Child exposure to parental violence and psychological distress associated with delayed milestones
Date
2013
Journal Title
Journal ISSN
Volume Title
Publisher
Pediatrics
Abstract
OBJECTIVE: To examine the association between parental report of intimate
partner violence (IPV) and parental psychological distress (PPD)
with child attainment of developmental milestones.
METHODS: By using data collected from a large cohort of primary care
patients, this cross-sectional study examined the relationship between
parental report of IPV and/or PPD and the attainment of developmental
milestones within the first 72 months of a child’s life. Multivariate
logistic regression analyses were used to adjust for parental report
of child abuse concern and sociodemographic characteristics.
RESULTS: Our study population included 16 595 subjects. Children of
parents reporting both IPV and PPD (n = 88; 0.5%) were more likely to
fail at least 1 milestone across the following developmental domains:
language (adjusted odds ratio [aOR] 2.1; 95% confidence interval [CI]
1.3–3.3), personal-social (aOR 1.9; 95% CI 1.2–2.9), and gross motor
(aOR 3.0; 95% CI 1.8–5.0). Significant associations for those reporting
IPV-only (n = 331; 2.0%) were found for language (aOR 1.4; 95% CI 1.1–
1.9), personal-social (aOR 1.7; 95% CI 1.4–2.2), and fine motor-adaptive
(aOR 1.7; 95% CI 1.0–2.7). Significant associations for those reporting
PPD-only (n = 1920; 11.6%) were found for: language (aOR 1.5; 95% CI
1.3–1.7), personal-social (aOR 1.6; 95% CI 1.5–1.8), gross motor (aOR
1.6; 95% CI 1.4–1.8), and fine-motor adaptive (aOR 1.6; 95% CI 1.3–2.0).
CONCLUSIONS: Screening children for IPV and PPD helps identify those
at risk for poor developmental outcomes who may benefit from early
intervention.
Description
item.page.type
Article
item.page.format
Keywords
exposure to violence, child witness to interpersonal violence, child development, developmental milestones, parental psychological distress, computerized clinical decision support, Intimate partner violence
Citation
Gilbert, A. L., Bauer, N. S., Carroll, A. E., & Downs, S. M. (2013). Child exposure to parental violence and psychological distress associated with delayed milestones. Pediatrics, peds-2013.