{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T03:56:39Z","timestamp":1780718199956,"version":"3.54.1"},"reference-count":34,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1997,2,1]]},"abstract":"<jats:p>Background.\u2003Child abuse and wife abuse are linked. Studies indicate 30% to 59% of mothers of children reported for child abuse also are battered. In homes where domestic violence occurs, the children are at increased risk of physical abuse or neglect. Children who witness battering of their mothers are at risk for psychosocial sequelae including developmental delays and posttraumatic stress disorder.<\/jats:p>\n               <jats:p>Objective.\u2003To determine pediatric emergency medicine fellows' level of preparedness to respond to battered mothers, and to assess obstacles and attitudinal barriers to their effective response.<\/jats:p>\n               <jats:p>Study Design.\u2003Self-reported written survey.<\/jats:p>\n               <jats:p>Methods.\u2003A 30-item anonymous questionnaire was mailed to 162 pediatric emergency medicine fellows in the United States and Canada in 1995. A response rate of 77.2% (n = 125) was achieved.<\/jats:p>\n               <jats:p>Results.\u2003Before fellowship, 97.6% of respondents had training (including formal courses, conferences, and direct patient contact) on child abuse\/neglect although only 29.6% received similar instruction on woman battering. There was a marked disparity between patient contact experience for child abuse\/neglect and woman battering throughout training. Before fellowship, 89\/122 (73%) reported direct involvement in at least 10 cases of child abuse\/neglect. Seventy-one (57.3%) of 124 fellows had not handled any cases of woman battering before fellowship; 106\/124 (85.5%) had been directly involved in fewer than 10 cases. During fellowship 81 (67.5%) of 120 respondents had been involved in at least 10 cases of child abuse\/neglect and 46\/120 (38.3%) had handled at least 20 cases. In contrast, 72 (73.5%) of the 98 responding fellows had not handled any cases of woman battering during fellowship. Furthermore, 86\/100 fellows reported no formal training on woman battering in their fellowship curricula. Only 5\/118 (4.2%) reported having protocols in place for responding to battered women in the pediatric emergency department. Items most frequently selected from a list of potential obstacles to responding to battered women included: lack of a protocol (82\/113), lack of formal training in the field (103\/118), and lack of experience with woman battering cases (100\/117). The majority, 75\/118 (63.6%), believed that responding to battered mothers did not belong in the purview of pediatrics. Potential attitudinal barriers confirmed with the greatest frequency included: frustration that nothing could be done and lack of time to respond appropriately to battered mothers in the pediatric emergency department.<\/jats:p>\n               <jats:p>Conclusions.\u2003Battered mothers are rarely identified in the pediatric emergency department even though the physicians report handling a significant number of child abuse\/neglect cases. Education on domestic violence, including the implications of woman battering for childrens' health, should be incorporated in the training curricula of pediatric emergency department physicians to raise awareness of the need to explore for the presence of concurrent abuse in both children and their mothers. Identifying battered women through their children will impact greatly on the welfare of both mother and child.<\/jats:p>","DOI":"10.1542\/peds.99.2.186","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T23:40:17Z","timestamp":1092440417000},"page":"186-192","source":"Crossref","is-referenced-by-count":89,"title":["Response to Battered Mothers in the Pediatric Emergency Department: A Call for an Interdisciplinary Approach to Family Violence"],"prefix":"10.1542","volume":"99","author":[{"given":"Rosalind J.","family":"Wright","sequence":"first","affiliation":[{"name":"From the Channing Laboratory, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert O.","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Emergency Medicine, Hasbro Children's Hospital, Brown University School of Medicine, Providence, Rhode Island; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy E.","family":"Isaac","sequence":"additional","affiliation":[{"name":"Injury Control Center, Harvard School of Public Health, Boston, Massachusetts."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[1997,2,1]]},"reference":[{"key":"2021121006470325700_B1"},{"key":"2021121006470325700_B2"},{"key":"2021121006470325700_B3"},{"key":"2021121006470325700_B4","doi-asserted-by":"crossref","first-page":"97","DOI":"10.2190\/3K8F-KDWD-QYXK-2AX5","article-title":"Women and children at risk: a feminist perspective on child abuse.","volume":"18","author":"Stark","year":"1988","journal-title":"Int J Health Serv."},{"key":"2021121006470325700_B5","first-page":"349","article-title":"Child abuse and wife abuse: the connections.","volume":"43","author":"Campbell","year":"1994","journal-title":"Md Med J."},{"key":"2021121006470325700_B6","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1542\/peds.84.3.531","article-title":"Victimization of mothers of abused children: a controlled study.","volume":"4","author":"McKibben","year":"1989","journal-title":"Pediatrics."},{"key":"2021121006470325700_B7"},{"key":"2021121006470325700_B8"},{"key":"2021121006470325700_B9","doi-asserted-by":"crossref","first-page":"311","DOI":"10.2307\/1131005","article-title":"Linking extreme marital discord, child rearing, and child behavior problems: evidence from battered women.","volume":"62","author":"Holden","year":"1991","journal-title":"Child Dev."},{"key":"2021121006470325700_B10"},{"key":"2021121006470325700_B11"},{"key":"2021121006470325700_B12"},{"key":"2021121006470325700_B13","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1111\/j.1939-0025.1988.tb01568.x","article-title":"Psychological and behavioral correlates of family violence in child witnesses and victims.","volume":"58","author":"Hughes, HH","year":"1987","journal-title":"Am J Orthopsychiatry."},{"key":"2021121006470325700_B14","first-page":"67","article-title":"PTSD persistence at two-year follow-up.","volume":"149","author":"Augustyn","year":"1995","journal-title":"Arch Ped Adolesc Med."},{"key":"2021121006470325700_B15"},{"key":"2021121006470325700_B16"},{"key":"2021121006470325700_B17"},{"key":"2021121006470325700_B18","first-page":"29","article-title":"The link between domestic violence and child abuse: assessment and treatment considerations.","volume":"73","author":"McKay","year":"1994","journal-title":"Child Welfare."},{"key":"2021121006470325700_B19"},{"key":"2021121006470325700_B20","first-page":"891","article-title":"Joint Commission on Accreditation of Healthcare Organizations standards to improve care for victims of abuse.","volume":"43","author":"Scott","year":"1994","journal-title":"Md Med J."},{"key":"2021121006470325700_B21"},{"key":"2021121006470325700_B22"},{"key":"2021121006470325700_B23","doi-asserted-by":"crossref","first-page":"3259","DOI":"10.1001\/jama.1984.03340480041025","article-title":"Domestic violence victims in the emergency department: new findings.","volume":"251","author":"Goldberg","year":"1984","journal-title":"JAMA."},{"key":"2021121006470325700_B24","doi-asserted-by":"crossref","first-page":"65","DOI":"10.2105\/AJPH.79.1.65","article-title":"A study of battered women presenting in an emergency department.","volume":"79","author":"McLeer","year":"1989","journal-title":"Am J Public Health."},{"key":"2021121006470325700_B25","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1016\/S0196-0644(89)80521-9","article-title":"Education is not enough: a systems failure in protecting battered women.","volume":"18","author":"McLeer","year":"1989","journal-title":"Ann Emerg Med."},{"key":"2021121006470325700_B26","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1016\/S0196-0644(94)70325-6","article-title":"Emergency department response to battered women in Massachusetts.","volume":"23","author":"Isaac","year":"1994","journal-title":"Ann Emerg Med."},{"key":"2021121006470325700_B27","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1001\/jama.1995.03520460045033","article-title":"Domestic Violence against women: incidence and prevalence in an emergency department population.","volume":"273","author":"Abbott","year":"1995","journal-title":"JAMA."},{"key":"2021121006470325700_B28","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1097\/00006565-199404000-00017","article-title":"Pediatric emergency medicine fellowship programs.","volume":"10","author":"Izsak","year":"1994","journal-title":"Ped Emerg Care."},{"key":"2021121006470325700_B29"},{"key":"2021121006470325700_B30"},{"key":"2021121006470325700_B31","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1001\/jama.1989.03420070022008","article-title":"Education about adult domestic violence in US and Canadian Medical Schools, 1987\u20131988.","volume":"261","author":"From the Centers for Disease Control and Prevention","year":"1989","journal-title":"JAMA."},{"key":"2021121006470325700_B32","doi-asserted-by":"crossref","first-page":"3157","DOI":"10.1001\/jama.1992.03480230049026","article-title":"Primary care physician's response to domestic violence: opening Pandora's box.","volume":"267","author":"Sugg","year":"1992","journal-title":"JAMA."},{"key":"2021121006470325700_B33","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1080\/07399338609515757","article-title":"Nurses' and physicians' attitudes about women abuse.","volume":"17","author":"Rose","year":"1986","journal-title":"Health Care Women Int."},{"key":"2021121006470325700_B34","doi-asserted-by":"crossref","first-page":"1781","DOI":"10.1001\/jama.1995.03520460063037","article-title":"Laws mandating reporting of domestic violence: do they promote patient well-being?","volume":"273","author":"Hyman","year":"1995","journal-title":"JAMA"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/99\/2\/186\/985946\/pe029700186o.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/99\/2\/186\/985946\/pe029700186o.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T15:37:07Z","timestamp":1639150627000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/99\/2\/186\/64694\/Response-to-Battered-Mothers-in-the-Pediatric"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,2,1]]},"references-count":34,"journal-issue":{"issue":"2","published-online":{"date-parts":[[1997,2,1]]},"published-print":{"date-parts":[[1997,2,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.99.2.186","relation":{},"ISSN":["1098-4275","0031-4005"],"issn-type":[{"value":"1098-4275","type":"electronic"},{"value":"0031-4005","type":"print"}],"subject":[],"published":{"date-parts":[[1997,2,1]]}}}