Longitudinal Changes in the Social Behavior of Children Hospitalized for Schizophrenia as Adults

This paper describes the extent to which abused and neglected children report intimate partner violence (IPV) victimization and perpetration when followed up into middle adulthood. Using data from a prospective cohort design study, children (ages 0–11) with documented histories of physical and sexual abuse and/or neglect (n = 497) were matched with children without such histories (n = 395) and assessed in adulthood (Mage = 39.5). Prevalence, number, and variety of four types of IPV (psychological abuse, physical violence, sexual violence, and injury) were measured. Over 80% of both groups–childhood abuse and neglect (CAN) and controls–reported some form of IPV victimization during the past year (most commonly psychological abuse) and about 75% of both groups reported perpetration of IPV toward their partner. Controlling for age, sex, and race, overall CAN [adjusted odds ratio (AOR) = 1.60, 95% CI [1.03, 2.49], physical abuse (AOR = 2.52, 95% CI [1.17, 5.40]), and neglect (AOR = 1.64, 95% CI [1.04, 2.59]) predicted increased risk for being victimized by a partner via physical injury. CAN and neglect also predicted being victimized by a greater number and variety of IPV acts. CAN and control groups did not differ in reports of perpetration of IPV, although neglect predicted greater likelihood of perpetrating physical injury to a partner, compared to controls. Abused/neglected females were more likely to report being injured by their partner, whereas maltreated males did not. This study found that child maltreatment increases risk for the most serious form of IPV involving physical injury. Increased attention should be paid to IPV (victimization and perpetration) in individuals with histories of neglect.

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Section: Methodsmentioning

confidence: 99%

Child abuse and neglect and intimate partner violence victimization and perpetration: A prospective investigation

Widom

Czaja

Dutton

2014

Child Abuse & Neglect

313

208

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“…The matching procedure used here is based on a broad definition of social class that includes neighborhoods in which children were reared and schools they attended. Similar procedures, with neighborhood school matches, were used in studies of people with schizophrenia (Watt, 1972) to match approximately for social class. Busing was not operational at the time, and students in elementary schools in this county were from small, socio-economically homogeneous neighborhoods.…”

Section: Methodsmentioning

confidence: 99%

Does child abuse and neglect increase risk for perpetration of violence inside and outside the home?

Milaniak¹,

Widom²

2015

Psychology of Violence

114

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Objective: To examine the extent to which abused and neglected children perpetrate three different types of violence within and outside the home: criminal, child abuse, and intimate partner violence and determine whether childhood maltreatment leads to an increased risk for poly-violence perpetration. Method: Using data from a prospective cohort design study, children (ages 0-11) with documented histories of physical and sexual abuse and/or neglect (n = 676) were matched with children without such histories (n = 520) and assessed in young adulthood (average age 29). Official criminal records in conjunction with self-report data were used to assess violent outcomes. Results: Compared to the control group, individuals with histories of child abuse and/or neglect were significantly more likely to be poly-violence perpetrators, perpetrating violence in all three domains (relative risk = 1.26). All forms of childhood maltreatment (physical and sexual abuse and neglect) significantly predicted poly-violence perpetration. Conclusions: These findings expand the cycle of violence literature by combining the distinct literatures on criminal violence, child abuse, and partner violence to call attention to the phenomenon of poly-violence perpetration by maltreated children. Future research should examine the characteristics of maltreated children who become poly-violence perpetrators and mechanisms that lead to these outcomes.

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“…The matching procedure used here is based on a broad definition of social class that includes neighborhoods in which children were reared and schools they attended. Similar procedures, with neighbourhood school matches, have been used in studies of individuals with schizophrenia (Watt, 1972) to match approximately for social class. A more recent textbook (Shadish, Cook, & Campbell, 2002) also recommended using neighborhood and hospital controls to match on variables that are related to outcomes, when random sampling is not possible.…”

Section: Methodsmentioning

confidence: 99%

Does Age of Onset of Risk Behaviors Mediate the Relationship Between Child Abuse and Neglect and Outcomes in Middle Adulthood?

Horan

Widom

2014

J Youth Adolescence

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Child maltreatment has been linked with a number of risk behaviors that are associated with long-lasting maladaptive outcomes across multiple domains of functioning. This study examines whether the ages of onset of four risk behaviors—sexual intercourse, alcohol use, drug use, and criminal behavior—mediate the relationship between child maltreatment and outcomes in middle adulthood among a sample of court-documented victims of child abuse/neglect and matched controls (N = 1,196; 51.7% female; 66.2% White, 32.6% Black). Adult outcomes included employment status, welfare receipt, internalizing symptoms of anxiety and depressive symptoms, substance use problems, and criminal arrests. The results indicated gender differences in these relationships. For females, age of onset of sexual intercourse mediated the relationship between child abuse/neglect and both internalizing symptoms and substance use problems in middle adulthood. For males, age at first criminal arrest mediated the relationship between child abuse/neglect and extensive involvement in the justice system in middle adulthood. Age of onset of alcohol use and drug use did not mediate the relationship between child abuse/neglect and middle adult outcomes. This study expands current knowledge by identifying associations between early initiation of risk behavior in one domain and later, continuing problems in different domains. Thus, early initiation of specific risk behaviors may have more wide-ranging negative consequences than are typically considered during intervention or treatment and strategies may need to target multiple domains of functioning.

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Longitudinal Changes in the Social Behavior of Children Hospitalized for Schizophrenia as Adults

Cited by 103 publications

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Child abuse and neglect and intimate partner violence victimization and perpetration: A prospective investigation

Child abuse and neglect and intimate partner violence victimization and perpetration: A prospective investigation

Does child abuse and neglect increase risk for perpetration of violence inside and outside the home?

Does Age of Onset of Risk Behaviors Mediate the Relationship Between Child Abuse and Neglect and Outcomes in Middle Adulthood?

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