Differential correlates of multi-type maltreatment among urban youth
Abstract
Objective The aim of this study was to examine the differential effects of multi-types of maltreatment in an adolescent sample. Different combinations of maltreatment (emotional, sexual, physical, neglect) were examined in relation to both negative affect and externalizing symptoms in male and female youth.Method One thousand four hundred fifty-two middle and high school youth were recruited from urban schools and a mandated early warning truancy program. Youth completed an anonymous survey that included measures of child maltreatment, depression, suicide proneness, hopelessness, delinquency, hostility, substance use, and promiscuity. Respondents were categorized into groups of different combinations of maltreatment by their reports of sexual abuse, physical abuse, neglect (emotional and physical), and emotional abuse.Results Nearly two-thirds of boys and girls reported some form of maltreatment, and multi-type maltreatment was common (e.g., 13% reported experiencing both physical and sexual abuse and neglect). Individuals with maltreatment histories were more depressed (F=52.78, p<.0001), suicide prone (F=24.29, p<.001), and hopeless (F=32.07, p<.0001) than non-abused individuals. Maltreated adolescents were also more hostile (F=35.03, p<.0001), and they engaged in more delinquent behavior (F=26.76, p<.0001), promiscuity (F=8.54, p<.0001), and drug and alcohol use (F=9.61, p<.0001). Individuals experiencing multi-type maltreatment were the most symptomatic, particularly youth with histories of physical abuse, sexual abuse, and neglect. In general, gender differences in effects were not observed.Conclusions The results highlight the importance of studying combined types of maltreatment, as well as understanding the particularly deleterious effects of neglect and emotional abuse. The results are generally consistent with an additive model of maltreatment effects.
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Institutional neglect (e.g., in Romanian orphanages) may be strongly associated with mental health problems because it is an extreme, severe, and pervasive form of trauma and/or occurs in the first few years of life, disrupting brain architecture and neurobiological systems that can affect psychopathology.
“in Romanian orphanages) may also be strongly associated with mental health problems because (i) it reflects a particularly extreme, severe, and pervasive form of trauma, and/or (ii) it occurred the first few years of life (e.g., between birth to 3 years), disrupting development of brain architecture and neurobiological systems that can affect psychopathology (74).”
From Childhood Maltreatment and Mental Health Problems: A Systematic Review and Meta-Analysis of Quasi-Experimental Studies (2023) · cites this paper as [74]
Grouping some variables into broader clusters can reduce the number of parameters to be estimated in Eq. (2).
“Second, researchers can group some of the variables into broader clusters (e.g., mental health, socioeconomic, etc) [32,63], especially for variables whose correlation approaches unity [64]. This maneuver can reduce the number of parameters to be estimated in Eq. (2).”
From Syndemics and Health Disparities: A Methodological Note (2016) · cites this paper as [64]
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- Authors
- Arata, C. M., Langhinrichsen-Rohling, J., Bowers, D., & O’Brien, N.
- Affiliations
- University of South Alabama (US)
- Corresponding author
- Arata, Catalina M.
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2007-04
- Volume
- 31
- Issue
- 4
- Pages
- 393-415
- ISSN
- 0145-2134 (ISSN-L)
- OpenAlex
- W2083057073
- Cited by
- 268
- References
- 44
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 11 · 2023: 5 · 2022: 15 · 2021: 12 · 2020: 9 · 2019: 15 · 2018: 23 · 2017: 16 · 2016: 22 · 2015: 18 · 2014: 19 · 2013: 15 · 2012: 19
- FWCI
- 18.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- child abuse, emotional abuse, sexual abuse, physical abuse, neglect, adolescent depression, hopelessness, externalizing problems, delinquency, substance use, promiscuity, gender differences, urban youth, truancy
- MeSH terms
- Adolescent, Alabama, Child Abuse, Cross-Sectional Studies, Data Collection, Female, Humans, Male, Urban Population
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