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The distal consequences of physical and emotional neglect in emerging adults: A person-centered,multi-wave,longitudinal study
Institution:1. University of Illinois at Urbana Champaign, United States;2. Ohio University, United States;3. University of Texas Medical Branch, United States;1. Liverpool John Moores University, Liverpool, UK;2. University of Huddersfield, Huddersfield, UK;3. SWPS University of Social Sciences and Humanities, Katowice, Poland;1. Department of Social Work and Social Administration, Faculty of Social Sciences, The University of Hong Kong, Hong Kong, China;2. Department of Psychology, Faculty of Social Sciences, University of Macau, Macau, China;3. Institute of Developmental Psychology, School of Psychology, Beijing Normal University, Beijing, China;4. Department of Psychology, Guangzhou University, Guangzhou, China;1. Department of Pediatrics, University of Maryland School of Medicine, Baltimore, United States;2. Department of Psychology, San Diego State University, United States;3. Department of Behavioral and Community Health, University of Maryland School of Public Health, College Park, United States;4. Richard H. Calica Center for Innovation in Children and Family Services, Juvenile Protective Association, United States;5. Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, United States;6. Department of Pediatrics, University of Colorado School of Medicine, United States;1. Clinical Child Psychology Program and Consortium for Translational Research on Aggression and Drug Abuse (ConTRADA), University of Kansas, 2009 Dole Human Development Center, 1000 Sunnyside Avenue, Lawrence, KS 66045, USA;2. Department of Pharmacology and Toxicology and ConTRADA, University of Kansas, 5040 Malott Hall, 1251 Wescoe Hall Road, Lawrence, KS 66045, USA;1. University of Exeter, Mood Disorders Centre, Washington Singer Building, Exeter, EX4 4QG UK;2. Michigan State University, Department of Social Work, 254 Baker Hall, Michigan State University, East Lansing, MI 48824, USA
Abstract:Despite being the most prevalent form of child maltreatment, the correlates and consequences of neglect are poorly understood, particularly during early adulthood. The present multi-wave, longitudinal study sought to address this gap in this literature by examining physical and emotional neglect in emerging adults in a diverse community sample. 580 adolescents (AgeMean = 18.25; AgeSD = 0.59; 58.3% female; 31% Hispanic, 28.9% Caucasian; 26.2% African-American; 13.9% other) completed self-report measures for child maltreatment at baseline, and measures for depression, posttraumatic stress disorder, generalized anxiety disorder, and substance use every year for three years. For our analyses, we used both variable-centered (mixed-level modeling) and person-centered (latent profile analysis) analyses to best understand a) how physical and emotional neglect relate to other forms of maltreatment and b) to determine physical and emotional neglect’s unique impact on prospective mental health functioning. Our person-centered analyses revealed that a three-profile model provided the best solution for our data (“No Trauma,” “Abuse”, and “Neglect”). In longitudinal analyses, the “the neglect” group had significantly elevated scores compared to the “no trauma” group on all outcomes except alcohol use (p < 0.01). Results from our variable-centered analyses showed comparable findings between physical and emotional neglect, with higher scores corresponding to elevated symptoms of depression, PTSD, illicit substance use, and cigarette use over time (p < 0.01). In conclusion, our results suggest that early neglect-exposure poses a risk for the subsequent development of internalizing symptoms and substance use behaviors among emerging adults.
Keywords:Neglect  Maltreatment  Emerging adulthood  Internalizing symptoms  Substance use
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