荷兰86个家庭和142名儿童诊断为儿童病情伪造的特征

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-09-27 DOI:10.1016/j.chiabu.2025.107681

P.I.M. Worm , A.H. Teeuw , M.J. Steketee

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引用次数: 0

摘要

本研究的目的是分析报告给儿童虐待咨询和报告中心（CACRC）的儿童病情伪造案例，以了解可能导致儿童病情伪造（PCF）早期诊断的趋势或共同因素，并确定缺乏哪些信息。这项研究首次使用了向荷兰CACRC报告的PCF病例数据。方法收集2008年1月至2013年12月5年间所有疑似和确诊PCF的cacrc档案，26例cacrc中2例未递送任何档案。鹿特丹伊拉斯谟医学中心医学伦理审查委员会于2014年6月20日决定，可以放弃知情同意（METC 2014 349）。研究了86个家庭142名儿童的档案。结果本研究提供了一些新的见解：关于报告者，（医疗）专业人员的参与，父亲的缺席，对pcf受害者日常功能和康复的限制，以及对CACRC的大量正式投诉。这项研究表明，根据文献，犯罪者有广泛的病史和有问题的童年的比例很高。档案中缺少关于孩子自己观点的信息。本研究是荷兰首个使用CACRC数据的PCF研究。这项研究清楚地表明，必须采用一种更完整和统一的方法来收集CACRC案件档案的信息，并纳入儿童自己的观点。结论除了报告者、父亲职位、施暴者历史和正式投诉等方面的新信息外，本研究还强调了统一问卷的必要性。实施这些将导致更好的数据收集，可能导致更多关于PCF和儿童自身观点的知识。一份概念问卷作为附录被添加（荷兰指南KMdF， 2025）。

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Characteristics of 86 families and 142 children diagnosed with Pediatric Condition Falsification in the Netherlands

Background

The aim of this study is to analyse cases of Pediatric Condition Falsification reported to the Child Abuse Counseling and Reporting Center (CACRC) to gain more insight into possible trends or common factors that could result in an earlier diagnosis of Pediatric Condition Falsification (PCF) and identify which information is lacking. This study is the first to use the data of PCF cases reported to the CACRC in the Netherlands.

Methods

All CACRC-files with suspected and confirmed PCF were collected over a five-year period, from January 2008 to December 2013, two of 26 CACRCs did not deliver any files. The Medical Ethical Review Committee of the Erasmus Medical Centre, Rotterdam, decided on June 20, 2014, that informed consent could be waived (METC 2014 349). Files of 86 families, with 142 children were studied.

Results

This study has provided several new insights: about the reporter, involvement of (medical) professionals, the absence position of the fathers, restrictions in daily functioning and recovery of the PCF-victims, and the high number of formal complaints against the CACRC. This study showed a high rate of extensive medical history and a problematic childhood of the perpetrator, in accordance with literature. Information about the child's own point of view was lacking in the files.

Discussion

This study is the first PCF study in the Netherlands to use data from the CACRC. This study made clear that a more complete and uniform method of collecting information for the CACRC case file, incorporating the child's own point of view, has to be implemented.

Conclusion

Besides new information concerning the reporter, fathers' position, perpetrator's history and formal complaints, this study highlighted the need for uniform questionnaires. Implementing these will lead to better data collection, potentially resulting in more knowledge about PCF and the child's own perspective. A concept questionnaire has been added as an appendix (Dutch Guideline KMdF, 2025).

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.