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While conducting a prospective study of 100 sexually abused children, we found a much higher rate of out-of-home placement than has been previously described for child maltreatment. This study was designed to determine which factors were most influential in predicting the placement experiences of this cohort. The children, ages 6-17 years, were recently substantiated victims of intrafamilial sexual abuse whose parents or guardians permitted study involvement. We examined child and family demographics, abuse characteristics, and family response as possible determinants of immediate and later placement. At the initial assessment, within a few weeks of the disclosure, 50% of the children had already been removed. A follow-up assessment of 83 children two years later revealed that 73% had been removed from the abusing home. In a multivariate regression model, only maternal support of the child emerged as a significant predictor of immediate placement and placement over time. The offender's status as a resident in the child's home was an important predictor of immediate placement but was not significant as a predictor of all placements at any time. As maternal support is an important predictor of the need for placement, workers are encouraged to seek ways of enhancing maternal support as a means of reducing placement. 相似文献
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ObjectivesTo determine the prevalence of intimate partner violence (defined as any physical violence during the last 12 months or previously) among mothers who maltreat their children, and to examine whether mothers’ experiences of intimate partner violence (IPV) are associated with repeated reports (rereports) of children to Child Protective Services (CPS) during the following 18 months.MethodsData for the analyses were from the National Survey of Child and Adolescent Well-Being (NSCAW), a national probability study of children investigated for child maltreatment. The sample of 5,501 children (ages 0–14) was randomly selected from the families who entered the US child welfare system between October 1999 and December 2000. The analysis sample was restricted to 1,236 families in which caregivers were: (1) the alleged perpetrators of the child maltreatment at baseline (independently of substantiation status) and (2) the biological mothers (n = 1,212 or 98.6%), adoptive mothers (n = 17 or 1%), or stepmothers (n = 7 or 0.3%) of children not placed in out-of-home care.ResultsChildren of mothers physically abused by an intimate partner during the last 12 months or previously at the intake interview (44%) were twice as likely as children of mothers who had not experienced such violence to be rereported to CPS (29% vs. 14%, Odds Ratio = 2.0, 95% Confidence Interval = 1.1–3.4). Rereports occurred almost twice as quickly for children of mothers who experienced IPV compared to children of mothers who had not experienced IPV (Hazard Ratio = 1.9, 95% Confidence Interval = 1.1–3.0).ConclusionsThe higher risk and speedier rereports of child maltreatment associated with intimate partner violence highlights the need for universal assessment and provision of services for IPV among families that are investigated by CPS. 相似文献
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Abstract The purpose of this study was to observe the effects of a progressive aerobic training program on hemoglobin concentration (Hb), hematocrit (Hct), red blood cell (RBC) count, mean RBC size (MCV), and mean corpuscular hemoglobin (MCH) of college women (N = 19). Training consisted of jogging (3 × week) one mile per session (Week 1) with a progressive increase in duration to five miles per session (Week 9). Training intensity elicited heart rates between 165–185 beats per minute. Blood samples were taken before training and after approximately two, five, seven, and nine weeks. Maximal oxygen uptake (ml/kg · min?1) increased significantly during training from 41.2 ± 0.7 ( ± SE) to 44.7 ± 0.7. Initial values of Hb, Hct, RBC count, MCV, and MCH were 14.7 ± 0.13 g/dl, 40.4 ± 0.46%, 4.5 ± 0.5 × 106/mm3, 89.0 ± 1.1/μ3, and 32.4 ± 0.4 μμg respectively. Orthogonal polynominal regression indicated significant decreasing quadratic trends for Hb, Hct, and RBC count, a significant cubic trend for MCV, and no change in MCH during training. Despite the initial trends, values that changed did return to near pretraining levels by the end of the nine-week program. Values for all blood parameters remained within normal ranges throughout the study. These data suggest that although aerobic training of increasing intensity in young women may be accompanied initially by decreases in Hb, Hct, and RBC count and an increase in MCV, these changes are only transitory. If such changes result from RBC destruction rather than hemodilution, the return to hematopoietic balance could impose a draw on body iron stores. 相似文献
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Terri Lewis Richard Thompson Jonathan B. Kotch Laura J. Proctor Alan J. Litrownik Diana J. English Desmond K. Runyan Tisha R.A. Wiley Howard Dubowitz 《Child abuse & neglect》2012,36(11-12):790-797
ObjectiveStudies have consistently demonstrated a lack of agreement between youth and parent reports regarding youth-witnessed violence. However, little is known about whether disagreement is associated with poorer outcomes and less utilization of mental health services. The purpose of the current study was to examine disagreement among youth and parents about youth witnessed violence, and determine whether concordance predicted trauma symptoms and recognition of need and receipt of counseling services.MethodsConcordance about youth-witnessed violence was examined in 766 dyads from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). Youth participants self-reported trauma symptoms, caregivers indicated youth need for and receipt of services. Both youth and parents provided information about youth-witnessed violence exposure in the last year.ResultsResults showed youth and caregivers differed significantly about youth-witnessed violence. Specifically, 42% of youth reported youth-witnessed violence, compared to only 15% of parents. For those parents who reported youth-witnessed violence, only 29% reported an identified need for services and only 17% reported the youth had received any mental health services. Concordance between parent–youth dyads was associated with greater identified need for services but was not associated with the use of counseling services or trauma symptoms.ConclusionsYouth who reported witnessing violence reported more frequent trauma symptoms regardless of concordance. Parents from dyads in which both informants reported youth-witnessed violence were more likely to endorse need for, but not receipt of counseling services. Given this association between youth-witnessed violence and mental health problems, more work is needed to identify barriers to concordance as well as service utilization. 相似文献
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The effect of extra time on reading comprehension scores for university students with and without learning disabilities 总被引：3，自引：0，他引：3
M K Runyan 《Journal of learning disabilities》1991,24(2):104-108
The purpose of this study was to examine the effects of extra time on the ability of university students with and without learning disabilities to complete a reading comprehension test under timed and extra-time conditions. The participants were 16 students identified as having learning disabilities and 15 normally achieving students, all attending the University of California. The Nelson-Denny Reading Comprehension and Reading Rate Test was used. Percentile ranks were obtained for reading rates on individuals, and for comprehension scores under timed and extra-time conditions. The major findings of this study were that there is a significant difference between scores obtained by students with learning disabilities and by normally achieving students under timed conditions and that there are no significant differences in test performance between students with learning disabilities and normally achieving university students when students with learning disabilities are provided extra time. Normally achieving students did not perform significantly better with extra time. 相似文献
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The World Report on Children and Violence, (Pinheiro, 2006) was produced at the request of the UN Secretary General and the UN General Assembly. This report recommended improvement in research on child abuse. ISPCAN representatives took this charge and developed 3 new instruments. We describe this background and introduce three new measures designed to assess the incidence and prevalence of child abuse and neglect. 相似文献
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English DJ Upadhyaya MP Litrownik AJ Marshall JM Runyan DK Graham JC Dubowitz H 《Child abuse & neglect》2005,29(5):597-619
OBJECTIVE: The aim of this exploratory study was to examine the extent to which, in combination, the best constructions of basic dimensions of maltreatment, identified in other papers from LONGSCAN, predict child outcomes. METHOD: Maltreatment records of a sample of 203 children were used to define dimensions of maltreatment related to Type, Severity, Chronicity, and Age at First Report. The definitions were based upon findings presented in other papers in this special issue. Children's behavioral and emotional functioning was examined at age 8 using standardized measures of problem behaviors, socialization and adaptation, and trauma symptomatology. Backward elimination regression was used to screen for interactions among the dimensions; regression models including dimensions and significant interactions were then run for each child outcome. Stratified partial correlations were utilized to explicate significant interactions. RESULTS: Individual maltreatment dimensions were found to have distinct effects on child functioning. Additionally, dimensions of maltreatment were interrelated and interacted in determining outcomes. Type of maltreatment (as indicated by the maximum severity rating of each type) was the most consistent predictor across outcomes, albeit different types predicted different outcomes. Various dimensional interactions were significant predictors of different outcomes. CONCLUSION: The results suggest that a comprehensive assessment of a child's maltreatment experience, including type and severity, when the maltreatment began and the pattern of maltreatment across the life span, is important to understanding the effects of maltreatment on children's growth and development. 相似文献