Pai, Ki-Soo;Kim, Shin-Young;Chung, Young Ki;Ryu, Kyeong Hee
Clinical and Experimental Pediatrics
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v.52
no.11
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pp.1185-1193
/
2009
An act of children's welfare was made in 1961 for the first time in Korea but it had been nothing but the name in view of practical impact to prevention of child abuse. Real undertakings of Child Abuse Prevention were commenced overtly since 2000 in Korea, when the law for children's welfare was revised to put protective settings for the victims and to establish criterion for children's safety. The history of Child Abuse Prevention is very short in Korea but the reporting cases increased very fast from 4,133 cases in 2001 up to 9,570 cases in 2008 with the enthusiastic activities from people of the associated organizations along with the national supports. But the portion reported by the mandated reporters such as teachers or doctors is still low compared to those of the developed countries. The National Child Protection Agency (NCPA) was founded in 2001 by the Ministry of Health and Welfare to prevent child abuse and to aid recovery of abused and neglected children including their families, through the cooperation of related organizations. NCPA refers reported cases of child abuse to appropriate local centers, operates a computer database system for case management, publicizes national reports of child abuse on a yearly basis and technically supports the Local Child Protection Agency (LCPA) by developing scales for assessment of child abuse and neglect and distributing programs for the education of mandatory reporters. LCPAs operate 24-hour telephone hotline, investigate and visit homes and provide in home services networking with local resources, and operate multidisciplinary teams for screening child abuse victims and supervising case management through multimodal systems. We summarized the present state of child abuse in Korea and reviewed the operating systems for child protection in this country. Through this article, we hope that medical peoples are to be informed on the seriousness of child abuse and to be able to devote themselves for the prevention of child abuse.
Moon, Ka Young;Lee, So Young Irene;Lee, A Reum;An, Ka Yeong;Jung, Kyung Soo;Paek, Kyoung-Il;Kang, Hyun Ah;Kang, Ji Young;Chung, Shun Ah
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.30
no.2
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pp.57-65
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2019
Objectives: The aim of this study was to compare differences in perception and knowledge of child abuse and child disciplinary practices according to the history of child abuse victimization. Methods: A questionnaire survey on child abuse was conducted with 491 adults raising children. We compared the perception and knowledge of child abuse and child disciplinary practices between two groups of adults with and without a history of childhood abuse victimization. Results: The group with a history of childhood abuse had lower levels of knowledge of child abuse (F=6.990, p<0.01) and engaged in more negative disciplinary practices (F=5.974, p<0.05) than those without. However, no differences in the perception of child abuse were observed between the two groups. Conclusion: The results suggest that adults with a history of childhood abuse have lower levels of knowledge of child abuse and use more negative disciplinary practices in raising their children. This highlights the need to administer not only educational but also more direct hands-on interventions to vulnerable parents in order to foster healthy parenting and disciplinary practices.
Child abuse is urgent and important issue that dominates child's life and influences lifetime. Especially, the children who use the daycare facilities are vulnerable to ill-treatment because of young age, resulting in being serious in after-affect of its abuse. In case of being serious, a child may lead to death. Also, the main agent is absent that will speak for the abused child's injustice and ask for help. Thus, the child abuse has many cases of coming to a close always as children's miserable sacrifice. Hence, the child care center employees will need to recognize a fact that the child abuse is not a private problem within home any more, but a serious crime, and to be confronted by early finding and reporting abuse as a responsible person for report. When the child care center employees fully perform a role as a responsible person for report of child abuse and when the cooperation between child protection service and day care center is properly made after report, the daycare facilities will be able to play a role of child safety network, which protects children of being put in the exclusion.
For child abuse prevention in Korea, this study estimated the socioeconomic costs of child abuse. Based on previous studies, the present study organized component categories for estimable direct and indirect costs of child abuse, and estimated the cost of each category in 2014 through the collection of existing data and through Delphi survey techniques among experts. The total socioeconomic costs of child abuse were compared to Korea's GDP. The results of this study were as follows. First, the socioeconomic costs of child abuse in Korea in 2014 ranged from 389.9 billion KW(0.03 percent compared to GDP) to 76 trillion KW(5.1 percent compared to GDP). Second, the indirect socioeconomic costs of child abuse are much higher than the direct costs. Third, costs related to productivity loss and unemployment accounted for the largest proportion of the total costs. In addition, the proportion of the child protection budget in Korea was very low compared to developed countries. These findings suggest that there is a need to increase Korea's child protection budget and to take urgent action to detect unrevealed child abuse cases. Furthermore, in order to reduce indirect costs, it is important to provide abused children with early professional treatment.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.17
no.1
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pp.40-50
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2006
Objectives : This study aims to identify sexual behaviors in sexually abused children to assess the Child Sexual Behavior Inventory(CSBI) score of sexual behaviors reported in children by their parents to analyze the relation of these sexual behaviors to demographic variables, familial variables, and characteristics of sexual abuse variables. Method : A large sample of 2-13 year old children(N=121) were rated by their caregiver via parent report consisting of CSBI, the Child Behavior Checklist(CBCL), and a questionnaire assessing characteristics of family history and sexual abuse variables. Results : There were significantly related to the CSBI score; younger children(2-5 year old group) had significantly higher scores than older children. Maternal education also related to the CSBI score, in that mothers with higher levels of education report more CSBI scores than less educated mothers. There were significant differences according to characteristics of victim victim with penile penetration of vegina and genital exposure of offender had higher score in the CSBI than others. Also, when perpeturator was an acquaintance, the CSBI scores increased. Conclusion : Sexual behavior related to childs age, maternal education, penile penetration of vegina, and genital exposure, parental emotional state and personality traits. Findings were primarily similar to previously published studies. The suggestions and the limitations of this study, and directions of future study were discussed.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.19
no.1
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pp.38-42
/
2008
Objectives : This study aimed to examine current educational experiences, knowledge, intention to report, and requests for child abuse education in medical interns. Methods : A descriptive cross-sectional study was conducted in 2006 and 2007. The study sample consisted of 193 medical interns who served their internships at the university hospital. They answered 11 self-administered questionnaires related to child abuse. Results : Although respondents indicated a strong will to assist in eradicating abuse of children, about 90% had no educational experiences and knowledge of child abuse. Ignorance was a major factor for low reported cases of abused children. The preferred nominated reporting agency for child abuse was the National Child Protection Agency in 47.9% of female respondents, while 48.3% of males nominated Police Stations as their preferred option. In relation to sexual abuse, Police Stations were the preferred reporting agency by 49.2% of males and 37.0% of females. Medical school curricula were chosen by the majority of interns as the most appropriate stage where child abuse education should be introduced. Conclusion : This study found that medical graduates had limited experience and knowledge related to child abuse. The medical school curricula for child abuse needs to be further developed, implemented, and evaluated when appropriate.
A trauma surgeon is always concerned about child abuse when he or she meets injured children. Abused children will be neglected if trauma surgeons only concentrate on the injured site or physical dynamics. Lately, violence on children has increased in Korea. Therefore, in this study, we considered child abuse through a review of the literatures. An eleven-year-old boy visited the emergency room vomiting with abdominal distension. He had been kicked in the abdomen by his step-mother 10 days earlier. The computed tomography revealed a transected pancreas tail and neck with a large pesudocyst (Fig. 1) and laboratory findings showed an elevated amylase level of more than 6,500 IU/L. Because he complained of severe pain with rebound tenderness on the whole abdomen, he underwent an emergent laparotomy, a distal pancreatectomy of the tail portion with an anti-leakage procedure on the cut surface of the pancreas. However, he underwent a distal pancreatectomy again on the neck portion of the pancreas because of a continuing pseudocyst with severe pain that could not be controlled with conservative managements. After that, his symptoms were improved and he returned to his daily life.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.17
no.2
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pp.149-162
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2006
Objectives : This study examined psychopathology, abuse history and the relation of them in sheltered runaway adolescents. The purpose is to investigate characteristics of adolescents who are in shelters according to abuse type and then to offer basic data which are needed in establishing comprehensive protection policy for runaway adolescents. Methods : One hundred twenty eighty adolescents who stay in the runaway shelters were asked to complete self-report questionnaires including basic sociodemographic data, Korean Youth Self Report (K-YSR), Minnestota Multiphasic Personality Inventory (MMPI), and Symptom Checklist-90-Revised (SCL-90-R) and then examined the correlation of psychopathology and abuse in runaway adolescents. Results : In abused runaway adolescents, social performance scale of K-YSR was higher than school performance sealer and among scales of behavioral problem syndrome delinquent scale was highest. Scales of behavioral problem syndrome showed relatively significant correlation with abuse history. In MMPI scale of psychopathic deviate scale was highest, social introversion showed significant correlation with emotional abuse, and psychopathic deviate and hypomania showed significant correlation with physical abuse, neglect and sexual abuse. In SCL-90-R somatization scale was highest. Scales of somatization, hostility, and paranoid ideation scale were significantly high in adolescents with emotional abuse and neglect history, and scores of anxiety and depression scale were significantly high in sexually abused adolescents. Conclusion : Runaway adolescents who had abuse experience showed significantly higher level of psychopathology than general adolescents and there were various interrelations between them according to the presence and the type of abuse. More precise psychiatric evaluation and detailed treatment intervention for runaway adolescents are needed.
Objective: This study examined the mediating effect of adolescents' self-esteem on the relationship between their childhood abuse experiences and school rule-breaking behavior. Methods: The research participants consisted of 1,748 adolescents aged from 15 to 16. Adolescents' school rule-breaking behavior and self-esteem were measured in 2016, whereas their childhood abuse experiences were measured in 2010. Panel data collected by the National Youth Policy Institute were analyzed using the bootstrapping technique and PROCESS Macro for SPSS. Results: The results of the study are as follows. First, the adolescents' childhood abuse experiences affected their school rule-breaking behavior. That is, the adolescents who were abused by their parents were at higher risk of breaking school rules later in life. Second, the adolescents' self-esteem mediated the relationship between their childhood abuse experiences and school rule-breaking behavior. The adolescents who were abused by their parents tend to have low levels of self-esteem and thereby break school rules. Conclusion/Implications: The present study shows the possibility that childhood abuse experiences lead to adolescents' problematic behaviors, such as school rule violation. It also indicates that it is necessary to provide counseling and therapeutic interventions for enhancing the self-esteem of adolescents of the at-risk group with childhood abuse experiences.
This ethnographic study investigated aspects of negative social power in 4-year-old children and characteristics of the children who use it. The negative use of social power included taking the possessions of peers without permission, ignoring classroom rules, controlling, rejecting, and threatening others. Most children who abused social power behaved as controllers and were popular children or had a following within the group. They were physically superior to peers, of competitive disposition, and had a well-developed capacity for verbal expression; they were self-centered and had a high level of cognitive ability. Further areas for ethnographic research into the nature of the negative use of social power in young children include training in perspective taking, age differences, and factors that contribute to the development of negative social power in young children.
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