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The age of onset and duration of childhood abuse: An extension of the childhood trauma screener
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-03-12 DOI: 10.1016/j.chiabu.2025.107354
Johanna Klinger-König , Elischa Krause , Katharina Wittfeld , Nele Friedrich , Henry Völzke , Hans J. Grabe

Background

Childhood abuse is a significant risk factor for worse adult mental and physical health. Although reported as important moderators, only a few studies have analyzed the effects of the age of onset and duration of abuse, particularly including potential sex differences.

Objective

To investigate the impact of timing and severity of childhood abuse on adult mental and physical health issues, with an emphasis on sex differences.

Participants and settings

Data from 2412 participants (52 % women, 28–89 years) of the general population.

Methods

The Childhood Trauma Screener (CTS) was extended to assess the severity additionally to the age of onset and cumulative exposure across predefined age intervals of physical, emotional, and sexual childhood abuse. Associations with adult health behavior, mental health issues, and inflammatory markers were investigated using regression analyses, complemented by sex interactions.

Results

An earlier onset of emotional abuse was associated with lower resilience (b = −0.51, p = 0.034), whereas greater cumulative exposure to emotional abuse was associated with an earlier onset of depression (b = −4.53, p = 0.041) and more severe depressive symptoms (b = 0.94, p = 0.049). Effect directions differed between men and women for associations between the age of onset of emotional abuse and C-reactive protein levels (b = −0.03, p = 0.042) as well as the cumulative exposure of emotional abuse and fibrinogen levels (b = 0.04, p = 0.007).

Conclusions

The findings underscore the significance of both severity and timing on adult health outcomes, with notable sex differences. These results support the need for targeted prevention programs that consider multiple maltreatment aspects, along with tailored interventions based on sex-specific vulnerabilities.
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引用次数: 0
The child behind the victim: Survivor experiences of children's harmful sexual behavior
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-03-11 DOI: 10.1016/j.chiabu.2025.107277
Gemma McKibbin , Jacqueline Kuruppu , Simon Hackett , Olivia Lynch , Bridget Hamilton , Sophie Dixon

Background

At least 50 % of child sexual abuse involves perpetration by children, referred to as “harmful sexual behavior”. Recently, the sexual abuse sector has focused, importantly, on the child behind the “perpetrator” to support developmentally-appropriate and trauma-informed practice. However, the experiences of victim-survivors of children's sexually abusive behavior are underexplored.

Objective

The aim of this study, funded by the National Centre for Action on Child Sexual Abuse, was to describe the experiences of victim-survivors sexually abused by other children, including their profiles and those of children with harmful sexual behaviors. Also explored was what victim-survivors say about patterns of perpetration, cessation, and disclosure.

Participants and setting

Twenty-five victim-survivors of children's harmful sexual behavior participated. Twenty-one were female, three were male, and one non-binary. They were aged between 18 and 69 years, and from a range of Australian states.

Methods

The study was informed by the research question: What is the nature of victim-survivors' experiences of children's harmful sexual behavior? In-depth individual interviews were conducted between October 2023 and January 2024 and the data were investigated using Content Analysis. The purpose of this paper is to present a map of survivor experiences (not to provide in-depth qualitative analysis) to gauge their range and patterns, and to identify potential trends. Ethics clearance was obtained from the University of Melbourne Human Research Ethics Committee (ID: 26926).

Results

Most victim-survivors reported that the sexual abuse by another child began in preschool and primary school, and more than half disclosed their abuse to one or more person. Victim-survivors identified 56 children involved in carrying out their sexual abuse. Eight perpetrators continued to abuse the victim into adulthood. Most harmful sexual behaviour (86 %) involved victimising intent, and physical coercion and violence (71 %). The most long-term and severe abuse was carried out by brothers and male cousins.

Conclusion

The findings are discussed in terms of dominant constructs and narratives about children's harmful sexual behaviour, and a model of “safe, problematic, and harmful sexual experience” is proposed to augment therapeutic practice. It is our hope that the voices of victim-survivors can be amplified in policy and practice so that the child behind the victim becomes as visible as the child behind the harmful sexual behaviors.
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引用次数: 0
The impacts on paediatricians testifying in cases of child maltreatment: A systematic scoping review
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-03-11 DOI: 10.1016/j.chiabu.2025.107357
Alyce Horstman , J. Anne S. Smith , Richard B. Bassed , Lyndal Bugeja

Background

Paediatricians serve as expert witnesses in child maltreatment cases, informing decision-makers about injury mechanisms, likely injury-dates, and consequences. Despite paediatricians' multifaceted role in responding to child maltreatment, the impacts on paediatricians of their involvement in legal processes are not well understood.

Objective

This systematic scoping review identified and synthesized scientific research findings on the benefits and harms to doctors, particularly paediatricians, who testify in child maltreatment cases.

Population, concept and context

Included studies focused on doctors (paediatricians and paediatricians-in -training) who were subpoenaed and/or testified in court on child maltreatment cases.

Methods

Following PRISMA-ScR guidelines, six databases were searched: Medline, EMBASE, PsycINFO, CINAHL, Criminal Justice Abstracts, and the Cochrane Library. Data were extracted and categorized across four levels of impact: individual, relational, professional, and societal.

Results

Testifying posed significant psychological, professional, and systemic challenges for paediatricians. Individually, they reported stress and dissatisfaction stemming from fears of discreditation, negative courtroom experiences, and perceptions of legal systems failing to protect children. Professionally, inadequate training and low confidence in testifying, coupled with financial losses and disruptions to clinical schedules, further compounded these difficulties. Systemically, strained relationships with legal professionals and insufficient familiarity with court procedures, alongside broader concerns about the legal process, contributed to a reduced willingness among paediatricians to report and engage in child maltreatment cases.

Conclusion

This review highlighted the range of the impacts on paediatricians who were subpoenaed and/or testified in child maltreatment cases and absence of interventions that reduce negative personal and professional impacts. Across the profession there is a need for greater education and training, policy/practice reform to better support paediatricians in their roles as expert witnesses, and intervention research to evaluate strategies that might reduce negative impacts.
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引用次数: 0
Aims & Scope 目标和范围
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-03-11 DOI: 10.1016/S0145-2134(25)00130-9
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引用次数: 0
Aims & Scope
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-03-11 DOI: 10.1016/S0145-2134(25)00149-8
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引用次数: 0
The protective role of school connectedness in the relationship between child maltreatment and internalizing symptoms for White, Black, Latino/Hispanic, and multiracial youth
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-03-11 DOI: 10.1016/j.chiabu.2025.107399
Yujeong Chang , Olivia D. Chang , Charis J. Stanek , Susan Yoon , Kathryn Maguire-Jack

Background

Child maltreatment is a public health concern associated with increased youth internalizing symptoms. School connectedness has been shown to play a protective role in the relationship between child maltreatment and externalizing symptoms; yet, its protective role on internalizing symptoms for youth in different racial/ethnic subgroups remains underexplored.

Objective

This study aimed to examine whether school connectedness buffers the effect of child maltreatment on internalizing symptoms for White, Black, Latino/Hispanic, and multiracial youth.

Participants and setting

Data were drawn from the Future of Families and Child Wellbeing Study, a longitudinal birth cohort study in 20 US cities, comprising 3021 youth with maltreatment experiences.

Methods

Ordinary least squares regression models were conducted separately for racial/ethnic subgroups to examine the interaction effect between child maltreatment subtypes and school connectedness on internalizing symptoms (i.e., youth-reported depression/anxiety, caregiver-reported internalizing symptoms) for White, Black, Latino/Hispanic, and multiracial youth.

Results

School connectedness was generally associated with lower levels of youth internalizing symptoms for all racial/ethnic groups. Interaction effects suggested that, for White youth only, school connectedness moderated the relationship between psychological aggression and caregiver-reported youth internalizing symptoms (B = −1.46, p = .029) and physical assault and youth-reported depressive symptoms (B = −1.04, p = .044).

Conclusions

While school connectedness was linked to lower internalizing symptoms for all youth, its buffering effects against child maltreatment were less evident among minoritized racial/ethnic groups. Continued efforts should prioritize creating supportive school contexts to better serve the needs of racially/ethnically minoritized youth with maltreatment histories.
{"title":"The protective role of school connectedness in the relationship between child maltreatment and internalizing symptoms for White, Black, Latino/Hispanic, and multiracial youth","authors":"Yujeong Chang ,&nbsp;Olivia D. Chang ,&nbsp;Charis J. Stanek ,&nbsp;Susan Yoon ,&nbsp;Kathryn Maguire-Jack","doi":"10.1016/j.chiabu.2025.107399","DOIUrl":"10.1016/j.chiabu.2025.107399","url":null,"abstract":"<div><h3>Background</h3><div>Child maltreatment is a public health concern associated with increased youth internalizing symptoms. School connectedness has been shown to play a protective role in the relationship between child maltreatment and externalizing symptoms; yet, its protective role on <em>internalizing</em> symptoms for youth in different racial/ethnic subgroups remains underexplored.</div></div><div><h3>Objective</h3><div>This study aimed to examine whether school connectedness buffers the effect of child maltreatment on internalizing symptoms for White, Black, Latino/Hispanic, and multiracial youth.</div></div><div><h3>Participants and setting</h3><div>Data were drawn from the Future of Families and Child Wellbeing Study, a longitudinal birth cohort study in 20 US cities, comprising 3021 youth with maltreatment experiences.</div></div><div><h3>Methods</h3><div>Ordinary least squares regression models were conducted separately for racial/ethnic subgroups to examine the interaction effect between child maltreatment subtypes and school connectedness on internalizing symptoms (i.e., youth-reported depression/anxiety, caregiver-reported internalizing symptoms) for White, Black, Latino/Hispanic, and multiracial youth.</div></div><div><h3>Results</h3><div>School connectedness was generally associated with lower levels of youth internalizing symptoms for all racial/ethnic groups. Interaction effects suggested that, for White youth only, school connectedness moderated the relationship between psychological aggression and caregiver-reported youth internalizing symptoms (<em>B</em> = −1.46, <em>p</em> = .029) and physical assault and youth-reported depressive symptoms (<em>B</em> = −1.04, <em>p</em> = .044).</div></div><div><h3>Conclusions</h3><div>While school connectedness was linked to lower internalizing symptoms for all youth, its buffering effects against child maltreatment were less evident among minoritized racial/ethnic groups. Continued efforts should prioritize creating supportive school contexts to better serve the needs of racially/ethnically minoritized youth with maltreatment histories.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"163 ","pages":"Article 107399"},"PeriodicalIF":3.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Child maltreatment, adult romantic attachment and parental sense of competence
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-03-11 DOI: 10.1016/j.chiabu.2025.107360
Manon Delhalle, Adélaïde Blavier

Background

While the link between childhood maltreatment and parental sense of competence has been established, there is limited understanding of the mediating mechanisms that explain this connection. Drawing from an attachment-based theoretical framework, childhood adversity undermines adult romantic attachment security, subsequently heightening vulnerability to later parenting in adulthood.

Objective

The objective of this study was to investigate the role of romantic attachment as a potential mechanism in the relationship between childhood maltreatment and the facets of parental sense of competence.

Participants and setting

Our study involved 1904 mothers of children aged 3 to 8 years old. These mothers were requested to fill out an online questionnaire which included sections on sociodemographic information, the Childhood Trauma Questionnaire - Short Form, the Parenting Sense of Competence scale, and the Relationship Scale Questionnaire.

Results

Our results demonstrate a mediating effect of mothers' attachment anxiety on the link between childhood maltreatment and parental sense of competence. More specifically, attachment anxiety was associated with diminished parental sense of efficacy, and in particular, diminished parental sense of satisfaction.

Conclusions

The findings highlight that romantic attachment anxiety serves as a mechanism explaining the relationship between childhood maltreatment and parental sense of efficacy and satisfaction.
{"title":"Child maltreatment, adult romantic attachment and parental sense of competence","authors":"Manon Delhalle,&nbsp;Adélaïde Blavier","doi":"10.1016/j.chiabu.2025.107360","DOIUrl":"10.1016/j.chiabu.2025.107360","url":null,"abstract":"<div><h3>Background</h3><div>While the link between childhood maltreatment and parental sense of competence has been established, there is limited understanding of the mediating mechanisms that explain this connection. Drawing from an attachment-based theoretical framework, childhood adversity undermines adult romantic attachment security, subsequently heightening vulnerability to later parenting in adulthood.</div></div><div><h3>Objective</h3><div>The objective of this study was to investigate the role of romantic attachment as a potential mechanism in the relationship between childhood maltreatment and the facets of parental sense of competence.</div></div><div><h3>Participants and setting</h3><div>Our study involved 1904 mothers of children aged 3 to 8 years old. These mothers were requested to fill out an online questionnaire which included sections on sociodemographic information, the Childhood Trauma Questionnaire - Short Form, the Parenting Sense of Competence scale, and the Relationship Scale Questionnaire.</div></div><div><h3>Results</h3><div>Our results demonstrate a mediating effect of mothers' attachment anxiety on the link between childhood maltreatment and parental sense of competence. More specifically, attachment anxiety was associated with diminished parental sense of efficacy, and in particular, diminished parental sense of satisfaction.</div></div><div><h3>Conclusions</h3><div>The findings highlight that romantic attachment anxiety serves as a mechanism explaining the relationship between childhood maltreatment and parental sense of efficacy and satisfaction.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"163 ","pages":"Article 107360"},"PeriodicalIF":3.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A longitudinal examination into childhood abuse and substance use to PTSD symptoms and deviant peer association: Impact of developmental timing of abuse
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-03-10 DOI: 10.1016/j.chiabu.2025.107362
Timothy I. Lawrence , Michael Fitzgerald , Thomas Wojciechowski

Background

Following child abuse, adolescents often endorse PTSD symptoms and use substances. However, few studies have addressed the longitudinal underlying effects of deviant peer association and revictimization and the developmental impact of PTSD symptoms and substance use.

Objective

To address these limitations, the current study utilized the susceptibility and self-medication hypothesis to examine abuse in childhood ages 0–12 and adolescence ages 12–16 as predictors of substance use in mid-adolescence at age 16 and symptoms of (PTSD) in late adolescence at age 18 mediated by associating with deviant peers and revictimization using a sample of 596 (73.8 % racial minority; 50.7 % male) adolescents from Longitudinal Study of Child Abuse and Neglect.

Methods

This study utilized structural equation modeling (SEM) to examine the direct and indirect effects of child abuse, substance use, deviant peer affiliation, and PTSD symptoms across different developmental periods using bootstrapping procedures.

Results

Results indicated that substance use in mid-adolescence mediated the relationship between abuse in adolescence and PTSD symptoms in middle adolescence, while the abuse in childhood was not indirectly related. Furthermore, the indirect effect between abuse in childhood and PTSD symptoms at age 16 was mediated by PTSD at age 12 and deviant peer affiliation at age 14. Substance use in adolescence, PTSD symptoms, and adolescent peer social networks may be a point of intervention to reduce future adverse outcomes.

Conclusion

The findings of this study provided evidence of the long-term consequences of experiencing child abuse and subsequent adverse outcomes, including PTSD symptoms, substance use, and adolescent deviant peer affiliation. This study also highlighted preventive and intervention mechanisms to attenuate these adverse outcomes.
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引用次数: 0
Orphan discipline and child neglect: An analysis from 48 countries
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-03-10 DOI: 10.1016/j.chiabu.2025.107353
Anna Bolgrien , Elizabeth Heger Boyle , Mehr Munir , Andrew Grogan-Kaylor , Julie Ma , Miriam L. King

Background

Orphans comprise a sizable sub-population of all children, and their status as orphans exposes them to many risk factors. Orphan exposure to violent discipline is poorly understood, as research on parents' disciplinary practices largely focuses on biological families. The little research that exists has found that orphans are at reduced risk of harsh discipline but fails to explain why.

Objective

To assess, from a global perspective, orphans' odds of experiencing physical, psychologically aggressive, and nonviolent discipline, compared to non-orphans, and to investigate why discipline of orphans differs from other children.

Participants and settings

This study uses 56 UNICEF Multiple Indicator Cluster Survey samples from 48 countries to assess the disciplinary experiences of 5- to 14-year-old children. Separate analyses on a subset of single and double orphans identify their risk factors for violent discipline.

Methods

Multilevel logistic regressions were used to estimate odds of experiencing each type of discipline in the last thirty days.

Results

All categories of orphans (maternal, paternal, and double) are at reduced odds of experiencing any form of discipline relative to non-orphans. In the case of physical discipline, this disparity appears to be due to caregiver neglect rather than sensitivity toward orphans.

Conclusions

Orphan caregivers should be given strategies and support to reduce their stress and alleviate their risk of becoming neglectful of their charges, alongside family education about healthy disciplinary practices.
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引用次数: 0
The association between childhood maltreatment and school bullying behaviors among Chinese adolescents: A latent class analysis
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-03-08 DOI: 10.1016/j.chiabu.2025.107351
Zi Yao Lv , Yu Lei Jiang , Dan Luo , Hao Hou , Yu Xin Cheng , Meng Qin Ao , Jie Chen , Xiao Qin Wang , Qian Liu , Huijing Zou , Bing Xiang Yang

Background

Existing studies primarily examine the relationship between childhood maltreatment (CM) and bullying behaviors from an accumulative perspective. However, there is limited understanding of this relationship when adolescents experience combined forms of childhood maltreatment, particularly in the context of varying residential environments.

Objectives

This study aimed to identify latent patterns of childhood maltreatment and examine their association with bullying behaviors among Chinese adolescents. Additionally, residential area differences in these associations were explored.

Participants

There were 13,029 Chinese adolescents (mean age = 14.4 years) who completed self-report questionnaires between October and November 2023.

Methods

Data on childhood maltreatment and school bullying were collected through self-report measures. Latent class analysis (LCA) was employed to identify distinct patterns of maltreatment. Multiple logistic regression was employed to explore the relationship between maltreatment patterns and bullying behaviors, with stratified analysis conducted by residential areas after propensity score matching (PSM).

Results

Three childhood maltreatment patterns were identified: low-abuse-low-neglect (class 1, 75.7 %), low-abuse-high-neglect (class 2, 20.9 %), and high-abuse-high-neglect (class 3, 3.5 %). Compared to class 1, class 2 was associated with elevated risks for being an only victim (OR = 1.68), only bully (OR = 1.57), or bully-victim (OR = 1.85). Class 3 showed even higher risks (only victim: OR = 3.71; only bully: OR = 4.79; bully-victim: OR = 7.95), with a clear gradient in risk severity. Stratified analyses revealed that adolescents in rural areas who primarily experienced neglect were more likely to be both bullies and victims compared to the urban adolescents (OR = 2.05, 95 % CI = 1.17–3.58, p < 0.05).

Conclusions

Childhood maltreatment influences bullying behaviors among adolescents significantly, with distinct maltreatment patterns providing critical insights for risk stratification. Residential area differences further modulate these associations. Intervention strategies should account for diverse maltreatment patterns and contextual factors such as rural-urban disparities to effectively address bullying behaviors.
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引用次数: 0
期刊
Child Abuse & Neglect
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