@article{ref1,
title="Child maltreatment syndrome: demographics and developmental issues of inpatient cases",
journal="Singapore medical journal",
year="2015",
author="Ngiam, Xin Ying and Kang, Ying Qi and Aishworiya, Ramkumar and Kiing, Jennifer and Law, Evelyn Chung Ning",
volume="56",
number="11",
pages="612-617",
abstract="INTRODUCTION: This study aimed to describe the demographic, social, developmental and behavioural profile of children hospitalised for alleged child maltreatment syndrome (CMS). <br><br>METHODS: This study was a retrospective review of the consecutive inpatient records of children (0-16 years) admitted to the National University Hospital, Singapore, for alleged CMS over a three-year period. Descriptive data on the demographic characteristics, alleged maltreatment, medical and developmental histories, and family background of these children were collected and analysed. Chi-square statistics were used to test whether family factors were associated with the type of maltreatment and the presence of developmental disorders. <br><br>RESULTS: A total of 89 children, who accounted for 90 admission cases, were studied. Physical abuse (70.0%) was the most common, followed by neglect (11.1%) and sexual abuse (7.8%). Child protection services had already been involved in 29.2% of the cases prior to the child's admission. Children who were victims of abuse were more likely to come from homes with a prior history of domestic violence (p = 0.028). Financial difficulty was found to be a risk factor for neglect (p = 0.005). Among the 89 children, 15.7% were found to have developmental disorders and 10.1% had mental health diagnoses. Children who had developmental disorders were more likely to have a parent with a mental health disorder (p = 0.002). <br><br>CONCLUSION: A sizeable proportion of the children admitted for alleged CMS had developmental or behavioural disorders. Clinicians have a role in ensuring that these children have appropriate follow-up plans. Children from high-risk families should be screened for maltreatment.<p /> <p>Language: en</p>",
language="en",
issn="0037-5675",
doi="10.11622/smedj.2015169",
url="http://dx.doi.org/10.11622/smedj.2015169"
}