Child Abuse & Neglect最新文献

{"title":"Are university students with childhood neglect experiences more likely to engage in online trolling? The mediating role of depressive symptoms and the moderating role of self-concept clarity.","authors":"Fang Li, Yibo Wang, Yihong Yang, Zhenyang Cai, Yuanyuan Zhu, Biyun Wu","doi":"10.1016/j.chiabu.2026.108088","DOIUrl":"https://doi.org/10.1016/j.chiabu.2026.108088","url":null,"abstract":"<p><strong>Background: </strong>Given the prevalence of online trolling among university students, identifying its contributing factors is essential. However, few studies have explored the potential role of past family experience in facilitating this behavior, or the mediating and buffering mechanisms underlying this relationship.</p><p><strong>Objective: </strong>This study sought to examine the relationship between childhood neglect and online trolling among university students, as well as the mediating mechanism of depressive symptoms and the moderating mechanism of self-concept clarity in this relationship.</p><p><strong>Methods: </strong>A three-wave longitudinal study was performed over six months, with a three-month interval between each pair of assessment time points.</p><p><strong>Participants and setting: </strong>A total of 501 Chinese university students completed the scales relevant to this study three times.</p><p><strong>Results: </strong>Time 1 (T1) childhood neglect positively predicted Time 3 (T3) online trolling, and Time 2 (T2) depressive symptoms mediated this relationship. T1 self-concept clarity moderated the indirect effect of T1 childhood neglect on T3 online trolling. Specifically, the mediating effect of the path through which T1 childhood neglect predicted T3 online trolling via T2 depressive symptoms became weaker when self-concept clarity increased.</p><p><strong>Conclusion: </strong>Childhood neglect is associated with university students' online trolling through greater depressive symptoms. For those with childhood neglect experiences, self-concept clarity appears to be associated with lower levels of online trolling over time through lower depressive symptoms.</p>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"177 ","pages":"108088"},"PeriodicalIF":3.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of childhood maltreatment on sexual attitudes and fear of childbirth among pregnant women.","authors":"Vesile Koçak, Arife Büşra Karaosmanoğlu, Yasemin Erkal Aksoy","doi":"10.1016/j.chiabu.2026.108093","DOIUrl":"https://doi.org/10.1016/j.chiabu.2026.108093","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association of childhood maltreatment with sexual attitudes during pregnancy and fear of childbirth among pregnant women.</p><p><strong>Methods: </strong>This cross-sectional study was conducted using an online survey across Türkiye. A total of 313 pregnant women aged ≥18 years and at ≥14 weeks of gestation were included. Data were collected using the Childhood Trauma Questionnaire-33 (CTQ-33), the Attitudes Toward Sexuality During Pregnancy Scale (ASSP), and the Childbirth Fear Scale (CFS). Childhood maltreatment was assessed based on CTQ-33 total scores. Descriptive statistics, group comparisons, and Pearson correlation analyses were performed. Structural equation modelling (SEM) was used to evaluate direct and indirect relationships between childhood maltreatment, sexual attitudes, and fear of childbirth.</p><p><strong>Results: </strong>Childhood maltreatment was positively associated with sexual attitudes during pregnancy (standardized β = 0.25, p < 0.001, 95% CI [0.15, 0.38]). No meaningful direct association was observed between childhood maltreatment and fear of childbirth (β = 0.03, p = 0.648, 95% CI [-0.10, 0.16]). Correlation analyses supported these findings, showing a positive relationship between CTQ-33 and ASSP total scores (r = 0.247, 95% CI [0.14, 0.35]), while the association with CFS total scores was very weak (r = 0.045, 95% CI [-0.06, 0.15]). At the subtype level, small positive correlations were observed between emotional abuse (r = 0.134, 95% CI [0.02, 0.24]) and physical abuse (r = 0.159, 95% CI [0.05, 0.26]) with fear of childbirth. Higher levels of fear of childbirth (indicated by lower CFS scores) were associated with higher maternal education, higher partner education, and lower perceived income levels. The SEM demonstrated acceptable fit (χ²/df = 2.69, RMSEA = 0.074, CFI = 0.901, GFI = 0.992) and explained 6.1% of the variance in sexual attitudes (R² = 0.061), while explaining very weak variance in fear of childbirth.</p><p><strong>Conclusions: </strong>Childhood maltreatment was associated with sexual attitudes during pregnancy but did not show a clear direct association with fear of childbirth at the total score level. Nevertheless, small subtype-specific associations suggest that different forms of maltreatment may influence fear of childbirth through more complex and indirect pathways. These findings highlight the importance of trauma-informed and context-sensitive antenatal care, particularly in addressing sexual health and psychosocial well-being.</p>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"177 ","pages":"108093"},"PeriodicalIF":3.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Child maltreatment recognition and reporting attitudes among pediatric nurses and physicians in Türkiye: A cross-sectional comparative study.","authors":"Fatma Çarikçi, Burcu Aykanat Girgin, Nagihan Fatma Harmanci, Aysun Yilmaz, Ayşen Dündar Sari, Osman Aki, Tuğçe Ekinci, Kübra Ergün","doi":"10.1016/j.chiabu.2026.108086","DOIUrl":"https://doi.org/10.1016/j.chiabu.2026.108086","url":null,"abstract":"<p><strong>Aim: </strong>To examine and compare the proficiency of pediatric physicians and nurses in recognizing the signs of and risk factors for child maltreatment, as well as to determine the relationship between this proficiency and their reporting attitudes.</p><p><strong>Participants and setting: </strong>This comparative cross-sectional study included 300 health professionals (248 nurses and 52 physicians) employed in the pediatric departments of two training and research hospitals in Istanbul.</p><p><strong>Method: </strong>Participants were assessed using the Scale for Diagnosis of Symptoms and Risks of Child Abuse and Neglect (DSRCAN) and the Healthcare Providers Attitude Towards Child Maltreatment Reporting Scale (HPAT-CMRS). Data analysis included independent-samples t-tests and Pearson correlation analysis.</p><p><strong>Results: </strong>The mean total DSRCAN score was higher among pediatric physicians (3.95 ± 0.36) than pediatric nurses (3.78 ± 0.35) (p = 0.001). However, the mean total HPAT-CMRS score did not differ significantly between the professional groups (physicians: 72.5 ± 7.7; nurses: 70.8 ± 7.93; p = 0.159). Among pediatric physicians, the total DSRCAN score demonstrated a significant positive correlation with the HPAT-CMRS subscale scores (Reporting Responsibilities, p = 0.027; Concerns about Reporting, p = 0.002) and total score (p = 0.001). Similarly, among pediatric nurses, the total DSRCAN score was significantly correlated with both HPAT-CMRS subscales (Reporting Responsibilities, p = 0.001; Concerns about Reporting, p = 0.002) and total HPAT-CMRS score (p = 0.001).</p><p><strong>Conclusion: </strong>In this study, pediatric physicians were more proficient than pediatric nurses in recognizing the signs of and risks for child maltreatment, whereas reporting attitudes did not differ significantly between the groups. Greater proficiency in recognizing possible child maltreatment was associated with significantly stronger attitudes toward reporting responsibility and lower concern about reporting.</p>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"177 ","pages":"108086"},"PeriodicalIF":3.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical reflections when research includes refugee children - a study of ethics review applications.","authors":"Mikael Hagström, Linnea Wegerstad, Gisela Priebe","doi":"10.1016/j.chiabu.2026.108087","DOIUrl":"https://doi.org/10.1016/j.chiabu.2026.108087","url":null,"abstract":"<p><strong>Background: </strong>The global number of refugee children was 43 million in 2025, highlighting the urgent need for research that supports their well-being. Such research must carefully balance children's rights to be protected from harm and to be heard.</p><p><strong>Objective: </strong>This study explores how researchers in Sweden address ethical considerations when planning studies involving refugee children, particularly in the context of abuse and neglect, as presented in applications to the Swedish Ethical Review Authority (ERA).</p><p><strong>Data: </strong>The data consists of fifteen ethics review applications submitted to ERA between 2019 and 2021 and concerning research about abuse and neglect involving refugee children.</p><p><strong>Methods: </strong>The data was analyzed with reflexive thematic analysis using manual coding with the Computer-Assisted Qualitative Data Analysis Software NVivo to identify how researchers present ethical challenges and justify their studies.</p><p><strong>Findings: </strong>Three main themes were identified: A particularly vulnerable group, Being both a child and a refugee, and Psychological aspects of refugee children participating in research. Researchers emphasize both the risks and potential benefits of participation and give an extensive view of their ethical reasoning when planning research with refugee children.</p><p><strong>Conclusions: </strong>The emphasis on protection over participation in the applications highlights the importance of dialogue between researchers, ethical committees, and children's rights advocates to ensure that research both protects and empowers the children it seeks to understand.</p>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"177 ","pages":"108087"},"PeriodicalIF":3.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adversity among youth experiencing homelessness: A latent class analysis.","authors":"Margaret M Fitzpatrick, Jodi L Ford, Natasha Slesnick, Xin Feng, Christopher Browning, Ethan Morgan","doi":"10.1016/j.chiabu.2026.108090","DOIUrl":"https://doi.org/10.1016/j.chiabu.2026.108090","url":null,"abstract":"<p><strong>Background: </strong>Youth experiencing homelessness (YEH) face high rates of childhood adversity and street victimization, both of which are linked to negative mental health outcomes. However, patterns of adversity and variation based on individual characteristics remain understudied.</p><p><strong>Objective: </strong>This study identified heterogeneity in adversity and victimization experiences among YEH and examined associations between latent classes and sociodemographic characteristics, including age, race/ethnicity, sexual orientation, gender identity, and education, as well as homelessness duration and age at first homelessness experience.</p><p><strong>Participants and setting: </strong>Baseline data were drawn from a rapid-rehousing trial. Participants included 240 YEH aged 18-24, recruited from shelters, drop-in centers, and outreach in a Midwestern U.S. city.</p><p><strong>Methods: </strong>A latent class analysis was conducted based on five adversity indicators - child abuse: physical, sexual, emotional; child neglect; and street victimization. Multivariate logistic regressions examined associations between class membership and sociodemographic and homelessness-related variables.</p><p><strong>Results: </strong>Two classes emerged: a High Physical and Emotional Abuse class (63%) and a Low Adversity class (37%). Class membership significantly differed by gender, sexual orientation, and race/ethnicity. Youth identifying as female or another gender had greater odds of being in the High Abuse class (OR = 2.18, 95% CI [1.02, 4.69]). Conversely, heterosexual (OR = 0.17, 95% CI [0.05-0.60]) and Black or African American youth (OR = 0.17, 95% CI [0.06-0.49]) had lower odds of membership. Age, education, and homelessness duration were not significantly related to class membership.</p><p><strong>Conclusion: </strong>Findings highlight heterogeneous adversity experiences among YEH. Trauma-informed, individualized interventions are essential to address both past trauma and ongoing victimization and support well-being.</p>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"177 ","pages":"108090"},"PeriodicalIF":3.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intergenerational child maltreatment and the case for intensified support for child protection involved families.","authors":"Leonie Segal, Ben Mathews","doi":"10.1016/j.chiabu.2026.108069","DOIUrl":"https://doi.org/10.1016/j.chiabu.2026.108069","url":null,"abstract":"<p><p>The profound and enduring consequences of child abuse and neglect (CAN) are well documented. A major, and largely unaddressed problem remains the intergenerational transmission of CAN. While substantial community resources are allocated to families caught up in intergenerational cycles of child maltreatment, the vast majority of funds are spent addressing downstream consequences. Comparatively few resources are invested in intensive support for high-risk families to maintain the family unit, prevent continuance of CAN, and disrupt the harm cascade, and intergenerational transmission. Our purpose in this discussion paper is to consider the case for CAN prevention through intensified support for high-risk families. We first outline the evidence of intergenerational transmission of child maltreatment and its causal mechanisms, and present recent data on budget expenditure on child protection involved families to illustrate financial investment across the prevention consequence spectrum. We then consider what might be the impediments to recalibration of policy and practice towards intensified support for high-risk families. We discuss legal frameworks, economic considerations of efficiency, international obligations, and practical and resource barriers. Our key message is that law, economics, policy and theory all justify and actually require greater levels of intensified support for high-risk families, but that access to secure funding is the key challenge. We present implications for policy makers and practice sectors.</p>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"177 ","pages":"108069"},"PeriodicalIF":3.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Un lazo que sigue\": A survivor-informed, resilience-focused study of intergenerational childhood exposure to intimate partner violence among unaccompanied Central American mothers.","authors":"Morgan Pardue-Kim, Celene Viveros Garces, E Martínez, Kerri Evans, Mariel Pfister, Melissa E Smith","doi":"10.1016/j.chiabu.2026.108018","DOIUrl":"https://doi.org/10.1016/j.chiabu.2026.108018","url":null,"abstract":"<p><strong>Background: </strong>Childhood exposure to intimate partner violence (CEIPV) increases risk for later IPV and for intergenerational CEIPV (I-CEIPV), defined as the recurrence of children's exposure to IPV across generations. Young mothers who were unaccompanied immigrant children and survivors of CEIPV face compounded vulnerabilities for I-CEIPV, making their knowledge critical for understanding risk and resilience pathways.</p><p><strong>Objective: </strong>This qualitative study explored patterns of I-CEIPV among young immigrant mothers, and identified risk and resiliency factors influencing I-CEIPV via mothers' perspectives and experiences.</p><p><strong>Participants and setting: </strong>Six Central American immigrant mothers (18-24 years) who received services from the federal Unaccompanied Refugee Minor (URM) Program and six URM Program employees participated in semi-structured interviews.</p><p><strong>Methods: </strong>Community-based participatory research methods and constructivist grounded theory were used, positioning young survivors as experts throughout the research process. Mothers were interviewed 3 times over 6 months about childhood, relational, and parenting experiences, providing detailed accounts. URM Program employees were interviewed once to triangulate data. Analyses were co-conducted using thematic analysis and the Sort and Shift, Think and Shift method.</p><p><strong>Results: </strong>Three themes captured survivor-generated I-CEIPV pathways for these participants: Normalization of violence amid multiple adverse childhood experiences; risk via early unwanted motherhood following sexual assault, experiences of trafficking, and structural isolation; and resilience via therapy/program supports, safe partners, positive parenting, and rejection of intergenerational patterns.</p><p><strong>Conclusions: </strong>This survivor-informed study offers a nuanced understanding of CEIPV, intergenerational adverse childhood experiences, and resiliency among these vulnerable immigrant parents. Findings support resilience-focused approaches for similar populations across programs, policies, and research.</p>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":" ","pages":"108018"},"PeriodicalIF":3.4,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood emotional maltreatment and adult psychopathology: Evidence for emotion regulation as a mediating mechanism","authors":"Lena Peter ,&nbsp;Emily Sitarski ,&nbsp;Susanne Kobel ,&nbsp;Janine Wendt ,&nbsp;Jörg M. Fegert ,&nbsp;Franziska Köhler-Dauner","doi":"10.1016/j.chiabu.2026.107936","DOIUrl":"10.1016/j.chiabu.2026.107936","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Childhood emotional abuse (CEA) and childhood emotional neglect (CEN) are major risk factors for adult psychopathology. They may alter long-term emotion processing by reducing adaptive strategies such as cognitive reappraisal and increasing maladaptive strategies such as expressive suppression. Such regulatory changes are considered central mechanisms increasing risk for mental disorders.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The aim of this study was to examine both the direct and indirect associations between childhood emotional maltreatment (CEM)—a composite of CEA and CEN—as well as the two subdimensions separately, and the presence of a psychiatric diagnosis in adulthood. Cognitive reappraisal and expressive suppression were tested as parallel mediating mechanisms.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants and setting&lt;/h3&gt;&lt;div&gt;Analyses were based on data from &lt;em&gt;N&lt;/em&gt; = 2484 adults drawn from a nationally representative German population sample (data collection: October 2024 to February 2025). CEA and CEN were assessed using the corresponding subscales of the &lt;em&gt;Childhood Trauma Questionnaire&lt;/em&gt; (CTQ; &lt;span&gt;&lt;span&gt;Bernstein et al., 2003&lt;/span&gt;&lt;/span&gt;). Emotion regulation was measured with the German version of the &lt;em&gt;Emotion Regulation Questionnaire&lt;/em&gt; (ERQ; &lt;span&gt;&lt;span&gt;Gross &amp; John, 2003&lt;/span&gt;&lt;/span&gt;), with cognitive reappraisal and expressive suppression as subscales.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;In the main analysis, a composite predictor for emotional maltreatment (sum of CEA and CEN scores) was created. The binary criterion variable (&lt;em&gt;Y&lt;/em&gt;) was the self-reported presence of a current or past psychiatric diagnosis. Reappraisal and suppression were specified as parallel mediators. Covariates included age, gender, education level, physical abuse, sexual abuse, and physical neglect. Statistical analyses were conducted using PROCESS v4.2 (&lt;span&gt;&lt;span&gt;Hayes, 2022&lt;/span&gt;&lt;/span&gt;), Model 4, with 5000 bootstrap samples. For the binary outcome, logistic regression was applied.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In the main CEM model (CEA + CEN), higher self-reported CEM was associated with an increased likelihood of having a psychiatric diagnosis (OR ≈ 1.09; &lt;em&gt;p&lt;/em&gt; &lt; .001), partially mediated by lower reappraisal (b = 0.0040; 95% CI [0.0013; 0.0076]); suppression was not a significant mediator. The CEN model showed a similar pattern (OR ≈ 1.06; &lt;em&gt;p&lt;/em&gt; = .0002; indirect effect via reappraisal: b = 0.0051; 95% CI [0.0017; 0.0098]). In the CEA model, only the direct association remained significant (OR ≈ 1.15; &lt;em&gt;p&lt;/em&gt; &lt; .001), with no indirect effects.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;CEA and CEN represent substantial risk markers for mental health problems. The present findings indicate that deficits in emotion regulation—particularly reduced cognitive reappraisal—partially mediate this risk. Differences between CEA and CEN suggest divergent underlying processes, which is impor","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"174 ","pages":"Article 107936"},"PeriodicalIF":3.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Development of a universal child abuse screening tool (U-CAST): A qualitative analysis of medical expert perspectives” [Child Abuse & Neglect 172 (2026) start page (2)–end page (3)/107838]","authors":"Peiqi Chen ,&nbsp;Meagan E. Peterson ,&nbsp;Arden M. Morris ,&nbsp;Kristen M. Davis-Lopez ,&nbsp;Zaria Cosby ,&nbsp;Elena Harnish ,&nbsp;Jake Gamble ,&nbsp;Stephanie D. Chao","doi":"10.1016/j.chiabu.2026.107940","DOIUrl":"10.1016/j.chiabu.2026.107940","url":null,"abstract":"","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"174 ","pages":"Article 107940"},"PeriodicalIF":3.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between maternal child maltreatment predict their child's health service use? Results from the I-CALM study","authors":"M. Trott ,&nbsp;S. Kisely ,&nbsp;J. Najman ,&nbsp;N. Reid ,&nbsp;L. Neelakantan ,&nbsp;R. Moran ,&nbsp;A. Edwards ,&nbsp;C. Bull","doi":"10.1016/j.chiabu.2026.107917","DOIUrl":"10.1016/j.chiabu.2026.107917","url":null,"abstract":"<div><h3>Background</h3><div>Child maltreatment (CM) is associated with lifelong adverse outcomes but less is known about its intergenerational consequences. As these consequences often manifest as poor health, examining health service use provides an objective measure of clinically significant morbidity and healthcare burden in children.</div></div><div><h3>Objectives</h3><div>We investigated whether maternal CM history predicted offspring health service utilisation using an intergenerational dataset.</div></div><div><h3>Participants and setting</h3><div>Multigenerational retrospective cohort study.</div></div><div><h3>Methods</h3><div>We analysed data from the Intergenerational Childhood Adversity and Lifetime Morbidity (I-CALM) study, comprising 1696 women who gave birth to 3296 children in Queensland, Australia, between 2008 and 2024. Maternal CM was defined using government records as notified or substantiated. Linked statewide records provided offspring health outcomes, including hospital admissions or emergency department (ED) presentations. Logistic and negative binomial regressions assessed dichotomous and count outcomes, adjusting for child age, gender, and significant maternal covariates.</div></div><div><h3>Results</h3><div>Maternal notified and substantiated CM were significantly associated with higher risks of offspring ED presentations for deliberate self-harm (OR = 2.69, 95% CI 1.39–5.20; OR = 2.57, 95% CI 1.15–5.75, respectively). Maternal CM was also linked to greater odds of offspring hospital admissions for external injury (OR = 1.45–1.64). Associations between maternal CM and increased number of total ED presentations were also found.</div></div><div><h3>Conclusion</h3><div>Maternal CM is significantly associated with offspring hospital and ED use, particularly for injuries and deliberate self-harm, highlighting intergenerational health risks. Routine identification and targeted support for families affected by CM may help break cycles of adversity and reduce preventable health service burden.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"173 ","pages":"Article 107917"},"PeriodicalIF":3.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}