scholarly journals MALTRATO INFANTIL Y TRASTORNOS CLÍNICOS POST-VIOLENCIA EN NIÑOS MENORES DE CINCO AÑOS

Author(s):  
María José Terán Bejarano ◽  
Isabel Cluet de Rodriguez ◽  
Vanessa Michelle Barzallo Puebla ◽  
Mónica Tatiana Escobar Suárez ◽  
Carlos Antonio Escobar Suárez

Introducción: El maltrato infantil (MI), se ha convertido en un problema de salud pública que impregna todos los sectores sociales y cuyo impacto resulta devastador no solamente durante su infancia, sino a lo largo de toda su vida. Objetivo: Describir el maltrato infantil y trastornos clínicos post-violencia en niños menores de cinco años. Métodos: A documentary research was carried out in databases such as SciElo, Pubmed, Google Scholar and, LATINDEX, using the descriptors: child abuse, child abuse, family relationships, family violence, published in the period 2010-2021, in languages English, Spanish and Portuguese. Resultados: Se considera que, el maltrato infligido en los primeros cinco años de la vida del menor, repercute en el desarrollo neurobiológico y psicológico, el cual tiende a ser más rápido que en los años siguientes de las etapas del desarrollo. El maltrato infantil, no solo consiste en la presencia de hematomas, quemaduras, traumas craneales, la negligencia y la desnutrición. Se asume el maltrato infantil como todo aquel daño emocional que acompaña a los actos abusivos o negligentes que se traducen como trastorno de estrés agudo y el trastorno de estrés postraumático, con su repercusión a largo plazo. Conclusiones: El maltrato infantil puede afectar el exitoso desarrollo del niño no sólo en un determinado período de desarrollo, sino a lo largo de toda su vida. Un equipo multidisciplinario, que ejecute estrategias de prevención, la necesidad inclusión de todos los países en esta lucha y entender que la prevención es la única salida   Palabras claves: maltrato a los niños, abuso de los niños, relaciones familiares, violencia familiar   ABSTRACT   Introduction: Child abuse (MI) has become a public health problem that permeates all social sectors and whose impact is devastating not only during childhood, but throughout their entire lives. Objective: To describe child abuse and post-violence clinical disorders in children under five years of age. Methods: A documentary investigation was carried out. Through the search for scientific articles, in databases such as SciElo, Pubmed, Google Scholar and, LATINDEX, using the descriptors: child abuse, child abuse, family relationships, family violence. With inclusion criteria: full articles, in national and international journals and organizations such as WHO, PAHO, published in the period 2010-2021, in English, Spanish and Portuguese languages. Results: It is considered that the abuse inflicted in the first five years of the child's life affects the neurobiological and psychological development, which tends to be faster than in the following years of the development stages. Child abuse not only consists of bruises, burns, head trauma, neglect and malnutrition. Child abuse is assumed as all the emotional damage that accompanies abusive or negligent acts that translate as acute stress disorder and post-traumatic stress disorder, with its long-term repercussions. Conclusions: Child abuse can affect the successful development of the child not only in a certain period of development, but throughout their entire life. A multidisciplinary team, which executes prevention strategies, the need to include all countries in this fight, and understands that prevention is the only way out Keywords: child abuse, child abuse, family relationships, family violence

Author(s):  
Munqidz Zahrawaani ◽  
Nani Nurhaeni

Violence committed by adolescents is a serious public health problem. Violent behavior is a condition or moment that shows part of behavior from individuals which attack others people or a form of behavior directed at others to maintain power or control. Children and adolescents who experience persecution or traumatic experiences continuously tend to be criminals as adults, but need more investigated and research to explore factors that cause adolescents become perpetrators of violence. Nurses are health workers who must be involved in primary prevention efforts in preventing violent behavior by adolescents. The purpose of this study is to examine the factors that cause adolescents to become perpetrators of violence. This literature review had processed based on academic journals published from 2014 to 2019 starting from Proquest, PubMed and Google Scholar. The results of the study found that the main points that cause adolescents has been perpetrators of violence are drug and alcohol abuse, mental health, poor family relationships and trauma due to violence to neglect of adolescents. The analyzed resulted will provide advice, input and tips for parents and health professionals to take further action on the child. This review literature (expected to be a reference material for further research Keywords: child abuse; adolescence; nursing ABSTRAK Kekerasan yang dilakukan remaja merupakan masalah kesehatan masyarakat yang serius. Perilaku kekerasan merupakan suatu kondisi atau keadaan yang menunjukkan perilaku individu yang melakukan penyerangan terhadap orang lain atau suatu bentuk perilaku yang ditujukan kepada orang lain untuk mempertahankan kekuasaan atau kontrol. Anak dan remaja yang mengalami penganiayaan atau pengalaman traumatis secara terus menerus cenderung akan menjadi pelaku kejahatan pada saat dewasa, tetapi perlu diteliti lebih lanjut faktor faktor yang menyebabkan remaja menjadi pelaku kekerasan. Perawat merupakan tenaga kesehatan yang harus terlibat dalam upaya pencegahan primer dalam mencegah perilaku kekerasan yang dilakukan remaja. Tujuan penelitian ini adalah untuk menelaah faktor faktor yang menyebabkan remaja menjadi pelaku kekerasaan. Metode penelitian yang digunakan adalah literature review yang diolah berdasarkan jurnal akademis yang dipublikasikan dari tahun 2014 sampai 2019 mulai dari Proquest, PubMed dan Google Scholar. Hasil telaah ditemukan bahwa poin utama yang menyebabkan remaja menjadi pelaku kekerasan adalah penyalahgunaan narkoba dan alKohol, kesehatan mental, hubungan keluarga yang tidak baik dan trauma akibat kekerasan sampai penelantaran remaja. hasil analisis akan memberikan saran, masukkan dan tips bagi orang tua dan tenaga kesehatan untuk melakukan tindakan selanjutnya pada anak. Literatur review ini diharapkan dapat menjadi bahan acuan bagi penelitian selanjutnya. Kata kunci: kekerasan pada anak; remaja; perawatan


Author(s):  
József Szabó ◽  
Szilvia Tóth

Abstract Introduction We would like to present the case of a young patient with acute stress disorder and recurrent nightmares following the psychological trauma caused by a severe road traffic accident. The comprehensive therapy carried out at the Department of Traumatology included medication, trauma processing and a psychological method whose aim is to cease the development of nightmares. Case Presentation Psychiatric assessment and treatment was asked for a polytraumatised female patient at the Intensive Care Unit after she had undergone a neurosurgical intervention. Her medicinal treatment was continued at the Department of Traumatology. Besides the antidepressant venlafaxine she was treated in accordance with the EMDR protocol for acute stress disorder, and we also applied imagery rescripting to prevent her from having recurrent (daily) nightmares. As a result of the therapy, her symptoms were fast relieved, the nightmares stopped almost instantly, her mood improved, rumination and anxiety decreased significantly. Conclusions In view of the fast and significant symptomatic improvement, we can expect that the EMDR therapy and its protocol for acute stress disorder have successfully reactivated information processing, and besides the subjective relief we have managed to prevent a mental crisis that could lead to a suicide risk as well as the development of post-traumatic stress disorder. We also hope that the improvement will be long-lasting.


2012 ◽  
Vol 21 (1) ◽  
pp. 13-21 ◽  
Author(s):  
M. Casacchia ◽  
R. Pollice ◽  
R. Roncone

The authors describe their experience working and living in L'Aquila, where at 3.32 a.m., early in the morning of 6 April 2009, a 6.3 Richter magnitude earthquake caused serious damages to this 13th century town (with a population of 72 000 and a health district of 103 788), in the mountainous Abruzzo region and to several medieval hill villages in the surrounding areas: 309 residents were killed, over 1600 were injured, 66 000 residents were displaced, and, the centre of L'Aquila, the main historical and artistic centre of Abruzzo, was totally destroyed.Here is described the work done at the Psychiatric Unit of the General Hospital of L'Aquila and in the University. The Authors report the incidence rate of Acute Stress Disorder (ASD) in help-seekers (full ASD 4.9%, and partial ASD 39.3%), and of post-traumatic stress disorder (PTSD) found in different samples of population (range 12–37.5). The authors express their consideration about which real-world variables can reflect the population distress and the naturalistic process of recovery in such natural disasters. After the earthquake they hypothesize that a lot of residents had found their way to recover through ‘writing, telling the story’, by analogy with what narrative medicine asserts, thus estimating the positive effect of ‘emotional disclosure’ on health. A large number of materials (books, web-blogs, videos) were produced by residents and a database of memories was implemented. The suffering and struggle to recover in the aftermaths of a traumatic experience often yields remarkable transformations and positive growth. From this point of view, the authors underline the increased virtual relationships of residents through Facebook, to cope with the loss of previous social relationships, to get information about recreational opportunities, or to get organized for public events, despite their displacement. Many collective demonstrations were organized and showed the will to actively participate to the processes of reconstruction of the civil and scientific life of the town. The authors stress the need to prevent natural disasters, instead of preventing mental disorders following natural disasters, reporting that seven Italian seismologists and scientists are on trial for manslaughter, accused to have failed to evaluate the true risks of L'Aquila earthquake.


2007 ◽  
Vol 187 (2) ◽  
pp. 120-123 ◽  
Author(s):  
David Forbes ◽  
Mark C Creamer ◽  
Andrea J Phelps ◽  
Anne‐Laure Couineau ◽  
John A Cooper ◽  
...  

Author(s):  
Tara E. Sutton ◽  
Leslie Gordon Simons

Family violence encompasses a broad range of maltreatment types between family members including physical, sexual, and psychological abuse, as well as neglect and financial exploitation. Such violence includes child maltreatment, sibling abuse, intimate partner violence, and elder mistreatment. Family violence is relatively common and represents a significant social, legal, and public health problem. Specifically, research shows that rates of family violence range from 10% to 45% across family relationships in the United States. Moreover, family violence tends to occur in a socioecological context characterized by risk and vulnerability and is related to various negative consequences including psychological distress, health risks, injury, and even death. Despite overlap in the causes and consequences of family violence, work on each type has largely developed independently. However, several theoretical perspectives have been offered that apply broadly to this important social issue. Additionally, existing criminological theories can be utilized to understand the nature and consequences of family violence.


SLEEP ◽  
2020 ◽  
Author(s):  
Thomas C Neylan ◽  
Ronald C Kessler ◽  
Kerry J Ressler ◽  
Gari Clifford ◽  
Francesca L Beaudoin ◽  
...  

Abstract Study Objectives Many patients in Emergency Departments (EDs) after motor vehicle collisions (MVCs) develop post-traumatic stress disorder (PTSD) or major depressive episode (MDE). This report from the AURORA study focuses on associations of pre-MVC sleep problems with these outcomes 8 weeks after MVC mediated through peritraumatic distress and dissociation and 2-week outcomes. Methods A total of 666 AURORA patients completed self-report assessments in the ED and at 2 and 8 weeks after MVC. Peritraumatic distress, peritraumatic dissociation, and pre-MVC sleep characteristics (insomnia, nightmares, daytime sleepiness, and sleep duration in the 30 days before the MVC, trait sleep stress reactivity) were assessed retrospectively in the ED. The survey assessed acute stress disorder (ASD) and MDE at 2 weeks and at 8 weeks assessed PTSD and MDE (past 30 days). Control variables included demographics, MVC characteristics, and retrospective reports about PTSD and MDE in the 30 days before the MVC. Results Prevalence estimates were 41.0% for 2-week ASD, 42.0% for 8-week PTSD, 30.5% for 2-week MDE, and 27.2% for 8-week MDE. Pre-MVC nightmares and sleep stress reactivity predicted 8-week PTSD (mediated through 2-week ASD) and MDE (mediated through the transition between 2-week and 8-week MDE). Pre-MVC insomnia predicted 8-week PTSD (mediated through 2-week ASD). Estimates of population attributable risk suggest that blocking effects of sleep disturbance might reduce prevalence of 8-week PTSD and MDE by as much as one-third. Conclusions Targeting disturbed sleep in the immediate aftermath of MVC might be one effective way of reducing MVC-related PTSD and MDE.


2004 ◽  
Vol 34 (2) ◽  
pp. 335-346 ◽  
Author(s):  
B. BRYANT ◽  
R. MAYOU ◽  
L. WIGGS ◽  
A. EHLERS ◽  
G. STORES

Background. Little is known about the psychological and behavioural consequences of road traffic accidents for children. The study aimed to determine the outcome of road traffic accidents on children and their mothers.Method. A 1-year cohort study of consecutive child attenders aged 5–16 years at an Accident and Emergency Department. Data were extracted from medical notes and from interview and self-report at baseline, 3 months and 6 months.Results. The children had an excellent physical outcome. Fifteen per cent suffered acute stress disorder; 25% suffered post-traumatic stress disorder at 3 months and 18% at 6 months. Travel anxiety was frequent. Post-traumatic consequences for mothers were common.Conclusion. Psychological outcome was poor for a minority of children and associated with disability, especially for travel. There were significant family consequences. There is a need for changes in clinical care to prevent, identify and treat distressing and disabling problems.


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