Social behavior of physically abused and neglected children: A critical review

Altered social recognition memory and hypothalamic neuropeptide expression in adolescent male and female rats following prenatal alcohol exposure and/or early-life adversity

Prenatal alcohol exposure (PAE) and early-life adversity (ELA) both negatively impact social neurobehavioral development, including social recognition memory. Importantly, while individuals with PAE are more likely to experience ELA, relatively few studies have assessed the interaction of these two early insults on adolescent social behavior development. Here, we combine animal models of PAE and ELA to investigate both their unique and interactive effects on social neurobehavioral function in early and late adolescent male and female rats. Behavioral testing was followed by assessment of hypothalamic expression of oxytocin (OT) and vasopressin (AVP), key neuropeptides in the regulation of social behavior. Our results indicate that PAE and ELA have unique sex- and age-specific effects on social recognition memory and OT/AVP expression, with more pronounced neurobehavioral changes observed in males than in females in both early and late adolescence. Specifically, ELA impaired social recognition in early adolescent females regardless of prenatal treatment, while males showed deficits in both early and late adolescence in response to unique and interactive effects of PAE and ELA. Neurobiological data suggest that these perinatal insults differentially impact the OT and AVP systems in a sexually dimorphic manner, such that the OT system appears to be particularly sensitive to PAE in males while the AVP system appears to be more vulnerable to ELA in females. Taken together, our data provide novel insight into how the early postnatal environment may mediate outcomes of PAE as well as the power of animal models to interrogate the relationship between these pre- and postnatal insults.

A Daily Diary Investigation of the Influence of Early Family Adversity on Social Functioning during the Transition to Adulthood

Early life stressors are associated with maladaptive social functioning in childhood and adolescence, but it is unclear whether and how the negative interpersonal effects of stress persist into adulthood. Daily diary surveys were used to examine young adults' social behavior and mood reactivity to social stressors as a function of experiences of early family adversity. Stressful early family environments predicted more daily reassurance seeking, but not aggression, withdrawal, or positive social behavior. Early family adversity also moderated the within-person effects of social stressors on next-day mood, such that individuals with high levels of adversity had elevated next-day negative affect in response to higher than average social stress. Findings highlight the enduring impact of early adversity on social development, with implications for developing targeted policies and interventions.

Type of childhood maltreatment and the risk of criminal recidivism in adult probationers: a cross-sectional study

BACKGROUND

Childhood maltreatment is strongly associated with delinquency and the repeated crime. Specific types of childhood maltreatment have been found to have differential effects on recidivism in juvenile offenders, but studies of adult probationers have not been performed. This study investigated the relationship between having a history of childhood maltreatment and mental-health problems and the independent contribution of specific types of maltreatment and mental-health problems to the criminal recidivism of adult probationers.

METHOD

This study included 183 adult probationers (107 males and 76 females) with a mean age of 40.1 (SD = 11.8) years. Type of childhood maltreatment was assessed using the Childhood Trauma Questionnaire, which consists of five subscales (emotional neglect and abuse, physical neglect and abuse, and sexual abuse). Additionally, we used the Mini International Neuropsychiatric Interview to assess participants for the presence of psychiatric disorders and assessed levels of emotional dysregulation and resilience. Hierarchical logistic regression analysis was performed to determine whether the types of childhood maltreatment were independently associated with repeated crime, after adjusting for demographic factors and mental-health problems.

RESULTS

The overall prevalence of mental illness in the childhood maltreatment group was significantly higher than in the no childhood maltreatment group (56.1 % vs. 38.2 %, p = 0.017). The maltreated group had a higher rate of major depressive disorder, a higher level of emotional dysregulation, and a lower level of resilience than the group that was not maltreated. Recidivism was uniquely associated with physical neglect (Adjusted Odds Ratio [AOR], 2.862; 95 % Confidence Interval [95 % CI], 1.213-6.752) and the presence of at least one psychiatric disorder (AOR, 3.791; 95 % CI, 1.703-8.443).

CONCLUSIONS

Childhood maltreatment deserves further attention in adult probationers because it is potentially associated with higher rates of psychiatric morbidity and recidivism. In particular, physical neglect during childhood plays a critical role in repeated crime, independent of mental-health problems for high-risk adults involved with the criminal justice system. Rigorous evaluations of the relevance of childhood maltreatment in the assessment and treatment of criminal offenders are needed.

Parent-Child Interaction Therapy With Two Maltreated Siblings in Foster Care

Parent-Child Interaction Therapy (PCIT) is an empirically supported treatment for young children with disruptive behavior that emphasizes parent training in behavior management. Although researchers have demonstrated the usefulness of PCITinmultiple settings and with various subgroups of children, few have documented the application of this intervention with maltreated children or with children who live in foster care environments. Two foster children with severe maltreatment histories were identified as appropriate candidates for PCIT. Both children presented with various forms of problembehavior, including tantrumming, noncompliance with parental commands, aggressive behavior toward peers, and sexualized behavior. Also, prior to initiating PCIT, both foster parents adhered to several inappropriate and ineffective parenting methods. We highlight several barriers to successful treatment that are not uncommonwith maltreated children and foster families; several such barriers surfaced with this case, including some that we were unable to circumvent.

The development of emotional and behavioral self-regulation and social competence among maltreated school-age children

Behavioral and emotional self-regulation are important aspects of competence in school-age children. Despite the apparent interrelatedness of behavioral and affective processes, empirical approaches to the development of self-regulation typically have investigated these systems separately. As a result, their relative effects upon social competence remain, for the most part, an open question. This study, working from an organizational and developmental psychopathology perspective, attempted to investigate developmental processes that place maltreated children at risk for impaired peer relationships by assessing the independent and relative influences of behavioral and emotional regulation on social competence in school-age children. Subjects were maltreated children, who are at risk for both attenuated self-regulation and impaired peer relationships, and economically disadvantaged nonmaltreated comparison children. Observations were conducted during a summer day camp, an ecologically valid context in which to study children's social interactions. As predicted, maltreated children were found to be deficient in behavioral and affective regulation, relative to nonmaltreated children.Furthermore, attenuated self-regulation mediated the effects of maltreatment on children's social competence. Results highlighted the unique contributions of both behavior and affect in predicting peer competence, suggesting that a more comprehensive approach to the study of self-regulation is warranted.

Childhood physical abuse, aggression, and suicide attempts among criminal offenders

Childhood physical abuse (CPA) has numerous short and long-term negative effects. One of the most serious consequences of CPA is an increased risk for suicide attempts. Clarifying the mechanisms by which CPA increases risk for suicidal behavior may enhance preventive interventions. One potential mechanism is a tendency toward aggression. In a sample of 266 criminal offenders, ages 18-62, we examined the relationships among CPA, lifetime aggression, and suicide attempts and tested lifetime history of aggression as a mediator of the relationship between CPA and suicide attempts. Results indicated that CPA and aggression were associated with suicide attempts. Consistent with our hypothesis, lifetime aggression mediated the CPA and suicide attempts relationship. Findings suggest that aggression may be an important mediator of the relationship between CPA and suicide attempts among criminal offenders, and are consistent with the possibility that treating aggression may reduce risk for suicide attempts.

Peer status and behaviors of maltreated children and their classmates in the early years of school

OBJECTIVE

The aims of the present study were to investigate (1) whether young children with a known history of maltreatment by caregivers have more problematic peer relationships and classroom behaviors than other children, and (2) if children's behaviors with peers mediated associations between maltreatment and children's problem peer relations.

METHOD

Participants included 400 young children (ages 4-8, M age=6.6), and 24 teachers in 22 schools. Six percent of children had a known history of maltreatment. Multiple methods (ratings and nominations) and reporters (children and teachers) were utilized to obtain information on peer relationships. Teachers reported children's physical/verbal aggression, and withdrawn and prosocial behaviors.

RESULTS

Young children were able to nominate and rate whom they liked versus disliked in their classes, and their reports were modestly correlated with teacher reports. Regardless of the reporter, maltreated children were significantly more disliked, physically/verbally aggressive, withdrawn, and less prosocial, compared with their classmates. Among all children, physical/verbal aggression, withdrawal, and prosocial behavior were associated independently with some aspect of peer status. Maltreatment had indirect associations with peer likeability and peer rejection via maltreated children's relatively higher levels of physical/verbal aggression and, in some cases, withdrawal and relatively lower prosocial behavior. Maltreatment had an indirect association with teacher-reported peer acceptance via children's withdrawal.

CONCLUSIONS

Findings indirectly associate early family experiences with problems in peer relationships, especially lower peer likeability and more rejection, via children's behaviors with peers. The finding that linkages exist even in the very earliest years of school highlights the need for very early home- or school-based efforts focused on improving behavior and relationships of maltreated children and others children with similar profiles.

Community Violence, Family Conflict, and Preschoolers' Socioemotional Functioning

This study examined the relations among family conflict, community violence, and young children's socioemotional functioning and explored how children's social cognition and mothers' psychological functioning may mediate the outcomes associated with this exposure. Mothers of 431 Head Start preschoolers completed questionnaires about their family demography, exposure to community violence, family conflict, and children's distress symptoms. Children were administered a social cognition assessment, and teachers rated their behavior. Results showed that mothers' reports of children's co-witnessing of community violence were positively associated with police department crime rates, children's distress symptoms, and teachers' ratings of aggression. A path analysis revealed that children's social awareness and mothers' depressive symptoms partially mediated the effects of community violence and family conflict on outcomes for children.

Acculturation, gender stereotypes, and attitudes about dating violence among Latino youth

This study examined the relationship between personal characteristics (gender, acculturation, belief in gender stereotypes, recent dating experiences), and attitudes and knowledge about dating violence in urban Latino youth (N = 678). All participants completed self-administered surveys at school. Relative to girls, boys held more problematic (proviolence) attitudes about dating violence and reported less knowledge about dating violence and its consequences. Teens who were more traditional (less acculturated), those who endorsed gender stereotypes, and those who reported recent fearful dating experiences tended to report less knowledge about abuse and lower endorsement of nonviolent attitudes. Multivariate analyses revealed that all four personal variables predicted dating violence knowledge. By contrast, attitudes were predicted by endorsement of gender stereotypes only, or gender stereotypes and gender. Implications for dating violence interventions and future directions for research are explored.

Individual and familial characteristics of youths involved in street corner gangs in Singapore

Thirty-six youths involved in street corner gangs in Singapore were compared with 91 age-matched controls on measures of self-esteem, aggression, dysfunctional parenting and parent-adolescent communication. Results revealed that gang youths had lower self-esteem and higher levels of aggression than controls. Of note were the findings that gang youths reported a relative absence of parental abuse and indifference, and experienced less open communication and higher levels of over-control with their mothers, but not fathers. These findings diverge from anticipated familial correlates of antisocial activity in youths and were discussed with reference to cultural factors and their implications on prevention and intervention.

The effects of child maltreatment on violent offending among institutionalized youth

While prior literature generally supports the connection between child maltreatment and violent offending in adolescence and early adulthood for general population samples, less is known about the relationship between child maltreatment and the frequency of violent offending among serious juvenile offenders. As a result, few studies have examined whether the effects of child maltreatment on the frequency of violent offending are mediated by other social processes, as developmental models of aggression and violence would suggest. To examine this issue, self-report data on child maltreatment, general delinquency risk factors, and violent offending were collected from 3,694 juveniles confined to 48 correctional institutions. Results from a series of negative binomial regression models indicated that the relationship between child maltreatment and the frequency of violent offending was mediated by social risk factors. The implications of these findings for theory and practice are discussed.

Exposure to physical violence during childhood, aging, and health

OBJECTIVES

The purpose of this study is to estimate the relationship between exposure to physical violence administered by one's parents and adult health. In the process, the authors also examine factors that mediate and moderate this association.

METHODS

Hypothesized relationships were tested using ordinary least squares regression analyses with data collected from a nationwide sample of adults aged 25 to 74 in 1995.

RESULTS

The data suggest that exposure to childhood physical violence is associated with diminished mental and physical health in adulthood. These associations do not vary by respondent's age. Furthermore, the long-term effects of childhood physical violence are largely mediated by psychosocial resources.

DISCUSSION

These results support the idea that the effects of childhood trauma may persist into later life. Therefore, in studying the antecedents of current health problems among adults, it may be necessary to consider the influence of events that have occurred throughout the entire life course.

The Social Behavior Inventory for children in a child abuse treatment program: development of a tool to measure interpersonal behavior

This article presents information about a tool that can be completed in a few minutes to measure the interpersonal behavior of childen particpating in a child abuse treatment program. One sample of children came from the community and had no reported history of abuse or mental health services. A second sample was children obtaining therapy services through a child abuse treatment program. Factor analysis of scores provided by parents for their children obtaining therapy services led to the development of three scales to assess aversive interpersonal behavior, two to measure prosocial interpersonal behavior, and one to measure total interpersonal competence. Numerous indices of liability and validity are presented. Data delineated the potential value of the scales for assessing the impact of therapy. The current results suggested that the Social Behavior Inventory may have value as a measure of interpersonal behavior when providing therapy to children in a child abuse treatment program if used prudently.

Depressive symptoms and suicidality in physically abused children

Depressive symptoms and suicidality were assessed in 114 children 6-12 years old, of whom 41 had been physically abused, 38 neglected, and 35 neither abused nor neglected. The physically abused children manifested significantly higher levels of depressive symptomatology and suicidality than did the other two groups. Implications for research and clinical practice are discussed.

Influence of information related to child physical abuse on professional ratings of adjustment and prognosis

The study investigates the influence of access to information of a history of physical maltreatment on the evaluative responding of social service and clinical psychology professionals. Written vignettes were used in a 2 x 2 x 2 factorial design to manipulate the: (a) presence/absence of abuse history; (b) presence/absence of behavior problems; and (c) gender of the child. Professionals rated children presented in 12 case vignettes along five treatment-related dimensions: (a) overall adjustment; (b) predicted 6 months temporal stability of behavior; (c) likelihood of treatment referral; (d) expected home intervention success; and (e) expected school intervention success. Four dimensions related to social functioning were also rated, including likelihood of the child being: (a) recommended to serve as assistant to teacher; (b) elected as a school activity team leader; (c) elected as a class officer; and (d) nominated as a candidate for successful completion of a summer camp program. The findings verified the influence of information related to a history of maltreatment of professional judgments, despite matched vignette content for all factors other than maltreatment status. The results suggests a possible failure to recognize that some children have been buffered from the negative effects of abuse and point to the risk of erroneous judgments that may be directed toward maltreated children.

Impact of childhood abuse history on psychological symptoms among male and female soldiers in the U.S. Army

The long-term psychological effects of four different types of childhood maltreatment were examined among 1,072 male and 305 female soldiers on active duty in the United States Army. The predictor variables included four subscales from the Childhood Trauma Questionnaire (CTQ)-(1) physical-emotional abuse, (2) sexual abuse, (3) emotional neglect, and (4) physical neglect. An additional sexual abuse variable based on the four screening questions developed by Finkelhor, Hotaling, Lewis, and Smith (1990) was also included. Outcome was measured by the Brief Symptom Inventory and a dissociation scale developed by Briere and Runtz (1988). MANOVAs were conducted for each outcome measure. Physical-emotional abuse contributed to most of the effects. However, sexual abuse contributed additional significant effects to all of the subscales. In general, males and females showed similar outcomes, but certain gender differences were noted.

Childhood parenting experiences, intimate partner conflict resolution, and adult risk for child physical abuse

This study investigated the relationships between conflict resolution tactics experienced during childhood, intimate partner conflict resolution tactics, alcohol problems and adult child physical abuse risk. Participants were 1,544 Navy recruit trainees who volunteered to complete measures of parenting practices and spousal physical violence experienced during their childhood, the conflict resolution techniques used in their intimate relationships, their personal history of alcohol problems, and child physical abuse potential. Regression analyses indicated that the receipt of intimate partner physical violence accounted for the most variance in predicting who would inflict physical violence against an intimate partner; and the infliction of intimate physical violence accounted for the most variance in predicting who would receive physical violence from an intimate partner. Other analyses indicated that among the parent and intimate partner physically violent events, parent-child violence during childhood accounted for the most variance in explaining child abuse risk in females and males, with the infliction of intimate partner violence adding only to the prediction of child abuse risk in females. Analyses also revealed that after the effects of violent experiences were removed, alcohol problems contributed significantly, albeit very modestly, to the prediction of who expressed intimate partner physical violence for males and females, who was physically injured by an intimate partner (in the case of male injury), and who was at risk of child physical abuse for males and females.

Parent, teacher, and peer ratings of physically abused and nonmaltreated children's behavior

Behavior ratings by parents, teachers, and classmates of physically abused fourth to sixth graders, identified from the New York City Maltreatment Register, and case-matched classroom controls, showed substantial concurrence among informants: Parents and teachers both rated significantly more behavioral disturbance in the abused children, and peers' ratings were significantly correlated with adults' ratings, especially those by teachers. Children's exposure to spouse or partner physical abuse, which had a substantial prevalence among both child-abusing and control families, reduced the difference in disturbance ratings between children who were themselves physically abused and those who were not. Overall, we conclude that physically abused children show pervasive behavioral disturbance, in that parents, teachers, and classmates all see higher levels of behavior problems and lower levels of socially desirable behavior in them compared to their nonmaltreated peers.

Stressors and close relationships during childhood and dissociative experiences in survivors of sexual abuse among inpatient psychiatric women

The purpose of this study was to examine which childhood events were associated with more extensive use of adult dissociative states in 90 female inpatients with histories of sexual abuse. The study found that childhood stressors of maltreatment (physical neglect, witnessing sexual abuse, and witnessing physical abuse) were associated with higher levels of dissociative symptoms. In contrast, childhood stressors of loss (parental separation and death of a close relative) were not related to increased severity of dissociative symptoms. The study also demonstrated that a close relationship with either a parent, sibling, extraparental adult, or friend did not have a mediating effect on the degree of adult dissociative symptoms. Directions for future research are presented.

Forensic family evaluations: a comprehensive model for professional practice

This paper describes a model for forensic family evaluations (FFE) that arise from issues of child custody and maltreatment. FFEs are comprehensive assessments that utilize a variety of data collection methods. The FFE has three basic stages: beginning the evaluation, collecting data, and presenting the evaluation findings. In each stage there are a number of professional and administrative stations. Each stage of the FFE presents unique challenges: maintaining internal and external independence, managing issues of convergent validity, and monitoring written and verbal output. Each of these stages, stations, and challenges is discussed.

The effects of physical abuse on children's social relationships

Social behavior and peer status of 87 physically abused 8-12-year-old urban children were compared with those of 87 case-matched nonmaltreated classmates. Peer nominations and peer ratings were collected in classrooms, social networks were assessed by child interview, family variables were assessed by interviewing mothers, and behavior problems were rated by parents and teachers. Significant findings were that abused children had lower peer status and less positive reciprocity with peers chosen as friends; they were rated by peers as more aggressive and less cooperative and by parents and teachers as more disturbed; and their social networks showed more insularity, atypicality, and negativity. Social behavior as perceived by peers accounted for a significant portion of the variance in social status; global disturbance measures did not add to this association. Results are discussed in terms of a context of family violence in the development of social maladjustment.

The social competence of very-low-birthweight children: teacher, peer, and self-perceptions

Whether very-low birthweight (VLBW less than or equal to 1500 gm) children differ from normal birthweight (NBW greater than 2500 gm) children with respect to social (as opposed to intellectual) competence has been a relatively neglected issue. The social competence at school age of 183 VLBW children was therefore compared with that of 183 NBW children born at the same hospital matched for age, gender, social class, parity, and maternal age. A multi-informant, multidefinitional approach to social competence was adopted involving teacher, (same-gender) peer, and self-ratings of the 366 children's levels of social maladjustment, social skill, and peer acceptance. VLBW children from the upper, middle, and lower social classes received significantly higher mean sadness/unhappiness scores (even with IQ covaried) than their NBW counterparts. Mean scores for the VLBW group were also higher for social withdrawal, and lower for both social skill and peer acceptance. Possible antecedents and consequences of such group differences in affect and sociability are suggested.