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The cumulative effect of neglect and failure to thrive on cognitive functioning
L M Mackner1, R H Starr, M M Black
1Department of Psychology, University of Maryland Baltimore County 21228, USA.
Child Abuse & Neglect
|July 1, 1997
Summary
Child neglect and failure to thrive (FTT) together significantly impair cognitive development in low-income children. Early identification of both risk factors is crucial for intervention.
Area of Science:
- Developmental Psychology
- Pediatrics
- Child Welfare
Background:
- Child neglect and failure to thrive (FTT) are significant concerns in low-income populations.
- Understanding the combined impact of these factors on child development is crucial.
Purpose of the Study:
- To investigate the relationship between neglect, FTT, and cognitive functioning in low-income children.
- To examine the cumulative effect of risk factors on cognitive development.
Main Methods:
- A cumulative risk model was employed.
- 177 children aged 3–30 months were assessed.
- Neglect was defined using the HOME scale, and FTT by weight-for-age below the 5th percentile.
Main Results:
- Children experiencing both neglect and FTT showed significantly lower cognitive performance.
- Cognitive deficits were more pronounced in the combined risk group compared to those with single risk factors or none.
Conclusions:
- Accumulated risk factors, specifically neglect and FTT, are detrimental to cognitive functioning.
- Thorough evaluation is essential when any single risk factor is identified.
- Children with both neglect and FTT are at high risk for cognitive deficits.
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