Child abuse and neglect; Self-reporting by adult patients presenting in a hospital for psychological problems.

  • Abid Karim Jinnah Medical College, Peshawar.
  • Muhammad Saeed Razi Khawaja Muhammad Safdar Medical College (KMSMC), Sialkot.
  • Saleh Muhammad Sialkot Medical College (SMC), Sialkot.
  • Syeda Fatima Masood Govt. Allama Iqbal Memorial Hospital (AIMH), Sialkot.
  • Nasir Mahmood Pak Red Crescent Med Coll., Dina Nath, Distt. Qasur.
  • Anam Imran Sialkot Medical College, Sialkot.
  • Salman Imran Sialkot Medical College, Sialkot.
  • Mujahid Hussain FG College, Sialkot Cantt.
  • Sahibzada Syed Masood us Syed SMC, Sialkot, Pakistan.
Keywords: Child Abuse, Hospital, Psychological Problem, Survey, Self-Reporting

Abstract

Objectives: To know the role of child abuse and neglect (CAN) in developing psychological problems during long after life Study Design: Observational study. Setting: Department of Psychiatry and Behavioral Sciences, Govt. Allama Iqbal Memorial Teaching Hospital, Sialkot, Pakistan. Period: August 2015 and February 2016. Material and Methods: Three hundred and forty (340) consecutive eligible adults complaining one of the psychological/psycho-medical problems viz. depression, anxiety, phobia, abdominal pain, or recurring diarrhea were registered using purposive sampling technique. The recruiters were asked to give responses against CAN-related questions in a locally designed Survey Form after recording the demographic information. Collected data was processed using techniques in SPSS version 17.0. Results: Of 340 cases, 297 (87.4%) were identified as psychological or psycho-medical patients. The problems appeared in 192 (90.6% of total 222) females, 221 (89.5%) rural residents, or 13 (92.9%) cases with socioeconomically poor family background at childhood. Similarly, a subject from nuclear family system was 9 times (95% CI: 5.818-14.476, p = .0001) more vulnerable to the problems than those of joint family system (92.3 vs. 29.6%). History of CAN was reported by 95.9% (n = 281) of diagnosed patients. Moreover, 85.6 to 100% victim of CAN by parents, family acquaintances or school teachers faced the mental health issues. Whereas, mental depression prevailed in CAN reporters. Conclusion: The CAN is a potential predictor for the psychological problems in life long after; hence deserves prompt practical considerations.

Author Biographies

Abid Karim, Jinnah Medical College, Peshawar.

MBBS, DMJ, MPH

Assistant Professor

Department of Forensic Medicines,

 

Muhammad Saeed Razi, Khawaja Muhammad Safdar Medical College (KMSMC), Sialkot.

MBBS, MCPS (ENT), FCPS (ENT)

Assistant Professor

 

Saleh Muhammad, Sialkot Medical College (SMC), Sialkot.

MBBS, FCPS (Medicines)

Assistant Professor

 

Syeda Fatima Masood, Govt. Allama Iqbal Memorial Hospital (AIMH), Sialkot.

MSc (Psychology),

Department of Psychiatry & Behavioral Sciences,

Nasir Mahmood, Pak Red Crescent Med Coll., Dina Nath, Distt. Qasur.

MBBS, DMRD

Assistant Professor

Anam Imran, Sialkot Medical College, Sialkot.

MBBS

Medical Officer

Department of Medicine

Salman Imran, Sialkot Medical College, Sialkot.

MBBS

Medical Officer

Department of Medicine

Mujahid Hussain, FG College, Sialkot Cantt.

PhD

Assistant Professor

Sahibzada Syed Masood us Syed, SMC, Sialkot, Pakistan.

PhD, MBBS

Dean Academics

 

Published
2019-11-10