What's in a name? A comparison of methods for classifying predominant type of maltreatment

Lau, Anna S.; Leeb, Rebecca T.; English, Diana J.; Graham, J. Christopher; Briggs, Ernestine C.; Brody, Kate E.; Marshall, Jane

doi:10.1016/j.chiabu.2003.05.005

Cited by 195 publications

(157 citation statements)

References 36 publications

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“…Hierarchical classification operates according to the theory that some forms of maltreatment are inherently more detrimental than others because these types of maltreatment are active (rather than passive) and violate more strongly held social norms (Kinard, 1994;Lau et al, 2005;Manly, Cicchetti, & Barnett, 1994;Toth & Cicchetti, 1996). Here, abuse is worse than neglect because abuse is an act of commission and neglect is an act of omission.…”

Section: Maltreatment and Adjustmentmentioning

confidence: 99%

Effects of multiple maltreatment experiences among psychiatrically hospitalized youth

Boxer

Terranova

2008

Child Abuse & Neglect

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Objective-Relying on indicators coded from information collected routinely during intake assessments at a secure inpatient psychiatric facility, this study examined the extent to which different forms of maltreatment accounted for variations in youths' emotional and behavioral problems.Methods-Clinical information was reviewed for a large (N = 401) and diverse sample (mean age = 13.9 years; 53% male; 54.6% racial/ethnic minority) of youth admitted to a publicly funded psychiatric hospital. Data were drawn from intake narratives, standardized psychopathology rating scales, and psychiatric diagnostic ratings.Results-Findings provide some support for a hierarchical classification of multiple maltreatment experiences with sexual abuse identified as the specific form of maltreatment most reliably associated with poor adjustment. Support also was obtained for a cumulative classification approach, as the number of different types of maltreatment experiences was linked positively to elevated psychopathology ratings.Conclusions-Even in this high-risk, atypical sample, maltreatment experiences account for variation in levels of psychopathology. These results have implications for classifying multiple maltreatment and enhancing clinical care for atypical youth who have been maltreated.Practice implications-Clinicians working in youth psychiatric populations should implement maltreatment-specific psychotherapy approaches for maltreated youth, even as adjunctive treatments in a therapeutic milieu.

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Section: Maltreatment and Adjustmentmentioning

confidence: 99%

Effects of multiple maltreatment experiences among psychiatrically hospitalized youth

Boxer

Terranova

2008

Child Abuse & Neglect

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“…However, research increasingly shows that victimization types cluster both among adults and children (Edwards, Holden, Felitti, & Anda, 2003;Higgins & McCabe, 2000;Lau et al, 2005;Ney, Fung, & Wickett, 1994). Finkelhor, Ormrod, and Turner (2007), for instance, found that 69% of the children who had experienced direct or indirect victimization in the prior year had experienced multiple incidents and had been subjected to an average of three types of victimization.…”

Section: Introductionmentioning

confidence: 99%

“…Given that victimization experiences rarely occur independently, and that pure subtypes are a rarity (Cicchetti & Rizley, 1981;Claussen & Crittenden, 1991;Higgins & McCabe, 2001;Pears, Kim, & Fisher, 2008;Trickett & McBride-Chan, 1995;Lau et al, 2005), it could be argued that studies including only one victimization type are limited and may not be representative of the "typical" victimized individual. Concentrating on single victimization types could be further considered problematic because it potentially obscures the impacts of other types of victimization on individuals Holt et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Victimization Profiles, Non-Suicidal Self-Injury, Suicide Attempt, and Post-Traumatic Stress Disorder Symptomology

Dhingra

Boduszek

Sharratt

2015

J Interpers Violence

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Few studies have incorporated multiple dimensions of victimization or examined whether victimization profiles differ by gender. Consequently, the present study sought to extend prior research by using latent class analysis (LCA) to identify naturally occurring subgroups of individuals who have experienced victimization, and to test for sex differences. Data from 4,016 females and 3,032 males in the Adult Psychiatric Morbidity Survey (APMS) were analysed. Evidence of the existence of similar victimization subtypes for both males and females emerged, with a three-class solution providing the best fit to the data for both sexes.Furthermore, the classes were labelled "low victimization" (the baseline class; class 3), the "high victimization class" (class 1), and "the bullying and domestic violence class" (class 2) for both males and females. Multinomial logistic regression was used to interpret the nature of the latent classes, or groups, by estimating the associations with PTSD dimensions, suicide attempt, and non-suicidal self-injury. Although different constellations of victimization experiences did not emerge through the gender-specific analyses, the nature of the associations between class membership and external variables differed between males and females. Findings highlight the heterogeneity of victimization experiences and their relations to functioning, and have implications for policy and practice implications.

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“…Lau et al (2005) examined three different CM classification systems to determine their usefulness for predicting developmental outcomes: The severity/frequency system was based on the severity and frequency of each reported CM subtype (without prioritizing one particular CM subtype over another). The hierarchical system prioritized active over passive subtypes and assigned each participants to one of four mutually exclusive groups in the following order: CSA, CPA, neglect, and emotional maltreatment.…”

mentioning

confidence: 99%

The Association Between Childhood Maltreatment Subtypes and Current Suicide Risk Among Homeless Men and Women

Torchalla

Strehlau

et al. 2012

Child Maltreat

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This study explored self-reports of five childhood maltreatment (CM) subtypes and their associations with current suicide risk in a sample of 500 homeless persons. Participants completed the Childhood Trauma Questionnaire and the Mini-International Neuropsychiatric Interview. Individual, unique, and cumulative associations of CM subtypes and subtype combinations with suicide risk (no vs. low vs. moderate/high) were examined. In multivariate analyses, four of the five CM subtypes were associated with suicide risk in individual models, but not in a model that included all CM subtypes. The strongest associations were found for reports of multitype CM involving all five subtypes. Mental disorders and female sex were independently associated with suicide risk. Clinicians working with CM victims should be aware that homeless clients are likely to report multitype maltreatment and should assess a variety of CM experiences. Future studies need to further examine multitype maltreatment and suicidal behaviors in homeless populations with complex conditions.

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What's in a name? A comparison of methods for classifying predominant type of maltreatment

Cited by 195 publications

References 36 publications

Effects of multiple maltreatment experiences among psychiatrically hospitalized youth

Effects of multiple maltreatment experiences among psychiatrically hospitalized youth

Victimization Profiles, Non-Suicidal Self-Injury, Suicide Attempt, and Post-Traumatic Stress Disorder Symptomology

The Association Between Childhood Maltreatment Subtypes and Current Suicide Risk Among Homeless Men and Women

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