Child Abuse & Neglect最新文献

{"title":"Positive childhood experiences serve as protective factors for mental health in pandemic-era youth with adverse childhood experiences","authors":"Hasina Samji ,&nbsp;David Long ,&nbsp;Jillian Herring ,&nbsp;Rachel Correia ,&nbsp;Jacqueline Maloney","doi":"10.1016/j.chiabu.2024.106640","DOIUrl":"10.1016/j.chiabu.2024.106640","url":null,"abstract":"<div><h3>Background</h3><div>While adverse childhood experiences (ACEs) predict poorer mental health across the life course, positive childhood experiences (PCEs) predict better mental health. It is unclear whether PCEs protect against poor mental health outcomes and promote mental well-being in pandemic-era adolescents with ACEs.</div></div><div><h3>Methods</h3><div>We examined the individual and joint contributions of ACEs and PCEs to mental health and well-being (MHW) in eleventh-grade British Columbian adolescents (<em>N</em> = 8864) during the fifth wave of COVID-19. We used a novel measure of ACEs that included community- and societal-level ACEs in addition to ACEs experienced at home to investigate the role of social and structural determinants of mental health in supporting the MHW of pandemic-era adolescents. A series of two-way ANCOVAs were conducted comparing MHW outcomes between adolescents with and without ACEs. Interaction effects were examined to investigate whether PCEs moderated the association between ACEs and MHW.</div></div><div><h3>Results</h3><div>Adolescents with no ACEs had significantly better MHW than those with one or more ACE. Having six or more PCEs was associated with better MHW in adolescents with and without ACEs. PCEs significantly moderated the association between ACEs and depression. Effect sizes were larger for PCEs than ACEs in relation to depression, mental well-being, and life satisfaction.</div></div><div><h3>Conclusions</h3><div>PCEs may protect against depression among adolescents with ACEs and promote MHW among all pandemic-era adolescents. These findings emphasize the importance of addressing social determinants of mental health to mitigate the impact of ACEs and promote PCEs as part of a public health approach to MHW.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"168 ","pages":"Article 106640"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139567636","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":"Routine screening for adverse childhood experiences (ACEs) still doesn't make sense","authors":"John D. McLennan ,&nbsp;Andrea Gonzalez ,&nbsp;Harriet L. MacMillan ,&nbsp;Tracie O. Afifi","doi":"10.1016/j.chiabu.2024.106708","DOIUrl":"10.1016/j.chiabu.2024.106708","url":null,"abstract":"<div><div>When a serious health or social problem is identified as both prevalent and in need of attention, a common response is to propose that various systems implement routine identification, such as universal screening. However, these well-intentioned responses often fail to consider the key requirements necessary to determine whether benefits outweigh harms. Unfortunately, this continues to be the case for calls to implement routine screening for Adverse Childhood Experiences (ACEs). Persistent evidence gaps for this type of screening include the lack of any randomized controlled trials demonstrating that ACEs screening programs lead to any benefits. Rather than being informed by established screening principles, the calls to proceed with ACEs screening appear to rely on the assumption that simply identifying risk factors can lead to beneficial outcomes that outweigh any risk of harms. This may reflect a gap in understanding that patterns identified at the population level (e.g., that more ACEs are associated with more health and social problems) cannot be directly translated to practices at the level of the individual. This commentary does not question the importance of ACEs; rather it identifies that directing limited resources to screening approaches for which there is no evidence that benefits outweigh harms is problematic. Instead, we advocate for the investment in high-quality trials of prevention interventions to determine where best to direct limited resources to reduce the occurrence of ACEs, and for the prioritization of evidence-based treatment services for those with existing health and social conditions, whether or not they are attributed to ACEs.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"168 ","pages":"Article 106708"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934098","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":"Measuring the prevalence and impact of adverse childhood experiences in the lives of LGBTQ individuals: A much-needed expansion","authors":"Melissa S. Jones ,&nbsp;Meredith G.F. Worthen","doi":"10.1016/j.chiabu.2023.106560","DOIUrl":"10.1016/j.chiabu.2023.106560","url":null,"abstract":"<div><h3>Background</h3><div>Numerous studies indicate that LGBTQ people have extensive experiences with adverse childhood experiences<span> (ACEs), more so than their heterosexual and cisgender counterparts. Research also shows that LGBTQ youth endure traumatic experiences with victimization, including bullying, harassment, and violence, based on their non-hetero-cis-normative genders and/or sexual identities. Yet, most ACE measurement strategies fail to: (1) explicitly link the risk of ACE exposure to the discrimination and stigmatization of LGBTQ people, and (2) account for the breadth of potential ACE exposure in LGBTQ populations.</span></div></div><div><h3>Objective</h3><div>In the current article, we develop and present a more comprehensive ACE measurement strategy for understanding the cumulative and deleterious impacts of ACEs in the lives of LGBTQ individuals.</div></div><div><h3>Methods</h3><div>Here, we offer three expansions to the current ACE framework: (1) the inclusion of an LGBTQ-specific ACE in addition to the standard ACE measures, (2) the addition of LGBTQ qualifiers for current ACE items (when applicable), and (3) the expansion of ACE measures to capture the unique ACE experiences of LGBTQ individuals in family life, schools, and faith communities.</div></div><div><h3>Conclusions</h3><div>The implementation of a more comprehensive ACE measurement strategy will assist scholars and policymakers in better understanding the impacts of ACEs in the lives of LGBTQ individuals. In all, ACE measurement strategies that capture the breath of exposure of ACEs in the lives of LGBTQ individuals will assist in ACE screening, public health policy, and clinical intervention efforts.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"168 ","pages":"Article 106560"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138435386","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":"Parental mental health trajectories over the COVID-19 pandemic and links with childhood adversity and pandemic stress","authors":"Dylan Johnson ,&nbsp;Dillon T. Browne ,&nbsp;Heather Prime ,&nbsp;Jon Heron ,&nbsp;Mark Wade","doi":"10.1016/j.chiabu.2023.106554","DOIUrl":"10.1016/j.chiabu.2023.106554","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has created significant disruptions, with parents of school-age children being identified as a vulnerable population. Limited research has longitudinally tracked the mental health trajectories of parents over the active pandemic period. In addition, parents' history of adverse (ACEs) and benevolent (BCEs) childhood experiences may compound or attenuate the effect of COVID-19 stressors on parental psychopathology.</div></div><div><h3>Objective</h3><div>To identify distinct longitudinal trajectories of parental mental health over the COVID-19 pandemic and how these trajectories are associated with parental ACEs, BCEs, and COVID-19 stress.</div></div><div><h3>Participants and setting</h3><div>547 parents of 5–18-year-old children from the U.K., U.S., Canada, and Australia.</div></div><div><h3>Methods</h3><div>Growth mixture modelling was used to identify trajectories of parental mental health (distress, anxiety, post-traumatic stress, and substance use) from May 2020 to October 2021. COVID-19 stress, ACEs, and BCEs were assessed as predictors of mental health trajectories via multinomial logistic regression.</div></div><div><h3>Results</h3><div>Two-class trajectories of “Low Stable” and “Moderate Stable” symptoms were identified for psychological distress and anxiety. Three-class trajectories of “Low Stable”, “High Stable”, and “High Decreasing” symptoms were observed for post-traumatic stress. Reliable trajectories for substance use could not be identified. Multinomial logistic regression showed that COVID-19 stress and ACEs independently predicted membership in trajectories of greater mental health impairment, while BCEs independently predicted membership in trajectories of lower psychological distress.</div></div><div><h3>Conclusions</h3><div>Parents experienced mostly stable mental health symptomatology, with trajectories varying by overall symptom severity. COVID-19 stress, ACEs, and BCEs each appear to play a role in parents' mental health during this unique historical period.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"168 ","pages":"Article 106554"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296498","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":"Cost effectiveness of interventions to prevent the occurrence and the associated economic impacts of child maltreatment: A systematic review","authors":"Dai Quy Le ,&nbsp;Long Khanh-Dao Le ,&nbsp;Phuong Hong Le ,&nbsp;Marie Bee Hui Yap ,&nbsp;Cathrine Mihalopoulos","doi":"10.1016/j.chiabu.2024.106863","DOIUrl":"10.1016/j.chiabu.2024.106863","url":null,"abstract":"<div><h3>Background</h3><div>Child maltreatment is a pressing public health concern that poses long-lasting health and economic impacts on children and society. While several preventive interventions have demonstrated their effectiveness in reducing the occurrence of child maltreatment and its associated economic impacts, the cost-effectiveness of such interventions remains unclear.</div></div><div><h3>Objective</h3><div>This study aims to provide a comprehensive overview and a narrative synthesis of the available economic evidence on child maltreatment preventive interventions in both high-income and low-middle-income countries.</div></div><div><h3>Method</h3><div>Systematic searches were conducted in MEDLINE, PsycINFO, Embase, CINAHL, Web of Science, and Econlit to identify full economic evaluations and return-on-investment studies on child maltreatment preventive interventions. The methodological quality of eligible studies was assessed using Drummond's 10-point checklist. This review adhered to the PRISMA guidelines, and summarized findings in a narrative synthesis.</div></div><div><h3>Results</h3><div>Twenty-six studies met the inclusion criteria. Of these, eight evaluated home visiting, four evaluated early childhood education (ECE), four assessed multi-component (MC), and three examined group-based parent education (GPE) interventions. The remaining studies assessed interventions to prevent abusive head trauma (AHT; <em>n</em> = 2), child sexual abuse (<em>n</em> = 2), physical abuse at school (<em>n</em> = 1), as well as individualized intensive parenting (IIP; n = 2), and counseling (n = 1) interventions. Two studies were conducted in low-middle-income countries, while the others were all in high-income countries.</div></div><div><h3>Conclusions</h3><div>The included studies generally exhibited high methodological quality. Only AHT, ECE, IIP, and MC interventions demonstrated promising cost-effectiveness credentials in preventing child maltreatment. More economic evaluations are needed for interventions with mixed findings (e.g. GPE) and in low-middle-income countries.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"168 ","pages":"Article 106863"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179862","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":"Reprint of: Maternal adverse childhood experiences, child resilience factors, and child mental health problems: A multi-wave study","authors":"Jessica Turgeon ,&nbsp;Nicole Racine ,&nbsp;Sheila McDonald ,&nbsp;Suzanne Tough ,&nbsp;Sheri Madigan","doi":"10.1016/j.chiabu.2025.107722","DOIUrl":"10.1016/j.chiabu.2025.107722","url":null,"abstract":"<div><h3>Background</h3><div>Research suggests that maternal ACEs have intergenerational consequences for offspring mental health. However, very few studies have investigated moderators of this association.</div></div><div><h3>Objectives</h3><div>The objective of this longitudinal study was to examine whether child resilience factors moderated the association between maternal ACEs prior to age 18, and child-reported symptoms of anxiety, depression, hyperactivity, and inattention.</div></div><div><h3>Participants and setting</h3><div>The current study used data from 910 mother-child dyads. Participants were recruited in pregnancy from 2008 to 2010 as part of a longitudinal cohort study.</div></div><div><h3>Methods</h3><div>Mothers had previously completed an ACEs questionnaire and reported on their child's resilience factors at child age 8-years. Children completed questionnaires about their mental health problems (symptoms of anxiety, depression, hyperactivity, and attention problems) at ages 10 and 10.5 years. Four moderation models were performed in total.</div></div><div><h3>Results</h3><div>Results revealed that maternal ACEs predicted child-reported symptoms of anxiety (β = 0.174, <em>p =</em> .02) and depression (β = 0.37, <em>p =</em> .004). However, both these associations were moderated by higher levels of perceived child resilience factors (β = −0.29, <em>p =</em> .02, β = −0.33, <em>p =</em> .008, respectively). Specifically, there was no association between maternal ACEs and child mental health problems in the context of moderate and high levels of child resilience factors.</div></div><div><h3>Conclusions</h3><div>Children who have the ability to solicit support from internal and external sources (e.g., being creative, setting realistic goals, making friends easily) may be buffered against the consequences of maternal ACEs on anxiety and depression. Thus, the effects of maternal ACEs on child mental health problems are not deterministic.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"168 ","pages":"Article 107722"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214104","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 adversity and intimate partner violence: A 20-year longitudinal study of cumulative, typological, and sex effects","authors":"Shan Jiang ,&nbsp;Chengkun Jin ,&nbsp;Ruoyu Du ,&nbsp;Zurong Liang","doi":"10.1016/j.chiabu.2025.107695","DOIUrl":"10.1016/j.chiabu.2025.107695","url":null,"abstract":"<div><h3>Background</h3><div>Adverse childhood experiences (ACEs) have been identified as risk factors for intimate partner violence (IPV). However, most studies assessed ACEs in isolation or as cumulative counts, failing to capture their synergistic and dynamic nature. Sex differences in these associations also represent critical consideration.</div></div><div><h3>Objective</h3><div>This study aimed to identify cumulative, typological, and time-varying effects of ACEs on IPV victimization and perpetration and examine sex-based differences in these associations.</div></div><div><h3>Participants and setting</h3><div>Data (<em>N</em> = 2078) were drawn from the National Longitudinal Study of Adolescent to Adult Health (Add Health).</div></div><div><h3>Methods</h3><div>We first used latent class analysis (LCA) to identify ACEs classes. Then Tobit models were used to examine the effects of varied ACEs coding schemes on IPV. Sex interactions were also tested.</div></div><div><h3>Results</h3><div>Cumulative ACEs were significantly associated with IPV perpetration (b = 0.220, <em>p</em> &lt; .001) and victimization (b = 0.206, <em>p</em> &lt; .001). Physical neglect (b = 0.808, <em>p</em> &lt; .001; b = 0.752, <em>p</em> &lt; .01) and physical abuse (b = 0.707, p &lt; .001; b = 0.644, p &lt; .01) were the strongest predictors for both IPV perpetration and victimization. LCA identified three ACEs classes; those in the Parental Abuse class had the highest IPV risk (b = 0.552, <em>p</em> &lt; .01). Abuse during adolescence predicted the greatest IPV risk (b range = 0.562–0.869). Males with high ACE exposure showed greater risk of IPV victimization than females (b = 0.286, <em>p</em> &lt; .01).</div></div><div><h3>Conclusions</h3><div>Findings point to the need for trauma-informed and sex-sensitive IPV prevention strategies.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"169 ","pages":"Article 107695"},"PeriodicalIF":3.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201640","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":"Early home environments and reward-processing in adolescence: The unique role of harsh parenting","authors":"Eirini Flouri ,&nbsp;Efstathios Papachristou ,&nbsp;Dimitris I. Tsomokos","doi":"10.1016/j.chiabu.2025.107699","DOIUrl":"10.1016/j.chiabu.2025.107699","url":null,"abstract":"<div><h3>Background</h3><div>Reward-processing, i.e., how one evaluates potential reward and punishment and how one uses this information to make decisions, is strongly related to mental health and is especially useful for understanding motivation, in turn associated with many health, educational and socio-economic outcomes. Research has yet to explore the role of the home's emotional and physical environment early in life on reward-processing in adolescence, a period characterised by increased reward sensitivity.</div></div><div><h3>Objective</h3><div>We carried out this study to fill this gap.</div></div><div><h3>Participants and setting</h3><div>We used data from the Millennium Cohort Study, a large, nationally-representative longitudinal birth cohort in the UK.</div></div><div><h3>Methods</h3><div>We explored reward-based decision-making (using the Cambridge Gambling Task [CGT]) at age 11 years as a function of three aspects of the home environment at age 3 years (assessed by the Short Form of the Home Observation Measurement of the Environment [HOME-SF]): physical organisation of the home, mother's emotional and verbal responsivity, and mother's use of harsh discipline (<em>N</em> = 10,202).</div></div><div><h3>Results</h3><div>Harsh discipline was significantly associated with risk-taking but no other measure on the CGT. Physical organisation and maternal responsivity were not related to any CGT measures. The association between harsh discipline and risk-taking was robust to adjustment for the other HOME-SF variables and confounders including sex, ethnicity, developmental milestones, family income, family structure, home overcrowding, maternal mental health and maternal education but also current (age 11) cognitive ability and pubertal status.</div></div><div><h3>Conclusions</h3><div>Harsh parenting early in life increases reward sensitivity (or decreases punishment sensitivity) on the cusp of adolescence.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"169 ","pages":"Article 107699"},"PeriodicalIF":3.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201596","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":"Association of childhood threat and deprivation with problematic internet use in Chinese adolescents","authors":"Lu Li ,&nbsp;Xiuqiong Feng ,&nbsp;Shengyu Luo ,&nbsp;Dan Xu ,&nbsp;Jinghua Li ,&nbsp;Zhongzhi Xu ,&nbsp;Weiqing Chen ,&nbsp;Vivian Yawei Guo","doi":"10.1016/j.chiabu.2025.107694","DOIUrl":"10.1016/j.chiabu.2025.107694","url":null,"abstract":"<div><h3>Background</h3><div>While the association between adverse childhood experiences (ACEs) and problematic internet use (PIU) among adolescents has been established, evidence on the role of specific ACE dimensions remains limited.</div></div><div><h3>Objective</h3><div>This study investigated the impact of two ACE dimensions, i.e., threat and deprivation, on adolescent PIU, and examined the potential moderating role of gender in these associations.</div></div><div><h3>Participants and setting</h3><div>This cross-sectional analysis engaged 6714 adolescents aged 11–20 years. Six threat-related ACEs and six deprivation-related ACEs were collected through self-reported questionnaires. Adolescent PIU was assessed using the Young’s Diagnostic Questionnaire (YDQ). Logistic regression analyses were conducted to assess the associations of threat- and deprivation-related ACEs with PIU. Stratified analyses and interaction tests were also conducted to explore the potential moderating role of gender.</div></div><div><h3>Results</h3><div>Among the adolescents, 52.2 % were boys, with an average age of 14.5 (standard deviation: 1.6) years. Approximately 16.5 % of adolescents exhibited PIU. Compared to those without the respective ACE exposure, adolescents experiencing either threat- or deprivation-related ACEs had an increased likelihood of PIU (odds ratio [OR]: 4.33, 95 % CI: 3.60–5.221.66 for ≥2 threat-related ACEs; OR: 1.38, 95 % CI: 1.14–1.66 for ≥2 deprivation-related ACEs). Gender was not a significant moderator in the association between either ACE dimension and PIU.</div></div><div><h3>Conclusion</h3><div>These findings suggest that addressing ACEs in adolescents, particularly threat-related ACEs, may be beneficial in promoting healthy internet use among adolescents. Further research is warranted to understand the underlying mechanisms and to inform targeted strategies for reducing PIU based on specific ACE dimensions.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"169 ","pages":"Article 107694"},"PeriodicalIF":3.4,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157832","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":"Characteristics of 86 families and 142 children diagnosed with Pediatric Condition Falsification in the Netherlands","authors":"P.I.M. Worm ,&nbsp;A.H. Teeuw ,&nbsp;M.J. Steketee","doi":"10.1016/j.chiabu.2025.107681","DOIUrl":"10.1016/j.chiabu.2025.107681","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this study is to analyse cases of Pediatric Condition Falsification reported to the Child Abuse Counseling and Reporting Center (CACRC) to gain more insight into possible trends or common factors that could result in an earlier diagnosis of Pediatric Condition Falsification (PCF) and identify which information is lacking. This study is the first to use the data of PCF cases reported to the CACRC in the Netherlands.</div></div><div><h3>Methods</h3><div>All CACRC-files with suspected and confirmed PCF were collected over a five-year period, from January 2008 to December 2013, two of 26 CACRCs did not deliver any files. The Medical Ethical Review Committee of the Erasmus Medical Centre, Rotterdam, decided on June 20, 2014, that informed consent could be waived (METC 2014 349). Files of 86 families, with 142 children were studied.</div></div><div><h3>Results</h3><div>This study has provided several new insights: about the reporter, involvement of (medical) professionals, the absence position of the fathers, restrictions in daily functioning and recovery of the PCF-victims, and the high number of formal complaints against the CACRC. This study showed a high rate of extensive medical history and a problematic childhood of the perpetrator, in accordance with literature. Information about the child's own point of view was lacking in the files.</div></div><div><h3>Discussion</h3><div>This study is the first PCF study in the Netherlands to use data from the CACRC. This study made clear that a more complete and uniform method of collecting information for the CACRC case file, incorporating the child's own point of view, has to be implemented.</div></div><div><h3>Conclusion</h3><div>Besides new information concerning the reporter, fathers' position, perpetrator's history and formal complaints, this study highlighted the need for uniform questionnaires. Implementing these will lead to better data collection, potentially resulting in more knowledge about PCF and the child's own perspective. A concept questionnaire has been added as an appendix (Dutch Guideline KMdF, 2025).</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"169 ","pages":"Article 107681"},"PeriodicalIF":3.4,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157830","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}