Child Abuse and Neglect

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Mental Health".

Deadline for manuscript submissions: closed (20 November 2022) | Viewed by 20076

Special Issue Editor


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Guest Editor
Department of Child and Adolescent Psychiatry, Saarland University Medical Center, Homburg, Germany
Interests: early life stress; prenatal stress; child abuse and neglect; intergenerational transmission of abuse; adverse childhood experiences
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Special Issue Information

Dear Colleagues,

We are pleased to announce a Special Issue on child abuse. Child abuse is highly prevalent, and identifying childhood maltreatment as a major public health problem.

Background and history of the topic:

Epidemiological data suggest global prevalence rates of up to 20% for childhood sexual abuse and even higher rates of up to 23% for childhood physical abuse. So far, research has consistently demonstrated that maltreated children show higher rates of a broad range of behavioural, psychological, and physical problems, persisting into adulthood and, thereby, potentially affecting the victim’s children. Its consequences range from an increased risk for cardiovascular dysfunction to impaired psychosocial function and related psychological disorders throughout life.

Some authors have stressed the importance of parental psychopathology, in particular maternal depression and PTSD or certain psychosocial factors, such as social support, poverty, or substance abuse when determining the risk of abuse.

In the last 20 years, a growing body of research started to suggest that child abuse not only causes considerable and longstanding complications for the person concerned, but may provoke intergenerational effects by acting as a risk factor for mental health in the offspring. In general, neurobiology as well as physiology has been described as vastly altered in victims of childhood abuse. Generally, a considerable number of studies have pointed out the important role of childhood adversities (CA), such as physical and sexual abuse, neglect, parental loss, or family conflict in the development of psychopathology in adulthood, emphasizing the need to consider CA as an influential factor in models examining psychopathological development.

Not only are victims of childhood abuse themselves at risk for maladaptive development—childhood maltreatment appears to have an impact on the next generation as well. Three-generational studies revealed that approximately 50% of abused parents transmit this history of abuse to their offspring 

On another important note, children of mothers experiencing child abuse were shown to have deficits in their social-emotional development and to be at an elevated risk for emotional and behavioural problems that are considered precursors of ODD and affective disorders or other psychiatric disturbances.

Aim  [*] Aim and scope of the Special Issue:

A focus on possible pathways linking child abuse and child mental illness includes neurobiological mechanisms or genetic influences and gene-environment interactions. In general, victims of chronic maltreatment, placement into foster care, or institutional deprivation should be in the central spotlight of research on the different forms of child abuse. Regarding its frequency, emotional abuse still seems to be understudied and will be an important issue. Additionally, consequences of potentially altered HPA-axis-functioning in HoA-victims is a subject of interest in this Special Issue.    Prospective longitudinal studies are needed to shed light on functioning, influential factors, developmental pathways and, ultimately, consequences for the developing child. Intergenerational transmission of abuse also is a vastly understudied subject within the scope of this Special Issue.

 [*] Cutting-edge research:

Recent evidence has indicated a deteriorating effect of child abuse on the ability to regulate emotions and tolerate stress and tension. Developmental trauma disorders with the ransdiagnostic characteristics of emotional dysregulation are a highly innovative construct in need of scientific elucidation. 

Endeavours towards prevention have focused on the intergenerational cycle of abuse, i.e., the possibility that experiences of childhood abuse could interfere with later parenting behaviour, perception of own parenting abilities, as well as perception of the child. Mothers who were victims of physical and sexual abuse in their own childhood have been shown to use physically harsher parenting practices and to have “black and white” or negative perceptions of themselves as a parent, thereby revealing a target for potential prevention efforts.

Other cutting-edge targets are factors contributing to emotional abuse and its consequences as emotional abuse is even more frequent than sexual or physical abuse and child maltreatment.  

[*] What kind of papers we are soliciting:

This Special Issue invites researchers of the topic of child maltreatment to share their work related to risk factors and longitudinal consequences of all different forms of abuse in early life. A focus on vulnerable risk groups among children, as well as parents, will be highly welcomed, as well as research targeting neurobiological and psychophysiological sequelae of child abuse. Other topics of specific interest are concepts of child protection, efforts of prevention, and intervention, regarding parent–child interaction or emotional regulation of children and caregivers.

The relationship between child psychiatric disturbances and different forms of abuse in children, as well as their parents’ childhood, seem to be of importance; discussing, challenging, or supporting the construct of developmental trauma disorder. Articles contributing to a transdiagnostic focus and a novel view on diagnostic and therapeutic standards of child psychiatry in general will be highly welcomed.

Prof. Dr. Eva Möhler
Guest Editor

Manuscript Submission Information

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Keywords

  • child abuse
  • sexual abuse
  • emotional abuse
  • physical abuse
  • child maltreatment
  • intergenerational transmission
  • early life stress
  • early life maltreatment
  • developmental trauma disorder
  • developmental trauma

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Published Papers (7 papers)

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Research

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12 pages, 265 KiB  
Article
Association of In-School and Electronic Bullying with Suicidality and Feelings of Hopelessness among Adolescents in the United States
by Tran H. Nguyen, Gulzar Shah, Maham Muzamil, Osaremhen Ikhile, Elizabeth Ayangunna and Ravneet Kaur
Children 2023, 10(4), 755; https://doi.org/10.3390/children10040755 - 21 Apr 2023
Cited by 9 | Viewed by 3544
Abstract
Background: Suicide-related behaviors increasingly contribute to behavioral health crises in the United States (U.S.) and worldwide. The problem was worsened during the COVID-19 pandemic, especially for youth and young adults. Existing research suggests suicide-related behaviors are a consequence of bullying, while hopelessness is [...] Read more.
Background: Suicide-related behaviors increasingly contribute to behavioral health crises in the United States (U.S.) and worldwide. The problem was worsened during the COVID-19 pandemic, especially for youth and young adults. Existing research suggests suicide-related behaviors are a consequence of bullying, while hopelessness is a more distal consequence. This study examines the association of in-school and electronic bullying with suicide-related behavior and feelings of despair among adolescents, adjusted for sociodemographic characteristics, abuse experience, risk-taking behaviors, and physical appearance/lifestyles. Method: Using Chi-square, logistic regression, and multinomial logistic regression, we analyzed the US 2019 Youth Risk Behavior Surveillance System (YRBSS) national component. The YRBSS includes federal, state, territorial, and freely associated state, tribal government, and local school-based surveys of representative sample middle and high school students in the US. The 2019 YRBSS participants comprised 13,605 students aged 12 to 18 years and roughly equal proportions of males and females (50.63% and 49.37%, respectively). Results: We observed a significant association (p < 0.05) between being bullied and depressive symptoms, and the association was more vital for youth bullied at school and electronically. Being bullied either at school or electronically was associated with suicidality, with a stronger association for youth who experienced being bullied in both settings. Conclusion: Our findings shed light on assessing early signs of depression to prevent the formation of suicidality among bullied youth. Full article
(This article belongs to the Special Issue Child Abuse and Neglect)
20 pages, 324 KiB  
Article
Father–Mother Co-Involvement in Child Maltreatment: Associations of Prior Perpetration, Parental Substance Use, Parental Medical Conditions, Inadequate Housing, and Intimate Partner Violence with Different Maltreatment Types
by Joyce Y. Lee, Susan Yoon, Keunhye Park, Angelise Radney, Stacey L. Shipe and Garrett T. Pace
Children 2023, 10(4), 707; https://doi.org/10.3390/children10040707 - 11 Apr 2023
Cited by 3 | Viewed by 4240
Abstract
The current study applied a family systems approach to examine dyadic parental risk factors linked with mother–father co-involved physical abuse, neglect, sexual abuse, and emotional abuse. Parental substance use, mental health problems, disability and medical conditions, inadequate housing, economic insecurity, intimate partner violence, [...] Read more.
The current study applied a family systems approach to examine dyadic parental risk factors linked with mother–father co-involved physical abuse, neglect, sexual abuse, and emotional abuse. Parental substance use, mental health problems, disability and medical conditions, inadequate housing, economic insecurity, intimate partner violence, and prior maltreatment history were investigated as key risk factors at the dyadic parental level. Logistic regression analysis was conducted using national child welfare administrative data from the National Child Abuse and Neglect Data System. The results showed differential associations between risk factors and four child maltreatment types: physical abuse, neglect, emotional abuse, and sexual abuse. Intimate partner violence was associated with higher odds of mother–father co-involved neglect and emotional abuse. Parental substance use, inadequate housing, and prior maltreatment history were all associated with higher odds of mother–father co-involved neglect, but lower odds of physical abuse. Parental disability and medical conditions were associated with higher odds of mother-father co-involved sexual abuse, whereas parental substance use was associated with lower odds of sexual abuse. Implications include more nuanced ways of addressing multiple risk factors within the family to prevent future occurrences of child maltreatment involving both mothers and fathers. Full article
(This article belongs to the Special Issue Child Abuse and Neglect)
13 pages, 824 KiB  
Article
Does Problematic Use of Social Network Mediate the Association between Bullying Victimization and Loneliness among Lebanese Adolescents?
by Elia Eid, Feten Fekih-Romdhane, Abir Sarray El Dine, Diana Malaeb, Souheil Hallit and Sahar Obeid
Children 2023, 10(3), 599; https://doi.org/10.3390/children10030599 - 21 Mar 2023
Cited by 5 | Viewed by 2380
Abstract
(1) Background: Bullying victimization has been associated with several behavioral outcomes, particularly loneliness. Similarly, an increase in social network use has been identified in recent years, particularly during the COVID-19 pandemic, and has been shown to be associated with bullying and loneliness. Investigating [...] Read more.
(1) Background: Bullying victimization has been associated with several behavioral outcomes, particularly loneliness. Similarly, an increase in social network use has been identified in recent years, particularly during the COVID-19 pandemic, and has been shown to be associated with bullying and loneliness. Investigating the mediating factors of loneliness among bullied adolescents is useful for taking preventive measures in the Lebanese population. This study aims to examine the association between bullying victimization and loneliness among Lebanese adolescents while considering the indirect effect of problematic social network use. (2) Methods: We carried out a cross-sectional study, between January and April 2022, that enrolled 379 adolescent Lebanese students (64.9% females, mean age 16.07 ± 1.19 years) who were current residents of Lebanon (15 to 18 years), and were from the five governorates of Lebanon (Beirut, Mount Lebanon, North, South and Bekaa). The snowball method was applied to select our sample; an electronic copy of the questionnaire was created using the Google Forms software and an online strategy was designed to collect the data. (3) Results: Negative social comparison and addictive consequences of problematic use of social network mediated the association between bullying victimization and loneliness. Higher bullying victimization was significantly associated with higher negative social comparison and addictive consequences of problematic use of social network, which in turn were significantly associated with more loneliness. Finally, higher bullying victimization was directly significantly associated with more loneliness. (4) Conclusions: Studying the mediating factors of loneliness in bullied adolescents can improve our understanding of this topic, allowing us to propose new interventions to prevent psychological problems in adolescents. Future studies are needed to further clarify the physiological processes that underlie the associations between social triggers and loneliness during adolescence. Full article
(This article belongs to the Special Issue Child Abuse and Neglect)
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14 pages, 690 KiB  
Article
Childcare Subsidy Enrollment Income Generosity and Child Maltreatment
by J. Bart Klika, Kathryn Maguire-Jack, Megan Feely, William Schneider, Garrett T. Pace, Whitney Rostad, Catherine A. Murphy and Melissa T. Merrick
Children 2023, 10(1), 64; https://doi.org/10.3390/children10010064 - 28 Dec 2022
Cited by 7 | Viewed by 2646
Abstract
In the United States, childcare subsidies are available to low-income working parents to assist with the cost of childcare. The subsidies are provided as block grants to states, which allows for a great deal of flexibility in the specific policies guiding their distribution. [...] Read more.
In the United States, childcare subsidies are available to low-income working parents to assist with the cost of childcare. The subsidies are provided as block grants to states, which allows for a great deal of flexibility in the specific policies guiding their distribution. Prior research has found a protective link between childcare subsidies and child maltreatment, but the variations in policies have been much less explored. The current study used longitudinal administrative child welfare data from 10 years (2009–2019) linked with state policies regarding the income eligibility requirements of states to examine the impact of these policies on child abuse and neglect among young children (0–5); early school-age children (6–12), and older children (13–17). Using multiple regression and controlling for state demographic characteristics, the study found that more generous policies surrounding income eligibility were related to lower rates of child abuse and neglect investigations at the state level. Full article
(This article belongs to the Special Issue Child Abuse and Neglect)
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10 pages, 247 KiB  
Article
Post-Traumatic Play in Child Victims of Adverse Childhood Experiences: A Pilot Study with the MCAST—Manchester Child Attachment Story Task and the Coding of PTCP Markers
by Daniela D’Elia, Luna Carpinelli and Giulia Savarese
Children 2022, 9(12), 1991; https://doi.org/10.3390/children9121991 - 18 Dec 2022
Cited by 1 | Viewed by 2015
Abstract
Background: Play is among the most frequently observed distorted behaviors in victims of Adverse Childhood Experiences (ACEs). Terr’s (1981) studies helped to describe this behavioral distortion as post-traumatic child’s play (PTCP). This study aimed to evaluate whether child victims of Adverse Childhood Experiences [...] Read more.
Background: Play is among the most frequently observed distorted behaviors in victims of Adverse Childhood Experiences (ACEs). Terr’s (1981) studies helped to describe this behavioral distortion as post-traumatic child’s play (PTCP). This study aimed to evaluate whether child victims of Adverse Childhood Experiences (ACEs) engaging in semi-structured play present the markers of post-traumatic child’s play (PTCP) during the administration of the Manchester Child Attachment Story Task (MCAST), whose playful stories activate the attachment system. Methods: The sample comprised 17 child victims of ACEs (mean age = 6.76). Children were evaluated using the Manchester Child Attachment Story Task. Results: The analysis of the play clearly revealed the presence of markers associated with the characteristics of the post-traumatic play described by Terr (1981), namely, repetition, revisiting, hyperarousal, and danger. In particular, the intrusiveness dimension was observed, which can be identified in the post-traumatic play by the presence of recurrent memories, dreams, and dissociative symptoms. Conclusions: Post-traumatic play is characterized by repetition, containing aspects, scenes, or sequences of the traumatic event, expressed explicitly or symbolically. Full article
(This article belongs to the Special Issue Child Abuse and Neglect)
10 pages, 232 KiB  
Article
Knowledge and Attitudes of Medical and Nursing Students in Greece Regarding Child Abuse and Neglect
by Dionysia-Chara Pisimisi, Plouto-Antiopi Syrinoglou, Xenophon Sinopidis, Ageliki Karatza, Maria Lagadinou, Alexandra Soldatou, Anastasia Varvarigou, Sotirios Fouzas, Gabriel Dimitriou and Despoina Gkentzi
Children 2022, 9(12), 1978; https://doi.org/10.3390/children9121978 - 16 Dec 2022
Cited by 4 | Viewed by 1894
Abstract
Data on the knowledge and attitudes of healthcare practitioners in training regarding child abuse and neglect (CAN) are scarce. The aim of this study was to investigate the knowledge and attitudes regarding CAN of medical and nursing students in Greek universities. We performed [...] Read more.
Data on the knowledge and attitudes of healthcare practitioners in training regarding child abuse and neglect (CAN) are scarce. The aim of this study was to investigate the knowledge and attitudes regarding CAN of medical and nursing students in Greek universities. We performed a questionnaire-based e-survey on a convenience sample of students and recruited 609 students (366 medical and 243 nursing). An unsatisfactory level of knowledge in the field was reported overall. Most of the students (92.2%) were aware of their future responsibility to protect vulnerable children and report suspected cases of CAN; at the same time, they were willing to obtain further education. Based on the above, appropriate training in the undergraduate curriculum should be developed in order to strengthen future healthcare practitioners and boost their confidence in dealing with suspected cases of CAN and protect children’s welfare. Full article
(This article belongs to the Special Issue Child Abuse and Neglect)

Other

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7 pages, 545 KiB  
Case Report
A Rare Incidence of Neonatal Button Battery Ingestion: A Case of Child Abuse and Neglect
by Ahmad Zaker M Almagribi
Children 2022, 9(11), 1682; https://doi.org/10.3390/children9111682 - 2 Nov 2022
Cited by 1 | Viewed by 1745
Abstract
Foreign body (FB) ingestion is not uncommon, especially when the child beings coordination of the hands and mouth from 6 months to 5 years of age. However, FB ingestion in the neonatal period is extremely rare. We present a one-month-old baby with button [...] Read more.
Foreign body (FB) ingestion is not uncommon, especially when the child beings coordination of the hands and mouth from 6 months to 5 years of age. However, FB ingestion in the neonatal period is extremely rare. We present a one-month-old baby with button battery ingestion to report the unusual age of presentation, unusual clinical findings, and child abuse. A radiopaque, spherical FB was visible in the upper chest on the chest X-ray. After performing an oesophagoscopy, the battery was removed, and the patient was put on a plan of anti-GERD medications and gradual nasogastric tube feeding. The patient was coping well under the supervision of the healthcare professional. However, the patient’s father decided to take the patient home against medical advice, and since then, no follow-up has been conducted by the patient’s guardians. In conclusion, neonatal foreign body ingestion is rare, and early detection and management can save neonates’ lives. Saudi Arabia’s national child protection teams, working under the National Family Safety Program, should strictly implement approved programs to prevent child abuse and teach positive parenting skills. Full article
(This article belongs to the Special Issue Child Abuse and Neglect)
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