hpw Lo, VWY Lau, ESM Yu

Abstract

Objective: To investigate the clinical characteristics and developmental profile of child abuse victims assessed at Child Assessment Service (CAS) in Hong Kong. Method: A retrospective chart review was conducted. Children with multidisciplinary case conference concluded as child abuse victims and who were assessed at CAS were studied. An age-, sex- and condition-matched comparison group was also selected for comparison. Results: Fifty-five children (36 boys and 19 girls) were studied. Developmental delay/intellectual disability and attention deficit hyperactivity disorder/problem were the two major developmental disabilities identified. Types of abuse included physical abuse (56.4%), neglect (32.7%), sexual abuse (3.6%) and multiple abuse (7.3%) and 80% of the abusers were parent(s). Parents with psychiatric problems or substance abuse, single parenting, low-income families and children having sibling(s) with developmental problems were associated with higher risk for child abuse. Conclusions: Psychosocial risk factors for child abuse were identified in children with developmental problems assessed at CAS. Support for these children from disadvantaged families is important in child protection.

目標：香港兒童體能智力測驗服務（CAS）調查兒童虐待受害者臨床特徵和發展概況。方法：進行回顧性的圖表總結，多學科案例討論確定兒童虐待受害者並在CAS接受評估者納入研究。年齡、性別和條件匹配的對照組納入對照。結果：研究兒童共55名（36名男孩和19名女孩）。發展遲緩／智力缺陷和注意力缺乏性多動障礙／問題是兩個主要的發育障礙認定。虐待類型包括生理虐待（56.4%）、忽視（32.7%）、性虐待（3.6%）和多類型虐待（7.3%），80%虐待者是父母。父母有精神問題或藥物濫用、單親家庭、低收入家庭及兒童有兄弟姐妹存在兒童虐待高風險相關的發育發展問題。結論：CAS通過對有發展問題的兒童進行兒童虐待社會心理學風險因數的確定。結論：保護這些來自弱勢群體家庭的兒童是重要的。