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首页> 外文期刊>Child abuse review ejournal of the British Association for the Study and Prevention of Child Abuse and Neglect >What Do Confessions Reveal about Abusive Head Trauma? A Systematic Review
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What Do Confessions Reveal about Abusive Head Trauma? A Systematic Review

机译：忏悔揭示了关于滥用的头伤什么？ 系统评价

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Although confessions related to abusive head trauma (AHT) are reported, no detailed analysis exists. Therefore, we systematically reviewed studies of AHT confessions and examined the details, including country of origin, mechanisms and perpetrators' characteristics. Employing 36 search terms across three search engines, we searched Medline and CINAHL from 1963 to 2018. All relevant studies underwent two independent reviews and data extraction. Descriptive statistics were used to characterise the sample; chi square and Fisher's exact tests were used to assess differences in demographic and clinical characteristics. Of 6759 identified studies, 157 full texts were reviewed and 55 articles from 15 countries spanning four continents were included. Included articles contained 434 confessions. The mechanisms of abuse included shaking alone (64.1%), impact alone (17.1%), shaking plus impact (18.0%) and other (0.9%). There was no statistically significant difference in the percentage of confessions reporting shaking alone when comparing continents: North America (64.0%), Europe (64.2%) and Oceania (60.0%;p = 0.92), or when comparing circumstances in which the confession was obtained: medical evaluation (74.6%) vs police or judicial investigations (63.4%;p = 0.11). Of 119 cases with identified perpetrators, 67.2 per cent were cases with males alone. Confessions reveal striking similarities in the mechanism of AHT (predominantly shaking) that occur across the globe. Key Practitioner Messages
机译：虽然报告了与滥用头部创伤（AHT）相关的忏悔，但不存在详细分析。因此，我们系统地审查了AHT忏悔的研究，并审查了细节，包括原籍国，机制和犯罪者的特征。我们在三个搜索引擎中使用36个搜索条件，从1963年到2018年搜索了Medline和Cinahl。所有相关研究都接受了两个独立的评论和数据提取。描述性统计用于表征样本; Chi Square和Fisher的确切测试用于评估人口统计学和临床​​特征的差异。在6759年的确定研究中，包括157个全文，并包括来自四大大陆的15个国家的55篇文章。包含的文章包含434个忏悔。仅包括单独摇动的滥用机制（64.1％），单独影响（17.1％），摇晃加上冲击（18.0％）和其他（0.9％）。在比较大陆时，自单独报告摇动的百分比没有统计学意义：北美（64.0％），欧洲（64.2％）和大洋洲（60.0％; P = 0.92），或者在比较忏悔的情况时获得：医学评估（74.6％）与警察或司法调查（63.4％; P = 0.11）。在119例犯罪者中，67.2％是单独的男性患者。忏悔揭示了全球发生的AHT（主要摇晃）的机制中的醒目相似之处。关键从业者消息

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