Child maltreatment and attentional problems: A longitudinal birth cohort study |
| |
| Institution: | 1. Psychiatry Registrar, C/- Metro South Addiction and Mental Health Service, Building 19, Princess Alexandra Hospital, Woolloongabba, Queensland, 4102, Australia;2. School of Medicine, University of Queensland, Princess Alexandra Hospital, Woolloongabba, 4102, Queensland, Australia;3. School of Public Health, University of Queensland, Herston, Queensland 4006, Australia;4. School of Medicine, University of Queensland, c/-Deparment of Paediatrics, Logan Hospital, Logan, Queensland, 4129, Australia;1. The Ohio State University College of Medicine, 370 West 9th Avenue, Columbus, OH 43210, USA;2. Center for Pediatric Trauma Research, Abigail Wexner Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA;3. Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA;4. The Center for Family Safety and Healing, Nationwide Children''s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA;5. Trauma Program, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA;1. School of Psychology, Trinity College Dublin, Ireland;2. Health Service Executive, Cork, Ireland;1. Department of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan;2. Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan;3. International Doctoral Program in Nursing, Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan;1. Faculty of Social Sciences, University of Helsinki, P.O. Box 18, FI-00014, Helsinki, Finland;2. National Institute for Health and Welfare, THL, P.O. Box 310, FI-90101, Oulu, Finland;3. Finnish Youth Research Network, Asemapäällikönkatu 1, FI-00520, Helsinki, Finland;4. Institute of Clinical Medicine, University of Eastern Finland, P.O. Box 1627 (Mediteknia building), FI-70211, Kuopio, Finland;1. University Research Institute of Criminology and Criminal Science, University of Valencia, Spain;2. Department of Computer and Information Technology, Purdue University, United States |
| |
| Abstract: | ObjectiveTo examine whether child maltreatment is associated with attentional problems in adolescence (14 years) and young adulthood (21 years), and whether outcomes depend on the type of maltreatment (sexual vs non-sexual).MethodsData from a population based cohort study involving 3778 mother-child pairs were linked with data from the state child protection agency to examine associations between child abuse and neglect and attention problems, measured using the Achenbach Child Behaviour Checklist (CBCL) and the Achenbach Young Adult Self Report (YASR).Results245 (6.5%) participants had been the subject of notification for non-sexual maltreatment (one or more of neglect, emotional or physical abuse) compared with only 54 (1.4%) who had been subject of notification for suspected sexual abuse. After adjusting for potential confounding variables including maternal, participant and sociodemographic factors, we found those exposed to non sexual maltreatment were likely to experience attentional problems at 14 years (p < .001) and 21 years of age (p = .044), compared with those participants who had not experienced non sexual maltreatment. By contrast, at age 14 years, sexual abuse was associated with attentional problems only as reported by the participant, not their carer. Results at 21 years of age for those exposed to sexual child maltreatment (p=.655) were again in contrast to the observed association between attentional problems and non sexual child maltreatment (p = .035).ConclusionIn this study, non-sexual maltreatment in childhood is associated with attentional problems at both 14 years and 21 years of age. These findings highlight the need for targeted research to better understand the longer term mental health outcomes for children exposed to non-sexual maltreatment. Potential implications for mental health services include the need for broader screening at presentation and importantly, greater collaboration with schools, general practitioners and paediatricians, given the greatest impact would arguably be within these settings. |
| |
| Keywords: | Child maltreatment Attentional problems ADHD Adolescent Birth cohort |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
