Child Maltreatment最新文献

{"title":"Dimensional Modeling of Adverse Childhood Experiences: An Empirical Analysis and Critique.","authors":"Joshua P Mersky, ChienTi Plummer Lee","doi":"10.1177/10775595251415193","DOIUrl":"10.1177/10775595251415193","url":null,"abstract":"<p><p>Dimensional models of adversity are growing in popularity, but they have also been subjected to critique. For this analysis, adverse childhood experiences (ACEs) data were drawn from a cohort of low-income adults to evaluate the Dimensional Model of Adversity and Psychopathology, which distinguishes experiences of threat and deprivation, and a recent extension of the life history model that differentiates three dimensions: (1) harshness/threat; (2) harshness/deprivation; (3) unpredictability. Confirmatory factor analyses of an expanded ACE assessment showed that both models fit the data well, though there were signs of low discriminant validity between dimensions. Harshness/threat was more strongly correlated with some physical and mental health outcomes and unpredictability was more strongly correlated with some indicators of risk behavior. Findings were largely consistent across models using latent measures and basic ACE scores. Further research is needed that compares dimensional models to cumulative risk models that are rudimentary but highly replicable.</p>","PeriodicalId":48052,"journal":{"name":"Child Maltreatment","volume":" ","pages":"624-636"},"PeriodicalIF":3.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of Protective Factors Following Childhood Maltreatment and Youth Developmental Outcomes.","authors":"Yujeong Chang, Olivia D Chang, Junyeong Yang, Kierra Sattler, Susan Yoon","doi":"10.1177/10775595251388610","DOIUrl":"https://doi.org/10.1177/10775595251388610","url":null,"abstract":"<p><p>This study examines heterogeneity of protective factors (PFs) following experiences of childhood maltreatment and their associations with youths' key developmental outcomes-social skills, positive functioning, and depressive symptoms. Using data from the Future of Families and Child Wellbeing Study (<i>N</i> = 1,804), we employed latent class analysis to identify distinct PF profiles across family, school, and neighborhood contexts. Three classes emerged: (1) <i>Overall high PFs</i> (63.5%), (2) <i>High family-level, low community-level PFs</i> (32.7%), and (3) <i>Low family-level, high community-level PFs</i> (3.8%). Youth in the <i>Overall high PFs</i> class demonstrated more favorable outcomes, while youth in the <i>Low</i> <i>family-level,</i> <i>high</i> <i>community-level PFs</i> class showed poorer adjustment. Findings underscore the importance of understanding how distinct clusters of PFs across ecological domains shape youth development following experiences of childhood maltreatment. Results have implications for understanding resilience and emphasize the need for interventions that support protective resources across ecological domains.</p>","PeriodicalId":48052,"journal":{"name":"Child Maltreatment","volume":"31 4","pages":"687-699"},"PeriodicalIF":3.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Going Home: Predictors of Reunification and Reentry in Dutch Child Protection Cases.","authors":"Sabine van der Asdonk, Renate S M Buisman, Lenneke R A Alink, Anouk Goemans, Daisy J H Smeets, Jolien H van Boven, Mariëlle R Bruning","doi":"10.1177/10775595251409353","DOIUrl":"10.1177/10775595251409353","url":null,"abstract":"<p><p>This study investigated predictors of reunification and reentry for children in Dutch out-of-home care. Case files of 340 children (aged 0-16) placed out of home in 2018 were coded and analyzed. Potential predictors were identified with bivariate correlations. A Cox proportional hazards model was used to predict the time until reunification, and a logistic regression to predict reentry. Within 6 years of placement, 42% of the children were reunified with their parents - of which 26% reentered out-of-home care. Professional support directed at the parents during placement more than doubled the likelihood of reunification. In contrast, multiple placement shifts, parental history of childhood maltreatment, limited parenting capacities, and parental intellectual disability decreased this likelihood. Among reunified children, parental childhood maltreatment, domestic violence, and placement in group care increased the risk of reentry in out-of-home care. Our findings underscore the importance of targeted professional support during and after the process of reunification.</p>","PeriodicalId":48052,"journal":{"name":"Child Maltreatment","volume":" ","pages":"739-750"},"PeriodicalIF":3.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13616033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recanting Children's Descriptions of Influences and Pressures to Recant Intrafamilial Child Sexual Abuse.","authors":"Zsofia A Szojka, Breanne E Wylie, Agnieszka M Nogalska, Annabel Reay, Thomas D Lyon","doi":"10.1177/10775595251408453","DOIUrl":"10.1177/10775595251408453","url":null,"abstract":"<p><p>This study examined interviews with 53 4 to 15-year-old children recanting sexual abuse to determine whether they were forthcoming about potential influences and pressures that could have led them to recant. The great majority (87%) of children mentioned one or more influences or pressures. With respect to influences, about half of children mentioned their positive feelings for the suspect, and about a third mentioned negative consequences for the suspect. About 30% disclosed that their immediate family missed the suspect. About half mentioned concerns about separation from their family, and almost 30% discussed negative consequences for their mother. Pressures from others were mentioned by about half of children. They rarely mentioned pressures from the suspect, but over a third disclosed family pressures, most often the lack of maternal support. Over two-thirds of children described feeling guilty and other internal influences. The results provide preliminary support for questioning recanting children about influences and pressures.</p>","PeriodicalId":48052,"journal":{"name":"Child Maltreatment","volume":" ","pages":"649-661"},"PeriodicalIF":3.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13616030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145892007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Empathy Helps and Hurts: Non-Linear Associations Between Early Childhood Maltreatment History, Empathy and Self-Harm Thoughts.","authors":"Sunghyun Hong, Andrew Grogan-Kaylor, Moohyun Kim, Anna E Bender, Shaddy Saba, Chi-Lin Yu, Lisa Fedina, Todd I Herrenkohl","doi":"10.1177/10775595261422448","DOIUrl":"10.1177/10775595261422448","url":null,"abstract":"<p><p>Child maltreatment is a well-established risk factor for self-harm, yet the affective processes underlying this association remain unclear. This study examines how empathy relates to the association between early childhood maltreatment and lifetime self-harm thoughts. Data from 303 adults were stratified based on the presence or absence of maltreatment history in early childhood. Self-reports of lifetime self-harm thoughts in adulthood and empathy during adolescence were examined in both groups using generalized additive models to assess non-linear relationships. Adults with early childhood maltreatment history were more likely to report self-harm thoughts than those without the history (χ² = 14.87, <i>p</i> < .01). A significant nonlinear association was observed between empathy and self-harm thoughts (effective degrees of freedom (edf) = 2.14, χ² = 9.67, <i>p</i> = .02), such that predicted probabilities of self-harm thoughts were lowest at moderate levels of empathy for both groups. Risk for self-harm thoughts was highest among individuals with early childhood maltreatment history and low or high empathy. While a moderate level of empathy can be protective from early childhood maltreatment, both low and high levels of empathy appear to increase the risk for self-harm thoughts. Findings suggest the need to further investigate the role of empathy as a \"risky strength\" among adults, particularly among those with histories of childhood maltreatment.</p>","PeriodicalId":48052,"journal":{"name":"Child Maltreatment","volume":" ","pages":"617-623"},"PeriodicalIF":3.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting Maltreatment in Foster Homes: The Role of Child Welfare Agency Policies.","authors":"Tamara Fuller, Shufen Wang, Martin Nieto, Zainab Suntai","doi":"10.1177/10775595251389599","DOIUrl":"10.1177/10775595251389599","url":null,"abstract":"<p><p>Although maltreatment of children living in substitute care has significant negative consequences for both the children who experience it and for child welfare agencies, research examining this outcome is underdeveloped and has focused on a limited number of risk factors. Using administrative data from one Midwestern state and a social ecological framework, the current study examined the impact of multiple child, caseworker, case, and agency-level factors on the occurrence of maltreatment among children placed in foster homes. The results highlighted the importance of several agency-level factors. Foster home licensing was a significant predictor of substantiated maltreatment in substitute care, with children in unlicensed kinship and unlicensed fictive kinship foster homes at elevated risk of maltreatment compared to those in licensed placements. A majority of kinship and fictive kinship homes were unlicensed, which suggests that increasing licensure may improve child safety in substitute care. Other factors that increased the risk of maltreatment included larger caseworker caseloads, larger number of unrelated children in the foster home, and child mental health needs.</p>","PeriodicalId":48052,"journal":{"name":"Child Maltreatment","volume":" ","pages":"728-738"},"PeriodicalIF":3.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structured Topic Modeling of Child Fatal Injury Narratives Using Machine Learning with County-Level Demographic Indicators to Strengthen Prevention Strategies.","authors":"Gia E Barboza-Salerno, Karla J Shockley McCarthy, Taylor R Harrington, Charis Stanek, Sharefa A Duhaney, Scottye J Cash, Vincent J Palusci","doi":"10.1177/10775595251407301","DOIUrl":"10.1177/10775595251407301","url":null,"abstract":"<p><p>Interventions for children at risk for fatal injury have been limited by the lack of systematic methods to detect and classify the circumstances surrounding deaths recorded in unstructured text narratives. To address this gap, we analyzed <i>N</i> = 453 child fatality reports from the Pennsylvania Department of Human Services (2016-2023). Each report was merged with the 2016-2021 American Community Survey (ACS) five-year estimates by county of death, incorporating county-level indicators of poverty and racial composition to provide sociodemographic context, as well as with report-level metadata on year and county of death. We then applied Natural Language Processing and Structured Topic Modeling, a machine learning algorithm that incorporated both ACS data and report metadata, to identify common themes in the narratives. The model revealed 11 distinct categories that included Severe Traumatic Injury (12%); Homicide due to Parental Neglect (10%); Medical History or Illness (11%); Institutional Negligence (5.3%); Sleep-Related Deaths (12%); Aggravated Assault (11%); Substance Misuse (13.4%); Failure to Supervise (6%); Supervisory Neglect (6%); Drowning (8%); and Firearm-Related Injury (6%). Analysis of temporal and sociodemographic covariates showed that some themes (e.g., Homicide due to Parental Neglect) declined over time, while others (e.g., Substance Misuse) became more prevalent. Counties with higher poverty levels and larger non-White populations showed a greater prevalence of Firearm-Related Injury and Severe Traumatic Injury, while counties with larger non-White populations had lower rates of Drowning and a marginal association with fewer Sleep-Related Deaths. Integrating ACS data and report-level metadata with computational text analysis and machine learning models can generate actionable insights into the circumstances of child deaths, strengthen fatality surveillance, and inform targeted prevention strategies.</p>","PeriodicalId":48052,"journal":{"name":"Child Maltreatment","volume":" ","pages":"700-716"},"PeriodicalIF":3.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Out-of-Home-Care Rates among Indigenous and Non-Indigenous Children in Countries With Histories of Settler Colonialism.","authors":"Martin Eiermann, Mikkeline Munk Nielsen, Christopher Wildeman, Peter Fallesen","doi":"10.1177/10775595251411524","DOIUrl":"10.1177/10775595251411524","url":null,"abstract":"<p><p>Indigenous children in settler-colonial societies have historically been exposed to frequent family separation; yet contemporary family separation through out-of-home-care (OOHC) remains understudied. We analyzed annual OOHC rates among indigenous and non-indigenous children (2010-2023) in four countries: Australia, United States, Denmark, and Kalaallit Nunaat (Greenland). Data sources included national child welfare databases and population registers. We computed observed annual rates and generated age-standardized rates using parametric bootstrap approaches with Generalized Additive Models. We found that indigenous children experienced substantially higher OOHC rates across all countries. Annual rates ranged from around 1.5% (US) to around 6% (Australia, Greenland) among indigenous children, versus 0.6-0.9% among non-indigenous children. Risk ratios were highest in Australia (10.1-11.4) and lowest in the US (1.5-1.9). Our findings demonstrate that indigenous children remain disproportionately exposed to OOHC, with substantial cross-national variation in magnitude and age patterns that likely reflects different policy environments and child welfare practices.</p>","PeriodicalId":48052,"journal":{"name":"Child Maltreatment","volume":" ","pages":"717-727"},"PeriodicalIF":3.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13616031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Child Maltreatment During COVID-19: Triangulating Data Across Reporting Sources.","authors":"J Bart Klika, Joyce Y Lee, Olivia D Chang, Jaclyn Kirsch, Shawna J Lee","doi":"10.1177/10775595251370230","DOIUrl":"10.1177/10775595251370230","url":null,"abstract":"<p><p>The COVID-19 pandemic created enormous challenges for families across the United States. Economic concerns related to job loss and unemployment, social isolation and school closures were just some of the stressors facing families and children. Because many of these factors are known correlates of child abuse and neglect, some were concerned that child abuse and neglect would significantly increase during the COVID-19 pandemic. A rigorous and comprehensive systematic review of scientific literature was conducted to triangulate hospital, child welfare, and self-report data on child maltreatment rates during COVID-19. Using PRISMA criteria for conducting systematic reviews, the current study reviewed scientific literature on changes in child maltreatment rates during COVID-19. Of the 4,193 unique studies identified, 73 studies met eligibility criteria. Data from child welfare sources suggested declining child maltreatment immediately after COVID-19 onset, while self-report studies document an increasing trend. Hospital data findings were largely mixed with more studies reporting decreased child maltreatment during COVID-19. Interpretation of child maltreatment surveillance data from COVID-19 must account for evidence from multiple data sources which could affect resulting conclusions.</p>","PeriodicalId":48052,"journal":{"name":"Child Maltreatment","volume":"31 4","pages":"793-815"},"PeriodicalIF":3.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent Classes of Substance Use in Young Adult Survivors of Child Maltreatment and Adversity: A 20-Year Prospective Investigation.","authors":"Nicholas M Morelli, Benjamín Aceves, Emily A Schmied, Kajung Hong, Michaela Gusman, Theresa Ngan Nguyen, Howard Dubowitz, Miguel T Villodas","doi":"10.1177/10775595251414843","DOIUrl":"10.1177/10775595251414843","url":null,"abstract":"<p><p>Persistent substance use during the transition into adulthood increases risk for long-term mental and physical health problems. Participants (<i>N</i> = 483) and their caregivers were recruited at age 4 years due to exposure to (or high risk for) child abuse and/or neglect. Data on adverse childhood experiences (ACEs) were collected prospectively during participant ages 0-18 years between the 1990s and early 2000s. In 2012, participants reported past 12-month substance use at a follow-up online survey in young adulthood (M_age = 23.8). A latent class analysis using nine dichotomous substance use indicators was fit to the data. Comparative fit indices favored a 4-class solution characterized by (1) high rates of tobacco and cannabis use (<i>n</i> = 66), (2) high rates of heroin/non-prescription opioid and non-prescription tranquilizer/sedative use (<i>n</i> = 21), (3) high rates of poly-substance use (<i>n</i> = 21), and (4) low rates of substance use (<i>n</i> = 375). Abstainers generally experienced fewer childhood adversities and adult IPV exposure relative to other classes and tended to report less substance use as adolescents. This work reinforces the prospective association between childhood adversity and problematic patterns of substance use observed in young adulthood, and offers key implications for providers, researchers, and policymakers.</p>","PeriodicalId":48052,"journal":{"name":"Child Maltreatment","volume":" ","pages":"765-778"},"PeriodicalIF":3.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13374099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}