Science, policy, and the protection of children

Child maltreatment is a particular concern for many researchers, practitioners, and policymakers. The articles in this Child Sexual Abuse: Science, Practice, and Policy Issues section, edited by Jeffrey Haugaard, address this issue from several perspectives. Haugaard articulates the difficulties of defining certain types of abuse and of researching ambiguous variables. Karen Saywitz and her coauthors provide an overview of current treatments for child sexual abuse victims. Recent national statistics on child maltreatment and federal efforts to address the problem are described by Olivia Golden. Tom DeLay highlights current problems in the child welfare system and the federal government's role in responding to them.     

Differences that suggest female investment in,and male distance from,children

A factorial between subjects experiment was conducted with sex of respondent, level of success, sex of stimulus parent, and sex of stimulus child as the independent variables. Two hundred seventy-two undergraduates without parenting experience constituted the sample. The attributions made to explain parenting success/failure and the ratings made both of the child and the parent on the same 60 personality item were the dependent variables. Female respondents were not only especially success-oriented, but evidenced a view of parenting emphasizing deliberation and skill, whereas their male counterparts were comparatively more inclined to explain failure in terms of it being the child's fault and to overstate a child's meanness.This investigation was completed on the first author's NIMH traineeship (5 T01 MH-14473) for doctoral study. The authors are appreciative of the contributions of Professors Donn Byrne, Kay Deaux, and William Martin to the development of this study.     

Drug Addiction During Pregnancy

ABSTRACT— Drug use during pregnancy is a significant risk factor for compromised child development. National statistics reveal that many pregnant women smoke tobacco (18%), drink alcohol (9.8%), and use illicit drugs (4%). Animal and clinical data show that prenatal alcohol and tobacco exposure have direct deleterious consequences on child development. Recent large multicenter studies have failed to show that prenatal cocaine or heroin exposure causes devastating child consequences when environmental variables are controlled. However, prenatal exposure to both licit and illicit drug use mostly occurs in the presence of environmental and contextual risk factors that together can impede healthy outcomes. Thus, treating these addiction disorders while addressing other lifestyle factors in a comprehensive way is critical.     

Influences on communicative development at 24 months of age: child temperament, behaviour problems, and maternal factors

Within a longitudinal study using a large representative, community sample of infants recruited at mean age 8 months, we examined influences on infant communication development at 24 months, including child gender, shy temperament, behavioural and emotional problems, and several variables relating to maternal psychosocial health. On most developmental measures girls were in advance of boys and they also showed shyer temperament. Child gender, shy temperament and maternal psychosocial indices were associated with both vocabulary development as measured by the MacArthur-Bates Communicative Development Inventory (CDI), and communication and symbolic development assessed via the Communication and Symbolic Behaviour Scales-Developmental Profile (CSBS) at 24 months. No prediction was found using scores at 8 or 12 months, although moderate stability between measures between 12 and 24 months was evident. Predictors of 24 month outcomes were all concurrently measured variables, and included temperamental shyness, but very little variance in communication outcomes was explained. Children whose mothers were experiencing clinical levels of depression and life difficulties reported more child behavioural problems.     

Child,mother, and father evaluations of depression in psychiatric inpatient children

The agreement among children and their parents in evaluating the children's depression was examined in 48 families. Newly admitted inpatient children (ages 6–13) and their mothers and fathers independently completed selfreport and interview measures to assess severity and duration of the children's depression. The results indicated that different measures of depression completed by the same rater (child, mother, or father) were highly intercorrelated. Yet there was little or no relationship between childmother and child-father ratings of the children's depression for the same or related measures of depression. Children independently diagnosed (DSM III) as depressed rated themselves and were rated by their parents as more depressed than nondepressed children. Even so, children consistently rated themselves as less depressed across the measures than did their parents. Parent ratings of the children's depression and the correspondence of child-parent ratings varied as a function of several child and family variables, including child IQ, gender, race, and family welfare status.This investigation was supported in part by a Research Scientist Development Award (1 K02 MH00353) to the first author from the National Institute of Mental Health and by a Clinical Research Center Grant for the Study of Affective Disorders (5 P50 MH30915-05) from the National Institute of Mental Health. The authors are grateful to the clinical research team of the Child Psychiatric Treatment Service.     

Parent-Youth Rating Concordance for Hair Pulling Variables,Functional Impairment,and Anxiety Scale Scores in Trichotillomania

ABSTRACT

Knowledge of cross-informant rating concordance is critical for the assessment of child and adolescent problems in clinical and research settings. We explored parent-youth rating concordance for hair pulling variables, functional impairment, and anxiety symptoms in a sample of child and adolescent hair pullers (n = 133) satisfying conservative diagnostic criteria for trichotillomania (TTM). Whole group analyses reveal significant parent-youth agreement on all study variables. Split group analyses, however, reveal superior parent-youth concordance for the adolescent (15–17 years old) versus younger (10–12 years old) hair pullers for awareness of hair pulling and anxiety scale scores. These results highlight the need for both parent and youth ratings when assessing younger children with TTM.     

Influences of Marital Conflict on Child Adjustment: Review of Theory and Research

This review summarizes the literature on the relationship between marital conflict and child maladjustment with an emphasis on variables that qualify, explain the association, or both. Following a historical review, the modest findings on the strength of the association between marital conflict and child maladjustment is explored. The definition of marital conflict is clarified through specification of its various dimensions (frequency, intensity, content, resolution). The role of variables that serve to moderate and/or mediate the relationship between marital conflict and child maladjustment are elaborated. Mediating models include exposure theories (Modeling, Cognitive–Contextual effects: appraisal of threat and blame, and Emotional Insecurity) and changes in the parent–child relationship (Spillover). Variables that moderate or qualify the relationship include children's cognitions and behaviors, contextual factors, and demographic differences. A model is presented summarizing these mechanisms. Research recommendations are proposed and the clinical implications of this literature are addressed.