Long-term Cognitive, Psychological, and Health Outcomes Associated With Child Abuse and Neglect
- 17 September 2020
- journal article
- research article
- Published by American Academy of Pediatrics (AAP) in PEDIATRICS
- Vol. 146 (4)
- https://doi.org/10.1542/peds.2020-0438
Abstract
Video Abstract Potential long-lasting adverse effects of child maltreatment have been widely reported, although little is known about the distinctive long-term impact of differing types of maltreatment. Our objective for this special article is to integrate findings from the Mater-University of Queensland Study of Pregnancy, a longitudinal prenatal cohort study spanning 2 decades. We compare and contrast the associations of specific types of maltreatment with long-term cognitive, psychological, addiction, sexual health, and physical health outcomes assessed in up to 5200 offspring at 14 and/or 21 years of age. Overall, psychological maltreatment (emotional abuse and/or neglect) was associated with the greatest number of adverse outcomes in almost all areas of assessment. Sexual abuse was associated with early sexual debut and youth pregnancy, attention problems, posttraumatic stress disorder symptoms, and depression, although associations were not specific for sexual abuse. Physical abuse was associated with externalizing behavior problems, delinquency, and drug abuse. Neglect, but not emotional abuse, was associated with having multiple sexual partners, cannabis abuse and/or dependence, and experiencing visual hallucinations. Emotional abuse, but not neglect, revealed increased odds for psychosis, injecting-drug use, experiencing harassment later in life, pregnancy miscarriage, and reporting asthma symptoms. Significant cognitive delays and educational failure were seen for both abuse and neglect during adolescence and adulthood. In conclusion, child maltreatment, particularly emotional abuse and neglect, is associated with a wide range of long-term adverse health and developmental outcomes. A renewed focus on prevention and early intervention strategies, especially related to psychological maltreatment, will be required to address these challenges in the future.Keywords
This publication has 80 references indexed in Scilit:
- Maternal Neglect: Oxytocin, Dopamine and the Neurobiology of AttachmentJournal of Neuroendocrinology, 2011
- Child Abuse and Neglect and Cognitive Function at 14 Years of Age: Findings From a Birth CohortPEDIATRICS, 2011
- The Significance of Insecure Attachment and Disorganization in the Development of Children’s Externalizing Behavior: A Meta‐Analytic StudyChild Development, 2010
- Selective drop-out in longitudinal studies and non-biased prediction of behaviour disordersThe British Journal of Psychiatry, 2009
- Reported History of Childhood Abuse and Young Adults' Information-Processing Biases for Facial Displays of EmotionChild Maltreatment, 2009
- Does Breastfeeding Protect Against Substantiated Child Abuse and Neglect? A 15-Year Cohort StudyPEDIATRICS, 2009
- Childhood and adolescent sexual abuse and subsequent sexual risk behavior: Evidence from controlled studies, methodological critique, and suggestions for researchClinical Psychology Review, 2008
- Maternal Programming of Sexual Behavior and Hypothalamic-Pituitary-Gonadal Function in the Female RatPLOS ONE, 2008
- Long-term physical and mental health consequences of childhood physical abuse: Results from a large population-based sample of men and womenChild Abuse & Neglect, 2007
- Qualitative Descriptors of Strength of Association and Effect SizeJournal of Social Service Research, 1996