Behavioural consequences of child abuse.
OBJECTIVE
To discuss the consequences of abuse on childhood behavioural development, to highlight some behavioural clues that might alert physicians to ongoing child abuse, and to explore the specific role of the family physician in this clinical situation.


METHODS
A systematic search was used to review relevant research, clinical review articles, and child protection agency websites.


RESULTS
A child's behaviour is an outward manifestation of inner stability and security. It is a lens through which the family physician can observe the development of the child throughout his or her life. All types of abuse are damaging to children-physically, emotionally, and psychologically-and can cause long-term difficulties with behaviour and mental health development. Family physicians need to be aware of and alert to the indicators of child abuse and neglect so that appropriate interventions can be provided to improve outcomes for those children.


CONCLUSIONS
Child abuse might cause disordered psychological development and behaviour problems. Family physicians have an important role in recognizing behaviour clues that suggest child abuse and in providing help to protect children.
Department of Family and Community Medicine, University of Toronto, Toronto, Canada.
Abdulaziz
A
Al Odhayani
William J
WJ
Watson
Lindsay
L
Watson
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D041923:Adolescent Development; D002648:Child; D002649:Child Abuse / Q000175:diagnosis / Q000523:psychology*; D002652:Child Behavior / Q000523:psychology*; D002657:Child Development; D002675:Child, Preschool; D005194:Family Practice / Q000379:methods*; D006801:Humans; D007223:Infant