Child abuse treated in a psychiatric day hospital

Abstract

Actuarial, medical and social data are reported on 50 psychiatric day hospital patients known to have abused their children and 50 non-abusers undergoing treatment at the same time. A sub-group of 30 of each completed personality and intelligence tests and the majority had electroencephalograms, and these results were compared with those of a group of 30 healthy mothers selected by health visitors for positive child-rearing abilities. Findings which confirms those of other studies of child abuse include youthfulness, a higher incidence of family violence from childhood onwards, more unplanned pregnancies and lower intelligence in the index group. In this sample, however, all social classes were represented, there was no significant differences in perinatal pathology between the groups, personality scored showed high morbidity in the patient groups but few distinctive features, and EEGs were not significantly more abnormal in the index group than in the two contrast groups. Moreover, the index group did not show the expected discrepancy between verbal and performance sub-tests on the Wechsler Adult Intelligence Scale. Treatment of the 50 child-abusers with their children resulted in a re-injury rate of 8% during the four year period of study. A scheme for early identification and prevention is outlined.