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Published on: September 19, 2019
Developmental trajectories of child maltreatment: Associations with internalizing and externalizing symptoms
Olivia D Chang1,2, Yujeong Chang3, Susan Yoon3,4
1Department of Psychology, University of Michiganhttps://ror.org/00jmfr291, USA.
Insights
Child maltreatment trajectories significantly predict internalizing and externalizing symptoms. Early, targeted interventions are crucial for enhancing children's well-being and mitigating psychopathology sequelae.
Area of Science:
- Child Psychology
- Developmental Psychopathology
- Child Welfare Research
Background:
- Children with prior child welfare contact are at risk for psychopathology.
- Understanding trajectories of child maltreatment exposure is critical for early intervention.
- Previous research has not fully elucidated the long-term impact of different maltreatment patterns.
Purpose of the Study:
- To examine trajectories of exposure to various types of child maltreatment.
- To investigate these trajectories as risk factors for children's psychopathology.
- To identify specific maltreatment patterns associated with internalizing and externalizing symptoms.
Main Methods:
- Prospective study utilizing data from 1,059 children in the National Survey of Child and Adolescent Well-Being II.
- Repeated-measures latent class analysis to identify distinct child maltreatment exposure trajectories.
- Statistical analysis to determine the predictive relationship between maltreatment trajectories and psychopathology symptoms.
Main Results:
- Four distinct child maltreatment trajectories were identified: 'Stable Low Multi-Type,' 'Increasing Emotional-Physical,' 'Stable High Emotional-Physical,' and 'Stable High Multi-Type.'
- Both 'Stable High Multi-Type' and 'Increasing Emotional-Physical' trajectories were significantly associated with elevated externalizing symptoms.
- The 'Increasing Emotional-Physical' trajectory was also linked to elevated internalizing symptoms.
Conclusions:
- Child maltreatment trajectories significantly predict both internalizing and externalizing symptoms in young children.
- Continuous and comprehensive assessment of maltreatment exposure is essential.
- Early, targeted interventions are vital for improving child well-being and preventing long-term psychopathology.
Abstract:
This prospective study of young children (M = 11.62 months, SD = 8.28) with prior child welfare contact examined trajectories of exposure to various types of maltreatment (i.e., domestic violence, emotional abuse, sexual abuse, physical abuse, and neglect) as risk factors for children's psychopathology sequelae. Data were drawn from 1,059 children (52% male, 48% female; 39% White, 28% Hispanic, 27% Black) in the National Survey of Child and Adolescent Well-Being II. Repeated-measures latent class analysis identified four trajectories of child maltreatment exposure: "Stable Low Multi-Type," "Increasing Emotional-Physical," "Stable High Emotional-Physical," and "Stable High Multi-Type." Maltreatment trajectories significantly predicted internalizing (χ2[3] = 21.89, p < .001) and externalizing symptoms (χ2[3] = 33.04, p < .001). Children in both the "Stable High Multi-Type" trajectory (M = 18.42, SE = 1.05, p < .001) and the "Increasing Emotional-Physical" trajectory (M = 14.61, SE = 0.53, p < .01) exhibited elevated externalizing symptoms. The "Increasing Emotional-Physical" trajectory was associated with elevated internalizing symptoms (M = 13.27, SE = 0.93, p < .001). Findings indicate the need for continuous, comprehensive assessment of maltreatment exposure and underscore the value of early, targeted interventions in enhancing children's well-being.
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