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Pattern of Abuse in Children With Behavioral Disorders Presenting to a Tertiary Care Hospital in Peshawar
Amir Muhammad1, Khawaja Kamran Wajid2, Bibi Alia2
1Pediatrics, Lady Reading Hospital, Medical Teaching Institution (MTI), Peshawar, PAK.
Insights
Physical abuse is the most common form of child abuse linked to behavioral disorders. However, the study found no significant association between the specific type of abuse and the type of behavioral disorder in children.
Area of Science:
- Pediatrics
- Child Psychology
- Forensic Medicine
Background:
- Child abuse presents a significant public health concern with diverse manifestations.
- Behavioral disorders in children are often complex and multifactorial.
- Understanding the interplay between abuse types and behavioral outcomes is crucial for effective intervention.
Purpose of the Study:
- To identify the prevalent types of child abuse among children with behavioral disorders.
- To investigate the association between specific forms of child abuse and distinct behavioral disorders.
- To provide data from a tertiary care hospital setting in Pakistan.
Main Methods:
- A descriptive study was conducted on 100 children diagnosed with behavioral disorders.
- Exclusion criteria included children with severe medical conditions or parental refusal.
- Statistical analysis, including the chi-square test, was used to examine associations.
Main Results:
- The most frequent behavioral disorder was functional disorder (59%), followed by depression (26%).
- Physical abuse was the most common type of abuse (87%), followed by verbal (7%) and sexual abuse (6%).
- No statistically significant association was found between the type of behavioral disorder and the type of child abuse (P=0.162).
Conclusions:
- Physical abuse is the predominant form of abuse identified in children with behavioral disorders.
- The study did not find evidence linking specific types of child abuse to particular behavioral disorders.
- Further research may be needed to explore potential nuanced relationships.
Abstract:
Objective To determine the different types of child abuse and its association with behavioral disorders in children presenting to a tertiary care hospital. Materials and methods One hundred abused Pakistani children, of both genders, were included. Children with cerebral palsy, a neurodegenerative disorder, chronic illness, chronic liver disease, congenital heart disease, chronic renal failure, and parents who refused to become part of the study were excluded. Descriptive statistics were calculated. The chi-square test was applied to compare the pattern of abuse among various types of behavioral disorders. P≤0.05 was considered significant. Results The mean age of the study was 10.38±2.64 years. The total number of males was 51 (51%); the rest (49; 49%) were females. The most common behavioral disorder was functional disorder (n=59, 59%) followed by depression (n=26, 26%). The most frequent abuse was physical (n=87, 87%) followed by verbal (n=7, 7%) and the least was sexual (n=6, 6%). There was no statistically significant association between type of behavioral disorder and type of abuse in children (P=0.162). Conclusion The most common type of child abuse among children with behavioral disorders is physical abuse followed by verbal. The type of behavioral disorder is not associated with a specific type of child abuse.
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