Department of Child Psychiatry, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Türkiye.
Department of Early Childhood Education, Ataturk University, Erzurum, Türkiye.
Clin Psychol Psychother. 2024 May-Jun;31(3):e2986. doi: 10.1002/cpp.2986.
Although it is often stated that children with special needs are at risk of being abused and neglected, research conducted on the abuse of children with specific learning disorders (SLDs) is limited.
This case-control study aims to compare exposure to neglect and abuse among children diagnosed with SLDs (case group) and children with typical development (control group). The study included children aged 6 to 12 years who were referred to the Child and Adolescent Psychiatry Outpatient Clinic and Pediatric Clinic of a hospital in Türkiye. The data collection process included 196 participants and lasted for 7 months in 2020.
Based on the analysis of the data collected with the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Turkish Version (K-SADS-PL-T) and the Abuse Assessment Questionnaire, we determined that children with SLDs were physically and emotionally abused more than the children of the control group. In addition, they witnessed violence between their parents more than the control group. Physical abuse, emotional abuse and witnessing family violence were identified as significant predictors for SLD.
The presence of SLDs is a significant risk factor for children to be exposed to abuse even in the absence of ADHD as a comorbidity.
尽管人们常说有特殊需要的儿童面临被虐待和忽视的风险，但针对特定学习障碍（SLD）儿童的虐待问题的研究却很有限。
本病例对照研究旨在比较诊断为 SLD（病例组）和具有典型发育（对照组）的儿童之间的忽视和虐待暴露情况。该研究纳入了年龄在 6 至 12 岁之间的儿童，他们均被转诊至土耳其一家医院的儿童和青少年精神病学门诊和儿科诊所。数据收集过程包括 196 名参与者，于 2020 年历时 7 个月。
根据使用儿童情感障碍和精神分裂症定式检查现病史及定式检查（K-SADS-PL-T）和虐待评估问卷收集的数据进行的分析，我们发现 SLD 儿童遭受身体和情感虐待的比例高于对照组儿童。此外，他们目睹父母之间暴力的比例也高于对照组。身体虐待、情感虐待和目睹家庭暴力被确定为 SLD 的显著预测因素。
即使没有 ADHD 等合并症，存在 SLD 也会使儿童面临遭受虐待的显著风险。
