to cues of sexual abuse, have received less attention. In this A-B design case study, a young adult female survivor of childhood sexual abuse presented for treatment at a Midwest rape crisis center. After successful treatment of post-traumatic stress disorder, she complained of unwanted sexual fantasies to sexual abuse cues and concomitant guilt and shame. Following baseline data collection, treatment consisted of self-applied aversion therapy to unwanted sexual arousal to sexual abuse cues. Decrease in sexual arousal to these cues was concurrent with the introduction of treatment. A concomitant decrease in guilt and shame occurred while self-ratings of control increased. PMID:18355799

  14. Abuse and Subclinical Cardiovascular Disease among Midlife Women: The Study of Women’s Health Across the Nation

    Science.gov (United States)

    Thurston, Rebecca C.; Chang, Yuefang; Derby, Carol A.; Bromberger, Joyce T.; Harlow, Sioban D.; Janssen, Imke; Matthews, Karen A.

    2014-01-01

    Background and Purpose Some evidence suggests that abuse may be related to CVD risk among women. However, this relation has largely been addressed using self-reported measures of CVD. We tested whether a history of abuse was related to subclinical cardiovascular disease (CVD) among midlife women without clinical CVD. Methods The Study of Women’s Health Across the Nation (SWAN) is a longitudinal cohort study of women transitioning through the menopause. 1402 Caucasian, African American, Hispanic, and Chinese SWAN participants completed measures of childhood and adult physical and sexual abuse, underwent a blood draw, completed physical measures, and underwent a carotid artery ultrasound at SWAN study visit 12. Associations between abuse and IMT and plaque were tested in linear and multinomial logistic regression models controlling for age, site, race/ethnicity, financial strain, education, body mass index, lipids, blood pressure, measures of insulin resistance, smoking, alcohol use, physical activity, and medication use. Results Findings indicated that a history of childhood sexual abuse was associated with higher IMT controlling for standard CVD risk factors and other confounders (beta (standard error)=0.022 (0.010), p<0.05; adjusted means, childhood sexual abuse: 0.800 mm vs. no childhood sexual abuse: 0.782 mm). Conclusions Childhood sexual abuse was associated with higher IMT controlling for CVD risk factors and other confounders. These findings indicate the importance of considering the potential impact of early life stressors on women’s later cardiovascular health. PMID:25034715

  15. Assessment of Substance Abuse Behaviors in Adolescents’: Integration of Self-Control into Extended Parallel Process Model

    Directory of Open Access Journals (Sweden)

    K Witte

    2005-04-01

    Full Text Available Introduction: An effective preventive health education program on drug abuse can be delivered by applying behavior change theories in a complementary fashion. Methods: The aim of this study was to assess the effectiveness of integrating self-control into Extended Parallel Process Model in drug substance abuse behaviors. A sample of 189 governmental high school students participated in this survey. Information was collected individually by completing researcher designed questionnaire and a urinary rapid immuno-chromatography test for opium and marijuana. Results: The results of the study show that 6.9% of students used drugs (especially opium and marijuana and also peer pressure was determinant factor for using drugs. Moreover the EPPM theoretical variables of perceived severity and perceived self-efficacy with self-control are predictive factors to behavior intention against substance abuse. In this manner, self-control had a significant effect on protective motivation and perceived efficacy. Low self- control was a predictive factor of drug abuse and low self-control students had drug abuse experience. Conclusion: The results of this study suggest that an integration of self-control into EPPM can be effective in expressing and designing primary preventive programs against drug abuse, and assessing abused behavior and deviance behaviors among adolescent population, especially risk seekers

  16. Rodent Models of Nicotine Reward: What do they tell us about tobacco abuse in humans?

    OpenAIRE

    O'Dell, Laura E.; Khroyan, Taline V.

    2008-01-01

    Tobacco products are widely abused in humans, and it is assumed that nicotine is the key substrate in these products that produces addiction. Based on this assumption, several pre-clinical studies have utilized animal models to measure various aspects of nicotine addiction. Most of this work has focused on behavioral measures of nicotine and how other variables contribute to these effects. Here we discuss the most commonly used animal models including, self-administration (SA), place conditio...

  17. Assessment of Substance Abuse Behaviors in Adolescents’: Integration of Self-Control into Extended Parallel Process Model

    OpenAIRE

    de Witte, K.; E Mirzaee; AR Hidarnia; A KAZEMNEJAD; F Shafii; P. Azad Fallah; H Allahverdipour

    2005-01-01

    Introduction: An effective preventive health education program on drug abuse can be delivered by applying behavior change theories in a complementary fashion. Methods: The aim of this study was to assess the effectiveness of integrating self-control into Extended Parallel Process Model in drug substance abuse behaviors. A sample of 189 governmental high school students participated in this survey. Information was collected individually by completing researcher designed questionnaire and a uri...

  18. Selected Results from a Study of Personality Characteristics of Child Abusing Mothers.

    Science.gov (United States)

    Evans, Alan L.

    The purpose of this study was to investigate personality characteristics of child abusers, utilizing the results of the Melnick-Hurley (1969) study. Subjects were 40 mothers receiving Aid to Dependent Children in Ingham County, Michigan. Each of the 20 "abusive" mothers had abused at least one of her children within six months prior to testing. To…

  19. Child sexual abuse in Ireland: A synthesis of two studies

    OpenAIRE

    O'Reilly, Gary; Carr, Alan.

    2004-01-01

    Professionals involved in working with victims or perpetrators of childhood sexual abuse (CSA) require a basic understanding of the nature of this problem in our society. The purpose of this article is to aid such an understanding from an Irish perspective by attempting a synthesis of two excellent and comprehensive research studies. Although these studies first appeared in the literature some time ago their findings remain relevant and in need of dissemination. peer-reviewed

  20. Child Sexual Abuse Prevention: Evaluation of a Teacher Training Model.

    Science.gov (United States)

    Kleemeier, Carol; And Others

    1988-01-01

    The effectiveness of a six-hour teacher training workshop on child sexual abuse prevention was evaluated. Findings indicated that trained teachers demonstrated significant increases in knowledge about child sexual abuse and pro-intervention opinions. Trained teachers were better able to identify behavioral indicators of abuse and suggest…

  1. Prevalence of child sexual abuse: a comparison among 4 Italian epidemiological studies

    Directory of Open Access Journals (Sweden)

    Beatrice Castelli

    2015-11-01

    Full Text Available Although many epidemiological studies defining child sexual abuse prevalence rates in many countries of the world are now available, Italy presents a lack of data regarding this specific issue. Only recently some attempts to define the epidemiology of this public health problem have been tried. Between 2003 and 2010, the Department of Public Health at University of Milan was in charge of one of the more important study of this kind in Italy, involving almost 3000 students aged 18 attending secondary schools in the City of Milan who filled out an anonymous questionnaire aiming at detecting their previous experiences of sexual victimization during childhood and adolescence. After this first edition, the study was replicated among students attending secondary schools in the city of Varese, in the area of Piedmont and in Basilicata (area of Lauria, using the same investigational model and questionnaire. This paper presents the main data collected through four different epidemiological studies using the same methodology and survey tool. Considering at least one of the five different forms of child sexual abuse surveyed (being exposed to pornography, being touched on private parts, being forced to masturbate an older person, being forced to perform oral sex, or being penetrated, the prevalence rate among our samples ranges between a minimum of 12.5% (Varese and a maximum of 34.1% (Lauria. In Lauria the research reveals a higher prevalence rate of child sexual abuse, especially among the male population, for all typologies of abuse but being touched in their private parts. In all other geographical areas and for all typologies of abuse, there is always a higher prevalence among girls, with the only exception of abuse such as being exposed to pornographic materials.

  2. Prevalence of sexual, physical and emotional abuse in the Norwegian mother and child cohort study

    OpenAIRE

    Sørbø, Marie Flem; Grimstad, Hilde; Bjørngaard, Johan Håkon; Schei, Berit; Lukasse, Mirjam

    2014-01-01

    Background Abuse of women occurs in every society of the world. Increased information about the prevalence in industrialized countries, like Norway, is required to make strategies to prevent abuse. Our aim was to investigate the prevalence of self-reported sexual, physical and emotional abuse in a large obstetric population in Norway, and the associations between exposure to adult abuse, socio-demographics and other characteristics. Methods Our study is based on the Norwegian Mot...

  3. The Forgotten Ones: Maternal Abusers and their Victims: a Pilot Study

    OpenAIRE

    Dunphy, Shane A.

    1999-01-01

    This paper analyses the phenomenon of mothers who sexually abuse their children, most specifically their sons. It defines the term Maternal Abuse, offers a review of the contemporary academic discourse on female sexual abusers, and presents a quantitative study of maternal abuse in the Republic of Ireland and Northern Ireland, which appears to show that the existing statistics from Health Board and ISPCC reports (SEHB Section 8 Report, 1997; ISPCC National Report, 1997) significantly underest...

  4. Words that Hurt: A Qualitative Study of Parental Verbal Abuse in the Philippines

    Science.gov (United States)

    Loh, Jennifer; Calleja, Flora; Restubog, Simon Lloyd D.

    2011-01-01

    This article investigated opinions on what constitute parental abuse with interviews of 30 high school students, 30 parents, and 28 counselors. Despite increased reported cases of emotional abuses and child maltreatments in the Philippines, few empirical studies have explored the exact nature of parental verbal abuses in this country. This study…

  5. The Polygraph, Its Use in Cases of Alleged Sexual Abuse: An Exploratory Study.

    Science.gov (United States)

    Faller, Kathleen Coulborn

    1997-01-01

    This exploratory study of 42 cases with sexual abuse allegations and polygraph results found that polygraph findings were unrelated to other evidence of likelihood of sexual abuse, including the child's statements, medical evidence, psychological symptoms, or indicators of sexual abuse. When alleged offenders passed polygraphs, criminal…

  6. Childhood Abuse and Neglect and Adult Intimate Relationships: A Prospective Study

    Science.gov (United States)

    Colman, R.A.; Widom, C.S.

    2004-01-01

    Objective:: The present study extends prior research on childhood maltreatment and social functioning by examining the impact of early childhood physical abuse, sexual abuse, and neglect on rates of involvement in adult intimate relationships and relationship functioning. Method:: Substantiated cases of child abuse and neglect from 1967 to 1971…

  7. An empirical model to describe performance degradation for warranty abuse detection in portable electronics

    International Nuclear Information System (INIS)

    Portable electronics makers have introduced liquid damage indicators (LDIs) into their products to detect warranty abuse caused by water damage. However, under certain conditions, these indicators can exhibit inconsistencies in detecting liquid damage. This study is motivated by the fact that the reliability of LDIs in portable electronics is suspected. In this paper, first, the scheme of life tests is devised for LDIs in conjunction with a robust color classification rule. Second, a degradation model is proposed by considering the two physical mechanisms—(1) phase change from vapor to water and (2) water transport in the porous paper—for LDIs. Finally, the degradation model is validated with additional tests using actual smartphone sets subjected to the thermal cycling of −15 °C to 25 °C and the relative humidity of 95%. By employing the innovative life testing scheme and the novel performance degradation model, it is expected that the performance of LDIs for a particular application can be assessed quickly and accurately. - Highlights: • Devise an efficient scheme of life testing for a warranty abuse detector in portable electronics. • Develop a performance degradation model for the warranty abuse detector used in portable electronics. • Validate the performance degradation model with life tests of actual smartphone sets. • Help make a decision on warranty service in portable electronics manufacturers

  8. Statistical Agent Based Modelization of the Phenomenon of Drug Abuse

    Science.gov (United States)

    di Clemente, Riccardo; Pietronero, Luciano

    2012-07-01

    We introduce a statistical agent based model to describe the phenomenon of drug abuse and its dynamical evolution at the individual and global level. The agents are heterogeneous with respect to their intrinsic inclination to drugs, to their budget attitude and social environment. The various levels of drug use were inspired by the professional description of the phenomenon and this permits a direct comparison with all available data. We show that certain elements have a great importance to start the use of drugs, for example the rare events in the personal experiences which permit to overcame the barrier of drug use occasionally. The analysis of how the system reacts to perturbations is very important to understand its key elements and it provides strategies for effective policy making. The present model represents the first step of a realistic description of this phenomenon and can be easily generalized in various directions.

  9. Statistical Agent Based Modelization of the Phenomenon of Drug Abuse

    CERN Document Server

    Di Clemente, Riccardo; 10.1038/srep00532

    2012-01-01

    We introduce a statistical agent based model to describe the phenomenon of drug abuse and its dynamical evolution at the individual and global level. The agents are heterogeneous with respect to their intrinsic inclination to drugs, to their budget attitude and social environment. The various levels of drug use were inspired by the professional description of the phenomenon and this permits a direct comparison with all available data. We show that certain elements have a great importance to start the use of drugs, for example the rare events in the personal experiences which permit to overcame the barrier of drug use occasionally. The analysis of how the system reacts to perturbations is very important to understand its key elements and it provides strategies for effective policy making. The present model represents the first step of a realistic description of this phenomenon and can be easily generalized in various directions.

  10. An Integrative Spiritual Development Model of Supervision for Substance Abuse Counselors-in-Training

    Science.gov (United States)

    Weiss Ogden, Karen R.; Sias, Shari M.

    2011-01-01

    Substance abuse counselors who address clients' spiritual development may provide more comprehensive counseling. This article presents an integrative supervision model designed to promote the spiritual development of substance abuse counselors-in-training, reviews the model, and discusses the implications for counselor education.

  11. Does sexual abuse in childhood cause pedophilia: an exploratory study.

    Science.gov (United States)

    Freund, K; Watson, R; Dickey, R

    1990-12-01

    The reliability of the notion that pedophilia is caused by sexual abuse in childhood was explored by examining retrospective self-reports of 344 males. Included in the study were 77 heterosexual pedophiles, 54 homosexual pedophiles, 51 nonpedophilic sex offenders against children, 36 sex offenders against physically mature females, 75 heterosexual paid volunteers who erotically preferred mature females, and 51 homosexual clients who preferred mature males. For each sex offender the differential diagnosis of an erotic preference for minors vs. a preference for physically mature partners was made by means of the phallometric test of erotic gender and age preferences. The analysis of self-reports confirmed that the proportion of pedophiles who report having been sexually abused in childhood by mature persons is larger than that of men who were not charged for or accused of a sex offense against a child though the difference is relatively small (28.6 vs. 13.9 and 10.7% for the heterosexual pedophiles and the two groups of gynephiles, respectively, and 25.9 vs. 11.8% for the homosexual pedophiles and androphiles, respectively). Further analysis demonstrated, however, that pedophiles who admitted having an erotic interest in children significantly more often claimed that they had been sexually abused as children than pedophiles who did not admit having such feelings. This interdependence renders the reliability of these self-reports questionable. PMID:2082860

  12. Domestic abuse victims’ perceptions of abuse and support: a narrative study

    OpenAIRE

    Spruin, Elizabeth; Alleyne, Emma; Papadaki, I.

    2015-01-01

    Purpose – While there is a large body of research exploring the various avenues of support for domestic abuse victims and the risk factors which put women at risk of victimization, there is little research exploring the perceptions of these women. The purpose of this paper is therefore to explore the personal views of victimized women; in particular, the risk factors that they believe put them at risk for abuse and what they feel support services should offer. Design/methodology/approach ...

  13. PREDICTIVE MODEL FOR SURVIVAL AND GROWTH OF SALMONELLA TYPHIMURIUM DT104 ON CHICKEN SKIN DURING TEMPERATURE ABUSE

    Science.gov (United States)

    To better predict risk of Salmonella infection from chicken subjected to temperature abuse, a study was undertaken to develop a predictive model for survival and growth of Salmonella Typhimurium DT104 on chicken skin with native micro flora. For model development, chicken skin portions were inocula...

  14. A Process Model for Understanding Adaptation to Sexual Abuse: The Role of Shame in Defining Stigmatization.

    Science.gov (United States)

    Feiring, Candice; And Others

    1996-01-01

    This article presents a theoretical and testable model of psychological processes in child and adolescent victims of sexual abuse. It proposes that sexual abuse leads to shame through mediation of cognitive attributions which leads to poor adjustment. Three factors--social support, gender, and developmental period--are hypothesized to moderate the…

  15. A Qualitative Study of the Relationship Between Methamphetamine Abuse and Sexual Dysfunction in Male Substance Abusers

    Directory of Open Access Journals (Sweden)

    Dolatshahi

    2016-06-01

    Full Text Available Background Increased prevalent use of methamphetamine is a global public challenge. Information on drug use can be helpful in preventing high-risk behavior related to drug abuse. Objectives This study aims to investigate the sexual function changes related to methamphetamine use in the male clients of public and private addiction treatment centers. Patients and Methods In this qualitative study, 45 men (35 methamphetamine users, 5 family members of the users, and 5 psychiatrists or physicians who were famous for treating or researching addiction are involved. An in-depth interview was done with therapists and key individuals. Results The results show that the effects of methamphetamine on sexual function are not identical. The first usage is concomitant with the increased duration of sex, an increase in the quality and quantity of sexual pleasure, a delighted orgasm, and feeling more control of the sex act. These effects gradually decrease. A decreased libido and various sexual dysfunctions such as erectile dysfunction, premature ejaculation, and losing control during the sex act will appear over time. Conclusions There are differences in the libido and sexual functions of methamphetamine users. Personal perceptions of one’s sexual function may be affected by cognitive changes resultant from the drug. Drug-use prevention, addiction treatments, appropriate sexual behavior education, and harm reduction are priorities.

  16. The dark side of family communication: a communication model of elder abuse and neglect.

    Science.gov (United States)

    Lin, Mei-Chen; Giles, Howard

    2013-08-01

    To further address the potential factors that lead up to elder abuse in domestic settings, this paper proposes a model from a communication approach to explain dyadic influences between the family caregiver and the elderly care receiver that give rise to the abuse. That is, dysfunctional communication between the caregivers and care receivers may, therefore, increase the likelihood of elder abuse. Grounded in Bugental and her colleagues' work (1993, 1999, 2002) on child abuse, we propose a power-oriented communication model based, in part, on research in the fields of family violence and intergenerational communication to explain the likelihood of occurrence of elder abuse in family caregiving situations. We argue that certain risk factors pertaining to caregivers' characteristics--those who perceive high stress in caregiving, have mental health issues, have a history of substance abuse, and/or display verbal aggressiveness--may be more likely to attribute considerable power to those elderly under their custodianship. At the same time, such caregivers tend to feel powerless and experience loss of control when interacting with their elderly counterparts. When an elderly care receiver displays noncompliant behaviors, caregivers may be prone to employ abusive behaviors (in our model, it refers to physical abuse, verbal abuse, or communication neglect) to seek such compliance. Consequences of such abuse may result in lower self-esteem or lower confidence in one's ability to manage his/her life. It is suggested that researchers and practitioners investigate both parties' interactions closely and the role of elderly care receivers in order to detect, intervene, and prevent elder abuse. PMID:23388449

  17. Child abuse

    International Nuclear Information System (INIS)

    Child abuse is common in most, if not all, Western nations; it probably occurs worldwide. It may be a major factor in the increase in violence throughout much of the world. Radiologists who treat children should think of the possibilitys of abuse whenever they diagnose a fracture, intracranial bleed, ar visceral injury, especially when the history is not compatible with their findings. Metaphyseal 'corner' fractures in infants usually are caused by abuse. Less than 20% of abused children, however, present injuries that can be recognized by radiologic techniques. Consequently normal roentgenograms, nuclear medicine scans, ultrasound studies, and computed tomograms do not exclude child abuse. (orig.)

  18. Disclosure of abuse among female patients within general psychiatric care - a cross sectional study

    OpenAIRE

    Örmon, K.; Sunnqvist, C.; Bahtsevani, C.; Levander, M. Torstensson

    2016-01-01

    Background Experiences of abuse are common among women in general psychiatric care. Even so, there are to our knowledge no previous national or international studies exploring disclosure in a general psychiatric setting of female patient’s experiences of abuse to staff or to formal and informal networks. This study aimed to explore women’s disclosure of experiencing physical, emotional and/or sexual abuse during their most recent contact with staff at a general psychiatric clinic. The study a...

  19. Physical Abuse of Children: A Look at Professional Intervention.

    Science.gov (United States)

    Finch, Joe M.

    The physical abuse of children is a serious and growing problem. In spite of increasing knowledge and skill in treating physical abuse, many professionals continue to be dissatisfied with the effectiveness of treatment. This study examined the myths and beliefs about abuse and abusers and the theoretical models of cause and treatment that are…

  20. Joint influences of individual and work unit abusive supervision on ethical intentions and behaviors: a moderated mediation model.

    Science.gov (United States)

    Hannah, Sean T; Schaubroeck, John M; Peng, Ann C; Lord, Robert G; Trevino, Linda K; Kozlowski, Steve W J; Avolio, Bruce J; Dimotakis, Nikolaos; Doty, Joseph

    2013-07-01

    We develop and test a model based on social cognitive theory (Bandura, 1991) that links abusive supervision to followers' ethical intentions and behaviors. Results from a sample of 2,572 military members show that abusive supervision was negatively related to followers' moral courage and their identification with the organization's core values. In addition, work unit contexts with varying degrees of abusive supervision, reflected by the average level of abusive supervision reported by unit members, moderated relationships between the level of abusive supervision personally experienced by individuals and both their moral courage and their identification with organizational values. Moral courage and identification with organizational values accounted for the relationship between abusive supervision and followers' ethical intentions and unethical behaviors. These findings suggest that abusive supervision may undermine moral agency and that being personally abused is not required for abusive supervision to negatively influence ethical outcomes.

  1. The Life Skills Training and Preventive behaviors of Substances Abuse among University Students: a Longitudinal Study

    OpenAIRE

    Mehdi Moshki; Mohammad Ali Aslinejad

    2013-01-01

    Background & Objective: Nowaday, substance abuse is one of the bitterest social damages. In the recent years, substance abuse has increased among students of schools and universities, therefore special attention it requires. This study aimed to study the effect of life skills training on the promotion of the preventive behaviors of Gonabad University medical school students’ abuse of substances. Materials & Methods: During the experimental research and field trail, 60 students were Selected t...

  2. Intermittent ethanol access schedule in rats as a preclinical model of alcohol abuse.

    Science.gov (United States)

    Carnicella, Sebastien; Ron, Dorit; Barak, Segev

    2014-05-01

    One of the major challenges in preclinical studies of alcohol abuse and dependence remains the development of paradigms that will elicit high ethanol intake and mimic the progressive transition from low or moderate social drinking to excessive alcohol consumption. Exposure of outbred rats to repeated cycles of free-choice ethanol intake and withdrawal with the use of intermittent access to 20% ethanol in a 2-bottle choice procedure (IA2BC) has been shown to induce a gradual escalation of voluntary ethanol intake and preference, eventually reaching ethanol consumption levels of 5-6 g/kg/24 h, and inducing pharmacologically relevant blood ethanol concentrations (BECs). This procedure has recently been gaining popularity due to its simplicity, high validity, and reliable outcomes. Here we review experimental and methodological data related to IA2BC, and discuss the usefulness and advantages of this procedure as a valuable pre-training method for initiating operant ethanol self-administration of high ethanol intake, as well as conditioned place preference (CPP). Despite some limitations, we provide evidence that IA2BC and related operant procedures provide the possibility to operationalize multiple aspects of alcohol abuse and addiction in a rat model, including transition from social-like drinking to excessive alcohol consumption, binge drinking, alcohol seeking, relapse, and neuroadaptations related to excessive alcohol intake. Hence, IA2BC appears to be a useful and relevant procedure for preclinical evaluation of potential therapeutic approaches against alcohol abuse disorders.

  3. A Model Linking Diverse Women's Child Sexual Abuse History with Sexual Risk Taking

    Science.gov (United States)

    Watson, Laurel B.; Matheny, Kenneth B.; Gagne, Phill; Brack, Greg; Ancis, Julie R.

    2013-01-01

    The purpose of our study was to examine the role that child sexual abuse may play in body surveillance and sexual risk behaviors among undergraduate women. First, a measured variable path analysis was conducted, which assessed the relations among a history of child sexual abuse, body surveillance, and sexual risk behaviors. Furthermore, body…

  4. Family Factors and Peer Influence in Drug Abuse: A Study in Rehabilitation Centre

    Directory of Open Access Journals (Sweden)

    Yie-Chu Foo

    2012-03-01

    Full Text Available Background: Drugs have been around for ages and it comes in many different forms throughout its existence. With changes in the forms of drugs, technology and other environmental dynamics over time, underlying mechanisms causing drug abuse could have evolved too. Therefore, there is a need to relook into the causal factors for people to abuse drugs. To the authors’ knowledge, there is little if not no in-depth study (interview conducted in this topic in Malaysia. Aims and Objectives: Therefore, the authors sought to study in-depth how different factors have affected people’s drug abuse in Malaysia. This paper aimed to study the significance of peer influence, family issues, unemployment, curiosity, tension release, and other personal problems in drug abuse at contemporary time.Methodology: The study design of interview and semi-structured questionnaires were used. Seven participants from a rehabilitation centre were recruited and interviewed individually.Results: This study revealed that family factors (such as family economic standing and peer influence played an important role in an individual’s drug abuse habits. Other factors such as curiosity, tension release and betrayal of spouse also contributed to participant’s drug abuse. The study also found that a person’s drug abuse is usually caused by a combination of several factors instead of just one sole factor.Conclusion: As combinations of causal factors for each individual’s drug abuse are different, individualized intervention was proposed for drug abusers to maximize end results.

  5. Antecedents and outcomes of abusive supervision: test of a trickle-down model.

    Science.gov (United States)

    Aryee, Samuel; Chen, Zhen Xiong; Sun, Li-Yun; Debrah, Yaw A

    2007-01-01

    The authors examined antecedents of abusive supervision and the relative importance of interactional and procedural justice as mediators of the relationship between abusive supervision and the work outcomes of affective organizational commitment and individual- and organization-directed citizenship behaviors. Data were obtained from subordinate-supervisor dyads from a telecommunication company located in southeastern China. Results of moderated regression analysis revealed that authoritarian leadership style moderated the relationship between supervisors' perceptions of interactional justice and abusive supervision such that the relationship was stronger for supervisors high rather than low in authoritarian leadership style. In addition, results of structural equation modeling analysis revealed that subordinates' perceptions of interactional but not procedural justice fully mediated the relationship between abusive supervision and the work outcomes. Implications for future investigations of abusive supervision are discussed. PMID:17227160

  6. Effects of Methadone Maintenance Treatment on Decision-Making Processes in Heroin-Abusers: A Cognitive Modeling Analysis

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    Arash Khodadadi

    2010-05-01

    Full Text Available A B S T R A C TIntroduction: Although decision-making processes have become a principal target of study among addiction researchers, few researches are published according to effects of different treatment methods on the cognitive processes underlying decision making up to now. Utilizing cognitive modeling method, in this paper we examine the effects of Methadone maintenance treatment (MMT on cognitive processes underlying decision-making disorders in heroin-abusers. Methods: For this purpose, for the first time, we use the balloon analog risk task (BART to assess the decision-making ability of heroin-abusers before and after treatment and compare it to the non heroin-dependent subjects. Results: Results demonstrate that heroin-abusers show more risky behavior than other groups. But, there is no difference between the performance of heroin-abusers after 6 months of MMT and control group. Modeling subjects’ behavior in BART reveals that poor performance in heroin-abusers is due to reward-dependency and insensitivity to evaluation. Discussion: Results show that 6 months of MMT decreases reward-dependency and increases sensitivity to evaluation.

  7. INVISIBLE WOUNDS : A Namibian Case Study of Psychological Abuse

    OpenAIRE

    Chikuhwa, Eleonora

    2011-01-01

    Research on psychological abuse is still in the early stages; the nature of it renders it difficult to define, and even at times to detect. This thesis examines psychological abuse in a Namibian context using in-depth interviews with six women who experienced domestic violence. The aim was to examine the women‟s perceptions of psychological abuse and the response received from various networks of support. Additionally, I investigated whether Western theories of domestic violence could be usef...

  8. Abuse victimization and risk of breast cancer in the Black Women’s Health Study: Abuse and breast cancer risk in black women

    OpenAIRE

    Wise, Lauren A; Palmer, Julie R.; Boggs, Deborah A; Adams-Campbell, Lucile L.; Rosenberg, Lynn

    2011-01-01

    Few studies have examined the relation between abuse victimization and breast cancer, and results have been inconclusive. Using data from 35,728 participants in the Black Women’s Health Study, we conducted multivariable Cox regression to estimate incidence rate ratios (IRRs) and 95% confidence intervals (CI) for the association of abuse across the life span (childhood, adolescence, and adulthood) with breast cancer. Incident breast cancer diagnoses were reported during 1995–2009, and abuse hi...

  9. Child Witness to Domestic Abuse: Baseline Data Analysis for a Seven-Year Prospective Study.

    Science.gov (United States)

    Blair, Faye; McFarlane, Judith; Nava, Angeles; Gilroy, Heidi; Maddoux, John

    2015-01-01

    Children who witness the abuse of their mother by an intimate partner suffer negative effects on behavioral functioning. In this study, 300 abused women seeking services for abuse were interviewed regarding how often their child had witnessed the abuse. Baseline data for this study found that boys who witnessed abuse had externalizing and internalizing behavioral problems comparable to boys in clinical treatment. Girls did not display clinically significant behaviors. For evidence-based programs to interrupt the effect of witness to violence on children, empirical data that are gender-specific are needed. Findings support the need to screen mothers for abuse during well-child visits and offer education to all mothers on the possible effects of child witness to violence in the home. PMID:26281272

  10. Recent updates on drug abuse analyzed by neuroproteomics studies: Cocaine, Methamphetamine and MDMA

    Directory of Open Access Journals (Sweden)

    Firas Kobeissy

    2014-06-01

    Full Text Available Currently, drug abuse and addiction represent a global public health concern with about 13.6 million people using illicit drugs in the USA alone. Substance abuse intervenes in normal brain functioning, causing alterations in memory, behavior and neuronal physiology. Although many studies have been conducted to elucidate the mode of action of different drugs, the heterogeneous modes of drug intake led to a complicated profile of drug-induced brain changes involving neurotoxicity and addiction. Given the complex interplay of genes and proteins in mediating these effects, neuroproteomics analysis has been considered among the methods of choice to complement what has already been discovered and to create targeted therapies. In this review, we will focus on three drugs, namely cocaine, methamphetamine (METH and 3,4-methylenedioxy-N-methylamphetamine (MDMA. In the context of neuroproteomics, these drugs have been extensively studied by utilizing different experimental models, including primate and non-primate animals along with postmortem human samples. Even though there are many variations in the results, these drugs were shown to employ common pathways in eliciting their effects. Neuroproteomics analysis of these drugs has led to the identification of differentially expressed proteins involved in metabolism, oxidative stress, cell signaling, cytoskeleton, cell death and synaptic plasticity. Finally, this work will discuss recent findings from our laboratory by looking at a model of chronic methamphetamine abuse and its effect on different brain regions.

  11. Life Experiences of Abused Elderly in Geriatric Care in Iasi, Romania. A Qualitative Study

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    Aliona DRONIC

    2016-06-01

    Full Text Available This qualitative study focused on the life experiences of abused elderly in geriatric care in a Iasi hospital, in Romania. A total of 13 (9 women and 4 men patients were involved in a complimentary, multidisciplinary psycho-social service after been screened for abuse using EASI © (Yaffe et al., 2008. Through thematic network analysis, the texts from the interviews revealed three global themes: 1 the abuse undermines the dignity, 2 the need to find meaning to the lived experience and, 3 the strategies of maintaining dignity. This is the first qualitative study of hospitalized elderly having an experience of abuse in Romania.

  12. Words that hurt: a qualitative study of s parental verbal abuse in the Philippines.

    Science.gov (United States)

    Loh, Jennifer M I; Calleja, Flora; Restubog, Simon Lloyd D

    2011-07-01

    This article investigated opinions on what constitute parental abuse with interviews of 30 high school students, 30 parents, and 28 counselors. Despite increased reported cases of emotional abuses and child maltreatments in the Philippines, few empirical studies have explored the exact nature of parental verbal abuses in this country. This study is designed to address this gap in the literature. The results revealed nine categories of parental verbal abuses namely: (a) Put downs and shaming, (b) Rejection, (c) Blaming, (d) Fault Exaggerating, (e) Threat, (f) Invoking harm, (g) Regrets, (h) Unfair comparison, and (i) Negative prediction. Implications for research and practice were discussed.

  13. Comparative study on perceived abuse and social neglect among rural and urban geriatric population

    OpenAIRE

    Kaur, Jaspreet; Kaur, Jasbir; Sujata, N.

    2015-01-01

    Context: Elder abuse and social neglect are unrecognized problem. Many forms of elder abuse exist including physical, psychological, financial, sexual and social neglect. Social neglect is experienced by elderly through loss of friends and family members. Aim: Comparison of perceived abuse and social neglect among elderly residing in selected rural and urban areas. Settings and Design: Study setting was a rural area Pohir and urban area Jamalpur of district Ludhiana. Subjects and Methods: A s...

  14. Life Experiences of Abused Elderly in Geriatric Care in Iasi, Romania. A Qualitative Study

    OpenAIRE

    Aliona DRONIC; Ovidiu GAVRILOVICI; Elena CAZACU; Mihaela Catalina NECULAU; Lacramioara COJOCARU; Magdalena Roxana NECULA

    2016-01-01

    This qualitative study focused on the life experiences of abused elderly in geriatric care in a Iasi hospital, in Romania. A total of 13 (9 women and 4 men) patients were involved in a complimentary, multidisciplinary psycho-social service after been screened for abuse using EASI © (Yaffe et al., 2008). Through thematic network analysis, the texts from the interviews revealed three global themes: 1) the abuse undermines the dignity, 2) the need to find meaning to the lived experience and, 3) ...

  15. Significance of Healthy Family Structure in Preventing Child Sexual Abuse: A Prospective Controlled Study

    OpenAIRE

    Sener, Mustafa Talip; Anci, Yuksel; Dursun, Onur Burak

    2014-01-01

    The aim of this study was to determine the socio-demographic characteristics of victims, parents, and accused or suspected child abusers, and to evaluate the conditions that constitute the risk factors for children falling victim to sexual abuse in Eastern Anatolian Region of Turkey. Personal data files of 63 victims of child sexual abuse were analyzed and compared with 201 individuals in a control group. The childrens age, gender, educational level, number of siblings, and the nature of the ...

  16. Research design considerations for clinical studies of abuse-deterrent opioid analgesics: IMMPACT recommendations

    OpenAIRE

    Dennis C. Turk; O’Connor, Alec B.; Dworkin, Robert H.; Chaudhry, Amina; Katz, Nathaniel P.; Adams, Edgar H.; John S Brownstein; Comer, Sandra D; Dart, Richard; Dasgupta, Nabarun; Denisco, Richard A.; Klein, Michael; Leiderman, Deborah B.; Lubran, Robert; Rappaport, Bob A.

    2012-01-01

    Opioids are essential to the management of pain in many patients, but they also are associated with potential risks for abuse, overdose, and diversion. A number of efforts have been devoted to the development of abuse-deterrent formulations of opioids to reduce these risks. This article summarizes a consensus meeting that was organized to propose recommendations for the types of clinical studies that can be used to assess the abuse deterrence of different opioid formulations. Due to the many ...

  17. PROJECT INTERACT: A Study of Patterns of Interaction in Abusive, Neglectful and Control Families. Final Report.

    Science.gov (United States)

    Burgess, Robert L.

    The project report (Project Interact) describes the outcome of 3 years of research on the nature, causes, and consequences of child abuse and neglect. The family as a locus of violence and the frequency of family violence (including homicide, police calls, physical punishment, and child abuse) are considered. Three models are presented to help…

  18. Leaving an Abusive Dating Relationship: A Prospective Analysis of the Investment Model and Theory of Planned Behavior.

    Science.gov (United States)

    Edwards, Katie M; Gidycz, Christine A; Murphy, Megan J

    2015-10-01

    The purpose of the current study was to build on the existing literature to better understand young women's leaving processes in abusive dating relationships using a prospective design. Two social psychological models-the investment model and theory of planned behavior-were tested. According to the investment model, relationship continuation is predicted by commitment, which is a function of investment, satisfaction, and low quality of alternatives. The theory of planned behavior asserts that a specific behavior is predicted by an individual's intention to use a behavior, which is a function of the individual's attitudes toward the behavior, the subjective norms toward the behavior, and the individual's perceived behavioral control over the behavior. College women (N = 169 young women in abusive relatinships) completed surveys at two time points, approximately 4 months apart, to assess initially for the presence of intimate partner violence (IPV) in a current relationship and investment model and theory of planned behavior variables; the purpose of the 4-month follow-up session was to determine if women had remained in or terminated their abusive relationship. Path analytic results demonstrated that both the theory of planned behavior and investment models were good fits to the data in prospectively predicting abused women's stay/leave decisions. However, the theory of planned behavior was a better fit to the data than the investment model. Implications for future research and intervention are discussed.

  19. Gender Differences in Sexually Abused Children and Adolescents: A Multicenter Study in Turkey.

    Science.gov (United States)

    Soylu, Nusret; Ayaz, Muhammed; Gökten, Emel Sarı; Alpaslan, Ahmet Hamdi; Dönmez, Yunus Emre; Özcan, Özlem Özel; Ayaz, Ayşe Burcu; Tufan, Ali Evren

    2016-01-01

    The purpose of this study was to examine gender-based differences in abuse-related characteristics and post-abuse psychiatric disorders among sexually abused children and adolescents. The researchers retrospectively examined files, judicial reports, and social examination reports of 1,250 sexually abused youth cases. Results showed that boys were more often victimized by penetration, force, and physical violence. Incidence of sexual abuse by family members, familiar persons, and multiple persons was higher among girls. In addition, a higher rate of major depressive disorder as well as alcohol consumption and cigarette smoking were found in sexually abused girls. No difference was observed between boys and girls in terms of post-traumatic stress disorder, conduct disorder, and other mental disorders. Intellectual disability was more frequent in boys. PMID:27266537

  20. A study of shame from sexual abuse within the context of a Norwegian incest center.

    Science.gov (United States)

    Pettersen, Kaare Torgny

    2013-01-01

    Working with those who have experienced sexual abuse is a complicated matter because such abuse not only involves the violation of the victim's body, but it often generates shame in those involved. This article is based on empirical data from 26 hours of videotaped focus group interviews with 19 adult men and women in a Norwegian incest center who spoke openly of the shame they experienced from sexual abuse as children, parents, and employees. Findings from this study show that shame from sexual abuse can be grouped into seven major categories: (a) family, (b) emotions, (c) body, (d) food, (e) self-image, (f) sex, and (g) therapy.

  1. Reports of Child Abuse in India from Scientific Journals and Newspapers - An Exploratory Study

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    Nalini PR

    2014-02-01

    Full Text Available Background: Child abuse is a state of emotional, physical, economic and sexual maltreatment meted out to a person below the age of eighteen and is a globally prevalent phenomenon. A total of 33,098 cases of crimes against children were reported in India during 2011 as compared to 26,694 cases during 2010, suggesting a recent increase of 24 percent. Objectives: To explore the contents of the published articles/reports on child abuse in India from scientific journals and newspapers identifying areas and gaps for further research and program development. Material and Methods: Published articles in scientific journals during the years 2007-2012 with free access and online versions of English newspapers (2007-2012 in India were searched using the search engines such as ‘PubMed’ and ‘Google’. The key words used were ‘child abuse in (on, about India. First two researchers independently reviewed the content of articles/newspaper reports and decided the categories emerging from the articles and reports. Later on, the quantification of these categories was done by identifying the number of times it was reported in the reports. Results: The nature and extent of reporting child abuse in scientific journal is different from that of newspapers. In Journals, our search provided us with 9 articles, of which prevalence studies were predominant (4 followed by case reports (3 and Knowledge, Attitude, Practice studies (2. The studies were mostly conducted in the hospital setting. We obtained 38 reports from newspapers. Child abuse was found more among girls. Among type of abuse, sexual abuse was more common (84.2%. About 52.6% of the abusers were members known to the victim. The maximum cases were reported from West India especially in Goa, followed by South region. Most reports reported legal action on accused. Little was reported on what happened to a victim, indicators of abuse and settings of the abuse. The motives and consequences of the abuses were

  2. A case-control study of somatic and behavioural symptoms in sexually abused boys.

    OpenAIRE

    Antao, V; Maddocks, A; Street, E; Sibert, J R

    1996-01-01

    OBJECTIVES: To ascertain how often sexually abused boys present with somatic and behavioural symptoms. DESIGN: A case-control study. SETTING: A primary school in South Wales where a male teacher had been convicted of sexually abusing boys since 1981. The police investigation started in 1993 and he was convicted in 1994. A similar large primary school where abuse had not taken place. SUBJECTS: All 107 boys who had been identified by a police inquiry to have been subject to sexual abuse by a si...

  3. Substance abuse and psychiatric co-morbidity as predictors of premature mortality in Swedish drug abusers a prospective longitudinal study 1970 - 2006

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    Hesse Morten

    2011-07-01

    Full Text Available Abstract Background Few longitudinal cohort studies have focused on the impact of substances abused and psychiatric disorders on premature mortality. The aim of the present study was to identify predictors of increased risk of drug related death and non drug related death in substance abusers of opiates, stimulants, cannabis, sedatives/hypnotics, hallucinogens and alcohol over several decades. Methods Follow-up study of a consecutive cohort of 561 substance abusers, admitted to a detoxification unit January 1970 to February 1978 in southern Sweden, and followed up in 2006. Demographic and clinical data, substance diagnoses and three groups of psychiatric diagnoses were identified at first admission. Causes of death were coded according to ICD-10 and classified as drug related deaths or non drug related deaths. To identify the incidence of some probable risk factors of drug related premature death, the data were subjected to a competing risks Cox regression analysis. Results Of 561 patients in the cohort, 11 individuals had either emigrated or could not be located, and 204/561 patients (36.4% were deceased by 2006. The cumulative risk of drug related death increased more in the first 15 years and leveled out later on when non drug related causes of death had a similar incidence. In the final model, male gender, regular use of opiates or barbiturates at first admission, and neurosis were associated with an increased risk of drug related premature death, while cannabis use and psychosis were associated with a decreased risk. Neurosis, mainly depression and/or anxiety disorders, predicted drug related premature death while chronic psychosis and personality disorders did not. Chronic alcohol addiction was associated with increased risk of non drug related death. Conclusions The cohort of drug abusers had an increased risk of premature death to the age of 69. Drug related premature death was predicted by male gender, the use of opiates or barbiturates

  4. Fatal child abuse: a study of 13 cases of continuous abuse

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    Juhani Merikanto

    2012-01-01

    Full Text Available A parent who continuously physically abuses her/his child doesn’t aim to kill the child but commits an accidental filicide in a more violent outburst of anger. Fatal abuse deaths are prevented by recognition of signs of battering in time. Out of 200 examined intra-familial filicides, 23 (12% were caused by child battering and 13 (7% by continuous battering. The medical and court records of the victim and the perpetrator were examined. The perpetrator was the biological mother and the victim was male in 69 per cent of the cases. The abused children were either younger than one year or from two-and-a-half to four years old. Risk factors of the victim (being unwanted, premature birth, separation from the parent caused by hospitalization or custodial care, being ill and crying a lot and the perpetrator (personality disorder, low socioeconomic status, chaotic family conditions, domestic violence, isolation, alcohol abuse were common. The injuries caused by previous battering were mostly soft tissue injuries in head and limbs and head traumas and the battering lasted for days or even an year. The final assault was more violent and occurred when the parent was more anxious, frustrated or left alone with the child. The perpetrating parent was diagnosed as having a personality disorder (borderline, narcissistic or dependent and often substance dependence (31%. None of them were psychotic. Authorities and community members should pay attention to the change in child’s behavior and inexplicable injuries or absence from daycare. Furthermore if the parent is immature, alcohol dependent, have a personality disorder and is unable to cope with the demands the small child entails in the parent’s life, the child may be in danger.

  5. Fatal child abuse: a study of 13 cases of continuous abuse.

    Science.gov (United States)

    Kauppi, Anne Leena Marika; Vanamo, Tuija; Karkola, Kari; Merikanto, Juhani

    2012-07-26

    A parent who continuously physically abuses her/his child doesn't aim to kill the child but commits an accidental filicide in a more violent outburst of anger. Fatal abuse deaths are prevented by recognition of signs of battering in time. Out of 200 examined intra-familial filicides, 23 (12%) were caused by child battering and 13 (7%) by continuous battering. The medical and court records of the victim and the perpetrator were examined. The perpetrator was the biological mother and the victim was male in 69 per cent of the cases. The abused children were either younger than one year or from two-and-a-half to four years old. Risk factors of the victim (being unwanted, premature birth, separation from the parent caused by hospitalization or custodial care, being ill and crying a lot) and the perpetrator (personality disorder, low socioeconomic status, chaotic family conditions, domestic violence, isolation, alcohol abuse) were common. The injuries caused by previous battering were mostly soft tissue injuries in head and limbs and head traumas and the battering lasted for days or even an year. The final assault was more violent and occurred when the parent was more anxious, frustrated or left alone with the child. The perpetrating parent was diagnosed as having a personality disorder (borderline, narcissistic or dependent) and often substance dependence (31%). None of them were psychotic. Authorities and community members should pay attention to the change in child's behavior and inexplicable injuries or absence from daycare. Furthermore if the parent is immature, alcohol dependent, have a personality disorder and is unable to cope with the demands the small child entails in the parent's life, the child may be in danger. PMID:25478105

  6. The Limitations of a Prospective Study of Memories for Child Sexual Abuse

    Science.gov (United States)

    Cheit, Ross E.

    2003-01-01

    Prospective studies have been held out as a kind of Holy Grail in research about remembering or forgetting child sexual abuse. They seem to hold the perfect answer to the verification problems that plague retrospective self-reports in the clinical literature. Prospective studies begin with verified cases of abuse. Then they require detective work…

  7. Studies on the Oxidative Stress in Alcohol Abusers in China

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Objective In order to study the relationship between alcohol abuse and oxidative stress, and to identify oxidative damage of alcohol abuse in human bodies. Methods 80 cases of male alcoholics (AL) aged 40 years old and 80 cases of male healthy volunteers (HV) of the same age without drinking history were investigated by measuring concentrations of vitamin C (VC), vitamin E (VE) and β-carotene (β-CAR) in plasma as well as activities of superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GSH-Px) in RBC with spectrophotometric assays. Results Compared with the average values (AV) of the above biochemical parameters in the HV group, the average values of VC, VE and β-CAR in plasma and the activities of SOD, CAT and GSH-Px in RBC in the AL group were significantly decreased (P = 0.0000). The findings in linear regression and correlation analysis for 80 alcoholics showed that with the prolonged drinking duration and increased daily drinking quantity, the values of VC, VE and β-CAR in plasma as well as SOD, CAT and GSH-Px in RBC in the alcoholics were gradually decreased (P = 0.000), representing a respectively significant linear negative correlation. The analysis of stepwise regression and correlation revealed that the drinking duration had the closest correlation with the values of VE in plasma as well as CAT and GSH-Px in RBC, while the daily drinking quantity had the closest correlation with the values of VC, VE and β-CAR in plasma as well as SOD and GSH-Px in RBC. Conclusion The findings of the present study suggested that the oxidative stress in the alcoholics became pathologically intensified, leading to potential oxidative damages in their bodies. Therefore, alcoholics should abstain from alcohol drinking, and should take as supplements suitable dosage of antioxidants per day such as VC, VE, β-CAR and others to moderate potential oxidative damages in their bodies.

  8. Prescription Pain Reliever Abuse and Dependence among Adolescents: A Nationally Representative Study

    Science.gov (United States)

    Wu, Li-Tzy; Ringwalt, Christopher L.; Mannelli, Paolo; Patkar, Ashwin A.

    2008-01-01

    The study investigates the prevalence, patterns, and correlates of adolescents' abuse, sub-threshold dependence, and dependence on prescription pain relievers (PPRs) in a nationally representative sample. Results show dependence on PPRs can take place without abuse and that sub-threshold dependence could have implications for major diagnostic…

  9. Dysthymia among Substance Abusers: An Exploratory Study of Individual and Mental Health Factors

    Science.gov (United States)

    Diaz, Naelys; Horton, Eloise G.; McIlveen, John; Weiner, Michael; Nelson, Jenniffer

    2009-01-01

    The purpose of this study was to examine the individual characteristics and mental health factors of dysthymic and nondysthymic substance abusers. Out of a total of 1,209 medical records reviewed to select cases of dysthymic and nondysthymic substance abusers attending a community drug treatment program, 183 medical records were selected, 48% of…

  10. An Empirical Case Study of a Child Sexual Abuse Prevention Initiative in Georgia

    Science.gov (United States)

    Schober, Daniel J.; Fawcett, Stephen B.; Thigpen, Sally; Curtis, Anna; Wright, Renee

    2012-01-01

    Objective: This empirical case study describes Prevent Child Abuse Georgia's effort to prevent child sexual abuse (CSA) by educating communities throughout the state on supporting preventive behaviour. The initiative consisted of three major components: (1) dissemination of CSA prevention messages and materials; (2) a statewide helpline that…

  11. Increasing Knowledge of Sexual Abuse: A Study with Elementary School Children in Hawai'i

    Science.gov (United States)

    Baker, Charlene K.; Gleason, Kristen; Naai, Rachel; Mitchell, Jennifer; Trecker, Christine

    2013-01-01

    Objective: Child sexual abuse is a significant health problem with potential long-term consequences for victims. Therefore, prevention and education programs are critical. This preliminary study evaluates changes in children’s knowledge of sexual abuse using a school-based train-the-trainer curriculum. Emphasis was placed on developing a…

  12. A Qualitative Study of Educator and Counselor Interdisciplinary Collaboration Regarding Adolescent Substance Abusers' Academic Attainment

    Science.gov (United States)

    Henegar, LaTrica Y.

    2013-01-01

    This descriptive qualitative study explored the lived perceptions and views of middle school teachers, school counselors, and Licensed Professional Counselors (LPCs) within central Alabama's middle school system. The problem explored is adolescent substance abuse students whose academic attainment may be affected by their drug abuse.…

  13. A Qualitative Study of Recovering and Nonrecovering Substance Abuse Counselors' Belief Systems

    Science.gov (United States)

    Crabb, Ann C.; Linton, Jeremy M.

    2007-01-01

    This study investigated recovering and nonrecovering substance abuse counselors' beliefs about the etiology and treatment of substance abuse disorders. Qualitative methods were used to investigate these variables. Analysis of the data revealed several key findings with implications for future research. (Contains 1 table.)

  14. Risk factors for femicide-suicide in abusive relationships: results from a multisite case control study.

    Science.gov (United States)

    Koziol-McLain, Jane; Webster, Daniel; McFarlane, Judith; Block, Carolyn Rebecca; Ulrich, Yvonne; Glass, Nancy; Campbell, Jacquelyn C

    2006-02-01

    The killing of women by men who then take their own lives (femicide-suicide) is the most common form of homicide-suicide. This study identified femicide-suicide risk factors in an 11-city case-control study of femicide in the United States. Perpetrator, victim, relationship, and incident characteristics were analyzed for femicide-suicide cases (n = 67) and controls (n = 356, women living in the community with nonfatal physical abuse) using logistic regression modeling. Two risk factors emerged that were unique to femicide-suicides cases compared to overall femicide risk analyses: prior perpetrator suicide threats and victims having ever been married to the perpetrator. PMID:16494130

  15. Online child sexual abuse by female offenders: an exploratory study

    OpenAIRE

    Martellozzo, Elena; Nehring, Daniel; Taylor, Helen

    2010-01-01

    The expansion of the Internet and the proliferation of information technologies have created new opportunities for the sexual abuse of children. Sex offenders use the Internet to access and distribute indecent images of children and to select victims to groom for the purpose of abuse (Davidson & Gottschalk 2010; Martellozzo, 2010; Martellozzo & Taylor, 2009; Quayle, Erooga, Wright, Taylor, & Harbinson, 2006). It is a commonly held assumption, stated implicitly or explicitly in both public deb...

  16. Substance abuse in first-episode schizophrenic patients: a retrospective study

    Directory of Open Access Journals (Sweden)

    Brambilla MA

    2006-03-01

    Full Text Available Abstract Several studies suggest a high comorbidity of substance abuse and schizophrenia, associated with higher frequency of relapse, more positive symptoms and depression, cognitive impairment, poorer outcome and treatment response. A high incidence of substance abuse is also observed in first-episode patients. Among patients with substance abuse, the onset precedes the onset of psychosis of several years in most cases. All the patients with a first episode of schizophrenia, at first admission to the Psychiatric Service of Diagnosis and Treatment of Ospedale Maggiore of Milan during the years 1990 to 2004, have been included in our study. The clinical evaluation has been obtained considering the following items of Brief Psychiatric Rating Scale (BPRS: conceptual disorganization, depressed mood, hostility, hallucinations, unusual content of thought. The results showed that 34.7% of first-episode schizophrenic patients had a lifetime history of substance abuse. The age of onset of schizophrenia is significantly lower for drug abusers than for patients without any type of abuse and for alcohol abusers (p Our findings seem to indicate that substance abuse in the early course of illness determines an earlier onset of schizophrenia and increases severity of some psychotic symptoms like "hallucination" and "unusual content of thought". Therefore persons incurring a risk of schizophrenia may be warned of the possible relation between substances and psychosis and have to be counselled against the use of them.

  17. Deaths from abuse of volatile substances: a national epidemiological study.

    Science.gov (United States)

    Anderson, H R; Macnair, R S; Ramsey, J D

    1985-01-26

    A survey of the United Kingdom detected 282 deaths from abuse of volatile substances during 1971-83. Deaths appeared to have increased in the most recent years, reaching 80 in 1983. Age at death ranged from 11 to 76 years but most deaths (72%) occurred under 20 years. Ninety five per cent of the subjects were male, and in 1983 deaths from volatile substance abuse accounted for 2% of all deaths in males aged 10-19. All areas of the United Kingdom were affected, the rates being highest in Scotland and urban areas. All social classes were affected, though rates were highest in social class V and the armed forces. The volatile substances abused were gas fuels (24%), mainly butane; aerosol sprays (17%); solvents in glues (27%); and other volatile substances, such as cleaning agents (31%). In 51% of cases death was attributed to the direct toxic effects of the substance abused, in 21% to plastic bag asphyxia, in 18% to inhalation of stomach contents, and in 11% to trauma. Deaths associated with the abuse of glues were more likely to be traumatic, but all substances appeared capable of killing directly by their toxic effects, probably by a cardiac mechanism. Only a small proportion of deaths (6%) were due to the abuse of glues among children under 16; hence current attempts to limit access of children to glues will probably have little impact on overall mortality. PMID:3917795

  18. Early childhood sexual abuse increases suicidal intent.

    Science.gov (United States)

    Lopez-Castroman, Jorge; Melhem, Nadine; Birmaher, Boris; Greenhill, Laurence; Kolko, David; Stanley, Barbara; Zelazny, Jamie; Brodsky, Beth; Garcia-Nieto, Rebeca; Burke, Ainsley K; Mann, J John; Brent, David A; Oquendo, Maria A

    2013-06-01

    Childhood sexual abuse has been consistently associated with suicidal behavior. We studied suicide attempt features in depressed individuals sexually abused as children. On average, sexual abuse started before age 9. It frequently coexisted with physical abuse. Suicide attempters more often had personality disorders and had endured abuse for longer, but did not differ in terms of other clinical characteristics from non-attempters. Earlier onset of sexual abuse and its duration were associated with more suicide attempts. However, when personality disorders were included in the regression model, only these disorders predicted number of attempts. The severity of sexual abuse and the coexistence of physical abuse were correlated with age at first suicide attempt. However, only severity of sexual abuse was marginally associated with age at first suicide attempt in the regression model. Finally, the earlier the age of onset of sexual abuse, the higher the intent, even after controlling for age, sex and personality disorders. This suggests that the characteristics of childhood sexual abuse, especially age of onset, should be considered when studying the risk for suicidal behavior in abused populations. PMID:23737424

  19. Studies on the Oxidative Stress in Alcohol Abusers in China

    Institute of Scientific and Technical Information of China (English)

    ZHOUJUN-FU; CHENPENG

    2001-01-01

    Objective:In order to study the relationship between alcoho abuse and oxidative stress,and to identify oxidative damage of alcoho abuse in human bodies.Methods:80 Cases of male alcoholics(AL) aged 40 years old and 80 cases of male healthy volunteers(HV)of the same age without drinking histroy were investigated by measuring concentrations of vitaminC(VC),vitamin E (VE) and β-carotene(β-CAR)in plasma as well as activities of superoxide dismutase(SOD),catalse(CAT) and glutathione peroxidase(GSH-Px)in RBC with spectrophotometri assays.Results:Compared with the average values(AV) of the above biochemical parameters in the HV group ,the average values of VC,VE and β-CAR in plasma and the activities of SOD,CAT and GSH-Px in RBC in the AL group were significantly decreased (P=0.0000),The findings in linear regression and correlation analysis for 80 alcoholics showed that with the prolonged drinking duration and increased daily drinking quantity,the values of VC,VE and β-CAR in plasma as well as SOD,CAT and GSH-Px in RBC in the alcoholics were gradually decreased(P=0.000),representing a respectively significant linear negative correlation.The analysis of stepwise regression and correlation rewvealed that the drinking duration had the closest correlation with the values of VE in plasma as well as CAT and GSH-Px in RBC,while the daily drinking quantity had the closest correlation with the values of VC,VE and β-CAR in plasma as well as SOD and GSH-Px in RBC,Conclusion :The findings of the present study suggested that the oxidative stress in the alcoholics became pathologically intensified,leading to potential oxidative damages in their bodies.Therefore,alcoholica should abstain from alcohol drinking,and should take as supplements suitable dosage of antioxidants per day such as VC,VE,β-CAR and others to moderate potential oxidative damages in their bodies.

  20. Longitudinal measurement of cortisol in association with mental health and experience of domestic violence and abuse: study protocol

    OpenAIRE

    Lokhmatkina, Natalia V; Feder, Gene; Blake, Sarah; Morris, Richard; Powers, Victoria; Lightman, Stafford

    2013-01-01

    Background Domestic violence and abuse is threatening behavior, violence/abuse used by one person to control the other within an intimate or family-type relationship. Women experience more severe physical and sexual domestic violence and abuse and more mental health consequences than men. The current study aims at exploring of the role of hypothalamic-pituitary-adrenocortical axis activity in abuse impact on women's mental health. Study objectives: 1) To evaluate diurnal cortisol slope, corti...

  1. Is sexual abuse a part of war? A 4-year retrospective study on cases of sexual abuse at the Kenyatta National Hospital, Kenya

    Directory of Open Access Journals (Sweden)

    Mary W. Kuria

    2013-07-01

    Full Text Available The harmful effects of sexual abuse are long lasting. Sexual abuse when associated with violence is likely to impact negatively on the life of the victim. Anecdotal reports indicate that there was an increase in the number of cases of sexual violence following the 2007 post election conflict and violence in Kenya. Although such increases in sexual abuse are common during war or conflict periods the above reports have not been confirmed through research evidence. The purpose of the current study is to establish the trend in numbers of reported cases of sexual abuse at Kenyatta National Hospital over a 4-year period (2006-2009. Data on sexually abused persons for the year 2006-2009 was retrieved from the hospitals record. A researcher designed questionnaire was used to collect relevant data from the completed Post Rape Care (PRC form. The PRC-Ministry of Health no. 363 (MOH363 form is mandatorily completed by the physician attending the sexually abused patient. There was an increase in the number of cases of sexual abuse reported in 2007 election year in Kenya, with a statistically significant increase in the sexually abused male cases. Sexual crime is more prevalent when there is war or conflict.

  2. Environmental modulation of drug taking: Nonhuman primate models of cocaine abuse and PET neuroimaging.

    Science.gov (United States)

    Nader, Michael A; Banks, Matthew L

    2014-01-01

    The current review highlights the importance of environmental variables on cocaine self-administration in nonhuman primate models of drug abuse. In addition to describing the behavioral consequences, potential mechanisms of action are discussed, based on imaging results using the non-invasive and translational technique of positron emission tomography (PET). In this review, the role of three environmental variables - both positive and negative - are described: alternative non-drug reinforcers; social rank (as an independent variable) and punishment of cocaine self-administration. These environmental stimuli can profoundly influence brain function and drug self-administration. We focus on environmental manipulations involving non-drug alternatives (e.g., food reinforcement) using choice paradigms. Manipulations such as response cost and social variables (e.g., social rank, social stress) also influence the behavioral effects of drugs. Importantly, these manipulations are amenable to brain imaging studies. Taken together, these studies emphasize the profound impact environmental variables can have on drug taking, which should provide important information related to individual-subject variability in treatment responsiveness, and the imaging work may highlight pharmacological targets for medications related to treating drug abuse. This article is part of a Special Issue entitled 'NIDA 40th Anniversary Issue'. PMID:23748095

  3. Environmental modulation of drug taking: Nonhuman primate models of cocaine abuse and PET neuroimaging.

    Science.gov (United States)

    Nader, Michael A; Banks, Matthew L

    2014-01-01

    The current review highlights the importance of environmental variables on cocaine self-administration in nonhuman primate models of drug abuse. In addition to describing the behavioral consequences, potential mechanisms of action are discussed, based on imaging results using the non-invasive and translational technique of positron emission tomography (PET). In this review, the role of three environmental variables - both positive and negative - are described: alternative non-drug reinforcers; social rank (as an independent variable) and punishment of cocaine self-administration. These environmental stimuli can profoundly influence brain function and drug self-administration. We focus on environmental manipulations involving non-drug alternatives (e.g., food reinforcement) using choice paradigms. Manipulations such as response cost and social variables (e.g., social rank, social stress) also influence the behavioral effects of drugs. Importantly, these manipulations are amenable to brain imaging studies. Taken together, these studies emphasize the profound impact environmental variables can have on drug taking, which should provide important information related to individual-subject variability in treatment responsiveness, and the imaging work may highlight pharmacological targets for medications related to treating drug abuse. This article is part of a Special Issue entitled 'NIDA 40th Anniversary Issue'.

  4. Drugs of abuse in urban groundwater. A case study: Barcelona.

    Science.gov (United States)

    Jurado, A.; Mastroianni, N.; Vazquez-Suñe, E.; Carrera, J.; Tubau, I.; Pujades, E.; Postigo, C.; Lopez de Alda, M.; Barceló, D.

    2012-04-01

    This study is concerned with drugs of abuse (DAs) and their metabolites in urban groundwater at field scale in relation to (1) the spatial distribution of the groundwater samples, (2) the depth of the groundwater sample, (3) the presence of DAs in recharge sources, and (4) the identification of processes affecting the fate of DAs in groundwater. To this end, urban groundwater samples were collected in the city of Barcelona and a total of 21 drugs were analyzed including cocainics, amphetamine-like compounds, opioids, lysergics and cannabinoids and the prescribed drugs benzodiazepines. Overall, the highest groundwater concentrations and the largest number of detected DAs were found in zones basically recharged by a river that receives large amounts of effluents from waste water treatment plants (WWTPs). In contrast, the urbanized areas yielded not only lower concentrations but also a much smaller number of drugs, which suggests a local origin. In fact, cocaine and its metabolite were dominant in more prosperous neighbourhoods, whereas the cheaper (MDMA) was the dominant DA in poorer districts. Concentrations of DAs estimated mainly from the waste water fraction in groundwater samples were consistently higher than the measured ones, suggesting that DAs undergo removal processes in both reducing and oxidizing conditions.

  5. Elder Abuse and Substance Abuse

    Science.gov (United States)

    Navigation Physical Abuse Sexual Abuse Domestic Violence Psychological Abuse Financial Abuse Neglect Critical Issues The Role of Culture in Elder ... factor in all types of elder abuse, including physical mistreatment, emotional abuse, financial exploitation, and neglect. It is also a ...

  6. The Role of Prothrombotic Factors in the Ocular Manifestations of Abusive and Non-Abusive Head Trauma: A Feasibility Study

    Science.gov (United States)

    Yu, Anna; Stephens, Derek; Feldman, Brian M.; Parkin, Patricia C.; Kahr, Walter H. A.; Brandao, Leonardo R.; Shouldice, Michelle; Levin, Alex V.

    2012-01-01

    Objectives: Retinal hemorrhage is a cardinal manifestation of abusive head injury. Thrombophilia is relatively common in the general population and in adults can be associated with retinal hemorrhage. The specificity of retinal hemorrhage for abusive head trauma in the presence of prothrombotic factors, in particular following non-abusive head…

  7. Exercise treatment for drug abuse -a Danish pilot study

    DEFF Research Database (Denmark)

    Roessler, Kirsten Kaya

    2010-01-01

    is considered as a success in treatments with drug abusers, usually characterized by a low compliance and commitment. The results of the participants who completed the programme (n = 20) showed an increased oxygen uptake of an average of 10%, improved self-reported quality of life and a higher energy level...... for the majority of the participants. The addicts obtained a better body image, became more sensitive to physical pain and disorders and reduced their drug intake during the training period. The long-term effect showed that five of the 20 abusers interviewed reported that they still had not taken drugs, 10 had...... downgraded their intake, four experienced no change at all and one died through an overdose. CONCLUSIONS: The results show that physical exercise can provide important support in the treatment of drug abuse and that the main problem is maintaining change in behaviour and peer group influence to ensure long...

  8. Mental health of adolescents who abuse psychoactive substances in Enugu, Nigeria - A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Igwe Wilson C

    2010-08-01

    Full Text Available Abstract Background Association between psychiatric morbidity and substance abuse among adolescent has been reported. However prevalence and pattern of such dysfunctions are unknown in our environment. Aims To determine the prevalence of psychosocial dysfunction and depressive symptoms among adolescents who abuse substance and also note the influence of socio-demographic factors and type of substance on the pattern of dysfuction. Method A cross-sectional study was carried out among 900 adolescents selected from 29 secondary schools in Enugu metropolis. A multi-stage sampling procedure was used to select the students. The student drug use questionnaire was used to screen respondents for substance abuse. Those who were abusing substance and matched controls (non substance abusers were assessed for psychiatric symptoms using the 35-item Paediatric Symptom Checklist (PSC and the Zung Self-rating Depression Scale (SDS. Social classification was done using the parental educational attainment and occupation. Result A total of 290 students were current substance abusers. The substances most commonly abused were alcohol (31.6%, cola nitida (kola nut (20.7% and coffee (15.7%. Using the PSC scale, 70 (24.1% subjects compared to 29 (10.7% of the controls had scores in the morbidity range of ≥ 28 for psychosocial dysfuction. This was statistically significant (χ2 = 17.57 p = 0.001. Fifty-four subjects (18.6% had scores in the morbidity range of ≥ 50 for depressive symptoms using the Zung SDS compared to 21 (7.7% of controls. This was statistically significant (χ2 = 14.43, p = 0.001. Prevalence of dysfunction was not significantly related to age in both subjects and controls (χ2 = 4.62, p = 0.010, χ2 = 4.8, p = 0.10 respectively. Also using both scales, there was no significant relationship between psychosocial dysfunction and gender or social class in both subjects and control. The prevalence of dysfuction using both scales was significantly higher

  9. Adverse mental health outcomes associated with emotional abuse in young rural South African women: a cross-sectional study

    OpenAIRE

    Jina, Ruxana; Jewkes, Rachel; Hoffman, Susie; Dunkle, Kristen L.; Nduna, Mzikazi; Shai, Nwabisa J.

    2011-01-01

    There is a lack of data on the prevalence of emotional abuse in youth. The aim of this study was thus to estimate the prevalence of emotional abuse in intimate partnerships among young women in rural South Africa and to measure the association between lifetime experience of emotional abuse (with and without the combined experience of physical and/or sexual abuse) and adverse health outcomes. Between 2002 and 2003, young women from 70 villages were recruited to participate in the cluster rando...

  10. Health professionals' beliefs about domestic abuse and the issue of disclosure:a critical incident technique study

    OpenAIRE

    Taylor J., Bradbury-Jones C., Kroll T. & Duncan F

    2013-01-01

    Domestic abuse is increasingly recognised as a serious, worldwide public health concern. There is a significant body of literature regarding domestic abuse, but little is known about health professionals' beliefs about domestic abuse disclosure. In addition, the intersection between health professionals' beliefs and abused women's views remains uninvestigated. We report on a two-phase, qualitative study using Critical Incident Technique (CIT) that aimed to explore community health professiona...

  11. Deaths from abuse of volatile substances: a national epidemiological study.

    OpenAIRE

    Anderson, H R; Macnair, R S; Ramsey, J. D.

    1985-01-01

    A survey of the United Kingdom detected 282 deaths from abuse of volatile substances during 1971-83. Deaths appeared to have increased in the most recent years, reaching 80 in 1983. Age at death ranged from 11 to 76 years but most deaths (72%) occurred under 20 years. Ninety five per cent of the subjects were male, and in 1983 deaths from volatile substance abuse accounted for 2% of all deaths in males aged 10-19. All areas of the United Kingdom were affected, the rates being highest in Scotl...

  12. Understanding cycles of abuse: A multimotive approach.

    Science.gov (United States)

    Simon, Lauren S; Hurst, Charlice; Kelley, Ken; Judge, Timothy A

    2015-11-01

    Fundamental to the definition of abusive supervision is the notion that subordinates are often victims of a pattern of mistreatment (Tepper, 2000). However, little research has examined the processes through which such destructive relational patterns emerge. In this study, we draw from and extend the multimotive model of reactions to interpersonal threat (Smart Richman & Leary, 2009) to formulate and test hypotheses about how employees' emotional and behavioral responses may ameliorate or worsen supervisors' abuse. To test this model, we collected 6 waves of data from a sample of 244 employees. Results revealed reciprocal relationships between abusive supervision and both supervisor-directed counterproductive behavior and supervisor-directed avoidance. Whereas the abusive supervision--counterproductive behavior relationship was partially driven by anger, the abusive supervision--avoidance relationship was partially mediated by fear. These findings suggest that some may find themselves in abusive relationships, in part, because their own reactions to mistreatment can, perhaps unknowingly, reinforce abusive behavior.

  13. Practice Makes Perfect? The Role of Participant Modeling in Sexual Abuse Prevention Programs.

    Science.gov (United States)

    Wurtele, Sandy K.; And Others

    1987-01-01

    Assigned 26 kindergarten children to either a sexual abuse prevention program which taught self-protective skills through modeling and active rehearsal (PM) or a program which taught the same skills by having children watch skills modeled by experimenter (SM). Results provide support for greater efficacy of PM relative to SM for learning of…

  14. The effectiveness of critical time intervention for abused women and homeless people leaving Dutch shelters: study protocol of two randomised controlled trials

    OpenAIRE

    Lako, D.A.M.; Vet, R.; Beijersbergen, M.D.; Herman, D.B.; Hemert, A.M. van; Wolf, J.R.L.M.

    2013-01-01

    BACKGROUND: One of the main priorities of Dutch organisations providing shelter services is to develop evidence-based interventions in the care for abused women and homeless people. To date, most of these organisations have not used specific intervention models and the interventions which have been implemented rarely have an empirical and theoretical foundation. The present studies aim to examine the effectiveness of critical time intervention (CTI) for abused women and homeless people. METHO...

  15. Modeling of Pharmacokinetics of Cocaine in Human Reveals the Feasibility for Development of Enzyme Therapies for Drugs of Abuse

    OpenAIRE

    Fang Zheng; Chang-Guo Zhan

    2012-01-01

    A promising strategy for drug abuse treatment is to accelerate the drug metabolism by administration of a drug-metabolizing enzyme. The question is how effectively an enzyme can actually prevent the drug from entering brain and producing physiological effects. In the present study, we have developed a pharmacokinetic model through a combined use of in vitro kinetic parameters and positron emission tomography data in human to examine the effects of a cocaine-metabolizing enzyme in plasma on th...

  16. Prevalence of Elder Abuse and Neglect: Findings from First Macedonian Study

    OpenAIRE

    Dimitrinka Jordanova Peshevska; Marijana Markovik; Dinesh Sethi; Eleonora Serafimovska; Tamara Jordanova

    2014-01-01

    OBJECTIVES: One of the study objectives was to explore the prevalence of elder abuse and neglect in the country. METHOD: Total of 960 respondents aged 65 years and above (44.7% of male and 55.3%) in private households, from all eight statistical regions participated in the study. Respondents were sampled through three staged national representative sampling procedure. Data were collected using a cognitively validated questionnaire for investigating elder abuse and neglect (psychological a...

  17. Childhood Abuse and Delinquency: A Descriptive Study of Institutionalized Female Youth in Singapore

    OpenAIRE

    Chu, Chi Meng; Thomas, Stuart D. M.; Ng, Vivienne P. Y.

    2009-01-01

    Childhood abuse experiences appear prevalent in institutionalized children and youth, but research to date has been limited. Moreover, there is no published study that has examined the issue of childhood abuse and delinquency within institutionalized children and youth in Singapore. This study was cross-sectional in design with follow-up criminal record checks. Data were collected from multiple data sources including official records, structured clinical interviews, and self-report questionna...

  18. Domestic elder abuse in Yazd, Iran: a cross-sectional study

    OpenAIRE

    Mohammad Ali Morowatisharifabad; Hassan Rezaeipandari; Ali Dehghani; Ahmad Zeinali

    2016-01-01

    Background: Social changes due to urbanism, acculturation, and fading of values have led to some challenges in family relationships, including domestic elder abuse. This study was conducted to determine elder abuse status in Yazd, Iran. Methods: This cross-sectional study was conducted on 250 elderly people over 60 years in Yazd in 2014-2015. Clustered random sampling was used to recruit the participants from 10 clusters in Yazd (25 individuals from each cluster). The data were gathered by...

  19. Domestic elder abuse in Yazd, Iran: a cross-sectional study

    OpenAIRE

    Morowatisharifabad, Mohammad Ali; Rezaeipandari, Hassan; Dehghani, Ali; Zeinali, Ahmad

    2016-01-01

    Background: Social changes due to urbanism, acculturation, and fading of values have led to some challenges in family relationships, including domestic elder abuse. This study was conducted to determine elder abuse status in Yazd, Iran. Methods: This cross-sectional study was conducted on 250 elderly people over 60 years in Yazd in 2014-2015. Clustered random sampling was used to recruit the participants from 10 clusters in Yazd (25 individuals from each cluster). The data were gathered by th...

  20. The impact of sexual abuse on female development: Lessons from a multigenerational, longitudinal research study

    OpenAIRE

    Trickett, Penelope K.; Noll, Jennie G.; Putnam, Frank W.

    2011-01-01

    This is a report on the research design and findings of a 23-year longitudinal study of the impact of intrafamilial sexual abuse on female development. The conceptual framework integrated concepts of psychological adjustment with theory regarding how psychobiological factors might impact development. Participants included 6- to 16-year-old females with substantiated sexual abuse and a demographically similar comparison group. A cross-sequential design was used and six assessments have taken p...

  1. Children of Treated Substance-abusing Mothers: A 10-year Prospective Study

    OpenAIRE

    Hser, Y.; Evans, E.; Li, L.; Metchik, A.; Messina, N

    2013-01-01

    The study examined children of substance-abusing mothers approximately 10 years after mothers’ admission to drug abuse treatment, and identified maternal characteristics that may be risk factors for child behavior problems on the Child Behavior Checklist (CBCL). Data were obtained from 396 mothers who were included in a sample consecutively admitted to 44 treatment programs in 13 California counties during 2000–2002. Addiction Severity Index was administered at both intake and follow-up. Each...

  2. Childhood sexual abuse and abnormal personality:A population-based study

    OpenAIRE

    Moran, P.; Coffey, C.; Chanen, A.; Mann, A.; Carlin, J B; Patton, G C

    2011-01-01

    Background Childhood sexual abuse (CSA) has been shown to be a risk factor for personality disorder (PD). However, no previous studies have examined whether associations exist between sexual abuse and abnormal personality as measured both categorically and dimensionally. Such enquiry would more fully illuminate the impact of CSA on adult personality.Method Using a large nationally representative sample, we set out to examine associations between CSA and categorically defined PD. We also exami...

  3. Using court reports to enhance knowledge of sexual abuse in sport: A Norwegian case study

    OpenAIRE

    Fasting, Kari; Brackenridge, Ceila; Kjølberg, Gustav

    2013-01-01

    Copyright @ 2013 The authors Sport scientists face difficulties in gaining access to data on sexual abuse in sport through conventional research sources and also in verifying media reports of such cases. One potential alternative source of data is court reports. The study reported here used a small number of court reports to examine issues confronting those researching sexual abuse in sport. Two questions were investigated: What do the court reports tell us about the perpetrators and their...

  4. Association study between brain-derived neurotrophic factor gene polymorphisms and methamphetamine abusers in Japan

    OpenAIRE

    Itoh, Kanako; Hashimoto, Kenji; Shimizu, Eiji; Sekine, Yoshimoto; Ozaki, Norio; Inada, Toshiya; Harano, Mutsuo; Iwata, Nakao; Komiyama, Tokutaro; Yamada, Mitsuhiko; Sora,Ichiro; Nakata, Kenji; Ujike, Hiroshi; Iyo, Masaomi

    2005-01-01

    Several lines of evidence suggest that genetic factors might contribute to drug abuse vulnerability. Recent genomic scans for association demonstrated that the brain-derived neurotrophic factor (BDNF) gene was associated with drug abuse vulnerability. In this study, we analyzed association of two BDNF gene single nucleotide polymorphisms (SNPs), 132C>T (C270T named formerly) in the noncoding region of exon V and 196G >A (val66met) in the coding region of exon XIIIA, with methamphetamine (MAP)...

  5. A plan analysis of pedophile sexual abusers' motivations for treatment: a qualitative pilot study.

    Science.gov (United States)

    Drapeau, Martin; Körner, Annett; Granger, Luc; Brunet, Louis; Caspar, Franz

    2005-06-01

    Many authors have suggested adapting treatment programs to the specific needs of sexual abusers. However, little research has been conducted to understand what these patients seek in therapy or what elements play a key role in keeping them in treatment. In this pilot study, fifteen (N=15) pedophile sexual abusers from La Macaza clinic for sexual abusers were interviewed. Plan analysis was used to investigate the most prevalent components involved in staying in or leaving therapy. Results suggest that many components involved in the plans leading to doing and to avoiding treatment were similar. Differences were found in regards to the outcome of confrontations with the therapists, a tendency to isolate and overcomply, guilt related to the abuse, a need for a stable environment, and a need to be accepted. These results are discussed along with possible ways to improve the patients' involvement in treatment. PMID:15851510

  6. A plan analysis of pedophile sexual abusers' motivations for treatment: a qualitative pilot study.

    Science.gov (United States)

    Drapeau, Martin; Körner, Annett; Granger, Luc; Brunet, Louis; Caspar, Franz

    2005-06-01

    Many authors have suggested adapting treatment programs to the specific needs of sexual abusers. However, little research has been conducted to understand what these patients seek in therapy or what elements play a key role in keeping them in treatment. In this pilot study, fifteen (N=15) pedophile sexual abusers from La Macaza clinic for sexual abusers were interviewed. Plan analysis was used to investigate the most prevalent components involved in staying in or leaving therapy. Results suggest that many components involved in the plans leading to doing and to avoiding treatment were similar. Differences were found in regards to the outcome of confrontations with the therapists, a tendency to isolate and overcomply, guilt related to the abuse, a need for a stable environment, and a need to be accepted. These results are discussed along with possible ways to improve the patients' involvement in treatment.

  7. Clinical Supervision in Alcohol and Drug Abuse Counseling: Principles, Models, Methods.

    Science.gov (United States)

    Powell, David J.

    A case is made for professionalism in clinical training as substance abuse counseling becomes a unique field. Part 1, "Principles," includes: (1) "A Historical Review of Supervision"; (2) "A Working Definition of Supervision"; (3) "Leadership Principles for Supervisors" and; (4) "Traits of an Effective Clinical Supervisor." Part 2, "Models,"…

  8. The Life Skills Training and Preventive behaviors of Substances Abuse among University Students: a Longitudinal Study

    Directory of Open Access Journals (Sweden)

    Mehdi Moshki

    2013-09-01

    Full Text Available Background & Objective: Nowaday, substance abuse is one of the bitterest social damages. In the recent years, substance abuse has increased among students of schools and universities, therefore special attention it requires. This study aimed to study the effect of life skills training on the promotion of the preventive behaviors of Gonabad University medical school students’ abuse of substances. Materials & Methods: During the experimental research and field trail, 60 students were Selected through a quota random sampling method and were randomly assigned to the two case and control groups. A Questionnaire that involved demographic factors and Preventive behaviors, whichwere caused as the result of drug abuse, was used for data collection. The questionnaire’s reliability and validity was assessed before and after educational intervention, and as a follow-up, 4 years after educational intervention. The Data was analyzed using T-Test and Chi-square. Results: Comparison of the mean of the scores in scale Preventive behaviors caused by drug abuse in post-test of two case and control groups had a significant difference (p<0/01 that remained stable 4 years after the end of the intervention. There was a significant difference between some of the demographic factors and Preventive behaviors that had been caused by drug abuse (p<0/01. Conclusion: Life skills training are effective in strengthening Preventive behaviors of substance abuse in university students. Therefore, life skills training programs should be integrated into university courses in order to comprehensively and consistently the effect of drug abuse on the educational level of students

  9. Physical abuse in basic-education schools in Aden governorate, Yemen: a cross-sectional study.

    Science.gov (United States)

    Ba-Saddik, A S; Hattab, A S

    2013-04-01

    Physical abuse in school has lifelong consequences affecting child health and educational achievements. A study was designed to assess the prevalence of physical abuse experienced by pupils in basic-education schools in Aden, Yemen, and to examine the risk factors associated with it. A cross-sectional study covering 1066 pupils in 7th-9th grades from 8 schools in different districts of Aden governorate were randomly selected. Answering an anonymous self-administered questionnaire, 55.7% of pupils reported physical abuse at least once in their school lifetime (73.2% of males versus 26.6% of females). Teachers were the main perpetrators (45.4%). A statistically significant association was found between physical abuse and sex, age group, family type and father's education. Significant predictors of physical abuse on multivariate regression were male sex (OR=7.89) and extended family type (OR=1.36). Physical abuse in basic-education schools requires serious consideration by educational authorities, families and the community at large. PMID:23882958

  10. Sexual abuse of boys in KwaZulu-Natal, South Africa: a hospital-based study.

    Science.gov (United States)

    Collings, Steven J

    2005-01-01

    Objective - The aim of the study was to determine the prevalence and factors associated with child sexual abuse in a total sample of boys referred for medico-legal assessment in a peri-urban area of KwaZulu-Natal, South Africa. Method - A retrospective analysis was undertaken of clinical and social work records for sexually abused boys presenting for medico-legal assessment at the Mahatma Gandhi Memorial Hospital (Phoenix, KwaZulu-Natal) during the period January 2001 to December 2003. Results - In the period reviewed, 131 boys reported an incident of sexual abuse with temporal trends indicating a significant increase in the incidence of reported abuse over the three year period. Most victims fell in the 4-11 year age category, anal penetration constituted the most common form of abuse (86% of cases), and perpetrators were predominantly persons who were known to the child. Conclusion - Study findings indicate that the sexual abuse of boys constitutes a sizeable and emerging problem in peri-urban communities in South Africa. Evidence suggests that increased rates of victimisation are associated with a breakdown in family support networks in the context of rapid urbanisation.

  11. Drug abuse

    International Nuclear Information System (INIS)

    This paper reports that this study used SPECT to examine patients who have abused drugs to determine whether SPECT could identify abnormalities and whether these findings have clinical importance. Fifteen patients with a history of substance abuse (eight with cocaine, six with amphetamine, and one with organic solvent) underwent SPECT performed with a triple-headed camera and Tc-99m HMPAO both early for blood flow and later for functional information. These images were then processed into a 3D videotaped display used in group therapy. All 15 patients had multiple areas of decreased tracer uptake peppered throughout the cortex but mainly affecting the parietal lobes, expect for the organic solvent abuser who had a large parietal defect. The videotapes were subjectively described by a therapist as an exceptional tool that countered patient denial of physical damage from substance abuse. Statistical studies of recidivism between groups is under way

  12. Methamphetamine abuse and oral health: a pilot study of "meth mouth".

    Science.gov (United States)

    Ravenel, Michele C; Salinas, Carlos F; Marlow, Nicole M; Slate, Elizabeth H; Evans, Zachary P; Miller, Peter M

    2012-03-01

    Abuse of methamphetamine (meth), a potent central nervous system stimulant, has been associated with significant dental disease. Current descriptions of "meth mouth" are limited in their scope and fail to illuminate the potential pathogenic mechanisms of meth for oral disease. The purpose of this pilot study was to characterize the oral health of subjects with a history of meth abuse as compared to nonabusing control subjects. A total of 28 meth abusers and 16 control subjects were enrolled. Interviews and surveys regarding meth abuse, dental history, oral hygiene, and diet were collected. A comprehensive oral cavity examination including salivary characterization was completed. We observed significantly higher rates of decayed surfaces, missing teeth, tooth wear, plaque, and calculus among meth abusers. No significant difference in salivary flow rates were noted, yet results showed significant trends for lower pH and decreased buffering capacity. These findings suggest that salivary quality may play a more important role in meth mouth than previously considered. Salivary analysis may be useful when managing a dental patient with history of methamphetamine abuse.

  13. Individual, Family, and Culture Level Contributions to Child Physical Abuse and Neglect: A Longitudinal Study in Nine Countries

    OpenAIRE

    Lansford, Jennifer E.; Godwin, Jennifer; Uribe Tirado, Liliana Maria; Zelli, Arnaldo; Al-Hassan, Suha M.; Bacchini, Dario; Bombi, Anna Silvia; Bornstein, Marc H.; Chang, Lei; Deater-Deckard, Kirby; Di Giunta, Laura; Dodge, Kenneth A.; Malone, Patrick S.; Oburu, Paul; Pastorelli, Concetta

    2015-01-01

    This study advances understanding of predictors of child abuse and neglect at multiple levels of influence. Mothers, fathers, and children (N = 1,432 families, M age of children = 8.29 years) were interviewed annually in three waves in 13 cultural groups in nine countries (China, Colombia, Italy, Jordan, Kenya, Philippines, Sweden, Thailand, and the United States). Multilevel models were estimated to examine predictors of (a) within-family differences across the three time points, (b) between...

  14. Internal Working Models and Adjustment of Physically Abused Children: The Mediating Role of Self-Regulatory Abilities

    Science.gov (United States)

    Hawkins, Amy L.; Haskett, Mary E.

    2014-01-01

    Background: Abused children's internal working models (IWM) of relationships are known to relate to their socioemotional adjustment, but mechanisms through which negative representations increase vulnerability to maladjustment have not been explored. We sought to expand the understanding of individual differences in IWM of abused children and…

  15. Rosalie Wolf Memorial Lecture: A logic model to measure the impacts of World Elder Abuse Awareness Day.

    Science.gov (United States)

    Stein, Karen

    2016-01-01

    This commentary discusses the need to evaluate the impact of World Elder Abuse Awareness Day activities, the elder abuse field's most sustained public awareness initiative. A logic model is proposed with measures for short-term, medium-term, and long-term outcomes for community-based programs.

  16. The Relationship between Sexual Abuse during Childhood and Parenting Outcomes: Modeling Direct and Indirect Pathways

    Science.gov (United States)

    Schuetze, P.; Eiden, R.D.

    2005-01-01

    Objective:: This study examined the association between childhood sexual abuse (CSA) and parenting outcomes including parenting stress, feelings of competence and discipline strategies. Maternal depression and current partner violence were hypothesized to be mediators of the association between CSA and parenting. Method:: This study is based on…

  17. A Model of Sexual Risk Behaviors Among Young Gay and Bisexual Men: Longitudinal Associations of Mental Health, Substance Abuse, Sexual Abuse, and the Coming-Out Process

    OpenAIRE

    Rosario, Margaret; Schrimshaw, Eric W.; Hunter, Joyce

    2006-01-01

    Sexual risk behaviors of young gay and bisexual men must be understood within the context of other health concerns (e.g., anxiety, substance abuse), population-specific factors (i.e., the coming-out process and gay-related stress), childhood sexual abuse, and other theoretical factors (e.g., safer sex intentions). The current report proposes and longitudinally examines a model of risk factors for subsequent sexual risk behaviors among young gay and bisexual men in New York City. As hypothesiz...

  18. Three-dimensional thermal finite element modeling of lithium-ion battery in thermal abuse application

    Science.gov (United States)

    Guo, Guifang; Long, Bo; Cheng, Bo; Zhou, Shiqiong; Xu, Peng; Cao, Binggang

    In order to better understand the thermal abuse behavior of high capacities and large power lithium-ion batteries for electric vehicle application, a three-dimensional thermal model has been developed for analyzing the temperature distribution under abuse conditions. The model takes into account the effects of heat generation, internal conduction and convection, and external heat dissipation to predict the temperature distribution in a battery. Three-dimensional model also considers the geometrical features to simulate oven test, which are significant in larger cells for electric vehicle application. The model predictions are compared to oven test results for VLP 50/62/100S-Fe (3.2 V/55 Ah) LiFePO 4/graphite cells and shown to be in great agreement.

  19. Young workers' experiences of abusive leadership

    OpenAIRE

    Starratt, Alison; Grandy, Gina

    2010-01-01

    Purpose – The purpose of this paper is to develop a model of abusive leadership as experienced by young workers. Abusive leadership is understood to be subjective and as such this research seeks to explore the experience of abusive leadership through a qualitative approach. Design/methodology/approach – Drawing on interviews with 30 young workers who identified themselves as having a “bad” boss, this study employs a constructivist grounded theory approach in order to identify behaviours, mode...

  20. Social-Relational Risk Factors for Predicting Elder Physical Abuse: An Ecological Bi-Focal Model

    Science.gov (United States)

    von Heydrich, Levente; Schiamberg, Lawrence B.; Chee, Grace

    2012-01-01

    Annually in the United States, 1 to 5 million older adults, 65 and above, are physically or sexually injured or mistreated by their caregivers in family settings. This study examined the prevalence and risk factors involved in elder physical abuse by adult child caregivers, moving from the immediate elderly parent/adult child relationship context…

  1. Testing a Model of Participant Retention in Longitudinal Substance Abuse Research

    Science.gov (United States)

    Gilmore, Devin; Kuperminc, Gabriel P.

    2014-01-01

    Longitudinal substance abuse research has often been compromised by high rates of attrition, thought to be the result of the lifestyle that often accompanies addiction. Several studies have used strategies including collection of locator information at the baseline assessment, verification of the information, and interim contacts prior to…

  2. A three-dimensional thermal abuse model for lithium-ion cells

    Science.gov (United States)

    Kim, Gi-Heon; Pesaran, Ahmad; Spotnitz, Robert

    To understand further the thermal abuse behavior of large format Li-ion batteries for automotive applications, the one-dimensional modeling approach formulated by Hatchard et al. [T.D. Hatchard, D.D. MacNeil, A. Basu, J.R. Dahn, J. Electrochem. Soc. 148(7) (2001) A755-A761] was reproduced. Then it was extended to three dimensions so we could consider the geometrical features, which are critical in large cells for automotive applications. The three-dimensional model captures the shapes and dimensions of cell components and the spatial distributions of materials and temperatures, and is used to simulate oven tests, and to determine how a local hot spot can propagate through the cell. In simulations of oven abuse testing of cells with cobalt oxide cathode and graphite anode with standard LiPF 6 electrolyte, the three-dimensional model predicts that thermal runaway will occur sooner or later than the lumped model, depending on the size of the cell. The model results showed that smaller cells reject heat faster than larger cells; this may prevent them from going into thermal runaway under identical abuse conditions. In simulations of local hot spots inside a large cylindrical cell, the three-dimensional model predicts that the reactions initially propagate in the azimuthal and longitudinal directions to form a hollow cylinder-shaped reaction zone.

  3. The Cumulative Burden Borne by Offspring Whose Mothers Were Sexually Abused as Children: Descriptive Results From a Multigenerational Study

    OpenAIRE

    Noll, Jennie G.; Trickett, Penelope K.; Harris, William W.; Putnam, Frank W.

    2008-01-01

    This multigenerational study empirically demonstrates the extent to which offspring whose parents experienced childhood abuse are at increased risk of being abused or neglected. Females with substantiated childhood sexual abuse and nonabused comparison females were assessed at six points spanning 18 years in a prospective, longitudinal study. Nonabusing parents or caregivers and offspring were also assessed. Descriptive results indicate that offspring born to mothers with histories of sexual ...

  4. Drug abuse in hospitalized trauma patients in a university trauma care center: an explorative study

    Directory of Open Access Journals (Sweden)

    A.R. Soroush

    2006-08-01

    Full Text Available Background: Drug abuse has been known as a growing contributing factor to all types of trauma in the world. The goal of this article is to provide insight into demographic and substance use factors associated with trauma and to determine the prevalence of drug abuse in trauma patients. Methods: Evidence of substance abuse was assessed in trauma patients presenting to Sina trauma hospital over a 3-month period. They were interviewed and provided urine samples to detect the presence of drug/metabolites of opium, morphine, cannabis and heroin by “Morphine Check” kits. Demographic data, mechanisms of injury, history of smoking and drug abuse were recorded. Results: A total of 358 patients with a mean age of 28.4 years were studied. The Patients were predominantly male (94.7%. There was a history of smoking in 136 cases (38%. 58 cases (16.2% reported to abuse drugs (91.5% opium. The commonest route of administration was smoke inhalation (37.2%. Screening by Morphine Check test revealed 95 samples to be positive (26.5%. The preponderance of test-positive cases was among young people (of 20-30 years of age with a history of smoking. Victims of violence and those with penetrating injuries also showed a higher percentage of positive screens (P=0.038 and P<0.001, respectively. Conclusion: These results suggest that drug abuse is a contributing factor to trauma especially in violent injuries and among the young. Regarding the considerable prevalence of drug abuse among trauma patients, it’s highly recommended that all trauma patients be screened for illicit drugs

  5. A case-control study on alcohol and psychiatric disorders as risk factors for drug abuse pattern

    Directory of Open Access Journals (Sweden)

    Claudia S. Lopes

    2002-12-01

    Full Text Available We evaluated alcohol and psychiatric disorders as risk factors for the pattern of drug abuse/dependence in a matched case-control study (370 adults. Cases (drug abusers and controls were selected in the community using the snowball technique and matched by sex, age, and friendship. Information was gathered using the "Composite International Diagnostic Interview" (CIDI. Three patterns of drug abuse/dependence were evaluated: any drug abuse/dependence, only cannabis, and cocaine and other drugs. Logistic conditional regression showed that alcohol dependence was strongly associated with pattern of drug abuse/dependence. Thus, compared to the "no drug abuse group", the odds ratio for association with diagnosis of abuse/dependence on cocaine and other drugs was 10.2 (95% CI: 4.9-21.2, whereas for abuse/dependence on cannabis only, the odds ratio was 1.0. For affective disorders, the odds ratio was 2.0 (95% CI: 1.10-3.64 for the group that received a diagnosis of abuse/dependence on cocaine and other drugs, whereas no association was found for those with abuse/dependence on cannabis only. In conclusion, there is not a homogeneous group of "drug users", and the role of risk factors depends on the drug use pattern.

  6. A case-control study on alcohol and psychiatric disorders as risk factors for drug abuse pattern

    Directory of Open Access Journals (Sweden)

    Lopes Claudia S.

    2002-01-01

    Full Text Available We evaluated alcohol and psychiatric disorders as risk factors for the pattern of drug abuse/dependence in a matched case-control study (370 adults. Cases (drug abusers and controls were selected in the community using the snowball technique and matched by sex, age, and friendship. Information was gathered using the "Composite International Diagnostic Interview" (CIDI. Three patterns of drug abuse/dependence were evaluated: any drug abuse/dependence, only cannabis, and cocaine and other drugs. Logistic conditional regression showed that alcohol dependence was strongly associated with pattern of drug abuse/dependence. Thus, compared to the "no drug abuse group", the odds ratio for association with diagnosis of abuse/dependence on cocaine and other drugs was 10.2 (95% CI: 4.9-21.2, whereas for abuse/dependence on cannabis only, the odds ratio was 1.0. For affective disorders, the odds ratio was 2.0 (95% CI: 1.10-3.64 for the group that received a diagnosis of abuse/dependence on cocaine and other drugs, whereas no association was found for those with abuse/dependence on cannabis only. In conclusion, there is not a homogeneous group of "drug users", and the role of risk factors depends on the drug use pattern.

  7. Cognitive and Emotional Differences between Abusive and Non-Abusive Fathers

    Science.gov (United States)

    Francis, Karen J.; Wolfe, David A.

    2008-01-01

    Objective: Abusive fathers perpetrate a substantial portion of child physical abuse. Despite this, little is known about how they differ from non-abusive fathers. This study compared a broad range of cognitive and affective factors between physically abusive and non-abusive fathers. Methods: Abusive (n = 24) and non-abusive (n = 25) fathers…

  8. Study protocol: a randomized controlled trial of a computer-based depression and substance abuse intervention for people attending residential substance abuse treatment

    Directory of Open Access Journals (Sweden)

    Kelly Peter J

    2012-02-01

    Full Text Available Abstract Background A large proportion of people attending residential alcohol and other substance abuse treatment have a co-occurring mental illness. Empirical evidence suggests that it is important to treat both the substance abuse problem and co-occurring mental illness concurrently and in an integrated fashion. However, the majority of residential alcohol and other substance abuse services do not address mental illness in a systematic way. It is likely that computer delivered interventions could improve the ability of substance abuse services to address co-occurring mental illness. This protocol describes a study in which we will assess the effectiveness of adding a computer delivered depression and substance abuse intervention for people who are attending residential alcohol and other substance abuse treatment. Methods/Design Participants will be recruited from residential rehabilitation programs operated by the Australian Salvation Army. All participants who satisfy the diagnostic criteria for an alcohol or other substance dependence disorder will be asked to participate in the study. After completion of a baseline assessment, participants will be randomly assigned to either a computer delivered substance abuse and depression intervention (treatment condition or to a computer-delivered typing tutorial (active control condition. All participants will continue to complete The Salvation Army residential program, a predominantly 12-step based treatment facility. Randomisation will be stratified by gender (Male, Female, length of time the participant has been in the program at the commencement of the study (4 weeks or less, 4 weeks or more, and use of anti-depressant medication (currently prescribed medication, not prescribed medication. Participants in both conditions will complete computer sessions twice per week, over a five-week period. Research staff blind to treatment allocation will complete the assessments at baseline, and then 3, 6, 9

  9. Physical Abuse

    Science.gov (United States)

    ... Additional Resources Return to: What is Elder Abuse? Physical Abuse Physical abuse is physical force or violence that results in ... may be acquaintances, sons, daughters, grandchildren, or others. Physical abuse that is perpetrated by spouses or intimate partners ...

  10. Child Abuse and Neglect Among Children Who Drop Out of School: A Study in Izmir, Turkey.

    Science.gov (United States)

    Sofuoğlu, Zeynep; Sariyer, Görkem; Aydin, Fulya; Cankarde, Sinem; Kandemirci, Birsu

    2016-10-01

    Child abuse and neglect (CAN), and dropping out of school have long been recognized as pervasive social problems globally, and Turkey is no exception. This study aims to explore the prevalence and incidence of CAN in children who drop out of school of Turkey, using the ISPCAN Child abuse Screening Tool, Children's Version, which is an appropriate tool for multinational comparisons. Data from a convenience sample of children who drop out of school age 11, 13, and 16 from Izmir were collected either by interviews or by self-completion. The results show that, compared to children who do not drop out of school, children who drop out of school have higher rates of psychological and physical abuse and neglect within the family. This study not only highlights the need for preventive laws for CAN and dropping out of school, but also points to direction for future research. PMID:27331866

  11. Determining Possible Professionals and Respective Roles and Responsibilities for a Model Comprehensive Elder Abuse Intervention: A Delphi Consensus Survey.

    Directory of Open Access Journals (Sweden)

    Janice Du Mont

    Full Text Available We have undertaken a multi-phase, multi-method program of research to develop, implement, and evaluate a comprehensive hospital-based nurse examiner elder abuse intervention that addresses the complex functional, social, forensic, and medical needs of older women and men. In this study, we determined the importance of possible participating professionals and respective roles and responsibilities within the intervention.Using a modified Delphi methodology, recommended professionals and their associated roles and responsibilities were generated from a systematic scoping review of relevant scholarly and grey literatures. These items were reviewed, new items added for review, and rated/re-rated for their importance to the intervention on a 5-point Likert scale by an expert panel during a one day in-person meeting. Items that did not achieve consensus were subsequently re-rated in an online survey.Those items that achieved a mean Likert rating of 4+ (rated important to very important, and an interquartile range<1 in the first or second round, and/or for which 80% of ratings were 4+ in the second round were retained for the model elder abuse intervention.Twenty-two of 31 recommended professionals and 192 of 229 recommended roles and responsibilities rated were retained for our model elder abuse intervention. Retained professionals were: public guardian and trustee (mean rating = 4.88, geriatrician (4.87, police officer (4.87, GEM (geriatric emergency management nurse (4.80, GEM social worker (4.78, community health worker (4.76, social worker/counsellor (4.74, family physician in community (4.71, paramedic (4.65, financial worker (4.59, lawyer (4.59, pharmacist (4.59, emergency physician (4.57, geriatric psychiatrist (4.33, occupational therapist (4.29, family physician in hospital (4.28, Crown prosecutor (4.24, neuropsychologist (4.24, bioethicist (4.18, caregiver advocate (4.18, victim support worker (4.18, and respite care worker (4.12.A large and

  12. How do public child healthcare professionals and primary school teachers identify and handle child abuse cases? A qualitative study

    OpenAIRE

    Schols, M.W.A.; Ruiter, C. de; Ory, F G

    2013-01-01

    Background Public child healthcare doctors and nurses, and primary school teachers play a pivotal role in the detection and reporting of child abuse, because they encounter almost all children in the population during their daily work. However, they report relatively few cases of suspected child abuse to child protective agencies. The aim of this qualitative study was to investigate Dutch frontline workers’ child abuse detection and reporting behaviors. Methods Focus group interviews were hel...

  13. A forensic assessment model for the sexually abused child in the South African context / Sufran Smith

    OpenAIRE

    Smith, Sufran

    2014-01-01

    Currently no guidelines exist for South African professionals that work with sexually abused children. Professionals in this field are in desperate need of such guidelines. Section A refers to the problem statement, research objectives, research procedures and research methodology. The keywords as well as the limitations of the research are investigated. The research was conducted in two phases. In phase one the researcher compared international forensic assessment models and protocols and...

  14. Environmental Modulation of Drug Taking: Nonhuman Primate Models of Cocaine Abuse and PET Neuroimaging

    OpenAIRE

    Nader, Michael A.; Banks, Matthew L.

    2013-01-01

    The current review highlights the importance of environmental variables on cocaine self-administration in nonhuman primate models of drug abuse. In addition to describing the behavioral consequences, potential mechanisms of action are discussed, based on imaging results using the non-invasive and translational technique of positron emission tomography (PET). In this review, the role of three environmental variables – both positive and negative - are described: alternative non-drug reinforcers...

  15. A history of abuse and operative delivery--results from a European multi-country cohort study.

    Directory of Open Access Journals (Sweden)

    Berit Schei

    Full Text Available OBJECTIVE: The main aim of this study was to assess whether a history of abuse, reported during pregnancy, was associated with an operative delivery. Secondly, we assessed if the association varied according to the type of abuse and if the reported abuse had been experienced as a child or an adult. DESIGN: The Bidens study, a cohort study in six European countries (Belgium, Iceland, Denmark, Estonia, Norway, and Sweden recruited 6724 pregnant women attending routine antenatal care. History of abuse was assessed through questionnaire and linked to obstetric information from hospital records. The main outcome measure was operative delivery as a dichotomous variable, and categorized as an elective caesarean section (CS, or an operative vaginal birth, or an emergency CS. Non-obstetrically indicated were CSs performed on request or for psychological reasons without another medical reason. Binary and multinomial regression analysis were used to assess the associations. RESULTS: Among 3308 primiparous women, sexual abuse as an adult (≥ 18 years increased the risk of an elective CS, Adjusted Odds Ratio 2.12 (1.28-3.49, and the likelihood for a non-obstetrically indicated CS, OR 3.74 (1.24-11.24. Women expressing current suffering from the reported adult sexual abuse had the highest risk for an elective CS, AOR 4.07 (1.46-11.3. Neither physical abuse (in adulthood or childhood <18 years, nor sexual abuse in childhood increased the risk of any operative delivery among primiparous women. Among 3416 multiparous women, neither sexual, nor emotional abuse was significantly associated with any kind of operative delivery, while physical abuse had an increased AOR for emergency CS of 1.51 (1.05-2.19. CONCLUSION: Sexual abuse as an adult increases the risk of an elective CS among women with no prior birth experience, in particular for non-obstetrical reasons. Among multiparous women, a history of physical abuse increases the risk of an emergency CS.

  16. Substance Abuse and Psychiatric Co-morbidity as Predictors of Premature Mortality in Swedish Drug Abusers: A Prospective Longitudinal Study 1970-2006

    DEFF Research Database (Denmark)

    Nyhlén, Anna; Fridell, Mats; Bäckström, Martin;

    2011-01-01

    with a decreased risk. Neurosis, mainly depression and/or anxiety disorders, predicted drug related premature death while chronic psychosis and personality disorders did not. Chronic alcohol addiction was associated with increased risk of non drug related death. Conclusions The cohort of drug abusers had......Background Few longitudinal cohort studies have focused on the impact of substances abused and psychiatric disorders on premature mortality. The aim of the present study was to identify predictors of increased risk of drug related death and non drug related death in substance abusers of opiates...... an increased risk of premature death to the age of 69. Drug related premature death was predicted by male gender, the use of opiates or barbiturates and depression and anxiety disorders at first admission. The predicted cumulative incidence of drug related death was significantly higher in opiate...

  17. Violence against Pregnant Women Can Increase the Risk of Child Abuse: A Longitudinal Study

    Science.gov (United States)

    Chan, Ko Ling; Brownridge, Douglas A.; Fong, Daniel Y. T.; Tiwari, Agnes; Leung, Wing Cheong; Ho, Pak Chung

    2012-01-01

    Objective: To assess the impact of intimate partner violence (IPV) against pregnant women on subsequent perpetration of child abuse and neglect (CAN) by parents; and to test the mediation effect of recent IPV on the link between IPV during pregnancy and subsequent CAN. Methods: This study was a longitudinal follow-up of a population-based study on…

  18. Sexual Abuse

    Science.gov (United States)

    Navigation Physical Abuse Sexual Abuse Domestic Violence Psychological Abuse Financial Abuse Neglect Critical Issues What Communities Can Do The Role ... Abuse and Neglect Ramsey-Klawsnik, H. (1996). Assessing physical and sexual abuse in health care settings. In L.A. Baumhover & S. ...

  19. Use of Pregabalin - A Nationwide Pharmacoepidemiological Drug Utilization Study with Focus on Abuse Potential

    DEFF Research Database (Denmark)

    Schjerning, O; Pottegård, A; Damkier, P;

    2016-01-01

    in dosages that exceed the approved therapeutic range. METHODS: To identify predictors of pregabalin use above recommended dosage, we conducted a pharmacoepidemological drug utilization study using the Danish nationwide registers. We deployed 4 measures of abuse: high use (≥600 mg/day) or very high use (≥1......INTRODUCTION: Pregabalin is currently approved for the treatment of epilepsy, generalized anxiety disorder and neuropathic pain with a licensed dosage range of 150 mg to 600 mg/day. Growing concern about the abuse potential of pregabalin is partly based on reports of pregabalin being used...... 200 mg/day) over a 6- or 12-month period, respectively. Multiple logistic regression was used to identify patient and treatment characteristics that were associated with either abuse marker. RESULTS: Out of 42 520 pregabalin users 4 090 (9.6%) were treated with more than 600 mg/day for 6 months and 2...

  20. Elder abuse and barriers to help seeking in Chennai, India: a qualitative study.

    Science.gov (United States)

    Chokkanathan, Srinivasan; Natarajan, Aravindhan; Mohanty, Jayashree

    2014-01-01

    This qualitative study attempts to understand why older persons abused by their family members in India do not seek help. In-depth interviews over three visits were conducted with six adults aged 65 years and above who had been physically abused by their sons/daughters-in-law. The interviews were transcribed and themes identified using a thematic analysis method. The barriers preventing a person from seeking help were service-related (accessibility, lack of trust); religious (Karma); family (deleterious effects on family, family members' responses to help seeking); and individual (socioeconomic dependency, self-blame). The unique findings that surfaced were fear of losing one's identity by losing one's family, attributing abuse to past sins, and concern over not attaining salvation if one's sons did not perform funeral rites. The authors propose a checklist to explore and assess the barriers to seeking help. Recommendations for geroprofessionals in overcoming barriers include implementing outreach programs and changing the misconceptions regarding Karma. PMID:24313798

  1. HIV infection among new synthetic drug abusers: a pilot study in Beijing

    Institute of Scientific and Technical Information of China (English)

    LI Ping; CHEN Xiao; XIE Pei-yan; CHU Ping; LI Dong-liang; LI Qian-qian; SHAO Yi-ming

    2013-01-01

    Background Following the increased human immunodeficiency virus (HIV) notification (infection) rates via sexual transmission and increased abuse of new synthetic drugs instead of heroin in China,a study on HIV infections and risk factors among synthetic drugs and heroin users in Beijing was conducted to provide a cue for further development of targets and strategies of HIV/AIDS control and prevention for different drug populations.Methods A total of 428 subjects including 224 heroin users and 204 new synthetic drug users was recruited from communities in Beijing by convenience sampling.A x2 test was used to compare HIV and syphilis infections between the two subpopulations.Logistic regression models were used to evaluate factors related to HIV,syphilis infections and abuse of synthetic drugs.Results Unbalanced distributions of demographics were detected between the two subpopulations.Compared with heroin users,most users of synthetic drugs were migrants,single and of younger age (age ≤30 years).Ten HIV infections and twenty-four syphilis infections were confirmed among 428 subjects.No significant difference in HIV infection was found between the two subpopulations (crude odds ratio (OR) =0.46,95% confidence interval (CI):0.07-15.80 and adjusted odds ratio (AOR) =1.26,95% CI:0.09-18.28) while four times as many syphilis infections were identified among users of synthetics drugs (AOR=3.92,95% CI:1.06-14.56).HIV and syphilis infections appeared to work synergistically.The migrants who were of Han ethnicity,single and who had stayed in Beijing for more than six months were more likely to abuse synthetics drugs.Conclusions The new synthetic drug users and heroin users are different subpopulations.We optimistically speculate that HIV has not yet been introduced into the former in Beijing,but considering higher syphilis infections in synthetic drug users and the role of syphilis in HIV infection,synthetic drug users,as a possible and important driver of the HIV

  2. Estudo comparativo das habilidades sociais de dependentes e não dependentes de álcool Comparative study of social skills among alcohol abusers and non abusers

    Directory of Open Access Journals (Sweden)

    Poliana Patrício Aliane

    2006-04-01

    Full Text Available Este trabalho teve como objetivo principal avaliar e comparar diferenças nas habilidades sociais (HS de dependentes e não dependentes de álcool. Foram pesquisados 80 sujeitos, entre dependentes e não-dependentes, usuários do SUS, e usados dois instrumentos para coleta dos dados: Inventário de Habilidades Sociais (IHS e AUDIT (Alcohol Use Disorder Identification Test. Foi realizado um estudo comparativo das HS entre os grupos de dependentes e não-dependentes de álcool e álcool e outras drogas (AOD. Os resultados obtidos mostraram não existir diferença no escore do IHS entre dependentes e não-dependentes. Os homens obtiveram maior média nas habilidades de conversação e desenvoltura social e autocontrole da agressividade que as mulheres e, na amostra masculina, dependentes de álcool apresentaram maior média na habilidade de autocontrole da agressividade que dependentes de AOD. Apesar de a literatura sobre o tema discutir os déficits de HS entre dependentes, este estudo não confirmou esta hipótese.This research aims to evaluate and compare differences in Social Skills of alcohol abusers and non-abusers. Eighty people were interviewed, among alcohol abusers and non-abusers, patients of a Health Care Center (SUS. Two instruments were used to collect the data: Social Skills Inventory (ISS and AUDIT (Alcohol Use Disorder Identification Test. A Comparative study between the alcohol abusers and non-abusers including other drugs was carried out. The results showed that there is no difference between the alcohol abusers and non-abusers ISS scores. Men showed a better score in conversation and social abilities also in self-control of the aggressiveness than women did. In addiction, men addicted to alcohol showed a better score in self-control of the aggressiveness than men addicted to alcohol and other drugs. Although literature about this topic shows that the alcohol abuse have an decrease of these social skills, this research does not

  3. Childhood Sexual Abuse

    Directory of Open Access Journals (Sweden)

    Evrim Aktepe

    2009-08-01

    Full Text Available Sexual abuse is defined as use of child or adolescent by the adults for satisfying of sexual urges and needs with forcing, threatening or tricking. Sexual abuse can be in the form of sexual abuse without touch, sexual touch, interfemoral intercourse, sexual penetration, and sexual exploitation. The prevalence of sexual abuse is reported as 10-40%. It is seen in female four times more than in males. Abusers are frequently male, only 5-15% of them are female. The abuse by females is usually towards male child. Thirty-fifty percent of abuse cases among child and adolescent are outside the family including strangers or familiar person. Some features of abusers are introvert personality, pedophilic and antisocial personality. Most of the abusers have a history of sexual abuse or aggression during childhood. Sexual intercourse between two people who are not allowed to marry by law is called as incest. Family pattern of incest is defined globally as disorganized and dysfunctional. The most commonly reported familial pattern is rigid and patriarchal family pattern with a harsh father using force quite frequently. The clinical features and impacts of the sexual abuse on the child varies according to the relation between abusers and the child, form of abuse, duration of abuse, presence of physical assault, developmental phase, child age and psychological development before the abuse. Sexual abuse history may result in psychiatric disorders including anxiety, depression, substance dependence, suicide act, borderline personality disorder, posttraumatic stress disorder. Abuse negatively affects interpersonal relationships and self esteem of abused individuals. Several studies reported close association between risky sexual behaviors in adulthood and a history of of sexual abuse during childhood. Four traumatic dynamics including traumatic sexuality with abuse, feeling of betrayal, weakness, and stigmatization exist in childhood abuse. Trauma can cause

  4. [The role of conjugal relations in the abuse and neglect of children: towards an ecological study].

    Science.gov (United States)

    Dubé, J; Provost, M A

    1991-06-01

    The phenomenon of child abuse and neglect has always existed in Western society. Yet, it is only recently that clinicians and researchers have taken a serious look at these problems. This ever growing interest has come about from not only the stunning number of cases identified each year, but also by the extent and gravity of consequences observed among children. Several professionals interested by the issue have put forward a great number of etiological factors to try to explain abuse and neglect within the family unit. However, when assessing the proposed theoretical models (psychiatric/psychological, sociological, systemic), it appears that certain simple factors can play a large role, for instance the history behind parental development, the quality of marital relations, the child-parent relation, the stress and the extent of the social network, but none of these can clearly differentiate abusive families from non abusive families. It seems however that these different explicative factors would be even more valuable if they were considered in interaction rather than taken individually. Inspired by the ecological framework proposed by Bronfenbrenner (1977, 1979), Belsky (1980, 1984) as well as Cicchetti and Rizley (1981) have also developed a model that simultaneously takes into account all of these factors and their interaction.

  5. Use and abuse of mixing models (MixSIAR)

    Science.gov (United States)

    Background/Question/MethodsCharacterizing trophic links in food webs is a fundamental ecological question. In our efforts to quantify energy flow through food webs, ecologists have increasingly used mixing models to analyze biological tracer data, often from stable isotopes. Whil...

  6. Is Childhood Physical Abuse Associated with Peptic Ulcer Disease? Findings from a Population-Based Study

    Science.gov (United States)

    Fuller-Thomson, Esme; Bottoms, Jennifer; Brennenstuhl, Sarah; Hurd, Marion

    2011-01-01

    This study investigated childhood physical abuse and ulcers in a regionally representative community sample. Age, race and sex were controlled for in addition to five clusters of potentially confounding factors: adverse childhood conditions, adult socioeconomic status, current health behaviors, current stress and marital status, and history of…

  7. Longitudinal HIV Risk Behavior among the Drug Abuse Treatment Outcome Studies (DATOS) Adult Sample

    Science.gov (United States)

    Murphy, Debra A.; Brecht, Mary-Lynn; Herbeck, Diane; Evans, Elizabeth; Huang, David; Hser, Yih-Ing

    2008-01-01

    Longitudinal trajectories for HIV risk were examined over 5 years following treatment among 1,393 patients who participated in the nationwide Drug Abuse Treatment Outcome Studies. Both injection drug use and sexual risk behavior declined over time, with most of the decline occurring between intake and the first-year follow-up. However, results of…

  8. An Exploratory Study of the Nature of Family Resilience in Families Affected by Parental Alcohol Abuse

    Science.gov (United States)

    Coyle, James P.; Nochajski, Thomas; Maguin, Eugene; Safyer, Andrew; DeWit, David; Macdonald, Scott

    2009-01-01

    Resilient families are able to adapt to adversities, but the nature of family resilience is not well understood. This study examines patterns of family functioning that may protect families from the negative impact of alcohol abuse. Naturally occurring patterns of family functioning are identified and associations between these patterns and…

  9. Cognitive-Behavioural Treatment for Men with Intellectual Disabilities and Sexually Abusive Behaviour: A Pilot Study

    Science.gov (United States)

    Murphy, Glynis; Powell, Simon; Guzman, Ana-Maria; Hays, Sarah-Jane

    2007-01-01

    Background: Cognitive-behaviour therapy (CBT) seems to be becoming the treatment of choice for non-disabled sex offenders. Nevertheless, there have been relatively few evaluations of such treatment for men with intellectual disabilities (ID) and sexually abusive behaviour. Method: A pilot study providing CBT for two groups of men with ID is…

  10. The Relationship between Domestic Violence and Animal Abuse: An Australian Study

    Science.gov (United States)

    Volant, Anne M.; Johnson, Judy A.; Gullone, Eleonora; Coleman, Grahame J.

    2008-01-01

    Several North American studies have found a connection between domestic violence and animal abuse. This article reports on the first Australian research to examine this connection. A group of 102 women recruited through 24 domestic violence services in the state of Victoria and a nondomestic violence comparison group (102 women) recruited from the…

  11. The Link between Childhood Sexual Abuse and Myocardial Infarction in a Population-Based Study

    Science.gov (United States)

    Fuller-Thomson, Esme; Bejan, Raluca; Hunter, John T.; Grundland, Tamara; Brennenstuhl, Sarah

    2012-01-01

    Objectives: This study examined the relationship between childhood sexual abuse (CSA) and myocardial infarction in men and women, while controlling for social determinants (i.e., socioeconomic status, social support, mental health) and traditional cardiovascular risk factors (i.e., age, race, obesity, smoking, physical inactivity, diabetes…

  12. Abusive Head Trauma at a Tertiary Care Children's Hospital in Mexico City. A Preliminary Study

    Science.gov (United States)

    Diaz-Olavarrieta, Claudia; Garcia-Pina, Corina A.; Loredo-Abdala, Arturo; Paz, Francisco; Garcia, Sandra G.; Schilmann, Astrid

    2011-01-01

    Objectives: Determine the prevalence, clinical signs and symptoms, and demographic and family characteristics of children attending a tertiary care hospital in Mexico City, Mexico, to illustrate the characteristics of abusive head trauma among this population. Methods: This is a cross-sectional descriptive study of infants and children under 5,…

  13. Art Therapy with Sexually Abused Children and Adolescents: Extended Research Study

    Science.gov (United States)

    Pifalo, Terry

    2006-01-01

    This article reports the outcome of a four-year follow-up of a pilot study using a combination of art therapy, cognitive behavioral therapy, and group process to address the therapeutic issues related to childhood sexual abuse. All group participants were evaluated using the Trauma Symptom Checklist for Children (Briere, 1995), commonly used in…

  14. In Their Own Voices: A Qualitative Study of Men Abused as Children by Catholic Clergy

    Science.gov (United States)

    Isely, Paul J.; Isely, Peter; Freiburger, Jim; McMackin, Robert

    2008-01-01

    This study examines the impact of child sexual molestation on men assaulted as children by Catholic clergy. In-depth interviews were used to conduct a qualitative analysis of how clergy-perpetrated childhood sexual abuse affected the adult psychological and/or psychosocial functioning of nine men. Subjects were selected in coordination with a…

  15. Individual, family, and culture level contributions to child physical abuse and neglect: A longitudinal study in nine countries.

    Science.gov (United States)

    Lansford, Jennifer E; Godwin, Jennifer; Uribe Tirado, Liliana Maria; Zelli, Arnaldo; Al-Hassan, Suha M; Bacchini, Dario; Bombi, Anna Silvia; Bornstein, Marc H; Chang, Lei; Deater-Deckard, Kirby; Di Giunta, Laura; Dodge, Kenneth A; Malone, Patrick S; Oburu, Paul; Pastorelli, Concetta; Skinner, Ann T; Sorbring, Emma; Tapanya, Sombat; Peña Alampay, Liane

    2015-11-01

    This study advances understanding of predictors of child abuse and neglect at multiple levels of influence. Mothers, fathers, and children (N = 1,418 families, M age of children = 8.29 years) were interviewed annually in three waves in 13 cultural groups in nine countries (China, Colombia, Italy, Jordan, Kenya, Philippines, Sweden, Thailand, and the United States). Multilevel models were estimated to examine predictors of (a) within-family differences across the three time points, (b) between-family within-culture differences, and (c) between-cultural group differences in mothers' and fathers' reports of corporal punishment and children's reports of their parents' neglect. These analyses addressed to what extent mothers' and fathers' use of corporal punishment and children's perceptions of their parents' neglect were predicted by parents' belief in the necessity of using corporal punishment, parents' perception of the normativeness of corporal punishment in their community, parents' progressive parenting attitudes, parents' endorsement of aggression, parents' education, children's externalizing problems, and children's internalizing problems at each of the three levels. Individual-level predictors (especially child externalizing behaviors) as well as cultural-level predictors (especially normativeness of corporal punishment in the community) predicted corporal punishment and neglect. Findings are framed in an international context that considers how abuse and neglect are defined by the global community and how countries have attempted to prevent abuse and neglect. PMID:26535934

  16. Individual, family, and culture level contributions to child physical abuse and neglect: A longitudinal study in nine countries.

    Science.gov (United States)

    Lansford, Jennifer E; Godwin, Jennifer; Uribe Tirado, Liliana Maria; Zelli, Arnaldo; Al-Hassan, Suha M; Bacchini, Dario; Bombi, Anna Silvia; Bornstein, Marc H; Chang, Lei; Deater-Deckard, Kirby; Di Giunta, Laura; Dodge, Kenneth A; Malone, Patrick S; Oburu, Paul; Pastorelli, Concetta; Skinner, Ann T; Sorbring, Emma; Tapanya, Sombat; Peña Alampay, Liane

    2015-11-01

    This study advances understanding of predictors of child abuse and neglect at multiple levels of influence. Mothers, fathers, and children (N = 1,418 families, M age of children = 8.29 years) were interviewed annually in three waves in 13 cultural groups in nine countries (China, Colombia, Italy, Jordan, Kenya, Philippines, Sweden, Thailand, and the United States). Multilevel models were estimated to examine predictors of (a) within-family differences across the three time points, (b) between-family within-culture differences, and (c) between-cultural group differences in mothers' and fathers' reports of corporal punishment and children's reports of their parents' neglect. These analyses addressed to what extent mothers' and fathers' use of corporal punishment and children's perceptions of their parents' neglect were predicted by parents' belief in the necessity of using corporal punishment, parents' perception of the normativeness of corporal punishment in their community, parents' progressive parenting attitudes, parents' endorsement of aggression, parents' education, children's externalizing problems, and children's internalizing problems at each of the three levels. Individual-level predictors (especially child externalizing behaviors) as well as cultural-level predictors (especially normativeness of corporal punishment in the community) predicted corporal punishment and neglect. Findings are framed in an international context that considers how abuse and neglect are defined by the global community and how countries have attempted to prevent abuse and neglect.

  17. Impact of Physical and Sexual Abuse on Treatment Response in the Treatment of Resistant Depression in Adolescent Study (TORDIA)

    Science.gov (United States)

    Shamseddeen, Wael; Asarnow, Joan Rosenbaum; Clarke, Gregory; Vitiello, Benedetto; Wagner, Karen Dineen; Birmaher, Boris; Keller, Martin B.; Emslie, Graham; Iyengar, Satish; Ryan, Neal D.; McCracken, James T.; Porta, Giovanna; Mayes, Taryn; Brent, David A.

    2011-01-01

    Objective: We previously reported that a history of abuse was associated with a poorer response to combination treatment in the Treatment of Resistant Depression in Adolescents study (TORDIA). We now report on the nature and correlates of abuse that might explain these findings. Method: Youth who did not benefit from an adequate selective…

  18. An Exploratory Qualitative Study of the Self-Reported Impact of Female-Perpetrated Childhood Sexual Abuse

    Science.gov (United States)

    Deering, Rebecca; Mellor, David

    2011-01-01

    The limited findings on the impact of female-perpetrated sexual abuse of children are often contradictory, particularly in relation to males. In this exploratory qualitative study, a sample of nine men and five women who reported that they had been sexually abused by women in their childhood were recruited from the general community. They…

  19. Shrouds of Silence: A Case Study of Sexual Abuse in Schools in the Limpopo Province in South Africa

    Science.gov (United States)

    Masehela, Boledi; Pillay, Venitha

    2014-01-01

    This study seeks to understand the reasons that allow a parent, a principal and a teacher to maintain silence when young girls under their care are sexually abused. Put another way, it attempts to explain what it is about sexual abuse that makes these parties relinquish their role as protectors of innocent children. This paper, based on a larger…

  20. Domestic elder abuse in Yazd, Iran: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Morowatisharifabad

    2016-06-01

    Conclusion: Despite overall low rate of domestic elder abuse, its high prevalence indicates that some interventions are necessary to decrease domestic elder abuse. Emotional neglect of elders should be addressed more than other abuse types.

  1. A Bibliographic Study of Drug Abuse Research during last 30 years in Iran

    Directory of Open Access Journals (Sweden)

    Afarin Rahimi Movaghar

    2009-05-01

    Full Text Available In the last decades, the produced science has been significantly increased in the field of drug abuse, globally. The objective of this study was to assess the bibliographic aspects of the science produced in Iran on drug abuse in the last 30 years. All scientific papers published from Iran in a 30-year period (1973-2002 in national as well as international scientific journals were assessed for this study. These papers are indexed in the database for Iranian Mental Health Researches, called IranPsych. The total number of 218 papers on drug and drug abuse were found and assessed by six psychiatrists and psychologists with good inter-rater reliability. About half of these papers were published in the last two years. About half of the papers have been published in the Persian medical journals. One-third have been published in international journals. Overall, 449 authors contributed to the 218 published papers from whom 80 percent had only one paper. Half of the papers were written by only 15 authors (3.3 percent. Most of the authors were Medical Doctors and from Medical Universities. None of the researches was received financial support from pharmacologic industries. This study shows that in recent years, the increase in the publication of the researches conducted on drug abuse has been significant. Nevertheless, according to the high prevalence of drug abuse problem in Iran and improvements in the scientific, as well as executive structures, the whole scientific output is insignificant. The findings guide us to a more systematic approach toward training of researchers and promotion of resaerch in this area. Moreover, more active involvement of social scientists and publication of their research findings are recommended.

  2. Alcohol Use among Abused and Non-Abused Older Persons Aged 60-84 Years: An European Study

    Science.gov (United States)

    Tredal, Ingrid; Soares, Joaquim J. F.; Sundin, Orjan; Viitasara, Eija; Melchiorre, Maria Gabriella; Torres-Gonzales, Francisco; Stankunas, Mindaugas; Lindert, Jutta; Ioannidi-Kapolou, Elisabeth; Barros, Henrique

    2013-01-01

    Aims: Describing alcohol use by abuse type (e.g. psychological) and considering other factors (e.g. depression). Methods: The respondents were 4467 (2559 women, 57.3%) randomly selected elders (60-84 years) from seven European cities. The cross-sectional data were collected with scales covering various areas and examined with…

  3. phenomenon of child abuse based on studies of high school students

    Directory of Open Access Journals (Sweden)

    Joanna Kasznia-Kocot

    2012-03-01

    Full Text Available Phenomenon of child abuse is considered to be voluntary or involuntary action of an adult which has a detrimental effect on child’s health and/or his psychophysical development. The concept of child abuse syndrome includes physical, mental and emotional maltreatment and negligence of physical, medical and emotional needs and also rape and sexual abuse. The authors conducted a questionnaire survey in order to assess children mistreatment by parents, caretakers and school environment. Studies included 228 high school students aged 14– 16 out of which 44,3% were girls and 55,7% were boys. 84% of the children were brought up by full families, 13% by mothers only, and 3% by fathers only. The most common form of mistreatment of children was physical violence (20,3%, psychological violence (12,1% and negligence (6,5%. Violence in the form of bad touch was experienced by 7,9% of girls and 0,8% of boys. High school students often suffered emotional violence from peers (22,9%, siblings (5,2% and teachers (4,8%. Results of the surveys were discussed paying attention to sociological context and legal conditions. The need for cooperation between many organizations and sectors of public life was highlighted to prevent the phenomenon of child abuse.

  4. A social work study on parents’ income and personal characteristics and child abuse: A case study of city of Esfahan

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Iravani

    2013-02-01

    Full Text Available Child abuse is one of the most important issues in any society and any action to detect influencing factors could help take possible actions on its prevention. In this paper, we present an empirical study to find the impact of family income, occupation, size, age, education and drug addiction on growth of child abuse. The study uses a sample of 450 female students who were enrolled on guided schools in city of Esfahan, Iran. The study chooses 5 classes and in each school and 10 students are randomly selected. A questionnaire is designed and distributed among the sample people, which is categorized in four groups of physical, sexual, emotional and neglect child abuse. The results are analyzed using different tests including Pearson correlation test, Chi-Square, etc. to test different hypotheses. The results of our survey indicate that there are some meaningful relationships between different family characteristics including age, occupation, family size, educational background, and drug-addiction and child abuse. However, our survey does not provide any evidence to believe there is any relationship between home status and child abuse risk.

  5. Abused inhalants and central reward pathways: electrophysiological and behavioral studies in the rat.

    Science.gov (United States)

    Riegel, Arthur C; French, Edward D

    2002-06-01

    Inhalant abuse remains a significant health problem among the younger segment of society. In fact, the use of inhalants in this population trails only that of nicotine, alcohol, and marijuana. Toluene is a common ingredient in many of the substances sought out for inhalation abuse, apparently for its euphorigenic and hallucinogenic effects. Because drugs of abuse share the common property of altering the activity of mesolimbic dopamine neurons, it is reasonable to suspect that toluene-induced changes in this CNS pathway may underlie its abuse potential. Here we will provide in vivo and in vitro electrophysiological data and behavioral evidence linking toluene exposure in rats to activation of mesolimbic dopamine neurons. Exposure of rats to 11,000 ppm of inhaled toluene produced time-dependent activation of dopamine neurons within the midbrain ventral tegmental area (VTA). In the rat brain slice preparation, perfusion with toluene (23-822 microM) also evoked an increase in activity of both dopamine and nondopamine neurons within the VTA. These excitatory effects could not be found in adjacent non-VTA nuclei, nor were they sensitive to the glutamate antagonists CGS19755 or CNQX. In behavioral studies, systemic administration of toluene produced a dose-dependent locomotor hyperactivity that was attenuated by either pretreatment with the D2 dopamine receptor antagonist remoxipride or by 6-hydroxydopamine lesions of the nucleus accumbens. These findings show that toluene can activate dopamine neurons within the mesolimbic reward pathway, an effect that may underlie the abuse potential of inhaled substances containing toluene.

  6. Elder Abuse

    Science.gov (United States)

    ... facilities or nursing homes. The mistreatment may be Physical, sexual, or emotional abuse Neglect or abandonment Financial abuse - stealing of money or belongings Possible signs of elder abuse include unexplained bruises, burns, ...

  7. Prevalence of child sexual abuse : a comparison among 4 Italian epidemiological studies

    OpenAIRE

    Beatrice Castelli; Fiorella Festa; Maria Angela Di Sanzo; Andrea Guala; Alberto Pellai

    2015-01-01

    Although many epidemiological studies defining child sexual abuse prevalence rates in many countries of the world are now available, Italy presents a lack of data regarding this specific issue. Only recently some attempts to define the epidemiology of this public health problem have been tried. Between 2003 and 2010, the Department of Public Health at University of Milan was in charge of one of the more important study of this kind in Italy, involving almost 3000 students aged 18 attending se...

  8. A case study of an incident of professional sexual abuse in UK mental health services

    OpenAIRE

    Melville-Wiseman, J.

    2016-01-01

    This paper presents and instrumental case study involving the rape of a vulnerable women with mental health needs (Alice) by her Community Psychiatric Nurse within UK mental health services. It provides an alternative feminist emancipatory paradigm for the understanding of professional sexual abuse in such settings. Previous studies and policy developments in the UK have sought to explain such crimes by forensically examining the victim (usually a woman) in terms of her psycho-pathology and...

  9. Genetic and biological markers in drug abuse and alcoholism

    Energy Technology Data Exchange (ETDEWEB)

    Braude, M.C.; Chao, H.M.

    1986-01-01

    This book contains 11 selections. Some of the titles are: Polymorphic Gene Marker Studies; Pharmacogenetic Approaches to the Prediction of Drug Response; Genetic Markers of Drug Abuse in Mouse Models; Genetics as a Tool for Identifying Biological Markers of Drug Abuse; and Studies of an Animal Model of Alcoholism.

  10. THE ABUSE OF DOMINANT POSITION - RESTRICTING COMPETITION PRACTICE. CASE STUDY: ENI

    Directory of Open Access Journals (Sweden)

    BERINDE Mihai

    2013-07-01

    Full Text Available The abuse of dominant position along with cartel, merger and state aid are practices restricting competition strictly regulated at EU level. These practices can have a disastrous effect on the internal market harming both competition especially consumers. These practices can have a disastrous effect on the domestic market harming both competition and especially consumers. This paper aims to analyze how the abuse of a dominant position is regulated in the European Union. The research methodology used is the study of literature, analysis of legislation, case study, and the collection and interpretation of statistical data. The Competition Law at European level is harmonized among European Union member states. The competition authorities of the EU Member States work together to detect and sanction the practice that is restrictive for competition. Improving legislation that regulates the abuse of dominant position has been an ongoing concern of competition authorities, which is why the EU currently enjoys a very well established procedure. The procedure governing the abuse of dominant position consists of a series of steps that must be taken gradually to have the desired result, i.e. restoring fair competition on a given market. The case study presented in this paper is indicative and shows very clearly the next steps for referral to an abuse of dominant position, with special reference to the outcome arising when applying the procedure correctly. The analysis of statistical data regarding the number of investigations opened and the number of decisions made by competition authorities on abuse of dominant position is relevant, outlining the evolution of the work performed by competition authorities. Throughout the period of ten years analyzed (January 2004 - February 2013 there were 1583 cases of violation of antitrust laws at European level. The percentage of investigations opened by the competition authorities of the Member States is 86%, much

  11. Relationships and Community Risk Factors for Elder Abuse and Neglect: Findings from the First National Prevalence Study on Elder Maltreatment

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    Dimitrinka Jordanova Peshevska

    2014-06-01

    Full Text Available OBJECTIVES: The objective of the study was to mesaure the 12-months prevalence of elder abuse and neglect in private huousehold and to examine the relationship and community level risk factors for elder abuse and neglect. METHOD: Total of 960 respondents aged 65 years and above in private households, from all eight statistical regions participated in the study.  Nationally stratified quota sampling procedure was applied, through four stages. Information was collected in face-to face interview on socio-demographic, healthy life style, physical and mental health, and abuse and neglect types characteristics of elder population. Data were examined using descriptive statistics, binary logistic regression, and odd ratios (OR. Statistical significance was set up at p < 0.05. RESULTS: The respondents reported prevalence of psychological abuse 25.7%, followed by financial abuse 12 %, neglect 6.6%, physical abuse 5.7%, physical injury 3.1%, and sexual abuse 1.3% (reported only in female respondents in the previous 12-months. Living with close relatives, dissatisfaction with the household income, less equipped households, lacking property of house/flat are associated risk factors for elder maltreatment on relationship level. Living in the northeast, southeast, and Polog region are associated risk for elder maltreatment. CONCLUSION: Study findings emphasised the previous data obtained with regards to the community and relationships risk factors for elder maltreatment.

  12. Invisible Abuse: Utah's Response to Emotional Child Abuse

    OpenAIRE

    Sirrine, Janae

    2010-01-01

    The very nature of emotional child abuse makes it difficult to detect and report. Nevertheless, scholars and professionals in the field of child welfare have identified emotional abuse as being equally detrimental to children as physical abuse and neglect. Many states, including Utah, have unclear definitions of emotional child abuse. The purpose of this study is to interpret how Utah has used its statute on emotional abuse in the court system and whether the current definition of emotional c...

  13. A Randomized Experimental Study of Gender-Responsive Substance Abuse Treatment for Women in Prison

    OpenAIRE

    Messina, Nena; Grella, Christine E.; Cartier, Jerry; Torres, Stephanie

    2009-01-01

    This experimental pilot study compared post-release outcomes for 115 women who participated in prison-based substance abuse treatment. Women were randomized to a gender-responsive treatment (GRT) program using manualized curricula (Helping Women Recover and Beyond Trauma) or a standard prison-based therapeutic community (TC). Data were collected from the participants at prison program entry and 6 and 12 months after release. Bivariate and multivariate analyses were conducted. Results indicate...

  14. Study on Child Abuse in Children and Adolescents in the Province of Buenos Aires:

    OpenAIRE

    Cuenya, Lucas; Sánchez, Norma Inés

    2011-01-01

    The principal aim of this study was to provide a current description of the child and teenager maltreatment phenomenon in the Buenos Aires Province. The sample was composed by 5341 cases of children and teenagers from 0 to 20 years old, whose were treated in 2010 for having been victims of maltreatment. Physical maltreatment was the most frequent one. The girls presented major proportion of sexual abuse, whereas boys registered major proportions of negligence, physical maltreatment and desert...

  15. Drug Abuse and Intimate Partner Violence: A Comparative Study of Opioid-Dependent Fathers

    OpenAIRE

    Moore, Barbara C.; Easton, Caroline J.; McMahon, Thomas J.

    2011-01-01

    Because very little is known about the coparenting relationships of drug-abusing men, this comparative study was designed to examine the lifetime prevalence and recent frequency of intimate partner violence in the coparenting relationships of 106 fathers enrolled in methadone maintenance treatment. When compared with 118 community controls, the opioid-dependent fathers reported greater prevalence of physical, sexual, and psychological aggression directed at the mother of their youngest biolog...

  16. Health professionals’ beliefs about domestic abuse and the impact these have on their responses to disclosure:A critical incident technique study

    OpenAIRE

    Taylor, Julie; Bradbury-Jones, Caroline; Duncan, Fiona; Kroll, Thilo

    2012-01-01

    Domestic abuse is increasingly recognised as a serious, worldwide public health concern. There is a significant body of literature regarding domestic abuse, but little is known about health professionals' beliefs about domestic abuse disclosure. In addition, the intersection between health professionals' beliefs and abused women's views remains uninvestigated. This briefing summaries a two-phase, qualitative study using Critical Incident Technique (CIT) that aimed to explore community health ...

  17. Implementing mentor mothers in family practice to support abused mothers: Study protocol

    Directory of Open Access Journals (Sweden)

    Laurant Miranda GH

    2011-10-01

    Full Text Available Abstract Background Intimate partner violence is highly prevalent and mostly affects women with negative consequences for their physical and mental health. Children often witness the violence which has negative consequences for their well-being too. Care offered by family physicians is often rejected because abused women experience a too high threshold. Mentor mother support, a low threshold intervention for abused mothers in family practice, proved to be feasible and effective in Rotterdam, the Netherlands. The primary aim of this study is to investigate which factors facilitate or hinder the implementation of mentor mother support in family practice. Besides we evaluate the effect of mentor mother support in a different region. Methods/Design An observational study with pre- and posttests will be performed. Mothers with home living children or pregnant women who are victims of intimate partner violence will be offered mentor mother support by the participating family physicians. The implementation process evaluation consists of focus groups, interviews and questionnaires. In the effect evaluation intimate partner violence, the general health of the abused mother, the mother-child relationship, social support, and acceptance of professional help will be measured twice (t = 0 and t = 6 months by questionnaires, reporting forms, medical records and interviews with the abused mothers. Qualitative coding will be used to analyze the data from the reporting forms, medical records, focus groups, interviews, and questionnaires. Quantitative data will be analyzed with descriptive statistics, chi square test and t-test matched pairs. Discussion While other intervention studies only evaluate the feasibility and effectiveness of the intervention, our primary aim is to evaluate the implementation process and thereby investigate which factors facilitate or hinder implementation of mentor mother support in family practice.

  18. Risk, resilience, and the rorschach: a longitudinal study of children who experienced sexual abuse.

    Science.gov (United States)

    Barnett, Douglas; Heinze, Hillary J; Arble, Eamonn

    2013-01-01

    Experiencing sexual abuse increases the risk that children will report or otherwise demonstrate problems with emotion, behavior, and health. This longitudinal study of 44 children who experienced sexual abuse examined whether information processing as assessed via the Rorschach Inkblot Test was associated with child-reported depression symptoms assessed via the Children's Depression Inventory (Kovacs, 1992) concurrently and an average of 15 months later. Children whose Rorschach protocols were relatively free of scores suggesting intense distress, complex processing, and sexual content were more likely to experience remission of depression symptoms at follow-up. Findings provide incremental validity for certain Rorschach indexes to inform prognosis regarding depression symptoms and perhaps their treatment. PMID:23941130

  19. Study on Child Abuse in Children and Adolescents in the Province of Buenos Aires:

    Directory of Open Access Journals (Sweden)

    Cuenya, Lucas

    2011-12-01

    Full Text Available The principal aim of this study was to provide a current description of the child and teenager maltreatment phenomenon in the Buenos Aires Province. The sample was composed by 5341 cases of children and teenagers from 0 to 20 years old, whose were treated in 2010 for having been victims of maltreatment. Physical maltreatment was the most frequent one. The girls presented major proportion of sexual abuse, whereas boys registered major proportions of negligence, physical maltreatment and desertion situation. An increase of the sexual abuse frequency in teenagers from 12 years was observed. As a whole, the information demonstrates that sex and age of victims are differentially associated with different types of maltreatment, and these are pertinent variables to have into account by future investigations, and prevention and protection organisms.

  20. Childhood abuse related to nicotine, illicit and prescription drug use by women: pilot study.

    Science.gov (United States)

    Pederson, Cathy L; Vanhorn, Daniel R; Wilson, Josephine F; Martorano, Lisa M; Venema, Jana M; Kennedy, Sarah M

    2008-10-01

    A sample of 811 women ages 18 to 59 (M=26.0, SD=6.5) responded to an advertisement by telephone. Inquiries were made about childhood abuse status and adult use of alcohol, nicotine, and prescription and illicit drugs. Significant associations were noted for reported sexual, physical, and emotional childhood abuse with use of nicotine, marijuana, and antidepressants in adulthood. Reported childhood physical and emotional abuses were also significantly associated with use of cocaine and anxiolytics, and sexual abuse with antipsychotic use in adulthood. Only childhood emotional abuse was associated with the use of sleeping pills. Number of types of abuse was significantly related with use of nicotine, marijuana, cocaine, antidepressants, antipsychotics, and anxiolytics. Alcohol use was not related to any type of abuse. The long-term effects of childhood emotional abuse may be just as severe as physical or sexual abuse. PMID:19102471

  1. Childhood Risk Factors for Alcohol Abuse and Psychological Distress among Adult Lesbians

    Science.gov (United States)

    Hughes, Tonda L.; Johnson, Timothy P.; Wilsnack, Sharon C.; Szalacha, Laura A.

    2007-01-01

    Objective: This study examined the relationships between childhood and family background variables, including sexual and physical abuse, and subsequent alcohol abuse and psychological distress in adult lesbians. Methodology: Structural equation modeling was used to evaluate relationships between childhood sexual and physical abuse and parenting…

  2. Child Abuse

    Science.gov (United States)

    ... or puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse. Most abused children suffer greater emotional than physical damage. An abused child may become ...

  3. Children sexual abuse in Poland – study of 257 sexual offenders against minors

    Directory of Open Access Journals (Sweden)

    Heitzman, Janusz

    2014-02-01

    Full Text Available Introduction. Obtaining objective data on sexual offenders against minors is difficult. In order to enhance the possibilities to prevent such crimes it is essential to determine factors that condition this kind of sexual behavior. Aim: The aim of the study was to prepare a multidimensional analysis of a profile of sexual offenders against minors. Material and method. A detailed analysis of documentation from forensic sexological, psychiatric and psychological examinations and information from the records of the proceedings concerning 257 perpetrators was performed by the authors. Information analyzed included demographic data, psychosocial background, psychosexual development, recent sexual activity, physical and mental health issues and information concerning accused sexual crime. Results. The majority of the offenders had undisturbed family relations. However, subjects with sexual preference disorders perceived their parents’ relationship as worse, reported more difficulties in educational process and in relation to teachers and peers. 5.4% of subjects experienced sexual abuse and 23.3% physical violence in their childhood. The majority reported no sexual dysfunction and had regular but rare sexual activity. 20.6% were diagnosed as having mental disorder and 36.8% were alcohol abusers. Almost 30% were under influence of alcohol or another substance during the crime. The majority had no sexual preference disorder. Definite pedophilia was found in 27% and traits of psychosexual immaturity in 23.1% of cases. There was no relationship between sexual preference disorders and psychiatric comorbidity, alcohol or substance abuse. The acts of sexual abuse comprised genital touching, vaginal or oral intercourse as well as exposing offender’s or victim’s body. These acts were typically against one child, planned, being aware of victim’s age and using physical violence. Conclusions. The data from our research should be taken into account when

  4. A cross-sectional study of factors underlying the risk of female nurses' suffering abuse by their partners.

    Science.gov (United States)

    Rodríguez-Borrego, María-Aurora; Vaquero-Abellán, Manuel; Rosa, Liana Bertagnolli da

    2012-01-01

    This study aimed to identify factors underlying the risk of suffering abuse by a partner. A cross-sectional study of 622 female nurses was accomplished, randomly chosen at their place of work, at a hospital and health centers. We used a self-administered validated questionnaire that covered psychological, physical and sexual abuse, complemented by a set of sociodemographic questions. The nurses at most risk of being abused by their partners were those who supported their family by their own salary (Odds Ratio: 2.41 [0.63-9.15]), those who lived with dependents (Odds Ratio: 4.27 [1.43-2.78]) and had a partner from social class IIIa (Odds Ratio: 2.62 [1.37-5.00]). The data appear to indicate financial independence as a risk factor for this type of abuse. PMID:22481716

  5. A multiple case study comparison of normal private preparatory school and substance abusing/mood disordered adolescents and their families.

    Science.gov (United States)

    Yeh, L S; Hedgespeth, J

    1995-01-01

    This multiple case study of ten families of normal private preparatory school adolescents and five families of substance abusing/mood disordered adolescents was an effort to identify factors that may suggest a relationship between the abuse of substances in adolescents who also have mood disorders and the following family factors: parental marital discord, degree of family satisfaction, and family problem-solving styles. The fifteen families completed four assessment instruments and participated in a videotaped problem-solving exercise. The results of this study showed that all members of the substance abusing/mood disordered adolescents' families rated themselves as dysfunctional in all major areas of family life. In contrast, the normal private preparatory school families reported satisfaction with most areas of family functioning. Communication styles also differed considerably between the two small groups of families. These results appear to support the importance of family evaluation and treatment when addressing the issue of adolescent substance abusers with mood disorders. PMID:7676876

  6. A multiple case study comparison of normal private preparatory school and substance abusing/mood disordered adolescents and their families.

    Science.gov (United States)

    Yeh, L S; Hedgespeth, J

    1995-01-01

    This multiple case study of ten families of normal private preparatory school adolescents and five families of substance abusing/mood disordered adolescents was an effort to identify factors that may suggest a relationship between the abuse of substances in adolescents who also have mood disorders and the following family factors: parental marital discord, degree of family satisfaction, and family problem-solving styles. The fifteen families completed four assessment instruments and participated in a videotaped problem-solving exercise. The results of this study showed that all members of the substance abusing/mood disordered adolescents' families rated themselves as dysfunctional in all major areas of family life. In contrast, the normal private preparatory school families reported satisfaction with most areas of family functioning. Communication styles also differed considerably between the two small groups of families. These results appear to support the importance of family evaluation and treatment when addressing the issue of adolescent substance abusers with mood disorders.

  7. The Role of Domestic Abuse in Labor and Marriage Markets

    OpenAIRE

    Bowlus, Audra J.; Shannon N. Seitz

    1998-01-01

    In this paper we study the effects of abusive behavior on the labor force andmarital status decisions of women. Using a unique Canadian data set on domestic violence, we estimate the effects of abuse on the marital history as well as current employment using a sequential, multi-state model. In our model, spousal abuse affects labor supply through decreases in utility from leisure as well as through reductions in productivity at work and hence the market wage. Inaddition, abuse is treated as a...

  8. Associations between Childhood Abuse and Interpersonal Aggression and Suicide Attempt among U.S. Adults in a National Study

    OpenAIRE

    Harford, Thomas C.; Yi, Hsiao-ye; Grant, Bridget F.

    2014-01-01

    The aim of this study is to examine associations among childhood physical, emotional, or sexual abuse and violence toward self (suicide attempts [SA]) and others (interpersonal aggression [IA]). Data were obtained from the National Epidemiologic Survey on Alcohol and Related Conditions Waves 1 and 2 (n = 34,653). Multinomial logistic regression examined associations between type of childhood abuse and violence categories, adjusting for demographic variables, other childhood adversity, and DSM...

  9. Disparities in Child Abuse Victimization in Lesbian, Bisexual, and Heterosexual Women in the Nurses’ Health Study II

    OpenAIRE

    Austin, S. Bryn; Jun, Hee-Jin; Jackson, Benita; Spiegelman, Donna; Rich-Edwards, Janet; Corliss, Heather L.; Wright, Rosalind J.

    2008-01-01

    A growing body of research documents multiple health disparities by sexual orientation among women, yet little is known about the possible causes of these disparities. One underlying factor may be heightened risk for abuse victimization in childhood in lesbian and bisexual women. Using survey data from 63,028 women participating in the Nurses’ Health Study II, we investigated sexual orientation group differences in emotional, physical, and sexual abuse in childhood and adolescence. Multivaria...

  10. Sexual abuse and alcohol use among women in metropolitan São Paulo, Brazil: a general population study

    OpenAIRE

    Janaina Barbosa de Oliveira; Florence Kerr-Corrêa; Maria Cristina Pereira Lima; José Manoel Bertolote; Adriana Marcassa Tucci

    2013-01-01

    OBJECTIVE: The present study aimed at estimating the prevalence of lifetime sexual abuse among women and at investigating its association with alcohol consumption. METHOD: Population-based survey conducted through a representative and stratified cluster sample of metropolitan São Paulo. GENACIS questionnaire was used. Sample unit was the home, and all residents aged 18 years and over were interviewed. The outcome was lifetime sexual abuse. The univariate statistical analysis used the Rao-Scot...

  11. INTO THE LABYRINTH. A CASE STUDY OF A THERAPIST’S JOURNEY WITH AN ADULT SURVIVOR OF CHILDHOOD ABUSE

    Directory of Open Access Journals (Sweden)

    Pamela Stocker

    2014-11-01

    Full Text Available This case study describes the therapeutic journey of a client who suffered serious sexual and physical abuse from toddlerhood to adolescence. It considers challenges and ethical issues in the therapeutic partnership with an abuse survivor, exploring the importance of the theoretical framework and of supervision. Issues of autonomy and power in relation both to therapy and to church pastoral practices receive attention. Central to this therapeutic journey is the role of creative methodology, metaphor and myth in facilitating transformation.

  12. The Canadian Incidence Study of Reported Child Abuse and Neglect: a partnership.

    Science.gov (United States)

    Tonmyr, L

    2015-01-01

    In the mid-1990s, Health Canada's Family Violence Prevention Unit commissioned a study to assess the possibility of collecting child maltreatment data from child welfare agencies across Canada. A Health Canada group responsible for maternal and child health surveillance built on the results of this study. This group consulted widely with provincial and territorial partners to build a surveillance system, resulting in a truly collaborative effort that led to the implementation of the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS). This was a remarkable accomplishment considering the challenge of working with multiple partners, different legislative frameworks and the stigma that often accompanies the experience of child maltreatment. PMID:26605558

  13. A general perspective of alcohol abuse among elderly

    OpenAIRE

    Karanja, Joseph; Lindroos, Linda

    2011-01-01

    This subject was chosen because alcohol abuse among elderly is a growing problem which is hidden and hasn’t been given enough attention. The purpose is to provide essential information about alcohol problems amongst the elderly, theories about causes and based best practices in alcohol problem treatment and rehabilitation. The study is intended to be of help in highlighting a practical help model of treatment for alcohol abusers. Research questions were: Why do elderly abuse alcohol? What are...

  14. Using the Good Way Model to Work Positively with Adults and Youth with Intellectual Difficulties and Sexually Abusive Behaviour

    Science.gov (United States)

    West, Bill

    2007-01-01

    The Good Way model is being used increasingly in New Zealand and Australia in both community-based and residential programmes for the treatment of adolescents and adults with intellectual difficulties who have sexually abusive behaviour. It is also being used with children and, in adapted forms, with mainstream adolescents and people of indigenous…

  15. A Model of Sexual Abuse's Effects on Suicidal Behavior and Delinquency: The Role of Emotions as Mediating Factors

    Science.gov (United States)

    Sigfusdottir, Inga Dora; Asgeirsdottir, Bryndis Bjork; Gudjonsson, Gisli H.; Sigurdsson, Jon Fridrik

    2008-01-01

    Drawing on Agnew's general strain theory, we examined whether depressed mood and anger mediated the effects of sexual abuse on suicidal behavior and delinquency. Participants included 9,113 students attending high schools in Iceland. Structural equation modeling showed that, while controlling for family structure and parental education, being…

  16. Assessment of the Abuse Potential of the Orexin Receptor Antagonist, Suvorexant, Compared With Zolpidem in a Randomized Crossover Study.

    Science.gov (United States)

    Schoedel, Kerri A; Sun, Hong; Sellers, Edward M; Faulknor, Janice; Levy-Cooperman, Naama; Li, Xiaodong; Kennedy, William P; Cha, Jang-Ho; Lewis, Nicole M; Liu, Wen; Bondiskey, Phung; McCrea, Jacqueline B; Panebianco, Deborah L; Troyer, Matthew D; Wagner, John A

    2016-08-01

    Suvorexant is a dual orexin receptor antagonist approved in the United States and Japan for the treatment of insomnia at a maximum dose of 20 mg. This randomized double-blind crossover study evaluated the abuse potential of suvorexant in 36 healthy recreational polydrug users with a history of sedative and psychedelic drug use. Single doses of suvorexant (40, 80, and 150 mg: 2-7.5 × maximum dose), zolpidem (15 and 30 mg: 1.5-3 × maximum dose), and placebo were administered, with a 10-day washout between treatments. Subjective and objective measures, including visual analog scales (VASs), Addiction Research Center Inventory, and cognitive/psychomotor tests, were evaluated for 24-hour postdose. Suvorexant had significantly greater peak effects on "drug liking" VAS (primary endpoint) than placebo. Although effects of suvorexant on abuse potential measures were generally similar to zolpidem, they remained constant across doses, whereas zolpidem often had greater effects at higher doses. Suvorexant (all doses) had significantly fewer effects than zolpidem 30 mg on secondary measures, such as "high" VAS, Bowdle VAS, and Addiction Research Center Inventory morphine-benzedrine group. The overall incidence of abuse-related adverse events, such as euphoric mood and hallucination, was numerically lower with suvorexant than zolpidem. In agreement with its classification as a schedule IV drug, suvorexant demonstrated abuse potential, compared with placebo. The abuse potential was similar to zolpidem using certain measures, but with a reduced incidence of abuse-related adverse events. Although this suggests that the overall abuse liability of suvorexant may be lower than zolpidem, the actual abuse rates will be assessed with the postmarketing experience. PMID:27253658

  17. "Even 'Daily' is Not Enough": How Well Do We Measure Domestic Violence and Abuse?-A Think-Aloud Study of a Commonly Used Self-Report Scale.

    Science.gov (United States)

    Evans, Maggie; Gregory, Alison; Feder, Gene; Howarth, Emma; Hegarty, Kelsey

    2016-01-01

    This article explores the challenges of providing a quantitative measure of domestic violence and abuse (DVA), illustrated by the Composite Abuse Scale, a validated multidimensional measure of frequency and severity of abuse, used worldwide for prevalence studies and intervention trials. Cognitive "think-aloud" and qualitative interviewing with a sample of women who had experienced DVA revealed a tendency toward underreporting their experience of abuse, particularly of coercive control, threatening behavior, restrictions to freedom, and sexual abuse. Underreporting was linked to inconsistency and uncertainty in item interpretation and response, fear of answering truthfully, and unwillingness to identify with certain forms of abuse. Suggestions are made for rewording or reconceptualizing items and the inclusion of a distress scale to measure the individual impact of abuse. The importance of including qualitative methods in questionnaire design and in the interpretation of quantitative findings is highlighted. PMID:26645540

  18. Personal constructs, childhood sexual abuse and revictimization.

    Science.gov (United States)

    Freshwater, Kate; Leach, Chris; Aldridge, Jan

    2001-09-01

    Within the theoretical framework of Ryle's Procedural Sequence Object Relations Model and Kelly's Personal Construct Theory, this study investigates sex-role polarization of incest survivors and the centrality of abuse within survivors' constructs of men that may contribute to revictimization. Repertory grid methodology was used with 40 female survivors of childhood sexual abuse and 28 non-abused women. Grid measures and psychometric measures were compared between groups of women who had and had not experienced childhood sexual abuse, revictimized and non-revictimized survivors, and survivors who had and had not experienced incestuous abuse. Results showed significant differences between survivors and non-abused women, with survivors having higher levels of depression and perceived distress, lower self-esteem and higher self/ideal self discrepancy. Hypothesized differences in sex-role polarization were not found. There were few differences between revictimized and non-revictimized survivors, although revictimized survivors rated 'self now' as more powerful than non-revictimized survivors. No differences were found between survivors who had and had not experienced incestuous abuse. In addition to the value of exploring personal constructs, a range of models need to be considered in understanding revictimization and women's construal of men. The implications of using repertory grid methodology for research and clinical work are discussed. PMID:11802849

  19. Modeling and short circuit detection of 18650 Li-ion cells under mechanical abuse conditions

    Science.gov (United States)

    Sahraei, Elham; Campbell, John; Wierzbicki, Tomasz

    2012-12-01

    In this research a simple, yet accurate model of a single cell, needed for safety assessment of batteries under mechanical abuse conditions, was developed. Extensive testing was performed on a 18650 lithium ion cell, including indentation by a hemispherical punch, lateral indentation by a cylindrical rod, compression between two flat plates, and three-point bending. The batteries were tested in an environmental chamber at a 10% SOC. A finite element model was developed, composed of shell elements representing outside casing, and solid elements for the active material with a binder lumped together with the current collectors and the separator. The jelly roll is modeled as a homogenized and isotropic material. The homogenous model assumes different properties in tension and compression, but does not account for the effect of structural anisotropy caused by the layered nature of the jelly roll. Very good correlation was obtained between LS Dyna numerical simulation and test results in terms of load-displacement relations, deformed shape of the battery, and initiation and propagation of a crack in the shell casing. The FE model was also capable of predicting the onset of short circuit of the cell.

  20. An In Vitro Study of the Neurotoxic Effects of N-Benzylpiperazine: A Designer Drug of Abuse.

    Science.gov (United States)

    Persona, Karolina; Polus, Anna; Góralska, Joanna; Gruca, Anna; Dembińska-Kieć, Aldona; Piekoszewski, Wojciech

    2016-05-01

    Recently, the number of new psychoactive substances has significantly increased. Despite the systematic introduction of prohibition in trade of medicinal products which mimic the effects of illegal drugs, the problem concerning this group of drugs is still important although knowledge about the mechanism of action of those types of substances is scarce. This study aimed to follow the neurotoxic effect of N-benzylpiperazine (BZP), the central nervous system psychostimulant, using the human cancer LN-18 cell model. The statistically significant elevation of LDH levels, increased mitochondrial membrane potential, decreased ATP and increased ROS production, increased levels of DNA damage marker (8-OHdG) and activation of caspases: -3 and -9 confirmed by Real-Time PCR imply the activation of mitochondrial proapoptotic pathways induced by BZP after 24 h incubation. This study is a novel, preliminary attempt to explain the toxicity of one of the most popular designer drug of abuse at the cellular level.

  1. Resiliency experiences of the youth against substance abuse: A qualitative study

    Directory of Open Access Journals (Sweden)

    Salah Adin Karimi

    2015-09-01

    Full Text Available Background: Many researches have been done on the addiction process, but few studies have examined the process of resiliency against addiction. This study was aimed to identify the facilitating and inhibiting factors in the young people’s resiliency process by analyzing their living experiences. Methodology: This qualitative study was based on grounded theory with Strauss and Corbin’s approach. The data underwent open, axial and selective coding. The study focused on Darvaze Ghar neighborhood of Tehran. Data were collected through open unstructured interviews and focus group discussion. In total, 21 interviews were conducted with 12 respondents and a focus group discussion was held with 7 participants. Lincoln and Guba (1985 scales were used to ensure the trustworthiness of the study. Results: The obtained codes were classified into 19 categories, including personal characteristics, family support, culture, spirituality, spiritual beliefs, environment, and social interventions. According to their nature, these categories were facilitating or inhibiting the process of resiliency against substance abuse. Conclusion: The youth with more religious beliefs, awareness, self-confidence, optimism and hatred towards drugs are more resilient against substance abuse. Moreover, the families with a higher sense of responsibility trust and monitor their children’s activities, talk to them about different issues and provide them with good trainings from the very childhood; therefore their children will be more resilient against addiction.

  2. Modeling of pharmacokinetics of cocaine in human reveals the feasibility for development of enzyme therapies for drugs of abuse.

    Directory of Open Access Journals (Sweden)

    Fang Zheng

    Full Text Available A promising strategy for drug abuse treatment is to accelerate the drug metabolism by administration of a drug-metabolizing enzyme. The question is how effectively an enzyme can actually prevent the drug from entering brain and producing physiological effects. In the present study, we have developed a pharmacokinetic model through a combined use of in vitro kinetic parameters and positron emission tomography data in human to examine the effects of a cocaine-metabolizing enzyme in plasma on the time course of cocaine in plasma and brain of human. Without an exogenous enzyme, cocaine half-lives in both brain and plasma are almost linearly dependent on the initial cocaine concentration in plasma. The threshold concentration of cocaine in brain required to produce physiological effects has been estimated to be 0.22±0.07 µM, and the threshold area under the cocaine concentration versus time curve (AUC value in brain (denoted by AUC2(∞ required to produce physiological effects has been estimated to be 7.9±2.7 µM·min. It has been demonstrated that administration of a cocaine hydrolase/esterase (CocH/CocE can considerably decrease the cocaine half-lives in both brain and plasma, the peak cocaine concentration in brain, and the AUC2(∞. The estimated maximum cocaine plasma concentration which a given concentration of drug-metabolizing enzyme can effectively prevent from entering brain and producing physiological effects can be used to guide future preclinical/clinical studies on cocaine-metabolizing enzymes. Understanding of drug-metabolizing enzymes is key to the science of pharmacokinetics. The general insights into the effects of a drug-metabolizing enzyme on drug kinetics in human should be valuable also in future development of enzyme therapies for other drugs of abuse.

  3. The Amsterdam Sexual Abuse Case (ASAC)-study in day care centers: longitudinal effects of sexual abuse on infants and very young children and their parents, and the consequences of the persistence of abusive images on the internet

    NARCIS (Netherlands)

    R.J.L. Lindauer; S.N. Brilleslijper-Kater; J. Diehle; E. Verlinden; A.H. Teeuw; C.M. Middeldorp; W. Tuinebreijer; T.F. Bosschaart; E. van Duin; A. Verhoeff

    2014-01-01

    Background: Little research has been done on the signs of child sexual abuse (CSA) in infants and very young children, or on the consequences that such abuse ¿ including the persistence of the abusive pornographic images on the internet ¿ might have for the children and their parents. The effects of

  4. Sexual abuse: A practical theological study, with an emphasis on learning from transdisciplinary research

    Directory of Open Access Journals (Sweden)

    Heidi Human

    2015-03-01

    Full Text Available This article illustrates the practical usefulness of transdisciplinary work for practical theology by showing how input from an occupational therapist informed my understanding and interpretation of the story of Hannetjie, who had been sexually abused as a child. This forms part of a narrative practical theological research project into the spirituality of female adult survivors of childhood sexual abuse. Transdisciplinary work is useful to practical theologians, as it opens possibilities for learning about matters pastors have to face, but may not have knowledge about. A short retelling of Hannetjie’s story is given to provide information about the context of the research. Next, the transdisciplinary process that was followed is mentioned, and the questions that the transdisciplinary team had to respond to are discussed. Following that, I focus more specifically on the occupational therapist’s answers, and the knowledge gained from her contribution, as an example of how a co-researcher from a divergent discipline can inform a theological study. In this case, knowledge was shared about sensory integration and how the brain processes traumatic stimuli, such as sexual abuse. Lastly, the interrelationship between Hannetjie’s body stories, mind stories and spirit stories is discussed to show how the learning received from occupational therapy affected my thinking about Hannetjie’s stories and the relationships between them. Thus, it is concluded that transdisciplinary work has great value for practical theology, especially in the pastor’s daily work with people who are struggling with difficult stories, because we cannot listen to people’s spirit stories in isolation. They are inextricably intertwined with all our stories about ourselves.

  5. [Sexual abuse of children and adolescents in Rio de Janeiro, Brazil: an incidence study].

    Science.gov (United States)

    de Oliveira Aded, Naura Liane; Galluzzi da Silva Dalcin, Bruno Luís; Cavalcanti, Maria Tavares

    2007-08-01

    We present an incidence analysis of forensic medical examinations at the Afrânio Peixoto Institute of Forensic Medicine in Rio de Janeiro, Brazil, from January to July 2000. A sample of 124 cases of suspected sexual abuse was selected, both male and female, aged 0 to 17 years. Minors from 0 to 14 years of age represented 81.45% of the sample, coinciding with rates from a former study spanning the first quarter of 2000. Other than vaginal rape, young male subjects prevailed in cases of suspected anal, oral, or other forms of sexual violence and comprised 20.97% of the total sample, with no such cases, either male or female, in the 15-17-year group. Most cases of alleged vaginal sexual abuse were detected in the 10-17-year group. 44.36% of the alleged aggressors were related to the victims; non-related aggressors represented 13.71% of the study group. 30.65% of all cases lacked information about the aggressor. Most police complaints were recorded in the North and East Sides of the city of Rio de Janeiro. The present study did not analyze the victims' social, economic, or cultural characteristics. PMID:17653415

  6. Toxic Knowledge: Self-Alteration Through Child Abuse Work.

    Science.gov (United States)

    Sigad, Laura I; Davidov, Jonathan; Lev-Wiesel, Rachel; Eisikovits, Zvi

    2016-02-01

    The purpose of the present article is to examine the multiple ways in which the private lives of professionals are affected by involvement with child abuse intervention and prevention. Using a descriptive-phenomenological perspective and 40 in-depth interviews with professionals to present a model based on qualitative data, we studied the ways in which child abuse professionals conceptualize, understand, and integrate their experiences into their personal and family lives. We find that the process of internalizing child abuse knowledge occurs in two domains: One affirms or denies the existence of the phenomenon; the other concerns the strategies used to contend with the effects of working in abuse. Knowledge of child abuse is toxic, in the sense that it serves as a catalyst leading to the alteration of one's self-perception and parental identity. We present a typology of self-alteration resulting from child abuse knowledge and describe the mechanism of this change. PMID:25381277

  7. Early childhood sexual abuse increases suicidal intent

    OpenAIRE

    Lopez-Castroman, Jorge; Melhem, Nadine; Birmaher, Boris; Greenhill, Laurence; Kolko, David; Stanley, Barbara; Zelazny, Jamie; Brodsky, Beth; Garcia-Nieto, Rebeca; Burke, Ainsley K.; Mann, J. John; Brent, David A.; Oquendo, Maria A.

    2013-01-01

    Childhood sexual abuse has been consistently associated with suicidal behavior. We studied suicide attempt features in depressed individuals sexually abused as children. On average, sexual abuse started before age 9. It frequently coexisted with physical abuse. Suicide attempters more often had personality disorders and had endured abuse for longer, but did not differ in terms of other clinical characteristics from non-attempters. Earlier onset of sexual abuse and its duration were associated...

  8. The Role of Domestic Abuse in Labor and Marriage Markets

    NARCIS (Netherlands)

    Bowlus, Audra J.; Seitz, Shannon N.

    1998-01-01

    In this paper we study the effects of abusive behavior on the labor force andmarital status decisions of women. Using a unique Canadian data set on domestic violence, we estimate the effects of abuse on the marital history as well as current employment using a sequential, multi-state model. In our

  9. A Multilevel Evaluation of a Comprehensive Child Abuse Prevention Program

    Science.gov (United States)

    Lawson, Michael A.; Alameda-Lawson, Tania; Byrnes, Edward C.

    2012-01-01

    Objectives: The purpose of this study is to examine the extent to which participation in a county-wide prevention program leads to improvements in protective factors associated with child abuse prevention (CAP) and whether improvements in measured protective factors relate to decreased odds of child abuse. Method: Using multilevel growth modeling,…

  10. Drug Abuse

    Science.gov (United States)

    ... as drugged driving, violence, stress, and child abuse. Drug abuse can lead to homelessness, crime, and missed work or problems with keeping a job. It harms unborn babies and destroys families. There are different types of treatment for drug abuse. But the best is to prevent drug ...

  11. Elder abuse

    OpenAIRE

    1999-01-01

    Elder abuse takes many forms and occurs in a variety of settings; it is both under-recognised and under-reported. Despite a lack of statutory guidelines or legislation, effective management is possible. More could be done to recognise abuse, and healthcare workers need to be vigilant, paying attention to both the circumstances in which abuse occurs and its warning signs.

  12. Self-Esteem and Attitudes toward Love in Abused and Non-Abused Women.

    Science.gov (United States)

    Chambliss, Catherine; And Others

    This study sought to identify personality differences in abused versus non-abused women. Abused women (N=25) were from several centers for abused women and non-abused women (N=39) were students in evening psychology classes. All subjects completed Rubin's Love Scale, the abbreviated Dominance and Romanticism Scale, Rosenberg's Self-Esteem Scale,…

  13. Violent Victimization Among Disadvantaged Young Adults Exposed to Early Family Conflict and Abuse: A 24-Year Prospective Study of the Victimization Cycle Across Gender.

    Science.gov (United States)

    Voith, Laura A; Topitzes, James; Reynolds, Arthur J

    2016-01-01

    Significant associations between childhood victimization and later revictimization have materialized in previous literature; yet, the victimization cycle has been primarily explored with indicators of sexual assault, although insight into linkages between other forms of victimization remains limited. This study examined connections from family conflict exposure and physical abuse in childhood to violent crime victimization in adulthood, assessing also gender differences and neighborhood influences. Results from logistic regression and hierarchical linear modeling with data from the Chicago Longitudinal Study, a panel of 1,539 low-income, ethnic/racial minority children, unearthed a significant relation between family conflict exposure and later revictimization. Moderated by gender, these analyses showed girls exposed to frequent family conflict are particularly vulnerable to revictimization in adulthood. Exploratory analyses unveiled a potential linkage between childhood physical abuse and later revictimization for men. Neighborhood effects marginally influenced results in one instance. Public health implications are discussed. PMID:27301843

  14. Childhood Experiences of Sexual Abuse and Later Parenting Practices among Non-Offending Mothers of Sexually Abused and Comparison Girls

    Science.gov (United States)

    Kim, Kihyun; Trickett, Penelope K.; Putnam, Frank W.

    2010-01-01

    Objective: The primary goal of this study was to explore the relationship between childhood sexual abuse and parenting practices among non-offending mothers of sexually abused girls. Guided by a developmental-ecological perspective of parenting, several models with different potential pathways starting from the mothers' childhood experiences of…

  15. Animal models for medications development targeting alcohol abuse using selectively bred rat lines: Neurobiological and pharmacological validity

    OpenAIRE

    Bell, Richard L.; Sable, Helen J. K.; Colombo, Giancarlo; Hyytia, Petri; Rodd, Zachary A.; Lumeng, Lawrence

    2012-01-01

    The purpose of this review paper is to present evidence that rat animal models of alcoholism provide an ideal platform for developing and screening medications that target alcohol abuse and dependence. The focus is on the 5 oldest international rat lines that have been selectively bred for a high alcohol-consumption phenotype. The behavioral and neurochemical phenotypes of these rat lines are reviewed and placed in the context of the clinical literature. The paper presents behavioral models f...

  16. A Prospective Study of the Potential Moderating Role of Social Support in Preventing Marginalization Among Individuals Exposed to Bullying and Abuse in Junior High School

    OpenAIRE

    Strøm, Ida Frugård; Thoresen, Siri; Wentzel-Larsen, Tore; Sagatun, Åse; Dyb, Grete

    2014-01-01

    Negative physical and psychological long-term consequences of abuse and bullying are well documented. It is reasonable to assume that abuse and bullying early in life also may have an impact on the ability to work and stay economically independent later in life, but such prospective studies are lacking. This study investigates the consequences of exposure to abuse and bullying in junior high school, as measured by receiving long-term social welfare benefits in young adulthood. In addition, it...

  17. Quality of post rape care given to sexually abused minors: A qualitative study of Homa Bay District Hospital, Homa Bay County in Western Kenya

    OpenAIRE

    Wangamati, Cynthia Khamala

    2014-01-01

    ABSTRACT Despite high proportion of minors who have experienced sexual abuse in Kenya are presenting at health facilities for post rape care, literature shows post rape care health services are fragmented and health providers lack confidence in their skills. Thus, this study assesses the quality of post rape care among sexually abused minors in Homa Bay district of Western Kenya. The study examines the health facility s capacity to provide post rape care to sexually abused minors in addition ...

  18. The management of child abuse and neglect cases in schools: the Toronto model.

    Science.gov (United States)

    McClare, G

    1983-01-01

    School staffs have a major role in the prevention, identification and referral of cases of child abuse and neglect. School administrators, teachers and school support staffs require knowledge about abuse and neglect, as well as a clear set of guidelines and procedures for dealing with it if they are to carry out these responsibilities effectively. The Toronto Board of Education has developed a program that has involved superintendents, principals, teachers, pupil personnel staff, caretakers, secretaries and community resources in an educational program oriented to the management of child abuse cases in their schools. The Board's Child Abuse Committee has developed a document which outlines employees' responsibilities under the legislation, provides assistance in the identification of child abuse and neglect cases, and outlines procedures for referral both internally and to the community. The document was used as the base for an extensive staff development program during the school year 1979-80, in which all of the system's 6,000 school based employees participated. The Toronto Board's Child Abuse Program incorporated the establishment of the position "Resource Person, Child Abuse" for the purpose of consultation with school staffs, as well as the ongoing provision of resource material and staff training. The paper outlines the development of the program, includes guidelines and procedures for school staffs, the legislation under which it operates, the content of the training program, and an evaluation of the program with suggestions for replication. PMID:6684980

  19. Socioeconomic, demographic study on substance abuse among students of professional college in a southern town, Berhampur of Odisha state (India).

    Science.gov (United States)

    Mohanty, Sachidananda; Tripathy, Radhamadhab; Palo, Subrat Kumar; Jena, Dhaneswari

    2013-11-01

    Currently there is an increasing trend of substance abuse in developing countries like India. This study attempted to identify the different predisposing factors, associated psycho-social and medical problems, prevalence and types of substance abuse in students. The study covered a cross-section of 720 students with an overall male to female ratio of 4.1:1. The majority of the sufferers were from middle socioeconomic class, aged between 15 and 19 years. Common substances of abuse were chewable tobacco and cannabis. The risk of abuse was more in hostellers hailing from broken families (62.5%). Friends had the highest influence (59%). Most of them (49.4%) tried multiple times to give up, but peer pressure (53%) compelled them to restart. In 60.8% cases the parents were completely unaware about this behavior. The commonly associated problems were psychological (34.3%) and medical (29.5%). Our study at the end points out major risk factors and their remedial measures to curb substance abuse.

  20. Socioeconomic, demographic study on substance abuse among students of professional college in a southern town, Berhampur of Odisha state (India).

    Science.gov (United States)

    Mohanty, Sachidananda; Tripathy, Radhamadhab; Palo, Subrat Kumar; Jena, Dhaneswari

    2013-11-01

    Currently there is an increasing trend of substance abuse in developing countries like India. This study attempted to identify the different predisposing factors, associated psycho-social and medical problems, prevalence and types of substance abuse in students. The study covered a cross-section of 720 students with an overall male to female ratio of 4.1:1. The majority of the sufferers were from middle socioeconomic class, aged between 15 and 19 years. Common substances of abuse were chewable tobacco and cannabis. The risk of abuse was more in hostellers hailing from broken families (62.5%). Friends had the highest influence (59%). Most of them (49.4%) tried multiple times to give up, but peer pressure (53%) compelled them to restart. In 60.8% cases the parents were completely unaware about this behavior. The commonly associated problems were psychological (34.3%) and medical (29.5%). Our study at the end points out major risk factors and their remedial measures to curb substance abuse. PMID:24237819

  1. A Model of Sexual Risk Behaviors among Young Gay and Bisexual Men: Longitudinal Associations of Mental Health, Substance Abuse, Sexual Abuse, and the Coming-Out Process

    Science.gov (United States)

    Rosario, Margaret; Schrimshaw, Eric W.; Hunter, Joyce

    2006-01-01

    Sexual risk behaviors of young gay and bisexualmen must be understood within the context of other health concerns (e.g., anxiety, substance abuse), population specific factors (i.e., the coming-out process and gay-related stress), childhood sexual abuse, and other theoretical factors (e.g., safer-sex intentions). The current report proposes and…

  2. Alienation and Domestic Abuse: How Abused Women Cope with Loneliness

    Science.gov (United States)

    Arokach, Ami

    2006-01-01

    This study explored the manner in which abused women cope with loneliness. Eighty women, victims of domestic abuse, were compared to 84 women from the general population who have had no history of abusive relationships. A 34-item yes/no loneliness questionnaire was utilized in order to compare the "beneficial" ways of coping with loneliness in the…

  3. Quality of life in studies with patients under treatment for substance abuse and addiction

    Directory of Open Access Journals (Sweden)

    Selva Rios Campêlo

    2015-12-01

    Full Text Available The purpose of this study was to find Quality of Life (QoL instruments and their purpose in studies with patients under treatment for substance abuse and addiction. This is an integrative review, whose articles were available on the Virtual Health Library (VHL and published between 2010 and 2015 with the associated descriptors "Substance-Related Disorders" and "Quality of Life". Twenty-nine texts were analyzed and the instruments were grouped into four possible uses of measurement of Quality of Life. The majority used generic instruments such as WHOQOL-Bref for general Quality of Life and the SF-36 of Health-Related Quality of Life (HRQoL. It is recommended that further studies be carried out on the use of Quality of Life instruments in relation to addiction, especially with specific instruments that are beginning to appear in some studies and which have not been consolidated in the field.

  4. Providing competency-based family medicine residency training in substance abuse in the new millennium: a model curriculum

    Directory of Open Access Journals (Sweden)

    Shellenberger Sylvia

    2010-05-01

    Full Text Available Abstract Background This article, developed for the Betty Ford Institute Consensus Conference on Graduate Medical Education (December, 2008, presents a model curriculum for Family Medicine residency training in substance abuse. Methods The authors reviewed reports of past Family Medicine curriculum development efforts, previously-identified barriers to education in high risk substance use, approaches to overcoming these barriers, and current training guidelines of the Accreditation Council for Graduate Medical Education (ACGME and their Family Medicine Residency Review Committee. A proposed eight-module curriculum was developed, based on substance abuse competencies defined by Project MAINSTREAM and linked to core competencies defined by the ACGME. The curriculum provides basic training in high risk substance use to all residents, while also addressing current training challenges presented by U.S. work hour regulations, increasing international diversity of Family Medicine resident trainees, and emerging new primary care practice models. Results This paper offers a core curriculum, focused on screening, brief intervention and referral to treatment, which can be adapted by residency programs to meet their individual needs. The curriculum encourages direct observation of residents to ensure that core skills are learned and trains residents with several "new skills" that will expand the basket of substance abuse services they will be equipped to provide as they enter practice. Conclusions Broad-based implementation of a comprehensive Family Medicine residency curriculum should increase the ability of family physicians to provide basic substance abuse services in a primary care context. Such efforts should be coupled with faculty development initiatives which ensure that sufficient trained faculty are available to teach these concepts and with efforts by major Family Medicine organizations to implement and enforce residency requirements for

  5. Detection of rib fractures in an abused infant using digital radiography: a laboratory study

    International Nuclear Information System (INIS)

    To assess the diagnostic performance of digital radiography using charge-coupled device (CCD) technology in the detection of rib fracture in infant abuse.Materials and methods. Four fractured posterior rib arcs and eight normal ribs removed at autopsy from a 10-month-old abused infant were radiographed using a CCD prototype, four clinical film-screen systems, and direct-exposure film. Each rib was viewed with these six systems in nine different projections. The resultant 648 images were assessed for probability of fracture (0-100%) by four pediatric radiologists. The calculated area under the resultant ROC curves (Az) for the CCD was compared with those obtained with direct-exposure, high-detail, medium and fast film-screen radiographic systems. The mean Az for the CCD (0.937) fell within the range of the high-detail systems (0.934-0.940) and was significantly higher (p20 line pairs per millimeter) the CCD performance was comparable (Az=0.944 vs. 0.937). The similar performance can be explained by the higher contrast resolution of the digital technology. This study indicates that in the ex vivo setting, digital radiology can perform comparably to high-detail film-screen imaging. The findings suggest that digital radiography has the potential to replace film-screen imaging in the evaluation of inflicted skeletal injury in infants. (orig.)

  6. The complexities of elder abuse.

    Science.gov (United States)

    Roberto, Karen A

    2016-01-01

    Elder abuse is a growing societal concern, affecting at least 1 in 10 older Americans. Researchers and practitioners alike consistently assert that a dramatic discrepancy exists between the prevalence rates of elder abuse and the number of elder abuse cases reported. As a field of study, recognition and understanding of elder abuse is still emerging. Comparing findings of a small, but growing, body of literature on perceived and substantiated cases of elder abuse is challenging because there is no uniform term or agreed-upon definition used among state governments, researchers, health care and service providers, and advocates. This article summarizes current understanding of elder abuse, including what constitutes elder abuse, risk factors for elder abuse, perpetrators of elder abuse, and outcomes of elder abuse. Issues associated with the detection of elder abuse and intervention strategies for victims of abuse are addressed. In the final section, potential roles and contributions of psychologists for advancing elder abuse research, professional practice, and policy development are highlighted. (PsycINFO Database Record

  7. Hitting without a License: Testing Explanations for Differences in Partner Abuse between Young Adult Daters and Cohabitors.

    Science.gov (United States)

    Magdol, Lynn; Moffitt, Terrie E.; Caspi, Avshalom; Silva, Phil A.

    1998-01-01

    Partner abuse among 21-year olds was compared between cohabitors and daters. Individual, relationship, and social control factors were studied. Cohabitors were more abusive than daters. Factors that differentiate cohabitors from daters were identified, and models were tested for prediction of abuse. Findings are discussed in terms of age and…

  8. Against the Odds: The Impact of Woman Abuse on Maternal Response to Disclosure of Child Sexual Abuse

    Science.gov (United States)

    Alaggia, Ramona; Turton, Jennifer V.

    2005-01-01

    Although the co-occurrence of woman abuse and child sexual abuse is high little research exists exploring the impact of woman abuse on maternal response to child sexual abuse (CSA). Findings from two qualitative studies indicate the form of woman abuse to have differential impact on maternal response. Mothers who were abused in non-physical ways,…

  9. Substance abuse co-morbidity in schizophrenia: An inpatient study of course and outcome

    OpenAIRE

    Aich, Tapas K.; Sinha, Vinod K.; Khess, Christoday R.J.; Singh, Shailja

    2005-01-01

    Background: Differences in opinion exist among researchers in relation to the course and outcome of substance abuse co-morbidity in schizophrenia. Aim: To compare the pattern of remission of symptoms in positive and negative schizophrenics with and without a history of substance abuse. Methods: Seventy schizophrenics were divided into two groups based on the history of presence or absence of substance abuse/dependence. Thirty-eight patients (54.3%) were diagnosed as having co-morbid alcohol/s...

  10. Is the association between irritable bowel syndrome and abuse explained by neuroticism? A population based study

    OpenAIRE

    TALLEY, N.; BOYCE, P; Jones, M.

    1998-01-01

    Background—In outpatients and the community, an association between abuse (particularly sexual abuse) and irritable bowel syndrome (IBS) has been observed, but whether there is a causal link continues to be disputed. 
Aims—To test the hypothesis that psychological factors explain the apparent association between abuse and IBS. 
Methods—A sample of residents of Penrith (a Sydney suburb sociodemographically similar to the Australian population) selected randomly from the elect...

  11. Child sexual abuse in southern Brazil and associated factors: a population-based study

    OpenAIRE

    Gigante Luciana P; Béria Jorge U.; Palazzo Lilian S; Bassani Diego G; Figueiredo Andréia CL; Aerts Denise RGC; Raymann Beatriz CW

    2009-01-01

    Abstract Background The prevalence of child sexual abuse (CSA) in the population has been poorly described in developing countries. Population data on child sexual abuse in Brazil is very limited. This paper aims to estimate lifetime prevalence of child sexual abuse and associated factors in a representative sample of the population aged 14 and over in a city of southern Brazil. Methods A two-stage sampling strategy was used and individuals were invited to respond to a confidential questionna...

  12. Emotional abuse towards children by schoolteachers in Aden Governorate, Yemen: A cross-sectional study

    OpenAIRE

    Ba- Saddik Amal S S; Hattab Abdullah S

    2012-01-01

    Abstract Background Emotional abuse is central to other forms of abuse. The primary objective of this paper was to estimate the prevalence of emotional abuse among pupils in basic education schools and the risk factors associated with it in Aden governorate, Yemen. Methods Four districts were randomly selected from across the governorate of Aden, 2 schools were selected at random in each district, and then 1066 pupils were randomly selected from the 8 schools. An anonymous self-administered q...

  13. Emotional abuse towards children by schoolteachers in Aden Governorate, Yemen: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Ba- Saddik Amal S S

    2012-08-01

    Full Text Available Abstract Background Emotional abuse is central to other forms of abuse. The primary objective of this paper was to estimate the prevalence of emotional abuse among pupils in basic education schools and the risk factors associated with it in Aden governorate, Yemen. Methods Four districts were randomly selected from across the governorate of Aden, 2 schools were selected at random in each district, and then 1066 pupils were randomly selected from the 8 schools. An anonymous self-administered questionnaire was used for data collection. Data were analyzed using Statistical Package for Social Sciences ver.15. Mean, standard deviation and chi square were used for descriptive statistics. Univariate and Multivariate logistic regression analysis was used to examine the associations between emotional abuse with pupils/parents characteristics. Results Pupils reported high rates of emotional abuse 55.2% at least once in their school lifetime. Male pupils had higher prevalence of emotional abuse 72.6% than females 26.1%. Teachers constituted the highest proportion of perpetrators 45.6%. Odds Ratio (95% confidence interval showed statistically significant association between emotional abuse and pupils' gender, family type and father education: 9.94 (7.19-13.74, 1.40 (1.02-1.91, .58 (.39-.86 respectively. Conclusion Emotional child abuse was highly prevalent in pupils in basic school education. Pupils' gender, family type and father education were the main risk factors associated with emotional abuse.

  14. Resilience characteristics mitigate tendency for harmful alcohol and illicit drug use in adults with a history of childhood abuse: a cross-sectional study of 2024 inner-city men and women.

    Science.gov (United States)

    Wingo, Aliza P; Ressler, Kerry J; Bradley, Bekh

    2014-04-01

    Resilience refers to abilities to cope adaptively with adversity or trauma. A common psychological sequella of childhood abuse or other traumatic experiences is substance use problems. There are, however, very limited data on relationships among resilience traits, childhood abuse, and alcohol or drug use problems. Hence, we aimed to examine associations between resilience characteristics and lifetime alcohol and illicit drug use in 2024 inner-city adults with high rates of childhood abuse and other trauma exposure. In this cross-sectional study, resilience was assessed with the Connor-Davidson Resilience Scale, childhood abuse with the Childhood Trauma Questionnaire, lifetime alcohol and illicit drug use with the Alcohol Use Disorder Identification Test and Drug Abuse Screening Test. Associations between resilience and substance use were examined with linear regression models, adjusting for trauma load, age, and sex. We found that resilience characteristics mitigated tendency for lifetime alcohol use problems both as a main effect (β = -0.11; p = 0.0014) and an interaction with severity of childhood abuse (β = -0.06; p = 0.0115) after trauma severity, age, and sex were controlled for. Similarly, resilience reduced lifetime illicit drug use both as a main effect (β = -0.03; p = 0.0008) and as an interaction with severity of childhood abuse (β = -0.01; p = 0.0256) after trauma load, age, and sex were adjusted for. Our findings add to a nascent body of literature suggesting that resilience characteristics mitigate risks not only for PTSD, major depression, and suicidality, but also for substance use problems in adults exposed to childhood abuse or other traumatic experiences.

  15. Abuse Potential of Pregabalin

    DEFF Research Database (Denmark)

    Schjerning, Ole; Rosenzweig, Mary; Pottegård, Anton;

    2016-01-01

    BACKGROUND: Several case reports and epidemiological studies have raised concern about the abuse potential of pregabalin, the use of which has increased substantially over the last decade. Pregabalin is, in some cases, used for recreational purposes and it has incurred attention among drug abusers...... for causing euphoric and dissociative effects when taken in doses exceeding normal therapeutic dosages or used by alternative routes of administration, such as nasal insufflation or venous injection. The magnitude of the abuse potential and the mechanism behind it are not fully known. OBJECTIVE: The aim...... of this study was to present a systematic review of the data concerning the abuse potential of pregabalin. METHODS: We performed a systematic literature search and reviewed the preclinical, clinical and epidemiological data on the abuse potential of pregabalin. RESULTS: We included preclinical (n = 17...

  16. Value of systematic detection of physical child abuse at emergency rooms: a cross-sectional diagnostic accuracy study

    OpenAIRE

    Sittig, Judith S; Uiterwaal, Cuno S. P. M.; Karel G M Moons; Russel, Ingrid M B; Nievelstein, Rutger A.J.; Nieuwenhuis, Edward E. S.; van de Putte, Elise M.

    2016-01-01

    Objectives The aim of our diagnostic accuracy study Child Abuse Inventory at Emergency Rooms (CHAIN-ER) was to establish whether a widely used checklist accurately detects or excludes physical abuse among children presenting to ERs with physical injury. Design A large multicentre study with a 6-month follow-up. Setting 4 ERs in The Netherlands. Participants 4290 children aged 0–7 years attending the ER because of physical injury. All children were systematically tested with an easy-to-use chi...

  17. The Effect of Economic, Physical, and Psychological Abuse on Mental Health: A Population-Based Study of Women in the Philippines

    OpenAIRE

    Diddy Antai; Ayo Oke; Patrick Braithwaite; Gerald Bryan Lopez

    2014-01-01

    Background. The comparative effect of economic abuse and other forms of abuse in predicting depression and other mental health disorders has not been previously investigated despite its relevance for mental illness prevention. Objective. To determine the differential association of economic abuse on psychological distress and suicide attempts. Study Design. We used cross-sectional data from women aged 15–49 years in the 2008 Philippines Demographic and Health Surveys (PDHS) (N = 9,316). Resul...

  18. The Course of Adult Experiences of Abuse in Patients with Borderline Personality Disorder and Axis II Comparison Subjects: A 10-Year Follow-Up Study

    OpenAIRE

    McGowan, Amelia; King, Hannah; Frankenburg, Frances F.; Fitzmaurice, Garrett; Zanarini, Mary C.

    2012-01-01

    The first objective of this study was to assess the rates of adult experiences of verbal, emotional, physical, and sexual abuse reported by borderline patients and axis II comparison subjects over ten years of prospective follow-up. The second objective was to determine time-to-cessation, recurrence, and new onset of each type of abuse. The Abuse History Interview was administered to 290 borderline patients and 72 axis II comparison subjects at baseline. The AHI Follow-up Version was administ...

  19. Longitudinal Study on the Effects of Child Abuse and Children’s Exposure to Domestic Violence, Parent-Child Attachments, and Antisocial Behavior in Adolescence

    OpenAIRE

    Sousa, Cindy; Herrenkohl, Todd I.; Moylan, Carrie A.; Tajima, Emiko A.; Klika, J. Bart; Herrenkohl, Roy C.; Russo, M. Jean

    2010-01-01

    This study examined the unique and combined effects of child abuse and children’s exposure to domestic violence on later attachment to parents and antisocial behavior during adolescence. Analyses also investigated whether the interaction of exposure and low attachment predicted youth outcomes. Findings suggest that, while youth dually exposed to abuse and domestic violence were less attached to parents in adolescence than those who were not exposed, those who were abused only, and those who w...

  20. Prevalence of abuse reported by pregnant women - impact on postpartum depression and breastfeeding: A prospective population-based analysis in the Norwegian Mother and Child Cohort Study

    OpenAIRE

    Sørbø, Marie Flem

    2016-01-01

    Background: Abuse of women is a violation of human rights, and has adverse impact on physical, mental and reproductive health. Yet, there is limited population based knowledge about the effect on postpartum health and breastfeeding. There is also need for increased understanding about the impact of abuse from different perpetrators. Large scale, population based, prospective studies are requested to assess the public health impact of abuse. Aims: To investigate the prevalence o...

  1. Men's experiences of emotional, physical, and sexual abuse and abuse in health care : A cross-sectional study of a Swedish random male population sample

    OpenAIRE

    Swahnberg, Katarina; Davidsson-Simmons, Johanna; Hearn, Jeff; Wijma, Barbro

    2012-01-01

    Aims: This article addresses the under-researched area ofmen’s experiences of abuse. The aims were to estimate prevalence ofemotional, physical, and sexual abuse and abuse in health care in a random sample of Swedish adult men, to compare these estimates with previously collected prevalence rates in a male clinical sample to see if prevalence rates were dependant on response rate and sampling method. We also wanted to contribute to a more general analysis of men’s experiences ofvictimisation....

  2. Evaluating the association between childhood sexual abuse and attempted suicide across the lifespan: Findings from a nationwide study of women in jail.

    Science.gov (United States)

    DeCou, Christopher R; Lynch, Shannon M; DeHart, Dana D; Belknap, Joanne

    2016-08-01

    Previous studies have found childhood sexual abuse to predict suicidal behavior in adulthood. Women in jail suffer disproportionately high rates of childhood sexual abuse and attempted suicide relative to women in the general population. Thus, better understanding the association between childhood sexual abuse and attempted suicide among women in jail may inform prevention, assessment, and treatment initiatives for this at-risk population. This study examined the association between childhood sexual abuse and the onset of attempted suicide across the life span in a nationwide sample of women in jail. Participants included a randomly selected subsample of women (N = 115), drawn from a larger probability sample (N = 491), who completed Life History Calendars, which were coded for the presence/absence of attempted suicide and childhood sexual abuse across life history stages. Survival analysis and Cox regression indicated that women with histories of childhood sexual abuse perpetrated by an adult or a peer were significantly more likely to have attempted suicide across the life span, including increased risk for the onset of attempted suicide in adulthood. This study demonstrates the salience of childhood sexual abuse as a predictor of suicidal behavior among women in jail, and extends previous research by demonstrating the temporal sequence of childhood sexual abuse relative to attempted suicide across the life span. Given these findings, researchers, clinicians, and policymakers should consider further the influence of childhood sexual abuse with regard to the high rates of attempted and completed suicide among women in jail. (PsycINFO Database Record PMID:27322516

  3. The Costs and Benefits of Substance Abuse Treatment: Findings from the National Treatment Improvement Evaluation Study (NTIES).

    Science.gov (United States)

    Koenig, Lane; Denmead, Gabrielle; Nguyen, Robert; Harrison, Margaret; Harwood, Henrick

    This study seeks to quantify the costs and benefits of alcohol and drug abuse treatment and the resulting economic benefits to society. Using data from the National Treatment Improvement Evaluation Study (NTIES), and client questionnaires, estimates were made of the average costs per client in terms of crime-related costs, health care costs, and…

  4. Comorbid substance abuse in first-episode schizophrenia : Effects on cognition and psychopathology in the EUFEST study

    NARCIS (Netherlands)

    Wobrock, T.; Falkai, P.; Schneider-Axmann, T.; Hasan, A.; Galderisi, S.; Davidson, M.; Kahn, R. S.; Derks, E. M.; Boter, H.; Rybakowski, J. K.; Libiger, J.; Dollfus, S.; Lopez-Ibor, J. J.; Peuskens, J.; Hranov, L. G.; Gaebel, W.; Fleischhacker, W. W.

    2013-01-01

    Studies and meta-analyses investigating the influence of substance use disorder (SUD) (substance abuse or dependence) on psychopathology and neurocognitive function in schizophrenia patients have revealed controversial results. Most studies did only have small samples and did not focus exclusively o

  5. Elder abuse in residential long-term care: an update to the 2003 National Research Council report.

    Science.gov (United States)

    Castle, Nicholas; Ferguson-Rome, Jamie C; Teresi, Jeanne A

    2015-06-01

    A synthesis of the last decade of literature on elder abuse in residential long-term care (i.e., Nursing Homes and Assisted Living) is discussed. Presented are definitions of abuse, theoretical and conceptual models, prevalence rates of abuse, outcomes and costs, and sources of abuse. The synthesis represents an update to the literature in the influential 2003 National Research Council report. We identify many of the same issues and concerns exist that were surfaced in this prior report. Many theoretical and conceptual models need further elaboration. Conflicting definitions of abuse are pervasive. Rates of abuse are generally inaccurate, and probably under-reported. However, we also identify progress in many areas. An increase in empirical studies that exist in this area (although very few in Assisted Living). Other forms and types of abuse have also been identified as important, such as resident-to-resident abuse. These areas are discussed, along with potential suggestions for additional research.

  6. Indicators of Sexual Abuse in Children's Rorschach Responses: An Exploratory Study.

    Science.gov (United States)

    Billingsley, Ralph C.

    1995-01-01

    Rorschach protocols of 18 sexually-abused children were compared to protocols of 18 clinical controls. Dependent variables included responses with overt sexual contents, sexual symbols, and near-sexual content. Results suggested that the dependent variables, in combination, could differentiate sexually abused children from other groups. Other…

  7. Evaluating and Training Substance Abuse Counselors: A Pilot Study Assessing Standardized Patients as Authentic Clients

    Science.gov (United States)

    Fussell, Holly E.; Lewy, Colleen S.; McFarland, Bentson H.

    2009-01-01

    Clinician training and supervision are needed to transfer evidence-based practices to community-based treatment organizations. Standardized patients (SPs) are used for clinician training and evaluating. However, to be effective for substance abuse counselors, SPs must realistically portray substance abuse treatment clients. The current study…

  8. Child Sexual Abuse and Psychological Impairment in Victims: Results of an Online Study Initiated by Victims

    Science.gov (United States)

    Schaefer, Gerard A.; Mundt, Ingrid A.; Ahlers, Christoph J.; Bahls, Christian

    2012-01-01

    Sexual abuse of children has been a topic of scientific investigation for the past few decades. Research in this area, however, is rarely initiated, conceptualized, and conducted by victims themselves. Apart from possibly having painted a one-sided picture of sexual abuse, this presumed dominance of nonvictims might also have marginalized victims…

  9. Theoretical Perspectives of Male Sexual Abuse: Conceptualization of a Case Study

    Science.gov (United States)

    Diamanduros, Terry; Cosentino, Clare E.; Tysinger, P. Dawn; Tysinger, Jeffrey A.

    2012-01-01

    The purpose of this article is to demonstrate the traumatic impact that sexual abuse can have on a young male's development by addressing mediating dispositions that can render a child vulnerable to the effects of sexual abuse. Consideration is given to three different theoretical perspectives that are not exclusive to male victims but shed light…

  10. Outcome measures of interventions in the study of children of substance-abusing parents.

    Science.gov (United States)

    Kumpfer, K L

    1999-05-01

    Children of substance-abusing parents, including children of alcoholics (COAs), are one of the highest risk groups of youth for substance-abuse problems. For both genetic and family environmental reasons, COAs and children of drug abusers are very vulnerable to becoming alcohol or other drug abusers.1,2 With drug use rates increasing in the past 7 years,3 prevention practitioners must work harder to identify and evaluate effective ways to prevent future substance abuse in these at-risk children. Most prevention programs designed specifically for COAs or children of drug abusers have struggled with identifying, attracting, maintaining, and measuring outcomes. This article focuses on general and unique measurement methods and instrument problems in prevention interventions for children of substance-abusing parents. Part I covers the need for improved measurement in research and practice with children of substance-abusing parents and recommended measures for different hypothesized outcome variables. Part II covers considerations in selecting measures, and Part III covers how to select measures. This article concludes with recommendations to improve measurement in research and practice. PMID:10224200

  11. A Study of Clinical Supervision Techniques and Training in Substance Abuse Treatment

    Science.gov (United States)

    West, Paul L.; Hamm, Terri

    2012-01-01

    Data from 57 clinical supervisors in licensed substance abuse treatment programs indicate that 28% had completed formal graduate course work in clinical supervision and 33% were professionally licensed or certified. Findings raise concerns about the scope and quality of clinical supervision available to substance abuse counselors. (Contains 3…

  12. Prevalence of Elder Abuse and Neglect: Findings from First Macedonian Study

    Directory of Open Access Journals (Sweden)

    Dimitrinka Jordanova Peshevska

    2014-06-01

    CONCLUSIONS: Defining the phenomenon of elder abuse and neglect in the context of our country can facilitate support of abused older people and, most importantly, may help develop policy and programmes based on evidence-based practices, targeting prevention and response.

  13. Why abused women do not seek professional help: a qualitative study

    NARCIS (Netherlands)

    Prosman, G.J.; Lo Fo Wong, S.H.; Lagro-Janssen, A.L.M.

    2014-01-01

    OBJECTIVE: We aimed to gain insight into the process of help seeking of abused women visiting their family physician (FP). SETTING: Family practice in Rotterdam, the Netherlands. METHOD: We used a qualitative method with interviews in a sample of 14 abused women, identified in an earlier cross-secti

  14. Intention to Participate in Child Sexual Abuse Prevention Programs: A Study of Chinese Adults in Hong Kong

    Science.gov (United States)

    Tang, C.S.k.; Yan, E.C.w.

    2004-01-01

    Objectives:: This study aimed to explore factors relating to intention to participate in community child sexual abuse (CSA) prevention programs among Chinese adults in Hong Kong. Method:: A total of 1,606 Chinese adults (497 men and 1,109 women) were individually interviewed about their intention to participate in community CSA prevention…

  15. Children's Views on Child Abuse and Neglect: Findings from an Exploratory Study with Chinese Children in Hong Kong

    Science.gov (United States)

    Chan, Yuk-chung; Lam, Gladys L. T.; Shae, Wan-Chaw

    2011-01-01

    Objectives: This research study explored children's views on issues about child abuse in Hong Kong and examined their implications on child protection work and research in Chinese societies. Method: Six primary schools were recruited from different districts of Hong Kong. Five vignettes of child maltreatment in the form of flash movies were…

  16. Perceived Benefit from Child Sexual Abuse.

    Science.gov (United States)

    McMillen, Curtis; And Others

    1995-01-01

    Studies adult perceptions of benefit from child sexual abuse in 154 low-income women who were sexually abused as children. Almost half reported some perceived benefit. Benefits fell into four main categories: protecting children from abuse, self-protection, increased knowledge of child sexual abuse, and having a stronger personality. Degree of…

  17. Summary of an eleven-country study of socio-legal measures to combat drug abuse and related crime.

    Science.gov (United States)

    Asuni, T; Bruno, F

    1984-01-01

    In a comparative study of a group of experimental and control subjects in Argentina, Brazil, Costa Rica, Japan, Jordan, Italy, Malaysia, Singapore and the United States of America (State of New York), and of the results of independent studies conducted in Sweden and the United Kingdom of Great Britain and Northern Ireland, a rather close association was found to exist between drug abuse, criminal behaviour and social attitudes to such problems. Both drug abuse and the socio-legal systems varied greatly in the countries involved. No correlation was found between the level of foreseen or actual harshness of the socio-legal system and the level of seriousness of drug abuse and its associated criminality, but there was a significant correlation between knowledge of the law and the efficacy of the socio-legal system. In each country informal control systems, such as the family, church, school, neighbourhood and work environment, were active. Approximately one half of the subjects that were interviewed from countries with the most punitive socio-legal systems perceived informal controls as harsh and punitive while in the other countries such controls were generally perceived as positive. The study encouraged the review, testing and implementation of alternative measures to penal sanctions, particularly with a view to creating a genuine therapeutic approach to correcting the deviant behaviour of drug abusers.

  18. Does Child Abuse and Neglect Explain the Overrepresentation of Aboriginal and Torres Strait Islander Young People in Youth Detention? Findings from a Birth Cohort Study

    Science.gov (United States)

    Doolan, Ivan; Najman, Jake M.; Mills, Ryan; Cherney, Adrian; Strathearn, Lane

    2013-01-01

    Objective: Determine whether a history of family social disadvantage and/or child abuse and neglect explain the overrepresentation of Indigenous Australian young people in youth detention. Methods: Maternal survey data from the Mater University Study of Pregnancy was linked with child abuse and neglect and youth justice data from the Queensland…

  19. Alcohol abuse and criminality : a cross-fostering study of gene-environment interaction

    OpenAIRE

    Sigvardsson, Sören

    1982-01-01

    The subjects consists of all persons born out of wedlock in Stockholm during the years 1930 through 1949 and who were placed in non-related adoptive homes by the age of three years (N = 1 753, or 862 men and 913 women). Data are obtained from official records. Results. Alcohol abuse cannot be regarded as a homogeneous trait distributed in the population according to one single dimension — severity. Rather two types of alcohol abuse was demonstrated in this cohort. Type 1 abuse, accounting for...

  20. How to Handle Abuse

    Science.gov (United States)

    ... abuse: physical, sexual, verbal or emotional, and neglect. Physical abuse: Physical abuse is hitting hard with a hand or an ... choking, painful grabbing, and kicking also can be physical abuse. Sexual abuse: Your body has private parts. These ...

  1. Mental health and substance abuse services to parents of children involved with child welfare: a study of racial and ethnic differences for American Indian parents.

    Science.gov (United States)

    Libby, Anne M; Orton, Heather D; Barth, Richard P; Webb, Mary Bruce; Burns, Barbara J; Wood, Patricia A; Spicer, Paul

    2007-03-01

    American Indian (AI) parents of children involved with child welfare were compared to White, Black and Hispanic parents on mental health and substance abuse problems and access to treatment. Data came from the National Study of Child and Adolescent Well-Being, a longitudinal study of a nationally representative sample of children aged 0-14 years involved with child welfare. Weighted statistics provided population estimates, and multivariate logistic regression was used to predict the likelihood of caregivers receiving mental health or substance abuse services. There were significant disparities in the likelihood of receiving mental health, but not substance abuse, services. Unmet need for mental health and substance abuse treatment characterized all parents in this study. AI parents fared the worst in obtaining mental health treatment. Parents of children at home and of older children were less likely to access mental health or substance abuse treatment.

  2. Inhalant Abuse

    Science.gov (United States)

    ... she is likely to try other kinds of drugs, especially alcohol and marijuana. Symptoms How can I tell if my child is abusing inhalants? It can be hard to recognize the signs of inhalant abuse. Teenagers who use inhalants may have some of the ...

  3. Hidden Abuse within the Home: Recognizing and Responding to Sibling Abuse

    Science.gov (United States)

    Stutey, Diane; Clemens, Elysia V.

    2015-01-01

    Sibling abuse is a serious phenomenon in our society that often goes unaddressed. Victims of sibling abuse experience psychological effects similar to those of child abuse (Caspi, 2012; Wiehe, 2002). The purpose of this article is to provide school counselors with a definition of sibling abuse and a five-step model to recognize and respond. A…

  4. Childhood history of abuse and child abuse potential: the role of parent’s gender and timing of childhood abuse

    OpenAIRE

    Romero-Martínez, Angel; Figueiredo, Bárbara; Moya-Albiol, Luis

    2014-01-01

    It has been suggested that being physically abused leads to someone becoming a perpetrator of abuse which could be associated to parents' gender, timing of the physical abuse and specific socio-demographic variables. This study aims to investigate the role the parents' gender, timing of childhood abuse and socio-demographic variables on the relationship between parents' history of childhood physical abuse and current risk for children. The sample consisted of 920 parents (414 fathers, 506 mot...

  5. A comparison of intimate partner violence in mid-and-old age: is elder abuse simply a case of spousal abuse grown old?

    OpenAIRE

    Yon, Yongjie

    2010-01-01

    The study used a national pooled dataset from the 1999 and 2004 Canadian General Social Surveys (GSS) to compare spousal abuse between mid-age adults (45-59 years) and older adults (>60 years). Two types of abuse: emotional/financial and physical/sexual are investigated. Three regression models on personal, relationship and environmental explanatory factors are examined to determine salient predictors of spousal abuse for each age group. Both similarities and differences were uncovered acr...

  6. Theatre-in-Education and Child Sexual Abuse: A Descriptive Study.

    Science.gov (United States)

    Dezseran, Catherine; Katz, Barbara Myerson

    1985-01-01

    Describes the planning, implementing, and evaluating stages of "Choices," a theatre-in-education program on intrafamilial child sexual abuse produced by the Louisville Children's Theatre for third grade students in Jefferson County, Kentucky. (PD)

  7. Fourth National Incidende Study of Child Abuse and Neglect (NIS-4)

    Data.gov (United States)

    U.S. Department of Health & Human Services — NIS–4 data were collected to provide updated estimates of the incidence of child abuse and neglect in the United States and measure changes in incidence from the...

  8. ABUSED NURSES TAKE NO LEGAL STEPS - A DOMESTIC VIOLENCE STUDY CARRIED OUT IN EASTERN TURKEY

    OpenAIRE

    Selek, Salih; VURAL, Mehmet; Cakmak, Ilknur

    2012-01-01

    Background: Our aim was to evaluate domestic violence among nurses in eastern Turkey. Subjects and methods: Ninety six (96) female nurses with an intimate partner were enrolled. Modified form of Abuse Assessment Screen Questionnaire was used. Results: Twenty two (22.7%) of the participants reported domestic violence. None of them took legal steps. Most frequent domestic violence type was economic abuse (46%). Nurses, whose mothers were exposed to domestic violence, had significant...

  9. Implementing mentor mothers in family practice to support abused mothers: Study protocol

    OpenAIRE

    Laurant Miranda GH; Wester Fred PJF; Lo Fo Wong Sylvie H; Loeffen Maartje JW; Lagro-Janssen Antoine LM

    2011-01-01

    Abstract Background Intimate partner violence is highly prevalent and mostly affects women with negative consequences for their physical and mental health. Children often witness the violence which has negative consequences for their well-being too. Care offered by family physicians is often rejected because abused women experience a too high threshold. Mentor mother support, a low threshold intervention for abused mothers in family practice, proved to be feasible and effective in Rotterdam, ...

  10. A Case Study of Sexual Abuse and Psychological Correlates among an HIV-Serodiscordant Couple

    OpenAIRE

    Wyatt, Gail E.; Loeb, Tamra B.; Williams, John K.; Davis, Teri D.; Zhang, Muyu

    2012-01-01

    Childhood sexual abuse (CSA), adult sexual abuse (ASA) and intimate partner violence (IVP) are documented risk factors for HIV infection and are often implicated in the presentation of mental health disorders in both males and females, including those who are vulnerable to HIV-infection (African-Americans; trauma survivors). As such, these issues may contribute to health-related challenges among couples, particularly if the individuals are impacted by histories of trauma and HIV. Presented he...

  11. Child Abuse and Domestic Abuse

    Science.gov (United States)

    ... Traumatic Stress Disorder Reporting Domestic Abuse Reporting Suspected Child Abuse or Neglect Traumatic Brain Injury Family & Relationships There’s more to a military family than moving and deployments — take us along through each phase of your military ... Care and Youth Programs Parenting Military Youth on ...

  12. [On the relationship between emotional dependency and abuse].

    Science.gov (United States)

    Leemans, C; Loas, S

    2016-01-01

    Abuse is a complex psychosocial issue with multiple implications. This paper takes a look at the physical and psychological manifestations of domestic violence, i.e. between adult (romantic) partners as well as abuse of the elderly. Past studies have looked at the relationship between emotional dependency, the occurence and sustainability of abuse and the likehood that a victimized person will terminate a relationship. Indeed, individuals with Dependent Personality Disorder (DPD) or with dependent characteristics present a higher risk of becoming abusive (both physically and mentally) as well as becoming a victim of abuse. Regarding the elderly, the concept of "reverse violence"--where the current abuser was the victim of the senior who is being abused-, also entails dependent relationships. We identified three concepts that are necessary in the understanding of how dependent relationships underpin abuse: Rusbult's model of commitment in intimate relationships, the notion of dependency-possessiveness and Murphy et al's notion of escalating affective dependency. Thus, it is imperative that future studies in the field of domestic violence look at the dynamics of dyads rather than the individuals alone. PMID:27487692

  13. An examination of the relationship between childhood emotional abuse and borderline personality disorder features: the role of difficulties with emotion regulation.

    Science.gov (United States)

    Kuo, Janice R; Khoury, Jennifer E; Metcalfe, Rebecca; Fitzpatrick, Skye; Goodwill, Alasdair

    2015-01-01

    Childhood abuse has been consistently linked with borderline personality disorder (BPD) and recent studies suggest that some forms of childhood abuse might be uniquely related to both BPD and BPD features. In addition, difficulties with emotion regulation have been found to be associated with childhood abuse, BPD, as well as BPD features. The present study examined (1) whether frequency of childhood emotional abuse is uniquely associated with BPD feature severity when controlling for other forms of childhood abuse and (2) whether difficulties with emotion regulation accounts for the relationship between childhood emotional abuse and BPD feature severity. A sample of undergraduates (n=243) completed the Childhood Trauma Questionnaire - Short Form, Difficulties in Emotion Regulation Scale, and Borderline Symptom List-23. Multiple regression analyses and Structural Equation Modeling were conducted. Results indicated that frequency of childhood emotional abuse (and not sexual or physical abuse) was uniquely associated with BPD feature severity. In addition, while there was no direct path between childhood emotional abuse, childhood physical abuse, or childhood sexual abuse and BPD features, there was an indirect relationship between childhood emotional abuse and BPD features through difficulties with emotion regulation. These findings suggest that, of the different forms of childhood abuse, emotional abuse specifically, may have a developmental role in BPD pathology. Prevention and treatment of BPD pathology might benefit from the provision of emotion regulation strategies.

  14. Voices of healing and recovery from childhood sexual abuse.

    Science.gov (United States)

    Arias, Brittany J; Johnson, Chad V

    2013-01-01

    Child sexual abuse continues to occur for a significant number of children, often having deleterious consequences for survivors' physical and mental health. Research has thoroughly explored various consequences as a result of child sexual abuse, but scholars and practitioners know less about the healing processes from survivors' viewpoints. Using a constructivist grounded theory design, this study examined perceptions of healing in 10 female survivors of child sexual abuse. Results conclude with a theoretical model of healing, capturing the significance of supportive relationships, internal characteristics, turning points, and sources of active healing. Important sources of active healing include therapy, informal and formal education, compassion and empathy, blame attribution to abusers, and confronting abusers. Limitations and implications for research and practice are discussed. PMID:24125084

  15. The Idealized Cultural Identities Model on Help-Seeking and Child Sexual Abuse: A Conceptual Model for Contextualizing Perceptions and Experiences of South Asian Americans

    Science.gov (United States)

    Kanukollu, Shanta N.; Mahalingam, Ramaswami

    2011-01-01

    In this paper, we propose an interdisciplinary framework to study perceptions of child sexual abuse and help-seeking among South Asians living in the United States. We integrate research on social marginality, intersectionality, and cultural psychology to understand how marginalized social experience accentuates South Asian immigrants' desire to…

  16. Psychological assessment through performance-based techniques and self-reports: a case study of a sexually abused girl at preschool age.

    LENUS (Irish Health Repository)

    Khalily, Muhammad Tahir

    2011-05-01

    We investigated the implicit psychological and behavioral consequences of sexual abuse in an adolescent girl who suffered child sexual abuse at preschool age in this case report. We report the manifestations of this abuse on her personality and psychological functioning using a structured clinical interview and a comprehensive psychological battery including the Beck Anxiety Inventory, the Beck Depression Inventory, the Standard Progressive Matrices, Rorschach Ink Blots, and the Schema Mode Inventory. These investigations were useful in formulating both a diagnosis and a management plan. The girl fulfilled diagnostic criteria for a major depressive episode and borderline personality disorder. This combination of psychological testing may be useful in establishing an accurate multiaxial diagnosis and for understanding the behavioral and psychological sequelae of child sexual abuse in similar cases. The study further suggests that schema-focused therapy is a useful therapeutic tool for individuals who have suffered child sexual abuse at an early age and who have borderline personality disorder.

  17. Predicting Resilience in Sexually Abused Adolescents

    Science.gov (United States)

    Williams, Javonda; Nelson-Gardell, Debra

    2012-01-01

    This research examined factors that predicted resilience in sexually abused adolescents. Using Bronfenbrenner's Process-Person-Context-Time (PPCT) ecological model, this study considered the proximal and distal factors that would contribute to adolescents' reactions to sexual victimization. This correlational study used hierarchical regression…

  18. A neurocognitive model of borderline personality disorder: effects of childhood sexual abuse and relationship to adult social attachment disturbance.

    Science.gov (United States)

    Minzenberg, Michael J; Poole, John H; Vinogradov, Sophia

    2008-01-01

    Borderline personality disorder (BPD) is a paradigmatic disorder of adult attachment, with high rates of antecedent childhood maltreatment. The neurocognitive correlates of both attachment disturbance and maltreatment are both presently unknown in BPD. This study evaluated whether dimensional adult attachment disturbance in BPD is related to specific neurocognitive deficits, and whether childhood maltreatment is related to these dysfunctions. An outpatient BPD group (n=43) performed nearly 1 SD below a control group (n=26) on short-term recall, executive, and intelligence functions. These deficits were not affected by emotionally charged stimuli. In the BPD group, impaired recall was related to attachment-anxiety, whereas executive dysfunction was related to attachment-avoidance. Abuse history was correlated significantly with executive dysfunction and at a trend level with impaired recall. Neurocognitive deficits and abuse history exhibited both independent and interactive effects on adult attachment disturbance. These results suggest that (a) BPD patients' reactivity in attachment relationships is related to temporal-limbic dysfunction, irrespective of the emotional content of stimuli, (b) BPD patients' avoidance within attachment relationships may be a relational strategy to compensate for the emotional consequences of frontal-executive dysregulation, and (c) childhood abuse may contribute to these neurocognitive deficits but may also exert effects on adult attachment disturbance that is both independent and interacting with neurocognitive dysfunction. PMID:18211741

  19. Peer abuse

    OpenAIRE

    Alikaşifoğlu, Müjgan

    2011-01-01

    Peer abuse is commonly seen as bullying behaviors The most common definition of bullying used in the literature was formulated by Dan nbsp;Olweus According to Olweus bullying is an aggressive behavior that: a is intended to cause harm or distress b occurs repeatedly over nbsp;time and c occurs in a relationship in which there is an imbalance of power Peer abuse shares many characteristics with other types of nbsp;abuse namely child maltreatment and domestic violence Bullying behaviors may be ...

  20. Evaluation of WIN 55,212-2 self-administration in rats as a potential cannabinoid abuse liability model

    Science.gov (United States)

    Lefever, Timothy W.; Marusich, Julie A.; Antonazzo, Kateland R.; Wiley, Jenny L.

    2014-01-01

    Because Δ9-tetrahydrocannabinol (THC) has been a false negative in rat intravenous self-administration procedures, evaluation of the abuse potential of candidate cannabinoid medications has proved difficult. One lab group has successfully trained self-administration of the aminoalkylindole WIN55,212-2 in rats; however, their results have not been independently replicated. The purpose of this study was to extend their model by using a within-subjects design, with the goal of establishing a robust method suitable for substitution testing of other cannabinoids. Male Long-Evans rats were trained to self-administer WIN55,212-2 (0.01 mg/kg/infusion) on a fixed ratio 3 schedule. Dose-effect curves for WIN55,212-2 were determined, followed by vehicle substitution and a dose-effect curve with THC. WIN55,212-2 self-administration was acquired; however, substitution with THC did not maintain responding above vehicle levels. Dose-dependent attenuation by rimonabant confirmed CB1 receptor mediation of WIN55,212-2’s reinforcing effects. Vehicle substitution resulted in a session-dependent decrease in responding (i.e., extinction). While this study provides systematic replication of previous studies, lack of substitution with THC is problematic and suggests that WIN55,212-2 self-administration may be of limited usefulness as a screening tool for detection of the reinforcing effects of potential cannabinoid medications. Clarification of underlying factors responsible for failure of THC to maintain self-administration in cannabinoid-trained rats is needed. PMID:24412835

  1. Sexual abuse and associations with psychosocial aspects of health. A population-based study with Swedish adolescents

    OpenAIRE

    Priebe, Gisela; Hansson, Kjell; Göran Svedin, Carl

    2010-01-01

    Background: Few population-based Nordic studies with adolescents investigate the associations between sexual abuse (SA) and psychosocial health. Aim: Associations between adolescents self-reported experiences of SA different severity and aspects of psychosocial health such as emotional and behavioral problems, sense of coherence and self-esteem were investigated. Methods: A school-based study with 1107 Swedish high school seniors was conducted. The students completed the Strengths and Difficu...

  2. Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study

    OpenAIRE

    Yu, Yu; Hu, Mi; Liu, Zi-wei; Liu, Hui-ming; Yang, Joyce P; Liang ZHOU; Xiao, Shui-yuan

    2016-01-01

    Background Under-utilization of mental health services is a global health issue. Recognition of mental disorders, as the first step to seeking help from professional sources, has been well studied in developed countries, yet little is known about the situation in rural areas of developing countries like China. The purpose of the study is to understand the recognition of depression, anxiety, and alcohol abuse and its predictive factors in a Chinese rural sample Methods Face-to-face interviews ...

  3. External barriers to help-seeking encountered by Canadian gay and lesbian victims of intimate partner abuse: an application of the barriers model.

    Science.gov (United States)

    St Pierre, Melissa; Senn, Charlene Y

    2010-01-01

    While understanding of intimate partner abuse (IPA) in gay and lesbian relationships has increased within the past decade, there remain several gaps in the help-seeking research. In particular, research examining the external barriers to help-seeking encountered by gay and lesbian victims of IPA has been largely atheoretical. To address this gap, an application of The Barriers Model was undertaken. This mixed-methods study surveyed 280 gay, lesbian, and/or queer participants living in Canada. Findings revealed that victims encountered external barriers in the environment (i.e., Layer 1 of the model), such as lack of availability of gay and lesbian specific services. Results also suggested that barriers due to family/socialization/role expectations (i.e., Layer 2 of the model), such as concealment of sexual orientation, had an impact on help-seeking.

  4. Everyone's business: developing an integrated model of care to respond to child abuse in a pediatric hospital setting.

    Science.gov (United States)

    Connolly, Sarah

    2012-01-01

    In pediatric hospitals, social work plays a central role in the prevention, identification, and management of child abuse. Children who are suspected of having been abused or neglected require an evaluation of their psychosocial situation. As an integral member of the health care team, the social worker is well placed to undertake comprehensive psychosocial assessments including information on the child's development, parental capacity, family, and community supports. Current practice approaches have seen a shift away from a narrow, "expert" approach to child protection. This article describes the development of an integrated model of social work service delivery to better respond to vulnerable and at-risk children in a pediatric hospital setting. Developing a new model of service required strategic planning, consultation, and endorsement from senior hospital management. The new model aimed to ensure a high quality, responsive social work service to children at risk of physical abuse, neglect, or cumulative harm. The change necessitated understanding of current research evidence, development of best practice guidelines, and effective communication with staff and external stakeholders. Policy development, implementation of practice guidelines, staff training, data collection, and service evaluation are described. The role of social work management and leadership were central in creating change. Visionary leadership is widely regarded as key to successful organizational change. The management approach included consultation with staff, building commitment to the need for change, addressing staff concerns, and providing a vision of enhanced client outcomes as a result of the change process. This article provides a candid overview of challenges and barriers to change. Change strategies described are easily transferable to other social work settings. PMID:22251389

  5. Everyone's business: developing an integrated model of care to respond to child abuse in a pediatric hospital setting.

    Science.gov (United States)

    Connolly, Sarah

    2012-01-01

    In pediatric hospitals, social work plays a central role in the prevention, identification, and management of child abuse. Children who are suspected of having been abused or neglected require an evaluation of their psychosocial situation. As an integral member of the health care team, the social worker is well placed to undertake comprehensive psychosocial assessments including information on the child's development, parental capacity, family, and community supports. Current practice approaches have seen a shift away from a narrow, "expert" approach to child protection. This article describes the development of an integrated model of social work service delivery to better respond to vulnerable and at-risk children in a pediatric hospital setting. Developing a new model of service required strategic planning, consultation, and endorsement from senior hospital management. The new model aimed to ensure a high quality, responsive social work service to children at risk of physical abuse, neglect, or cumulative harm. The change necessitated understanding of current research evidence, development of best practice guidelines, and effective communication with staff and external stakeholders. Policy development, implementation of practice guidelines, staff training, data collection, and service evaluation are described. The role of social work management and leadership were central in creating change. Visionary leadership is widely regarded as key to successful organizational change. The management approach included consultation with staff, building commitment to the need for change, addressing staff concerns, and providing a vision of enhanced client outcomes as a result of the change process. This article provides a candid overview of challenges and barriers to change. Change strategies described are easily transferable to other social work settings.

  6. Metabonomic Study of Biochemical Changes in Human Hair of Heroin Abusers by Liquid Chromatography Coupled with Ion Trap-Time of Flight Mass Spectrometry.

    Science.gov (United States)

    Xie, Pu; Wang, Tie-jie; Yin, Guo; Yan, Yan; Xiao, Li-he; Li, Qing; Bi, Kai-shun

    2016-01-01

    Hair analysis is with the advantage of non-invasive collection and long surveillance window. The present study employed a sensitive and reliable liquid chromatography coupled with ion trap-time of flight mass spectrometry method to study the metabonomic characters in the hair of 58 heroin abusers and 72 non-heroin abusers. Results indicated that certain endogenous metabolites, such as sorbitol and cortisol, were accelerated, and the level of arachidonic acid, glutathione, linoleic acid, and myristic acid was decreased in hair of heroin abusers. The metabonomic study is helpful for further understanding of heroin addiction and clinical diagnosis. PMID:26445826

  7. Metabonomic Study of Biochemical Changes in Human Hair of Heroin Abusers by Liquid Chromatography Coupled with Ion Trap-Time of Flight Mass Spectrometry.

    Science.gov (United States)

    Xie, Pu; Wang, Tie-jie; Yin, Guo; Yan, Yan; Xiao, Li-he; Li, Qing; Bi, Kai-shun

    2016-01-01

    Hair analysis is with the advantage of non-invasive collection and long surveillance window. The present study employed a sensitive and reliable liquid chromatography coupled with ion trap-time of flight mass spectrometry method to study the metabonomic characters in the hair of 58 heroin abusers and 72 non-heroin abusers. Results indicated that certain endogenous metabolites, such as sorbitol and cortisol, were accelerated, and the level of arachidonic acid, glutathione, linoleic acid, and myristic acid was decreased in hair of heroin abusers. The metabonomic study is helpful for further understanding of heroin addiction and clinical diagnosis.

  8. The Role of Domestic Abuse in Labor and Marriage Markets: Observing the Unobservables

    OpenAIRE

    Bowlus, Audra J.; Shannon N. Seitz

    1998-01-01

    In this paper we study the effects of abusive behavior on the labor force and marital status decisions of women. Using a unique Canadian data set on domestic violence, we estimate the effects of abuse on the marital history as well as current employment using a sequential, multi-state model. In our model, spousal abuse affects labor supply through decreases in utility from leisure as well as through reductions in productivity at work and hence the market wage. In addition, abuse is treated as...

  9. Child abuse and neglect as seen in General Hospital, Kuala Lumpur--a two year study.

    Science.gov (United States)

    Kassim, M S; George, R; Kassim, K; Begum, M; Cherian, M P; Tajudin, A K; Chandran, V; Anan, A; Reddy, R; Singh, J

    1989-06-01

    Eighty-six children diagnosed as child abuse and/or neglect were admitted to the Paediatric wards of the General Hospital, Kuala Lumpur during 1985 and 1986. Of these cases, 62 were of physical abuse, six of sexual abuse, one case of both physical and sexual abuse and 17 of neglect. There were 25 boys and 61 girls. Thirty-four of these children were Malays, 16 Chinese, 26 Indians, three mixed and seven illegal immigrants. Twenty-one were below the age of one year, 24 from one to four years, 25 from five to nine years and 16 were ten years and above. The abusers were mainly close members of the family. Of these children, 24 were sent back to their parents and 11 to their relatives home. Twenty-seven were taken into care by the Ministry of Social Welfare and the remaining seven children who were illegal immigrants, were deported with their parents. Only one child was successfully fostered. Eleven children were taken away from the hospital by their parents or guardians without the knowledge of the health staff. There were five deaths in the series. PMID:2626119

  10. Child abuse and neglect as seen in General Hospital, Kuala Lumpur--a two year study.

    Science.gov (United States)

    Kassim, M S; George, R; Kassim, K; Begum, M; Cherian, M P; Tajudin, A K; Chandran, V; Anan, A; Reddy, R; Singh, J

    1989-06-01

    Eighty-six children diagnosed as child abuse and/or neglect were admitted to the Paediatric wards of the General Hospital, Kuala Lumpur during 1985 and 1986. Of these cases, 62 were of physical abuse, six of sexual abuse, one case of both physical and sexual abuse and 17 of neglect. There were 25 boys and 61 girls. Thirty-four of these children were Malays, 16 Chinese, 26 Indians, three mixed and seven illegal immigrants. Twenty-one were below the age of one year, 24 from one to four years, 25 from five to nine years and 16 were ten years and above. The abusers were mainly close members of the family. Of these children, 24 were sent back to their parents and 11 to their relatives home. Twenty-seven were taken into care by the Ministry of Social Welfare and the remaining seven children who were illegal immigrants, were deported with their parents. Only one child was successfully fostered. Eleven children were taken away from the hospital by their parents or guardians without the knowledge of the health staff. There were five deaths in the series.

  11. Outcome of systemic and analytic group psychotherapy for adult women with history of intrafamilial childhood sexual abuse: a randomized controlled study

    DEFF Research Database (Denmark)

    Lau, M; Kristensen, Ellids

    2007-01-01

    Research suggests that group psychotherapy for adults with a history of child sexual abuse (CSA) is generally beneficial. Only few studies have included random assignment. This study compared the effects of analytic (A) and systemic group psychotherapy (S) on CSA.......Research suggests that group psychotherapy for adults with a history of child sexual abuse (CSA) is generally beneficial. Only few studies have included random assignment. This study compared the effects of analytic (A) and systemic group psychotherapy (S) on CSA....

  12. Preventing Child Abuse and Neglect

    Science.gov (United States)

    ... Abuse & Neglect Fatalities Preventing Child Abuse & Neglect National Child Abuse Prevention Month Overview Promoting Child & Family Well-Being Public ... Abuse & Neglect Preventing Child Abuse & Neglect Resources on child abuse prevention, protecting children from risk of abuse, and strengthening ...

  13. Association of physical job demands, smoking and alcohol abuse with subsequent premature mortality: a 9-year follow-up population-based study.

    Science.gov (United States)

    Bourgkard, Eve; Wild, Pascal; Massin, Nicole; Meyer, Jean-Pierre; Otero Sierra, Carmen; Fontana, Jean-Marc; Benamghar, Lahoucine; Mur, Jean-Marie; Ravaud, Jean-François; Guillemin, Francis; Chau, Nearkasen

    2008-01-01

    This study assessed the relationships of physical job demands (PJD), smoking, and alcohol abuse, with premature mortality before age 70 (PM-70) among the working or inactive population. The sample included 4,268 subjects aged 15 or more randomly selected in north-eastern France. They completed a mailed questionnaire (birth date, sex, weight, height, job, PJD, smoking habit, alcohol abuse (Deta questionnaire)) in 1996 and were followed for mortality until 2004 (9 yr). PJD score was defined by the cumulative number of the following high job demands at work: hammer, vibrating platform, pneumatic tools, other vibrating hand tools, screwdriver, handling objects, awkward posture, tasks at heights, machine tools, pace, working on a production line, standing about and walking. The data were analyzed using the Poisson regression model. Those with PM-70 were 126 (3.81 per 1,000 person-years). The leading causes of death were cancers (46.4% in men, 57.1% in women), cardiovascular diseases (20.2% and 11.9%), suicide (9.5% and 7.1%), respiratory diseases (6.0% and 4.8%), and digestive diseases (2.4% and 4.8%). PJD3, smoker, and alcohol abuse had adjusted risk ratios of 1.71 (95% CI 1.02-2.88), 1.76 (1.08-2.88), and 2.07 (1.31-3.26) respectively for all-cause mortality. Manual workers had a risk ratio of 1.84 (1.00-3.37) compared to the higher socio-economic classes. The men had a two-fold higher mortality rate than the women; this difference became non-significant when controlling for job, PJD, smoker and alcohol abuse. For cancer mortality the factors PJD3, smoker, and alcohol abuse had adjusted risk ratios of 2.00 (1.00-3.99), 2.34 (1.19-4.63), and 2.22 (1.17-4.20), respectively. Health promotion efforts should be directed at structural measures of task redesign and they should also concern lifestyle. PMID:18285642

  14. Alcohol Abuse and Suicide Attempt in Iran: A Case-Crossover Study

    Science.gov (United States)

    Ghanbari, Behrooz; Malakouti, Seyed Kazem; Nojomi, Marzieh; Leo, Diego De; Saeed, Khalid

    2016-01-01

    Alcohol use and its disorders are associated with increased risk of suicidal behaviors Research has shown that 6-8% of those who use alcohol have a history of suicide attempt. Given the prohibition of alcohol use legally, the increased alcohol consumption, and the lack of strong evidence in favor of its use associated with suicide in Iran, this study was conducted to determine the link between suicide attempt and alcohol abuse. The case-crossover method was used in this research. Out of 305 referrals to the emergency room due to a suicide attempt, 100 reported drinking alcohol up to six hours before their attempt. Paired Matching and Usual Frequency were employed to analyze the data with STATA 12.0. The probability of attempting suicide up to six hours after drinking alcohol appeared increased by 27 times (95% CI: 8.1-60.4). Separate analysis for each of these hours from the first to the sixth hour after alcohol use was also performed. Fifty percent of attempted suicides happened one hour after alcohol use. Relative risk for the first and second hour was 10% and 5% respectively. Alcohol use is a strong proximal risk factor for attempted suicide among Iranian subjects. Prevention of alcohol use should be considered in setting up of the national Suicide attempt prevention program. PMID:26925903

  15. [Association between risky drinking behaviors and risk groups of substance abuse: a study in Japanese college freshmen].

    Science.gov (United States)

    Shimane, Takuya; Wada, Kiyoshi; Mishima, Kenichi; Fujiwara, Michihiro

    2009-12-01

    This study examines the prevalence of risky drinking and the association between risky drinking behaviors and risk groups of substance abuse among college freshmen. A total of 376 college freshmen (126 boys and 248 girls) in a Japanese university participated in the study. The subjects were asked to complete self-administered, anonymous questionnaires during their class. The number of participants who had used drugs was small. The following 2 items for substance abuse were included in the questionnaires: (1) those who had drug using peers who used drugs and (2) those who had been persuaded to use drugs by their peers. On the basis of the responses, the participants were classified into 3 groups: (1) high-risk group (HRG), which accounted for 1.4% of the subjects and comprised those who answered "yes" to both the above-mentioned two items; (2) risk group (RG), which accounted for 7.4% and comprised participants who answered "yes" to one of the two items; and (3) control group (CG), which accounted for 91.2% and comprised those who did not answer "yes" to either of the two items. Bivariate analyses were performed to evaluate the association between risky drinking behaviors and risk groups of substance abuse. The results of our study indicated that 87.0% of the participants reported lifetime alcohol use, and 69.4% reported the consumption of alcohol during the past 30 days. Of the former group, 21.4% had engaged in binge drinking, 8.6% had experienced alcohol-related harassment, 9.5% had experienced alcohol-induced blackouts, and 82.0% had experienced drinking alcohol with peers without adults. There were significant associations between risk groups of substance abuse and risky drinking such as binge drinking (p = 0.001), alcohol-induced blackouts (p = 0.020), alcohol-related harassment (p = 0.012), alcohol consumption during the past 30 days (p = 0.047). However, lifetime alcohol use (p = 0.264) and experience of drinking alcohol with peers without adults (p = 0

  16. Establishing "abuse-deterrence equivalence" for generic abuse-deterrent opioid formulations: A proposed development framework.

    Science.gov (United States)

    Setnik, Beatrice; Cone, Edward J

    2016-01-01

    Abuse-deterrent formulations are one strategy for mitigating the epidemic of prescription opioid abuse. Regulatory guidance documents describe the requirements for developing abuse-deterrent formulations of novel drugs and formulations; however, they do not address "abuse-deterrence equivalence" for generic formulations. As generics may be produced with different excipients and formulations compared to reference drugs, differences in their properties may impact their abuse-deterrent features. Currently, it is unclear what specific studies are needed to support generic abuse-deterrence claims. This commentary outlines several recommendations on the in vitro and in vivo testing required, including the conditions for conducting a human abuse potential study.

  17. Types of abuse and risk factors associated with elder abuse

    OpenAIRE

    Lacher, Simone; Wettstein, Albert; Senn, Oliver; Rosemann, Thomas; Hasler, Susann

    2016-01-01

    PRINCIPLES Detecting elder abuse is challenging because it is a taboo, and many cases remain unreported. This study aimed to identify types of elder abuse and to investigate its associated risk factors. METHODS Retrospective analyses of 903 dossiers created at an Independent Complaints Authority for Old Age in the Canton of Zurich, Switzerland, from January 1, 2008 to October 31, 2012. Characteristics of victims and perpetrators, types of abuse, and associated risk factors related to...

  18. Association between Physical Abuse, Physical Neglect and Health Risk Behaviours among Young Adolescents: Results from the National Study

    OpenAIRE

    Dimitrinka Jordanova Peshevska; Marija Raleva; Izabela Filov; Dinesh Sethi; Tamara Jordanova; Kadri HazdiHamza; Fimka Tozija; Vesna Damchevska Ilievska

    2014-01-01

    OBJECTIVES: One of the main objectives of this paper is to analyze the associations between physical abuse and neglect and health risk behaviours among young adolescents in the country. METHOD: A representative sample consisted of total 1277 students (58.6% female and 41.6%), aged 18 and above. About 664 of them are in last (fourth) year of secondary school and 613 respondents are first- and second-year university students. The data were obtained using Adverse Childhood Experiences Study ...

  19. Male-initiated partner abuse during marital separation prior to divorce.

    Science.gov (United States)

    Toews, Michelle L; McKenry, Patrick C; Catlett, Beth S

    2003-08-01

    The purpose of this study was to assess predictors of male-initiated psychological and physical partner abuse during the separation process prior to divorce among a sample of 80 divorced fathers who reported no physical violence during their marriages. The predictor variables examined were male gender-role identity, female-initiated divorces, dependence on one's former wife, depression, anxiety, and coparental conflict. Through ordinary least square (OLS) regression techniques, it was found that male gender-role identity was positively related to male-initiated psychological abuse during separation. Logistic regression analyses revealed that male-initiated psychological abuse, anxiety level, coparental conflict, and dependence on one's former spouse increased the odds of a man engaging in physical abuse. However, depression decreased the odds of separation physical abuse. The models predicting both male-initiated psychological abuse (F = 2.20, p separation process were significant (Model chi2 = 35.00, df= 7, p < .001).

  20. Child Sexual Abuse in the Eastern Caribbean: The report of a study carried out across the Eastern Caribbean during the period October 2008 to June 2009

    OpenAIRE

    Jones, Adele; Trotman Jemmott, Ena

    2009-01-01

    This report from the Centre for Applied Childhood Studies at the University of Huddersfield in the United Kingdom (UK) and the UK-based Action for Children describes an action research project study that investigated child sexual abuse across several Caribbean countries. The study, "Perceptions of, Attitudes to, and Opinions on Child Sexual Abuse in the Eastern Caribbean", was carried out across 6 countries - Anguilla, Barbados, Dominica, Grenada, Montserrat, and St. Kitts and Nevis - in an e...

  1. Reports of Child Abuse in India from Scientific Journals and Newspapers - An Exploratory Study

    OpenAIRE

    Nalini PR; Thirunavukarasu; Dongre AR

    2014-01-01

    Background: Child abuse is a state of emotional, physical, economic and sexual maltreatment meted out to a person below the age of eighteen and is a globally prevalent phenomenon. A total of 33,098 cases of crimes against children were reported in India during 2011 as compared to 26,694 cases during 2010, suggesting a recent increase of 24 percent. Objectives: To explore the contents of the published articles/reports on child abuse in India from scientific journals and newspapers identifying ...

  2. Forensic aspect of elder abuse: risk factors and characteristics

    OpenAIRE

    Arash Ghodousi; Safa Maghsoodloo; Seyed Mohsen Sadat Hoseini

    2011-01-01

    Background: This study aimed to determine the types of elder abuse, their risk factors and the characteristics of abusers among abused elderly people aged above 60 years in Isfahan. Methods: In a cross-sectional study, abused elderly individuals aged above 60 years that referred to the centers of competent jurisdiction with complaint against a person harassing them were studied during 2008-2009. The demographic profiles of the abused and abusers were collected by physicians who worked in f...

  3. Effects of Persisting Emotional Impact from Child Abuse and Norepinephrine Transporter Genetic Variation on Antidepressant Efficacy in Major Depression: A Pilot Study

    Science.gov (United States)

    Singh, Ajeet Bhagat; Bousman, Chad A.; Ng, Chee Hong; Byron, Keith; Berk, Michael

    2015-01-01

    Objective Previous studies suggest child abuse and serotonergic polymorphism influence depression susceptibility and anti-depressant efficacy. Polymorphisms of the norepinephrine transporter (NET) may also be involved. Research in the area is possibly clouded by under reporting of abuse in researcher trials. Methods Adults (n=51) with major depressive disorder has 8 weeks treatment with escitalopram or venlafaxine. Abuse history was obtained, the ongoing emotional impact of which was measured with the 15-item impact of event scale (IES-15). The 17-item Hamilton Depression Rating Scale (HDRS) was applied serially. Two NET polymorphisms (rs2242446 and rs5569) were assayed, blinded to HDRS ratings and abuse history. Results No subjects reporting abuse with high impact in adulthood (IES-15 ≥26, n=12) remitted; whereas 77% reporting low impact (IES-15 <26; n=26) remitted (p<0.001). Subjects reporting high impact abuse (n=12) had a 50-fold (95% confidence interval=4.85–514.6) greater odds of carrying rs2242446-TT genotype, but the small sample size leaves this finding vulnerable to type I error. Conclusion The level of persisting impact of child abuse appears relevant to antidepressant efficacy, with susceptibility to such possibly being influence by NET rs2242446 polymorphism. Larger studies may be merited to expand on this pilot level finding given potential for biomarker utility. PMID:25912538

  4. Child Abuse and Mental Disorders in Iranian Adolescents

    Directory of Open Access Journals (Sweden)

    Azar Pirdehghan

    2016-01-01

    Full Text Available Background Child abuse is a serious social health problem all over the world with important adverse effects. Objectives The aim of this study was to extend our understanding of the relation between mental disorders and child abuse. Materials and Methods The study was designed as a cross-sectional survey on 700 students in secondary schools using multiple cluster sampling in Yazd, Iran in 2013. We applied 2 self reported questionnaires: DASS (depression anxiety stress scales-42 for assessing mental disorders (anxiety, stress and depression and a standard self-reported valid and reliable questionnaire for recording child abuse information in neglect, psychological, physical and sexual domains. The collected data was analyzed using SPSS software. P-values < 0.05 were considered as significant. Results There was a statically significant correlation between mental disorder and child abuse score (Spearman rho: 0.2; P-value < 0.001. The highest correlations between mental disorders and child abuse were found in psychological domain, Spearman’s rho coefficients were 0.46, 0.41 and 0.36 for depression, anxiety and stress respectively (P-value < 0.001. Based on the results of logistic regression for mental disorder, females, last born adolescents and subjects with drug or alcohol abuser parents had mental disorder odds of 3, 0.4 and 1.9 times compared to others; and severe psychological abuse, being severely neglected and having sexual abuse had odds 90, 1.6 and 1.5 respectively in another model. Conclusions Programming for mandatory reporting of child abuse by physicians and all health care givers e.g. those attending schools or health centers, in order to prevent or reduce its detrimental effects is useful and success in preventing child abuse could lead to reductions in the prevalence of mental disorders.

  5. Topical corticosteroid abuse on the face: A prospective, multicenter study of dermatology outpatients

    Directory of Open Access Journals (Sweden)

    Abir Saraswat

    2011-01-01

    Full Text Available Background: Abuse of topical corticosteroids (TC, especially over the face, is prevalent worldwide, including in India. Data about the magnitude of this problem in our country is lacking. Aims: The aims of this study were to ascertain the demographics, magnitude and clinical features of TC misuse on the face in the dermatology outpatient department (OPD attendees in order to raise awareness about this problem and to analyze its causes. Methods: This was a prospective multicenter questionnaire-based clinical study conducted at 12 dermatology centers nationwide. Patients with relevant facial dermatoses reporting to the investigator were asked about their current use of over-the-counter topical formulations and a structured questionnaire applied in case the same was confirmed to be TC. Results: A total of 2926 patients with facial dermatoses were screened, of which 433 (14.8% were using TC. TC was used as a fairness/general purpose cream or aftershave in 126 (29% and in 104 (24% for acne. Steroid combinations were used by 258 (59.6%. Potent and super-potent TC were significantly (P = 0.05 more frequently used by the rural/suburban population. The younger age groups used more potent formulations. A non-physician recommendation for TC use was obtainable in 257 (59.3% patients. Of these, 232 (90.3% were for potent/super-potent steroids. Among 176 physician prescriptions, 78 (44.3% were from non-dermatologists. All non-physician prescriptions and 146 (83% physician prescriptions for TC were inappropriately refilled. Adverse effects were seen in 392 (90.5% TC users. Acne/exacerbation of acne was the most common adverse effect. Conclusions: TC misuse in patients with facial dermatoses is quite common, and most of this use is unwarranted. Use as a fairness cream is the most common indication in this cohort. Limitations: This was an OPD-based study and, therefore, it may or may not accurately reflect the community data.

  6. Substance abuse in patients admitted voluntarily and involuntarily to acute psychiatric wards: a national cross-sectional study

    Directory of Open Access Journals (Sweden)

    Anne Opsal

    2011-12-01

    Full Text Available Background: Substance abuse and mental disorder comorbidity is high among patients admitted to acute psychiatric wards. The aim of the study was to identify this co-occurrence as a reason for involuntary admission and if specific substance use-related diagnoses were associated with such admissions.Methods: The study was a part of a multicentre, cross-sectional national study carried out during 2005-2006 within a research network of acute mental health services. Seventy-five percent of Norwegian hospitals providing acute in-patient treatment participated. Substance use was measured using the Clinician Rating Scale and the ICD-10 diagnoses F10-19. Diagnostic assessments were performed by the clinicians during hospital stay.Results: Overall, 33.2% (n=1,187 of the total patient population (3,506 were abusing alcohol or drugs prior to admission according to the Clinician Rating Scale. No difference in the overall prevalence of substance abuserelated diagnoses between the two groups was found. Overall, 310 (26% of the admissions, 216 voluntarily and 94 involuntarily admitted patients received a double diagnosis. Frequent comorbid combinations among voluntarily admitted patients were; a combination of alcohol and either mood disorder (40% or multiple mental disorders (29%. Among involuntarily admitted patients, a combination of poly drug use and schizophrenia was most frequent (47%. Substance abusing patients diagnosed with mental and behavioral disorders due to the use of psychoactive stimulant substances had a significantly higher risk of involuntary hospitalization (OR 2.3.Conclusion: Nearly one third of substance abusing patients are involuntarily admitted to mental hospitals, in particular stimulant drug use was associated with involuntarily admissions.

  7. Surviving an abusive supervisor: the joint roles of conscientiousness and coping strategies.

    Science.gov (United States)

    Nandkeolyar, Amit K; Shaffer, Jonathan A; Li, Andrew; Ekkirala, Srinivas; Bagger, Jessica

    2014-01-01

    The present study examines a mediated moderation model of the effects of conscientiousness and coping strategies on the relationship between abusive supervision and employees' job performance. Across 2 studies conducted in India, we found evidence that the relationship between abusive supervision and job performance was weaker when employees were high in conscientiousness. In addition, we found that the use of an avoidance coping strategy facilitated a negative relationship between abusive supervision and performance. Finally, we found that the moderating effects of conscientiousness were mediated by the use of avoidance coping strategies. Our findings contribute to theories of abusive supervision, personality, coping strategies, and job performance. PMID:23978107

  8. Child abuse in panic disorder

    OpenAIRE

    Bonevski Dimitar; Novotni Antoni

    2008-01-01

    Introduction Numerous authors associate child abuse with serious long-term consequences to the general and psychological well-being in particular. Clinical research to date reveals strong correlation between childhood abuse and neglect and anxiety disorders, especially panic disorder. Material and Methods This study was conducted in order to assess the level of emotional, physical and sexual childhood abuse as well as the physical and emotional childhood neglect in 40 adult patients suffering...

  9. The Neural Correlates of Mental Rotation Abilities in Cannabis-Abusing Patients with Schizophrenia: An fMRI Study

    Directory of Open Access Journals (Sweden)

    Stéphane Potvin

    2013-01-01

    Full Text Available Growing evidence suggests that cannabis abuse/dependence is paradoxically associated with better cognition in schizophrenia. Accordingly, we performed a functional magnetic resonance imaging (fMRI study of visuospatial abilities in 14 schizophrenia patients with cannabis abuse (DD, 14 nonabusing schizophrenia patients (SCZ, and 21 healthy controls (HCs. Participants performed a mental rotation task while being scanned. There were no significant differences in the number of mistakes between schizophrenia groups, and both made more mistakes on the mental rotation task than HC. Relative to HC, SCZ had increased activations in the left thalamus, while DD patients had increased activations in the right supramarginal gyrus. In both cases, hyper-activations are likely to reflect compensatory efforts. In addition, SCZ patients had decreased activations in the left superior parietal gyrus compared to both HC and DD patients. This latter result tentatively suggests that the neurophysiologic processes underlying visuospatial abilities are partially preserved in DD, relative to SCZ patients, consistently with the findings showing that cannabis abuse in schizophrenia is associated with better cognitive functioning. Further fMRI studies are required to examine the neural correlates of other cognitive dysfunctions in schizophrenia patients with and without comorbid cannabis use disorder.

  10. A prospective study of the potential moderating role of social support in preventing marginalization among individuals exposed to bullying and abuse in junior high school.

    Science.gov (United States)

    Strøm, Ida Frugård; Thoresen, Siri; Wentzel-Larsen, Tore; Sagatun, Åse; Dyb, Grete

    2014-10-01

    Negative physical and psychological long-term consequences of abuse and bullying are well documented. It is reasonable to assume that abuse and bullying early in life also may have an impact on the ability to work and stay economically independent later in life, but such prospective studies are lacking. This study investigates the consequences of exposure to abuse and bullying in junior high school, as measured by receiving long-term social welfare benefits in young adulthood. In addition, it explores the potential protective role of social support. Self-reported data from 13,633 (50.3% female) junior high school students were linked to registry data on their use of social welfare benefits from the age of 18 and for eight consecutive years. Cox regression analyses were applied to test the relationship between exposure to life adversities and the use of social welfare benefits, and the potential moderating role of social support. The analyses showed that individuals exposed to abuse and bullying had an increased likelihood of receiving social-welfare benefits compared with individuals not exposed to these types of abuse. Exposure to multiple types of abuse led to a higher likelihood of using social welfare benefits compared with single types of abuse and no abuse. The findings on the potential moderating role of social support were mixed, depending on the source of social support. Family support and classmate relationships were protective in reducing the likelihood of the use of social welfare benefits, whereas peer and teachers' support showed inconsistent patterns. These results are promising in terms of preventing the long-term negative consequences of abuse and bullying.

  11. A prospective study of the potential moderating role of social support in preventing marginalization among individuals exposed to bullying and abuse in junior high school.

    Science.gov (United States)

    Strøm, Ida Frugård; Thoresen, Siri; Wentzel-Larsen, Tore; Sagatun, Åse; Dyb, Grete

    2014-10-01

    Negative physical and psychological long-term consequences of abuse and bullying are well documented. It is reasonable to assume that abuse and bullying early in life also may have an impact on the ability to work and stay economically independent later in life, but such prospective studies are lacking. This study investigates the consequences of exposure to abuse and bullying in junior high school, as measured by receiving long-term social welfare benefits in young adulthood. In addition, it explores the potential protective role of social support. Self-reported data from 13,633 (50.3% female) junior high school students were linked to registry data on their use of social welfare benefits from the age of 18 and for eight consecutive years. Cox regression analyses were applied to test the relationship between exposure to life adversities and the use of social welfare benefits, and the potential moderating role of social support. The analyses showed that individuals exposed to abuse and bullying had an increased likelihood of receiving social-welfare benefits compared with individuals not exposed to these types of abuse. Exposure to multiple types of abuse led to a higher likelihood of using social welfare benefits compared with single types of abuse and no abuse. The findings on the potential moderating role of social support were mixed, depending on the source of social support. Family support and classmate relationships were protective in reducing the likelihood of the use of social welfare benefits, whereas peer and teachers' support showed inconsistent patterns. These results are promising in terms of preventing the long-term negative consequences of abuse and bullying. PMID:24985489

  12. Breaking the cycle of abuse.

    Science.gov (United States)

    Egeland, B; Jacobvitz, D; Sroufe, L A

    1988-08-01

    The aim of this study was to identify variables that distinguish mothers who broke the cycle of abuse from mothers who were abused as children and who also abused their own children. Based on maternal interviews and questionnaires completed over a 64-month period, measures of mothers' past and current relationship experiences, stressful life events, and personality characteristics were obtained. Abused mothers who were able to break the abusive cycle were significantly more likely to have received emotional support from a nonabusive adult during childhood, participated in therapy during any period of their lives, and to have had a nonabusive and more stable, emotionally supportive, and satisfying relationship with a mate. Abused mothers who reenacted their maltreatment with their own children experienced significantly more life stress and were more anxious, dependent, immature, and depressed. PMID:3168615

  13. The Substance Abuse Subtle Screening Inventory-3 and Stages of Change: A Screening Validity Study

    Science.gov (United States)

    Laux, John M.; Piazza, Nick J.; Salyers, Kathleen; Roseman, Christopher P.

    2012-01-01

    The sensitivity of the Substance Abuse Subtle Screening Inventory-3 (SASSI-3) was examined among substance-dependent adults enrolled in a family drug court. The SASSI-3 had a high sensitivity rate with this population, even across varying levels of motivation to change. (Contains 2 tables.)

  14. Encountering abuse in health care; lifetime experiences in postnatal women - a qualitative study

    DEFF Research Database (Denmark)

    Schroll, Anne-Mette; Kjærgaard, Hanne; Midtgaard, Julie

    2013-01-01

    Abuse in health care (AHC) has been associated with potential severe health consequences, and has further been related to maternal morbidity and mortality in childbirth. To improve our understanding of what qualifies as AHC and to support and optimise the health of women with these experiences...

  15. Rural Drug Users: Factors Associated with Substance Abuse Treatment Utilization

    Science.gov (United States)

    Oser, Carrie B.; Leukefeld, Carl G.; Tindall, Michele Staton; Garrity, Thomas F.; Carlson, Robert G.; Falck, Russel; Wang, Jichuan; Booth, Brenda M.

    2010-01-01

    The purpose of this study is to use a modified version of Andersen’s (1968, 1995) Behavioral Model of Health Services Use to identify the correlates of the number of substance abuse treatment episodes received by rural drug users. Data were collected from face-to-face interviews with 711 drug users in rural areas of Ohio, Arkansas, and Kentucky. Descriptive analyses examine rural drug users’ substance use histories and retrospective substance abuse treatment service utilization patterns. A negative binomial regression model indicated that selected predisposing, historical health, and enabling factors were significantly associated with the utilization of substance abuse treatment among rural drug users. Despite high levels of recent and lifetime self-reported substance use among these rural drug users, treatment services were underutilized. Future studies are needed to examine the impact of the health care system and characteristics of the external environment associated with rural substance abuse treatment in order to increase utilization among drug users. PMID:20463206

  16. A Structural Model of the Influence of Family Problems and Child Abuse Factors on Serious Delinquency among Youths Processed at a Juvenile Assessment Center.

    Science.gov (United States)

    Dembo, Richard; Wothke, Werner; Shemwell, Marina; Pacheco, Kimberly; Seeberger, William; Rollie, Matthew; Schmeidler, James; Livingston, Stephen

    2000-01-01

    Authors tested model of the influence of arrested youths' family problem factors, including sexual victimization, physical abuse experiences, drug use, frequency of involvement in index offences. Hypothesized model was supported by data overall for males; female data suggested they use alcohol and marijuana for different reasons. Findings…

  17. The Good Way Model: A Strengths-Based Approach for Working with Young People, Especially Those with Intellectual Difficulties, Who Have Sexually Abusive Behaviour

    Science.gov (United States)

    Ayland, Lesley; West, Bill

    2006-01-01

    The Good Way model was originally developed for working with youth with intellectual difficulties who have sexually abused and is also now being used with adults with intellectual disabilities and non-disabled adolescents. The model is practical and has been developed to address the need for a common, coherent narrative with which clients and…

  18. Sexual abuse of children in Leeds

    OpenAIRE

    Turvill, P

    1986-01-01

    Temporal trends in physical and sexual abuse of children within a geographically defined area were examined, and cases of suspected sexual abuse referred to paediatricians during 1984 were studied in detail. After remaining static for four years referrals due to all types of abuse trebled between 1979 and 1984, and referrals due to sexual abuse increased from none to 50 a year. In 1984, 50 children (39 girls) aged 1-16 were referred because of possible sexual abuse. Abuse was confirmed or con...

  19. Lifetime Physical and Sexual Abuse and Self-Harm in Women With Severe Mental Illness.

    Science.gov (United States)

    O'Hare, Thomas; Shen, Ce; Sherrer, Margaret V

    2016-09-01

    In a sample of 242 women in treatment for severe mental illness (SMI), we used regression analysis to test the hypothesis that lifetime physical and sexual abuse would correlate with self-harm behaviors (thoughts of self-harm and suicide, self-harming behaviors, and suicide attempts) when controlling for psychiatric symptoms, substance abuse, and negative appraisals of trauma. Lifetime physical abuse and alcohol use were the only significant factors in the model. Women with SMI should be screened regularly for physical abuse, alcohol use, as well as thoughts and behaviors related to self-harming behaviors. Limitations of the study include its cross-sectional design. PMID:26719079

  20. Intra-household evaluations of alcohol abuse in men with depression and suicide in women: A cross-sectional community-based study in Chennai, India.

    OpenAIRE

    Gupta, A.; Priya, B.; J. Williams; M. Sharma; R. Gupta; Jha, DK; Ebrahim, S.; Dhillon, PK

    2015-01-01

    Background Harmful effects of alcohol abuse are well documented for drinkers, and adverse effects are also reported for the physical and emotional well-being of family members, with evidence often originating from either drinkers or their families in clinic-based settings. This study evaluates intra-household associations between alcohol abuse in men, and depression and suicidal attempts in women, in community-based settings of Chennai, India. Methods This community-based cross-sectional stud...

  1. Relationship Between Abuse and Neglect in Childhood and Diabetes in Adulthood: Differential Effects By Sex, National Longitudinal Study of Adolescent Health

    OpenAIRE

    Duncan, Alexis E.; Auslander, Wendy F.; Bucholz, Kathleen K.; Hudson, Darrell L.; Stein, Richard I.; White, Neil H.

    2015-01-01

    Introduction Few studies have investigated links between child abuse and neglect and diabetes mellitus in nationally representative samples, and none have explored the role of obesity in the relationship. We sought to determine whether child abuse and neglect were associated with diabetes and if so, whether obesity mediated this relationship in a population-representative sample of young adults. Methods We used data from 14,493 participants aged 24 to 34 years from Wave IV of the National Lon...

  2. Financial burden of hospitalisation for child abuse in Hong Kong

    OpenAIRE

    Tsang, Man-Ching; 曾文正

    2013-01-01

    Child abuse is a well-known child care problem. Classically, there are four main types of abuse: physical, sexual and emotional abuse, and neglect. The incidence is often underestimated because a number of cases are not severe enough for caregivers to seek medical help. However, the more severe forms of child abuse can lead to significant morbidity and even mortality. Many studies have addressed the characteristics and outcomes of child abuse. However, the financial burden of child abuse that...

  3. Teachers' Reporting of Suspected Child Abuse and Neglect: Behaviour and Determinants

    Science.gov (United States)

    Goebbels, A. F. G.; Nicholson, J. M.; Walsh, K.; De Vries, H.

    2008-01-01

    By reporting suspected child abuse and neglect, teachers can make an important contribution to the early detection and prevention of abuse. However, teachers are sometimes reluctant to report their suspicions. This study investigated the determinants of teachers' reporting behaviour using concepts from the Integrated Change Model. Self-report data…

  4. Childhood Emotional Abuse and Disordered Eating among Undergraduate Females: Mediating Influence of Alexithymia and Distress

    Science.gov (United States)

    Hund, Anita R.; Espelage, Dorothy L.

    2006-01-01

    Objective: Drawing from stress-vulnerability and trauma theory (e.g., Rorty & Yager, 1996), this paper presents a model of associations among child emotional abuse (CEA), alexithymia, general distress (GD), and disordered eating (DE). This study extended previous research on psychological outcomes of child physical and sexual abuse to explore…

  5. Identifying Victims of Abuse Using the Personality Inventory for Children: I. Applications for Adolescent Runaways.

    Science.gov (United States)

    Rohr, Michael E.; And Others

    The physical and sexual abuse of children and adolescents has been gaining attention as a national problem of social and clinical significance. In this study a model was developed in order to identify abuse (victimization) in an adolescent population (n=52). Four scales (Adjustment, Delinquency, Family Relations, and Anxiety) of the Personality…

  6. Imaging of spinal injury in abusive head trauma: a retrospective study

    Energy Technology Data Exchange (ETDEWEB)

    Choudhary, Arabinda K. [Nemours A.I. DuPont Children Hospital, Department of Radiology, Wilmington, DE (United States); Ishak, Ramsay; Zacharia, Thomas T. [Hershey Medical Center, Department of Radiology, Hershey, PA (United States); Dias, Mark S. [Hershey Medical Center, Department of Neurosurgery, Hershey, PA (United States)

    2014-09-15

    Spinal imaging has been a neglected part of abusive head trauma (AHT) imaging. As most of the radiographs and CT spine are negative in AHT in infants, the cervical spine is assumed to be normal. There is increasing evidence in the role of injury to brainstem and cervical cord in the pathogenesis of AHT. In addition, in courts of law, there is fierce debate about AHT, its mimics and other disparate nontraumatic diagnoses explaining the neuroradiological and skeletal findings. However, this discussion ignores the evidence and significance of spinal injury. We sought to study the cervical spine in an AHT cohort to understand the true prevalence of spinal injuries in AHT and contrast it with cohorts of accidental and nontraumatic groups to give the clinicians a robust diagnostic tool in evaluating AHT. The purpose of this study is to compare the relative incidence of spinal ligamentous and soft-tissue abnormalities on spinal MRI among three groups of children ages < 48 months: (1) those with AHT, (2) those with accidental trauma, and (3) those with nontraumatic conditions. This comparative study included 183 children who underwent spine MRI: 67 with AHT, 46 with accidental trauma and a clinical suspicion of spinal injury, and 70 with nontraumatic conditions. Clinical and radiographic findings were collected in all cases and were analyzed retrospectively to identify MRI evidence of traumatic spinal injuries. The incidence of spinal injuries among the three groups was compared. The incidence of spinal ligamentous injuries was calculated for those with and without radiographic evidence of hypoxic-ischemic encephalopathy. All comparisons were performed using Fisher exact test with P < 0.05 considered statistically significant. Cervical spine ligamentous injuries (predominantly the nuchal, atlanto-occipital and atlanto-axial ligaments) were present in 78% of the AHT group, 46% of the accidental trauma group and 1% of the nontraumatic group; all of these differences were

  7. When the struggle against dejection becomes a part of everyday life: a qualitative study of coping strategies in older abused people

    Directory of Open Access Journals (Sweden)

    Sandmoe A

    2014-07-01

    Full Text Available Astrid Sandmoe, Solveig HaugeFaculty of Health and Social Studies, Telemark University College, Porsgrunn, NorwayBackground: Abuse of older people is a serious issue and is associated with an increased risk of morbidity and mortality, and professionals will encounter elderly victims of abuse in all areas of the health care system. An important health determinant is behavioral factors, including coping style, which will impact on how older people manage stress and maintain control in their lives, and thereby protect themselves from abuse. The aim of this study was to explore the coping strategies elderly people abused by their offspring used to manage everyday life.Methods: A qualitative approach was used and 14 elderly victims of abuse were interviewed. The interviews were recorded, transcribed, and subjected to qualitative content analysis.Results: Five main coping strategies were identified. The main strategy was linked to the role of parent. Another prominent strategy was attitude towards being victimized. Further strategies were associated with hope for a better relationship with offspring in the future, while others felt that they had done the best they could, or that their offspring were no longer their responsibility. The results are discussed in light of theoretical perspectives related to coping and resilience.Conclusion: Abuse of older people by their offspring imposes severe stress on victims and challenges the values and beliefs about the caring nature of families. The findings of this study indicate that victims of abuse use a wide range of coping techniques to manage everyday life, and that some strategies help them to maintain their self-respect in their role as parents and find some sort of resilience.Keywords: elder abuse, older parents, coping

  8. Association between Physical Abuse, Physical Neglect and Health Risk Behaviours among Young Adolescents: Results from the National Study

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    Dimitrinka Jordanova Peshevska

    2014-06-01

    CONCLUSION: The results demonstrated a relationship between physical abuse and later manifestation of health risk behaviours such as: smoking and early pregnancy. Physical neglect increased the chances for drug abuse, drink-driving, having early sex, having more sexual partners.

  9. EL MALTRATO INFANTIL EN LA PRÁCTICA DOCENTE: ESTUDIO DE UN CASO CHILD ABUSE IN THE TEACHING PRACTICE: CASE STUDY

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    JAVIER SUÁREZ GONZÁLEZ

    2009-06-01

    Full Text Available Child abuse is a topic of particular interest in the national and international context because the citizens of different countries know about the impact this phenomenon within the society and future generations and organizations like the ICBF (Instituto Colombiano de Bienestar Familiar, (in Colombia, UNESCO and the ONU (in around the world have drawn attention to the fact that institutions such as families and schools have become partners in practice of child abuse. This article presents the results about a research that focused on classroom practice and teacher to describe whether through speech, actions and interactions (teacherstudent had evidence of child abuse. This suggested a qualitative research, whose design was a single case study. The subject of study was a preschool teacher at a school of social stratum medium Burjassot town in the province of Valencia - Spain. Among the results of the study are the following: the discourse and interaction are within the categories of teaching practice show a particular degree of child abuse. Child abuse in the classroom is not a practice intended by the teacher, but rather factors such as number of students, teaching little accompaniment (class observation and the aid of a practitioner or consultant, among others, mean that child abuse may be evident in the teaching practice.

  10. Acculturation and associated effects on abused immigrant women's safety and mental functioning: results of entry data for a 7-year prospective study.

    Science.gov (United States)

    Nava, Angeles; McFarlane, Judith; Gilroy, Heidi; Maddoux, John

    2014-12-01

    Intimate partner violence has negative effects on women's safety and wellbeing. When immigrant women are victimized the danger and poor health may intensify. The purpose was to determine the impact of acculturation on severity of violence, danger for murder, mental health functioning, and safety behaviors of abused immigrant women. Entry data of a 7-year prospective study of 106 abused immigrant women who were first time users of safe shelter or justice services is presented. The interview included the Severity of Violence Against Women Scale, Danger Assessment, Brief Symptom Inventory (BSI), Safety Behavior Checklist, and Acculturation for Hispanics instruments. A significant (p acculturation and safety behaviors and BSI scores was established. Higher acculturation scores were associated with significantly more practiced safety behaviors and higher levels of depression. Understanding the specific needs of abuse immigrant women associated with acculturation is imperative to develop interventions to interrupt abuse and promote safety and mental well-being.

  11. 药物滥用者人格特质之研究%Study on personality traits of drug abusers

    Institute of Scientific and Technical Information of China (English)

    杨士隆; 曾淑萍; 李宗宪; 谭子文

    2014-01-01

    Objective:The study intended to clarify the personality traits of drug abusers. Methods:742 male drug offenders in Penghu Prison of Taiwan were surveyed. Results:Most drug abusers,with Type-B personality trait,are more likely to be extroverts, active,socially maladjusted,and have unstable emotion. Younger drug abusers are more likely to use central nervous system stimulants (eg. ,cocaine,amphetamine,ecstasy,and MDMA). Over sixty percent of surveyed objects are double or multiple drug abusers;mostly, heroin and amphetamine are mixed used. The multiple abusers always use heroin,amphetamine and cannabis mixingly. Conclusion:In general,most drug users have psychological characteristics of extraversion,emotional instability and mental unhealthiness.%目的:探讨药物滥用者之人格特质,以及何种人格特质者较易发生药物滥用之行为。方法:以2010年12月在台湾澎湖烟毒犯专业监狱的男性受刑人为抽样对象,采随机抽样方式合计发放800份问卷,回收742份有效问卷,其有效回收率为93.4%,抽样误差为1.17%。结果:药物滥用者以 B 型人格特质者占多数,具此人格特质者通常性格外向又好动、社会适应不良、情绪不稳定;年纪愈轻者有较高的中枢神经兴奋剂(古柯碱、安非他命、摇头丸、MDMA 类)使用现象;六成以上的受测者有双重或多重用药的情形,又以混合使用海洛因及安非他命此二种药物者为最多,在多重用药方面则是混合使用海洛因、安非他命及大麻。结论:整体而言,药物使用者大都具有外向性格、情绪不稳定及心理不健康等心理特质。

  12. Violence Against Women in Mexico: A Study of Abuse Before and During Pregnancy

    Science.gov (United States)

    Castro, Roberto; Peek-Asa, Corinne; Ruiz, Agustin

    2003-01-01

    Objective. We identified the prevalence and types of violence experienced by pregnant women, the ways victimization changed during pregnancy from the year prior to pregnancy, and factors associated with violence during pregnancy. Methods. We interviewed 914 pregnant women treated in health clinics in Mexico about violence during and prior to pregnancy, violence during childhood and against their own children, and other socioeconomic indicators. Results. Approximately one quarter of the women experienced violence during pregnancy. The severity of emotional violence increased during pregnancy, whereas physical and sexual violence decreased. The strongest predictors of abuse were violence prior to pregnancy, low socioeconomic status, parental violence witnessed by women in childhood, and violence in the abusive partner’s childhood. The probability of violence during pregnancy for women experiencing all of these factors was 61%. Conclusions. Violence is common among pregnant women, but pregnancy does not appear to be an initiating factor. Intergenerational violence is highly predictive of violence during pregnancy. PMID:12835194

  13. Dextromethorphan: a case study on addressing abuse of a safe and effective drug

    OpenAIRE

    Spangler, David C.; Loyd, Catherine M.; Skor, Emily E.

    2016-01-01

    Background Dextromethorphan is a safe, effective cough suppressant, available without a prescription in the United States since 1958. Due to a perceived prevalence of abuse of dextromethorphan by teens, in 2007 the Drug Enforcement Administration requested the Food and Drug Administration evaluate whether dextromethorphan should be recommended for scheduling under the Controlled Substances Act. The Food and Drug Administration held an Advisory Committee meeting in 2010 to provide a scientific...

  14. Neighborhood social capital and infant physical abuse: a population-based study in Japan

    OpenAIRE

    Fujiwara, Takeo; YAMAOKA, Yui; Kawachi, Ichiro

    2016-01-01

    Purpose We sought to investigate the relationship between neighborhood social capital and infant physical abuse using a population-based sample of women with 4-month-old infants in Japan. Methods: A questionnaire was administered to women who participated in a 4-month health checkup program (n = 1277; valid response rate, 80 %). We inquired about their perceptions of the level of trust in their neighborhood (an indicator of “social capital”) as well as the availability of support from their p...

  15. Child sexual abuse in southern Brazil and associated factors: a population-based study

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    Gigante Luciana P

    2009-05-01

    Full Text Available Abstract Background The prevalence of child sexual abuse (CSA in the population has been poorly described in developing countries. Population data on child sexual abuse in Brazil is very limited. This paper aims to estimate lifetime prevalence of child sexual abuse and associated factors in a representative sample of the population aged 14 and over in a city of southern Brazil. Methods A two-stage sampling strategy was used and individuals were invited to respond to a confidential questionnaire in their households. CSA was defined as non-consensual oral-genital, genital-genital, genital-rectal, hand-genital, hand-rectal, or hand-breast contact/intercourse between ages 0 and 18. Associations between socio-demographic variables and CSA, before and after age 12, were estimated through multinomial regression. Results Complete data were available for 1936 respondents from 1040 households. Prevalence of CSA among girls (5.6% 95%CI [4.8;7.5] was higher than among boys (1.6% 95%CI [0.9;2.6]. Boys experienced CSA at younger ages than girls and 60% of all reported CSA happened before age 12. Physical abuse was frequently associated with CSA at younger (OR 5.6 95%CI [2.5;12.3] and older (OR 9.4 95%CI [4.5;18.7] ages. CSA after age 12 was associated with an increased number of sexual partners in the last 2 months. Conclusion Results suggest that CSA takes place at young ages and is associated with physical violence, making it more likely to have serious health and developmental consequences. Except for gender, no other socio-demographic characteristic identified high-risk sub-populations.

  16. Abuse and Intellectual Disability: A Potential Link or an Inescapable Reality.

    Science.gov (United States)

    Conway, Robert N. F.

    1994-01-01

    This discussion of abuse of people with intellectual disabilities notes the varieties of abusive actions found, including sexual abuse; the possible incidence of such abuse; and reasons why this population is especially vulnerable to abuse. A current study to examine the incidence of abuse and reporting mechanisms is briefly described. (Author/DB)

  17. Elder abuse in the Netherlands

    NARCIS (Netherlands)

    Inger Plaisier; Mirjam de Klerk

    2015-01-01

    Original title: Ouderenmishandeling in Nederland It is twenty years since the last study was carried out on the number of older persons in the Netherlands who are deliberate or accidental victims of abuse in the form of verbal, physical or sexual violence, financial abuse and/or neglect by those o

  18. Personality Development Following Sexual Abuse.

    Science.gov (United States)

    Tong, Liz; And Others

    1987-01-01

    The follow-up study evaluated 37 girls and 12 boys (aged 5-19 years) who had been sexually abused an average of 2.6 years previously. Results found that, compared to control children, abused children had less confidence, fewer friends, more aggression, increased sexual awareness, and more behavior and academic problems. (Author/JDD)

  19. Single—photon emission computed tomography imaging studies of dopamine transkporter availability in heroin and 3,4—methylenedioxymethamphetamine abusers

    Institute of Scientific and Technical Information of China (English)

    ShiJ; JiaSW

    2002-01-01

    The present study observed the levels of dopamine transporter(DATA) in the brains of heroin and 3,4-methylenedioxymethamphetamine (MDMA) abusers with single-photon emission computed tomography(SPECT).99mTc-TRODAT-1 was used as a tracer to evaluate the DAT levels in 17 heroin abosers and 12 MDMA abusers and 8 normal subjects.Counts and pixels were obtained with framing ROI in the human brain,then the data of striatum/whole brain were measured.Results of DAT imaging studies in MDMA abusers and heroin abusers showed a significant reduction of DAT distribution.Both sides of striatum became smaller and morphologically abnormal in these groups.Counts and pixels of DAT in right(R),left(L) and sum of both striatum(R+L) decreased significantly in MDMA abusers and heroin abusers as compared with the normal subjects,while no difference between MDMA group and heroin group was observed.Comparing with the normal group,the count ratios of striatum and total brain were smaller.There might be a relationship between illicit drug-induced pathological damage of brain and functional changes of dopamine reuptake.

  20. Delay in disclosure of non-parental child sexual abuse in the context of emotional and physical maltreatment: A pilot study.

    Science.gov (United States)

    Tashjian, Sarah M; Goldfarb, Deborah; Goodman, Gail S; Quas, Jodi A; Edelstein, Robin

    2016-08-01

    The present pilot study sought to identify predictors of delays in child sexual abuse (CSA) disclosure, specifically whether emotional and physical abuse by a parental figure contributes to predicting delays over and above other important victim factors. Alleged CSA victims (N=79), whose parental figures were not the purported sexual abuse perpetrators, were interviewed and their case files reviewed, across two waves of a longitudinal study. Regression analyses indicated that experiencing both emotional and physical abuse by a parental figure was uniquely predictive of longer delays in disclosure of CSA perpetrated by someone other than a parental figure. Victim-CSA perpetrator relationship type and sexual abuse duration also significantly predicted CSA disclosure delay, whereas victim age at the time of the police report, victim gender, and victims' feelings of complicity were not significant unique predictors. Child abuse victims' expectations of lack of parental support may underlie these findings. Parent-child relationships are likely crucial to timely disclosure of CSA, even when a parent is not the CSA perpetrator. PMID:27380625

  1. Child abuser stereotypes: consensus among clinicians.

    Science.gov (United States)

    Krowchuk, H V

    1989-02-01

    This article reports the results of an investigation of nurses' stereotypes of child abusers. Ninety-four registered nurses completed a questionnaire that measured subjects' knowledge of child abuse; professional contact with perpetrators and victims of abuse; knowledge of the causes of child abuse; and child abuser stereotypes. Results reveal a consensus among the subjects as to the stereotypes associated with child abusers. This study supports the notion that nurses stereotype individuals on the basis of demographic characteristics. This study also raises questions regarding the bias that may result from the use of child abuser stereotypes. Clinical decision-making processes could become compromised if biased judgements are used in planning nursing care for clients diagnosed as child abusers. PMID:2930179

  2. Coupled mechanical-electrical-thermal modeling for short-circuit prediction in a lithium-ion cell under mechanical abuse

    Science.gov (United States)

    Zhang, Chao; Santhanagopalan, Shriram; Sprague, Michael A.; Pesaran, Ahmad A.

    2015-09-01

    In order to better understand the behavior of lithium-ion batteries under mechanical abuse, a coupled modeling methodology encompassing the mechanical, electrical and thermal response is presented for predicting short-circuit under external crush. The combined mechanical-electrical-thermal response is simulated in a commercial finite element software LS-DYNA® using a representative-sandwich finite-element model, where electrical-thermal modeling is conducted after an instantaneous mechanical crush. The model includes an explicit representation of each individual component such as the active material, current collector, separator, etc., and predicts their mechanical deformation under quasi-static indentation. Model predictions show good agreement with experiments: the fracture of the battery structure under an indentation test is accurately predicted. The electrical-thermal simulation predicts the current density and temperature distribution in a reasonable manner. Whereas previously reported models consider the mechanical response exclusively, we use the electrical contact between active materials following the failure of the separator as a criterion for short-circuit. These results are used to build a lumped representative sandwich model that is computationally efficient and captures behavior at the cell level without resolving the individual layers.

  3. Results of a sector-wide quality improvement initiative for substance-abuse care: an uncontrolled before-after study in Catalonia, Spain

    Directory of Open Access Journals (Sweden)

    Colom Joan

    2010-10-01

    Full Text Available Abstract Background The Health Department of the Regional Government of Catalonia, Spain, issued a quality plan for substance abuse centers. The objective of this paper is to evaluate the impact of a multidimensional quality improvement initiative in the field of substance abuse care and to discuss potentials and limitations for further quality improvement. Methods The study uses an uncontrolled, sector-wide pre-post design. All centers providing services for persons with substance abuse issues in the Autonomous Community of Catalonia participated in this assessment. Measures of compliance were developed based on indicators reported in the literature and by broad stakeholder involvement. We compared pre-post differences in dimension-specific and overall compliance-scores using one-way ANOVA for repeated measures and the Friedman statistic. We described the spread of the data using the inter-quartile range and the Fligner-Killen statistic. Finally, we adjusted compliance scores for location and size using linear and logistic regression models. Results We performed a baseline and follow up assessment in 22 centers for substance abuse care and observed substantial and statistically significant improvements for overall compliance (pre: 60.9%; post: 79.1% and for compliance in the dimensions 'care pathway' (pre: 66.5%; post: 83.5% and 'organization and management' (pre: 50.5%; post: 77.2%. We observed improvements in the dimension 'environment and infrastructure' (pre: 81.8%; post: 95.5% and in the dimension 'relations and user rights' (pre: 66.5%; post: 72.5%; however, these were not statistically significant. The regression analysis suggests that improvements in compliance are positively influenced by being located in the Barcelona region in case of the dimension 'relations and user rights'. Conclusion The positive results of this quality improvement initiative are possibly associated with the successful involvement of stakeholders, the consciously

  4. The Scope of Sexual, Physical, and Psychological Abuse in a Bedouin-Arab Community of Female Adolescents: The Interplay of Racism, Urbanization, Polygamy, Family Honor, and the Social Marginalization of Women

    Science.gov (United States)

    Elbedour, Salman; Abu-Bader, Soleman; Onwuegbuzie, Anthony J.; Abu-Rabia, Aref; El-Aassam, Salman

    2006-01-01

    Objectives: This is an exploratory study of the abuse--especially sexual--of female adolescents in a conservative and traditional Bedouin-Arab community in southern Israel. The objectives were (1) to examine the rate of sexual abuse, (2) to examine the rate of physical and psychological abuse, and (3) to develop regression models to predict these…

  5. A family-oriented treatment program for youths with ketamine abuse and their caregivers: a pilot study in Taiwan

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    Wang LJ

    2015-07-01

    Full Text Available Liang-Jen Wang,1 Shing-Fang Lu,1 Wen-Jiun Chou,1 Mian-Yoon Chong,2 Yao-Hsing Wang,1 Yu-Lian Hsieh,1 Yi-Hsuan Lee,1 Ching Chen2 1Department of Child and Adolescent Psychiatry, 2Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan Objective: The abuse of ketamine by youths has grown into a serious public health issue. However, a reliable and efficient treatment has still not been found for youths who abuse ketamine. This pilot study investigated the effects of a family-oriented treatment program for ketamine-using youths and their caregivers.Methods: To carry out this study, 42 youths with ketamine use (mean age 16.6±1.1 years who were referred to take part in a 10-week treatment program based on motivational enhancement principles were selected, as were their principal caregivers (mean age 46.4±7.1 years, who were similarly referred to take part in a 10-week training program for parenting skills. The study had the youths complete the Chinese Craving Beliefs Questionnaire, the Adolescents’ Behavior problem Scale, and the Family APGAR both immediately before and after the program. Likewise, the youths’ caregivers completed the Family APGAR, the 12-item version of the Chinese Health Questionnaire, and the Parenting Stress Index.Results: Of the 42 youth–caregiver pairs that took part in this study, 37 (88% completed the 10-week program and both sets of assessments. After the treatment, the participating youths’ substance cravings declined (t=3.88, P<0.001, while family function, as perceived by the participating caregivers, significantly increased (t=2.22, P=0.033. The improvement in caregivers’ perceptions of family function were positively related to the improvement of the caregivers’ health status (r=-0.36, P=0.022.Conclusion: According to its results, this pilot study submits that family-oriented treatment programs may be considered a potentially effective

  6. Validation of the Indicators of Abuse (IOA) Screen.

    Science.gov (United States)

    Reis, Myrna; Nahmiash, Daphne

    1998-01-01

    Reports on the validity of the Indicators of Abuse (IOA) Screen, used by social-services-agency practitioners as an abuse screening tool. An abuse-indicator model evolving from the IOA suggests three main types of abuse signals: caregivers' personal problems/issues, caregivers interpersonal problems, and care receivers' social-support shortages…

  7. COMPARING WOMEN IN SUBSTANCE ABUSE TREATMENT WHO REPORT SEXUAL AND/OR PHYSICAL ABUSE WITH WOMEN WHO DO NOT REPORT ABUSE HISTORY

    OpenAIRE

    Boots, Sabine

    2004-01-01

    This descriptive study explored whether women in substance abuse treatment who report a history of sexual and/or physical abuse have different drug use profiles than women who do not report such abuse. The data originated from a NIDA (National Institute on Drug Abuse) study designed to evaluate the effects of different treatment modalities in inpatient substance abuse treatment for women. The study compared the drug profiles of women in four areas: drug of choice, frequency of use, problem ...

  8. Sexual abuse evaluation in urological practice

    OpenAIRE

    Beck, Jacobus Johannes Hendrikus

    2013-01-01

    The primary aim of this study is to investigate the prevalence of sexual abuse in a urological outpatient clinic. Can differences been made in urological population, i.e. general urological clinic, a university urological clinic and a tertiary university pelvic floor clinic? Do urologists inquire about female sexual dysfunction and sexual abuse history? And if so, what percentage of the Dutch urologist does so? What do sexual abuse patients think about screening for sexual abuse history? Can ...

  9. Sexually transmitted organisms in sexually abused children

    OpenAIRE

    Robinson, A.; WATKEYS, J.; Ridgway, G

    1998-01-01

    OBJECTIVE—To establish the prevalence of sexually transmitted organisms and other genital organisms in potentially sexually abused children.
DESIGN—Prospective study of children attending an inner London department of community paediatrics for evaluation of possible sexual abuse.
SUBJECTS—Children under 16 referred for evaluation of possible sexual abuse.
OUTCOME MEASURES—Prevalence of sexually transmitted organisms in relation to age, symptoms, and type of abuse.
RESULTS—Sw...

  10. Elderly in America: a descriptive study of elder abuse examining National Incident-Based Reporting System (NIBRS) data, 2000-2005.

    Science.gov (United States)

    Krienert, Jessie L; Walsh, Jeffrey A; Turner, Moriah

    2009-10-01

    Elder abuse is the newest form of intrafamilial violence to garner the attention of the public, policy makers, health officials, researchers, and the criminal justice system. Despite evidence that elder abuse is a growing problem, there is little known about the phenomenon because of persistent limitations in the extant empirical work. The present study examined a large cross-national sample of reported incidents (n = 87,422) collected as part of the National Incident-Based Reporting System (NIBRS), 2000-2005. Addressing limitations in prior works, this research employed a criminal justice oriented definition of elder abuse examining victim, offender, and incident characteristics using chi-square tests and logistic regression to establish baseline findings from a more comprehensive sample of data than previously existed. Results render a baseline profile of victims and abusers and suggest that gender differences prevail throughout elder abuse. This work both corroborates and contrasts past findings of elder abuse research, providing new insights and much needed baseline data. PMID:20183138

  11. Attitudes of Jordanian Society toward Wife Abuse

    Science.gov (United States)

    Btoush, Rula; Haj-Yahia, Muhammad M.

    2008-01-01

    The authors conducted an exploratory study among a convenience sample of 260 Jordanian men and women, using self-administered open and closed questions to examine the participants' approach toward wife abuse. In general, there was high awareness of wife abuse and the different types of abuse (mainly physical and psychological), a general tendency…

  12. A multi-site, randomized study of strengths-based case management with substance-abusing parolees.

    Science.gov (United States)

    Prendergast, Michael; Frisman, Linda; Sacks, Joann Y; Staton-Tindall, Michele; Greenwell, Lisa; Lin, Hsiu-Ju; Cartier, Jerry

    2011-09-01

    OBJECTIVES: To test whether strengths-based case management provided during an inmate's transition from incarceration to the community increases participation in community substance abuse treatment, enhances access to needed social services, and improves drug use, crime, and HIV risk outcomes. METHODS: In a multi-site trial, inmates (men and women) in four states (n = 812) were randomly assigned (within site) to receive either Transitional Case Management (TCM group), based on strengths-based principles, or standard parole services (SR group). Data were collected at baseline and at 3 and 9 months following release from prison. Analyses compared the two groups with respect to services received and to drug use, crime, and HIV risk behavior outcomes. RESULTS: There were no significant differences between parolees in the TCM group and the SR group on outcomes related to participation in drug abuse treatment, receipt of social services, or drug use, crime, and HIV risk behaviors. For specific services (e.g., residential treatment, mental health), although significant differences were found for length of participation or for number of visits, the number of participants in these services was small and the direction of effect was not consistent. CONCLUSION: In contrast to positive findings in earlier studies of strengths-based case management with mental-health and drug-abuse clients, this study found that case management did not improve treatment participation or behavioral outcomes for parolees with drug problems. The discussion includes possible reasons for the findings and suggestions for modifications to the intervention that could be addressed in future research. PMID:21949490

  13. Assessment of Substances Abuse in Burn Patients by Using Drug Abuse Screening Test

    OpenAIRE

    Kobra Gaseminegad; Bita Kamranfar; Parviz Nemazi; Faride Ahrari; Jaber Musavi; Kamran As'adi; Seyed Hamid Salehi; Somaie Faramarzi; Saeed Shoar

    2012-01-01

    There has been an increase in the frequency of substance abuse among hospitalized burn injury patients. However, few studies have investigated substance abuse among burn patients. This study was aimed to identify the incidence of substance abuse in burn injury patients using the "Drug Abuse Screening Test" (DAST-20). We determined the validity of DAST-20 in spring 2010. Subsequently, this descriptive study was performed on 203 burn injury patients who fit the study's inclusion criteria. We ch...

  14. Abuse, support, and depression among homeless and runaway adolescents.

    Science.gov (United States)

    Bao, W N; Whitbeck, L B; Hoyt, D R

    2000-12-01

    This study examines the effectiveness of social support networks on psychological well-being among 602 homeless and runaway adolescents. The respondents were interviewed in shelters, drop-in centers, and on the streets in cities of four Midwestern states (Missouri, Iowa, Nebraska, and Kansas). The path model was used to test the direct effect of family abuse and precocious independence on adolescent depressive symptoms and indirect effects through social support networks. Results indicate that although abusive family origins contribute directly to depressive symptoms there are indirect effects of family abuse and early independence through social support networks. Family abuse and early independence drive homeless adolescents to rely on peers for social support. While support from friends on the street reduces depression, association with deviant peers increases depression.

  15. Substance abuse treatment initiation among older adults in the GET SMART program: effects of depression and cognitive status

    OpenAIRE

    Satre, Derek; Knight, Bob G.; Dickson-Fuhrmann, Elizabeth; Jarvik, Lissy F.

    2004-01-01

    This study examines how individual patient characteristics predict substance abuse treatment initiation among older adults, in an investigation based on the behavioral health service use model. Analyses tested the impact of demographic factors, substance abuse symptoms, depression and cognitive status on subsequent treatment initiation. The sample included 250 older male veterans screened for substance abuse problems during inpatient medical treatment, who also participated in a clinical eval...

  16. Childhood Physical Abuse Is Associated with Incident Metabolic Syndrome in Mid-Life Women

    Science.gov (United States)

    Midei, Aimee J.; Matthews, Karen A.; Chang, Yue-Fang; Bromberger, Joyce T.

    2013-01-01

    Objective Previous research has suggested that childhood emotional abuse, physical abuse, and sexual abuse are associated with an increased risk for ischemic heart disease. Our objective was to examine whether childhood abuse predicted incident metabolic syndrome, a precursor to heart disease, in mid-life women. Methods Participants were 342 (114 Black, 228 White) women from the Pittsburgh site of the Study of Women’s Health Across the Nation (SWAN). SWAN included a baseline assessment of premenopausal or early perimenopausal women in midlife (mean age = 45.7), and women were evaluated for presence of the metabolic syndrome over 7 annual follow-up visits. Women were classified as having metabolic syndrome if they met 3 of the following criteria: waist circumference > 88 cm, triglycerides ≥ 150 mg/dl, HDL < 50 mg/dl, SBP ≥ 130 or DBP ≥ 85 mmHg or on blood pressure medication, and fasting glucose ≥ 110 mg/dl or diabetic. The Childhood Trauma Questionnaire is a standardized measure that retrospectively assesses three domains of abuse in childhood and adolescence: emotional, physical, and sexual abuse. Results Approximately 34% of the participants reported a history of abuse. Cox model survival analysis showed that physical abuse was associated with incident metabolic syndrome over the course of seven years (HR = 2.12, p = .02), adjusted for ethnicity, age at baseline, and time-dependent menopausal status. Sexual abuse and emotional abuse were unrelated to the metabolic syndrome. Conclusion This is the first study to show that a history of childhood abuse, specifically physical abuse, is related to the development of metabolic syndrome in mid-life women. PMID:22775234

  17. Detecting Substance Abuse in the Emergency Department: A 10-Year Comparative Study

    OpenAIRE

    Espi Martinez, Fernando; Nieto Munuera, Joaquin; Noguera Velasco, Jose Antonio; Espi Forcen, Fernando

    2013-01-01

    Aims. We have retrospectively analyzed the variations in the clinical profile of patients with a positive consumption of alcohol and/or drugs of abuse that have been confirmed and treated in the Emergency Department of a Virgen de La Arrixaca University Hospital in Murcia (Spain) after a period of 10 years. Secondly, we have assessed if the use of urine toxicology screen tests had any influence on the improvement of the management and/or referral of these patients to specialized services from...

  18. Impairment and Abuse of Elderly by Staff in Long-Term Care in Michigan: Evidence from Structural Equation Modeling

    Science.gov (United States)

    Conner, Tom; Prokhorov, Artem; Page, Connie; Fang, Yu; Xiao, Yimin; Post, Lori A.

    2011-01-01

    Elder abuse in long-term care has become a very important public health concern. Recent estimates of elder abuse prevalence are in the range of 2% to 10% (Lachs & Pillemer, 2004), and current changes in population structure indicate a potential for an upward trend in prevalence (Malley-Morrison, Nolido, & Chawla, 2006; Post et al., 2006). More…

  19. Drug abuse among the students

    Directory of Open Access Journals (Sweden)

    Muhammad Zaman

    2015-01-01

    Full Text Available ABSTRACT:Drug abuse is the willful misuse of either licit or illicit drugs for the purpose of recreation, perceived necessity or convenience. Drug abuse is a more intense and often willful misuse of drugs often to the point of addiction. In the eastern world the incidence shows a decline or a static pattern but the number of drug addicts is still enormous.. The major drug of abuse are heroin and marijuana but designer drugs are shown to be on the increase. The aim of the study is to determine the ratio of the drug abuse in student. For this purpose we selected different institutions including “the university of Lahore”, “Forman Christian college”(private sector and Punjab university(Govt sector and conducted survey in 500 student. High proportion of students was found abusing drugs. From this study, we came across multiple factors which are the main cause of drug abuse in medical student including depression, anxiety, schizophrenia, as well as personality disorder like antisocial personality disorder. The most commonly abused drugs include stimulants, opioids, and benzodiazepines, antihistamines. Although survey have indicated high rate of illicit and prescription drugs misuse among college students, few have assessed the negative consequences, personel concerns, or interest in intervention for drugs use. Drug abuse although regarded as a personality disorder, may also be seen as worldwide epidemic with evolutionary genetic, physiology and environmental influences Controlling and affecting human behavior. Globally, the use has reached all time high. The study showed males are more drug abusers as compared to females. The drug abuse ratio in students of private sector is more as compared to Govt sector.

  20. The relationship between child abuse and handicapping conditions.

    Science.gov (United States)

    Mullins, J B

    1986-04-01

    This article discusses the relationship of child abuse, including neglect and sexual abuse, to the presence of handicapping conditions, both physical and psychological. Child abuse can cause physical and psychological disabilities in children who otherwise would have been normal. Studies show that children who are handicapped, or otherwise perceived as different by potentially abusive parents, are at high risk for abuse. Evidence also indicates that the handicaps of some children who were diagnosed originally as disabled are exacerbated by abuse. While cause and effect are not easily determined in specific cases, researchers agree that a pervasive relationship exists between handicapping conditions and abuse. Abused children are overrepresented in special education classes and handicapped children are overrepresented in the abused population. Many abused children become abusers as adults. Several suggestions concerning the problem are offered for school personnel. PMID:2937963

  1. Spiritual abuse: an additional dimension of abuse experienced by abused Haredi (ultraorthodox) Jewish wives.

    Science.gov (United States)

    Dehan, Nicole; Levi, Zipi

    2009-11-01

    This article aims to conceptualize spiritual abuse as an additional dimension to physical, psychological, sexual, and economic abuse. Growing out of an interpretivist participatory action research study in a therapeutic Haredi (Jewish ultraorthodox) group of eight abused women, spiritual abuse has been defined as any attempt to impair the woman's spiritual life, spiritual self, or spiritual well-being, with three levels of intensity: (a) belittling her spiritual worth, beliefs, or deeds; (b) preventing her from performing spiritual acts; and (c) causing her to transgress spiritual obligations or prohibitions. The concept and its typology are illustrated by means of examples from the women's abusive experiences and may be of theoretical and therapeutic worldwide relevance. PMID:19809096

  2. Child sexual abuse, links to later sexual exploitation/high-risk sexual behavior, and prevention/treatment programs.

    Science.gov (United States)

    Lalor, Kevin; McElvaney, Rosaleen

    2010-10-01

    This paper reviews the literature on the nature and incidence of child sexual abuse, explores the link between child sexual abuse and later sexual exploitation, and reviews the literature on prevention strategies and effective interventions in child sexual abuse services. Our understanding of the international epidemiology of child sexual abuse is considerably greater than it was just 10 years ago, and studies from around the world are examined. Childhood sexual abuse can involve a wide number of psychological sequelae, including low self-esteem, anxiety, and depression. Numerous studies have noted that child sexual abuse victims are vulnerable to later sexual revictimization, as well as the link between child sexual abuse and later engagement in high-risk sexual behaviour. Survivors of child sexual abuse are more likely to have multiple sex partners, become pregnant as teenagers, and experience sexual assault as adults. Various models which attempt to account for this inter-relationship are presented; most invoke mediating variables such as low self-esteem, drug/alcohol use, PTSD and distorted sexual development. Prevention strategies for child sexual abuse are examined including media campaigns, school-based prevention programmes, and therapy with abusers. The results of a number of meta-analyses are examined. However, researchers have identified significant methodological limitations in the extant research literature that impede the making of recommendations for implementing existing therapeutic programmes unreservedly. PMID:20679329

  3. Child abuse in panic disorder

    Directory of Open Access Journals (Sweden)

    Bonevski Dimitar

    2008-01-01

    Full Text Available Introduction Numerous authors associate child abuse with serious long-term consequences to the general and psychological well-being in particular. Clinical research to date reveals strong correlation between childhood abuse and neglect and anxiety disorders, especially panic disorder. Material and Methods This study was conducted in order to assess the level of emotional, physical and sexual childhood abuse as well as the physical and emotional childhood neglect in 40 adult patients suffering from panic disorder, diagnosed in accordance with the 10th International Classification of Disorders diagnostic criteria, compared with the control group of 40 healthy test subjects without a history of psychiatric disorders, using the Childhood Trauma Questionnaire. The severity of the clinical manifestation in patients with panic disorder was assessed using the Panic Disorder Severity Scale. Results and Discussion There were no significant differences between the groups as to the level of sexual abuse and physical neglect, whereas in the group of patients with panic disorder, the level of physical and emotional abuse was significantly higher, with emphasis on emotional neglect. With regards to the correlation between the severity of the clinical manifestation in patients with panic disorder and the severity of suffered abuse and neglect in childhood age, significant correlation was found in the physical and emotional abuse as well as emotional neglect. There was no significant correlation in the aspect of the physical neglect and sexual abuse. Conclusion Our research underlines the importance of childhood physical abuse, and especially emotional abuse and emotional neglect in the occurrence of panic disorder later in life.

  4. Domestic abuse against elder women and perceived barriers to help-seeking.

    Science.gov (United States)

    Newman, Frederick L; Seff, Laura R; Beaulaurier, Richard L; Palmer, Richard C

    2013-01-01

    The study's (n = 447) purposes were to (1) describe relationships of abuser behavior to elder women's perception of barriers to help-seeking; (2) compare fit of model to participants' levels of abuse, race-ethnicity, age, and gender and relationship of identified close other; and (3) determine extent to which the model differentiated relationship of abuser to participant and level of abuse. Analyses identified six factors contributing to the overall barrier score, accounting for 84% of total variance (χ2/df = 1.527, CFI = .989, RMSEA = .034), including three internal and two external factors and a single abuser behavior factor that were invariant across participant characteristic; however, covariances did differ. PMID:23627428

  5. What is Elder Abuse?

    Science.gov (United States)

    ... to another, but broadly defined, abuse may be: Physical Abuse —inflicting physical pain or injury on a senior, ... abrasions, and burns may be an indication of physical abuse, neglect, or mistreatment. Unexplained withdrawal from normal activities, ...

  6. Prevent Child Abuse America

    Science.gov (United States)

    ... call the police . Crisis and support contacts For Child Abuse Reporting Numbers in your State please visit: Child ... suspected child abuse and neglect. Parent Resources Prevent Child Abuse America (800) CHILDREN A resource for tips, referrals, ...

  7. Sexual Abuse in Cameroon: A Four-Year-Old Girl Victim of Rape in Buea Case Study.

    Science.gov (United States)

    Chishugi, John; Franke, Trixy

    2016-01-01

    A young girl was brought to the emergency unit after suffering sexual abuse by an older male. Additional abuses against women and girls include physical beating, forced marriage, female genital mutilation, breast ironing, widow's rites, psychological abuse, and discrimination in education, finance, employment, and legal access. Cameroon has adopted strategies aimed at eliminating violence against women, including ratification of international policies, penal codes, and support of local and international efforts that promote women; however, many of the laws remain in name only and are rarely enforced, given women's lack of financial access to quality lawyers and an unsympathetic male-dominated police force. Underreporting and culturally accepted abuses remain a challenge, too, as the country seeks to understand the extent of abuses and how to effectively fight against them. A complete paradigm shift in cultural attitude toward the female gender is required for abuses to cease. PMID:27561118

  8. Sexual Abuse in Cameroon: A Four-Year-Old Girl Victim of Rape in Buea Case Study.

    Science.gov (United States)

    Chishugi, John; Franke, Trixy

    2016-01-01

    A young girl was brought to the emergency unit after suffering sexual abuse by an older male. Additional abuses against women and girls include physical beating, forced marriage, female genital mutilation, breast ironing, widow's rites, psychological abuse, and discrimination in education, finance, employment, and legal access. Cameroon has adopted strategies aimed at eliminating violence against women, including ratification of international policies, penal codes, and support of local and international efforts that promote women; however, many of the laws remain in name only and are rarely enforced, given women's lack of financial access to quality lawyers and an unsympathetic male-dominated police force. Underreporting and culturally accepted abuses remain a challenge, too, as the country seeks to understand the extent of abuses and how to effectively fight against them. A complete paradigm shift in cultural attitude toward the female gender is required for abuses to cease.

  9. Psychological Symptoms in a Sample of Latino Abused Children.

    Science.gov (United States)

    Mennen, Ferol E.

    2000-01-01

    A study compared 31 abused and 21 non-abused Latino children on measures of depression, anxiety, behavior problems, and dissociation. Abused children had higher levels of symptoms on most measures. Scores of the abused children on self-report measures were not in the clinical range, but results of parent measures were in the clinical range.…

  10. Childhood Abuse, Body Image Disturbance, and Eating Disorders.

    Science.gov (United States)

    Schaaf, Kristin K.; McCanne, Thomas R.

    1994-01-01

    This study examined the relationships among childhood sexual and physical abuse, body image disturbance, and eating disorder symptomatology in college students, of whom 29 had been sexually abused, 32 physically abused, and 29 nonabused. There was no evidence that child sexual or physical abuse was associated with the development of body image…

  11. Examination of genetic variation in GABRA2 with conduct disorder and alcohol abuse and dependence in a longitudinal study

    Science.gov (United States)

    Melroy, Whitney E.; Stephens, Sarah H.; Sakai, Joseph T.; Kamens, Helen M.; McQueen, Matthew B.; Corley, Robin P.; Stallings, Michael C.; Hopfer, Christian J.; Krauter, Kenneth S.; Brown, Sandra A.; Hewitt, John K.; Ehringer, Marissa A.

    2014-01-01

    Previous studies have shown associations between SNPs in GABRA2 and adolescent conduct disorder (CD) and alcohol dependence in adulthood, but not adolescent alcohol dependence. The present study was intended as a replication and extension of this work, focusing on adolescent CD, adolescent alcohol abuse and dependence (AAD), and adult AAD. Family based association tests were run using Hispanics and non-Hispanic European American subjects from two independent longitudinal samples. Although the analysis provided nominal support for an association with rs9291283 and AAD in adulthood and CD in adolescence, the current study failed to replicate previous associations between two well replicated GABRA2 NPs and CD and alcohol dependence. Overall, these results emphasize the utility of including an independent replication sample in the study design, so that the results from an individual sample can be weighted in the context of its reproducibility. PMID:24687270

  12. Opium and Opioid Abuse in Orthopedic Inpatients: A Cross Sectional Study in Urmia University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Mir Mosa Aghdashi

    2012-01-01

    Full Text Available During a cross-sectional study, patients who were admitted to the orthopedic department of the Urmia University of Medical Sciences were asked about opium/opioid abuse. Demographic characteristics, the pattern of consumption, the substance, the duration of the use, the duration of hospital stay and the cause of their injuries were recorded. Among 2,867 patients, 74 (2.5% patients (71 men and 3 women with the mean age of 38 were opium/opioid users. Most of the patients used opium through inhalation. The mean duration of the substance use was 7.4 years. The mean duration of hospital stay between the regular orthopedic patients and the opium/opioid abuser orthopedic patients was statistically significant. (P=000. Among four Hepatitis C Virus (HCV infected patients, three subjects were injection users and Human Immunodeficiency Virus (HIV also infected two of them. Road traffic accidents (37.8%, and work related injuries (17.5% were the two most common reasons for the patient's injuries.

  13. The Co-Occurrence of Childhood Sexual Abuse, Adult Sexual Assault, Intimate Partner Violence, and Sexual Harassment: A Mediational Model of Posttraumatic Stress Disorder and Physical Health Outcomes

    Science.gov (United States)

    Campbell, Rebecca; Greeson, Megan R.; Bybee, Deborah; Raja, Sheela

    2008-01-01

    This study examined the co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment in a predominantly African American sample of 268 female veterans, randomly sampled from an urban Veterans Affairs hospital women's clinic. A combination of hierarchical and iterative cluster analysis was used to…

  14. Estimating the health care burden of prescription opioid abuse in five European countries

    Directory of Open Access Journals (Sweden)

    Shei A

    2015-09-01

    Full Text Available Amie Shei,1 Matthew Hirst,2 Noam Y Kirson,1 Caroline J Enloe,1 Howard G Birnbaum,1 William C N Dunlop21Analysis Group, Inc., Boston, MA, USA; 2Mundipharma International Limited, Cambridge, UK Background: Opioid abuse, including abuse of prescription opioids (“RxOs” and illicit substances like heroin, is a serious public health issue in Europe. Currently, there is limited data on the magnitude of RxO abuse in Europe, despite increasing public and scientific interest in the issue. The purpose of this study was to use the best-available data to derive comparable estimates of the health care burden of RxO abuse in France, Germany, Italy, Spain, and the United Kingdom (EU5. Methods: Published data on the prevalence of problem opioid use and the share of opioid abuse patients reporting misuse of non-heroin opioids were used to estimate the prevalence of RxO abuse in the EU5 countries. The costs of RxO abuse were calculated by applying published estimates of the incremental health care costs of opioid abuse to country-specific estimates of the costs of chronic pain conditions. These estimates were input into an economic model that quantified the health care burden of RxO abuse in each of the EU5 countries. Sensitivity analyses examined key assumptions. Results: Based on best-available current data, prevalence estimates of RxO abuse ranged from 0.7 to 13.7 per 10,000 individuals across the EU5 countries. Estimates of the incremental health care costs of RxO abuse ranged from €900 to €2,551 per patient per year. The annual health care cost burden of RxO abuse ranged from €6,264 to €279,927 per 100,000 individuals across the EU5 countries. Conclusion: This study suggests that RxO abuse imposes a cost burden on health systems in the five largest European countries. The extent of RxO abuse in Europe should be monitored given the potential for change over time. Continued efforts should be made to collect reliable data on the prevalence and costs

  15. Household illness, poverty and physical and emotional child abuse victimisation: findings from South Africa’s first prospective cohort study

    OpenAIRE

    Meinck, F.; Cluver, LD; Boyes, ME

    2015-01-01

    Background Physical and emotional abuse of children is a large scale problem in South Africa, with severe negative outcomes for survivors. Although chronic household illness has shown to be a predictor for physical and emotional abuse, no research has thus far investigated the different pathways from household chronic illness to child abuse victimisation in South Africa. Methods Confidential self-report questionnaires using internationally utilised measures were completed by children aged 10-...

  16. Social workers' knowledge base with regard to sexual abuse disclosures during the intake interview : a pilot study / Hester Susanna Boonzaaier

    OpenAIRE

    Boonzaaier, Hester Susanna

    2014-01-01

    Background: Child sexual abuse is a problem that manifests in all spheres of our society, a social problem that often crosses the desk of a social worker rendering services to children and families. The researcher can still remember how daunting her first experience was when she dealt with an allegation of child sexual abuse. Now, in hindsight she believes that if she had more in-depth knowledge when dealing with children who has been sexually abused and their disclosure thereof, it would ...

  17. [Child abuse in the family].

    Science.gov (United States)

    De Almeida, Helena Nunes; André, Isabel Margarida; De Almeida, Ana Nunes

    2002-01-01

    The objective of this study is to carry out a current survey of the situation of child abuse in the family. It is based on a national survey conducted in 1996, which was addressed to childcare professionals (in the areas of health, education and social services). This survey was based, on the one hand, on a wide-ranging definition of child abuse, including within it not just active forms of physical and psychic violence against the child, but also forms of (both material and affective) privation, omission or negligence which affect the child's growth and development. On the other hand, this study also favoured a contextual approach to child abuse. 1,126 institutions in Portugal were contacted and 755 valid survey responses were received. This report outlines some of the results obtained, namely by providing a description of the sample of the 755 child abuse victims, the respective social and family contexts to which they and the aggressors belong, as well as the types of abuse which have been committed against them; and a typology of forms of abuse and negligence, describing not just the internal aspects that make up child abuse directly, but also its relationship to the child's social and family contexts of belonging. The typology was derived from the statistical handling of the data gathered (factorial analysis of multiple matches, followed by a hierarchical analysis into clusters). A number of key concepts are summarised in the conclusion. Children of all age groups and of both sexes, and from all types of families and social backgrounds, regardless of their place in the phratry, are subject to abuse in Portugal. But different types of abuse and negligence are associated with the contexts to which the children and their families belong. Healthcare professionals are irreplaceable when it comes to detecting the wide variety of types of child abuse, and are an essential look-out post for two types of abuse which often slip through the net of other professionals

  18. [Child abuse in the family].

    Science.gov (United States)

    De Almeida, Helena Nunes; André, Isabel Margarida; De Almeida, Ana Nunes

    2002-01-01

    The objective of this study is to carry out a current survey of the situation of child abuse in the family. It is based on a national survey conducted in 1996, which was addressed to childcare professionals (in the areas of health, education and social services). This survey was based, on the one hand, on a wide-ranging definition of child abuse, including within it not just active forms of physical and psychic violence against the child, but also forms of (both material and affective) privation, omission or negligence which affect the child's growth and development. On the other hand, this study also favoured a contextual approach to child abuse. 1,126 institutions in Portugal were contacted and 755 valid survey responses were received. This report outlines some of the results obtained, namely by providing a description of the sample of the 755 child abuse victims, the respective social and family contexts to which they and the aggressors belong, as well as the types of abuse which have been committed against them; and a typology of forms of abuse and negligence, describing not just the internal aspects that make up child abuse directly, but also its relationship to the child's social and family contexts of belonging. The typology was derived from the statistical handling of the data gathered (factorial analysis of multiple matches, followed by a hierarchical analysis into clusters). A number of key concepts are summarised in the conclusion. Children of all age groups and of both sexes, and from all types of families and social backgrounds, regardless of their place in the phratry, are subject to abuse in Portugal. But different types of abuse and negligence are associated with the contexts to which the children and their families belong. Healthcare professionals are irreplaceable when it comes to detecting the wide variety of types of child abuse, and are an essential look-out post for two types of abuse which often slip through the net of other professionals

  19. A study of multiple behavioral addictions in a substance abuse sample.

    Science.gov (United States)

    Najavits, Lisa; Lung, John; Froias, Autumn; Paull, Nancy; Bailey, Genie

    2014-03-01

    Behavioral addictions (BAs) are underrecognized, even in addiction programs. We assessed BAs in a substance abuse sample (n = 51; data collection 2011-2012). A self-report Behavioral Addictions Screen, assessing eight BAs, was administered using an automated telephone system. Most endorsed at least one BA, with the most common shopping/spending; eating; work; computer/internet; and sex/pornography. Lowest were gambling, self-harm, and exercise. Some BAs were correlated with others. Gender, ethnicity, age, and positive depression and posttraumatic stress disorder screens were associated with specific BAs. Future research could address interpretation of "addiction," comparison to diagnostic interviews, relationship to substance use disorders, and larger samples. PMID:24304172

  20. Drug abuse in Asia.

    Science.gov (United States)

    Suwanwela, C; Poshyachinda, V

    1986-01-01

    The article focuses on countries and areas of South-East Asia, which are seriously affected by drug abuse and the problems associated with it. Opium has traditionally been used for treating illnesses and alleviating physical and mental stress, as well as for recreational and social purposes. The prohibition of the sale and use of opium in Burma, Hong Kong, Malaysia, Singapore and Thailand forced many habitual opium users to switch to heroin. Over the past two decades there has been an increasing trend towards drug use, often involving experimentation with more than one substance, among youth in and out of school. For example, a survey of students at teachers' colleges in northern Thailand showed that at some time in their lives 30-40 per cent of the male respondents and 3-6 per cent of the female respondents had used cannabis, and that 18-20 per cent of the males and 12-27 per cent of the females had sniffed volatile solvents. The same survey showed that 5-10 per cent of both the males and females had used stimulants and nearly 2 per cent had used heroin. During the 1970s the abuse of heroin and other opiates emerged as a serious problem of epidemic nature, predominantly affecting young people in many countries of South-East Asia. While opiates, including heroin, have been abused by inhaling and by smoking, there has recently been an increasing trend towards injecting heroin of high purity (80-90 per cent pure heroin). Heroin addiction spread first to the populations of capital cities and then to other cities and towns and even to the hill tribes, as studies in Thailand have revealed. Most recent studies have shown that heroin abuse has spread further in Asia, both socially and geographically, involving such countries as India and Sri Lanka, which had no previous experience with the problem. Studies have also shown that the abuse of manufactured psychotropic substances has been increasing and that heroin addicts resort to these substances when heroin is difficult

  1. Are Children More at Risk of Being Sexually Abused if Their Mothers Were Sexually Abused as Children?

    Science.gov (United States)

    Savich, Nancy L.

    Due to the increase in child sexual abuse allegations, it is essential to know possible predictors or risk factors to aid in prevention. This study examines the correlation between a mother who was sexually abused as a child and the increased risk of her children being sexually abused. The sample consisted of 60 child sexual abuse investigations…

  2. Insomnia, Nightmare Frequency, and Nightmare Distress in Victims of Sexual Abuse: The Role of Perceived Social Support and Abuse Characteristics

    Science.gov (United States)

    Steine, Iris M.; Krystal, John H.; Nordhus, Inger H.; Bjorvatn, Bjorn; Harvey, Allison G.; Eid, Jarle; Gronli, Janne; Milde, Anne M.; Pallesen, Stale

    2012-01-01

    In this study of victims of sexual abuse, the aim was to investigate the role of perceived social support and abuse characteristics in self-reported insomnia, nightmare frequency, and nightmare distress. Four hundred sixty Norwegian victims of sexual abuse completed a questionnaire assessing perceived social support, abuse characteristics,…

  3. A Dynamical Systems Analysis of Adolescent Substance Abuse.

    Science.gov (United States)

    Boker, Steven M.; Graham, John

    1998-01-01

    Several competing dynamic models were applied to adolescent substance abuse using a cohort of 3,580 participants in a longitudinal study beginning in grade five. Evidence was found for an intrinsic self-regulating mechanism in adolescent smoking and drinking. Support for a dampened linear oscillator model is discussed. (SLD)

  4. Validez Convergente de la Version Espanola Preliminar del Child Abuse Potential Inventory: Depresion y Aduste Marital (Convergent Validity of the Preliminary Spanish Version of the Child Abuse Potential Inventory: Depression and Marital Adjustment).

    Science.gov (United States)

    Arruabarrena, M. Ignacia; de Paul, Joaquin

    1992-01-01

    "Convergent validity" of preliminary Spanish version of Child Abuse Potential (CAP) Inventory was studied. CAP uses ecological-systemic model of child maltreatment to evaluate individual, family, and social factors facilitating physical child abuse. Depression and marital adjustment were measured in three groups of mothers. Results found…

  5. Substance Abuse and Medication Adherence Among HIV-Positive Women with Histories of Child Sexual Abuse

    OpenAIRE

    Liu, Honghu; Longshore, Doug; Williams, John K.; Rivkin, Inna; Loeb, Tamra; Warda, Umme S.; Carmona, Jennifer; Wyatt, Gail

    2006-01-01

    Substance abuse increases the risks for infections and impairs medication adherence among HIV/AIDS patients. However, little is known about the characteristics of substance abuse and its impact on medication adherence among HIV-positive women with a history of child sexual abuse (CSA). In the present study, 148 HIV-positive women with a history of CSA completed a structured interview assessing CSA severity, psychological status, substance abuse, medication adherence, and sexual decision-makin...

  6. Evaluating the risk of child abuse: the Child Abuse Risk Assessment Scale (CARAS)

    OpenAIRE

    Chan, KL

    2011-01-01

    The present study developed the Child Abuse Risk Assessment Scale (CARAS), an actuarial instrument for the assessment of the risk of physical child abuse. Data of 2,363 Chinese parents (47.7% male) living in Hong Kong were used in the analyses. Participants were individually interviewed with a questionnaire assessing their perpetration of child abuse and some theoretically or empirically tested factors associated with child abuse. Using the split-half validation procedure, the 5-factor, 64-it...

  7. Experimental Psychiatric Illness and Drug Abuse Models: From Human to Animal, an Overview

    OpenAIRE

    Edwards, Scott; Koob, George F.

    2012-01-01

    Preclinical animal models have supported much of the recent rapid expansion of neuroscience research and have facilitated critical discoveries that undoubtedly benefit patients suffering from psychiatric disorders. This overview serves as an introduction for the following chapters describing both in vivo and in vitro preclinical models of psychiatric disease components and briefly describes models related to drug dependence and affective disorders. Although there are no perfect animal models ...

  8. Non-Abusive Mothers of Sexually Abused Children: The Role of Rumination in Maternal Outcomes

    Science.gov (United States)

    Plummer, Carol A.

    2006-01-01

    This study of 125 mothers examined the role of rumination in maternal emotional and behavioral outcomes subsequent to discovery of the sexual abuse of their children. Abuse severity, a maternal history of child abuse experiences, and life hassles were examined as predictors of negative outcomes. The central finding was that these factors, many of…

  9. Holding Abusers Accountable: An Elder Abuse Forensic Center Increases Criminal Prosecution of Financial Exploitation

    Science.gov (United States)

    Navarro, Adria E.; Gassoumis, Zachary D.; Wilber, Kathleen H.

    2013-01-01

    Purpose: Despite growing awareness of elder abuse, cases are rarely prosecuted. The aim of this study was to examine the effectiveness of an elder abuse forensic center compared with usual care to increase prosecution of elder financial abuse. Design and Methods: Using one-to-one propensity score matching, cases referred to the Los Angeles County…

  10. The Relationship between Bullying and Animal Abuse Behaviors in Adolescents: The Importance of Witnessing Animal Abuse

    Science.gov (United States)

    Gullone, Eleonora; Robertson, Nerida

    2008-01-01

    Children's abuse of animals may be predictive of aggression towards humans. This study assessed concurrent engagement in animal abuse and bullying behaviour in 241 adolescents aged 12 to 16 years. A total of 20.6% of youths reported abusing animals at least "sometimes" and 17.8% reported bullying others on at least one occasion in the past year.…

  11. Emotion Regulation in Sexually Abused Preschoolers.

    Science.gov (United States)

    Langevin, Rachel; Cossette, Louise; Hébert, Martine

    2016-02-01

    Emotion regulation is closely related to mental health in children and adults. Low emotion regulation competencies have been found in school-aged sexually abused girls. The aim of the present study was to investigate emotion regulation competencies in sexually abused preschool girls and boys using a multi-informant approach. Emotion regulation was assessed in 62 sexually abused and 65 non-abused preschoolers using the Emotion Regulation Checklist and the MacArthur Story Stem Battery. Both parents and educators reported lower emotion regulation competencies in sexually abused preschoolers, especially boys, than in non-abused children. The narrative task completed by the children also revealed lower emotion regulation competencies in sexually abused boys. These findings could have an important impact on intervention programs offered to these at-risk children. PMID:25724803

  12. Client Abuse to Public Welfare Workers:

    DEFF Research Database (Denmark)

    Strøbæk, Pernille Solveig; Korczynski, Marek

    2016-01-01

    market economy – in which worker are accorded power and resources, in which workers tend to frame the abuse as the outcome of a co-citizen caught in system failure, and in which workers demonstrate some resilience to abuse. Another expectation is that New Public Management reforms push the case to follow......We analyse a case study of workers’ experience of client abuse in a Danish public welfare organisation. We make an original contribution by putting forward two different theoretical expectations of the case. One expectation is that the case follows a pattern of customer abuse processes in a social...... patterns of customer abuse associated with a liberal market economy – in which the customer is treated as sovereign against the relatively powerless worker, and in which workers bear heavy emotional costs of abuse. Our findings show a greater match to the social processes of abuse within a social market...

  13. Childhood trajectories of inattention, hyperactivity and oppositional behaviors and prediction of substance abuse/dependence: a 15-year longitudinal population-based study.

    Science.gov (United States)

    Pingault, J-B; Côté, S M; Galéra, C; Genolini, C; Falissard, B; Vitaro, F; Tremblay, R E

    2013-07-01

    Numerous prospective studies have shown that children diagnosed with attention deficit/hyperactivity disorder (ADHD) are at higher risk of long-term substance abuse/dependence. However, there are three important limits to these studies: (a) most did not differentiate the role of hyperactivity and inattention; (b) most did not control for associated behavioral problems; and (c) most did not consider females. Our aim was to clarify the unique and interactive contributions of childhood inattention and hyperactivity symptoms to early adulthood substance abuse/dependence. Behavioral problems of 1803 participants (814 males) in a population-based longitudinal study were assessed yearly between 6 and 12 years by mothers and teachers. The prevalence of substance abuse/dependence at age 21 years was 30.7% for nicotine, 13.4% for alcohol, 9.1% for cannabis and 2.0% for cocaine. The significant predictors of nicotine dependence were inattention (odds ratio (OR): 2.25; 95% confidence interval (CI): 1.63-3.11) and opposition (OR: 1.65; 95%: 1.20-2.28). Only opposition contributed to the prediction of cannabis dependence (OR: 2.33; 95% CI: 1.40-3.87) and cocaine dependence (OR: 2.97; 95% CI: 1.06-8.57). The best behavioral predictor of alcohol abuse/dependence (opposition) was only marginally significant (OR: 1.38; 95% CI: 0.98-1.95). Frequent oppositional behaviors during elementary school were clearly the most pervasive predictors of substance abuse/dependence in early adulthood. The association of childhood ADHD with substance abuse/dependence is largely attributable to its association with opposition problems during childhood. However, inattention remained an important predictor of nicotine dependence, in line with genetic and molecular commonalities between the two phenotypes suggested in the literature. PMID:22733124

  14. Child sexual abuse

    International Nuclear Information System (INIS)

    Background: Child sexual abuse with significant impact on victim's physical, mental and social health has now been recognized as existing on an appreciable scale worldwide. Diversity of opinions exist about the concept, types, prevalence and repercussions along with a paucity of systematic and scientific work in the developing world including Pakistan. Objective: This paper aims at reviewing the literature for clarification of concept, update of estimates and correlates, and to identify lines for future research. Data sources: The literature was search through BMJ-Medline for international data, supplemented by local data through CPSP-MEDLIP service. The search term child sexual abuse with associated sub-heads were used. No constraint of time period, publication type or source applied except english Language version Comparative findings: Wide variations identified in conceptual boundaries with consequent impact on prevalence estimates. Agreement found for its existence as an international problem with rates ranging from 7% - 36% for women and 3% - 29% for men. Female abused 1.5-3 times more than male with exponential high rates in age group 3-6 years and 8-11 years. In 2/3 cases the perpetrator identified belonged to nuclear or extended family. Significant association exists with early onset of psychiatric ailments like substance abuse, eating disorders, personality disorders, dissociative disorders and depression. Conclusion and Suggestion: The need for extensive research studies in immense in developing countries like Pakistan where environmental circumstances suggest its presence at rates higher than the identified elsewhere. In addition to facilitate awareness and perhaps to clarify the concept as well as the prevalence of child sexual abuse researchers need to select methodologies and instruments with international comparison in mind. (author)

  15. Abused Women : Health, Somatization, and Posttraumatic Stress

    OpenAIRE

    Samelius, Charlotta

    2007-01-01

    The aims of this thesis were to estimate the lifetime prevalence of physical, sexual, and psychological abuse in a random population-based sample of women aged 18-60 years; to estimate current suffering thereof; and to investigate associations between abuse and health problems, more specifically to study abuse related variables associated with somatization and PTSD, respectively. The studies had a cross-sectional design. Studies I and II comprised 4150 women 18-60 years. Study III included 54...

  16. "Complex" Posttraumatic Stress Disorder/Disorders of Extreme Stress (CP/DES) in Sexually Abused Children: An Exloratory Study.

    Science.gov (United States)

    Hall, Darlene Kordich

    1999-01-01

    Compares three groups of young sexually abused children on seven "Complex" Posttraumatic Stress Disorder/Disorders of Extreme Stress (CP/DES) indices. As cumulative number of types of trauma increased, the number of CP/DES symptoms rose. Results suggest that CP/DES also characterizes sexually abused children, especially those who have been…

  17. Identifying and Evaluating Teachers' Knowledge in Relation to Child Abuse and Neglect: A Qualitative Study with Australian Early Childhood Teachers

    Science.gov (United States)

    Walsh, Kerryann; Farrell, Ann

    2008-01-01

    Child abuse and neglect are serious social problems that make extraordinary demands on teachers' knowledge and professionalism. Yet the field of education has been slow to develop a discipline-specific knowledge base about child abuse and neglect for teachers and teacher education programmes and there is a paucity empirical research into teachers'…

  18. Child Physical and Sexual Abuse in a Community Sample of Young Adults: Results from the Ontario Child Health Study

    Science.gov (United States)

    MacMillan, Harriet L.; Tanaka, Masako; Duku, Eric; Vaillancourt, Tracy; Boyle, Michael H.

    2013-01-01

    Objectives: Exposure to child maltreatment is associated with physical, emotional, and social impairment, yet in Canada there is a paucity of community-based information about the extent of this problem and its determinants. We examined the prevalence of child physical and sexual abuse and the associations of child abuse with early contextual,…

  19. The Abuse of Dextromethorphan-Based Cough Syrup: A Pilot Study of the Community of Waynesboro, Pennsylvania.

    Science.gov (United States)

    Momodou, N. Darboe; And Others

    1996-01-01

    Discusses the emergence of a new type of abused drug, dextromethorphan, which is used in cough syrup. Presents the results of the first phase of a comprehensive investigation of this phenomenon in the Waynesboro, Pa. school district. Survey data indicate abuse of cough syrup has increased over the years and is increasingly perceived as a problem…

  20. The Effect of Substance Abuse Treatment on High Risk Behaviors in the National Treatment Improvement Evaluation Study (NTIES).

    Science.gov (United States)

    Greenfield, Lawrence; Finkbiner, Richard; Bishop, Sharon

    Substance abusers are at particular risk for becoming infected with, and for spreading, a number of serious communicable diseases. The value of substance abuse treatment in helping to reduce the associated risk behaviors for these diseases is the focus of this technical report. This analysis examines the risk behaviors of injection drug use and…

  1. Embarazadas y maltratadas (Pregnant and Abused): Domestic Violence among Latinas. JSRI Occasional Paper No. 44. Latino Studies Series.

    Science.gov (United States)

    Rodriguez, Ester Ruiz

    This paper examines the prevalence of domestic violence directed against pregnant women of Mexican origin. About 18 percent of Hispanic women experience abuse by a partner. Over half of abused women incur injuries during pregnancy, which subjects the fetus to significant risks of preterm birth, low birth weight, injury, or death. Interviews and…

  2. The Nature, Extent and Causes of Abuse of Children with Disabilities in Schools in Botswana

    Science.gov (United States)

    Shumba, Almon; Abosi, Okey C.

    2011-01-01

    Studies show that the exact number of children with disabilities in Botswana is unknown. A study on child abuse sought to determine: the forms of child abuse perpetrated on children with disabilities; the extent of child abuse; and the causes of child abuse of children with disabilities. A questionnaire on child abuse was adapted and used to…

  3. Nicotine addiction: studies about vulnerability, epigenesis and animal models

    Directory of Open Access Journals (Sweden)

    Bernabeu, Ramon

    2013-07-01

    Full Text Available This article is a summary about the current research of nicotine effects on the nervous system and its relationship to the generation of an addictive behavior. Like other drugs of abuse, nicotine activates the reward pathway, which in turn is involved in certain psychiatric diseases. There are individuals who have a high vulnerability to nicotine addiction. This may be due to genetic and epigenetic factors and/or the environment. In this review, we described some epigenetic factors that may be involved in those phenomena. The two animal models most widely used for studying the reinforcing effects of nicotine are: self-administration and conditioning place preference (CPP. Here, we emphasized the CPP, due to its potential application in humans. In addition, we described the locomotor activity model (as a measure of psychostimulant effects to study vulnerability to drugs of abuse

  4. Adult physical, sexual, and emotional abuse and postpartum depression, a population based, prospective study of 53,065 women in the Norwegian Mother and Child Cohort Study

    OpenAIRE

    Sørbø, Marie Flem; Grimstad, Hilde; Bjørngaard, Johan Håkon; Lukasse, Mirjam; Schei, Berit

    2014-01-01

    Background Postpartum depression (PPD) has detrimental consequences to the women, their infants and families. The aim of the present study was to assess the association between adult abuse and PPD. Methods This study was based on data from 53,065 pregnant women in the Norwegian Mother and Child Cohort Study (MoBa), conducted by the Norwegian Institute of Public Health. Women were recruited through a postal invitation in relation to a routine ultra-sound invitation at week 18 of gestation. Exp...

  5. Opportunities for prevention and intervention with young children: lessons from the Canadian incidence study of reported child abuse and neglect

    Directory of Open Access Journals (Sweden)

    Fallon Barbara

    2013-02-01

    Full Text Available Abstract Background The most effective way to provide support to caregivers with infants in order to promote good health, social, emotional and developmental outcomes is the subject of numerous debates in the literature. In Canada, each province adopts a different approach which range from universal to targeted programs. Nonetheless, each year a group of vulnerable infants is identified to the child welfare system with concerns about their well-being and safety. This study examines maltreatment-related investigations in Canada involving children under the age of one year to identify which factors determine service provision at the conclusion of the investigation. Methods A secondary analysis of the Canadian Incidence Study of Reported Child Abuse and Neglect CIS-2008 (PHAC, 2010 dataset was conducted. Multivariate analyses were conducted to understand the profile of investigations involving infants (n=1,203 and which predictors were significant in the decision to transfer a case to ongoing services at the conclusion of the investigation. Logistic Regression and Classification and Regression Trees (CART were conducted to examine the relationship between the outcome and predictors. Results The results suggest that there are three main sources that refer infants to the Canadian child welfare system: hospital, police, and non-professionals. Infant maltreatment-related investigations involve young caregivers who struggle with poverty, single-parenthood, drug/solvent and alcohol abuse, mental health issues, lack of social supports, and intimate partner violence. Across the three referral sources, primary caregiver risk factors are the strongest predictor of the decision to transfer a case to ongoing services. Conclusions Multivariate analyses indicate that the presence of infant concerns does not predict ongoing service provision, except when the infant is identified with positive toxicology at birth. The opportunity for early intervention and the

  6. History of childhood abuse, sensation seeking, and intimate partner violence under/not under the influence of a substance: a cross-sectional study in Russia.

    Directory of Open Access Journals (Sweden)

    Weihai Zhan

    Full Text Available OBJECTIVES: To examine correlates of perpetration and victimization of intimate partner violence (IPV under and not under the influence of a substance, we conducted a study among women in Russia. METHODS: In 2011, a cross-sectional survey was conducted among patients receiving services at a clinic for sexually transmitted infections in St. Petersburg, Russia. Multinomial logistic regression was used for analysis. RESULTS: Of 299 women, 104 (34.8% and 113 (37.8% reported a history of IPV perpetration and victimization, respectively. Nearly half (47.1% of perpetrators and 61.1% of victims reported that the latest IPV event (perpetration and victimization, respectively was experienced under the influence of a substance. Factors independently associated with IPV victimization under the influence of a substance were alcohol misuse and a higher number of lifetime sex partners, whereas only experience of childhood abuse (emotional and physical abuse was independently associated with IPV victimization that did not occur under the influence of a substance. Childhood physical abuse, lower age of first sex, sensation seeking, and alcohol misuse were independently associated with IPV perpetration under the influence of a substance, while only childhood abuse (emotional and physical abuse was independently associated with IPV perpetration that did not occur under the influence of a substance. CONCLUSIONS: IPV under and not under the influence of a substance had different correlates (e.g., alcohol misuse and sensation seeking. Despite the strong association between substance use and IPV, experience of childhood abuse is an important predictor of IPV perpetration and victimization in Russia, above and beyond substance use.

  7. Violence, sexual abuse and health in Greenland

    OpenAIRE

    Curtis, Tine; Larsen, Finn B.; Helweg-Larsen, Karin; Bjerregaard, Peter

    2002-01-01

    The purposes of the study were to analyse the lifetime prevalence of violence and sexual abuse among the Inuit in Greenland and to study the associations between health and having been the victim of violence or sexual abuse. Associations were studied with specific attention to possible differences between women and men. Further, response rates were analysed specifically in order to understand consequences of including questions on violence and sexual abuse in the questionnaire survey. The ana...

  8. Personality development after physical abuse.

    OpenAIRE

    Oates, R K

    1984-01-01

    Personality development after child abuse was studied in 39 children who had, on average, been admitted to hospital five and a half years previously. In contrast to a control group, the abused children had fewer friends, lower ambitions, and lower self esteem. They were more serious, shy, and subdued on a personality assessment and were more likely than the control children to have behaviour disturbances recorded on a questionnaire for teachers. Their mothers also noted a higher incidence of ...

  9. Attitudes towards child sexual abuse

    OpenAIRE

    Tennfjord, Oddfrid Skorpe

    2008-01-01

    The main purpose of the present thesis was to develop a measurement instrument aimed to reveal attitudes towards child sexual abuse, and to measure attitudes and associating personal, social and cultural factors among three different samples of Norwegian adults. Additional aims were to explore the relation between participants’ knowledge-seeking on the one hand, their experiences, attitudes and actual knowledge about abuse on the other hand.Three studies are presented based on the same data m...

  10. Child Abuse and Disabled Children

    OpenAIRE

    Obilade, Titilola T.

    2004-01-01

    Abstract for presentation given at the Annual General Scientific Meeting/Workshop of the Medical Women’s Association of Nigeria in Lagos, Nigeria, on December 28, 2004. Children with disabilities are a population at a higher risk of abuse and maltreatment. Studies have shown that children with disabilities are 3.4 times more likely to be abused than nondisabled peers. These disabilities include children who are visually-impaired, hearing-impaired, chronically-ill, developmentally ...

  11. Comparing Physically Abusive, Neglectful, and Non-Maltreating Parents during Interactions with Their Children: A Meta-Analysis of Observational Studies

    Science.gov (United States)

    Wilson, Steven R.; Rack, Jessica J.; Shi, Xiaowei; Norris, Alda M.

    2008-01-01

    Objective: To clarify the nature and extent of differences in the ways that physically abusive, neglectful, and non-maltreating parents communicate during interactions with their children. Method: A meta-analysis was conducted of 33 observational studies comparing parent-child interactions in families where parents have a documented history of…

  12. Untangling Risk of Maltreatment from Events of Maltreatment: An Analysis of the 2008 Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2008)

    Science.gov (United States)

    Fallon, Barbara; Trocme, Nico; MacLaurin, Bruce; Sinha, Vandna; Black, Tara

    2011-01-01

    This paper describes the methodological changes that occurred across cycles of the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS), specifically outlining the rationale for tracking investigations of families with children at risk of maltreatment in the CIS-2008 cycle. This paper also presents analysis of data from the CIS-2008…

  13. Stabilizing Group Treatment for Complex Posttraumatic Stress Disorder Related to Childhood Abuse Based on Psycho-Education and Cognitive Behavioral Therapy: A Pilot Study

    Science.gov (United States)

    Dorrepaal, Ethy; Thomaes, Kathleen; Smit, Johannes H.; van Balkom, Anton J. L. M.; van Dyck, Richard; Veltman, Dick J.; Draijer, Nel

    2010-01-01

    Objective: This study tests a Stabilizing Group Treatment protocol, designed for the management of the long-term sequelae of child abuse, that is, Complex Posttraumatic Stress Disorder (Complex PTSD). Evidence-based treatment for this subgroup of PTSD patients is largely lacking. This stabilizing treatment aims at improving Complex PTSD using…

  14. Profile of substance abusers attending at de-addiction center of GMERS medical college, Dharpur-Patan, Gujarat, India: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Suraj Khandhedia

    2015-10-01

    Conclusions: This study shows that youth is falling in vicious trap of drug abuse at early age. Awareness programs and camps need to be conducted at community level to address this major public health problem of substance use. [Int J Res Med Sci 2015; 3(10.000: 2765-2769

  15. Substance Abuse, Coping Strategies, Adaptive Skills and Behavioral and Emotional Problems in Clients with Mild to Borderline Intellectual Disability Admitted to a Treatment Facility: A Pilot Study

    Science.gov (United States)

    Didden, Robert; Embregts, Petri; van der Toorn, Mirjam; Laarhoven, Nina

    2009-01-01

    Many clients with mild to borderline intellectual disability (ID) who are admitted to a treatment facility show serious problems in alcohol and/or drugs use. In the present case file study, we explored differences in coping strategies, adaptive skills and emotional and behavioral problems between clients who showed substance abuse and clients who…

  16. Longitudinal Study on the Effects of Child Abuse and Children's Exposure to Domestic Violence, Parent-Child Attachments, and Antisocial Behavior in Adolescence

    Science.gov (United States)

    Sousa, Cindy; Herrenkohl, Todd I.; Moylan, Carrie A.; Tajima, Emiko A.; Klika, J. Bart; Herrenkohl, Roy C.; Russo, M. Jean

    2011-01-01

    This study examined the unique and combined effects of child abuse and children's exposure to domestic violence on later attachment to parents and antisocial behavior during adolescence. Analyses also investigated whether the interaction of exposure and low attachment predicted youth outcomes. Findings suggest that, although youth dually exposed…

  17. Who seeks public treatment for substance abuse in Brazil? Results of a multicenter study involving four Brazilian state capitals

    Directory of Open Access Journals (Sweden)

    Sibele Faller

    2014-12-01

    Full Text Available OBJECTIVE: To assess the characteristics of alcohol and drug users who seek treatment at the Brazilian Unified Health System in Brazil.METHOD:A multicenter cross-sectional study involving five clinical and research centers located in four Brazilian state capitals was conducted with 740 in- and outpatients. The only exclusion criterion was the presence of neurological or severe psychiatric symptoms at the moment of the interview. The Addiction Severity Index (ASI-6 and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST were used to assess the severity of substance use and the problems related.RESULTS: There were significantly more men than women in the sample; mean age was 36 years. The drug most frequently used at all sites was alcohol (78%, followed by cocaine/crack (51%. Alcohol was the drug that most commonly motivated treatment seeking, at all centers. ASI-6 Summary Scores for Recent Functioning (SS-Rs were quite similar among centers. SS-Rs were compared between users who had never received treatment for psychoactive substance abuse (n = 265, 36.1% and those who had already been treated at one or more occasions (n = 470, 63.9%. This analysis revealed significant differences between the groups in the drug, psychiatric symptoms, legal, and family/social problems areas (p < 0.05.CONCLUSION: Our findings confirm previous evidence suggesting that the management of patients seeking drug abuse treatment should take several different aspects into consideration, e.g., education, employment, and family relationships, which often appear as areas of concern for these individuals.

  18. Synthesis and evaluation of inhaled [11C]butane and intravenously injected [11C]acetone as potential radiotracers for studying inhalant abuse.

    Science.gov (United States)

    Gerasimov, Madina R; Ferrieri, Richard A; Pareto, Deborah; Logan, Jean; Alexoff, David; Ding, Yu-Shin

    2005-02-01

    The phenomenon of inhalant abuse is a growing problem in the US and many countries around the world. Yet, relatively little is known about the pharmacokinetic properties of inhalants that underlie their abuse potential. While the synthesis of 11C-labeled toluene, acetone and butane has been proposed in the literature, none of these compounds has been developed as radiotracers for PET studies. In the present report we extend our previous studies with [11C]toluene to include [11C]acetone and [11C]butane with the goal of comparing the pharmacokinetic profiles of these three volatile abused substances. Both [11C]toluene and [11C]acetone were administered intravenously and [11C]butane was administered via inhalation to anesthesized baboons. Rapid and efficient uptake of radiolabeled toluene and acetone into the brain was followed by fast clearance in the case of toluene and slower kinetics in the case of acetone. [11C]Butane was detected in the blood and brain following inhalation, but the levels of radioactivity in both tissues dropped to half of the maximal values over the period of less than a minute. To our knowledge, this is the first reported study of the in vivo brain pharmacokinetics of labeled acetone and butane in nonhuman primates. These data provide insight into the pharmacokinetic features possibly associated with the abuse liability of toluene, acetone and butane.

  19. Synthesis and evaluation of inhaled [11C]butane and intravenously injected [11C]acetone as potential radiotracers for studying inhalant abuse

    International Nuclear Information System (INIS)

    The phenomenon of inhalant abuse is a growing problem in the US and many countries around the world. Yet, relatively little is known about the pharmacokinetic properties of inhalants that underlie their abuse potential. While the synthesis of 11C-labeled toluene, acetone and butane has been proposed in the literature, none of these compounds has been developed as radiotracers for PET studies. In the present report we extend our previous studies with [11C]toluene to include [11C]acetone and [11C]butane with the goal of comparing the pharmacokinetic profiles of these three volatile abused substances. Both [11C]toluene and [11C]acetone were administered intravenously and [11C]butane was administered via inhalation to anesthesized baboons. Rapid and efficient uptake of radiolabeled toluene and acetone into the brain was followed by fast clearance in the case of toluene and slower kinetics in the case of acetone. [11C]Butane was detected in the blood and brain following inhalation, but the levels of radioactivity in both tissues dropped to half of the maximal values over the period of less than a minute. To our knowledge, this is the first reported study of the in vivo brain pharmacokinetics of labeled acetone and butane in nonhuman primates. These data provide insight into the pharmacokinetic features possibly associated with the abuse liability of toluene, acetone and butane

  20. An Integrated, Multidimensional Treatment Model for Individuals Living with HIV, Mental Illness, and Substance Abuse

    Science.gov (United States)

    Bouis, Stephanie; Reif, Susan; Whetten, Kathryn; Scovil, Janet; Murray, Andrea; Swartz, Marvin

    2007-01-01

    The challenge of providing effective treatment services for the growing population of HIV-positive individuals who are also dually diagnosed with substance use and mental disorders has only recently been recognized as an important public health concern affecting both HIV treatment and prevention. This article describes a treatment model that was…

  1. Functional and Structural Brain Changes Associated with Methamphetamine Abuse

    Directory of Open Access Journals (Sweden)

    Bruce R. Russell

    2012-10-01

    Full Text Available Methamphetamine (MA is a potent psychostimulant drug whose abuse has become a global epidemic in recent years. Firstly, this review article briefly discusses the epidemiology and clinical pharmacology of methamphetamine dependence. Secondly, the article reviews relevant animal literature modeling methamphetamine dependence and discusses possible mechanisms of methamphetamine-induced neurotoxicity. Thirdly, it provides a critical review of functional and structural neuroimaging studies in human MA abusers; including positron emission tomography (PET and functional and structural magnetic resonance imaging (MRI. The effect of abstinence from methamphetamine, both short- and long-term within the context of these studies is also reviewed.

  2. Opportunities for computer abuse

    DEFF Research Database (Denmark)

    Willison, Robert Andrew; Backhouse, James

    2005-01-01

    Systems risk refers to the likelihood that an IS is inadequately guarded against certain types of damage or loss. While risks are posed by acts of God, hackers and viruses, consideration should also be given to the `insider' threat of dishonest employees, intent on undertaking some form of computer...... for the offender. To achieve this goal a model known as the `Crime Specific Opportunity Structure' is advanced. Focussing on the opportunities for computer abuse, the model addresses the nature of such opportunities with regards to the organisational context and the threats posed by rogue employees. Drawing...

  3. Evidence-based practices, attitudes, and beliefs in substance abuse treatment programs serving American Indians and Alaska Natives: a qualitative study.

    Science.gov (United States)

    Larios, Sandra E; Wright, Serena; Jernstrom, Amanda; Lebron, Dorothy; Sorensen, James L

    2011-01-01

    Substance abuse disproportionately impacts American Indian/Alaska Native (AI/AN) communities in the United States. For the increasing numbers of AI/AN individuals who enter and receive treatment for their alcohol or other drug problem it is imperative that the service they receive be effective. This study used qualitative methodology to examine attitudes toward evidence-based practices, also known as evidence-based treatments (EBTs) in minority-serving substance abuse treatment programs in the San Francisco Bay area. Twenty-two interviews were conducted in the study, of which seven were with program directors and substance abuse counselors at two urban AI/AN focused sites. These clinics were more likely than other minority-focused programs to have experience with research and knowledge about adapting EBTs. Only in the AI/AN specific sites did an issue arise concerning visibility, that is, undercounting AI/AN people in national and state databases. Similar to other minority-focused programs, these clinics described mistrust, fear of exploitation from the research community, and negative attitudes towards EBTs. The underutilization of EBTs in substance abuse programs is prevalent and detrimental to the health of patients who would benefit from their use. Future research should explore how to use this research involvement and experience with adaptation to increase the adoption of EBTs in AI/AN serving clinics.

  4. Effects of chronic administration of drugs of abuse on impulsive choice (delay discounting) in animal models

    OpenAIRE

    Setlow, Barry; Mendez, Ian A.; Mitchell, Marci R; Simon, Nicholas W.

    2009-01-01

    Drug addicted individuals demonstrate high levels of impulsive choice, characterized by preference for small immediate over larger but delayed rewards. Although the causal relationship between chronic drug use and elevated impulsive choice in humans has been unclear, a small but growing body of literature over the past decade has shown that chronic drug administration in animal models can cause increases in impulsive choice, suggesting that a similar causal relationship may exist in human dru...

  5. Latino Mother/Daughter Dyadic Attachment as a Mediator for Substance Use Disorder and Emotional Abuse.

    Science.gov (United States)

    Kanamori, Mariano; Weissman, Jessica; De La Rosa, Mario; Trepka, Mary Jo; Rojas, Patria; Cano, Miguel Angel; Melton, James; Unterberger, Alayne

    2016-08-01

    To date, no studies have investigated emotional abuse of adult Latina women by their mothers despite evidence that emotional maternal abuse may significantly contribute to the emotional abuse experienced by Latina women in their lifetime. Cross-sectional data including 316 women was analyzed using mediation and logistic regression. Overall, 7.1 % of mothers and 24.1 % of daughters abused drugs; and, 19.5 % of daughters were emotionally abused by their mothers. Mother's attachment to her daughter mediated the association between mother's drug abuse and emotionally abusing her adult daughter (indirect effect: 0.863). Latina women can serve as perpetrators of emotional abuse of their adult children. Since drug-abusing daughters are more likely to be victims of emotional abuse by their mothers and drug-abusing mothers are more likely to abuse their daughters, drug-rehabilitation practitioners should incorporate a family abuse component into rehabilitation programs. PMID:26614091

  6. Drug dependence and psychotic symptoms: a retrospective study of adolescents who abuse drugs at Al-Amal Hospital in Jeddah, Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Osama Alibrahim

    2012-03-01

    Full Text Available Drug abuse is reported to be on the increase among young persons using illicit substances but little is known about the frequency with which they occur, the symptoms on presentation to health institutions, and the different substances abused. To establish this, we reviewed patient data collected at Al-Amal Hospital in Jeddah Kingdom of Saudi Arabia on young persons who are refered to the hospital for problems related to drug abuse. Data on 69 adolescent drug users were reviewed and analyzed using the Composite International Diagnostic Interview - Substance Abuse Model (CIDI-SAM to assess dependence on substances including amphetamines, cannabis, cocaine, and opioids. Furthermore, we assessed the adolescents’ data on history of delusions and hallucinations in the context of use of, or withdrawal from, these specific substances. Our analysis shows that 10 to 79.6% of users of amphetamines, cannabis, cocaine, and opiates met DSM-III-R dependence criteria for each specific substance. The prevalence of psychotic symptoms associated with each specific substance ranged from users with no diagnosis to users with severe dependence as follows: amphetamines (3-100%, cannabis (7- 60.0%, cocaine (5-70.7%, and opiates (4- 88%. The risk of psychotic symptoms increased for respondents who abused (OR=7.2 or had mild (OR=8.1, moderate (OR=20.0, or severe dependence (OR=14.0 on cocaine when compared to those who were users with no diagnosis. A similar pattern was evident in cannabis, opiate, and amphetamine users. In conclusion, most adolescent drug users in Saudi Arabia who are dependent on illicit substances experience psychotic symptoms in the context of use of, or withdrawal from, these substances. Psychotic symptoms increased with the severity of the disorders associated with use of all four substances. These findings underscore the importance of developing services to target this population; a population at risk of developing psychotic symptoms.

  7. Methamphetamine decreases CD4 T cell frequency and alters pro-inflammatory cytokine production in a model of drug abuse.

    Science.gov (United States)

    Mata, Mariana M; Napier, T Celeste; Graves, Steven M; Mahmood, Fareeha; Raeisi, Shohreh; Baum, Linda L

    2015-04-01

    The reason co-morbid methamphetamine use and HIV infection lead to more rapid progression to AIDS is unclear. We used a model of methamphetamine self-administration to measure the effect of methamphetamine on the systemic immune system to better understand the co-morbidity of methamphetamine and HIV. Catheters were implanted into the jugular veins of male, Sprague Dawley rats so they could self-administer methamphetamine (n=18) or be given saline (control; n=16) for 14 days. One day after the last operant session, blood and spleens were collected. We measured serum levels of pro-inflammatory cytokines, intracellular IFN-γ and TNF-α, and frequencies of CD4(+), CD8(+), CD200(+) and CD11b/c(+) lymphocytes in the spleen. Rats that self-administered methamphetamine had a lower frequency of CD4(+) T cells, but more of these cells produced IFN-γ. Methamphetamine did not alter the frequency of TNF-α-producing CD4(+) T cells. Methamphetamine using rats had a higher frequency of CD8(+) T cells, but fewer of them produced TNF-α. CD11b/c and CD200 expression were unchanged. Serum cytokine levels of IFN-γ, TNF-α and IL-6 in methamphetamine rats were unchanged. Methamphetamine lifetime dose inversely correlated with serum TNF-α levels. Our data suggest that methamphetamine abuse may exacerbate HIV disease progression by activating CD4 T cells, making them more susceptible to HIV infection, and contributing to their premature demise. Methamphetamine may also increase susceptibility to HIV infection, explaining why men who have sex with men (MSM) and frequently use methamphetamine are at the highest risk of HIV infection.

  8. An enhanced positive reinforcement model for the severely impaired cocaine abuser.

    Science.gov (United States)

    Foote, J; Seligman, M; Magura, S; Handelsman, L; Rosenblum, A; Lovejoy, M; Arrington, K; Stimmel, B

    1994-01-01

    This article describes a cognitive-behavioral treatment approach that has been extensively modified to work with inner-city methadone-maintained cocaine users. Modifications were deemed essential to address the problems of engagement and retention in treatment that are typically encountered with this population. While this approach relies on such basic tenets of treatment as relapse prevention, cognitive restructuring, and psychoeducation, an understanding of the particular psychological vulnerabilities of this population has been incorporated into the model. The modified approach utilizes positive reinforcement extensively. This includes use of concrete reinforcers to facilitate initial engagement, and use of interpersonal reinforcers (therapist positive regard, attention, and respect) to increase program retention and sustain posttreatment change. Preliminary results indicate that 63% of patients can complete this intensive 6-month program, with considerable reductions in cocaine use and significant change in drug injection behavior.

  9. Evaluation of Attention Bias in Morphine and Methamphetamine Abusers towards Emotional Scenes during Early Abstinence: An Eye-Tracking Study

    Science.gov (United States)

    Soleimannejad, Maryam; Tehrani-Doost, Mehdi; Khorrami, Anahita; Joghataei, Mohammad Taghi; Pishyareh, Ebrahim

    2015-01-01

    Introduction: We hypothesized that inappropriate attention during the period of abstinence in individuals with substance use disorder can result in an inadequate perception of emotion and unsuitable reaction to emotional scenes. The main aim of this research was to evaluate the attentional bias towards emotional images in former substance abusers and compare it to healthy adults. Methods: Paired images of general scenes consisting of pleasant, unpleasant, and neutral images were presented to subjects for 3 s while their attentional bias and eye movements were measured by eye tracking. The participants were 72 male adults consisting of 23 healthy control, 24 morphine former abusers, and 25 methamphetamine former abusers. The former abusers were recruited from a private addiction quitting center and addiction rehabilitation campus. The healthy individuals were selected from general population. Number and duration of first fixation, duration of first gaze, and sustained attention towards emotional scenes were measured as the main variables and the data were analyzed using the repeated measures ANOVA. Results: A significant difference was observed between former morphine abusers and healthy control in terms of number and duration of first fixations and first gaze duration towards pleasant images. Discussion: Individuals with morphine use disorder have more problems with attending to emotional images compared to methamphetamine abusers and healthy people. PMID:26649160

  10. Occupational turnover intentions among substance abuse counselors.

    Science.gov (United States)

    Rothrauff, Tanja C; Abraham, Amanda J; Bride, Brian E; Roman, Paul M

    2011-01-01

    This study examined predictor, moderator, and mediator variables of occupational turnover intention (OcTI) among substance abuse counselors. Data were obtained via questionnaires from 929 counselors working in 225 private substance abuse treatment (SAT) programs across the United States. Hierarchical multiple regression models were conducted to assess predictor, moderator, and mediator variables of OcTI. OcTI scores were relatively low on a 7-point scale, indicating that very few counselors definitely intended to leave the SAT field. Age, certification, positive perceptions of procedural and distributive justice, and hospital-based status negatively predicted OcTI. Counselors' substance use disorder-impacted history moderated the association between organizational commitment and OcTI. Organizational turnover intention partially mediated the link between organizational commitment and OcTI. Workforce stability might be achieved by promoting perceptions of advantages to working in a particular treatment program, having organizational commitment, showing appreciation for counselors' work, and valuing employees from diverse backgrounds.

  11. Symptom Trajectories Among Child Survivors of Maltreatment: Findings from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN).

    Science.gov (United States)

    Lauterbach, Dean; Armour, Cherie

    2016-02-01

    Very few studies have investigated the longitudinal trajectory of depression and anxiety related symptomatology among child victims of maltreatment or among those at risk for maltreatment. The current study examined latent class trajectories of anxiety/depression symptoms in a sample of 1354 (n = 657 boys, n = 697 girls) victimized or at risk children using data collected from the Longtitudinal Studies of Child Abuse and Neglect (LONGSCAN). Four trajectory groups were identified labeled low-stable, moderate-stable, moderate-increasing, and high-decreasing. This study also sought to investigate predictors of group membership. Relative to the low-stable group, membership in the three more pathological groups (i.e., moderate-stable, moderate-increasing, and high-decreasing) was predicted by a greater number of maltreatment allegations, more visits to a primary care physician for psychological issues, less perceived support by primary maternal caregiver, and lower rated popularity of the child. Implications for early identification of child maltreatment victims in primary health care settings was discussed. PMID:25795014

  12. Skull fracture and the diagnosis of abuse.

    OpenAIRE

    Hobbs, C J

    1984-01-01

    Eighty nine children under 2 years of age with skull fracture were studied retrospectively--29 children with definite non-accidental injury serially recorded by the Departments of Paediatrics and Forensic Medicine, and 60 children consecutively admitted to hospital with skull fractures after accidents. There were 20 deaths including 19 among abused children. Multiple injuries and an inadequate history assisted in diagnosing abuse. Fracture characteristics found considerably more often in abus...

  13. Child Abuse Reporting Barriers: Iranian Nurses’ Experiences

    OpenAIRE

    Borimnejad, Leili; Khoshnavay Fomani, Fatemeh

    2015-01-01

    Background: Although in many countries child abuse reporting is mandated, Iranian nurses report abused cases voluntary. Some of the cases are reported to the police and others are referred to welfare organizations or other non-governmental organizations. Absence of a uniform reporting system along with a lack of legal support in the specific cultural context of Iran has resulted challenges for the reporters of child abuse. Objectives: The aim of this study was to explore the Iranian nurses’ e...

  14. Transportation and retention in outpatient drug abuse treatment programs.

    Science.gov (United States)

    Friedmann, P D; Lemon, S C; Stein, M D

    2001-09-01

    To determine whether certain types of transportation assistance improve outpatient treatment retention beyond thresholds shown to have therapeutic benefits, we analyzed data from 1,144 clients in 22 outpatient methadone maintenance (OMM) programs and 2,031 clients in 22 outpatient drug-free (ODF) programs in the Drug Abuse Treatment Outcomes Study (DATOS), a national, 12-month, longitudinal study of drug abuse treatment programs. Directors' surveys provided information about provision of car, van, or contracted transportation services or individual vouchers/payment for public transportation. Chart-abstracted treatment retention was dichotomized at 365 days for OMM and 90 days for ODF. Separate multivariate hierarchical linear models revealed that provision of car, van, or contracted transportation services improved treatment retention beyond these thresholds for both OMM and ODF, but individual vouchers or payment for public transportation did not. Future research should validate whether car, van, or contracted transportation services improve retention and other treatment outcomes in outpatient drug abuse treatment.

  15. Active Surveillance of Child Abuse Fatalities.

    Science.gov (United States)

    Schloesser, Patricia; And Others

    1992-01-01

    Birth and death certificates were correlated with information in the state Child Abuse and Neglect Registry on 104 abuse-related fatalities. Significant findings included young age of parents at first pregnancy; high rate of single parenthood; and lower educational achievement among mothers. A model for data collection is discussed. (Author/BRM)

  16. Protective Informal Social Control of Child Maltreatment and Child Abuse Injury in Seoul.

    Science.gov (United States)

    Emery, Clifton R; Eremina, Tatiana; Yang, Hye Lin; Yoo, Changgeun; Yoo, Jieun; Jang, Ja Kyung

    2015-11-01

    Previous findings on the relationship between neighborhood informal social control and child abuse have been mixed. We implemented a scale created by Emery, Trung, and Wu to study protective informal social control of child maltreatment (ISC_CM) by neighbors in a three-stage random cluster sample of 541 families in Seoul, South Korea. Random-effects regression models found that protective ISC_CM significantly moderated the relationship between very severe abuse and child injuries. Very severe abuse was associated with fewer injuries when levels of protective ISC_CM were higher. Implications are discussed. PMID:25392376

  17. Medical Consequences of Child Sexual Abuse.

    Science.gov (United States)

    Berkowitz, Carol D.

    1998-01-01

    Reviews the research on medical sequelae of child sexual abuse; identifies unanswered questions; and suggests areas of research, including prospective studies of child sexual abuse, follow-up of victims, studies of nonclinic populations, studies of male victims, examination of additional variables (such as regional variation and age), diseases…

  18. Childhood sexual abuse.

    OpenAIRE

    Evrim Aktepe

    1993-01-01

    Sexual abuse is defined as use of child or adolescent by the adults for satisfying of sexual urges and needs with forcing, threatening or tricking. Sexual abuse can be in the form of sexual abuse without touch, sexual touch, interfemoral intercourse, sexual penetration, and sexual exploitation. The prevalence of sexual abuse is reported as 10-40%. It is seen in female four times more than in males. Abusers are frequently male, only 5-15% of them are female. The abuse by females is usually tow...

  19. Childhood Sexual Abuse

    OpenAIRE

    Aktepe, Evrim

    2009-01-01

    Sexual abuse is defined as use of child or adolescent by the adults for satisfying of sexual urges and needs with forcing, threatening or tricking. Sexual abuse can be in the form of sexual abuse without touch, sexual touch, interfemoral intercourse, sexual penetration, and sexual exploitation. The prevalence of sexual abuse is reported as 10-40%. It is seen in female four times more than in males. Abusers are frequently male, only 5-15% of them are female. The abuse by females is usually tow...

  20. Substance abuse in first-episode non-affective psychosis

    DEFF Research Database (Denmark)

    Larsen, Tor K; Melle, Ingrid; Auestad, Bjørn;

    2006-01-01

    -abusers, the drug-abusing group is characterized by the following: male gender, younger age, better premorbid social, poor premorbid academic functioning, and more contact with friends in the last year before onset. Alcohol abusers were the oldest group and they had the least contact with friends. A group...... of patients abusing both drugs and alcohol had poor premorbid academic functioning from early childhood. Overall, drug and alcohol abuse are highly prevalent in contemporary first-episode psychosis samples. In our study, substance abuse comorbidity did not generate differences on diagnosis, duration...... of untreated psychosis, psychiatric symptoms, or global functioning at onset/baseline. The premorbid profiles of the substance abusers were clearly different from the non-abusers. Drug abusers, in particular, were more socially active both premorbidly and during the year preceding the start of treatment....

  1. Maternal abuse history and self-regulation difficulties in preadolescence.

    Science.gov (United States)

    Delker, Brianna C; Noll, Laura K; Kim, Hyoun K; Fisher, Philip A

    2014-12-01

    Although poor parenting is known to be closely linked to self-regulation difficulties in early childhood, comparatively little is understood about the role of other risk factors in the early caregiving environment (such as a parent's own experiences of childhood abuse) in developmental pathways of self-regulation into adolescence. Using a longitudinal design, this study aimed to examine how a mother's history of abuse in childhood relates to her offspring's self-regulation difficulties in preadolescence. Maternal controlling parenting and exposure to intimate partner aggression in the child's first 24-36 months were examined as important early social and environmental influences that may explain the proposed connection between maternal abuse history and preadolescent self-regulation. An ethnically diverse sample of mothers (N=488) who were identified as at-risk for child maltreatment was recruited at the time of their children's birth. Mothers and their children were assessed annually from the child's birth through 36 months, and at age 9-11 years. Structural equation modeling and bootstrap tests of indirect effects were conducted to address the study aims. Findings indicated that maternal abuse history indirectly predicted their children's self-regulation difficulties in preadolescence mainly through maternal controlling parenting in early childhood, but not through maternal exposure to aggression by an intimate partner. Maternal history of childhood abuse and maternal controlling parenting in her child's early life may have long-term developmental implications for child self-regulation. PMID:25459984

  2. Tipping Points and the Accommodation of the Abuser: Ongoing Incestuous Abuse during Adulthood

    Directory of Open Access Journals (Sweden)

    Warwick Middleton

    2015-07-01

    Full Text Available Until recently the widespread reality of ongoing incestuous abuse during adulthood had attracted no systematic research. The scientific literature was limited to the occasional case study and brief anecdotal references. This minimal literature was supplemented by biographical works written by or about victims of this form of abuse, and by press reports. With the advent of the Josef Fritzl case there was a very marked increase in the press reporting of such abuse, which in turn provided a reference point for more fine-grained data collection and scientific reporting. This paper introduces the subject of prolonged incest via the lens of organised abuse, summarises research on incestuous abuse and draws on multiple clinical examples to elucidate the mechanisms by which such abuse merges with, or develops into, variations of organised abuse, including that centred on the family, on prostitution, or on that involving abuse networks. The abuse practices, the net-working, and the ploys used to avoid prosecution practiced by the father perpetrating ongoing incestuous abuse during adulthood have much in common with other variants of organised sexual abuse.

  3. Cough and Cold Medicine Abuse

    Science.gov (United States)

    ... and Cold Medicine Abuse DrugFacts: Cough and Cold Medicine Abuse Email Facebook Twitter Revised May 2014 Some ... diverted for abuse. How Are Cough and Cold Medicines Abused? Cough and cold medicines are usually consumed ...

  4. Gender Inequality Prevents Abused Women from Seeking Care Despite Protection Given in Gender-Based Violence Legislation: A Qualitative Study from Rwanda.

    Directory of Open Access Journals (Sweden)

    Aline Umubyeyi

    Full Text Available Despite its burden on a person's life, Intimate Partner Violence (IPV is known to be poorly recognised and managed in most countries and communities. This study aimed to explore health care professionals' experiences of the health care seeking processes of women exposed to intimate partner violence in Rwanda.Six focus group discussions were conducted in three district hospitals and three mental health units in Rwanda. A sample of 43 health care professionals with various professions and length of work experience, who regularly took care of patients subjected to IPV, was selected for focus group discussions. The analysis was performed using qualitative content analysis.The theme "Gendered norms and values defeat the violence legislation in women's health care seeking when women are abused" expressed the health care professionals' experiences of the double-faced situation which women exposed to IPV met in their help seeking process. Positive initiatives to protect women were identified, but the potential for abused women to seek help and support was reduced because of poverty, gender inequality with prevailing strong norms of male superiority, and the tendency to keep abuse as a private family matter.Legislative measures have been instituted to protect women from abuse. Still many Rwandan women do not benefit from these efforts. The role of the health care services needs to be reinforced as an important and available resource for help and support for abused women but further legislative changes are also needed. Initiatives to further improve gender equality, and institutionalised collaboration between different sectors in society would contribute to protecting women from IPV.

  5. [Urine checks as a supportive measure with drug abuse patients to supplement current therapy models].

    Science.gov (United States)

    Friedrich, G; Leber, D; Weigend, M

    1991-01-01

    Urine samples of 120 heroin-addicted probands who had to take part in urinanalysis tests were analysed during a 26 months' period. Up to 7 substances (morphine/diamorphie, codeine, cocain, LSD, cannabinoides, barbiturates and amphetamines) were tested. The results were compared to the results of a group of 177 cannabies-smokers. The purpose of this study was to find out in how far urinanalysis tests can change drug-consuming behaviour. More than 80% of the cannabis-smokers showed evidently a decrease of THC-positive urine samples at the end of the investigation period. Only about 13% had positive samples during the whole period. 12 out of 120 heroin-addicted probands (= 10%) had morphine-positive urine samples at the beginning of investigations. For 104 out of 1423 tested samples (46 probands) an unmistakable distinction between morphine/diamorphine- or codeine-intake was not possible because the concentrations found were too low. About 20% of the samples indicated a shift to a substitutional used drug like codeine. Further more a slightly significant increase of cannabis-intake was to be observed.

  6. Exposure to tobacco, alcohol and drugs of abuse during pregnancy. A study of prevalence among pregnant women in Malaga (Spain).

    Science.gov (United States)

    Blasco-Alonso, Marta; González-Mesa, Ernesto; Gálvez Montes, Milagros; Lozano Bravo, Isabel; Merino Galdón, Federico; Cuenca Campos, Francisco; Marín Schiaffino, Gema; Pérez Torres, Sergio; Herrera Peral, José; Bellido Estévez, Inmaculada

    2015-01-01

    The prevalence of substance abuse in women who become pregnant is similar to that of the general population, resulting in a high fetal exposure rate during the most vulnerable period regarding neurodevelopment and organogenesis. The present study was intended to assess the level of prenatal exposure to tobacco, alcohol or illicit drugs in the city of Málaga (Spain). It was designed as a cross-sectional study, and based on the anonymous self-reports of participants. A total of 451 pregnant women were recruited in the first, second or third trimester. The prevalence in each of the quarters respectively was 21.2%, 18.5% and 13.3% for smoking, 40.7%, 23.1% and 17.1% for alcohol and 4.8%, 1.9% and 1.2% for cannabis. We also found that a higher educational level was associated with a lower consumption of tobacco (RR 0.659 [0.537-0.810] p<0.0001) and greater exposure to alcohol (RR 1.87 [1.30-2.69] p<0.0007). These results, particularly in regard to alcohol intake, are sufficiently alarming to alert obstetric care providers about the need to implement preventive measures. PMID:26132299

  7. Knowledge of sexual abuse amongst female students in Malawi

    Directory of Open Access Journals (Sweden)

    R. Dzimadzi

    2007-09-01

    Full Text Available Sexual abuse is an increasing problem in Malawi amongst female students, and is associated with physical and mental health problems. This study aimed to determine existing knowledge of sexual abuse amongst female students in tertiary education institutions in Malawi. A descriptive, comparative, quantitative and contextual research design was used. Participants (n=219 were selected through systematic random sampling from a population of female students aged 18 to 21, at fifteen (n= 15 tertiary education institutions in Malawi. Sexually abusive behaviours demonstrated by a lover and friend were interpreted as not being abusive. There were no significant differences in knowledge of sexual abuse between the abused and non-abused respondent groups (p > 0.05. The overall prevalence rate of sexual abuse was 41%. Common forms of sexual abuse experienced were touching of breasts (54.4% and attempted sexual intercourse (47.8%. Completed sexual intercourse was experienced by 18.9% of the respondents. The majority reported that they were sexually abused by men (98.9%. Twenty one percent experienced more than one sexually abusive incident and some respondents were abused by friends (30%. The abusers mostly used physical threats. Only 55.6% reported their sexual victimisation to others. Female students aged 18 to 21 in tertiary education institutions in Malawi had some knowledge of sexual abuse, but there were deficits in the interpretation of sexually abusive behaviours. The majority of abusers were male adolescents and young adults. Respondents should know what the Malawi law stipulates and what can be done to control and prevent sexual abuse. The information obtained from the study was used to develop guidelines for sexual abuse prevention programmes.

  8. Skin manifestations of child abuse

    OpenAIRE

    Ermertcan Aylin; Ertan Pelin

    2010-01-01

    Child abuse is a major public health problem all over the world. There are four major types of abuse: physical abuse, sexual abuse, emotional abuse and neglect. The most common manifestations of child abuse are cutaneous and their recognition; and differential diagnosis is of great importance. Clinicians, especially dermatologists, should be alert about the skin lesions of child abuse. In the diagnosis and management of child abuse, a multidisciplinary approach with ethical and legal procedur...

  9. Childhood Trajectories of Inattention, Hyperactivity and Oppositional Behaviors and Prediction of Substance Abuse/Dependence: A 15-Year Longitudinal Population-Based Study

    OpenAIRE

    Pingault, Jean-Baptiste; Côté, Sylvana M.; Galéra, Cédric; Genolini, Christophe; Falissard, Bruno; Vitaro, Frank; Richard E Tremblay

    2012-01-01

    Numerous prospective studies have shown that children diagnosed with ADHD are at higher risk of long-term substance abuse/dependence. However, there are two important limits to these studies: a) most did not differentiate the role of hyperactivity and inattention; b) most did not control for associated behavioral problems; c) most did not consider females. Our aim was to clarify the unique and interactive contributions of childhood inattention and hyperactivity symptoms to early adulthood sub...

  10. DRUG ABUSE IN KASHMIR - EXPERIENCE FROM A PSYCHIATRIC DISEASES HOSPITAL

    OpenAIRE

    Margoob, Mushtaq A; Dutta, K.S.

    1993-01-01

    SUMMARY Socio-demographic variables of 189 out-patients with drug abuse who were registered at the Hospital for Psychiatric Diseases, Srinagar were studied. Most of the drug abusers were male, the majority (57.2%) being in the 26-35 age group. Cannabis was the commonest substance abused, followed by heroin. Cannabis abusers had the longest duration of drug use but the lowest rate of drug dependence (29.9%) and lowest rate of multiple drug abuse (6.1%), whereas heroin abusers had the highest r...

  11. Can the FIFA world cup football (soccer) tournament be associated with an increase in domestic abuse?

    OpenAIRE

    Kirby, Stuart; Francis, Brian; O'Flahery, Rosalie

    2014-01-01

    This study aims to establish whether empirical evidence exists to support the anecdotal view that the FIFA world cup football (soccer) tournament can be associated with a rise in reported domestic abuse incidents, when viewed remotely via television. Methods A quantitative analysis, using Poisson and negative binomial regression models looked at monthly and daily domestic abuse incidents reported to a police force in the North West of England across three separate tournaments (2002, 2006, 201...

  12. Intranasal oxycodone self-administration in non-dependent opioid abusers

    OpenAIRE

    Middleton, L.S.; Lofwall, M.R.; Nuzzo, P.A.; Siegel, A.; Walsh, S.L.

    2012-01-01

    Oxycodone, an opioid with known abuse liability, is misused by the intranasal route. Our objective was to develop a model of intranasal oxycodone self-administration useful for assessing the relative reinforcing effects of opioids and potential pharmacotherapies for opioid use disorders. Healthy, sporadic intranasal opioid abusers (n=8; 7 M, 1 F) completed this inpatient 2.5-week, randomized, double blind, placebo-controlled, crossover study. Each intranasal oxycodone dose (0, 14 & 28 mg) was...

  13. Childhood abuse in late-life depression

    NARCIS (Netherlands)

    Comijs, H.C.; Exel, E. van; Mast, R.C. van der; Paauw, A.; Oude Voshaar, R.C.; Stek, M.L.

    2013-01-01

    BACKGROUND: Little is known about the role of childhood abuse in late-life depression. The aim of the study is therefore to study whether childhood abuse is associated with late-life depression according to its onset, and which clinical characteristics play a role in this association. METHODS: Data

  14. Childhood abuse in late-life depression

    NARCIS (Netherlands)

    Comijs, Hannie C; van Exel, Eric; van der Mast, Roos C; Paauw, Anna; Oude Voshaar, Richard; Stek, Max L

    2013-01-01

    Background: Little is known about the role of childhood abuse in late-life depression. The aim of the study is therefore to study whether childhood abuse is associated with late-life depression according to its onset, and which clinical characteristics play a role in this association. Methods: Data

  15. Abuse during Pregnancy

    Science.gov (United States)

    ... partner may try to hurt your body. This physical abuse can include hitting, slapping, kicking, choking, pushing or ... your unborn baby in grave danger. During pregnancy, physical abuse can lead to miscarriage and vaginal bleeding . It ...

  16. Prescription Drug Abuse

    Science.gov (United States)

    ... a drug abuser aggressive or paranoid. Although stimulant abuse might not lead to physical dependence and withdrawal, the feelings these drugs give people can cause them to use the drugs more and more ...

  17. Prescription Drug Abuse

    Science.gov (United States)

    ... what the doctor prescribed, it is called prescription drug abuse. It could be Taking a medicine that ... purpose, such as getting high Abusing some prescription drugs can lead to addiction. These include narcotic painkillers, ...

  18. Who Owns Child Abuse?

    Directory of Open Access Journals (Sweden)

    Gerald Cradock

    2014-11-01

    Full Text Available Expectations of contemporary child protection apparatuses are strongly influenced by beliefs inherited from the nineteenth century child rescue movement. In particular, the belief that child abuse determination is obvious. However, this assumption fails to make a distinction between nineteenth century’s emphasis on impoverished environments and the twentieth century introduction of the pathological child abuser. Moreover, the proliferation of kinds of child abuse, and the need to distinguish child abusers from non-abusers, means knowledge is now spread across an array of disciplines and professions, which necessarily destabilizes the definition of child abuse. The increasing exposure of alternate care systems as potentially abusive has similarly destabilized the old common sense solution to neglected children—namely removal. Finally, as uncertainty increases, and definitions become more divergent, the question of what child abuse is, and what should be done about it, becomes increasingly politicized.

  19. Reviewing the Association between the History of Parental Substance Abuse and the Rate of Child Abuse

    OpenAIRE

    Yaghoubi-Doust, Mahmoud

    2013-01-01

    Background Substance abuse is a social, and health problem in Middle Eastern countries such as Iran. One of its most devastating effects is domestic violence against children. This study examined the association between the history of parental substance abuse, and rate of child abuse in Ahvaz, Iran. Methods This was a case-control study. The study population included all parents with high school children in Ahwaz within the academic year 2012-2013. The sample size was 384 people in two groups...

  20. A preliminary study on manner of child abuse%儿童受虐方式调查分析

    Institute of Scientific and Technical Information of China (English)

    杨世昌; 张亚林; 黄国平; 郭果毅

    2004-01-01

    背景:儿童受虐是家庭暴力的一个类型,其长期、普遍的存在于人类社会,造成儿童受虐的原因纷杂,形式多样.目的:探讨儿童受虐的类型,对儿童受虐的方式进行分析,以期发现儿童受虐的规律,为降低儿童受虐提供依据.设计:随机抽样调查研究.地点、对象和方法:采用自编"一般资料问卷和儿童受虐筛查表"随机抽取湘潭某工厂子弟中学二年级学生282名进行横断面研究.筛查出86名近1年内遭受虐待的儿童,并对其受虐不同方式的儿童例数进行分析.主要观察指标:受虐儿童受虐方式及合并受虐方式的状况.结果:近1年内受言语侮辱59名(68.6%),拳打脚踢46名(53.5%),经济控制28名(32.6%),抓、咬、打耳光26名(30.2%),忽视18名(20.9%),用刀、棒10名(116%),隔离2名(2.3%),性虐待0名,人均受虐方式2种以上.结论:受虐儿童常受多种虐待方式,因此从多方发现线索有利于早发现受虐.%BACKGROUND: Child abuse(CA) is a kind of domestic violence. It has been comnonly existed in human society for a long time, and there exists complex reasons and various manner of child abuse.OBJECTIVE: To explore the types of child abuse, and to analyze its manners, so as to find out the regularity of it, and to reduce the incidence of child abuse.SETTING, PARTICIPANTS and INTERVENTIONS: Totally 282 middle school students were investigated with general data questionnaire and screen questionnaire of child abuse. Among these students, 86 cases of child abuse in the past year were found, and the manner of child abuse were analyzed.MAIN OUTCOME MEASURES: Manner of child abuse and the state of its complication.RESULTS: Tie incidence of language abuse, beat and kick, economic restriction, face slap, neglect, use of knife or stick, isolation and sexual abuse were 68.6% (59 cases), 53.5% (46 cases), 32.6% (28 cases), 30. 2% (26cases), 20.9% (18 cases), 11.6% (10 cases), 2.3% (2 cases), 0% respectively. The average