The DOI matches its Crossref record; 16 of the 17 references it cites were found in a registry or an index.
Prevalence of Child Maltreatment in the Netherlands
Abstract
The first nationwide prevalence study of child maltreatment in The Netherlands (NPM-2005) was designed as a replication of the National Incidence Studies (NISs) conducted in the United States. Child maltreatment cases were reported by 1,121 professionals from various occupational branches, trained in a detailed registration system of six types of abuse and neglect. In addition, cases registered by the Dutch Child Protection Services (CPS) were analyzed. For 2005, the overall prevalence rate was estimated to be 107,200 (95% CI 102,054-112,882) maltreated children aged 0-18 years, or 30 cases per 1,000 children. Neglect was the most prevalent type (56% of all cases) and sexual abuse had the lowest rate (4%). Of the maltreated children, 47% experienced more than one type of maltreatment. Major risk factors were very low parental education and unemployment. It is worrisome that CPS agencies only see the tip of the iceberg as only 12.6% of all maltreatment cases were reported to the CPS. Training of professionals in observing and reporting child maltreatment is badly needed. The absence of a legal obligation to report in The Netherlands needs reconsideration.
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“Excessive use of love withdrawal is considered psychological maltreatment (Euser et al., 2010) and has great impact on neurobiological development.”
From Oxytocin effects on complex brain networks are moderated by experiences of maternal love withdrawal (2013) · cites this paper as Euser et al., 2010
In the citing paper
“Excessive use of love withdrawal is considered psychological maltreatment (Euser et al., 2010) and has great impact on neurobiological development.”
From Oxytocin effects on complex brain networks are moderated by experiences of maternal love withdrawal (2013) · cites this paper as Euser et al., 2010
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Euser, S., Alink, L. R. A., Pannebakker, F. D., Vogels, T., Bakermans‐Kranenburg, M. J., & van IJzendoorn, M. H. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.07.004 · Cited by 137
“…number of cases reported during the 3-month period, Tots is the total number of (potentially) observed children by the sentinels from an occupational branch, Chapter 2 and Totpop represents the total population of Dutch children belonging to an occupational branch of sentinels (Euser et al., 2010).”
BackgroundMethodResultInfluentialBakermans‐Kranenburg, M. J., van IJzendoorn, M. H., Riem, M. M. E., Mattie Tops, A., & Alink, L. R. A. (2011) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsr067 · Cited by 126
The Prevalence of Child Sexual Abuse in Out-of-Home Care
Euser, S., Alink, L. R. A., Tharner, A., van IJzendoorn, M. H., & Bakermans‐Kranenburg, M. J. (2013) · Child Maltreatment · doi:10.1177/1077559513489848 · Cited by 145
“, 2010), NPM-2005 (Euser et al., 2010), and NPM-2010 (Alink et al.”
BackgroundMethodInfluentialMejdoubi, J., van den Heijkant, S. C. C. M., van Leerdam, F. J. M., Heymans, M. W., Crijnen, A. A. M., & Hirasing, R. A. (2015) · PLoS ONE · doi:10.1371/journal.pone.0120182 · Cited by 129
“Furthermore, the CPS agencies only document reports of child maltreatment, which represents only a low percentage of the actual prevalence of incidents of child maltreatment.[38] Nevertheless, the CPS data are considered reliable because these data are based on observations of people other than the parents, which shou…”
Schmid, M., Petermann, F., & Fegert, J. M. (2013) · BMC Psychiatry · doi:10.1186/1471-244x-13-3 · Cited by 142
“Therefore, various proposals for diagnostic criteria have been published which include developmental psychology factors [4-7].”
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Schmid, M., Fegert, J. M., & Petermann, F. (2010) · Kindheit und Entwicklung · doi:10.1026/0942-5403/a000008 · Cited by 120
Effects of Systematic Screening and Detection of Child Abuse in Emergency Departments
Louwers, E. C. F. M., Korfage, I. J., Affourtit, M. J., Scheewe, D. J. H., van de Merwe, M. H., Vooijs-Moulaert, A.-F. S. R., van den Elzen, A. P. M., Jongejan, M., Ruige, M., Manai, B., et al. (2012) · PEDIATRICS · doi:10.1542/peds.2011-3527 · Cited by 117
Riem, M. M. E., Bakermans‐Kranenburg, M. J., Huffmeijer, R., & van IJzendoorn, M. H. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2012.12.023 · Cited by 114
“Love withdrawal is considered psychological maltreatment when used excessively (Euser et al., 2010) and has been related to high concern over mistakes, low emotional well-being and feelings of rejection and resentment toward the parents (Goldstein and Heaven, 2000; Elliot and Thrash, 2004; Renk et…”
BackgroundPrevalence of Child Maltreatment in Israel: A National Epidemiological Study
Lev-Wiesel, R., Eisikovits, Z., First, M., Gottfried, R., & Mehlhausen, D. (2016) · Journal of Child and Adolescent Trauma · doi:10.1007/s40653-016-0118-8 · Cited by 100
“…to domestic violence (CEDV) This term is defined as indirect exposure to inter-parental violence and/or parental assault of a sibling; as well as the direct exposure to the aftermath of said assault (Euser et al. 2010; Finkelhor et al. 2005; Jouriles et al. 2013; Teicher and Vitaliano 2011).”
BackgroundAccuracy of a screening instrument to identify potential child abuse in emergency departments
Louwers, E. C. F. M., Korfage, I. J., Affourtit, M. J., Ruige, M., van den Elzen, A. P. M., de Koning, H. J., & Moll, H. A. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.11.005 · Cited by 101
Euser, S., Alink, L. R. A., Tharner, A., van IJzendoorn, M. H., & Bakermans‐Kranenburg, M. J. (2013) · Children and Youth Services Review · doi:10.1016/j.childyouth.2013.12.002 · Cited by 112
“First, previous studies have shown that the risk for maltreatment is higher for stepfamilies compared to biological families (Euser et al., 2010; Daly & Wilson, 1994). is could be related to the absence of a biological relationship between child and stepparent, which is also absent in out-of-home…”
BackgroundOxytocin effects on complex brain networks are moderated by experiences of maternal love withdrawal
Riem, M. M. E., van IJzendoorn, M. H., Tops, M., Boksem, M. A. S., Rombouts, S. A. R. B., & Bakermans-Kranenburg, M. J. (2013) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2013.01.011 · Cited by 91
“Excessive use of love withdrawal is considered psychological maltreatment (Euser et al., 2010) and has great impact on neurobiological development.”
Prevalence of child maltreatment in the Netherlands: An update and cross-time comparison
van Berkel, S. R., Prevoo, M. J. L., Linting, M., Pannebakker, F. D., & Alink, L. R. A. (2020) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2020.104439 · Cited by 88
“To make reliable comparisons with the NPM-2005 as well, we used reports from the occupational branches included in all three studies (Table 1).”
BackgroundMethodResultInfluentialEuser, S., Alink, L. R. A., Tharner, A., van IJzendoorn, M. H., & Bakermans‐Kranenburg, M. J. (2015) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.12160 · Cited by 87
Elevated Child Maltreatment Rates in Immigrant Families and the Role of Socioeconomic Differences
Euser, E. M., van IJzendoorn, M. H., Prinzie, P., & Bakermans‐Kranenburg, M. J. (2010) · Child Maltreatment · doi:10.1177/1077559510385842 · Cited by 87
“…children grew up six times more often in very low educated families (relative risk 6.26, CI: [5.16, 7.60], p .01), identifying a very low parental education as the strongest risk factor for maltreatment in the current data set (see also Euser et al., 2010, for a somewhat different approach).”
BackgroundMethodInfluentialvan IJzendoorn, M. H., Huffmeijer, R., Alink, L. R. A., Bakermans-Kranenburg, M. J., & Tops, M. (2011) · Frontiers in Psychology · doi:10.3389/fpsyg.2011.00258 · Cited by 83
“When used excessively, it is considered psychological maltreatment (Euser et al., 2010).”
BackgroundDetection of child abuse in emergency departments: a multi-centre study
Louwers, E. C. F. M., Korfage, I. J., Affourtit, M. J., Scheewe, D. J. H., van de Merwe, M. H., Vooijs-Moulaert, F. A. F. S. R., Woltering, C., Jongejan, M., Ruige, M., Moll, H. A., et al. (2011) · Archives of Disease in Childhood · doi:10.1136/adc.2010.202358 · Cited by 76
“found consistent evidence that physical abuse affects 1 in 11 children in the UK each year and estimated that about 1% of all injury-induced child visits to emergency departments are due to physical abuse. In the Netherlands, an estimated 107 200–160 000 children are victims of child abuse annually; however, hospital…”
BackgroundFacilitators and barriers to screening for child abuse in the emergency department
Louwers, E. C. F. M., Korfage, I. J., Affourtit, M. J., de Koning, H. J., & Moll, H. A. (2012) · BMC Pediatrics · doi:10.1186/1471-2431-12-167 · Cited by 71
“Early detection of child abuse is a priority of the Dutch Health Care Inspectorate; in the Netherlands, each year 107,200 children are victim of some type of child abuse [1].”
Joosen, K. J., Mesman, J., Bakermans‐Kranenburg, M. J., & van IJzendoorn, M. H. (2013) · Child Maltreatment · doi:10.1177/1077559513494762 · Cited by 71
Elevated Risk of Child Maltreatment in Families With Stepparents but Not With Adoptive Parents
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“figure that is cited is from a National Incidence Study cited by Euser et al. (2010). This reinforces the importance of examining variations in data sources and considering the implications these have before drawing comparisons.”
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Child maltreatment data: A summary of progress, prospects and challenges
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Huffmeijer, R., Alink, L. R. A., Tops, M., Bakermans‐Kranenburg, M. J., & van IJzendoorn, M. H. (2012) · Cognitive Affective & Behavioral Neuroscience · doi:10.3758/s13415-011-0082-6 · Cited by 42
The contribution of emotional maltreatment to alcohol dependence in a treatment-seeking sample
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Child Maltreatment in Vietnam: Prevalence and Cross-Cultural Comparison
Tran, N. K., Alink, L. R. A., van Berkel, S. R., & van IJzendoorn, M. H. (2016) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2016.1250851 · Cited by 38
A Systematic Review of Measures of Child Neglect
Haworth, S., Schaub, J., Kidney, E., & Montgomery, P. (2022) · Research on Social Work Practice · doi:10.1177/10497315221138066 · Cited by 46
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Family challenges created by unemployment
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“When used excessively, it is considered psychological malreatment (Euser et al., 2010).”
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Epidemiology and screening of intentional burns in children in a Dutch burn centre
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Child Maltreatment During School and Childcare Closure Due to the COVID-19 Pandemic
Vermeulen, S., Alink, L. R. A., & van Berkel, S. R. (2022) · Child Maltreatment · doi:10.1177/10775595211064885 · Cited by 28
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“Another method to combine administrative data collection and prevalence estimates has been used in the Netherlands, first in 2005 and repeated in 2010 (Euser et al. 2010).”
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Epidemiological aspects of child abuse and neglect in Sousse, Tunisia: A 10-year retrospective study
Braham, M. Y., Jedidi, M., Hmila, I., Masmoudi, T., Souguir, M. K., & Dhiab, M. B. (2018) · Journal of Forensic and Legal Medicine · doi:10.1016/j.jflm.2018.01.003 · Cited by 21
Development of screening tool for child abuse in the korean emergency department
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ResultThe Dutch Child Protection System: Historical Overview and Recent Transformations
López, M. L., Bouma, H., Knorth, E. J., & Grietens, H. W. E. (2018) · Child maltreatment · doi:10.1007/978-3-319-93348-1_9 · Cited by 19
Overview of the Nature and Extent of Child Sexual Abuse in Europe
Lalor, K. J., & McElvaney, R. (2010) · Arrow - TU Dublin (Technological University Dublin) · Cited by 18
Arruabarrena, I. (2011) · Psychosocial Intervention · doi:10.5093/in2011v20n1a3 · Cited by 18
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Griffith, J. W., Claes, S. J., Hompes, T., Vrieze, E., Vermote, S., Debeer, E., Lenaert, B., Raes, F., & Hermans, D. (2016) · Cognitive Therapy and Research · doi:10.1007/s10608-016-9784-y · Cited by 18
“Many children suffer from multiple forms of maltreatment (e.g., Euser et al. 2010), so the lack of a unique statistical effect of sexual abuse should not be interpreted as sexual abuse being unimportant.”
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Ahn, J., Lee, B. J., Kahng, S. K., Kim, H. L., Ock-Kyeung, H., Lee, E. J., Shin, H. R., Yoo, M. S., Lee, S., Cho, Y., et al. (2016) · Child Indicators Research · doi:10.1007/s12187-016-9369-z · Cited by 17
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Chang, Y.-C., Huang, J., Hsia, S., Lin, K., Lee, E., Chou, I., Hsin, Y.-C., Lo, F.-S., Wu, C., Chiu, C.-H., et al. (2016) · Medicine · doi:10.1097/md.0000000000005218 · Cited by 17
Trauma und Sucht: Implikationen für die Psychotherapie
Potthast, N., & Catani, C. (2012) · SUCHT - Zeitschrift für Wissenschaft und Praxis / Journal of Addiction Research and Practice · doi:10.1024/0939-5911.a000191 · Cited by 14
Vrolijk‐Bosschaart, T. F., Brilleslijper‐Kater, S. N., Widdershoven, G. A. M., Teeuw, A. H., Verlinden, E., Voskes, Y., van Duin, E. M., Verhoeff, A. P., de Leeuw, M., Roskam, M. J., et al. (2017) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2017.09.001 · Cited by 14
Allnock, D., Hynes, P., & Archibald, M. (2013) · Journal of Social Work · doi:10.1177/1468017313504717 · Cited by 13
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“%) were within the range reported in previous studies (Euser et al., 2010; Finkelhor et al., 2009; May-Chahal and Cawson, 2005).”
ResultPsychological Maltreatment: A Threat to Children Not to Be Ignored
Hart, S. N., Brassard, M. R., & Wernham, M. (2022) · Handbook of Child Maltreatment · doi:10.1007/978-3-030-82479-2_4 · Cited by 5
Measuring Economic Hardship in Child Maltreatment Research: Evidence from Canada
Rothwell, D. W., & de Boer, K. (2013) · Child Indicators Research · doi:10.1007/s12187-013-9222-6 · Cited by 12
“Indirect primary data from incidence studies such as the CIS in Canada and the first nationwide prevalence study of child maltreatment in the Netherlands (Euser et al. 2010) are exemplary datasets.”
BackgroundMST-CAN – Multisystemische Therapie Child Abuse and Neglect
Rhiner, B., Schmid, M., & Fürstenau, U. (2012) · Kindesmisshandlung und -vernachlässigung · doi:10.13109/kind.2012.15.2.112 · Cited by 10
Offidani, C., Villani, A., Reale, A., Marchili, M. R., Aufiero, L. R., Moras, P., Lodise, M., Raucci, U., Barbieri, M. A., & Raponi, M. (2022) · The Italian Journal of Pediatrics/Italian journal of pediatrics · doi:10.1186/s13052-022-01214-9 · Cited by 10
Comparison of childhood adversities and their possible consequences in Poland and Germany
Hardt, J., Dragan, M., Schultz, S., & Schier, K. (2010) · Journal of Public Health · doi:10.1007/s10389-010-0375-1 · Cited by 10
“The overall percentages for child maltreatment range from about 10% (Finkelhor et al. 2009) to about 50% (Euser et al. 2010); such large variations are due to different definitions of maltreatment.”
BackgroundDetection of child abuse and neglect at the emergency room
Teeuw, A. H., Derkx, B., Koster, W. A., & van Rijn, R. R. (2012) · Cited by 9
Bhandari, R., Voorthuis, A., van der Veen, R., Out, D., Bakermans‐Kranenburg, M. J., & van IJzendoorn, M. H. (2012) · Family Science · doi:10.1080/19424620.2013.789977 · Cited by 8
Assurer le bien-être des familles
OCDE (2011) · OECD eBooks · doi:10.1787/9789264098794-fr · Cited by 9
Brittain, H. L., & Vaillancourt, T. (2023) · Aggressive Behavior · doi:10.1002/ab.22108 · Cited by 7
Moreau, T., Sinatra, R., & Sekara, V. (2024) · ACM Conference on Fairness, Accountability, and Transparency (FAccT) · doi:10.1145/3630106.3658906 · Cited by 7
“While gender, parents’ employment status, and reports of neglect have been determined to increase the risk of maltreatment [3, 18, 35], we have been unable to find evidence in the literature for age being a cause of increased risk.”
BackgroundMangion, M., & Buttiġieġ, S. C. (2014) · Journal of Children s Services · doi:10.1108/jcs-09-2013-0033 · Cited by 7
“UK May-Chalal and Cawson (2005) Cross-Sectional Survey 16% experienced maltreatment; 7% physical abuse; 6% absence of care; 5% absence of supervision; 6% emotional abuse; 11% contact sexual abuse; Netherlands Euser et al. (2009) National Incidence Study 30 cases per 1,000 children investigated”
BackgroundAttachment Security and Disorganization in Maltreating Families and Orphanages
van IJzendoorn, M. H., & Bakermans‐Kranenburg, M. J. (2015) · Cited by 7
Maggi, S., Zaccaria, V., Breda, M., Romani, M., Aceti, F., Giacchetti, N., Ardizzone, I., & Sogos, C. (2022) · Children · doi:10.3390/children9101556 · Cited by 6
“In particular, love withdrawal implicates communicating to the child that he/she must be obedient or successful to deserve love and affection [38], since it is a discipline technique consisting of retaining affection when a child misbehaves or fails; not surprisingly, it is considered psychological maltreatment when u…”
BackgroundDevelopmental Differential Impact of Child Maltreatment: The Practitioner's Perspective
McCarthy, K. S., Yoon, S., & Pei, F. (2020) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-020-00683-3 · Cited by 6
Craig, F., Mascheroni, E., Giorda, R., Felline, M. G., Bacco, M. G., Castagna, A., Tenuta, F., Villa, M., Costabile, A., Trabacca, A., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182312736 · Cited by 5
Teeuw, A. H., Sieswerda‐Hoogendoorn, T., Sangers, E. J., Heymans, H. S. A., & van Rijn, R. R. (2015) · International Emergency Nursing · doi:10.1016/j.ienj.2015.05.002 · Cited by 6
“The prevalence of CM in The Netherlands is estimated as at least 3% (Alink et al., 2011; Euser et al., 2010).”
BackgroundHeckendorf, E., Huffmeijer, R., Bakermans‐Kranenburg, M. J., & van IJzendoorn, M. H. (2016) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2016.00231 · Cited by 6
“Frontiers in Human Neuroscience | www.frontiersin.org 1 May 2016 | Volume 10 | Article 231”
Radford, L. (2017) · Wiley eBooks · doi:10.1002/9781118976111.ch2 · Cited by 6
Toolkit On Mapping Legal, Health And Social Services Response To Child Maltreatment
Jud, A., Jones, L. M., & Mikton, C. R. (2015) · Zenodo (CERN European Organization for Nuclear Research) · doi:10.5281/zenodo.52512 · Cited by 8
Fifth European Paediatric Motility Meeting
Benninga, M. A., Peeters, B., Hennekam, R. C. M., Smout, A. J. P. M., Wenzl, T. G., van der Pol, R. J., Smits, M., van Wijk, M. P., Hassall, E. G., Thomson, M. A., et al. (2011) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0b013e31823cadc6 · Cited by 5
McElvaney, R., & Lalor, K. J. (2014) · Dublin City University Open Access Institutional Repository (Dublin City University) · Cited by 5
Childhood Abuse and Drug Addiction Among Israeli Male Inmates
Chen, G., & Gueta, K. (2016) · The Prison Journal · doi:10.1177/0032885516662637 · Cited by 5
Arruabarrena, I. (2013) · Springer eBooks · doi:10.1007/978-90-481-9063-8_105 · Cited by 5
Haworth, S., Montgomery, P., & Schaub, J. (2023) · Social Sciences · doi:10.3390/socsci12040239 · Cited by 5
“Similarly high levels of neglect coming to the attention of statutory services can be found in countries such as the USA, Canada, and the Netherlands (Euser et al. 2010; Stoltenborgh et al. 2015).”
BackgroundChild Well-being in Post-Soviet Countries: Discipline Practices in Families in Azerbaijan
Huseynli, A., & Jonson‐Reid, M. (2022) · Child Indicators Research · doi:10.1007/s12187-022-09976-8 · Cited by 4
“A study from the Netherlands found that parents with lower educational attainment constituted the largest group of caregivers who maltreated their children (Euser et al., 2010), which may also be a proxy for lower income.”
BackgroundSterenborg, T., van Nieuwenhuijzen, M., Wissink, I. B., Zijlstra, A., & Stams, G. J. J. M. (2023) · Child Maltreatment · doi:10.1177/10775595231159665 · Cited by 3
“…these problems increase the stress in parents, which in turn can lead to negative parenting styles and problematic family functioning (Emerson et al., 2011; Fenning et al., 2007; McConnell et al., 2011a, 2011b) and, subsequently, to neglect and abuse (Euser et al., 2010; Hindmarsh et al., 2017).”
BackgroundThe Identification of Pregnant Women at Risk for Child Abuse: Methodology
Mejdoubi, J., van den Heijkant, S. C. C. M., Struijf, E., van Leerdam, F., Crijnen, A. A. M., & HiraSing, R. (2015) · Gynecology and Obstetrics Research - Open Journal · doi:10.17140/goroj-2-105 · Cited by 3
Huffmeijer, R., Bakermans‐Kranenburg, M. J., Alink, L. R. A., & van IJzendoorn, M. H. (2014) · BMC Neuroscience · doi:10.1186/1471-2202-15-68 · Cited by 3
“Excessive use of love withdrawal can be considered psychological maltreatment [10].”
BackgroundSexual Abuse of Children in Comparative and International Perspective
Selmini, R. (2016) · Springer eBooks · doi:10.1007/978-3-319-08398-8_29 · Cited by 3
Metadata
- Authors
- Euser, E. M., van IJzendoorn, M. H., Prinzie, P., & Bakermans-Kranenburg, M. J.
- Affiliations
- Leiden University (NL)
- Centre for Child and Family Studies, Leiden University, Netherlands,
- Centre for Child and Family Studies, Leiden University, Netherlands
- ORCID
- Prinzie, Peter
- Venue
- Child Maltreatment
- Publisher
- SAGE Publications
- Published
- 2009-09-03
- Volume
- 15
- Issue
- 1
- Pages
- 5-17
- ISSN
- 1077-5595 (ISSN-L)
- 1552-6119
- OpenAlex
- W2140767697
- Cited by
- 125
- References
- 17
- Citations by year
- 2026: 2 · 2024: 4 · 2023: 9 · 2022: 8 · 2021: 2 · 2020: 7 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 13 · 2015: 9 · 2014: 9 · 2013: 19 · 2012: 13
- FWCI
- 10.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child Maltreatment (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child Abuse and Related Trauma
- Keywords
- prevalence, neglect, child abuse, sexual abuse, child protection services, underreporting, mandatory reporting, risk factors, parental education, parental unemployment, professional training, Netherlands
- MeSH terms
- Adolescent, Age Factors, Child, Child Abuse, Child Abuse, Sexual, Child Welfare, Child, Preschool, Educational Status, Humans, Infant, Netherlands, Parents, Risk Factors, Unemployment, Prevalence
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