Abstract • Fifty-two abused and 23 nonabused children from a low socioeconomic group were studied with respect to birthweight, five-minute Apgar score, and developmental quotients. An association was found between low Apgar scores, low birthweight, poor performance on developmental testing, and child abuse. Furthermore, it was found that among children with normal birthweights, abused children tended to have lower Apgar scores and significantly lower developmental quotients. This study suggests that among this group of children, abuse and subsequent poor performance may be related not only to the socioeconomic status of the children but also to the characteristics the child brings to the parent-child relationship and to the abusive environment. (Am J Dis Child 132:790-793, 1978) References 1. Helfer RE, Kempe CH: The Battered Child , ed 2. Chicago, University of Chicago Press, 1974. 2. Gil DG: Violence Against Children: Physical Child Abuse in the United States . Cambridge, Mass, Harvard University Press, 1970. 3. Spinetta JJ, Rigler D: The child-abusing parent: A psychological review . Psychol Bull 77:296-304, 1972.Crossref 4. Steele BF: Working With Abusive Parents From a Psychiatric Point of View , publication No. 75-70. US Department of Health, Education, and Welfare, 1975. 5. Klein M, Stern L: Low birthweight and the battered child syndrome . Am J Dis Child 122:15-18, 1971. 6. Klaus MH, Jerauld R, Kreger NC, et al: Maternal attachment: Importance of the first post-partum days . N Engl J Med 286:460-463, 1972.Crossref 7. Martin HP, Beezley P, Conway EF, et al: The development of abused children . Adv Pediatr 12:25-73, 1974. 8. Bayley N: Manual for the Bayley Scales of Infant Development . New York, The Psychological Corp, 1969. 9. Goldson E, Cadol RV, Fitch MJ, et al: Nonaccidental trauma and failure to thrive: A socio-medical profile in Denver . Am J Dis Child 130:490-492, 1976.Crossref 10. Eaves LC, Nuttal JC, Klonoff E, et al: Developmental and psychological test scores in children of low birthweight . Pediatrics 45:9-19, 1970. 11. Saint-Anne Dargassies S: Long-term neurological follow-up study of 286 truly premature infants. I: Neurological sequelae . Dev Med Child Neurol 19:462-478, 1977.Crossref 12. Gelles RJ: Child abuse as psychopathology: A sociological critique and reformulation . Am J Orthopsychiatry 43:611-621, 1973.Crossref 13. Serunian SA, Broman SH: Relationship of Apgar scores and Bayley mental and motor scores . Child Dev 46:698-700, 1975.Crossref 14. Gray J, Cutler C, Dean J, et al: Perinatal assessment of mother-baby interaction , in Helfer RE, Kempe CH (eds): Child Abuse and Neglect: The Family and the Community . Cambridge, Mass, Ballinger Publishing Co, 1976, pp 377-392.
American Journal of Diseases of Children – American Medical Association
Published: Aug 1, 1978