TY  - JOUR
PY  - 2021//
TI  - Case-control study on clinical characteristics of child and adolescent psychiatric outpatients with child-to-parent violence
JO  - BMJ open
A1  - Sasaki, Yoshinori
A1  - Usami, Masahide
A1  - Sasaki, Shoko
A1  - Sunakawa, Hikaru
A1  - Toguchi, Yusuke
A1  - Tanese, Shuichi
A1  - Saito, Kiyoshi
A1  - Shinohara, Rena
A1  - Kurokouchi, Toshinari
A1  - Sugimoto, Kaori
A1  - Hakoshima, Yuki
A1  - Inazaki, Kumi
A1  - Yoshimura, Yuta
A1  - Mizumoto, Yuki
A1  - Okada, Takayuki
SP  - e048222
EP  - e048222
VL  - 11
IS  - 12
N2  - OBJECTIVES: To the best of our knowledge, no case-control study on child and adolescent psychiatric outpatients has investigated the clinical characteristics of patients with child-to-parent violence (CPV). The current study aimed to evaluate the clinical characteristics of child and adolescent psychiatric patients with CPV. SETTING AND PARTICIPANTS: This research included child and adolescent psychiatric patients who were aged 10-15 years during their initial consultation. The participants were allocated to one of two groups: children with CPV (CPV group, n=109) and without CPV (non-CPV group, n=713). OUTCOME MEASURES: This study analysed data including age, sex, diagnostic classification of the primary diagnosis, antisocial behaviour, suicidal attempt or self-harm and refusal to attend school. Moreover, a history of abuse by parents was investigated. Psychological rating scales such as the Spence Children's Anxiety Scale, Depression Self-Rating Scale for Children, Tokyo Autistic Behavior Scale, Attention-deficit/Hyperactivity Disorder-Rating Scale and Oppositional Defiant Behavior Inventory were used. <br><br>RESULTS: Of 822 patients who sought consultation in our department, 109 (13.26%) were included in the CPV group during the first consultation. Compared with the non-CPV group, the CPV group had significantly higher proportions of patients who experienced physical abuse, psychological abuse and who witnessed violence between parents. Meanwhile, the proportion of patients with neurodevelopmental disorders was significantly higher in the CPV group than in the non-CPV group. Regarding developmental characteristics, impulsivity might be correlated with CPV. Moreover, violence and behavioural problems outside of home were associated with CPV. <br><br>CONCLUSIONS: In patients with CPV who sought consultation, the findings of the current study should be considered to understand invisible side and to facilitate the use of appropriate treatment approaches. However, a prospective study should be performed to investigate the causality between CPV and clinical characteristics.<p />  <p>Language: en</p>
LA  - en
SN  - 2044-6055
UR  - http://dx.doi.org/10.1136/bmjopen-2020-048222
ID  - ref1
ER  -