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7. Child and adolescent psychiatry > Adverse events in childhood > Flashcards

Adverse events in childhood Flashcards

1
Q

Most common childhood adversity found in the WHO world mental health study initiative

A

Parental death

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2
Q

Proportion of children with a childhood adversity who had more than one adversity in the WHO world mental health study initiative

A

2/3

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3
Q

Type of childhood adversity found to most increase the risk of adult mental illness in the WHO world mental health study initiative

A

Adversities related to maladaptive family functioning

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4
Q

Average age of victims of childhood sexual abuse

A

9-11

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5
Q

Percentage of perpetrators of child sexual abuse who are male

A

90%

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6
Q

Most prevalent form of childhood maltreatment

A

Neglect

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7
Q

Percentage of childhood abuse cases reported which are for neglect

A

60%

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8
Q

Percentage of childhood abuse cases reported which are for physical abuse

A

20%

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9
Q

Percentage of childhood abuse cases reported which are for sexual abuse

A

10%

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10
Q

Signs of possible childhood physical abuse

A

Unexplained injuries
Improbable reasons given for injuries
Refusal to discuss injuries
Untreated injuries
Delays in treatment to injuries
Excessive physical punishment

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11
Q

Signs of possible childhood neglect

A

Hunger
Poor hygiene
Constant tiredness
Poor clothing
Frequent lateness or non-attendance at school
Untreated medical issues

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12
Q

Signs of possible childhood emotional abuse

A

Low self esteem
Sudden speech issues
Self harm
Rocking or head banging

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13
Q

Signs of possible childhood sexual abuse

A

Over familiarity or fear of adults
Social isolation
Sleep issues
Running away
Unusual interest in genitals
Regression of behaviour
Over sexualised behaviour
Marks around the genital area/thighs
UTIs, STDs, pregnancy
Stained underwear

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14
Q

Age at which physical abuse of children most often starts

A

Adolescence

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15
Q

Parental risk factors for child physical abuse

A

Young age
Low IQ and poor education
Criminal record
Poor parenting skills
Experience of neglect or abuse as a child
Psychiatric issues
Single parent family
Substance abuse

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16
Q

Child risk factors for childhood physical abuse

A

Prematurity
Disability
Chronic illness
Difficult behaviour e.g. crying a lot

17
Q

Family risk factors for childhood physical abuse

A

Families with many children
Housing issues
Domestic violence in the house
Poverty/low socioeconomic status

18
Q

Relationship between socioeconomic status and childhood sexual abuse

A

No relationship but more likely to be found out in low socioeconomic families

19
Q

Most common relationship involved in childhood sexual abuse

A

Stepfather and stepdaughter

20
Q

Percentage of children affected by Munchausen’s by proxy who are under the age of 6

A

75%

21
Q

Most likely parent perpetrating Munchausen’s by proxy

A

Mother

22
Q

Average age of a child with Munchausen’s by proxy

A

4

23
Q

Person who is given a diagnosis in Munchausen’s by proxy

A

The perpetrator

24
Q

Three forms of presenting symptoms in Munchausen’s by proxy

A

Symptoms are induced by covert means
Symptoms are fabricated
Symptoms are real but are exaggerated

25
Q

Three most frequently reported symptoms in Munchausen’s by proxy

A

Apnoea
Anorexia/difficulties in feeding
Diarrhoea

26
Q

Most common form of child abuse

A

Neglect

27
Q

Most lethal form of childhood abuse

A

Neglect

28
Q

Percentage of childhood abuse perpetrators who are female

A

60%

29
Q

Childhood abuse type most commonly associated with a female perpetrator

A

Neglect

30
Q

Childhood abuse type most commonly associated with a male perpetrator

A

Sexual abuse

31
Q

Types of childhood abuse that girls are more likely to experience

A

Sexual abuse
Neglect

32
Q

Type of childhood abuse that boys are more likely to experience

A

Physical abuse

33
Q

Percentage of childhood abuse perpetrators who were abused themselves as children

A

20%

34
Q

Percentage of people who perpetrate Munchausen’s by proxy who are female

A

80%

35
Q

Disorder most likely to be diagnosed in later life when the patient was sexually abused as a child

A

Personality disorder

36
Q

Conditions associated with mild traumatic brain injury in children

A

Conduct disorder
Anxiety
Depression
ADHD

37
Q

Time after the birth of a sibling when sibling rivalry usually emerges

A

In the first six months

7. Child and adolescent psychiatry (9 decks)

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