Preliminary data on abuse during childhood among female university students

This study investigated the childhood experiences of physical and sexual abuse in relation to the risk of adult depression among female university students. The objectives of the study were to determine the prevalence of abusive experiences in childhood, to examine if childhood physical and sexual abuse, parental antipathy and neglect correlated to depression, and to determine the risk factors of depression in this population. A translated childhood experience of care and abuse questionnaire (CECA-Q) was randomly distributed to the students. The results showed that the reliability of the CECA-Q was good and stable. The prevalent rate of childhood physical abuse in this population was 19% and childhood sexual abuse was 5%. Childhood physical abuse by the mother was a significant risk factor in contributing to depression. The study provides evidence of a correlation between childhood abuse and depression among female university students.     

Emotional abuse and neglect: a time for reappraisal

This paper explores, from a UK perspective, issues surrounding policy and practice in cases of neglect, which inevitably involves emotional abuse. It does not address cases of emotional abuse in which neglect does not occur. The paper argues that there is a sufficient body of knowledge on the necessary conditions for healthy child development and factors associated with psychological/ emotional disorders in childhood for social workers to be more proactive in work with such cases. There is, however, a need for this evidence to be assembled and organized in ways which will be useful to social workers. Nonetheless, intervention in such cases is unlikely to become more effective unless some of the reasons for the'neglect of neglecf are better understood and addressed. In the second part of the paper, a range of factors influencing such work is considered, related to the professional, organizational and legal context within which social workers in the UK operate.
The paper draws on an ESRC funded project, which ended in 1995, of social workers' judgements in cases of child sexual abuse and neglect     

Sense of coherence in women with a history of childhood sexual abuse

Women with a history of childhood sexual abuse experience a range of difficulties. The aim of the present study is to examine the personal resources of women with such a history measured using the SOC scale. The relationships of SOC to other factors were analysed. Eighty-one women who participated in self-help groups were questioned using the 29-item version of the SOC scale. The SOC mean score for the whole group was 104.1 (range 58–187). The women who had a more than ten-year duration of sexual abuse had a low SOC score (M = 96.8) but those who did not remember the number of years of duration had an even lower score (M = 94.4). In a first step of multiple regression analysis of childhood sexual abuse characteristics and SOC total score, only duration of sexual abuse was entered and accounted for 10.3 per cent of the variance. In a second step of multiple regression analysis, relationship to fellow workers was a significant predictor of SOC and contributed to 31.7 per cent of the variance.     

The relationship between perceived parental physical availability and child sexual,physical and emotional abuse among high school students in the Northern Province,South Africa

This is an investigation into the relationship between perceived parental physical availability and child sexual, physical and emotional abuse among high school students in the Northern Province (South Africa). All the secondary school students in standards 9 and 10 in three secondary schools filled in a retrospective self-rating questionnaire in a classroom setting. The questionnaire asked questions about perceived parental physical availability during childhood, and childhood sexual, physical and emotional abuse. Logistic Regression Analysis shows that among all the participants, “haven ever had a stepfather or adoptive father until he or she was at least 16 years old” and again, “haven ever had a stepfather or adoptive father until he or she was at least 16 years old” and “haven lived in a ‘group home’ until he or she was at least 16 years”; and “haven been raised by any other adult” predict child sexual, physical and emotional abuse, respectively. Mental health and social workers, educators and law enforcement agencies dealing with prevention and protection against child abuse in the Province should take note of the above identified predictors while designing programmes for the eradication of child sexual, physical and emotional abuse.     

The effects of child maltreatment on childhood behaviour problems in South Korea: findings from the fifth Korea Child and Youth Panel Survey (the 2014 KCYPS)

The study examines the effects of child maltreatment on children behavioural problems in South Korea. We found that 11.5% of children experienced physical abuse, 28.7% experienced emotional abuse and about 35% experienced neglect. After controlling for all socio-demographic factors, children who experienced physical abuse, emotional abuse and neglect were more likely to develop internalised as well as externalised behavioural problems such as depression, aggression, underage smoking, underage drinking and engaging in cyber delinquency. The results point towards a need to develop social welfare interventions to mitigate physical/emotional abuse and neglect so as to prevent behavioural problems in South Korean children.     

Childhood maltreatment among Norwegian drug abusers in treatment

This article reports on the investigation of the correlation between the European Addiction Severity Index (EuropASI) and the Childhood Trauma Questionnaire (CTQ) among 102 Norwegian drug abusers admitted to treatment. The aim of the study is to explore how different types and levels of childhood trauma and social and psychiatric factors, medical situation and experienced family history are interrelated. The study addresses three main questions: 1) What is the prevalence of different kinds of childhood trauma among drug abusers in treatment? 2) Does type or level of maltreatment in childhood predict specific substance abuse problems as adults and/or specific social, psychiatric and medical problems as adults? 3) Do substance abuse problems and mental health problems in the primary family predict different types and levels of childhood maltreatment? Twenty‐five per cent of the total sample was included in the high‐level trauma group and 54% in the intermediate‐level group. Females had significantly higher scores than males in all types of childhood trauma. The strongest correlations were found between childhood trauma and lifetime psychiatric problems and psychiatric status during the last 30 days before admission for treatment. More research, and especially prospective studies, is needed to clarify the importance of parents' substance abuse and psychiatric problems in childhood/adolescent compared with trauma in the client's childhood and the client's current psychiatric status.     

Physical Abuse, Cognitive and Emotional Processes, and Aggressive/Disruptive Behavior Problems

Cognitive and emotional processes were examined in maltreated children with a history of physical abuse (n = 76), children with a history of maltreatment other than physical abuse (i.e., sexual abuse, physical neglect, and emotional maltreatment; n = 91), and a group of non‐maltreated comparison children (N = 100). Physical abuse was associated with errors in cue interpretation, easy access to aggressive responses to conflict, and poor emotion regulation. In turn, maladaptive cognitive and emotional processes made unique contributions to explaining the relationship between physical abuse and peer nominations of aggression and disruptive behavior. Maltreated children who had not been physically abused evidenced a trend toward cognitive and emotional maladaptation, but only poor emotion regulation accounted for aggression and disruptive behavior in these children. The findings emphasize the importance of considering multiple domains of development in efforts to understand how varying forms of child maltreatment contribute to later maladjustment.     

Patterns and correlates of co‐occurrence among multiple types of child maltreatment

This study examined the patterns and correlates of the types of maltreatment experienced by adolescents aged 9–12, participating in an ongoing longitudinal study on the impact of neglect on children's development. Using case record abstraction, the study compared the child protection classification and findings from the case record abstraction with regard to the rates of four types of maltreatment (i.e. physical, sexual, emotional abuse and neglect) as well as co‐occurrence across multiple types of maltreatment. Next, the study examined the frequently observed patterns of child maltreatment. Finally, the study investigated whether aspects of caretaker functioning and the detailed incident characteristics in the cases of neglect differed by the number of different types of maltreatment the children experienced. Results showed significant discrepancies between the Child Protective Service classification and case record abstraction. Child Protective Service classification considerably underestimated the rate of co‐occurrence across multiple types of maltreatment. Neglect accompanied by physical and emotional abuse was the most common form. Some of the caretaker functioning variables distinguished the number of types of maltreatment. Based on the findings, future‐research directions and practice implication were discussed.     

A Trauma-Based Group Intervention for Incarcerated Girls

Girls are becoming involved in the juvenile justice system at a remarkable rate. As a result, the juvenile justice system must become more responsive to their physical, mental, and educational needs. Many of these girls have been victims of childhood emotional, sexual, or physical abuse resulting in serious mental health problems. This article describes a psycho-educational group intervention designed for adolescent girls involved in the juvenile justice system that have been affected by childhood abuse. The intervention takes place in a residential program for delinquent girls and is a voluntary group. The psycho-education format allows for the participants to gain information about what abuse is and what the impact of abuse can be on their thoughts and actions. The group format provides a supportive environment that promotes group curative factors and mutual aid.     

Self-justification in decision-making: Chinese child welfare workers' inconsistency of perceptions and experiences matters in reporting child abuse

Mandatory reporting is the central measure for child protection. However, the common alternative strategy of avoidance that is practised by child welfare workers is little discussed. This study examines the influences of child welfare workers' inconsistent perceptions and experiences on reporting. Using China Social Work Longitudinal Study 2019, a total of 2 180 child welfare workers in the child and youth service field were selected. Multinomial logistic regression was used to examine the perceptions and experiences associated with reporting. Child welfare workers with a moderate perception of sexual abuse (OR = 1.442*), more experiences of emotional abuse cases (OR = 1.258*) and fewer experiences of sexual abuse cases (OR = 0.703*) had greater odds of reporting than not reporting, and those with a low or moderate perception of emotional abuse (OR = 3.027*; OR = 1.691*, respectively), a moderate perception of physical abuse (OR = 1.537*) and more experiences of neglect cases (OR = 1.345*) were more likely to avoid than to not report. Social work licensure plays a moderating role. The results indicate the importance of alternative strategies, perceptions and experiences in the assessment-decision continuum of reporting. The inconsistent perceptions and experiences of child welfare workers contribute to self-justification in decision-making. Implications for practices and directions for future research are discussed.     

The Nature of Child Neglect

Correspondence to Brian Minty, Lecturer in Psychiatric Social Work, University of Manchester, Department of Psychiatry, Mathematics Tower, Oxford Road, Manchester M13 9PL. Summary The paper discusses the nature of child neglect, and draws onthe existing literature to provide evidence that neglect canbe extremely damaging to children. This is in contrast to theviews we hear personally from some social workers: that neglectis simply the consequence of material poverty, or a conditionthat need not arouse the same degree of professional concernas physical or sexual abuse. We report on a study of neglectfulfamilies, in which we have attempted to devise a simple instrumentfor quickly detecting the probable existence of neglect. Useof this instrument confirmed that among families referred toan NSPCC Child Protection Team there was a strong associationbetween physical and emotional neglect. Working on the use ofthe first questionnaire we have developed a second and shorterScale of Parental Caregiving, which has yet to be tested inpractice.     

Justice Sensitivity in Childhood and Adolescence

Individuals differ in their sensitivity toward injustice. Justice‐sensitive persons perceive injustice more frequently and show stronger responses to it. Justice sensitivity has been studied predominantly in adults; little is known about its development in childhood and adolescence and its connection to prosocial behavior and emotional and behavioral problems. This study evaluates a version of the justice sensitivity inventory for children and adolescents (JSI‐CA5) in 1472 9‐ to 17‐year olds. Items and scales showed good psychometric properties and correlations with prosocial behavior and conduct problems similar to findings in adults, supporting the reliability and validity of the scale. We found individual differences in justice sensitivity as a function of age and gender. Furthermore, justice sensitivity predicted emotional and behavioral problems in children and adolescents over a 1‐ to 2‐year period. Justice sensitivity perspectives can therefore be considered as risk and/or protective factors for mental health in childhood and adolescence.     

Emotion Situation Knowledge in Elementary School: Models of Longitudinal Growth and Preschool Correlates

We examined individual differences in developmental trajectories of emotion situation knowledge (ESK), at three time points throughout elementary school in a sample of children from economically disadvantaged families. Results showed that ESK and the subscales of joy, fear, anger, shame and interest exhibited positive growth from the first to the fifth grade, whereas scores on the sad subscale declined slightly. Preschool verbal ability predicted first grade scores for joy, fear, and anger, and growth in scores for shame across time. Preschool negative emotional intensity predicted slower growth in overall ESK and the anger and shame subscales. Taken together, these results broaden our basic knowledge of how children's use of situational cues to infer others' emotions develops in middle and late childhood.     

Validation Study: The Iranian Version of Caregiver Abuse Screen (CASE) among Family Caregivers of Elderly with Dementia

Since abuse screening is difficult among the elderly with dementia, detection of elder abuse is a serious issue; meanwhile, the number of available tools to assess elder abuse by caregivers is limited. The aim was to evaluate validity and reliability of the Iranian version Caregiver Abuse Screen (CASE) tool. After the translating process of the tool to the Farsi language for 236 dementia participants ≥60 years old and their informal caregivers’ from outpatient’ clinics, in a cross-sectional method then the validity, reliability and factorial structure of the CASE was evaluated. The translated Iranian version CASE reveals a good psychometric property (α = 0.868) with strong internal consistency and reliability. Some variables (depression, burden, dementia intensity, and ADLs) were associated with abuse in dementia elderly. The two-factor structure was obtained in exploratory factor analysis labeled interpersonal abuse and neglect. Generally, the Iranian version of CASE approved with sufficient validity and reliability as a suitable instrument to find the risk of elder abuse among dementia caregivers.     

Psychosocial Interventions for Maltreated and Violence-Exposed Children

Child sexual, physical, and emotional abuse as well as child neglect and domestic violence, community violence, and Childhood Traumatic Grief may result in significant and long-lasting emotional and behavioral difficulties. This article reviews randomized controlled studies that have assessed child mental health outcomes for maltreated and violence-exposed children. Key points of this review include the following: (1) maltreated and violence-exposed children typically experience more than one of these types of traumas; (2) effective psychosocial treatments are available to address Posttraumatic Stress Disorder (PTSD), depression, anxiety, and behavioral problems in these children; (3) it is likely that treatments which effectively reduce mental health symptoms in children exposed to one type of child maltreatment or violence exposure will also be effective for other or multiple types; and (4) mental health outcomes are not the only important outcomes to address in future treatment or intervention efforts. These future directions for treatment intervention research are addressed.     

Are dual and single exposures differently associated with clinical levels of trauma symptoms? Examining physical abuse and witnessing intimate partner violence among young children

A significant portion of children living in the United States have experienced trauma. Informed by the developmental traumatology model, we explored the effects of physical abuse and witnessing intimate partner violence (IPV) on childhood trauma symptoms. This study utilizes a convenience sample of 580 high‐risk children between 3 and 12 years who received services from one‐child advocacy centre during a 12‐month period. We performed a series of binary logistic regression analyses to examine if physical abuse, exposure to IPV, and dual exposure (i.e., both physical abuse and IPV) are distinctly associated with six trauma symptoms, including anxiety, depression, posttraumatic stress (PTS), dissociation, anger, and sexual concerns. The results indicated that dual exposure was predictive of all trauma symptoms, except for dissociation. Additionally, physical abuse was associated with PTS, anger, and sexual concerns, whereas exposure to IPV was associated with depression, PTS, and sexual concerns. Research and implications for practitioners working with young children are discussed.     

The feminizing of neglect

This paper is concerned with understandings of neglect in child care social work. It is a theoretical discussion in which the social construction of neglect is examined through an analysis of the relationship between 'care' and neglect. In particular, I explore the gendered nature of 'care' and the possible feminizing of its correlate, neglect. I consider the links between gender, race and caring, and how these interact in 'achieving' femininity, and go on to look at the relationship between ideas of care and the 'natural' mother. This, in turn, is linked to a discussion of social work responses to neglect. I argue the need for feminist analyses of neglect as a significant area of abuse – analyses that can parallel the important insights that have been offered in relation to other areas of child abuse, and can contribute to the development of effective social work intervention strategies.     

Attitudes of Palestinian pre‐school teachers from Israel towards reporting of suspected cases of child abuse and neglect

The paper documents a study conducted among 225 Palestinian pre‐school teachers from Israel. Data were collected through a self‐administered questionnaire that examined the teachers’ attitudes towards reporting child abuse and neglect. In general, the participants’ attitudes towards reporting child abuse and neglect to the child protection services (CPS) were more positive than their attitudes towards reporting to the police. Willingness to report suspected cases of child sexual abuse to the police and CPS was higher than willingness to report other types of child abuse and neglect. Inconsistent results were revealed with regard to how awareness of reporting regulations and awareness of signs and risk factors for child maltreatment affect willingness to report to CPS and to the police. A comprehensive discussion of the possible relevance of the participants’ socio‐cultural and sociopolitical values to their attitudes towards reporting child abuse and neglect is presented. The implications of the results for future studies are also discussed.     

Factors Associated with Suicidal Ideation Among Women Abused in Intimate Partner Relationships

This study examines factors associated with suicidal ideation among women abused in intimate partner relationships. Data were collected from the case records of 95 women screened upon in‐person contact with admissions workers in a domestic violence shelter in one Midwestern state. Forty‐three percent of the women reported suicidal ideation as significantly associated with childhood sexual abuse, childhood physical abuse, and adulthood intimate partner abuse lasting fewer than 12 months in duration. The results have policy and practice implications for those interested in the mental health needs of women abused in childhood and adulthood. Implications for research are presented that more precisely identify how the effects of past and current traumatic experiences intersect and contribute to suicidal ideation among women abused in intimate relationships.