Psychiatric Diagnosis as a Risk Marker for Victimization in a National Sample of Children
- 29 April 2008
- journal article
- Published by SAGE Publications in Journal of Interpersonal Violence
- Vol. 24 (4), 636-652
- https://doi.org/10.1177/0886260508317197
Abstract
Research examining childhood abuse has shown an association between victimization and psychiatric diagnoses (e.g., posttraumatic stress disorder, depression). Historically, psychiatric diagnoses have been emphasized as a consequence of victimization, with less research examining if it also functions as a risk factor for further victimization, perhaps making diagnoses a general victimization risk marker. In addition, much of this research has emphasized particular types of victimization such as childhood physical or sexual abuse. Researchers have given less attention to other forms of victimization (e.g., peer victimization, witnessed violence) or a diverse victimization history. Using the Juvenile Victimization Questionnaire (JVQ) we surveyed parents and children between the ages of 2 and 17 using a random digit dial (RDD) methodology. We examined the relationship between a number of different forms of victimization (termed poly-victimization ) in the preceding year and parent-reported lifetime psychiatric diagnosis. Results show that children with a psychiatric diagnosis have significantly higher rates of victimization than children without a psychiatric diagnosis. In addition, using logistic regression models, we find that psychiatric diagnosis was associated with increased risk for poly-victimization, conventional crime victimization, maltreatment, peer or sibling victimization, and witnessing violence, but not sexual abuse. The results highlight the need to consider psychiatric diagnoses as a risk marker for past and possible future victimization. In addition, the importance of obtaining a comprehensive and more diverse victimization history when working with children is highlighted.Keywords
This publication has 36 references indexed in Scilit:
- Child multi-type maltreatment and associated depression and PTSD symptoms: The role of social support and stressChild Abuse & Neglect, 2007
- The effect of lifetime victimization on the mental health of children and adolescentsSocial Science & Medicine, 2005
- The Victimization of Children and Youth: A Comprehensive, National SurveyChild Maltreatment, 2005
- Social Exile: The Cycle of Peer Victmization for Boys with ADHDCanadian Journal of School Psychology, 2003
- Three Decades of Child Maltreatment ResearchTrauma, Violence, & Abuse, 2001
- Attention-Deficit Hyperactivity DisorderScientific American, 1998
- Trauma and posttraumatic stress disorder in severe mental illness.Journal of Consulting and Clinical Psychology, 1998
- Psychosocial sequelae of violent victimization in a national youth sample.Journal of Consulting and Clinical Psychology, 1995
- Impact of sexual abuse on children: A review and synthesis of recent empirical studies.Psychological Bulletin, 1993
- Complex PTSD: A syndrome in survivors of prolonged and repeated traumaJournal of Traumatic Stress, 1992