Childhood Maltreatment and Risk of Harm to Self and Others: The Role of Sex and Polyvictimization

Stewart, Shannon L.; Toohey, Ashley; Lapshina, Natalia

doi:10.7202/1072592ar

Cited by 19 publications

(16 citation statements)

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“…The results reported herein also indicated an increase in girls witnessing domestic violence during the pandemic. Such exposure to violence has been known to be an important risk factor in NSSI (Armiento et al, 2016) as well as other mental health and relationship issues (Stewart et al, 2021; Stewart, Toohey, et al, 2020). To complicate things further, furloughs and stay-at-home orders might leave minimal opportunities for disclosure of child abuse and domestic violence and for health care workers and school personnel to accurately identify risk; consequently, it is likely that these rates are much higher than the results reported herein (Evans et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Child and youth mental health needs and service utilization during COVID-19.

et al. 2022

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The COVID-19 pandemic has significantly impacted the lives of children, youth, and their families and their access to mental health services through new virus containment measures, such as social distancing guidelines, school and service closures, and the emergence of online mental health services. In this study, we utilized a total of 47,417 interRAI assessments to evaluate the impact of the current pandemic on the mental health service needs and referral trends of children and youth across 55 mental health service agencies in Ontario, Canada. Child and youth assessments that were conducted in the period of March 1 to October 31 in 2018 and 2019 were compared with the same period in 2020 to assess pandemic-related differences. Findings demonstrated that mental health assessments among children and youth decreased significantly during the pandemic period, with the greatest decline observed among children from low-income neighborhoods. Results also demonstrated a change in the proportion of mental health concerns previously seen in children and youth. Specifically, referrals for anxiety, depression, self-harm, problem videogaming, and Internet use increased, whereas referrals related hyperactivity/distractibility, risk of harm to others, aggressive, and disruptive behavior decreased. A decrease in bullying and increase in domestic violence exposure was also noted during the pandemic, with no reported differences in children and youth's experiences of physical abuse, sexual abuse, emotional abuse, and neglect. The clinical implications for children, youth, and their families, especially those within more vulnerable communities, are discussed.

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Section: Discussionmentioning

confidence: 99%

Child and youth mental health needs and service utilization during COVID-19.

et al. 2022

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“…It is also possible that children and youth with ID have verbal communication problems and may have difficulties reporting abuse or bullying. Extant literature has indicated that children and youth with ID are more likely to be victims of sexual abuse and bullying, but they may also be less likely to disclose such abuse, compared to non-ID counterparts (e.g., Lapshina & Stewart, 2018; McDonnell et al, 2019; McClean et al, 2017; Stewart, et al, 2020c).…”

Section: Discussionmentioning

confidence: 99%

Family dynamics, trauma, and child-related characteristics: examining factors associated with co-occurring mental health problems in clinically-referred children with and without an intellectual (and developmental) disability

Stewart

Dave

Lapshina

2022

J Intellect Disabil

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Psychiatric disorders are common in youth with intellectual and developmental disabilities. This is a vulnerable group of children whose behavioural problems often have more complicated care needs than other children, which can place a great deal of stress on their families. However, the association of family mental health issues, level of intellectual ability, and diagnostic co-morbidity in children is relatively under-studied. In the present study, we investigated the relationship among child diagnoses, family mental health problems, risk for self-injury, and disruption in care among children with ( N = 517) and without ( N = 517) intellectual and developmental disabilities. A negative binomial regression showed that mental health problems in multiple family members, self-injurious behaviour, and self-reported abuse/trauma was related to greater likelihood of provisional diagnoses of co-occurring psychiatric disorders in both a clinically referred sample and a sample with IDD. Implications for care-planning are discussed.

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“…These behaviors are consistent with Disinhibited Social Engagement Disorder (American Psychiatric Association, 2013; ZERO TO THREE, 2016), including precociousness (pseudomature interpersonal behaviors), and role-reversal behaviors (i.e., parentification;Hooper et al, 2008), consistent with anxious-preoccupied attachment (Bowlby, 1980;Lieberman & Zeanah, 1995). Such approachoriented behaviors exhibited by girls may be partially related to disproportionate rates of sexual abuse (Fallon et al, 2022;Finkelhor et al, 2015;Moody et al, 2018;Stewart et al, 2020;Wamser-Nanney & Cherry, 2018).…”

Section: Symptom-specific Gender Differences In Childrenmentioning

confidence: 99%

Exploring gender differences in complex developmental trauma symptomatology among children and adolescents involved in child welfare

Smith¹,

Zhang²,

Colucci³

et al. 2023

Preprint

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Background: Clinical presentations of child and adolescent psychopathology can vary systematically for boys and girls. While network analysis is increasingly being applied to explore gender differences in psychopathology among adults, there is a dearth of network studies considering differences in symptoms for boys and girls, particularly in developmental trauma-related symptomatology. Methods: This study involves rural children (n = 375, 39.47% girls) and adolescents (n = 291, 51.20% girls) involved with child protection services in Ontario, Canada. Caregivers completed the Assessment Checklist for Children or Adolescents within the first six months of care. Psychometric network analyses were conducted using subscales for boys and girls. Gender differences were examined via network comparison permutation tests, moderated network models, and independent t-tests.Results: Attachment-related interpersonal difficulties were the most central nodes in the child and adolescent networks for both boys and girls. Emotional dysregulation also had high strength centrality for adolescents. While network comparison tests found the overall network structures and global network strength to be invariant between genders for children and adolescents, moderated network models and independent t-tests revealed several gender differences with regards to the expression of various symptoms. Among children, girls exhibited more indiscriminate and pseudomature interpersonal behaviors, whereas boys expressed significantly more non-reciprocal interpersonal behaviors and self-injury. Adolescent girls exhibited more behavioral dysregulation and suicide discourse in the moderated network model; t-tests also indicated higher levels of emotional dysregulation, negative self-image, and other items.Discussion: This study supports evidence of gender differences in the expression of complex trauma symptomatology among girls and boys across development, including that girls tend to exhibit more symptoms. Findings demonstrate the primacy of attachment-specific difficulties and emotion dysregulation, consistent with the transdiagnostic conceptualization of the consequences of developmental trauma.

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Childhood Maltreatment and Risk of Harm to Self and Others: The Role of Sex and Polyvictimization

Cited by 19 publications

References 0 publications

Child and youth mental health needs and service utilization during COVID-19.

Child and youth mental health needs and service utilization during COVID-19.

Family dynamics, trauma, and child-related characteristics: examining factors associated with co-occurring mental health problems in clinically-referred children with and without an intellectual (and developmental) disability

Exploring gender differences in complex developmental trauma symptomatology among children and adolescents involved in child welfare

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