Child Abuse & Neglect最新文献

{"title":"Investigating bidirectional relationships between parenting stress and child maltreatment from early childhood to adolescence: A random intercept cross-lagged panel model","authors":"Dan Wang ,&nbsp;Ami Mariko Hood Frost ,&nbsp;Zheng Wang","doi":"10.1016/j.chiabu.2025.107616","DOIUrl":"10.1016/j.chiabu.2025.107616","url":null,"abstract":"<div><h3>Background</h3><div>Investigations on bidirectional relationships between parenting stress and child maltreatment are crucial for informing effective intervention strategies; however, there is a lack of research focusing on within-person variations of parenting stress and child maltreatment from children's early childhood through adolescence as well as between-person variations in families.</div></div><div><h3>Objective</h3><div>The present study examined longitudinal associations between parenting stress and child maltreatment.</div></div><div><h3>Participants and setting</h3><div>We used panel data from the Future of Families and Child Wellbeing Study (FFCWS) in the United States. Participants included 1778 mothers interviewed at childbirth and when their focal child was at ages 3, 5, 9, and 15.</div></div><div><h3>Methods</h3><div>Random intercept cross-lagged panel model (RI-CLPM) was conducted to examine bidirectional relationships between parenting stress and child maltreatment from early childhood to adolescence (ages 3 to 15).</div></div><div><h3>Results</h3><div>Within-person effects vary by child developmental stages. Specifically, there were temporal stabilities of parenting stress across stages of childhood and adolescence (ages 3–15) and of child maltreatment during childhood (ages 3–9). Child maltreatment in late childhood (age 9) was negatively associated with child maltreatment in adolescence (age 15). Bidirectional relationships were found in early to middle childhood (ages 3–5), but not in middle to late childhood (ages 5–9) or in late childhood to adolescence (ages 9–15). Regarding between-person effects, in general, higher levels of parenting stress predicted more child maltreatment.</div></div><div><h3>Conclusions</h3><div>Disentangling within- and between-person variations will aid in designing developmentally appropriate parenting programs and inform age-specific interventions in cases of child maltreatment.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"169 ","pages":"Article 107616"},"PeriodicalIF":3.4,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757346","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":"Placement, duration and re-entry outcomes for children in foster care with disabilities","authors":"Jill D. McLeigh ,&nbsp;Alan Huang ,&nbsp;Rong Huang ,&nbsp;Gunjan Singh","doi":"10.1016/j.chiabu.2025.107610","DOIUrl":"10.1016/j.chiabu.2025.107610","url":null,"abstract":"<div><h3>Background and objectives</h3><div>National, longitudinal studies exploring characteristics and outcomes of children in foster care (CFC) with disabilities are lacking. This study explores the prevalence, characteristics and relative risk of experiencing placement instability, staying in care for longer than 2 years, and returning to care within 3 years for CFC with a disability and by disability type.</div></div><div><h3>Participants and setting</h3><div>2.9 million unique participants within the U.S. Adoption and Foster Care Analysis and Reporting System (AFCARS) data who first entered care FY2005-FY2018.</div></div><div><h3>Methods</h3><div>We created a longitudinal cohort using AFCARS data. Characteristics and outcomes were compared between children with and without disability and by disability types (emotional, intellectual, hearing/vision, physical, other).</div></div><div><h3>Results</h3><div>CFC with all disability types, except physical, had higher risk of placement instability than those without disability, with CFC with emotional disability having the highest risk (RR: 2.86, 95 % CI: 2.82–2.91). CFC with each disability type had a higher risk of remaining in care for more than 2 years, with CFC with intellectual and visual/hearing disability having the highest relative risk (RR: 1.44, 95 % CI: 1.40–1.47 and RR: 1.39, 95 % CI: 1.36–1.41, respectively). After first exit from care, children with emotional disability had higher risk of returning to care within 3 years (RR: 1.24, 95 % CI: 1.22, 1.26).</div></div><div><h3>Conclusions</h3><div>Findings suggest that greater effort is needed from the child welfare and healthcare systems to recognize and address the health-related needs of this population, particularly CFC with an emotional disability, and to support their caregivers.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"169 ","pages":"Article 107610"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749970","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":"An examination of the relationship between psychopathology and the sociodemographic, clinical, and abuse characteristics in children who have experienced sexual abuse","authors":"Ömer Turan ,&nbsp;İsmail Altin ,&nbsp;Neşe Kavruk Erdim ,&nbsp;Alperen Bikmazer","doi":"10.1016/j.chiabu.2025.107620","DOIUrl":"10.1016/j.chiabu.2025.107620","url":null,"abstract":"<div><h3>Background</h3><div>Sexual abuse in children can have significant long-term psychiatric consequences. The type of abuse (penetrative vs. non-penetrative) and the relationship to the perpetrator, including incest, may influence these outcomes.</div></div><div><h3>Objective</h3><div>The aim of this study was to examine the sociodemographic and clinical characteristics of children who have experienced sexual abuse, the types of abuse they were exposed to, and to evaluate the psychiatric effects of these experiences.</div></div><div><h3>Participants and setting</h3><div>The study included 90 children who were referred to the Istanbul Forensic Medicine Institute.</div></div><div><h3>Methods</h3><div>Evaluations were made of the sociodemographic information, the type of abuse, the relationship of the perpetrator, and psychiatric status before and after the event. The data were analyzed using DSM-5-based psychiatric interviews and various scales (Post-Trauma Stress Scale, Depression Scale, Anxiety Scale).</div></div><div><h3>Results</h3><div>The study participants comprised 94.4 % female and 5.6 % male children. The most common type of sexual abuse was determined to be “touching/stroking” (42.7 %). Repeated abuse was seen in 72 % of the incest cases. Depression and post-traumatic stress disorder (PTSD) were determined to be more common in cases of penetrative abuse. The perpetrators in incest cases were older than those in non-incest cases. PTSD was seen in 71.9 % of the children after sexual abuse, depression in 33.7 %, anxiety disorder in 11.2 %, and adjustment disorder in 15.7 %.</div></div><div><h3>Conclusion</h3><div>Sexual abuse leaves severe psychiatric and social effects on the victims. Penetrative and incest abuse cases, in particular, were associated with more destructive outcomes compared to non-penetrative and non-incest abuse. Informative studies and early intervention are of critical importance in reducing these situations.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"169 ","pages":"Article 107620"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749971","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":"Adverse childhood experiences and depressive symptoms across adolescence and adulthood: A latent class analysis and time-varying effect model","authors":"Linghua Jiang ,&nbsp;Sara A. Vasilenko ,&nbsp;Xiafei Wang","doi":"10.1016/j.chiabu.2025.107617","DOIUrl":"10.1016/j.chiabu.2025.107617","url":null,"abstract":"<div><h3>Background</h3><div>Adverse childhood experiences (ACEs) greatly affect depression. The association between different patterns of ACEs and depressive symptoms might differ across age and gender.</div></div><div><h3>Objective</h3><div>The aim of the study was to identify patterns of ACEs and examine gender differences in the association between different patterns of ACEs and depressive symptoms across adolescence and emerging adulthood.</div></div><div><h3>Participants and setting</h3><div>The study used data (<em>N</em> = 3342) from the National Longitudinal Study of Adolescent to Adult Health.</div></div><div><h3>Methods</h3><div>We first used Latent Gold to identify the most suitable model. Then, dichotomous indicators of membership in each class (except for a reference class) were entered in the model as time-varying predictors to test the effect of class membership on depressive symptoms over age.</div></div><div><h3>Results</h3><div>A 5-class model was identified: (1) Low ACEs, (2) Parental Alcohol Use and Divorce, (3) Violence, (4) Abuse and Neglect, and (5) Multiple ACEs. The association between Multiple ACEs classification and depressive symptoms was stronger for women than men at ages 23 and 27.5. The association between being in the Parental Alcohol Use and Divorce class and depressive symptoms was stronger for female participants than male participants between ages 13.5 and 16, and ages 23 and 30. Being in the Abuse and Neglect class was significantly associated with higher level of depressive symptoms for female, but not male, participants between ages 19 and 23.</div></div><div><h3>Conclusion</h3><div>Findings point to the need for further inquiries into the synergistic effects of early adversity and gender on the timing and persistence of depressive symptoms</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"169 ","pages":"Article 107617"},"PeriodicalIF":3.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738537","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 burden of childhood trauma among migrants in psychotherapy treatment in Germany","authors":"Eva Neumann,&nbsp;Silke Michalek,&nbsp;Ulrike Dinger,&nbsp;Jörg Rademacher","doi":"10.1016/j.chiabu.2025.107611","DOIUrl":"10.1016/j.chiabu.2025.107611","url":null,"abstract":"<div><h3>Background</h3><div>While there is empirical evidence that migrants often have traumatic experiences before, during and after migration, little is known to date about the extent to which they were affected by childhood trauma in their country of origin.</div></div><div><h3>Objective</h3><div>The aim of this study was to investigate experiences of abuse and neglect in the childhood of adult migrants undergoing psychotherapy in Germany.</div></div><div><h3>Participants and setting</h3><div>A total of 106 patients undergoing day clinic treatment at a psychosomatic clinic participated in the study. Half of them had their own migration experience, while the other half, serving as a comparison group, consisted of German patients.</div></div><div><h3>Methods</h3><div>The severity of trauma symptoms, depression, anxiety, and somatic symptoms was assessed using scales for self-report and for rating by the patients' therapists. The self-report scales were presented in several languages. Evidence of trauma was retrospectively assessed by the therapists using checklists for traumatic experiences in both adulthood and childhood.</div></div><div><h3>Results</h3><div>The migrant group scored higher on all psychopathology scales and showed more frequent evidence of lifetime trauma than the comparison group. Regarding childhood trauma, emotional abuse and neglect were prevalent in both groups, while physical abuse and neglect, as well as sexual abuse, were more common in the migrant group. Logistic regressions showed that membership in the migrant group was the strongest predictor of physical abuse and neglect, while sexual abuse was more strongly associated with sociodemographic factors.</div></div><div><h3>Conclusions</h3><div>In psychotherapy for patients with a migration background, all subtypes of childhood trauma should be considered.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107611"},"PeriodicalIF":3.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749653","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":"Addressing physical and psychological sibling violence: Perspectives from youth care professionals in Belgium","authors":"Eva Van Kelecom ,&nbsp;Corinna Jenkins Tucker ,&nbsp;Stefaan Pleysier ,&nbsp;Johan Put","doi":"10.1016/j.chiabu.2025.107612","DOIUrl":"10.1016/j.chiabu.2025.107612","url":null,"abstract":"<div><h3>Background</h3><div>Despite its prevalence and potential consequences, sibling violence often stays under the radar in professional health care, social and judicial services. The lack of awareness and training related to sibling violence has led to failing to detect and properly address it.</div></div><div><h3>Objective</h3><div>The main goals of this study are to investigate how youth care professionals in social and judicial services address physical and psychological sibling violence, what challenges they encounter while trying to address it, and their thoughts on needed changes to practice and policy to reduce sibling violence. The study expands current knowledge of evidence-based practice approaches which are generally limited to social work and school counseling, by including youth care professionals in social and judicial services.</div></div><div><h3>Participants and setting</h3><div>Youth care professionals in social and judicial services (n = 13) in Flanders (Belgium) were selected based on their experience addressing child abuse and neglect.</div></div><div><h3>Methods</h3><div>In-depth interviews and focus groups were conducted, transcribed and coded using initial, pattern and selective coding methods.</div></div><div><h3>Results</h3><div>Consistent with previous literature, results indicate a lack of awareness of sibling violence in Flemish social and judicial youth care services. Professionals consistently expressed the need for greater awareness about sibling violence and tools to respond to it adequately. They prioritized a social service response characterized by a family-oriented approach rather than a judicial response.</div></div><div><h3>Conclusion</h3><div>Professionals need information on typical sibling dynamics and signs and impacts of sibling violence and evidence-based tools to effectively address it. Given the prevalence and impacts of sibling violence, the development of evidence-based training and family-oriented prevention and intervention efforts are critical to reduce it, but such efforts are limited by professionals' capacity, funding, and time.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"169 ","pages":"Article 107612"},"PeriodicalIF":3.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738538","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":"Mapping adversities: A network analysis of childhood maltreatment and poly-adversity in a population-based sample","authors":"Meret Sophie Wallimann ,&nbsp;Sjur Skjørshammer Sætren ,&nbsp;Gertrud Sofie Hafstad","doi":"10.1016/j.chiabu.2025.107605","DOIUrl":"10.1016/j.chiabu.2025.107605","url":null,"abstract":"<div><h3>Background</h3><div>Research on adolescent adversity has consistently shown such experiences rarely occur in isolation. However, not all adversities are equally intertwined, and effective approaches for capturing the complexity of these interconnected experiences have yet to be established.</div></div><div><h3>Objectives</h3><div>Using a network analytical approach, in this study, we aimed to deepen understanding of the patterns of co-occurrence among various childhood adversities. The analysis included not only intrafamilial maltreatment but also other intrafamilial adversities such as adverse caregiving conditions (e.g., caregiver substance abuse and mental illness), as well as extrafamilial adversities (e.g., peer sexual abuse).</div></div><div><h3>Participants and settings</h3><div>Data were drawn from a nationwide online survey conducted as part of the UEVO study (<span><span>Hafstad et al., 2020</span></span>), involving 9240 adolescents aged 12–16 years from 72 schools across Norway.</div></div><div><h3>Methods</h3><div>To account for mixed variable types (dichotomous and continuous), a pairwise mixed graphical model (MGM; <span><span>Epskamp &amp; Fried, 2018</span></span>) was applied, identifying direct associations between adversities and their relative centrality.</div></div><div><h3>Results</h3><div>Strong connections were observed among various forms of child maltreatment. Psychological abuse emerged as the most central node, connected to all intrafamilial and extrafamilial adversities. Adverse caregiving conditions also demonstrated high centrality, showing links to both intrafamilial and extrafamilial adversities.</div></div><div><h3>Conclusion</h3><div>The strong interconnection among adversities, especially the central role of psychological abuse, highlights the complexity of understanding their impact. Shifting from a narrow concept of polyvictimization to a broader poly- adversity framework enables greater recognition of underexplored intrafamilial adversities such as adverse caregiving conditions. This complex web of adversity must be carefully considered in both future research and targeted interventions.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107605"},"PeriodicalIF":3.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739635","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 child maltreatment and depressive symptoms among deaf and hearing adolescent students: A moderated mediation model","authors":"Zihao Zeng ,&nbsp;Deyi Wang ,&nbsp;Yanyun Yuan ,&nbsp;Zhen He ,&nbsp;Rong Tan ,&nbsp;Ying Cao ,&nbsp;Yueyue Meng ,&nbsp;Youhong Shen ,&nbsp;Yiqiu Hu ,&nbsp;Feng Du ,&nbsp;Sander L. Koole","doi":"10.1016/j.chiabu.2025.107613","DOIUrl":"10.1016/j.chiabu.2025.107613","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Childhood maltreatment is a well-established risk factor for adolescent mental health issues, particularly depressive symptoms. Deaf adolescents face heightened vulnerability due to unique challenges such as communication barriers and social exclusion. However, little is known about how social exclusion mediates the relationship between childhood maltreatment and depression in this population, or how emotion regulation strategies moderate these effects.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study aimed to examine the associations between childhood maltreatment and depressive symptoms in deaf and hearing adolescents, with a focus on the mediating role of social exclusion and the moderating effects of cognitive reappraisal and expressive suppression.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants and setting&lt;/h3&gt;&lt;div&gt;A total of 2008 adolescent students (622 deaf, 1386 hearing) aged 12–23 years were recruited from six schools in China, including both mainstream and special education institutions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Participants completed self-report measures assessing childhood maltreatment, social exclusion, emotion regulation strategies (cognitive reappraisal and expressive suppression), and depressive symptoms. Correlation analysis was conducted to examine variable associations, and an exploratory network analysis supplemented the main analyses by visualizing group-specific relationships. The core hypothesis was tested using a moderated mediation model to examine whether social exclusion mediated the relationship between childhood maltreatment and depressive symptoms and whether emotion regulation moderated these pathways.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Deaf adolescents reported significantly higher levels of childhood maltreatment, social exclusion, expressive suppression, and depressive symptoms compared to their hearing peers (all &lt;em&gt;p&lt;/em&gt; &lt; .001). Social exclusion mediated the relationship between childhood maltreatment and depressive symptoms in both groups, with a stronger indirect effect among deaf students than hearing students. Expressive suppression moderated this relationship differently in the two groups: it exacerbated depressive symptoms among deaf students (β = 0.14, &lt;em&gt;p&lt;/em&gt; = .002) but had a buffering effect among hearing students (β = −0.04, &lt;em&gt;p&lt;/em&gt; = .04). Cognitive reappraisal showed limited protective effects in either group.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;These findings highlight social exclusion as a key mediator linking childhood maltreatment to depressive symptoms, particularly among deaf adolescents. Expressive suppression exacerbated depressive symptoms in deaf students but buffered symptoms among hearing peers, suggesting that interventions should specifically aim to reduce reliance on expressive suppression in deaf adolescents. Although cognitive reappraisal showed limited protective effects in the current study, it remains an important strategy warranti","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107613"},"PeriodicalIF":3.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722298","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":"Promoting family nurse resilience through Family Nurse Partnership education in Scotland: A continuous quality improvement initiative","authors":"Lesley O'Donnell ,&nbsp;Clare McGuire ,&nbsp;Marion McPhillips","doi":"10.1016/j.chiabu.2025.107601","DOIUrl":"10.1016/j.chiabu.2025.107601","url":null,"abstract":"<div><h3>Background</h3><div>Family nurses delivering the Family Nurse Partnership (FNP) program in Scotland provide intensive, relationship-based care to young parents with complex trauma histories. This emotionally demanding work can contribute to moral distress, vicarious trauma, and burnout. Education that embeds trauma-informed pedagogical strategies may help mitigate these challenges and promote nurse resilience.</div></div><div><h3>Objective</h3><div>To explore family nurses' perspectives on how the FNP education program prepared them for practice and trauma-informed pedagogical practices contributed to learner engagement, emotional safety, and professional development.</div></div><div><h3>Participants and setting</h3><div>A cohort of family nurses (<em>n</em> = 14) who completed the FNP core education program between 2019 and 2021 across eight Health Boards in Scotland.</div></div><div><h3>Methods</h3><div>This initiative applied a mixed-methods questionnaire design as part of a continuous quality improvement process. Quantitative data were collected using Likert-scale and agree/disagree items assessing perceived preparedness, learning environment, and teaching strategies. Qualitative data from open-text responses were analyzed using conventional content analysis.</div></div><div><h3>Results</h3><div>Respondents (<em>n</em> = 11) reported that the education enhanced their knowledge, skill, and confidence in delivering trauma-informed, relationship-based care. All nurses endorsed high levels of psychological safety, trust in educators, and engagement with learner-centered teaching methods. Educators' use of trauma-informed strategies, such as co-constructed learning agreements, mindfulness, appreciative feedback, and emotionally attuned facilitation were seen as pivotal in promoting resilience, emotional regulation, and professional identity formation. Role modelling by educators were highlighted as especially valuable.</div></div><div><h3>Conclusions</h3><div>Embedding trauma informed care principles into both curriculum and pedagogical strategies contributes to nurse resilience as a teachable, dynamic capability. Educators have a pivotal role in creating safe, positive learning environments through developing these trauma informed pedagogical strategies, role modelling and offering mutual respect to promote the emotional readiness, confidence and professional identity required to enable family nurses to thrive in their role.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107601"},"PeriodicalIF":3.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704433","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":"History of childhood maltreatment, prenatal cortisol levels, and executive functioning: A cross-sectional study using data from the Healthy Foundations Study","authors":"Vanessa De Rubeis ,&nbsp;Eileen Wang ,&nbsp;Divya Joshi ,&nbsp;Nicole Catherine ,&nbsp;Harriet L. MacMillan ,&nbsp;Charlotte Waddell ,&nbsp;Michael Boyle ,&nbsp;Lil Tonmyr ,&nbsp;Leslie Atkinson ,&nbsp;Susan M. Jack ,&nbsp;Colleen Varcoe ,&nbsp;Krysta Andrews ,&nbsp;Rosemary Lever ,&nbsp;Lenora Marcellus ,&nbsp;Andrea Gonzalez","doi":"10.1016/j.chiabu.2025.107602","DOIUrl":"10.1016/j.chiabu.2025.107602","url":null,"abstract":"<div><h3>Introduction</h3><div>A history of childhood maltreatment is associated with increased risk of psychological and cognitive difficulties as well as stress dysregulation in adulthood; however, less is known about the impacts during pregnancy. The objectives of this study were to explore the association between a history of childhood maltreatment and 1) prenatal stress and 2) executive functioning among pregnant girls and young women.</div></div><div><h3>Methods</h3><div>Cross-sectional data from the Healthy Foundations Study, including participants aged 14–24 years were used [<em>n</em> = 254; a sub-study of the British Columbia Healthy Connections Project (BCHCP)]. The BCHCP was a randomized controlled trial of the Nurse-Family Partnership (NFP) program in Canada. The Childhood Trauma Questionnaire was used to measure total cumulative childhood maltreatment, as well as dimensions of threat and deprivation. Chronic stress was measured using prenatal hair cortisol, and executive functioning was measured using two standardized tests. All measures were taken at baseline prior to randomization. Linear regression was used to estimate beta coefficients and 95 % confidence intervals (CIs).</div></div><div><h3>Results</h3><div>A high proportion, approximately 55 %, of participants reported a history of moderate to extreme childhood maltreatment. Total cumulative childhood maltreatment was associated with increased prenatal hair cortisol concentration (b = 0.27; 95 % CI: 0.03–0.51), but not executive functioning (b = 0.02; 95 % CI: −0.07-0.11). No moderation was found by psychological resources or distress (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>A history of childhood maltreatment was significantly associated with increased prenatal hair cortisol but not executive functioning among this sample of disadvantaged pregnant girls and young women in Canada. Further research is needed to inform efforts to prevent childhood maltreatment and to inform NFP refinements to better address early child adversities.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107602"},"PeriodicalIF":3.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704524","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}