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The environment of child maltreatment: contextual factors and the development of psychopathology
Institution:1. Inserm Umr_s 1144 Variabilité de Réponse aux Psychotropes, Université Paris Descartes, Université Paris Diderot, PRES Sorbonne Paris Cité, France;2. APHP, Hôpital Fernand Widal, Service de Psychiatrie, CSAPA Espace Murger, Paris, France;3. APHP, Hôpital Européen Georges Pompidou, CSAPA Monte-Cristo, Paris, France;4. Association Aurore, CSAPA EGO, Paris, France;5. APHP, Hôpital Beaujon, UTAMA, Clichy, France;6. Hôpital Paul Guiraud, CSAPA Clinique Liberté, Ivry-sur-Seine, France;7. CHRU Lille, Service d’Addictologie, Lille, France;8. CHU St Etienne, Service d’Addictologie, Saint Etienne, France;9. Hôpital de la Croix Rousse, CSAPA, Lyon, France;10. Aix-Marseille Université, Faculté de Médecine, Service de Médecine Légale, Marseille, France;11. APHP, Hôpital Fernand Widal, Service de Médecine Addictologique, Paris, France;12. CHU Clermont-Ferrand, Hôpital Gabriel Montpied, Service d’Addictologie et Université d’Auvergne EA 7280, UFR de Médecine, Place Henri Dunant, Clermont-Ferrand, France;1. Faculty of Medicine, School of Public Health, The University of Queensland, Public Health Building, Herston 4006, Queensland, Australia;2. Queensland Alcohol and Drug Research and Education Center, The University of Queensland, Herston 4006, Queensland, Australia;3. Faculty of Humanities and Social Sciences, School of Social Sciences, The University of Queensland, St Lucia 4072, Queensland, Australia;4. Stead Family Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, University of Iowa, Iowa City, IA, USA;5. Center for Disabilities and Development, University of Iowa Stead Family Children''s Hospital, Iowa City, IA, USA;6. Faculty of Health and Behavioral Sciences, School of Pharmacy, The University of Queensland, Woolloongabba 4102, Queensland, Australia;7. Faculty of Medicine, School of Medicine, University of Queensland, Princess Alexandra Hospital, Woolloongabba 4102, Queensland, Australia;8. Faculty of Medicine, Departments of Psychiatry, Community Health and Epidemiology, Dalhousie University, Halifax, Canada;1. School of Public Health & Preventive Medicine, Monash University, Melbourne, VIC, Australia;2. INSERM, Univ Montpellier, Neuropsychiatry: Epidemiological and Clinical Research, Montpellier, France;3. Center for Clinical Brain Sciences, University of Edinburgh, UK;1. Developmental Cognitive Neuroscience Research Group (GNCD), Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Brazil;2. National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), Porto Alegre, Brazil
Abstract:Some professionals have hypothesized that the observed problems in children who have been maltreated may actually be a result of the combination of risk factors surrounding the child, including but not limited to direct results of the abuse itself. This article examines the complexity of hypothesized pathways to poor adjustment after physical and sexual abuse. The literature on the impact of major risk factors associated with maltreatment is reviewed in an attempt to clarify the potential contributions of these contextual variables on the development of psychopathology in physically and sexually abused children. The implications this analysis may yield for prevention, intervention, and research in this field are also discussed.
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