Physical Abuse, Emotional Abuse, and Neglect and Childhood Behavior Problems: A Meta-Analysis of Studies in Mainland China

Cui, Naixue; Liu, Jianghong

doi:10.1177/1524838018757750

Cited by 58 publications

(30 citation statements)

References 49 publications

(57 reference statements)

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“…The finding that traumatic emotional abuse was associated with DTD is consistent with extensive evidence that severe verbal or emotional abuse has complex psychobiological sequelae involving emotional, behavioral, and self-or relational dysregulation that extends beyond PTSD (Cui & Liu, 2020;Spinazzola et al, 2014). In the present study, emotional abuse was associated with both physical abuse or assault and family violence, raising a possibility that these three forms of victimization are a risk-factor caravan (Chen et al, 2015;Layne et al, 2014) for DTD.…”

Section: Discussionsupporting

confidence: 89%

Developmental Trauma Disorder: A Legacy of Attachment Trauma in Victimized Children

Spinazzola¹,

Kolk

Ford

2021

Journal of Traumatic Stress

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Developmental trauma disorder (DTD) and posttraumatic stress disorder (PTSD) have been found to have both shared and unique traumatic antecedents. The present study was an independent replication, with the DTD Structured Interview and the Traumatic Events Screening Instrument administered to 271 children in mental health treatment in six U.S. sites. On an unadjusted basis, DTD (27.3% prevalence, N = 74) and PTSD (40.2% prevalence, N = 109) both were associated with traumatic physical assault or abuse, family violence, emotional abuse, caregiver separation or impairment, and polyvictimization. After controlling for PTSD, DTD was associated emotional abuse, OR = 2.9, 95% CI [1.19, 6.95], and traumatic separation from a primary caregiver, OR = 2.2, 95% CI [1.04. 4.60], both of which also were associated with caregiver impairment, physical assault/abuse, and witnessing family/community violence. Three traumatic antecedents associated with PTSD were not associated with DTD: noninterpersonal trauma, sexual trauma, and traumatic loss. Children exposed to both traumatic victimization and attachment trauma (36.2%) or attachment trauma alone (32.5%) were more likely than children exposed only to victimization (17.5%) or those with no history of victimization or attachment trauma (8.1%) to meet the symptom criteria for DTD, χ²(3, N = 271) = 17.68, p < .001. Study findings replicate and extend prior DTD field trial study results, showing that, although PTSD and DTD share traumatic antecedents, DTD is uniquely associated with traumatic emotional abuse and caregiver separation. Further research is needed to examine how specific trauma types contribute to the risk, course, and severity of DTD.

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Section: Discussionsupporting

confidence: 89%

Developmental Trauma Disorder: A Legacy of Attachment Trauma in Victimized Children

Spinazzola¹,

Kolk

Ford

2021

Journal of Traumatic Stress

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“…The relationship between child physical abuse and behavior problems has been well documented in the literature across cultures (Fry et al, 2012;Gershoff et al, 2012;Pace et al, 2019). Consistently, a recent meta-analytic study of 42 studies in Mainland China also found that physically abused children manifested more externalizing behaviors (Cui and Liu, 2020). The link remains significant even after controlling for other forms of maltreatment (Renner and Boel-Studt, 2017;Muniz et al, 2019), and the effect of physical abuse practiced by mothers demonstrates more salient effect on externalizing behaviors than that practiced by fathers (Cui et al, 2018).…”

Section: Introductionmentioning

confidence: 69%

P300 Event-Related Potentials Mediate the Relationship Between Child Physical Abuse and Externalizing Behavior

Cui¹,

Raine²,

Connolly³

et al. 2021

Front. Psychol.

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The psychophysiological mechanism linking early childhood experiences to behavior problems remains unclear. This study aimed to examine the association of child physical abuse with P300 event-related potentials (ERP), and to test the mediating effect of P300 amplitude and latency in the relationship between child physical abuse and externalizing behaviors. Cross-sectional secondary data were obtained from 155 children (55.5% boys, mean age: 11.28 ± 0.57 years) who participated in the China Jintan Child Cohort Study. Children self-reported maternal and paternal physical abuse and externalizing behaviors, as well as P300 were obtained in 2013. Additionally, parents and teachers reported child externalizing behaviors in preschool in 2007. P300 were recorded during a standard novel auditory oddball task. Path analysis shows that after controlling for child sex, socioeconomic status, area of residence, IQ, and child externalizing behavior in preschool, children exposed to maternal physical abuse exhibited increased novelty P300 amplitude, which links to more externalizing behavior. Novelty P300 amplitude partially mediated the relationship between maternal physical abuse and externalizing behavior. These findings are the first to document the partial mediating effect of P300 amplitude on the abuse-externalizing relationship and are consistent with the view that physical abuse affects the attention bias to novel cues that likely places them at increased risk for the development and maintenance of externalizing behavior.

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“…At the individual level, several studies show gender differences in different types of child abuse (Kumar et al, 2017;Salem et al, 2020); however, there has been no consistent conclusion internationally. Many studies found boys were more likely to experience physical abuse, compared with girls, and that a higher prevalence of neglect is observed among girls than boys (Cui and Liu, 2020;Wan et al, 2020). However, other studies found that boys were more likely to report being victims of emotional abuse and neglect than girls (Li et al, 2012), and there were also some studies reporting that there is no evidence of gender difference in associations (Stoltenborgh et al, 2012).…”

Section: Risk Factors Of Child Maltreatmentmentioning

confidence: 99%

Prevalence of Child Maltreatment during the COVID-19 Pandemic: A Cross-sectional Survey of Rural Hubei, China

Zhang

Shi

et al. 2021

The British Journal of Social Work

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The impact of lockdown measures in Wuhan, China during the coronavirus disease 2019 pandemic on child maltreatment remains unknown. The present study attempted to estimate the prevalence of child maltreatment during this period, to identify risk factors, and the influence of child maltreatment. A representative sample of 1,062 school-aged children in rural Hubei province was surveyed. Results indicated that the prevalence of family violence, physical violence, emotional abuse and neglect during the lockdown period were 13.9, 13.7, 20.2 and 7.3 percent, respectively, and that of lifetime prevalence were 17.0, 13.9, 14.6 and 6.9 percent, respectively. And most victims did not seek official help. Boys were more likely to experience physical violence. Children from separated/divorced families tended to report more emotional abuse. Those having family members with a history of drug abuse and mental illness were more likely to experience neglect during the lockdown period. All types of child maltreatment were positively associated with self-harm behaviours. These findings highlight the importance of identifying at-risk children immediately and implementing timely intervention programmes to prevent self-harm behaviours for social workers and health professionals.

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Physical Abuse, Emotional Abuse, and Neglect and Childhood Behavior Problems: A Meta-Analysis of Studies in Mainland China

Cited by 58 publications

References 49 publications

Developmental Trauma Disorder: A Legacy of Attachment Trauma in Victimized Children

Developmental Trauma Disorder: A Legacy of Attachment Trauma in Victimized Children

P300 Event-Related Potentials Mediate the Relationship Between Child Physical Abuse and Externalizing Behavior

Prevalence of Child Maltreatment during the COVID-19 Pandemic: A Cross-sectional Survey of Rural Hubei, China

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