Parent-Child Conflict Tactics Scale Research Articles

Association of Childhood Abuse with Incident Inflammatory Bowel Disease.

A link between inflammatory bowel disease (IBD), stressful life events and psychological factors has previously been reported. Our objective was to examine the relationship between childhood emotional, physical, and sexual abuse and risk of IBD using a large cohort of female health professionals. We included participants in the Nurses' Health Study II who completed the Physical and Emotional Abuse Subscale of the Childhood Trauma Questionnaire and the Sexual Maltreatment Scale of the Parent-Child Conflict Tactics Scale in 2001. Diagnosis of IBD was determined by self-report and confirmed independently by two physicians through review of medical records. We used Cox proportional hazard modeling to estimate the risk of Crohn's disease (CD) and ulcerative colitis (UC) while adjusting for covariates. Among 68,167 women followed from 1989 until 2017, there were 146 incident cases of CD and 215 incident cases of UC. Compared to women with no history of abuse, the adjusted hazard ratios of CD were 1.16 (95% CI 0.67 - 2.02) for mild, 1.58 (95% CI 0.92 - 2.69) for moderate, and 1.95 (95% CI 1.22 - 3.10) for severe abuse (Ptrend = 0.002). We did not observe an association between childhood abuse and risk of UC. Women who reported early life severe abuse had an increased risk of CD. These data add to the growing body of evidence on the critical role of early life stressors in development of CD.

Association between childhood abuse and risk of post-COVID-19 conditions: Results from three large prospective cohort studies

BackgroundSignificant early life adversities, such as childhood sexual and physical/emotional abuse, are associated with risk of poor health outcomes but are understudied risk factors for post-COVID-19 conditions. In this prospective study, we examined the associations between combined exposure to sexual and physical/emotional abuse during childhood with risk of post-COVID-19 conditions in adulthood. Additionally, we explored the extent to which lifestyle, health-related and psychological factors explain this association. MethodsWe used data from three large, ongoing cohorts: Nurses’ Health Study (NHS)-II, NHS3, and the Growing Up Today Study. Between April 2020 and November 2021, participants responded to periodic COVID-19 surveys. Participants were included if they responded to a questionnaire about childhood abuse, subsequently tested positive for SARS-CoV-2 infection and responded to questions about post-COVID-19 conditions. Childhood sexual abuse was measured before the COVID-19 pandemic with the Sexual Maltreatment Scale of the Parent-Child Conflict Tactics Scale, and physical/emotional abuse was measured with the Physical and Emotional Abuse Subscale of the Childhood Trauma Questionnaire. Post-COVID-19 conditions, defined as COVID–19–related symptoms lasting 4 weeks or longer (e.g., fatigue, dyspnea), were self-reported in the final COVID-19 questionnaire in November 2021. Sexual abuse and physical/emotional abuse were examined separately and jointly in relation to post-COVID-19 conditions. Data on key lifestyle (e.g., cigarette smoking), health-related (e.g., asthma, diabetes), and psychological factors (e.g., depression and anxiety) were obtained. ResultsOf 2851 participants, the mean age (range) was 55.8 (22.0–75.0) years; 2789 (97.8 %) were females, and 2750 (96.5 %) were whites. We observed a dose-dependent relationship between severity of childhood abuse and post-COVID conditions (p-trend:<0.0001); participants with severe versus no childhood abuse had a 42 % higher subsequent risk of post-COVID conditions [relative risk (95 % confidence interval): 1.42 (1.25 to 1.61)]. Key lifestyle, health-related, and psychological factors mediated 25.5 % of this association. Both sexual and physical/emotional abuse, were independently associated with post-COVID conditions. ConclusionsIn this prospective study of 2851 participants, childhood abuse was significantly associated with increased risk of post-COVID conditions. Biological pathways connecting childhood abuse with subsequent risk of post-COVID conditions should be investigated.

Harsh parenting trajectories from childhood through adolescence and socioemotional competences at age 18: 2004 Pelotas Birth Cohort Study

BackgroundLimited research has explored the course of harsh parenting practices throughout childhood and adolescence and its impact on socioemotional competences from a longitudinal perspective. This study examined the association between harsh parenting trajectories and socioemotional competences at age 18. MethodsData from the 2004 Pelotas (Brazil) Birth Cohort study, originally comprising 4231 live births, were used. Harsh parenting was measured using the parent-report version of the Parent–Child Conflict Tactics Scale at ages 6, 11, 15 and 17 years, and trajectories were identified using a group-based modelling approach. Socioemotional competences were emotion regulation, assessed by the Emotional Regulation Index for Children and Adolescents; self-esteem, measured by the self-report Rosenberg Self-esteem Scale; prosocial behaviour and peer relationship problems, both assessed by the Strengths and Difficulties Questionnaire. Multivariate linear and Poisson regression models were applied to examine the effects of harsh parenting trajectories on socioemotional competences, adjusting for confounding variables. ResultsWe identified three trajectories: a “low harsh parenting” trajectory (49.7 %), a “moderate harsh parenting” (44.7 %), and a “high harsh parenting” trajectory (5.6 %). Compared to those belonging to the low harsh parenting trajectory group, adolescents who experienced either a moderate or high harsh parenting trajectory exhibited lower scores in emotion regulation, self-esteem, and prosocial behaviour scales, along with higher scores of peer relationships problems. LimitationsData on harsh parenting at 15 and 17 years were available only for a sub-sample. ConclusionsOur study extends the evidence of the adverse effects of persistent harsh parenting on socioemotional competences during adolescence.

Childhood Maltreatment and Longitudinal Epigenetic Aging

Child physical and emotional abuse and neglect may affect epigenetic signatures of accelerated aging several years after the exposure. To examine the longitudinal outcomes of early-childhood and midchildhood exposures to maltreatment on later childhood and adolescent profiles of epigenetic accelerated aging. This cohort study used data from the Future of Families and Child Wellbeing Study (enrolled 1998-2000), a US birth cohort study with available DNA methylation (DNAm) data at ages 9 and 15 years (assayed between 2017 and 2020) and phenotypic data at birth (wave 1), and ages 3 (wave 3), 5 (wave 4), 9 (wave 5), and 15 (wave 6) years. Data were analyzed between June 18 and December 10, 2023. Emotional aggression, physical assault, emotional neglect, and physical neglect via the Parent-Child Conflict Tactics Scale at ages 3 and 5 years. Epigenetic accelerated aging (DNAmAA) was measured using 3 machine learning-derived surrogates of aging (GrimAge, PhenoAge, and DunedinPACE) and 2 machine learning-derived surrogates of age (Horvath and PedBE), residualized for age in months. A total of 1971 children (992 [50.3%] male) representative of births in large US cities between 1998 and 2000 were included. Physical assault at age 3 years was positively associated with DNAmAA for PhenoAge (β = 0.073; 95% CI, 0.019-0.127), and emotional aggression at age 3 years was negatively associated with PhenoAge DNAmAA (β = -0.107; 95% CI, -0.162 to -0.052). Emotional neglect at age 5 years was positively associated with PhenoAge DNAmAA (β = 0.051; 95% CI, 0.006-0.097). Cumulative exposure to physical assault between ages 3 and 5 years was positively associated with PhenoAge DNAmAA (β = 0.063; 95% CI, 0.003-0.123); emotional aggression was negatively associated with PhenoAge DNAmAA (β = -0.104; 95% CI, -0.165 to -0.043). The association of these measures with age 15 years PhenoAge DNAmAA was almost fully mediated by age 9 years PhenoAge DNAm age acceleration. Similar patterns were found for GrimAge, DunedinPACE, and PhenoAge, but only those for PhenoAge remained after adjustments for multiple comparisons. In this cohort study, altered patterns of DNAmAA were sensitive to the type and timing of child maltreatment exposure and appeared to be associated with more proximate biological embedding of stress.

The Impact of Early Childhood Life Adversity on Peripubertal Accelerated Epigenetic Aging and Psychopathology

To examine longitudinal associations between early life threat and deprivation on epigenetic age acceleration at ages 9 and 15 years, and to examine associations of age acceleration on later internalizing and externalizing symptoms. The study examines a large (n= 2,039) and racially diverse (Black/African American= 44%, Latino= 18%, White= 5%) sample from a national dataset. Epigenetic age acceleration was estimated using the pediatric buccal epigenetic clock. Early life threat and deprivation were measured using composites from the Parent-Child Conflict Tactics Scale and county-level violent and property crime rate data. Internalizing and externalizing symptoms came from parent-reported Child Behavior Checklist. Path analysis models examined associations of threat and deprivation at age 3 years on epigenetic age acceleration at ages 9 and 15. Experiences of threat were further broken down into threat experienced in the home and in the community. Home threat experienced at age 3 years predicted age acceleration at 9 and 15, and community threat experienced at 3 predicted age acceleration at 15, but not at 9. Deprivation was not a significant predictor of accelerated aging. Age acceleration at age 9 predicted externalizing, but not internalizing, symptoms at age 15. Community threat had a direct effect on externalizing. No association emerged with internalizing. Findings revealed that threat, not deprivation, was predictive of age acceleration, demonstrating support for this pattern longitudinally, using an epigenetic clock that is accurate in children. The findings provide critical nuance to the examination of threat, and highlight associated risks and possible intervention points for externalizing symptoms.

Harsh Discipline and the Development of Children’s Externalizing Problems: Longitudinal Mediation of Intraindividual Reaction Time Variability

ABSTRACT Research Findings: The present study aimed to investigate whether the trial-to-trial intraindividual reaction time variability (IIV), which reflects prefrontal cortex activity related to attentional and cognitive control, mediated the longitudinal effects of earlier harsh discipline on children’s later externalizing problems. The study involved 235 elementary school children (M age = 7.25, 46% female) who underwent up to three repeated assessments. Specifically, the Chinese version of the Parent-Child Conflict Tactics Scale and the Child Behavior Checklist were completed by the children’s mothers to assess harsh discipline (including corporal punishment and psychological aggression) and the children’s externalizing problems at three assessment waves. In addition, the children’s IIV was measured using the Go/No-Go task at three assessment waves. The results from structural equation modeling revealed that the longitudinal path between corporal punishment at T1 and externalizing problems at T3 was partially mediated by IIV at T2. This suggested that more corporal punishment children experienced, the greater IIV and the more externalizing problems they will develop at a later stage. Practice or Policy: The findings highlight the proposed process model, which shows that corporal punishment impairs the development of children’s prefrontal function as indexed by IIV, ultimately increasing the risk of externalizing problems.

Gene - maltreatment interplay in adult ADHD symptoms: main role of a gene-environment correlation effect in a Brazilian population longitudinal study.

Childhood maltreatment correlates with attention-deficit/hyperactivity disorder (ADHD) in previous research. The interaction between ADHD genetic predisposition and maltreatment's impact on ADHD symptom risk remains unclear. We aimed to elucidate this relationship by examining the interplay between a polygenic score for ADHD (ADHD-PGS) and childhood maltreatment in predicting ADHD symptoms during young adulthood. Using data from the 2004 Pelotas (Brazil) birth cohort comprising 4231 participants, we analyzed gene-environment interaction (GxE) and correlation (rGE). We further explored rGE mechanisms through mediation models. ADHD symptoms were assessed at age 18 via self-report (Adult Self Report Scale - ASRS) and mother-reports (Strength and Difficulties Questionnaire - SDQ). The ADHD-PGS was derived from published ADHD GWAS meta-analysis. Physical and psychological child maltreatment was gauged using the Parent-Child Conflict Tactics Scale (CTSPC) at ages 6 and 11, with a mean score utilized as a variable. The ADHD-PGS exhibited associations with ADHD symptoms on both ASRS (β = 0.53; 95% CI: 0.03; 1.03, p = 0.036), and SDQ (β = 0.20; 95% CI: 0.08; 0.32, p = 0.001) scales. The total mean maltreatment score was associated with ADHD symptoms using both scales [(βASRS = 0.51; 95% CI: 0.26;0.77) and (βSDQ = 0.24; 95% CI: 0.18;0.29)]. The ADHD-PGS was associated with total mean maltreatment scores (β = 0.09; 95% CI: 0.01; 0.17; p = 0.030). Approximately 47% of the total effect of ADHD-PGS on maltreatment was mediated by ADHD symptoms at age 6. No evidence supported gene-environment interaction in predicting ADHD symptoms. Our findings underscore the significant roles of genetics and childhood maltreatment as predictors for ADHD symptoms in adulthood, while also indicating a potential evocative mechanism through gene-environment correlation.

Prevalence of Parental Violent Discipline Toward Children: Findings From A Portuguese Population.

Despite recognizing the detrimental impact of parental violence on children's mental and physical health throughout their lives, violence remains an all-too-real part of life for many children around the globe. However, data on the child-reported prevalence of experienced family violence are scarce and primarily based on parental reports. This study aimed to broaden the body of evidence and measure the lifetime prevalence of child-reported experience of violent disciplinary practices perpetrated by parents and to identify its associated sociodemographic and economic factors. We conducted a cross-sectional study using data from 5,281 Generation XXI participants recruited from 2005 to 2006 in Porto, Portugal. Parental disciplinary practices were reported by 7-year-old children using the Parent-Child Conflict Tactics Scale. Pearson's Chi-squared test was used to compare differences in child-reported frequencies of violent disciplinary practices by sociodemographic variables. We observed statistically significant differences in rates of violent disciplinary practices according to the child's and parent's gender. Specifically, fathers exhibited a higher likelihood than mothers to engage in psychological aggression and corporal punishment, while mothers were more prone to engage in severe and very severe physical assault. When fathers were the perpetrators, boys were more inclined than girls to report all forms of violent disciplinary measures, and when mothers were the perpetrators, boys were particularly susceptible to severe and very severe physical assault compared to girls. In our study, children reported being frequently subjected to violent parental disciplinary practices, independently of family socioeconomic background. Children were more likely to experience psychological aggression and corporal punishment if they were born into high-income families, while severe and very severe physical assaults were more common among children whose parents had lower educational levels. National public awareness of the negative effects of violent disciplinary practices is urgently needed, promoting child-friendly and nonviolent approaches to discipline.

Validating the TeenHITSS to Assess Child Abuse in Adolescent Populations.

The purpose of this study is to establish the psychometric properties and diagnostic accuracy of the Teen Hurt-Insult-Threaten-Scream-Sex (TeenHITSS), a 5-item measure used to screen adolescents for family violence in clinical settings. Study participants included 251 adolescent participants (n=197 not at-risk subsample; n=56 at-risk subsample), recruited from ambulatory care clinics, a medical center at-risk referral clinic, and area shelters. Participants completed a cross-sectional survey, including the TeenHITSS and Parent-Child Conflict Tactics Scales (CTSPC) questionnaires. We calculated internal reliability, validity, and sensitivity and specificity for the full sample and both subsamples for each screening instrument. Concurrent validity between the TeenHITSS and CTSPC was strong (r=.71,P&lt;.000). We determined an optimal cutpoint based on sensitivity and specificity for correctly identifying abuse victims as a score of one or greater on the TeenHITSS. The TeenHITSS also proved slightly superior to the CTSPC in differentiating between victims and nonvictims of adolescent abuse (AUC=.79 vs .73, respectively). The TeenHITSS screening tool performed as well as the CTSPC in correctly classifying at-risk and not-at-risk teenagers and offers much greater utility to providers by supplying an actionable cut score. The findings of this study suggest that TeenHITSS is a valid and reliable tool to screen for physical and sexual abuse in children ages 13 years and older in clinical settings and can help health care providers detect adolescent abuse and initiate intervention and prevention of future abuse.

The intergenerational transmission of executive function: The mediating effect of parental harsh discipline

BackgroundThe important roles of parental EF in shaping children's EF is less clear, especially in Chinese families. Moreover, it is suggested that the negative parenting behavior may be important environmental mechanisms underlying the EF transmission. ObjectiveThis study aimed to examine the transmission of EF across generations and the mediating roles of parental harsh discipline in this transmission in a Chinese sample. Participants and settingA total of 311 Chinese preschool-aged children and their fathers and mothers were recruited from three public kindergartens in Beijing. MethodsThe Chinese version of Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A), Parent-child Conflict Tactics Scales (CTSPC) and Behavior Rating Inventory of Executive Function-Preschooler Version (BRIEF-P) were respectively used to assess parental EF, harsh discipline and children's EF. ResultsBoth paternal and maternal EF positively predicted children's EF (βpaternal = 0.16, p < .01; βmaternal = 0.42, p < .001), and maternal but not paternal psychological aggression (standardized indirect estimate = 0.03, p < .05) and corporal punishment (standardized indirect estimate = 0.02, p < .05) mediated the above transmission. ConclusionsThese findings broaden our understanding of the distal or proximal factors and processes that account for the development of child EF in Chinese culture. Interventions focusing on improving parental especially maternal parenting practices would be helpful to shape children's EF or to interrupt the transmission of poor EF.

Sensitive Periods for the Effect of Child Maltreatment on Psychopathology Symptoms in Adolescence

Introduction: Child maltreatment is among the strongest risk factors for mental disorders. However, little is known about whether there are ages when children may be especially vulnerable to its effects. We sought to identify potential sensitive periods when exposure to the 2 most common types of maltreatment (neglect and harsh physical discipline) had a particularly detrimental effect on youth mental health. Methods: Data came from the Future of Families and Child Wellbeing Study (FFCWS), a birth cohort oversampled from “fragile families” (n = 3,474). Maltreatment was assessed at 3, 5, and 9 years of age using an adapted version of the Parent-Child Conflict Tactics Scales (CTS-PC). Using least angle regression, we examined the relationship between repeated measures of exposure to maltreatment on psychopathology symptoms at age 15 years (Child Behavior Checklist; CBCL/6–18). For comparison, we evaluated the strength of evidence to support the existence of sensitive periods in relation to an accumulation of risk model. Results: We identified sensitive periods for harsh physical discipline, whereby psychopathology symptom scores were highest among girls exposed at age 9 years (r² = 0.67 internalizing symptoms; r² = 1% externalizing symptoms) and among boys exposed at age 5 years (r² = 0.41%). However, for neglect, the accumulation of risk model explained more variability in psychopathology symptoms for both boys and girls. Conclusion: Child maltreatment may have differential effects based on the child’s sex, type of exposure, and the age at which it occurs. These findings provide additional evidence for clinicians assessing the benefits and drawbacks of screening efforts and point toward possible mechanisms driving increased vulnerability to psychopathology.

Harsh parental discipline and school bullying among Chinese adolescents: The role of moral disengagement and deviant peer affiliation

School bullying is prevalent worldwide and poses a serious threat to the safety of school and students. However, few studies have explored the relationship between harsh parental discipline and adolescents’ school bullying. The current study aims to explore the internal mechanism between the two in the Chinese cultural context, and further test the mediating effect of moral disengagement and the moderating effect of deviant peer affiliation. This study recruited 1,246 students in eastern and southern China (average age = 14.48 ± 1.48) to complete the Parent-Child Conflict Tactics Scale, Moral Disengagement Scale, Deviant Peer Affiliation Scale, and the Olweus Bully Questionnaire. The results showed that: The prevalence of school bullying among adolescents accounted for 33.5 %, from most to least are verbal bullying, relational bullying and physical bullying. Harsh parental discipline positively predicted school bullying among Chinese adolescents. After controlling for gender and school type, moral disengagement partially mediated the association between harsh parental discipline and school bullying, and deviant peer affiliation moderated the first and second halves of the mediation effect. Current findings reveal that parents should adopt proper parenting styles and intervene appropriately in their children’s dating choices.

Maternal educational practices and mental health disorders of school-age children

ObjectiveTo investigate the association between emotional and behavioral difficulties in schoolchildren and maternal educational practices. MethodsParticipants and Setting: 631 mother-child pairs were evaluated in a poor urban district in Recife, northeastern Brazil. Cross-sectional study carried out between 2013 and 2014. It integrates a prospective cohort study designed to investigate the consequences of intimate partner violence that occurred during pregnancy, postpartum, and seven years after birth for the physical and mental health of women and their children. Maternal educational practices were assessed using the Parent-Child Conflict Tactics Scale (CTSPC - mother-child version) and the child's behavioral and emotional disorders through the Strengths and Difficulties Questionnaire (SDQ) mother-version. The association was estimated through crude and adjusted prevalence ratios, using Poisson regression considering the 95% confidence interval. ResultsThe prevalence of violent maternal educational practices was 91.8% (572/631) being 89.7% (566/631) of psychological aggression and 75.6% of physical aggression, subdivided into corporal punishment (73.5%), physical maltreatment (35.8%) and severe physical maltreatment (1.7%). Corporal punishment (Adjusted PR 1.5; CI 95%: 1.1–2.1; p = 0.010) and severe physical maltreatment (Adjusted PR 1.9; CI 95%: 1.3–2.8; p = 0.002) were associated with emotional and behavioral difficulties in schoolchildren. ConclusionThe high prevalence of violent maternal educational practices, especially corporal punishment and severe physical maltreatment is associated with emotional and behavioral disorders in children. Therefore, it is necessary to interventions that promote parental support and effective use of non-violent discipline in conducting the educational process to establish healthier family relationships and to prevent/mitigate the impact of emotional and behavioral problems in children.

Physical and Psychological Maltreatment of Deaf and Hard of Hearing Children: Frequency and Associated Factors in a Low Socioeconomic Setting.

Few studies have assessed frequency of maltreatment and other factors associated with maltreatment of deaf and hard of hearing children. The present study's objective was to verify the frequency of physical and psychological maltreatment and associated factors experienced by DHH children. DHH children from low-income families in Maceió, Brazil, were studied (N = 265). The Parent-Child Conflict Tactics Scales (Straus et al., 1998) were used to identify nonviolent discipline, psychological aggression, and physical assault (minor, severe, very severe). The study found that 221 children (83.4%) experienced physical assault; 238 (89.8%) experienced psychological aggression. Both physical and psychological aggression was reported for 94.3%. Most mothers (98.1%) reported using nonviolent discipline. Maltreatment was associated with male children, mothers' job dissatisfaction, religiously nonobservant families, and children born of unintended pregnancy. In conclusion, high frequencies of physical and psychological maltreatment of DHH children of low-income families were found.

Maternal depression trajectories in childhood, subsequent maltreatment, and adolescent emotion regulation and self-esteem: the 2004 Pelotas birth cohort.

This study aimed to examine the impact of maternal depressive symptoms trajectories on 15-year-old adolescents’ self-esteem and emotion regulation and test the mediating role of child maltreatment in this association. The 2004 Pelotas Birth Cohort is an ongoing cohort study originally comprised of 4231 live births in a southern Brazilian city. We examined a subsample of 1949 adolescents at age 15 years. Maternal depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale. Trajectories of maternal depression from 3 months until the 11-year follow-up were calculated using a group-based modeling approach. Child maltreatment at age 11 years was measured using the parent-report version of the Parent–Child Conflict Tactics Scale. Adolescent outcomes at age 15 years were assessed by the self-report version of the Rosenberg Self-esteem Scale and the Emotion Regulation Index for Children and Adolescents. Path model analysis was conducted using a structural equation modeling framework in Mplus software. All maternal depression trajectories were negatively associated with offspring self-esteem and emotion regulation compared to the reference group (low depression trajectory). There was a significant indirect effect of maternal depression trajectories on emotion regulation mediated via child maltreatment. No evidence of moderation by sex was found for any pathway. The effects of maternal depression on adolescents’ emotion regulation are partly mediated by child maltreatment at age 11.Supplementary InformationThe online version contains supplementary material available at 10.1007/s00787-022-02022-6.

Harsh Physical Discipline: Prevalence and Associated Factors Among Primary Caregivers of Pre-school Children in Ethiopia.

Harsh parental discipline is ineffective and potentially harmful to children, yet it is still common, particularly in many African countries. Culturally responsive education programs are needed to shift parenting practices in African countries, but there is limited baseline research to inform such efforts. This study’s objectives were to establish the baseline prevalence of harsh physical discipline practices among primary caregivers of pre-school children in Ethiopia and to identify associated factors to inform intervention efforts. The well-established Parent–Child Conflict Tactics Scale section on physical assault was translated and administered to primary caregivers of 1139 pre-school children aged 4–6 years sampled from four regions of Ethiopia. Trained interviewers also collected basic socio-demographic data. Based on caregiver report, 52.5% (n = 598) of the children had experienced harsh physical discipline and an additional 12.7% (n = 145) experienced moderate physical discipline in their lifetimes. After controlling for covariates, the factors significantly related to increased likelihood of harsh discipline were geographic region, female caregivers, lack of employment, at least moderate perceived social status, and non-Muslim religion. These data establish a baseline from which to evaluate the impact of future educational interventions designed to shift practices. Information about the correlates can be used to tailor such intervention efforts toward those most likely to use harsh discipline practices.

29.1 Is the Parent Discipline Measure Used by UNICEF an Adequate International Indicator of Child Abuse?

Accurately measuring exposures that adversely impact child mental health could inform practice, policy, and intervention evaluation. However, measures of some adverse exposures, particularly child abuse, may be inadequate. This study aimed to identify, through a systematic literature review, the extent of psychometric support for the indicator of violent parental discipline used by the United Nations Children’s Emergency Fund (UNICEF) for the larger United Nations’ Sustainable Development Goal (SDG) 16.2 aimed at ending all abuse and exploitation of children. Peer-reviewed publications were identified through databases (PubMed, Embase, PsycINFO) from inception to December 31, 2020 with these search terms: (“discipline” OR “parenting” OR [“child” AND (“abuse” OR “violence”)] AND “multiple indicator cluster survey” [MICS]). The UNICEF MICS is the household survey mechanism for collecting data for the violent parent discipline indicator. Information on the indicator was extracted and reviewed from 48 identified articles and an additional 26 papers cited in those articles. The survey question set, asked of primary child caregivers, is composed of 6 items on different types of physical punishment and 2 items on negative verbal punishments. Each item has a “yes”/“no” response option, and the proportion of households in a country that respond “yes” to any item is calculated to inform the lack of attainment of a sustainable development goal (SDG) subgoal of 16.2, that is, “the proportion of children aged 1 to 17 years who experienced any physical punishment and/or psychological aggression by caregivers in the past month.” No documentation of the psychometric properties of this question set were found. Although some reports cite psychometric properties of the Parent-Child Conflict Tactic Scale (a source instrument), this is inadequate given extensive differences between the measures. There is also scant and incomplete details on international fieldwork that should have preceded the finalization of this indicator. Finally, no evidence as to this measure’s sensitivity to detect meaningful change over time was found. The study finds insufficient evidence to support the current UNICEF measure as an adequate international indicator of child abuse. More extensive fieldwork and indicator development are required to produce an adequate measure to track, and inform efforts aimed at reducing, child abuse.

Bullying patterns and their associations with child maltreatment and adolescent psychosocial problems

IntroductionThis study aimed 1) to identify underlying heterogeneous patterns of bully-victim; 2) to examine whether the different types of child maltreatment predict the patterns of bully-victim; and 3) to investigate the association between patterns of bully-victim and adolescent psychosocial problems (depression, trouble at school, and substance use). MethodsThis study included a sample of 1139 (48.7% girls, 53.4% Black) drawn from the Fragile Families and Child Wellbeing Study. Children’s self-reported bullying victimization at age 9 was used using the Panel Study of Income Dynamics Child Development Supplement III. Teacher’s reported bullying perpetration at age 9 was used using Social Skills Rating System. Child maltreatment types were assessed at age 5 using the Parent-Child Conflict Tactics Scale Coding. At age 15, adolescent depression was measured using modified Center for Epidemiologic Studies Depression Scale; trouble at school was measured using modified Add Health In-School Questionnaire; and self-reported substance use was used. ResultsLatent class analysis produced four classes: bully-victim (19.8%), victim (16.3%), no bully-victim (38.9%), and bully (24.9%). Individuals who have been neglected are more likely to be in the victim class compared to all other classes. Physical abuse to be at heightened risk of involvement in the bully-victim, compared to victim class. Additionally, individuals in the victim group are greater risk for depression, problems at school, and alcohol, as compared to those in the other classes. ConclusionsThis study augments the knowledge base on bully/victim, child maltreatment, and behavioral health outcomes and elucidates several suggestions for research and policy.

Chinese version of comprehensive early childhood parenting questionnaire (CECPAQ-CV): Factor structure, reliability, and validity

Although the research interest in parenting behaviors of Chinese parents has increased during the past two decades, there remains a lack of an adequate and comprehensive Chinese assessment tool for these parenting behaviors in early childhood. Drawn from two samples of Chinese mothers with young children (i.e., 1- to 4-year-olds), this research addressed this gap by examining the factor structure, reliability, and validity of a Chinese version of the Comprehensive Early Childhood Parenting Questionnaire (CECPAQ-CV). Confirmatory factor analyses showed that a 5-factor model, consisting of 13 micro-dimensions of parenting behaviors, best fitted the data for Sample 1 (N1 = 2179) compared with 1-factor, 2-factor, and 4-factor models. This 5-factor model was further validated with the data for Sample 2 (N2 = 160). Reliability was good. The criterion validity of the CECPAQ-CV was supported by expected relations with maternal parenting stress and child externalizing and internalizing behaviors. The convergent and discriminant validity of the CECPAQ-CV was established with the Parent-Child Conflict Tactics Scale. The results indicate that the CECPAC-CV holds promise as a reliable and valid tool to measure important dimensions of early parenting in China.

The additive and interactive effects of parental harsh discipline and boys’ gender-related traits on boys’ externalizing problem behaviors

The present study aimed to examine the additive and interactive effects of both paternal and maternal harsh discipline (corporal punishment and psychological aggression) and boys’ gender-related traits (masculinity and femininity) on boys’ externalizing problem behaviors in China. Chinese boys (n = 1042) aged 7–13 years were instructed to independently complete the Chinese version of the Parent-Child Conflict Tactics Scale (CTSPC), the Children’s Sex Role Inventory (CSRI) and the Achenbach Youth Self-Report (YSR). A series of hierarchical linear regression analyses were conducted to test the additive and interactive effects of parental harsh discipline and boys’ gender-related traits on boys’ externalizing problem behaviors. Results indicated that both paternal and maternal harsh discipline and boys’ gender-related traits were independently related to boys’ externalizing problem behaviors. In addition, there were no significant interactions between parental harsh discipline and boys’ gender-related traits, thus supporting an additive model in the prediction of boys’ externalizing problem behaviors. These findings indicated that decreasing both paternal and maternal harsh discipline and providing advice and effective problem-solving strategies for higher levels of masculinity and lower levels of femininity boys would be helpful for effectively reducing their externalizing problem behaviors.