Psychosocial and cognitive functioning of children with specific profiles of maltreatment

Child Abuse Negl. 2008 Oct;32(10):958-71. doi: 10.1016/j.chiabu.2007.12.009. Epub 2008 Nov 7.

Abstract

Objective: Up to 90% of child welfare system cases involve multiple types of maltreatment; however, studies have rarely incorporated multiple dimensions of maltreatment. The present study employed a latent profile analysis to identify naturally occurring subgroups of children who had experienced maltreatment.

Methods: Reports of maltreatment incidents for 117 preschool-aged foster children were classified along two dimensions: type (e.g., physical abuse, sexual abuse, physical neglect, supervisory neglect, or emotional maltreatment) and severity within type.

Results: The analyses revealed four distinct profiles showing moderate to high levels of maltreatment: (a) supervisory neglect/emotional maltreatment; (b) sexual abuse/emotional maltreatment/neglect (when not otherwise specified neglect refers to both supervisory and physical neglect); (c) physical abuse/emotional maltreatment/neglect; and (d) sexual abuse/physical abuse/emotional maltreatment/neglect. Profile membership was examined with respect to the children's cognitive functioning and externalizing and internalizing problems: lower cognitive functioning was related to profiles with neglect or physical abuse (or both), externalizing was highest in the sexual abuse/physical abuse/emotional maltreatment/neglect profile, and internalizing was highest in the profiles with physical or sexual abuse (or both).

Conclusions: There appear to be distinct profiles of maltreatment among preschoolers that have differential associations to measures of adjustment. Policy and practice implications and future research directions are discussed.

Practice implications: Using different profiles of maltreatment to understand specific vulnerabilities may guide in tailoring interventions to the needs of maltreated children.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Child Abuse* / classification
  • Child Abuse* / statistics & numerical data
  • Child, Preschool
  • Cognition*
  • Female
  • Foster Home Care
  • Humans
  • Male
  • Psychosocial Deprivation*
  • Trauma Severity Indices
  • United States