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Child exposure to parental violence and psychological distress associated with delayed milestones

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dc.contributor.author Gilbert, A. L., Bauer, N. S., Carroll, A. E., & Downs, S. M.
dc.date.accessioned 2018-08-29T17:02:33Z
dc.date.available 2018-08-29T17:02:33Z
dc.date.issued 2013
dc.identifier.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. en_US
dc.identifier.uri http://pediatrics.aappublications.org/content/pediatrics/early/2013/10/30/peds.2013-1020.full.pdf
dc.identifier.uri http://hdl.handle.net/11212/3933
dc.description.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. en_US
dc.language.iso en_US en_US
dc.publisher Pediatrics en_US
dc.subject exposure to violence en_US
dc.subject child witness to interpersonal violence en_US
dc.subject child development en_US
dc.subject developmental milestones en_US
dc.subject parental psychological distress en_US
dc.subject computerized clinical decision support en_US
dc.subject Intimate partner violence en_US
dc.title Child exposure to parental violence and psychological distress associated with delayed milestones en_US
dc.type Article en_US


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