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Child and Adult Outcomes of Chronic Child Maltreatment

Pediatrics (Evanston), 2012-05, Vol.129 (5), p.839-845 [Peer Reviewed Journal]

2015 INIST-CNRS ;Copyright American Academy of Pediatrics May 2012 ;Copyright © 2012 by the American Academy of Pediatrics 2012 ;ISSN: 0031-4005 ;EISSN: 1098-4275 ;DOI: 10.1542/peds.2011-2529 ;PMID: 22529281 ;CODEN: PEDIAU

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Title:
Child and Adult Outcomes of Chronic Child Maltreatment
Author: JONSON-REID, Melissa ; KOHL, Patricia L ; DRAKE, Brett
Subjects: Adult Survivors of Child Abuse - psychology ; Adults ; Affective Symptoms - epidemiology ; Affective Symptoms - etiology ; Affective Symptoms - psychology ; Aid to Families with Dependent Children ; Biological and medical sciences ; Care and treatment ; Child ; Child abuse ; Child abuse & neglect ; Child Abuse - diagnosis ; Child Abuse - psychology ; Child Abuse - rehabilitation ; Child Abuse, Sexual - diagnosis ; Child Abuse, Sexual - psychology ; Child Abuse, Sexual - rehabilitation ; Child care ; Child development ; Child, Preschool ; Chronic Disease ; Control ; Developmental Disabilities - epidemiology ; Developmental Disabilities - etiology ; Developmental Disabilities - psychology ; Female ; Follow-Up Studies ; General aspects ; Humans ; Incidence ; Infant ; Longitudinal Studies ; Male ; Medical sciences ; Mental Disorders - epidemiology ; Mental Disorders - etiology ; Mental Disorders - psychology ; Methods ; Multivariate analysis ; Pediatrics ; Poverty ; Prevalence ; Prevention ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Factors ; Sexually transmitted diseases ; Side effects ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - etiology ; Substance-Related Disorders - psychology ; United States ; Victimology ; Violence - psychology ; Violence - statistics & numerical data
Is Part Of: Pediatrics (Evanston), 2012-05, Vol.129 (5), p.839-845
Description: To describe how child maltreatment chronicity is related to negative outcomes in later childhood and early adulthood. The study included 5994 low-income children from St Louis, including 3521 with child maltreatment reports, who were followed from 1993-1994 through 2009. Children were 1.5 to 11 years of age at sampling. Data include administrative and treatment records indicating substance abuse, mental health treatment, brain injury, sexually transmitted disease, suicide attempts, and violent delinquency before age 18 and child maltreatment perpetration, mental health treatment, or substance abuse in adulthood. Multivariate analysis controlled for potential confounders. Child maltreatment chronicity predicted negative childhood outcomes in a linear fashion (eg, percentage with at least 1 negative outcome: no maltreatment = 29.7%, 1 report = 39.5%, 4 reports = 67.1%). Suicide attempts before age 18 showed the largest proportionate increase with repeated maltreatment (no report versus 4+ reports = +625%, P < .0001). The dose-response relationship was reduced once controls for other adverse child outcomes were added in multivariate models of child maltreatment perpetration and mental health issues. The relationship between adult substance abuse and maltreatment report history disappeared after controlling for adverse child outcomes. Child maltreatment chronicity as measured by official reports is a robust indicator of future negative outcomes across a range of systems, but this relationship may desist for certain adult outcomes once childhood adverse events are controlled. Although primary and secondary prevention remain important approaches, this study suggests that enhanced tertiary prevention may pay high dividends across a range of medical and behavioral domains.
Publisher: Elk Grove Village, IL: American Academy of Pediatrics
Language: English
Identifier: ISSN: 0031-4005
EISSN: 1098-4275
DOI: 10.1542/peds.2011-2529
PMID: 22529281
CODEN: PEDIAU
Source: MEDLINE
Alma/SFX Local Collection

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Child and Adult Outcomes of Chronic Child Maltreatment

2015 INIST-CNRS ;Copyright American Academy of Pediatrics May 2012 ;Copyright © 2012 by the American Academy of Pediatrics 2012 ;ISSN: 0031-4005 ;EISSN: 1098-4275 ;DOI: 10.1542/peds.2011-2529 ;PMID: 22529281 ;CODEN: PEDIAU

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