Resolution of intimate partner violence and child behavior problems after investigation for suspected child

Kristine A Campbell1, Andrea M Thomas, Lawrence J Cook

  • 1University of Utah, Department of Pediatrics, IntermountainInjury Control and Research Center, 295 Chipeta Way, Salt Lake City, UT 84158, USA. kristine.campbell@hsc.utah.edu

JAMA Pediatrics
|January 16, 2013
PubMed

Insights

Resolving intimate partner violence (IPV) after child maltreatment investigations significantly reduces child behavior problems. This includes fewer internalizing and externalizing issues, showing the importance of addressing domestic violence for child well-being.

Area of Science:

  • Child Psychology
  • Domestic Violence Research
  • Public Health

Background:

  • Intimate partner violence (IPV) is a significant stressor for children.
  • Child maltreatment investigations often occur in contexts of domestic violence.
  • Longitudinal data on the impact of IPV resolution on child behavior is crucial.

Purpose of the Study:

  • To examine the association between the resolution versus persistence of intimate partner violence (IPV) and longitudinal changes in child behavior problems.
  • To analyze these changes following an investigation for suspected child maltreatment.

Main Methods:

  • Retrospective cohort study using data from the National Survey of Child and Adolescent Well-Being.
  • Included 320 school-aged children with reported IPV at baseline.
  • Caregivers were interviewed at multiple time points (3, 20, 36, 81 months) post-investigation.

Main Results:

  • IPV resolution was linked to an 11.9% reduction in internalizing problems by 81 months (P=.03).
  • IPV resolution showed an 18.5% reduction in externalizing problems by 20 months, sustained long-term (P<.05).
  • Persistent IPV was associated with sustained or increased child behavior problems.

Conclusions:

  • Resolution of intimate partner violence following child protective services involvement is associated with significant and lasting improvements in child behavior.
  • Addressing domestic violence in families investigated for child maltreatment can mitigate adverse behavioral outcomes in children.

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