Development of an instrument to identify newborns at risk of child abuse or neglect

326 Pages·1991·10.1 MB·English

by  Ihnat, Denise Huan-hsuan Kung

YALE
MEDICAL LIBRARY
Digitized by the Internet Archive
in 2017 with funding from
Arcadia Fund
https://archive.org/details/developmentofinsOOihna

DEVELOPMENT OF AN INSTRUMENT
TO IDENTIFY NEWBORNS AT RISK
OF CHILD ABUSE OR NEGLECT
A Thesis Submitted to the Yale University
School of Medicine in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Medicine
by
Denise Huan-hsuan Kung Ihnat
1991
YMLftuc-
02 ’91
11
Table of Contents
List of Figures iv
List of Tables v
Acknowledgments viii
Abstract x
Chapter One: Introduction 1
Chapter Two: Background 5
An Historical Perspective on Child Maltreatment 6
The Role of Prediction/Prevention 11
Prior Attempts to Predict Maltreatment 18
Clinimetrics and the Development
of Rating Scales 34
Chapter Three: Methods 42
Phase I: Development of the Screening Instrument 44
Phase II: Pilot Testing of the Instrument 50
Phase III: Tests of Inter-Expert Agreement
and Concurrent Validity 55
Phase IV: Evaluation of the Instrument 64
Chapter Four: Results 68
Phases I and II 69
Phase III 69
Phase IV 75
Chapter Five: Discussion 80
Ethical Considerations 86
Conclusions 88