Child Abuse and Autonomic Nervous System Hyporesponsivity among Psychiatrically Impaired Children

Autor/inn/en	Ford, Julian D.; Fraleigh, Lisa A.; Albert, David B.; Connor, Daniel F.
Titel	Child Abuse and Autonomic Nervous System Hyporesponsivity among Psychiatrically Impaired Children
Quelle	In: Child Abuse & Neglect: The International Journal, 34 (2010) 7, S.507-515 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-2134
DOI	10.1016/j.chiabu.2009.11.005
Schlagwörter	Intelligence; Metabolism; Child Abuse; Emotional Disturbances; Behavior Disorders; Patients; Physiology; Sexual Abuse; At Risk Persons; Neurology; Stress Variables; Public Agencies; Child Welfare; Children; Psychiatry; Regression (Statistics); Incidence; Symptoms (Individual Disorders); Clinical Diagnosis + Suchen Sie Ihr Suchwort? Intelligenz; Klugheit; Stoffwechsel; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Gefühlsstörung; Patient; Physiologie; Sexueller Missbrauch; Risikogruppe; Neurologie; Öffentliche Einrichtung; Kindeswohl; Psychiatrie; Regression; Regressionsanalyse; Vorkommen; Psychiatrische Symptomatik
Abstract	Objective: Sexually or physically abused children are at risk for neurobiological dysregulation as well as for internalizing and disruptive behavior disorders. Stress-related autonomic nervous system (ANS) down-regulation has been proposed as a sequela of abuse and was investigated in the present study. Methods: Child Protective Services documented incidents of abuse were recorded for children in a sample of 262 pediatric psychiatric inpatients, as well as demographic, physical and intellectual functioning, and diagnostic and medication prescription data. Before and after a mildly stressful blood draw, noninvasive assessments of ANS activity were obtained. Results: Controlling for all other variables in logistic regression analyses, a history of physical abuse (45% overall prevalence) was associated with poststressor ANS hyporesponsivity (i.e., heart rate deceleration). Conclusions: Results suggest that a history of physical (but not sexual) abuse is associated with stressor-related ANS down-regulation in psychiatrically impaired children and adolescents. Practice implications: Stressor-related autonomic hyporesponsivity secondary to physical abuse may contribute to the impairment of severely emotionally disturbed children. Differential diagnosis of psychiatrically impaired children should include identification of those who have a history of physical abuse, and their treatment should address stressor-related hyporeactivity. (Contains 4 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10