Published online September 1, 2008
PEDIATRICS Vol. 122 No. 3 September 2008, pp. 667-673 (doi:10.1542/10.1542/peds.2008-1885)
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CLINICAL REPORT

Understanding the Behavioral and Emotional Consequences of Child Abuse

American Academy of Pediatrics, John Stirling, Jr, MD and the Committee on Child Abuse and Neglect and Section on Adoption and Foster Care American Academy of Child and Adolescent Psychiatry, Lisa Amaya-Jackson, MD, MPH National Center for Child Traumatic Stress, Lisa Amaya-Jackson, MD, MPH

Children who have suffered early abuse or neglect may later present with significant behavior problems including emotional instability, depression, and a tendency to be aggressive or violent with others. Troublesome behaviors may persist long after the abusive or neglectful environment has changed or the child has been in foster care placement. Neurobiological research has shown that early abuse results in an altered physiological response to stressful stimuli, a response that deleteriously affects the child's subsequent socialization. Pediatricians can assist caregivers by helping them recognize the abused or neglected child's altered responses, formulate more effective coping strategies, and mobilize available community resources.

Key Words: child abuse • posttraumatic stress disorder • foster care

Abbreviations: PTSD—posttraumatic stress disorder • HPA—hypothalamic-pituitary axis


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J. Stirling Jr.
Early abuse, lasting effects * Interventions can help traumatized children reduce excessive responses to stress
AAP News, October 1, 2008; 29(10): 18 - 18.
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