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Child exposure to parental violence and psychological distress associated with delayed milestones

Amy Lewis Gilbert1, Nerissa S Bauer, Aaron E Carroll

  • 1JD, Department of Children's Health Services Research, 410 West 10th St, Ste 1000, Indianapolis, IN 46202. amylewis@iu.edu.

Pediatrics
|November 6, 2013
PubMed

Insights

Parental intimate partner violence (IPV) and psychological distress (PPD) are linked to developmental delays in children. Early screening for IPV and PPD can identify at-risk children for timely intervention.

Area of Science:

  • Child Development
  • Public Health
  • Psychology

Background:

  • Intimate partner violence (IPV) and parental psychological distress (PPD) are significant public health concerns.
  • These parental factors may impact child development, but their specific associations with developmental milestones require further investigation.

Purpose of the Study:

  • To investigate the association between parental report of IPV and/or PPD and the attainment of developmental milestones in children up to 72 months of age.
  • To identify specific developmental domains affected by parental IPV and PPD.

Main Methods:

  • Cross-sectional study utilizing data from a large cohort of primary care patients.
  • Multivariate logistic regression analyses were employed to examine the relationship between parental IPV/PPD and child developmental milestones, adjusting for covariates.

Main Results:

  • Children of parents reporting both IPV and PPD showed increased likelihood of failing milestones in language, personal-social, and gross motor domains.
  • Parental IPV-only was associated with delays in language, personal-social, and fine motor-adaptive development.
  • Parental PPD-only was significantly associated with delays across all assessed developmental domains: language, personal-social, gross motor, and fine-motor adaptive.

Conclusions:

  • Parental IPV and PPD are associated with a higher risk of developmental delays in children.
  • Screening for IPV and PPD in pediatric primary care settings can help identify children at risk for developmental issues.
  • Early identification facilitates timely intervention to support children's developmental trajectories.
Abstract

Keywords:
child developmentcomputerized clinical decision supportdevelopmental milestonesintimate partner violenceparental psychological distress

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