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EVALUATION OF CHARACTERISTICS OF COGNITIVE AND BEHAVIORAL FUNCTIONS IN ABUSED CHILDREN
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- KUROSAKI AO
- DEPARTMENT OF PEDIATRICS AND ADOLESCENT MEDICINE, JUNTENDO UNIVERSITY GRADUATE SCHOOL OF MEDICINE
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- TANAKA KYOKO
- DEPARTMENT OF PEDIATRICS, JUNTENDO UNIVERSITY FACULTY OF MEDICINE CHILD NEUROPSYCHIATRY, THE UNIVERSITY OF TOKYO HOSPITAL
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- EBARA KANA
- DEPARTMENT OF PEDIATRICS, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
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- SHIMIZU TOSHIAKI
- DEPARTMENT OF PEDIATRICS, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
Bibliographic Information
- Other Title
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- 被虐待児における認知,行動,情緒機能の特徴についての検討
- ヒギャクタイジ ニ オケル ニンチ,コウドウ,ジョウチョ キノウ ノ トクチョウ ニ ツイテ ノ ケントウ
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Description
Background: The chronic trauma produced by abuse of a child causes a series of symptoms very similar to a developmental disease as the sequela.<br>Methods: We assessed 21 abused children who visited a hospital, and considered their characteristics based on clinical findings and psychological examination findings.<br>Results: They showed mostly common psychological symptoms such as borderline intellectual functioning, hyperactive tendency, impulsiveness, retardation in linguistic sociality, disproportionate development of cognitive function and, especially, low levels of learning. In particular, younger children showed developmental retardation in language and facial expression, and excess impulsiveness. In addition, older children presented difficulties in auditory immediate memory and behavioral disorders including hyperactivity disorder and excess impulsiveness. Low self-esteem and low psychic energy were found in these subjects by the house-tree-person test. There was a significant difference in the relationship between levels of learning and simultaneous processing ability.<br>Discussion: These findings suggest that child abuse influences childhood development in various ways according to age. Generally, it is said that the development of emotional attachments subsequently provides the foundation of social characteristics, such as personal relationships, emotional control and social behaviors. Attachment behaviors by caregivers to pacify alarmed infants help children internalize caregivers in their mind. Through this process, merely providing images of caregivers can soothe them. The characteristics of cognitive development in abused children observed in this study also suggested a strong influence of their previous life, in which they could not fully achieve developmental tasks via a sense of basic trust to develop sufficient attachments. There is a possibility that social developmental disability caused by underdeveloped attachments due to child abuse and childcare abandonment is formed through changes in the structure and function of the brain.<br>Conclusion: Longstanding child abuse seriously impairs child development and causes severe brain damage, which leads to symptoms remarkably similar to developmental disorders. There is an urgent need to establish long-term psychosocial support systems including early detection and appropriate interventions.
Journal
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- Juntendo Medical Journal
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Juntendo Medical Journal 59 (6), 490-495, 2013
The Juntendo Medical Society