Abstract
The present 4-year follow-up study involves 56 mothers who were evaluated by social agencies as being abusive and neglectful or at high risk for child abuse and neglect. The aim of the study is to analyze the relationship between psychosocial risk factors (relating to the history and current situation of the mothers) that were present at the time the families were initially recruited and the fact that some of the mothers continue to show a high potential for child abuse and neglect (chronic abuse and neglect), whereas others were able to overcome the problem (transitory abuse and neglect). Results indicate that the following variables are particularly associated with situations involving chronic problems of abuse and neglect: initial level of severity of potential for abuse and neglect; dual-parent status; a large number of children at the time of intervention (3.13 times more risk of chronicity for large families); the fact that as a child the mother herself had been placed in a foster home (3.7 times more risk); that she had been sexually abused (3.5 times more risk); and that as an adolescent she had run away from home (3.02 times more risk). Our results indicate that mothers who have a combination of more than eight risk factors are four times more likely to be in the chronic group.
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References
American Association for Protecting Children (AAPC) (1989). Highlights of official child neglect and abuse reporting, American Humane Association, Denver, CO.
Ayoub, C., Willet, J. B., and Robinson, D. S. (1992). Families at risk for child maltreatment: Entry-level characteristics and growth in family functioning during treatment. Child Abuse Neg. 16: 495-511.
Belsky, J. (1993). Etiology of child maltreatment: A developmental–ecological analysis. Psychol. Bull., 114: 413-434.
Bronfenbrenner, U. (1979). The Ecology of Human Development, Harvard University Press, Cambridge, MA.
Brown, J., Cohen, P., Johnson, J. G., and Salzinger, S. (1995). A longitudinal analysis of risk factors for child maltreatment: Findings of a 17–year prospective study of officially recorded and self-reported child abuse and neglect. Child Abuse Neg., 22(11): 1065-1078.
Browne, K., and Sagi, S. (1988). Approaches to screening for child abuse and neglect. In Browne, K., Davies, C., and Stratton, P. (eds.), Early Prediction and Prevention of Child Abuse, Wiley, Rochester, pp. 57-85.
Budd, K. S., and Greenspan, S. (1984). Mentally retarded mothers. In Blechman, E. (ed.), Behavior Modification With Women, Guilford Press, New York, pp. 477-506.
Burgess, R. L., and Conger, R. D. (1978). Family interaction in abusive, neglectful and normal families. Child Dev. 49: 1163-1173.
Crittenden, P. (1988). Family and dyadic patterns of functioning in maltreating families. In Browne, K., Davies, C., and Stratton, P. (eds.), Early Prediction and Prevention of Child Abuse, Wiley, Rochester, pp. 161-189.
Crittenden, P. (1992). Intervention with families at-risk. Paper presented to the Groupe de recherche en développement de l'enfant et de la famille, Université du Québec à Trois-Rivières.
Crittenden, P. (1996). Research on maltreating families: Empirical and clinical issues. In Brière, J., Berliner, L., Bulkley, J. A., Jenny, C., and Reid, T. (eds.), APSAC Handbook on Child Maltreatment, American Professional Society on the Abuse of Children, Sage, Thousand Oaks, CA, pp. 158-174.
Crittenden, P., and Bonvilian, J. D. (1984). The relationship between maternal risk status and maternal sensitivity. Am. J. Orthopsychiatry, 54: 250-262.
Cummings, E. M., and Cicchetti, D. (1990). Attachment, depression, and the transmission of depression. In Greenberg, M. T., Cicchetti, D., and Cummings E. M. (eds), Attachment During the Preschool Years, University of Chicago Press, Chicago, IL, pp. 339-372.
Daro, D. (1996). Prevention of child abuse and neglect. In Brière, J., Berliner, L., Bulkley, J., Jenny, C., and Reid T. (eds), The APSAC Handbook on Child Maltreatment, Sage, London, pp. 343-358.
Department of Health and Human Services (DHHS) (1994). Child maltreatment 1992: Reports from the States to the National Center on Child Abuse and Neglect, Government Printing Office, Washington, DC.
Downey, G., and Coyne, J. (1990). Children of depressed parents. An integrative review. Psychol. Bull. 108: 50-76.
Dubowitz, H. (1999). Neglected Children. Research, Practice, and Policy, Sage, London.
Duncan, G., and Brooks-Gunn, J. (1997). Consequences of Growing Up Poor, Russell-Sage Foundation, New York.
Egeland, B. (1988). Breaking the cycle of abuse: Implications for prediction and intervention. In Browne, K., and Davies C. (eds.), Early Prediction and Prevention of Child Abuse, Wiley, New York, pp. 87-99.
Egeland, B., Breitenbucher, M. C., and Rosenberg, M. S. (1980). Prospective study of the significance of life stress in the etiology in child abuse. J. Consult. Clin. Psychol. 48: 195-205.
Egeland, B., and Susman-Stillman, A. (1996). Dissociation as a mediator of child abuse across generations. Child Abuse. 20:1123-1132.
Erickson, M. F., and Egeland, B. (1996). Child neglect. In Brière, J., and Berliner, L. (eds.), The APSAC Handbook on Child Maltreatment, Sage, Thousand Oaks CA, pp. 4-20.
Ethier, L. S., Couture, G., and Lacharité, C. (1991). L'entrevue psychosociale auprès des mères. Groupe de recherche en développement de l'enfant et de la famille. Trois-Rivières: Université du Québec à Trois-Rivières.
Ethier, L. S., Lacharité, C., and Couture, G. (1995). Childhood adversity, parental stress, and depression of negligent mothers. Child Abuse Neg. 19: 619-632.
Ethier, L. S., Lacharité, C., Gagnier, J.-P., and Couture, G. (1995). The Personal, Family and Community Help Program (PFCHP) applied to families at-risk of child abuse and neglect. Unpublished research document presented to the Conseil québécois pour la recherche sociale.
Ethier, L. S., and Lacharité, C. (2000). La prevention de la négligence et de la violence envers les enfants. In Vitaro, F., and Gagnon, C. (eds.), Prevention des problèmes d'adaptation. Tome1. Les problèmes internalisés, Presses de l'université du Québec, Québec, Canada, pp. 389-428.
Fonagy, P., and Target, M. (1997). Attachment and reflective function: Their role in self organization. Dev. Psychopathol. 9: 679-701.
Friedrich, W., and Eibender, A. (1983). The abused child; A psychological review. J. Clin. Psychol. 12: 244-256.
Garbarino, J., and Collins, C. C. (1999). Child Neglect. The Family with a hole in the middle. In Dubowitz, H. (ed.), Neglected Children, Sage, London, pp. 1-23.
Gaudin, J. M., Polanski, N. A., Kilpatrick, C., and Shelton, P. (1993). Loneliness, depression, stress and social support in neglectful families. Am. J. Orthopsychiatry, 63(4): 597-605.
Guay, F., Ethier, L. S., Palacio-Quintin, E., and Boutet, M. (1997). L'impact de la déficience intellectuelle sur la problématique de la négligence parentale. Revue Européenne du Handicap Ment. 4(15): 3-15.
Gutterman, N. B. (1999). Enrolment strategies in early home visitation to prevent physical child abuse and neglect and the universal versus targeted debate: A meta-analysis of population—based and screening-based programs. Child Abuse Negl. 23(9): 853-890.
Haapasalo, J., and Aaltonen, R. (1999). Child abuse potential: How persistent? J. Interpers. Violence, 14: 571-585.
Keltner, B. (1994). Home environments of mothers with mental retardation. Ment. Retard. 32: 123-127.
Kinard, E. M. (1982). Child abuse and depression: Cause or consequences? Child Welfare, 7: 403-413.
Ethier, L. S., and Couture, G. (1996). Analysis of the influence of spouses on parental stress of neglectful mothers. Child Abuse Rev. 5: 18-33.
Lessard, C. (2000). Indicateurs repères sur l'application de la loi sur la protection de la jeunesse, 1993 à 1999, Ministère de la Santé et des Services Sociaux. Québec. Canada, Gouvernement du Québec.
Magura, S., and Moses, B. S. (1984). Outcome measures for child welfare services. Theory and applications, Child Welfare League of America, Washington, DC.
Main, M., and Hesse, E. (1990). Parents' unresolved traumatic experiences are related to infant disorganized attachment status. In Greenberg, M., Cicchetti, D., and Cummings, M. E. (eds.), Attachment in the Preschool Years, Chicago Press, Chicago, IL pp. 161-182.
McLoyd, V. C., and Wilson, L. (1991). The strain of living poor: Parenting, social support and child mental health. In Aletha, C., and Hustun, C. (eds.), Children in Poverty, Cambridge Press, New York, pp. 105-135.
Milner, J. S. (1980). The Child Abuse Potential Inventory Manual, Psytec, Webster, NC.
Milner, J. S. (1994). Assessing physical child abuse risk: The child abuse potential inventory. Clin. Psychol. Rev. 14: 547-583.
Milner, J. S., Gold, R. G., Ayoub, C., and Jacewitz, M. M. (1984). Predictive validity of the child abuse potential inventory. J. Consul. Clin. Psychol. 52: 879-884.
National Child Abuse and Neglect Data System (1998). U.S. Department of Health and Human Services, Children's Bureau, Child Maltreatment. Child maltreatment 1996: Reports from the States to the National Center on Child Abuse and Neglect. U.S. Government Printing Office, Washington, DC.
Ney, P., Fung, T., and Wickett, A. D. (1994). The worst combinations of child abuse and neglect. Child Abuse Negl. 18(9): pp. 705-714.
Nelson, K. (1997). Approaches to intervention with chronically neglecting families. In Henggeler, S. W., and Santos, A. B. (eds.), Innovative Approaches for Difficult-to-Treat Populations, American Psychiatric Press, Washington, DC.
Palacio-Quintin, V., and Palacio-Quintin, E. (1992). Version française du questionnaire du CAPI de Milner. Groupe de recherche en développement de l'enfant et de la famille. Trois-Rivières: Université du Québec à Trois-Rivières.
Palacio-Quintin, E., Ethier, L. S., Jourdan-Ionescu, C., and Lacharité, C. (1994). L'intervention auprès des familles négligentes. In Pourtois, J. P. (ed.), Enfance Maltraitée, De Boek, Bruxelles, pp. 173-212.
Palacio-Quintin, E., Couture, G., and Paquet, J. (1995). Projet d'intervention auprès des familles négligentes présentant ou non des comportements violents. Trois-Rivières: Université du Québec à Trois-Rivières. Unpublished research document presented to Health Canada. March, no. 4887-05-91-067.
Pianta, R., Egeland, B., and Erickson, M. F. (1989). The antecedents of maltreatment: Results of the mother-child interaction research project. In Cicchetti, D., and Carlson, V. (eds.), Child Maltreatment Theory and Research on the Causes and Consequences of Child Abuse and Neglect, Cambridge University Press, New York, pp. 203-253.
Polansky, N. A., Chalmers, M., Buttenweiser, E., and Williams, D. P. (1981). Damaged Parents: An Anatomy of Child Neglect, University of Chicago Press, Chicago, IL.
Quinton, D., and Rutter, M. (1988). Parenting Breakdown, Brookfield, Avebury.
Raven, J. C., Court, J. H., and Raven, J. (1983). Manual for Raven's Progressive Matrices and Vocabulary Scales, H.K. Lewis, London.
Sarason, I. G., Levine, H. M., Basham, R. B., and Sarason, B. R. (1983). Assessing social support: the social support questionnaire. J. Pers. Soc. Psychol. 44: 127-139.
Scott, D. (1992). Early identification of maternal depression as a strategy in the prevention of child abuse. Child Abuse Negl. 16: 345-358.
Trocmé, N., MacLaurin, B., Fallon, B., Daciuk, J., Billingsley, D., Tourigny, M., and Mayer, M. (2001). Canadian Incidence Study of Reported Child Abuse and Neglect, Health Canada, Ottawa Canda.
Tymchuk, A. J., and Andron, L. (1990). Mothers with mental retardation who do or do not abuse or neglect their children. Child Abuse Negl. 14: 313-323.
Tymchuk, A. J., and Feldman, M. A. (1991). Parents with mental retardation and their children: Review of research relevant to professional practice. Can. Psychol. 32: 486-494.
Vézina, A., and Bradet, R. (1990). Validation québécoise de l'inventaire concernant le bien-être de l'enfant en relation avec l'excercice des responsabilités parentales. Research report. Québec: Université Laval.
Whitman, B. Y., and Accardo, P. (1990). Mentally retarded parents in the community. In Whitman, B. Y., and Accardo, P. (eds), When a Parent is Mentally Retarded, Paul. H. Brookes, Baltimore, pp. 3-10.
Whitman, B. Y., Graves, B., and Accardo, P. (1987). Mentally retarded parents in the community: Identification method and needs assessment survey. Am. J. Ment. Def. 91: 636-648.
Wolfe, D. A., and Werkele, C. (1993). Treatment strategies for child physical abuse and neglect: A critical progress report. Clin. Psychol. Rev. 13: 473-500.
Zuravin, S. J., and Greif, G. (1989). Normative and child-maltreating AFDC mothers. Social Casework: Contemp. Soc. Work, 74: 76-84.
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Ethier, L.S., Couture, G. & Lacharité, C. Risk Factors Associated with the Chronicity of High Potential for Child Abuse and Neglect. Journal of Family Violence 19, 13–24 (2004). https://doi.org/10.1023/B:JOFV.0000011579.18333.c9
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DOI: https://doi.org/10.1023/B:JOFV.0000011579.18333.c9