Child Abuse & Neglect最新文献

{"title":"Prenatal cannabis exposure and the risk of subsequent maltreatment","authors":"Joseph P. Ryan ,&nbsp;Lauren Oshman ,&nbsp;Christopher J. Frank ,&nbsp;Brian Perron ,&nbsp;Bryan Victor ,&nbsp;Vivek Sankaran","doi":"10.1016/j.chiabu.2024.107175","DOIUrl":"10.1016/j.chiabu.2024.107175","url":null,"abstract":"<div><h3>Background</h3><div>Parental substance use can increase the risk of child maltreatment.</div></div><div><h3>Objective</h3><div>The purpose of this study was to assess racial bias in newborn drug testing and to investigate the association between prenatal tetrahydrocannabinol (THC) exposure and subsequent child maltreatment.</div><div>Participants and Setting.</div><div>This retrospective cohort study (<em>n</em> = 35,437) linked University of Michigan Hospital birth data and Michigan Department of Health and Human Services child maltreatment data relative to a 2018 policy change. Prior to 2018, prenatal THC exposure was routinely substantiated as physical abuse; after 2018 THC exposure was investigated but not automatically substantiated.</div></div><div><h3>Methods</h3><div>We defined prenatal THC exposure as a positive newborn meconium drug test for THC. The primary outcome was a substantiated Child Protective Services (CPS) report of maltreatment before and after the policy change. Demographic variables included parent age, race, ethnicity, zip code and insurance type. Covariates included prenatal urine drug test orders and results, and newborn drug test orders and results. Regression models estimated the rate of subsequent maltreatment and racial disparities associated with newborn testing.</div></div><div><h3>Results</h3><div>Regression analyses indicated that Black and multiracial newborns were significantly more likely to be tested for substance exposure at birth. Newborns with a test positive for THC only were not more likely to experience maltreatment after the policy change as compared with newborns that tested negative and newborns not tested.</div></div><div><h3>Conclusions</h3><div>The evidence strongly supports a policy to end routine CPS investigations for cannabis exposure and eliminate racially biased drug testing practices.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"160 ","pages":"Article 107175"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820119","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 effect of area-level characteristics on juvenile justice and child welfare referrals using multivariate Bayesian spatial modeling","authors":"Gia E. Barboza-Salerno ,&nbsp;Holly Thurston ,&nbsp;Yujeong Chang ,&nbsp;Charis Stanek","doi":"10.1016/j.chiabu.2024.107203","DOIUrl":"10.1016/j.chiabu.2024.107203","url":null,"abstract":"<div><h3>Background</h3><div>Neighborhood disadvantage is linked to a higher risk of referrals to child welfare and juvenile justice systems. While past research has explored these associations independently, no study has concurrently examined the spatial overlap of child maltreatment and juvenile justice involvement.</div></div><div><h3>Objective</h3><div>We examine the spatial overlap of involvement in juvenile justice and child welfare systems to identify areas of shared risk.</div></div><div><h3>Participants and setting</h3><div>Youth who received either a juvenile justice or child welfare referral in New Mexico between 2008 and 2015 aggregated to census tracts.</div></div><div><h3>Methods</h3><div>We examined the spatial overlap of child welfare and juvenile justice involvement using multivariate Bayesian spatial modeling.</div></div><div><h3>Results</h3><div>Results show a significant positive association between juvenile justice and child maltreatment referrals across neighborhoods. After adjusting for residential instability, immigrant concentration, and residential racial segregation, children in the least deprived 20 % of neighborhoods were 95.2 % and 55.5 % less likely to be referred to child welfare or justice systems, respectively, compared to those in the most deprived 20 %.</div></div><div><h3>Conclusions</h3><div>Our findings highlight the value of geospatial analyses to guide public health interventions by targeting the shared overlapping risk factors associated with neighborhoods with high risk for both child welfare and juvenile justice system involvement.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"160 ","pages":"Article 107203"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873436","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":"Exploring the relationships between complex post-traumatic stress disorder and depression symptoms in the context of childhood maltreatment through network analysis","authors":"Wenzhou Lin,&nbsp;Aiyi Liu,&nbsp;Xinchun Wu,&nbsp;Mingxiao Liu","doi":"10.1016/j.chiabu.2024.107215","DOIUrl":"10.1016/j.chiabu.2024.107215","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with a history of childhood maltreatment commonly experience the co-occurrence of complex post-traumatic stress disorder (CPTSD) and depression, but the underlying mechanisms of their comorbidities remain unclear.</div></div><div><h3>Methods</h3><div>We recruited 2740 college students, including 1366 who experienced childhood maltreatment to assess the co-occurrence network of CPTSD and depression symptoms. We constructed a Gaussian graphical model to visualize the associations between symptoms and a directed acyclic graph to explore inferred relationships among symptoms.</div></div><div><h3>Results</h3><div>(1) We identified the following five subnetworks within the co-occurring network of CPTSD and depression symptoms: post-traumatic stress disorder (PTSD), disturbance in self-organization (DSO), depression with vegetative symptoms, depression with interpersonal problems, and lack of positive affect subnetworks. (2) Core symptoms, identified by their high expected influence, such as <em>sadness, low spirits, and not feeling loved</em> have the highest EI in the depression subnetwork, whereas <em>failure, distant, avoiding clues, and avoiding thoughts</em> have the highest EI in the DSO and PTSD subnetworks. Bridging symptoms in the childhood maltreatment network included <em>failure, self-denial, startlement,</em> and <em>hyperactivity</em>. (3) The inferred mechanism identified includes PTSD activating DSO, which subsequently triggers depression in the childhood maltreatment network.</div></div><div><h3>Limitations</h3><div>This study involved a non-clinical sample.</div></div><div><h3>Conclusion</h3><div>Our study contributes to a deeper understanding of the mechanisms of CPTSD and depression co-occurrence at a transdiagnostic level and has implications for better clinical interventions targeting influential symptoms.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"160 ","pages":"Article 107215"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903935","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 prevalence and correlates of sibling bullying victimisation in early adolescence: An investigation of over 30,000 adolescents in 18 countries","authors":"Umar Toseeb,&nbsp;Emre Deniz,&nbsp;Nathalie Noret","doi":"10.1016/j.chiabu.2024.107211","DOIUrl":"10.1016/j.chiabu.2024.107211","url":null,"abstract":"<div><h3>Background</h3><div>Sibling bullying is a common childhood experience. Recent studies have shown that correlates of sibling bullying are proximal and distal. However, a lack of cross-cultural understanding still exists on the prevalence and protective factors of sibling bullying.</div></div><div><h3>Objective</h3><div>The objective of the current study was to examine the prevalence of sibling bullying and investigate whether positive environments protect against sibling bullying victimisation in 18 countries.</div></div><div><h3>Participants and setting</h3><div>We analysed existing data from an international study of over 30,000 adolescents aged 10 and 12 years old, the Children's World Survey.</div></div><div><h3>Methods</h3><div>Adolescents reported physical and verbal sibling bullying victimisation experiences and the positive aspects of their home, neighbourhood, and school environments. Regression models were fitted to investigate whether individual- and country-level positive home, neighbourhood, and school environments are associated with sibling bullying victimisation.</div></div><div><h3>Results</h3><div>On average, the prevalence of sibling bullying victimisation was 28 %; 1 in 4 adolescents were physically hurt or called unkind names more than three times in the last month by a sibling (excluding fighting or play fighting). The prevalence varied by country; ranging from 9 %–59 %. Whilst, on the whole, individual-level positive home, neighbourhood, and school environments were associated with reduced sibling bullying victimisation (odds ratios, 0.68–0.85), these effects differed for each country. Country-level positive environments were not associated with sibling bullying victimisation.</div></div><div><h3>Conclusion</h3><div>These findings demonstrate that improving adolescents' home, neighbourhood, and school environments might serve to reduce sibling bullying victimisation.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"160 ","pages":"Article 107211"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early maladaptive schemas as mediators between childhood maltreatment and adult psychopathology in psychiatric inpatients","authors":"Zahra Azadfar ,&nbsp;Gina Rossi ,&nbsp;Eva Dierckx ,&nbsp;Jesse Duenas ,&nbsp;Carmen Diaz-Batanero ,&nbsp;Katrien Schoevaerts ,&nbsp;Hendrik Peuskens ,&nbsp;Els Santens ,&nbsp;Els Pauwels ,&nbsp;An Haekens ,&nbsp;Kris Baetens","doi":"10.1016/j.chiabu.2024.107238","DOIUrl":"10.1016/j.chiabu.2024.107238","url":null,"abstract":"<div><h3>Background</h3><div>Early maladaptive schemas are well-established mechanisms between childhood maltreatment (i.e., abuse and neglect) and psychopathology in adulthood. However, research has not yet examined the unique contribution of childhood maltreatment, while controlling for the family dysfunction-related experiences, in shaping specific EMS domains and their associations with distinct psychopathological outcomes.</div></div><div><h3>Objective</h3><div>Our aim was to examine the unique role of childhood maltreatment, while controlling for the effects of family dysfunction on early maladaptive schemas and subsequently on personality disorders and psychological distress using structural equation modelling and network analysis.</div></div><div><h3>Methods</h3><div>A total of 2,011 unique inpatients aged 18 to 80 years (M = 39.7, SD = 14.18; 53.4% women) admitted to the Alexianen Zorggroep Tienen Psychiatric Hospital between 2011 and 2021 were included in this study. Self-report questionnaires were completed as part of the hospital admission process. Data were analyzed using structural equation modeling and network analysis.</div></div><div><h3>Results</h3><div>The results showed positive associations between childhood maltreatment, family dysfunction, early maladaptive schema domains, symptoms of personality disorders, and psychological distress. Accounting for the effects of family dysfunction-related experiences, early maladaptive schema played a significant mediating role in the association between childhood maltreatment and psychopathological outcomes. The results highlighted the central role of the domains disconnection/rejection and impaired autonomy/performance for personality disorders and psychological distress. There were no significant gender-specific differences in the network of relationships between the variables.</div></div><div><h3>Conclusions</h3><div>These results demonstrate the key role of EMS in the domains of disconnection/rejection and impaired autonomy/performance in the association between childhood maltreatment and personality pathology and psychological distress in psychiatric inpatients. Clinical implications, study limitations, and recommendations for future research are discussed.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"160 ","pages":"Article 107238"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928558","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 impact of race, ethnicity, and socioeconomic status on early adolescent sleep disturbances for youth exposed to adverse childhood experiences","authors":"Thea Senger-Carpenter ,&nbsp;Terri Voepel-Lewis ,&nbsp;Sarah A. Stoddard ,&nbsp;Anao Zhang ,&nbsp;Monica R. Ordway","doi":"10.1016/j.chiabu.2024.107236","DOIUrl":"10.1016/j.chiabu.2024.107236","url":null,"abstract":"<div><h3>Background</h3><div>Adverse childhood experiences (ACEs) may increase the risk for adolescent sleep disturbances, though the impact of race, ethnicity, and socioeconomic status (SES) remains unclear.</div></div><div><h3>Objective</h3><div>We sought to determine the direct and moderating impact of race, ethnicity, family SES, and community SES on sleep disturbances across early adolescence for ACE-exposed youth.</div></div><div><h3>Participants and setting</h3><div>This secondary analysis used longitudinal Adolescent Brain Cognitive Development Study® data (2016–2022) from youth who experienced ≥1 ACE by age 9–10 years.</div></div><div><h3>Methods</h3><div>Clinically significant sleep disturbances were identified from the annual parent-reported Sleep Disturbances Scale for Children. Parents reported youths' race, ethnicity, family SES, and community SES at baseline. Multilevel mixed effects logistic regression modeling examined the impact of race, ethnicity, and SES on sleep disturbances over four years among ACE-exposed youth. Adjusted odds ratios with 95 % confidence intervals are presented (adj. OR [95 % CI]).</div></div><div><h3>Results</h3><div>Among 6661 youth with ACE exposure, 2402 (36.1 %) had clinically significant sleep disturbances at baseline. Multiracial (versus White) youth were 27 % likelier to have clinically significant sleep disturbances over time (adj. OR 1.27 [95 % CI 1.01, 1.59]). Similar results were found for youth exposed to ≥2 family financial adversities (adj. OR 1.50 [95 % CI 1.19, 1.90]). There were no effects of community SES, nor interaction effects of race, ACEs, or SES on sleep disturbances.</div></div><div><h3>Conclusion</h3><div>While Multiracial youth may experience additional stressors which affect sleep disturbances, regularly assessing family environments and supporting all families to meet basic needs may positively impact adolescent sleep.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"160 ","pages":"Article 107236"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928560","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":"US state minimum wages and rates of maltreatment-related death among children","authors":"Krista Neumann ,&nbsp;Stephanie Veazie ,&nbsp;Susan M. Mason ,&nbsp;Jennifer Ahern ,&nbsp;Corinne A. Riddell","doi":"10.1016/j.chiabu.2024.107227","DOIUrl":"10.1016/j.chiabu.2024.107227","url":null,"abstract":"<div><h3>Background</h3><div>The number of U.S. deaths due to child maltreatment (abuse and neglect) has been increasing over several years. Policy-level interventions that increase household income may be effective interventions for lowering child maltreatment death rates.</div></div><div><h3>Objective</h3><div>To estimate the effect of state-level minimum wages on child maltreatment-related mortality and assess heterogeneity by race and ethnicity.</div></div><div><h3>Participants and setting</h3><div>24,025 child maltreatment-related deaths in U.S. children under 5 years old between 2000 and 2019 were identified via death certificates using International Classification of Diseases codes that (1) identified abuse explicitly and (2) identified injuries predictive of maltreatment (“proxy codes”). State-year maltreatment-related deaths were divided by under-5 population estimates to obtain death rates.</div></div><div><h3>Methods</h3><div>Incidence rate differences (IRD) of the effect of a $1 increase in effective minimum wage on child maltreatment-related death rates, were estimated via a linear regression with state and year fixed effects, robust standard errors, population weights, and appropriate confounder adjustment. Heterogeneity in effect by race and ethnicity was examined using stratified models.</div></div><div><h3>Results</h3><div>Fully adjusted estimates using combined explicit and proxy codes were close to the null [IRD: −0.05 deaths per 100,000 children overall, 95%CI: (−0.25, 0.16)], with slight, if imprecise, protective estimates among non-Hispanic Black children [IRD: −0.60 deaths per 100,000 children, 95%CI: (−1.28, 0.08)].</div></div><div><h3>Conclusions</h3><div>This study did not find compelling evidence of a link between minimum wages and child maltreatment-related mortality. Future research should explore other potential policy levers as potential child maltreatment interventions.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"160 ","pages":"Article 107227"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928564","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":"How school and community supports influence psychosocial outcomes of children experiencing emotional maltreatment","authors":"Karissa DiMarzio ,&nbsp;Megan Hare ,&nbsp;Michaela Sisitsky ,&nbsp;Geraldine Cadet ,&nbsp;Suggizett Satoba ,&nbsp;Justin Parent","doi":"10.1016/j.chiabu.2024.107174","DOIUrl":"10.1016/j.chiabu.2024.107174","url":null,"abstract":"<div><h3>Background</h3><div>Research has shown that experiences of emotional maltreatment (i.e., emotional abuse and neglect) can compromise children's development. However, less work has been done to further our understanding of protective factors, which would serve to inform how we can best assist families at risk of emotional maltreatment and strengthen children's resilience.</div></div><div><h3>Objective</h3><div>The current study evaluates whether school and/or community supports moderate relations between emotional abuse or neglect and child psychosocial health (i.e., internalizing and externalizing problems).</div></div><div><h3>Participants and setting</h3><div>Participants included youth (<em>N</em> = 3475, 48 % female) and their primary caregivers, a majority of whom identified as biological mothers (68.5 %). Data were from the Future of Family and Child Wellbeing Study, a longitudinal investigation of youths' health and development from across the United States.</div></div><div><h3>Methods</h3><div>Data from Waves 5 and 6 were analyzed for this study. Four longitudinal path analyses were conducted to evaluate associations in a moderation model in which school (i.e., school climate and school connectedness) and community supports (i.e., community cohesion and extracurricular involvement) were observed as possible moderators of the relation between emotional maltreatment and psychosocial outcomes.</div></div><div><h3>Results</h3><div>School climate emerged as a significant moderator, such that a more supportive school climate buffered the detrimental impact of emotional neglect on youth externalizing problems. No other significant moderating effects were observed.</div></div><div><h3>Conclusion</h3><div>Although only one significant interaction was observed in the current study, findings help support the importance of social supports outside the home environment in promoting resilience and youths' healthy psychosocial functioning.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"160 ","pages":"Article 107174"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848338","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":"Disclosure and non-disclosure of childhood sexual abuse in Australia: Results from a national survey","authors":"Ben Mathews ,&nbsp;David Finkelhor ,&nbsp;Delphine Collin-Vézina ,&nbsp;Eva Malacova ,&nbsp;Hannah J. Thomas ,&nbsp;James G. Scott ,&nbsp;Daryl J. Higgins ,&nbsp;Franziska Meinck ,&nbsp;Rosana Pacella ,&nbsp;Holly E. Erskine ,&nbsp;Divna M. Haslam ,&nbsp;David Lawrence","doi":"10.1016/j.chiabu.2024.107183","DOIUrl":"10.1016/j.chiabu.2024.107183","url":null,"abstract":"<div><h3>Background</h3><div>Little population-based evidence exists about prevalence of lifetime disclosure and non-disclosure of child sexual abuse (CSA). Evidence is lacking about disclosure by girls and women compared with boys and men, and gender diverse individuals. It is unclear if disclosure is more common in contemporary society, and if disclosure is influenced by abuse severity and perpetrator type.</div></div><div><h3>Objective</h3><div>We aimed to identify prevalence of lifetime disclosure of CSA, and prevalence by gender, age group, abuse severity and perpetrator.</div></div><div><h3>Participants and setting</h3><div>The Australian Child Maltreatment Study collected information about CSA victimisation from a nationally representative sample of 8503 individuals aged 16 and over; 28.5 % (<em>n</em> = 2348) experienced CSA and provided information about disclosure.</div></div><div><h3>Methods</h3><div>We generated national estimates of lifetime CSA disclosure, compared results by gender and age group, and identified differences by severity and perpetrator.</div></div><div><h3>Results</h3><div>Prevalence of lifetime CSA disclosure was 54.8 %, and prevalence of non-disclosure was 45.2 %. Disclosure was more common for women (60.3 %) than men (42.2 %). Disclosure was more common among those aged 16–24 (70.5 %) than those aged 25–44 (61.9 %) and 45 and over (46.2 %). Prevalence was similar across four CSA sub-types (47.2 %–58.2 %). Disclosure varied across perpetrator classes.</div></div><div><h3>Conclusions</h3><div>Population-wide, almost one in two people who experience CSA had not disclosed. Men and those aged 45 and over were less likely to disclose. Increased disclosure by younger participants indicates progress in societal understanding of CSA. However, continued widespread non-disclosure indicates further efforts are needed to support those with lived experience of CSA to seek assistance.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"160 ","pages":"Article 107183"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the effectiveness of intensive family preservation services: A multi-level meta-analysis","authors":"Lou Lippens ,&nbsp;Lana De Clercq ,&nbsp;Stijn Vandevelde ,&nbsp;Sarah De Pauw ,&nbsp;Geert-Jan Stams","doi":"10.1016/j.chiabu.2024.107198","DOIUrl":"10.1016/j.chiabu.2024.107198","url":null,"abstract":"<div><h3>Background</h3><div>Intensive Family Preservation Services (IFPS) are an important part of child welfare. They are short-term, in-home treatment programs aimed at preventing imminent out-of-home placements, however, today, their overall effectiveness remains unclear.</div></div><div><h3>Objective</h3><div>This study aims to conduct a comprehensive review of IFPS effectiveness, evaluate a wide range of outcomes, and analyze the impact of various factors on its success.</div></div><div><h3>Methods</h3><div>A three-level meta-analysis was conducted on 33 controlled trial studies comprising 226 effect sizes to test whether the effectiveness of IFPS was influenced by study, program, target, sample, and outcome characteristics.</div></div><div><h3>Results</h3><div>Analyses showed that IFPS did have a modest overall effect on treatment outcomes (<em>g</em> = 0.18), with notable variations across different outcome measures, showing small and positive effects on out-of-home placement (<em>g</em> = 0.31), family functioning (<em>g</em> = 0.19), juvenile delinquency (<em>g</em> = 0.19), and parental psychopathology (<em>g</em> = 0.34). Greater program intensity was associated with smaller effects, and follow-up assessment yielded larger effects than post-test assessments, indicating that positive intervention effects increased over time.</div></div><div><h3>Conclusions</h3><div>The findings suggest a rather limited effectiveness of IFPS, indicating that both practice and policy should take this into account. Recommendations for future research are provided to further enhance understanding and improvement of IFPS interventions.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"160 ","pages":"Article 107198"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830881","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}