Child abuse and neglect: diagnosis and management

Dtsch Arztebl Int. 2010 Apr;107(13):231-39; quiz 240. doi: 10.3238/arztebl.2010.0231. Epub 2010 Apr 2.

Abstract

Background: The findings of studies on the frequency of violence against children imply that many cases go undetected.

Methods: Selective literature review based on a search of different databases for publications on all types of violence against children, except sexual abuse.

Results: The physical abuse of children can involve blunt trauma, thermal injury, and the so-called shaking trauma syndrome (STS). Physical and psychological child neglect have very serious long-term effects. It can be difficult to draw a clear distinction of child abuse and neglect on the one hand, and acceptable behavior on the other, because of the varying social acceptance of certain child-raising practices. Münchhausen's syndrome by proxy (MSbP) is a rare, special type of child abuse.

Conclusion: At the beginning of the 21(st) century, well-established normative structures are in place to protect children against abuse and neglect, and the available help from social organizations can also have a preventive effect. Further improvements will depend on interdisciplinary coordination and better training of specialists in all of the involved disciplines.

Publication types

  • Review

MeSH terms

  • Child
  • Child Abuse / diagnosis*
  • Child Abuse / prevention & control
  • Child Rearing
  • Child, Preschool
  • Cooperative Behavior
  • Domestic Violence / prevention & control
  • Germany
  • Humans
  • Infant
  • Interdisciplinary Communication
  • Mandatory Reporting
  • Munchausen Syndrome by Proxy / diagnosis
  • Munchausen Syndrome by Proxy / prevention & control
  • Risk Factors
  • Shaken Baby Syndrome / diagnosis*
  • Shaken Baby Syndrome / prevention & control
  • Wounds and Injuries / etiology*
  • Wounds and Injuries / prevention & control