کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
345043 617477 2010 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Child abuse and autonomic nervous system hyporesponsivity among psychiatrically impaired children
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Child abuse and autonomic nervous system hyporesponsivity among psychiatrically impaired children
چکیده انگلیسی

ObjectiveSexually or physically abused children are at risk for neurobiological dysregulation as well as for internalizing and disruptive behavior disorders. Stress-related autonomic nervous system (ANS) down-regulation has been proposed as a sequela of abuse and was investigated in the present study.MethodsChild Protective Services documented incidents of abuse were recorded for children in a sample of 262 pediatric psychiatric inpatients, as well as demographic, physical and intellectual functioning, and diagnostic and medication prescription data. Before and after a mildly stressful blood draw, noninvasive assessments of ANS activity were obtained.ResultsControlling for all other variables in logistic regression analyses, a history of physical abuse (45% overall prevalence) was associated with poststressor ANS hyporesponsivity (i.e., heart rate deceleration).ConclusionsResults suggest that a history of physical (but not sexual) abuse is associated with stressor-related ANS down-regulation in psychiatrically impaired children and adolescents.Practice implicationsStressor-related autonomic hyporesponsivity secondary to physical abuse may contribute to the impairment of severely emotionally disturbed children. Differential diagnosis of psychiatrically impaired children should include identification of those who have a history of physical abuse, and their treatment should address stressor-related hyporeactivity.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Child Abuse & Neglect - Volume 34, Issue 7, July 2010, Pages 507–515
نویسندگان
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