Pathways Linking Child Physical Abuse,Depression, and Aggressiveness across Genders

Previous research suggests that child physical abuse, depression, and aggressiveness are linked, but gender differences remain poorly understood. This study examined gender differences in the mediational relationships among these constructs, after controlling for the confounding effects of other negative life events. Men and women completed questionnaires about physical abuse and negative life events that occurred prior to age 18, depressive symptoms, and aggressiveness. Results indicated significant gender differences in the pathways between child physical abuse and depression, and between child abuse and aggressiveness, with direct and mediating links pertaining only to men. These findings suggest that links among child physical abuse, depression, and aggressiveness are specific to men, and negative life events might play a more potent role for women.     

Child Abuse and Divorce

Summary

This article addresses the problem of divorce situations in which there are also allegations of abuse. Its goal is to provide guidance for professionals evaluating these cases. It describes the challenges peculiar to cases where divorce and abuse allegations coexist, relevant research findings, and potential sources of bias. The article suggests a multidisciplinary approach may be the optimal strategy for evaluating these cases. Specific guidelines for evaluation and decision-making are provided.     

Physical Abuse and Childhood Disability

SUMMARY

Several authors have hypothesized that children with disabilities are at increased risk for physical abuse. Such a finding would be consistent with current ecological models, which posit that certain child characteristics (e.g., behavior problems) in combination with other risk factors can lead to abuse. The paucity of research in this area makes it difficult to draw firm conclusions at this time. However, the few studies conducted suggest that child characteristics play a minor role in the etiology of abuse. Despite the lack of evidence indicating that children with disabilities are at significantly greater risk for abuse than their nondisabled peers, the presence of a disability raises some unique issues in the identification, assessment, and treatment of special needs children. This article reviews the literature linking abuse and disability as a risk factor. In addition, impediments encountered in the assessment and treatment of abused children with disabilities and their families are discussed and guidelines for practice are presented.     

The Mediating Role of Peritraumatic Dissociation and Thought Control Strategies on Posttraumatic Stress in Women Survivors of Child Sexual and Physical Abuse

This study examined the link between cognitive coping strategies, type of abuse, and posttraumatic stress symptomatology. In a sample of 294 undergraduate women, several key findings emerged: (a) reported use of cognitive coping strategies significantly differed based on the type of abuse; (b) some differences in posttraumatic stress symptomatology emerged based on the type of abuse; (c) once the cognitive coping strategies were accounted for, the type of abuse was no longer associated with posttraumatic stress symptomatology. These findings suggest that peritraumatic dissociation, punishment, and social control significantly mediated the relationship between the type of abuse and posttraumatic stress symptomatology. This is important information for interventionists striving to help their clients maximize already-occurring adaptive strategies (e.g., social control).     

Analysis of physical abuse in American schools

This study examined variables included in press reports of excessive infiction of pain on school children over the past ten years. Cross-tabulations were used to examine the relationship between severe corporal punishment with sex of educator, sex of pupil, nature of infraction, severity of punishment, job position of staff member, and age of student. The results indicate that severe corporal punishment is most often administered by males to boys. The frequency steadily increased to 12 or 13 years of age and then decreased. There was no relation between type of misbehavior and severity of punishment. Tentative clinical and educational implications of the study are discussed.     

Protection of Children from Physical Maltreatment in Canada: An Evaluation of the Supreme Court's Definition of Reasonable Force

In 2004, the Supreme Court of Canada set out seven criteria to distinguish reasonable from abusive corrective force with children. We tested the validity of those criteria by mapping them onto a nationally representative data set of substantiated cases of physical abuse. The court's criteria defining reasonable force actually characterized the majority of cases of child physical maltreatment in Canada. These cases were more likely to be characterized by the use of spanking in the family than by each of the criteria set out by the Supreme Court. One in five cases was not characterized by any of the court's criteria, and virtually none were characterized by all of them. The findings provide stronger support for abolishing physical punishment than for legal attempts to narrow its definition.     

Child Sexual Abuse

Summary

Children who are recent victims of sexual abuse may initially present to their primary care health provider. Often, the outward manifestations of sexual abuse are somatic complaints or nonspecific behavioral changes. Retrospective reports of adults suggest that about 20-30% of women were sexually abused as children, with figures for men ranging from 10-15%. Interview guidelines for children and adolescents emphasize the need for sensitivity to cognitive development and emotional issues while simultaneously being focused on eliciting specific behavioral data. The use of anatomically detailed dolls, in the context of a comprehensive assessment, is discussed. Health care providers are mandated reporters and must disclose suspected child sexual abuse to the state's child protective service department. Guidelines for reporting as well as addressing this issue with parents are discussed.     

The Association of Child Abuse and Eating Disorder Symptomatology

Abstract

Using self-report questionnaires, symptoms of eating disorders were examined in relation to child sexual (CSA), physical (CPA), and emotional abuse (CEA), and adult rape among 301 college women. CPA and adult rape were associated with fear of fatness and bulimic behavior. CEA, family cohesion and expressiveness, and adult rape were related to difficulties recognizing emotional states and satiety. Individuals who reported multiple forms of child abuse or who were revictimized exhibited the highest levels of symptoms. Revictimized women were more likely to report clinical levels of symptoms compared with individuals reporting adult rape without child abuse or child abuse without adult rape. Findings support the assumption that negative experiences in addition to CSA, such as adult rape and other forms of child abuse, influence eating pathology, and suggest a cumulative impact of abuse.     

Perceptions of Child Abuse by Teacher Trainees in Zimbabwean Schools

This study is a part of a larger study that examined the epidemiology and aetiology of child abuse by teachers in Zimbabwean primary schools. The purpose of the study was to determine teacher trainees' conception of sexual abuse of pupils by teachers within the school context, the forms of sexual abuse perpetrated on pupils by teachers in Zimbabwean schools, and the aetiology of sexual abuse of pupils by teachers in Zimbabwean schools. One hundred and fifty (75 male, 75 female) teacher trainees from three colleges of education, located in the same province, participated in the study. Participants indicated that sexual abuse of pupils within the school context involves having sexual intercourse with pupils; having love affairs with pupils; impregnating pupils by teachers; and fondling pupils' breasts, buttocks, and private parts. Results suggested that pupils are vulnerable to sexual abuse by teachers in Zimbabwean schools.     

The Role of Race and Severity of Abuse in Teachers' Recognition or Reporting of Child Abuse

In the United States, reported child abuse rates vary dramatically with race. We employed a scenario methodology to examine whether teachers, whose professional obligations include reporting suspected instances of abuse, exhibit bias in evaluating a possibly abused child. Each teacher (180 White, 180 Black, and 180 Hispanic) read one of six profiles about a hypothetical elementary school student and then expressed extent of agreement with either a statement that the child is being physically abused or a statement that the child should be reported as being physically abused. Within the set of profiles, race of the child and severity of abuse were manipulated. When the child in the profile was severely abused, responses for the two judgmental tasks were comparable. However, when the child was moderately abused, teachers asked whether the child was abused gave higher responses than their counterparts who were asked whether the child should be reported. No effects of race of the child or race of the teacher were observed.     

Evaluation of an Air Force Child Physical Abuse Prevention Project Using the Reliable Change Index

Three hundred and seventy-nine parents at 25 Air Force bases participated in a collaborative child physical abuse prevention project designed by the United States Air Force Family Advocacy Program and Father Flanagan's Boys' Home (Boys Town). These participants were active duty or civilian employee parents and their spouses who completed the Boys Town Common Sense Parenting ® program as part of a comprehensive prevention effort. We hypothesized that participants would report decreased child behavior problems, improved relationships with family members, and reduced risk for child physical abuse after attending parenting sessions. Results supported this hypothesis. The data were also analyzed to determine the frequencies of individual parents who made statistically reliable changes on the dependent measures using Jacobson's Reliable Change Index. Nineteen to 30% of the participants reported significant improvement in the areas assessed. Parents who improved in abuse risk were at a higher level of risk and were less satisfied with family relationships prior to their participation than those who did not change. Implications for prevention of child physical abuse and future directions for research are discussed.     

Child Abuse and Adolescent Parenting

Abstract

Adolescent parents are commonly identified as an at-risk group in the child abuse literature. However, theoretical models specific to the area of child abuse and adolescent parenting are not well developed. This essay reviews established theories on child abuse, abusive parenting, and adolescent parenting to synthesize a proposed child abuse and adolescent parenting model. An ecological perspective is used to organize the theoretical model. The components of this model are supported by existing research on child abuse and adolescent parenting. The new synthesized model on child abuse and adolescent parenting should be viewed as an informed way to organize and conduct future research in this area. Further theory development on child abuse and adolescent parenting should be encouraged.     

Group Cognitive Behavioral Treatment for Parents and Children At-Risk for Physical Abuse: An Initial Study

To compare the relative efficacy of two types of group cognitive-behavioral therapy for treating the traumatized child and at-risk or offending parent in cases of child physical abuse (CPA), 24 parents and their children were treated with Combined Parent-Child Cognitive Behavioral Therapy (CPC-CBT) and 20 parents were treated with Parent-Only CBT. Outcome measures assessing children's emotional and behavioral functioning and parents' parenting skills were administered to both parent and child participants before treatment, after 15 sessions of treatment, and 3 months after the completion of treatment. A series of correlated t tests and analyses of covariance were used to compare the scores on the outcome measures. The children and parents in the CPC-CBT group demonstrated greater improvements in total posttraumatic symptoms and positive parenting skills, respectively, compared to those who participated in the Parent-Only CBT group. The parents in the Parent-Only CBT group reported using less corporal punishment to manage their children's behavior at posttest than the parents in the CPC-CBT group. The differential benefits of including the child in treatment are discussed.     

Experimental and Self-Reported Indices of Childhood Abuse Using the Binghamton Childhood Abuse Screen

This study describes the validation of the Binghamton Childhood Abuse Screen (BCAS) using response latencies on an emotional Stroop task as a criterion measure. Sixty-four male undergraduate participants were selected based on their responses to the BCAS and a brief screen of their abuse history. Participants completed an emotional Stroop task in which they named the colors of neutral, positive, and abuse words. Participants scoring high on the BCAS exhibited greater response latencies to abuse words than participants scoring low on the BCAS. No group differences were found for positive words. The results provide support for the validity of the BCAS.     

Adult Psychological Distress and Self-Worth Following Child Verbal Abuse

Despite the proliferation of child maltreatment research over the last 30 years, there remains a dearth of research examining the long-term effects of child psychological maltreatment (CPM), particularly child verbal abuse (CVA). Using a college sample of 173 participants from a Southeastern university, this study examined the role of gender and perpetrator relationship in predicting psychological distress and self-worth of adults exposed to CVA. Maternal CVA emerged as a significant predictor of lower levels of self-worth in adult daughters and sons as well as greater psychological distress in adult daughters. Paternal CVA did not emerge as a significant predictor of greater psychological distress or lower levels of self-worth in either adult daughters or sons.     

Interpersonal Dependency in Child Abuse Perpetrators and Victims: A Meta-Analytic Review

Meta-analysis of studies assessing interpersonal dependency in child abuse perpetrators (N of studies = 7) and victims (N of studies = 9) indicated that perpetrators have higher dependency levels than nonabusing controls (d = 0.43), and child abuse victims have higher dependency levels in early adulthood than people who were not abused as children (d = 0.47). An array of other personality traits and disorders showed comparable associations with abuse suggesting that in both populations increased dependency reflects a generalized increase in pathology and distress. Theoretical implications of these results are discussed, and suggestions for future research on dependency and abuse are offered.     

Child physical punishment,parenting, and school readiness

This study explored how physical punishment (PP) and other parenting approaches may predict school readiness outcomes. By using the Canada‐wide representative data, 5,513 children were followed over a 2‐year period. Caregivers reported on their use of PP and other parenting approaches (i.e., literacy and learning activities and other disciplinary practices) when children were 2–3 years old, whereas school readiness was measured at 4–5 years using interviewer‐administered tests of number competence and receptive vocabulary skills. Analyses controlled for PP use at 4–5 years, child externalizing behaviours, and various sociodemographics. Results indicated that PP does not directly predict school readiness; however, the effect of PP was moderated by other parenting approaches. Children's receptive vocabulary was weaker if caregivers used PP together with less frequent explaining/teaching regarding problem behaviour, or PP with less frequent engagement in literacy and learning activities. Children had weaker number competence when PP co‐occurred with more frequent psychological aggression (e.g., yelling/scolding). Results suggest that PP hinders children's school readiness when used alongside other parenting approaches, which reflects the reality of parenting (i.e., PP does not occur in isolation). Findings support early education efforts aimed at promoting early learning and literacy opportunities, as well as positive disciplinary strategies that do not involve PP.

Highlights

• We explored how physical punishment and other parenting approaches may predict school readiness outcomes using Canada‐wide data.
• Results provided little evidence of positive effects of physical punishment on school readiness across a range of parenting and disciplinary contexts.
• To promote school readiness, early education efforts should promote early learning opportunities and positive disciplinary strategies that do not involve physical punishment.

     

A Focus on Neglect: Comparing the Characteristics of Children and Parents in Cases of Neglect,Abuse, and Non-CAN (Child Abuse and Neglect) in Israeli Rulings on Termination of Parental Rights

This study attempts to expand the knowledge base about neglect by comparing the characteristics of children and parents involved in termination of parental rights proceedings in the Israeli legal system. Cases were classified as neglect (72.7%), abuse (19%) or non-child abuse or neglect (non-CAN; 8%) and were compared on a range of variables. The results show that neglected children have the most developmental problems, and generally come from single-parent families, compared to abused children, who suffer the most mental health problems and come from 2-parent families. Finally, neglect is associated with the mother’s history of drug abuse, and abuse is associated with the father’s drug abuse and criminal record. In non-CAN cases, the courts criticize the Child Protective Service more than in neglect and abuse cases. Implications of the findings for social work practice as well as future research directions are discussed.     

Sexual and Physical Abuse Among Adolescent Girls with Disruptive Behavior Problems

We examined the prevalence and age of onset of physical and sexual abuse in a clinic-referred sample of adolescent girls, as well as differences in diagnoses and symptoms among abused and non-abused girls. Forty-nine girls (aged 13–17 years) with disruptive behavior were interviewed along with their primary caretaker. Data were gathered through both a structured interview with the girl and her parent, as well as self and parent-report questionnaires. Findings indicated that the prevalence of Conduct Disorder (CD) and Major Depression were higher for abused girls. Somatoform Pain Disorder was significantly less likely for physically abused girls, compared to girls who were both physically and sexually abused. Of CD symptoms, truancy was twice as high for the physically and sexually abused group, compared to the prevalence for non-abused girls. Internalizing symptoms were also highest for the dual abuse group. Onset graphs show that the onset of sexual abuse usually occurred at an earlier age than the onset of physical abuse. Abused girls showed an earlier age of onset of CD symptoms. Results indicated that the experience of combined types of abuse is associated with a poorer psychiatric prognosis.