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Provision of Healthcare and Children’s Psychological Maltreatment

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Abstract

In this research, we investigate the relationship between provision of healthcare and psychological maltreatment (PM) in children. The study hypothesizes that parents’ difficulties in provision of healthcare, specifically in buying medications (potential medical neglect), may be related to increased psychological maltreatment towards their children due to stress. We discuss the definition and significant consequences of psychological maltreatment on children’s development. The study includes 680 mothers of children under the age of 18, who participated in a cross-sectional representative anonymous survey conducted in Colorado. The survey used components of the Parent-Child Conflict Tactics Scale and of the Dimensions of Discipline Inventory (DDI) to measure psychological maltreatment and a separate questionnaire was employed to assess provision of healthcare. The logistic regression analyses showed that parents’ difficulties in provision of healthcare were significantly associated with increased psychological maltreatment towards their children. The study provides key insights into the relationship between provision of healthcare and psychological maltreatment, highlighting the importance of addressing barriers in provision of healthcare to prevent child maltreatment.

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Data Availability

For access to the complete dataset, please contact the corresponding author.

Notes

  1. This legislation mandated that health insurance plans provide more comprehensive coverage in accordance with new federal regulations. These mandated benefits and services, known as Essential Health Benefits (EHBs), became a minimum requirement for all health plans.

References

  • Allan, K., Joh-Carnella, N., Fallon, B., Vandermorris, A., & Houston, E. (2021). Medical neglect in Ontario: Implications for health care provision. Paediatrics & Child Health, 26(7), e283–e289.

    Google Scholar 

  • Assembly, U. G. (1948). Universal declaration of human rights (217 [III] A). Resolution adopted by the General Assembly on December 10, 1948. United Nations

  • Avdibegović, E., & Brkić, M. (2020). Child neglect-causes and consequences. Psychiatria Danubina, 32(suppl. 3), 337–342.

    Google Scholar 

  • Baker, A. J., Brassard, M. R., & Rosenzweig, J. (2021). Psychological maltreatment: Definition and reporting barriers among American professionals in the field of child abuse. Child Abuse & Neglect, 114, 104941.

    Google Scholar 

  • Belsky, J. (1984). The determinants of parenting: A process model. Child Development, 55(1), 83–96.

    Google Scholar 

  • Blumberg, S., & Luke, C. (2014). Early Release of Estimates from the National Health Interview Survey, July– December 2013. National Center for Health Statistics: Hyattsville, MD, USA. fromhttps://www.cdc.gov/nchs/data/nhis/earlyrelease/earlyrelease201312_tech.pdf. Accessed 20 Aug 2023

  • Brassard, M. R., Hart, S. N., Baker, A. A. L., & Chiel, Z. (2019). The APSAC monograph on psychological maltreatment (PM). The American Professional Society on the Abuse of Children (APSAC). from https://www.apsac.org. Accessed 20 Aug 2024

  • Bronfenbrenner, U., & Ceci, S. J. (1994). Nature-nuture reconceptualized in developmental perspective: A bioecological model. Psychological Review, 101(4), 568.

    Google Scholar 

  • Cicchetti, D. (2004). An odyssey of discovery: Lessons learned through three decades of research on child maltreatment. American Psychologist, 59, 731–741.

    Google Scholar 

  • Committee on Economic, Social and Cultural Rights. (2000). The right to the highest attainable standard of health: 11/08/2000. E/C.12/2000/4, CESCR General Comment 14. Twenty-second session Geneva, 25 April–12 May 2000 Agenda item 3. [Webpage]. http://www.unhchr.ch/tbs/doc.nsf/(symbol)/E.C.12.2000.4.En. Accessed 21 Sept 2008

  • Conger, R. D., & Donnellan, M. B. (2007). An interactionist perspective on the socioeconomic context of human development. Annual Review of Psychology, 58(1), 175–199.

    Google Scholar 

  • Cortes, D. E., Mulvaney-Day, N., Fortuna, L., Reinfeld, S., & Alegria, M. (2009). Patient-provider communication: Understanding the role of patient activation for Latinos in mental health treatment. Health Education & Behavior, 36, 138.

    Google Scholar 

  • Cui, N., & Liu, J. (2020). Physical abuse, emotional abuse, and neglect and childhood behavior problems: A meta-analysis of studies in mainland China. Trauma, Violence, & Abuse, 21(1), 206–224.

    Google Scholar 

  • Dineen-Griffin, S., Garcia-Cardenas, V., Williams, K., & Benrimoj, S. I. (2019). Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice. PLoS One, 14(8), e0220116. https://doi.org/10.1371/journal.pone.0220116

    Article  Google Scholar 

  • Finkelhor, D., Turner, H., Ormrod, R., & Hamby, S. L. (2009). Violence, abuse, and crime exposure in a national sample of children and youth. Pediatrics, 124, 1411–1423.

    Google Scholar 

  • Gilbert, R., Widom, C. S., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009). Burden and consequences of child maltreatment in high-income countries. The Lancet, 373(9657), 68–81.

    Google Scholar 

  • Glaser, D. (2002). Emotional abuse and neglect (psychological maltreatment): A conceptual framework. Child Abuse & Neglect, 26(6–7), 697–714.

    Google Scholar 

  • Gross-Manos, D., Marey-Sarwan, I., Barnea, O., & Cohen, A. (2023). “Care about us first”: Israeli youths’ perspectives on child neglect. Journal of Interpersonal Violence, 38(21–22), 11356–11382.

    Google Scholar 

  • Jensen, A. C., Pickett, J. M., Jorgensen-Wells, M. A., Andrus, L. E., Leiter, V. K., & Graver, H. (2022). The family stress model and parents’ differential treatment of siblings: A multilevel meta-analysis. Journal of Family Psychology, 36(6), 851.

    Google Scholar 

  • Kaushik, D., & Garg, M. (2024). Investigating evolutionary strategies: An in-depth research on the framework proposed by Bronfenbrenner’s bioecological model.‏ International Journal of Advanced Biochemistry Research, 8(3), 300-306.

  • Keeshin, B. R., & Dubowitz, H. (2013). Childhood neglect: The role of the pediatrician. Paediatrics & Child Health, 18(8), e39–e43.

    Google Scholar 

  • Kim, S., Runyan, D. K., & Lee, Y. (2022). Lack of maternal social capital increases the likelihood of harsh parenting. Children, 9(1), 99.

    Google Scholar 

  • Kimbrough-Melton, R. J. (2013). Health for all: The promise of the Affordable Health Care Act for racially and ethnically diverse populations. American Journal of Orthopsychiatry, 83, 352–358.

    Google Scholar 

  • Kim-Spoon, J., Herd, T., Brieant, A., Peviani, K., Deater-Deckard, K., Lauharatanahirun, N. ,..., King-Casas, B. (2021). Maltreatment and brain development: The effects of abuse and neglect on longitudinal trajectories of neural activation during risk processing and cognitive control. Developmental Cognitive Neuroscience, 48, 100939.

  • Kisely, S., Strathearn, L., Mills, R., & Najman, J. M. (2021). A comparison of the psychological outcomes of self-reported and agency-notified child abuse in a population-based birth cohort at 30-year-follow-up. Journal of Affective Disorders, 280, 167–172.

    Google Scholar 

  • Koball, H., Akilah, M., & Hernandez, J. (2021). Basic facts about low-income children: Children under 9 years, 2019. National Center for Children in Poverty.

  • Legano, L. A., Desch, L. W., Messner, S. A., Idzerda, S., Flaherty, E. G., Abuse, C. O. C. ,..., &Yin, L. (2021). Maltreatment of children with disabilities. Pediatrics, 147(5). https://doi.org/10.1542/peds.2021-050920

  • Marey-Sarwan, I., Cohen, A., & Gross-Manos, D. (2023). “I prefer to live only on bread, but to live with love”: Muslim Palestinian-Arab youths’ perceptions of child neglect. Child Indicators Research, 16(6), 2609–2630.

    Google Scholar 

  • Mayor’s Office of Community Mental Health. (2023). 2023 Annual Report. Retrieved from Mayor’s Office of Community Mental Health Annual Report

  • Miller-Cribbs, J. E., Jelley, M. J., Foulks-Rodriguez, K., & Stearns, J. (2016). Adverse childhood experiences and inequities in adult health care access. International Public Health Journal, 2, 257.

    Google Scholar 

  • Pleis, J. R., & Coles, R. (2009). Summary health statistics for US adults: National Health Interview Survey... Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.

  • Runyan, D. K., Cox, C. E., Dubowitz, H., Newton, R. R., Upadhyaya, M., Kotch, J. B. ,..., & Everson, M. D. (2005). Describing maltreatment: Do child protective service reports and research definitions agree? Child Abuse & Neglect, 29, 461-477.

  • Runyan, D. K., Hennink-Kaminski, H. J., Zolotor, A. J., Barr, R. G., Murphy, R. A., Barr, M. ,..., & Nocera, M. (2009). Designing and testing a shaken baby syndrome prevention program—the period of PURPLE crying: Keeping babies safe in North Carolina. Social Marketing Quarterly15(4), 2–24.‏

  • Seppälä, P., Riitta, V., & Timo, T. (2021). Are children with a number of disabilities and long-term illnesses at increased risk of mental violence, disciplinary violence, and serious violence? Journal of Interpersonal Violence, 36(23–24), 11409–11434.

    Google Scholar 

  • Smith, J. N., Guttmann, A., Kopp, A., Vandermorris, A., Shouldice, M., & Harron, K. L. (2024). Association of maternal risk factors with infant maltreatment: An administrative data cohort study. Archives of Disease in Childhood, 109(1), 23–29.

    Google Scholar 

  • Strathearn, L., Giannotti, M., Mills, R., Kisely, S., Najman, J., & Abajobir, A. (2020). Long-term cognitive, psychological, and health outcomes associated with child abuse and neglect. Pediatrics146(4).‏ https://doi.org/10.1542/peds.2020-0438

  • Straus, M. A., & Fauchier, A. (2007). Manual for the dimensions of discipline inventory (DDI). Family Research Laboratory, University of New Hampshire.

    Google Scholar 

  • Straus, M. A., Hamby, S. L., Finkelhor, D., Moore, D. W., & Runyan, D. (1998). Identification of child maltreatment with the parent-child conflict tactics scales: Development and psychometric data for a national sample of American parents. Child Abuse & Neglect, 22, 249–270.

    Google Scholar 

  • Taraban, L., & Shaw, D. S. (2018). Parenting in context: Revisiting Belsky’s classic process of parenting model in early childhood. Developmental Review, 48, 55–81.

    Google Scholar 

  • Turner, H. A., Finkelhor, D., & Ormrod, R. (2010). Poly-victimization in a national sample of children and youth. American Journal of Preventive Medicine, 38(3), 323–330.

    Google Scholar 

  • Turner, H. A., Vanderminden, J., Finkelhor, D., & Hamby, S. (2019). Child neglect and the broader context of child victimization. Child Maltreatment, 24(3), 265–274.

    Google Scholar 

  • U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2020). Child Maltreatment 2018. Available from https://www.acf.hhs.gov/sites/default/files/documents/cb/cm2018.pdf. Accessed 21 Aug 2024

  • U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2024). Child maltreatment 2021. Available at: https://www.acf.hhs.gov/cb/data-research/child-maltreatment. Accessed 25 Aug 2024

  • van der Put, C., Assink, M., Schmitz, D., de Jager, A., Stams, G. J., & van Dam, L. (2022). Early assessment of the risk of child welfare involvement for preventive purposes. Children and Youth Services Review, 142, 106654.

    Google Scholar 

  • Wolfe, M. K., Noreen, C. McDonald., & Mark Holmes, G. (2020). Transportation barriers to health care in the United States: Findings from the national health interview survey, 1997–2017. American Journal of Public Health, 110(6), 815–822.

    Google Scholar 

  • World Health Organization (WHO) & United Nations Children’s Fund. (2023). Global report on children with developmental disabilities: From the margins to the mainstream. World health organization. Available at: https://www.unicef.org/media/145016/file/Global-report-on-children-with-developmental-disabilities-2023.pdf. Accessed 18 Aug 2024 

  • Xiao, Z., Murat Baldwin, M., Wong, S. C., Obsuth, I., Meinck, F., & Murray, A. L. (2023). The impact of childhood psychological maltreatment on mental health outcomes in adulthood: A systematic review and meta-analysis. Trauma, Violence, & Abuse, 24(5), 3049–3064.

    Google Scholar 

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Funding

This research was supported in part by a postdoctoral research grant from the Haruv Institute given to the first author.

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Correspondence to Shani Oppenheim-Weller.

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Oppenheim-Weller, S., Fluke, J.D. & Runyan, D.K. Provision of Healthcare and Children’s Psychological Maltreatment. Int. Journal on Child Malt. 8, 113–123 (2025). https://doi.org/10.1007/s42448-024-00217-9

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