Cited by 16Intimate Partner and Family ViolenceChild Abuse and TraumaChild and Adolescent Psychosocial and Emotional Development

The mental health of children exposed to intimate partner violence: A systematic literature review

Open access
Asiedu, Elizabeth, Baliki, Ami V. A.·2025·Developmental Child Welfare

Abstract

Purpose: This systematic literature review examines the differences in mental health outcomes among children exposed to intimate partner violence, focusing on age and gender variations. Background: While much of the existing research has centered on adult victims of IPV, fewer studies have systematically analyzed its effects on children and how these impacts differ based on developmental stages and gender. Design and Sample: Following PRISMA guidelines, this systematic review evaluates 25 quantitative studies published from 2007 to 2024, with sample sizes ranging from small cohorts of 41 children to larger groups exceeding 5,000 participants. Results: The findings indicate that younger children exposed to IPV often face immediate behavioral issues and cognitive disruptions. In contrast, older children are more likely to experience complex emotional challenges, including depression, anxiety, and post-traumatic stress disorder (PTSD). Gender differences are also apparent: boys typically display externalizing behaviors such as aggression, while girls are more prone to internalizing their distress, leading to higher rates of anxiety and depression. Conclusions: These patterns suggest that socialization and coping mechanisms vary significantly by gender. This review emphasizes the need for age- and gender-responsive interventions tailored to the specific mental health needs of children. It advocates for resilience-building, emotional regulation, and supportive coping strategies.

Integrity signals

Registry

Crossref · 10.1177/25161032251324862

Cites

50 of 50 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 35 cited sources checked · 0 supported · 0 flagged

  • Findingcitation

    Preschool-aged children exposed to IPV exhibit more internalizing problems.

    “Ybarra et al. (2007) found that preschool-aged children exposed to IPV exhibited more internalizing problems, suggesting that younger children are particularly vulnerable to the effects of IPV.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Ybarra et al., 2007

      Not checked in the free run.

  • Findingcitation

    Maternal PTSD and depression often mediate the relationship between IPV exposure and child PTSD symptoms.

    “health issues, such as maternal PTSD and depression, often mediate the relationship between IPV exposure and child PTSD symptoms (Greene et al., 2018;Olaya et al., 2010).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Greene et al., 2018

      Not checked in the free run.

    • cites Olaya et al., 2010

      Not checked in the free run.

  • Findingcitation

    IPV exposure is associated with heightened anxiety symptoms, including increased worry, hypervigilance, and feelings of insecurity.

    “The reviewed studies reveal that IPV exposure leads to heightened anxiety symptoms, with children often experiencing increased worry, hypervigilance, and feelings of insecurity (Georgsson et al., 2011;Wright & Fagan, 2012).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Georgsson et al., 2011

      Not checked in the free run.

    • cites Wright & Fagan, 2012

      Not checked in the free run.

  • Findingcitation

    PTSD symptoms are notably common among IPV-exposed children, including intrusive memories, hyperarousal, and avoidance behaviors.

    “PTSD symptoms are notably common, with IPV-exposed children experiencing intrusive memories, hyperarousal, and avoidance behaviors (Georgsson et al., 2011).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Georgsson et al., 2011

      Not checked in the free run.

  • Findingown data

    The review analyzed 25 quantitative research articles published between 2007 and 2022.

    “This systematic review analyzes 25 quantitative research articles published between 2007 and 2022.”
    Quote in the paperNot a substantial claim
  • May combine two claims. 21
  • Classified as probably not a substantial claim. 19
  • The quote only partly states this claim. 1
  • May combine two claims.

    Findingcitation

    Children exposed to IPV consistently show elevated levels of anxiety, depression, and PTSD compared to non-exposed peers.

    “Children exposed to IPV consistently show elevated levels of anxiety, depression, and PTSD compared to their non-exposed peers.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    IPV exposure is linked to greater social stress, negative self-perception, and emotional distress in children.

    “Depression is also prevalent among these children, with IPV exposure linked to greater social stress, negative self-perception, and emotional distress (Carracedo et al., 2018;Ybarra et al., 2007).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Carracedo et al., 2018

      Not checked in the free run.

    • cites Ybarra et al., 2007

      Not checked in the free run.

  • May combine two claims.

    Findingreasoning

    Longitudinal research on children exposed to IPV is still limited, creating gaps in knowledge about the persistence or transformation of symptoms like anxiety, depression, and PTSD as children age.

    “However, such research is still limited, creating gaps in knowledge regarding the persistence or transformation of symptoms like anxiety, depression, and PTSD as children age.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingcitation

    Ongoing contact with an abusive father is associated with increased trauma symptoms in girls, such as avoidance and hyperarousal, but not in boys.

    “This study also noted that ongoing contact with an abusive father was associated with increased trauma symptoms in girls, such as avoidance and hyperarousal.In contrast, boys did not report heightened symptoms from their contact with the abuser.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Georgsson et al., 2011

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Findingnone given

    Maternal depression and PTSD are often heightened in families affected by IPV.

    “particularly maternal depression and PTSD, which are often heightened in families affected by IPV”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingnone given

    Adolescents exposed to IPV demonstrate both externalizing and internalizing behavioral symptoms, reflecting more complex emotional challenges.

    “Adolescents, in contrast, demonstrate both externalizing and internalizing behavioral symptoms, reflecting more complex emotional challenges.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingnone given

    IPV-exposed children experience higher rates of PTSD, dysthymia, self-harm, and challenges in functioning compared to those who have not been exposed to IPV.

    “These children experience higher rates of PTSD, dysthymia, self-harm, and challenges in functioning compared to those who have not been exposed to IPV.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Findingnone given

    Older children exposed to IPV are more vulnerable to anxiety, depression, and PTSD.

    “As older children are more vulnerable to anxiety, depression, and PTSD”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    Exposure to IPV is associated with an increased likelihood of children experiencing depression, anxiety, and PTSD.

    “Studies consistently show that exposure to IPV is associated with an increased likelihood of children experiencing depression, anxiety, and PTSD (Carracedo et al., 2018;Ferrajão, 2020;Goldstein et al., 2021;Kolsky & Gee, 2021;Meltzer et al., 2009;Olaya et al., 2010;Rode et al., 2019;Spilsbury et al., 2007;Stover et al., 2019).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Carracedo et al., 2018

      Not checked in the free run.

    • cites Ferrajão, 2020

      Not checked in the free run.

    • cites Goldstein et al., 2021

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Findingnone given

    Girls exposed to IPV are more likely to internalize their distress.

    “In contrast, girls, who are more likely to internalize their distress”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    Boys tend to show externalizing behaviors, whereas girls are more likely to experience internalizing problems.

    “Boys tend to show externalizing behaviors, whereas girls are more likely to experience internalizing problems (Spilsbury et al., 2007).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Spilsbury et al., 2007

      Not checked in the free run.

  • May combine two claims.

    Findingcitation

    Younger children often exhibit immediate emotional responses, while older children deal with more complex behavioral issues.

    “Younger children often exhibit immediate emotional responses, while older children deal with more complex behavioral issues (Silva et al., 2019;Skinner et al., 2019;Stover et al., 2019;Ybarra et al., 2007).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Silva et al., 2019

      Not checked in the free run.

    • cites Skinner et al., 2019

      Not checked in the free run.

    • cites Stover et al., 2019

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Findingnone given

    Younger children exposed to IPV often experience immediate behavioral and cognitive disruptions.

    “For younger children, who often experience immediate behavioral and cognitive disruptions after exposure to IPV”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    The review searched seven databases and Google Scholar.

    “Pertinent scholarly articles were located by conducting keyword searches across seven databases, namely APA PsycInfo, Web of Science, CINAHL, SocINDEX, Social Sciences Citation Index, Scopus, and Social Work Abstracts.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    The review excluded studies that did not directly compare exposed and non-exposed children.

    “Additionally, studies that do not directly compare exposed and non-exposed children are excluded.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Two reviewers independently screened papers for inclusion.

    “Two reviewers independently screened the papers for inclusion in the review.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The review followed PRISMA guidelines.

    “The review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, designed to enhance systematic reviews' transparency through a 27-item checklist (Moher et al., 2009).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Moher et al., 2009

      Not checked in the free run.

  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductown data

    The review included only published English-language journal articles on children aged 0 to 18, published between 2007 and 2024.

    “It includes studies involving children aged zero to 18, published between 2007 and 2024 and written in English.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Human error can affect the selection of studies included in this review.

    “Lastly, we recognize that human error can affect the selection of studies included in this review.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Children exposed to IPV face an increased risk of mental health challenges, including anxiety, depression, PTSD, and behavioral issues.

    “Such children face an increased risk of mental health challenges, including anxiety, depression, posttraumatic stress disorder (PTSD), and behavioral issues (Meltzer et al., 2009;Swanston et al., 2014;Ybarra et al., 2007;Zahradnik et al., 2010).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Meltzer et al., 2009

      Not checked in the free run.

    • cites Swanston et al., 2014

      Not checked in the free run.

    • cites Ybarra et al., 2007

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Many children exposed to IPV exhibit remarkable resilience, developing survival mechanisms that enable them to maintain a sense of control in otherwise chaotic environments.

    “Contrary to the perception of powerlessness, many children exhibit remarkable resilience, developing survival mechanisms that enable them to maintain a sense of control in otherwise chaotic environments.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Callaghan et al., 2018

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Children's responses to IPV exposure are multifaceted and vary significantly across developmental stages and between genders.

    “The review demonstrates that children's responses to IPV exposure are multifaceted and vary significantly across developmental stages and between genders.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    Older children exposed to IPV may develop maladaptive behaviors such as substance use or delinquency as coping strategies in response to their trauma.

    “Additionally, these interventions should address the potential for maladaptive behaviors, such as substance use or delinquency, which may emerge as coping strategies in response to their trauma.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    Older children's more complex behavioral issues may be shaped by their increased awareness of the social and familial context surrounding IPV.

    “which may be shaped by their increased awareness of the social and familial context surrounding IPV”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Cross-sectional designs provide only a snapshot of children's mental health at a single moment, which complicates tracking long-term psychological impacts of IPV and understanding how children's mental health may change over years.

    “which only provide a snapshot of children's mental health at a single moment in time.This method complicates the tracking of long-term psychological impacts of IPV and hinders our ability to understand how children's mental health may change or decline over the years.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductreasoning

    The review's restriction to published articles may introduce publication bias, because studies with statistically significant results are more likely to be published, potentially distorting the overall findings.

    “which may introduce publication bias; studies with statistically significant results are typically more likely to be published, potentially distorting the overall findings.”
    Quote in the paperNot a substantial claim
  • The quote only partly states this claim.

    Interpretationreasoning

    Girls are more likely to internalize their distress.

    “while girls are more likely to internalize their distress”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    The broader range of children's experiences with IPV is underexplored, restricting the applicability of findings to the general population.

    “Consequently, the broader range of children's experiences with IPV is underexplored, which restricts the applicability of findings to the general population.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).

    Interpretationreasoning

    Gendered responses to IPV may stem from broader socialization processes that shape coping mechanisms and emotional expression.

    “This pattern persists across various demographic contexts, suggesting that gendered responses to IPV may stem from broader socialization processes that shape coping mechanisms and emotional expression.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductreasoning

    The review's restriction to English-language articles may have excluded valuable research in other languages, limiting its global perspective and possibly overlooking culturally specific insights about IPV and child mental health.

    “Furthermore, by restricting the review to English-language articles, we may have excluded valuable research conducted in other languages, limiting our global perspective and possibly overlooking culturally specific insights related to IPV and child mental health.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Interpretationnone given

    Boys exposed to IPV may externalize distress in environments where showing vulnerability is socially unacceptable, while girls may internalize feelings due to societal pressures that discourage overt expressions of anger or frustration.

    “For instance, boys might externalize their distress in environments where showing vulnerability is viewed as socially unacceptable, whereas girls may internalize their feelings due to societal pressures that discourage overt expressions of anger or frustration.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    Socialization processes and societal expectations further complicate the mental health trajectories of IPV-exposed children.

    “further complicating the mental health trajectories of IPV-exposed children”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductreasoning

    Two reviewers independently assessed and selected articles for inclusion and agreed on their decisions.

    “Two reviewers independently assessed and selected articles for inclusion to address this issue and agreed on their decisions.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    This systematic review includes only published articles.

    “First, the review only includes published articles”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Younger children have heightened vulnerability and limited coping resources.

    “highlighting their heightened vulnerability and limited coping resources”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).

    Interpretationnone given

    Socialization processes and societal expectations may influence these gendered responses.

    “Socialization processes and societal expectations may influence these gendered responses”
    Quote in the paperNot a substantial claim
36 of 36
  • The paper relies on this without support.

    The included studies' measures of IPV exposure and mental health outcomes are sufficiently valid and comparable to synthesize.

    “This systematic review synthesizes current literature on mental health outcomes among children exposed to IPV.”
  • The paper relies on this without support.

    Age and gender categories are comparable across the included studies.

    “It specifically examines how outcomes such as anxiety, depression, PTSD, and behavioral issues vary by age and gender and how these differences shape the experiences and needs of affected children.”
  • The paper relies on this without support.

    The 25 included studies are representative of children exposed to IPV.

    “Following full-text screening, 25 papers were identified that met all the criteria.These papers are listed in Appendix A and form the basis of the final review.”
  • The paper relies on this without support.

    Children in low- and middle-income countries may encounter different stressors, such as poverty, limited access to mental health services, or different social norms regarding family and violence, which could influence how IPV impacts their mental health.

    “Children in low-and middle-income countries (LMICs) may encounter different stressors, such as poverty, limited access to mental health services, or different social norms regarding family and violence.”
  • The paper relies on this without support.

    Schools often notice changes in children's behavior and emotional health, making them valuable partners in early identification and intervention.

    “Schools often notice changes in children's behavior and emotional health, making them valuable partners in early identification and intervention.”
5 of 5

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Silva study design differs between tables

    Minor

    Table 2 classifies article 19 as cross-sectional, whereas Table 3 calls the Silva et al. study longitudinal.

  • Emery is cited for a gender difference its table entry denies

    Minor

    The narrative cites Emery as support for greater internalizing problems in girls, but Table 3 says Emery found no significant difference between boys and girls on that outcome.

  • The sample-size category omits a 41-child study

    Minor

    Table 2 places article 7 in the 50-499 sample-size category, but Table 3 reports 41 participants for that article.

  • Symes study design differs between tables

    Minor

    Table 2 classifies article 23 as longitudinal, whereas Table 3 calls the Symes et al. study cross-sectional.

  • A 2019 study is placed in the 2013-2018 category

    Minor

    Table 2 assigns article 22 to its 2013-2018 publication group, while Table 3 identifies article 22, Stover et al., as a 2019 study.

  • A study includes an age outside the eligibility range

    Minor

    The inclusion criteria limit children to ages zero through 18, but Table 3 gives an age range reaching 19 for the included Georgsson study.

  • Publication period differs across sections

    Minor

    The abstract says the reviewed studies extend through 2024, but the results describe the same 25 articles as published only through 2022.

7 of 7

Cites

Flagged first, then by citations

Research works printed but not linked: 1

  1. World Health Organization. (2021). Violence against women prevalence estimates, 2018: Global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. World Health Organization.

Cited by

Sorted by citations

Authors
Asiedu, E., & Baliki, A. V. A.
Affiliations
Howard University (US)
Corresponding author
Baliki, Ami V. A.
Venue
Developmental Child Welfare
Published
2025-03
Volume
7
Issue
1
Pages
91-118
ISSN
  • 2516-1032 (ISSN-L)
  • 2516-1040
OpenAlex
W4408364389
Cited by
16
References
49
Citations by year
2026: 13 · 2025: 3
FWCI
3.50
Type
journal article
Language
en
Open access
Locations
Developmental Child Welfare (publishedVersion)
Topics
  • Social Sciences › Health › Intimate Partner and Family Violence
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
intimate partner violence, children exposed to domestic violence, child mental health, age differences, gender differences, depression, anxiety, post-traumatic stress disorder, externalizing problems, internalizing problems, coping strategies, resilience

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-11.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-11.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review