{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:46:26Z","timestamp":1787013986100,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,3,5]],"date-time":"2013-03-05T00:00:00Z","timestamp":1362441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Children with chronic conditions or disabilities are at an increased risk for abuse. High level of parental stress has been identified as possible trigger for abuse, were a combination of several factors are of importance, as lack of social support and limited resources in the neighbourhood. Suggestions for preventive measures have merely focused on parenting strategies and targeted intervention programmes. So far, little attention has been paid on how the risk for abuse might relate to parent's perceptions of stressors and the role of professionals. The purpose of the current study was therefore to explore risk factors for abuse with focus on both parent\u2013child and parent\u2013professional relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Semi\u2010structured in\u2010depth interviews with 15 parents of children with chronic conditions or disability were collected and analysed according to qualitative content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Three major themes were found that could be seen as risk factors for child abuse: (1)\n                      <jats:italic>Emotional demands in precarious situations<\/jats:italic>\n                      between parent and child. (2)\n                      <jats:italic>Gradual shift in responsibility<\/jats:italic>\n                      from professionals to parents concerning access to and co\u2010ordination of service and support. (3)\n                      <jats:italic>Emotionally closed environment<\/jats:italic>\n                      between professionals and parents\n                      <jats:italic>and taboo<\/jats:italic>\n                      on talking about abuse. The gradual shift in responsibility had emotional implications, which could reinforce parental stress and thereby also indirect increase the risk of child abuse. The gradual shift in responsibility also seemed to generate an emotionally closed environment and reinforce the taboo on talking about abuse, which in turn hindered preventive measures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In the light of parent's perceptions of stressors and the role of professionals the findings indicate that abuse against children with chronic conditions or disability is not only a family matter, but also depending on qualities in service, professional support and social norms. The result pinpoints three challenges for preventive measures, all with emotional implications, parental strategies, organizational efforts and cultural awareness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cch.12030","type":"journal-article","created":{"date-parts":[[2013,3,5]],"date-time":"2013-03-05T23:45:13Z","timestamp":1362527113000},"page":"887-893","source":"Crossref","is-referenced-by-count":18,"title":["Exploring risk for abuse of children with chronic conditions or disabilities \u2013 parent's perceptions of stressors and the role of professionals"],"prefix":"10.1111","volume":"39","author":[{"given":"B.","family":"Svensson","sequence":"first","affiliation":[{"name":"Department of Health and Environment Division of Public Health Sciences Karlstad University  Karlstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.\u2010B.","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Department of Health and Environment Division of Public Health Sciences Karlstad University  Karlstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Janson","sequence":"additional","affiliation":[{"name":"Department of Health and Environment Division of Public Health Sciences Karlstad University  Karlstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,3,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2011.02.003"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2010.01125.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0074-7750(07)35007-6"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61706-7"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-2337(1997)23:4<259::AID-AB4>3.0.CO;2-F"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S135246580400178X"},{"key":"e_1_2_7_9_1","unstructured":"Hedov G.(2002)Swedish parents of children with Down syndrome: a study on the initial information and support and the subsequent daily life. Dissertation. Uppsala universitet Uppsala Sweden."},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-0565"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/mrdd.20097"},{"key":"e_1_2_7_12_1","first-page":"241","volume-title":"Global Pathways to Abolishing Physical Punishment","author":"Janson S.","year":"2011"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2007.08.007"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2011.01305.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60692-8"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2004.04.005"},{"key":"e_1_2_7_17_1","series-title":"The Sage Commtext Series","volume-title":"Content Analysis. An Introduction to Its Methodology","author":"Krippendorff K.","year":"1980"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.6.1373"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/comp.2000.16567"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(02)00316-2"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15374424jccp1904_3"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.08.057075"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(96)00177-9"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077559597002003006"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15327035EX1001_3"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(00)00190-3"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2010.02029.x"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077559511427178"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0883073811413279"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/1469-7610.00468"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/0145-2134(91)90072-L"}],"container-title":["Child: Care, Health and Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcch.12030","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cch.12030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T02:31:23Z","timestamp":1696213883000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cch.12030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,5]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["10.1111\/cch.12030"],"URL":"https:\/\/doi.org\/10.1111\/cch.12030","archive":["Portico"],"relation":{},"ISSN":["0305-1862","1365-2214"],"issn-type":[{"value":"0305-1862","type":"print"},{"value":"1365-2214","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,5]]}}}