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ORIGINAL ARTICLE
Year : 2015  |  Volume : 36  |  Issue : 3  |  Page : 132-138

A comparative study of child abuse in children with disruptive behavior disorders of different socioeconomic classes


Department of Neuropsychiatry, Faculty of Medicine, Alexandria University, Alexandria, Egypt

Correspondence Address:
Soha Ibrahim
Department of Neuropsychiatry, Faculty of Medicine, Alexandria University, 23225 Alexandria
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-1105.166351

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Introduction Disruptive behavior disorders (DBD) may be described along a continuum as the emergence of oppositional defiant disorder, and may be a precursor to conduct disorder. Several psychosocial factors have been mentioned regarding children with DBD; one of them is child abuse (CA). However, minimal research has considered the nature of this factor as a cause or a consequence, and its compound effect on other factors such as the socioeconomic class (SEC). Aim of the work This work aimed to compare the effect of CA on the disciplinary style for children with DBD among different SEC and its relation to DBD severity. Participants and methods The study included 80 children, divided into two groups, recruited from government and private clinical settings, who were subjected to a child psychiatric interview, neurological and physical examinations, psychometric assessment using the Achenbach Child Behavior Checklist-Diagnostic and Statistical Manual-oriented scales, CBCL DSM-oriented scales and SEC assessment. Results CA in the form of emotional abuse, physical abuse and/or neglect were found in both the studied groups among children with DBD, and varied statistically between the two groups for physical abuse and neglect. Physical abuse and neglect were related significantly to DBD diagnosis, CBCL mean scores and SEC. Finally, the presence of more than one type of CA in addition to the SEC was significantly related to CBCL mean scores, suggesting a compound effect of both child maltreatment and SEC on the severity of DBD in the studied children. Conclusion Children with DBD represented a population at risk for CA. CA was related significantly to lower SEC, symptoms' severity and the type of DBD. A compound effect was found as children with more than one type of CA and compromised SEC were predicted to have more severe symptoms of DBD compared with children with either CA or compromised SEC alone.


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