Please use this identifier to cite or link to this item: https://doi.org/10.11622/smedj.2015169
Title: Child maltreatment syndrome: demographics and developmental issues of inpatient cases
Authors: Ngiam, Xin Ying
Kang, Ying Qi 
Aishworiya, Ramkumar 
Kiing, Jennifer
Law, Evelyn Chung Ning 
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
abuse
behaviour
child maltreatment
development
nonaccidental injury
ADULT MENTAL-HEALTH
ABUSE
PREVALENCE
DISORDERS
NEGLECT
Issue Date: 1-Nov-2015
Publisher: SINGAPORE MEDICAL ASSOC
Citation: Ngiam, Xin Ying, Kang, Ying Qi, Aishworiya, Ramkumar, Kiing, Jennifer, Law, Evelyn Chung Ning (2015-11-01). Child maltreatment syndrome: demographics and developmental issues of inpatient cases. SINGAPORE MEDICAL JOURNAL 56 (11) : 612-617. ScholarBank@NUS Repository. https://doi.org/10.11622/smedj.2015169
Abstract: INTRODUCTION This study aimed to describe the demographic, social, developmental and behavioural profile of children hospitalised for alleged child maltreatment syndrome (CMS). 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. 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). 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.
Source Title: SINGAPORE MEDICAL JOURNAL
URI: https://scholarbank.nus.edu.sg/handle/10635/228812
ISSN: 00375675
DOI: 10.11622/smedj.2015169
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