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Improving Early Diagnosis of Child Neglect for a Better Response in Healthcare Settings

Early diagnosis of child neglect is an ongoing challenge with consequences of the child’s safety, health, and effective referral for intervention. This study aims to obtain a selected set of family, maternal, and dyadic variables of the immediate caregiving environment for diagnosis, preventive, and...

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Autores principales: Herrero-Roldán, Silvia, León, Inmaculada, Hernández-Cabrera, Juan Andrés, Rodrigo, María José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535148/
https://www.ncbi.nlm.nih.gov/pubmed/34682124
http://dx.doi.org/10.3390/children8100859
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author Herrero-Roldán, Silvia
León, Inmaculada
Hernández-Cabrera, Juan Andrés
Rodrigo, María José
author_facet Herrero-Roldán, Silvia
León, Inmaculada
Hernández-Cabrera, Juan Andrés
Rodrigo, María José
author_sort Herrero-Roldán, Silvia
collection PubMed
description Early diagnosis of child neglect is an ongoing challenge with consequences of the child’s safety, health, and effective referral for intervention. This study aims to obtain a selected set of family, maternal, and dyadic variables of the immediate caregiving environment for diagnosis, preventive, and intervention responses in healthcare settings. Mothers and their children under five years old: 51 in the neglected group (NG) and 89 in the non-neglected control group (CG), were recruited through pediatric primary care services and social services in Spain. Family demographics, adverse events, childhood maltreatment, maternal psychopathologies, personality variables, and observed mother–child interactions were assessed. Gradient boosting analyses were applied for the contributor’s relative importance (RI), followed by logistic regression and discriminant analyses for those with higher RI. Parametric analyses showed high diagnostic accuracy (80–82% of NG and 92% of CG) for risky factors of child neglect: having a physically neglected and depressed mother, living in families in need of financial assistance, and large families; and for protective factors: having an older mother and showing higher mother–child emotional availability. Identifying a select group of features makes early diagnosis and preventive intervention more effective for mitigating the impact of child neglect and building mother–child resilience.
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spelling pubmed-85351482021-10-23 Improving Early Diagnosis of Child Neglect for a Better Response in Healthcare Settings Herrero-Roldán, Silvia León, Inmaculada Hernández-Cabrera, Juan Andrés Rodrigo, María José Children (Basel) Article Early diagnosis of child neglect is an ongoing challenge with consequences of the child’s safety, health, and effective referral for intervention. This study aims to obtain a selected set of family, maternal, and dyadic variables of the immediate caregiving environment for diagnosis, preventive, and intervention responses in healthcare settings. Mothers and their children under five years old: 51 in the neglected group (NG) and 89 in the non-neglected control group (CG), were recruited through pediatric primary care services and social services in Spain. Family demographics, adverse events, childhood maltreatment, maternal psychopathologies, personality variables, and observed mother–child interactions were assessed. Gradient boosting analyses were applied for the contributor’s relative importance (RI), followed by logistic regression and discriminant analyses for those with higher RI. Parametric analyses showed high diagnostic accuracy (80–82% of NG and 92% of CG) for risky factors of child neglect: having a physically neglected and depressed mother, living in families in need of financial assistance, and large families; and for protective factors: having an older mother and showing higher mother–child emotional availability. Identifying a select group of features makes early diagnosis and preventive intervention more effective for mitigating the impact of child neglect and building mother–child resilience. MDPI 2021-09-27 /pmc/articles/PMC8535148/ /pubmed/34682124 http://dx.doi.org/10.3390/children8100859 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Herrero-Roldán, Silvia
León, Inmaculada
Hernández-Cabrera, Juan Andrés
Rodrigo, María José
Improving Early Diagnosis of Child Neglect for a Better Response in Healthcare Settings
title Improving Early Diagnosis of Child Neglect for a Better Response in Healthcare Settings
title_full Improving Early Diagnosis of Child Neglect for a Better Response in Healthcare Settings
title_fullStr Improving Early Diagnosis of Child Neglect for a Better Response in Healthcare Settings
title_full_unstemmed Improving Early Diagnosis of Child Neglect for a Better Response in Healthcare Settings
title_short Improving Early Diagnosis of Child Neglect for a Better Response in Healthcare Settings
title_sort improving early diagnosis of child neglect for a better response in healthcare settings
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535148/
https://www.ncbi.nlm.nih.gov/pubmed/34682124
http://dx.doi.org/10.3390/children8100859
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