Predicting infant maltreatment in low-income families: the interactive effects of maternal attributions and child status at birth

Maternal attributions and child neonatal status at birth were assessed as predictors of infant maltreatment (harsh parenting and safety neglect). The population included low-income, low-education families who were primarily Hispanic. Child maltreatment during the 1st year of life (N = 73) was predicted by neonatal status (low Apgar scores, preterm status), as moderated by mothers' attributions. The highest levels of maltreatment were shown within dyads that included a mother with low perceived power and an at-risk infant. Partial support was found for maternal depressive symptoms as mediators of harsh parenting among at-risk infants. It is suggested that lack of perceived parental power constrains investment in protective relationships and fosters sensitization to potential threat.     

Multiple forms of child abuse and neglect: adult retrospective reports

There are few research reports of the experience of multiple forms of child abuse and neglect (multi-type maltreatment). A critical review is presented of 29 studies in which adult retrospective reports of more than one form of child maltreatment (sexual abuse, physical abuse, psychological maltreatment, neglect, or witnessing family violence) are assessed. Empirical investigations of the extent and impact of multi-type maltreatment are identified. Data on the relationship between the different forms of maltreatment and the adjustment problems associated with each type of maltreatment are critiqued. As well as using dichotomous measures of maltreatment, an important methodological problem was the failure of researchers to assess all child maltreatment types, the relationship between multi-type maltreatment and adjustment, and the role of variables influencing the occurrence or impact of maltreatment. Considerable overlap was found in the occurrence of maltreatment types. The compounding or interacting effects of experiencing multi-type maltreatment were ignored in many studies. Where an assessment was made of the specific impact of multi-type maltreatment, it was associated with greater impairment than single forms of abuse or neglect. A multi-dimensional approach to prevention and treatment of child abuse and neglect is required in which children's vulnerability to multi-type maltreatment is addressed.     

儿童虐待与问题行为：基因与环境的作用

当前预防虐待之所以成为儿童保护的重要内容,不仅是法理上的儿童权益保护,也因虐待关联的基因与环境作用对人发展的长期影响。儿童虐待与问题行为关系复杂,已有研究显示,虐待特征、受害者特点是其关联因素,但其内在机制并不清楚。随着分子遗传学的兴起,MAOA、COMT、5-HTT等基因为解释儿童虐待与问题行为的机制提供新视角,重要候选基因可能调节这一关系。未来研究可从动物模型和纵向追踪角度去探究儿童虐待与问题行为关系的易感期、保护因子,完善儿童虐待与个体发展关系的研究图谱。     

Causes and consequences of infant abuse and neglect in monkeys

Recent studies of naturally occurring infant abuse and neglect in group-living monkeys have provided some insights into the potential causes and consequences of these phenomena. Infant abandonment by monkey mothers in suboptimal conditions for reproduction and parental investment suggests that neglect, at least in its most extreme forms, may be an adaptive behavior. In contrast, several lines of evidence indicate that infant physical abuse is a maladaptive form of aggression or parenting. Studying the natural occurrence of infant abuse in nonhuman primates can provide important information on the origin and maintenance of child maltreatment in human populations.     

Increasing parenting self-efficacy: The Fussy Baby Network® intervention

High levels of infant crying place families at risk for disrupted relationships, parenting stress, and even for child maltreatment. We conducted an evaluation of the Fussy Baby Network^® (FBN), a program supporting families struggling with infant crying and related concerns. The study contrasted 29 families who sought help from FBN with 27 families with excessively crying infants who did not seek services. Researchers measured parenting self-efficacy, depression, and stress in each group before and after the intervention. Results from hierarchical multiple regression analysis indicated greater improvements over time in parenting self-efficacy for parents receiving FBN services. Furthermore, the greater improvements in parenting self-efficacy in the intervention group were not directly attributable to reductions in infant crying. These findings provide preliminary evidence that the FBN approach may be effective at boosting the confidence of parents struggling with caring for their infants. Future research with larger samples with baseline equivalence and stronger research designs should explore this intervention further. This study also suggests that interventions for families with excessively crying infants should move beyond the focus of reducing infant crying to a broader strategy of supporting parents and strengthening relationships between parents and their infants to build parenting capacity.     

An Analysis of Child Maltreatment Content in Introductory Psychology Textbooks

The purpose of this study was to examine the extent to which introductory psychology textbooks cover child maltreatment and to evaluate how appropriately the information was presented. We randomly selected 15 introductory psychology textbooks from Koenig et al.’s (2004) Compendium of Introductory Psychology Texts. Three analyses included a subject index review, a content review, and a content analysis review. Although all of the textbooks covered the topic of child maltreatment in some fashion, they varied considerably in the specific forms of child maltreatment that they addressed. Furthermore, content that addressed child maltreatment consistently lacked appropriate emphasis and clear definitions. The results are discussed to enhance understanding regarding the most appropriate information on child maltreatment to include in introductory psychology textbooks.     

Child Maltreatment in Vietnam: Prevalence and Cross-Cultural Comparison

This Vietnam prevalence study on child maltreatment (VPM-2014) was designed to examine the prevalence of child maltreatment in Vietnam and to compare it with the child maltreatment prevalence in the Netherlands using the same measures and procedure. Questionnaires were filled out by 1,851 students aged 12 to 17 years (47.3% were boys). Results indicated that half of the students (49.9%) reported at least 1 event of child maltreatment in the past year. Emotional abuse was most frequently reported (31.8%), followed by physical abuse, neglect, and witnessing parental conflict. Sexual abuse was the least prevalent (2.6%). Compared with the Netherlands, the prevalence rates of most types of child maltreatment were higher in Vietnam: The largest difference was with emotional abuse, followed by neglect, physical abuse, and witnessing parental conflict. Only the past-year sexual abuse prevalence in Vietnam was lower. These findings highlight the alarming problem of child maltreatment in Vietnam.     

Single versus Multi-Type Maltreatment

Abstract

The purpose of the present study was to identify the long-term impacts of different types of child abuse and to assess differential effects of single versus multi-type maltreatment. Three hundred and eighty-four college students completed measures of child abuse history (neglect, emotional, physical, and sexual abuse), depression, suicidality, self-esteem, sexual behavior, drug and alcohol use, and delinquent behavior. The results demonstrate the high rates of co-occurrence of different types of abuse, with few differential effects identified. Rather, all types of abuse were associated with symptoms. Experiencing multiple types of abuse was associated with greater symptoms than experiencing no abuse or a single type of abuse. The results highlight the importance of considering all types of abuse when studying child maltreatment.     

FOOD NEGLECT AND INFANT DEVELOPMENT

The impact of food insecurity on child development in the general U.S. population is well‐established, yet little is known about the harm of food neglect relative to other types of maltreatment. Due to the harmful physiological impact of inadequate nutrients and the social impact of food‐related stress, it was hypothesized that food neglect would be more likely to impair infant cognitive and language development than physical abuse, sexual abuse, and other forms of neglect. Families of infants (N = 1,951) investigated by Child Protective Services were studied using the second cohort of the National Survey of Child and Adolescent Well‐Being (NSCAW II; NSCAW Research Group, 2002). Results from multivariable logistic regression models that controlled for likely confounding variables showed that the odds of impairment in cognition and language were significantly greater when food neglect was the most serious form of maltreatment. Considering that both food insecurity and child neglect are associated with poverty and parental mental health problems, it will be important for child welfare and mental health professionals to work collaboratively to better the health of these vulnerable children.     

Emotion Dysregulation Mediates the Relationship Between Child Maltreatment and Non-Suicidal Self-Injury

One risk factor for non-suicidal self-injury (NSSI) in adolescents is exposure to traumatic experiences, particularly child maltreatment. However, the mechanisms through which childhood maltreatment predicts NSSI are largely unknown. Emotion dysregulation (ED) is likely an important mechanism in this relationship. Therefore, this study examined the relationship between childhood maltreatment, ED, and NSSI in a sample of adolescent inpatients (n = 53). Results demonstrated that child physical and emotional maltreatment, but not child sexual abuse, was significantly associated with NSSI frequency. More specifically, ED mediated the relationship between child physical and emotional maltreatment and NSSI frequency. Findings support the importance of ED as a mediating factor in the relationship between childhood maltreatment and NSSI behaviors and highlight the need for teaching emotion regulation skills to youth affected by trauma.     

Risk Factors for Infant Abuse and Neglect in Group-Living Rhesus Monkeys

This study investigated maternal abuse and neglect of offspring in a large population of rhesus monkeys over a period of 29 years. Abuse and neglect did not occur together and were associated with different risk factors. Infant abuse was concentrated in 8 of 57 families and among closely related females. Abuse was also repeated with successive offspring. In contrast, infant neglect was not affected by genealogical factors, was not repeated with successive offspring, and was displayed mostly by primiparous mothers. These results suggest that abuse and neglect may be different phenomena and that infant abuse in group-living monkeys could represent a good animal model for investigating the mechanisms underlying the intergenerational transmission of child maltreatment.     

Intervention in child neglect: an applied behavioral perspective

Child maltreatment in the forms of abuse and neglect is a serious social problem, affecting over 1.5 million children in the US annually. Abuse has generally received more public and professional attention than other forms of child maltreatment. Given that more than one type of child maltreatment frequently occurs in families, there are few behavioral studies that have specifically addressed techniques for the reduction of child neglect. Only recently have researchers begun to regard child neglect as a phenomenon that may be conceptually different from other forms of child maltreatment, thereby warranting specific attention. Described here are intervention strategies for parents at-risk for or referred for child neglect. We review these strategies, along with commentary on the difficulties of conducting applied research in this field. Suggestions are offered for improved intervention research in child neglect.     

Predictors of Child Maltreatment Potential in a National Sample of Mothers of Young Children

Although previous studies have furthered our broad ability to predict child maltreatment potential, young children remain at the highest risk for experiencing maltreatment. Thus, several variables of relevance for this population were examined. A national community sample of 158 mothers with young children between ages 1.5 and 5 years rated their young children’s temperament as well as their own temperament, emotion regulation, stress, coping, and child maltreatment potential. Young children’s mood quality as well as mothers’ mood quality, flexibility/rigidity, emotion dysregulation, parenting stress, cumulated severity of stress, and emotion-focused coping added unique incremental variance to the prediction of child maltreatment potential, accounting for 67% of the variance overall. Further, mothers’ emotion dysregulation mediated the relationship between mothers’ flexibility/rigidity and child maltreatment potential. Consequently, emotion regulation skills represent an important point of intervention for mothers of young children who are at increased risk for child maltreatment due to difficult temperament characteristics.     

Legal and Ethical Issues in the Treatment of Multiply Victimized Children

Abstract

The article discusses several common legal and ethical issues faced by clinicians when treating families where singular and multiple child victimization is an issue. The authors differentiate between legal requirements and ethical mandates, explore factors affecting reporting decisions, how dual relationships compromise treatment process, and clinicians' scope of competence and professional knowledge in child maltreatment cases. Each issue is addressed within the context of responding to cases where a child(ren) has been multiply victimized.     

Parental satisfaction in child abuse and neglect: A review of standardized measures

Low levels of parental satisfaction have been implicated in parents' utilization of harsh disciplining strategies and perpetration of child abuse and neglect. Although measures of parental satisfaction have been present for more than 3 decades, the employment of these instruments in child maltreatment populations has been limited, perhaps due to a lack of empirical evaluation. This paper reviews extant studies that demonstrate the need to examine the relationship between parental satisfaction and child maltreatment, and provides a critical examination of existing measures of parental satisfaction, including their psychometric support and application to child maltreatment. Recommendations are offered regarding the utility of these measures in child maltreatment.     

The impact of child maltreatment on expressive syntax at 60 months

Although child maltreatment has often been described as leading to language deficits, the few well-controlled investigations of language acquisition in maltreated children have focused on language content rather than form, or have used qualitative rather than quantitative measures. This study examines syntactic complexity in 19 maltreated and 14 nonmaltreated preschool-aged children. Mother-child dyads participated in play sessions that were transcribed and scored for the presence of morphosyntactic forms in child speech and for specific sentence constructions in maternal speech. Findings indicated that child maltreatment was associated with language delay in both vocabulary and production of syntactic structures. There were also qualitative differences in characteristics of maternal utterances between maltreating and comparison groups. Because maltreatment initially occurred before age 2, this study highlights the long-lasting negative influence of maltreatment on language development and also provides the first demonstration of child language delays and differences in maternal speech within a single maltreatment sample.     

Understanding the “ghosts in the nursery” of pregnant women experiencing domestic violence: Prenatal maternal representations and histories of childhood maltreatment

Selma Fraiberg and colleagues (1975) conceptualized the “ghosts in the nursery” as experiences from a mother's past that influenced her ability to form a warm and attuned relationship with her child. Contemporary infant mental health interventions often ask the mother to reflect on her own history of attachment relationships to gain insight into as well as to strengthen her developing relationship with her child. This study investigated the association between a mother's history of childhood maltreatment (CM) and her subsequent prenatal maternal representation during the third trimester of pregnancy. Controlling for domestic violence (DV), distorted prenatal representations were associated with higher rates of self‐reported childhood physical neglect. In addition, DV moderated the relationship between representations and CM, such that women who were exposed to DV during pregnancy and had distorted prenatal representations were least likely to report childhood physical and sexual abuse. Implications are discussed in relation to infant mental health interventions which rely on a parent's ability to psychologically access and reflect on childhood histories to more sensitively parent her own child.     

Cumulative Contribution of Child Maltreatment to Emotional Experience and Regulatory Intent in Intimate Adult Interactions

This study examined the link between experiencing multiple types of child maltreatment and intentions to control emotion during charged discussions with intimate partners in adulthood, and whether the link is mediated by intensity of negative emotions. Using video recall, 97 couples rated their levels of emotions and intentions to control emotion during charged discussions with partners. Number of types of child maltreatment reported was linked with effort to control emotion, and the relationship was partially mediated by intensity of participants’ feelings of hostility. For men, the link was also partially mediated by self-reported sadness and anxiety. Findings underscore the importance of attending to abuse survivors’ experiences of and attempts to manage intense emotions in treatment, particularly in couples therapy.     

EMS Treatment of Families in an Ambiguous Out-of-Hospital Child Death: The Role of Attribution Errors

Sometimes children die from maltreatment. However, when first responders enter a scene to save the life of a dying child, the cause of the health problem cannot be immediately determined. EMS professionals are taught to enact the medically appropriate protocols in a family-centered way. This study examines five case studies of infant deaths. When there is ambiguity as to why the death might have occurred, EMS and other emergency personnel seem to be more judgmental and this attitude affects their behavior toward family members. Family members have a more difficult time coping with the loss as a result.