دانلود مقاله ISI انگلیسی شماره 62264
عنوان فارسی مقاله

موارد خاکستری از کودک آزاری: بررسی عوامل مرتبط با عدم قطعیت

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
62264 2016 6 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Gray cases of child abuse: Investigating factors associated with uncertainty ☆
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Child Abuse & Neglect, Volume 51, January 2016, Pages 87–92

کلمات کلیدی
کودک آزاری؛ تصمیم گیری های بالینی؛ عدم قطعیت
پیش نمایش مقاله
پیش نمایش مقاله موارد خاکستری از کودک آزاری: بررسی عوامل مرتبط با عدم قطعیت

چکیده انگلیسی

Research in child abuse pediatrics has advanced clinicians’ abilities to discriminate abusive from accidental injuries. Less attention, however, has been paid to cases with uncertain diagnoses. These uncertain cases – the “gray” cases between decisions of abuse and not abuse – represent a meaningful challenge in the practice of child abuse pediatricians. In this study, we describe a series of gray cases, representing 17% of 134 consecutive children who were hospitalized at a single pediatric hospital and referred to a child abuse pediatrician for concerns of possible abuse. Gray cases were defined by scores of 3, 4, or 5 on a 7-point clinical judgment scale of the likelihood of abuse. We evaluated details of the case presentation, including incident history, patient medical and developmental histories, family social histories, medical studies, and injuries from the medical record and sought to identify unique and shared characteristics compared with abuse and accidental cases. Overall, the gray cases had incident histories that were ambiguous, medical and social histories that were more similar to abuse cases, and injuries that were similar to accidental injuries. Thus, the lack of clarity in these cases was not attributable to any single element of the incident, history, or injury. Gray cases represent a clinical challenge in child abuse pediatrics and deserve continued attention in research.

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