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November 11, 2004

Physically Abused Teens Have More Behavior Problems and are More Likely to Report Externalized Behavior than Internalized Behavior
   
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Scientists have discovered that adolescents who are physically abused have more behavior and psychological problems and are more likely to be functionally impaired. Researchers hoped to discover the effect of parent and teacher intervention on the outcomes of physically abused teens. Researchers focused on the externalizing and internalizing of behaviors of this population.

Researchers evaluated 99 reports of abused and non abused adolescent teenagers. Anti-social behavior and aggressiveness were more likely to be experienced by abused teens. However, it was unlikely that adults, parents and teachers would report the adolescent’s symptoms.

Researchers studied reports of abused and non-abused adolescents. Parent, teacher, and student self-reports were issued and examined.

Ninety nine participants aged 12 to 18 years old were recruited from Child Protective Services. Abused children were matched for age, gender, and income with non-abused adolescents. Investigators used the Child Behavior Checklist, and the Youth Self-Report and Teacher Report Form which are widely used assessments which measure emotional and behavioral problems. The Child Global Assessment Scale was utilized to measure impairment and the necessity of psychological services.

Parents and teachers indicated that abused teenagers had greater problems than non abused teenagers. Abused children reported many periods of externalizing problem behaviors. Compared with non-abused adolescents, abused adolescents were much more likely to have a functional impairment. Researchers concluded that it was more likely for parents and teachers to report symptoms of both externalized and internalized behavior of abused children.

It was more likely for abused teens to report externalizing behavior. Researchers recommended that health care providers focus their efforts on getting abused teens to discuss their externalized behavior problems.

Complete findings of the study appear in the Journal of Pediatrics July 1, 1999.


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