Ribeiro Cristina Silveira, Coelho Luís, Magalhães Teresa
Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, University of Porto, Porto, Portugal; National Institute of Legal Medicine and Forensic Sciences - North Branch, Porto, Portugal; Forensic Sciences Center - CENCIFOR, Coimbra, Portugal.
National Institute of Legal Medicine and Forensic Sciences - North Branch, Porto, Portugal.
J Forensic Leg Med. 2016 Feb;38:11-7. doi: 10.1016/j.jflm.2015.09.010. Epub 2015 Oct 14.
Any intervention involving child victims of intrafamilial abuse must take the alleged underlying motives for the abuse into account. The aim of this study is to further our understanding of intrafamilial physical abuse of children, by comparing its various aspects while considering the alleged underlying motives. A preliminary sample of 1656 cases of alleged physical abuse in the northern region of Portugal was analysed, with two main motives being identified: corporal punishment (CP) (G1 = 927) and exposure to violence between caregivers (EVC) (G2 = 308). Statistically significant differences were found between the two motives (p < 0.05) for the following variables: (1) age of the alleged victims, (2) sex of the alleged abuser, (3) risk factors affecting the alleged abuser, (4) abuser/victim relationship, (5) injury-producing mechanism, (6) time between last abuse and forensic medical examination and (7) location of injuries. Evidence-based knowledge of these differences may help in accurate diagnosis by doctors (particularly forensic physicians) and prevention of this type of violence through support strategies (including tertiary prevention strategies).
任何涉及家庭内部虐待儿童受害者的干预措施都必须考虑到所声称的虐待潜在动机。本研究的目的是通过在考虑所声称的潜在动机的同时比较家庭内部儿童身体虐待的各个方面，进一步加深我们对其的理解。对葡萄牙北部地区1656起声称的身体虐待案件的初步样本进行了分析，确定了两个主要动机：体罚（CP）（G1 = 927）和接触照顾者之间的暴力行为（EVC）（G2 = 308）。在以下变量方面发现了两种动机之间具有统计学意义的差异（p < 0.05）：（1）声称的受害者年龄，（2）声称的施虐者性别，（3）影响声称的施虐者的风险因素，（4）施虐者/受害者关系，（5）致伤机制，（6）最后一次虐待与法医检查之间的时间以及（7）受伤部位。基于证据了解这些差异可能有助于医生（特别是法医）进行准确诊断，并通过支持策略（包括三级预防策略）预防此类暴力行为。
