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RE: Query to list - Impact of abuse on psycho-neural development



Thank you for your comments on the potential impact of perinatal factors in 
a premature infants' brain development.  However, our study sought to 
carefully control for these risk factors, and still found a strong 
association between notification for neglect and cognitive impairment.  The 
association between neglect and reduced head circumference was less robust, 
but still significant after adjusting for major perinatal influences, 
including SGA, ventricular dilatation and periventricular hemorrhage.

Dr Lane Strathearn
Email: l.strathearn@mailbox.uq.edu.au

-----Original Message-----
From:	Oddone Virginio [SMTP:oddovir@ipsnet.it]
Sent:	29 February 2000 5:33
To:	Child Maltreatment Researchers
Subject:	R: Query to list - Impact of abuse on psycho-neural development

In very little children any form of grossly mistaken parental behavior is
liable to cause bodily damage, which will easily involve the brain. 
However,
there must be the greatest caution in establishing a causal link, because
there can be very important confounding factors, among them the presence of
prenatal pathologies, which may surface only after birth. It is the case,
for instance, with the "newborn encephalopathy" and other forms of
neurological damage. See for instance the very important research done in
Australia by Nadia Badawi and co-workers ("Antepartum risk factors for
newborn encephalopathy: the Western Australian case - control study", and
"Intrapartum risk factors for newborn encephalopathy: the Western 
Australian
case - control study", British Medical Journal, vol. 317, 5 dec. 1998). One
has to keep into account also the role of fetal infections, etc..

In the case of Dr. Strathearn research, a premature infant may be very
easily subject to some kind of brain damage, independently from neglect; 
the
more so in the case of the very premature one, with weight below 1000 
grams.
Moreover, a premature infant will usually spend quite a long time in a
hospital nursery, with a varying amount of time in intensive therapy: all
facts which are independent sources of possible brain damage. Its future
development will be influenced also from:

- a. the prenatal pathologies leading to premature birth;
- b. availability of high-skill medical resources, which unfortunately tend
to be unevenly distributed.

However, some of the prenatal pathologies may be linked to parental
conscious neglect or violence (e.g., alcoholism, etc.). In UK the Court of
Appeal upheld the view that prenatal misbehaviour by parents which might
lead to newborn damage, could be construed as parental neglect.

Virginio Oddone, MD


****************************

Virginio Oddone, MD
V. A. Avogadro 6
10121 - Torino (Italy)
e-mail: oddovir@ipsnet.it





****************************

----- Original Message -----
From: Lane Strathearn <l.strathearn@mailbox.uq.edu.au>
To: Child Maltreatment Researchers
<CHILD-MALTREATMENT-RESEARCH-L@cornell.edu>
Sent: Saturday, February 26, 2000 2:03 PM
Subject: RE: Query to list - Impact of abuse on psycho-neural development


> I have just recently completed some interesting research here in 
Brisbane,
> demonstrating a significant drop in IQ scores and head circumference in
> neglected premature infants at 4 years, with a progressive IQ drop
> demonstrated over time. I'm working with the Mater Children's Hospital
> Child Protection Unit and would be happy to meet with you or email a copy
> of the article to anyone interested.
>
> Dr Lane Strathearn
> Child Protection Registrar
> Mater Children's Hospital
> South Brisbane, QLD, Australia 4020
> Email: l.strathearn@mailbox.uq.edu.au
>
>
> -----Original Message-----
> From: Lundgren, Susi [SMTP:SLundgren@DePelchin.org]
> Sent: 24 February 2000 8:02
> To: Child Maltreatment Researchers
> Subject: RE: Query to list - Impact of abuse on psycho-neural development
>
> Laura Palmer, Ph.D. out of Seton Hall University has done research in 
this
> area. I don't know what she's published, but her contact info is
>
> Phone: (973) 275-2740
> e-mail: palmerla@shu.edu <mailto:palmerla@shu.edu>
>
> I went to a talk she gave and she handed out an extensive list of
> references
> (21 pages).
>
> Susan Lundgren, LMSW
> DePelchin Children's Center
> Houston, TX
>
>
> -----Original Message-----
> From: rnilsson@families.qld.gov.au [mailto:rnilsson@families.qld.gov.au]
> Sent: Tuesday, February 22, 2000 9:51 PM
> To: Child Maltreatment Researchers
> Subject: Query to list - Impact of abuse on psycho-neural development
>
>
> Dear  All,
>
> Please excuse the listwide posting but urgency and court deadlines are
> pushing me to request this of you as colleagues.
>
> I am doing some developmental work on a position paper and some court 
work
> in the area of child protection. I have a particular query I would like
> some
> assistance with....
>
> 1 Has anybody got referances to articles published which examine the
> link between child abuse / emotional trauma and psychoneural development
> especially in children 0 to approximately 3 or 4 years of age?
>
> 2 Has anybody got referances to Professor Fraser Mustards work in this
> area? Better still copies of articles?
>
> I am happy to discuss with anybody on a direct basis off list at
>
> >rnilsson@families.qld.gov.au<
>
> Rolf Nilsson
>
> Families Youth and Community Care
> Queensland AUSTRALIA
>
>
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