Importance of Early Neglect for Childhood Aggression

Author:

Kotch Jonathan B.1,Lewis Terri2,Hussey Jon M.1,English Diana3,Thompson Richard4,Litrownik Alan J.5,Runyan Desmond K.6,Bangdiwala Shrikant I.2,Margolis Benyamin7,Dubowitz Howard8

Affiliation:

1. Departments of Maternal and Child Health

2. Biostatistics

3. Washington State Department of Social and Health Services, Seattle, Washington

4. Juvenile Protective Association, Chicago, Illinois

5. Department of Psychology, San Diego State University, San Diego, California

6. Social Medicine

7. Health Behavior and Health Education, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

8. Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland

Abstract

OBJECTIVE. The goal was to examine the association between early childhood neglect (birth to age 2 years) and later childhood aggression at ages 4, 6, and 8 years, compared with aggression's associations with early childhood abuse and later abuse and neglect. METHODS. A prospective cohort of 1318 predominantly at-risk children, recruited from 4 US cities and 1 southern state, were monitored from birth to 8 years of age. Maltreatment was determined through review of local child protective services records. A hierarchical, linear model approach, a special case of general, linear, mixed modeling, was used to predict aggressive behavior scores, as reported by the child's primary caregiver at ages 4, 6, and 8 years. RESULTS. Only early neglect significantly predicted aggression scores. Early abuse, later abuse, and later neglect were not significantly predictive in a controlled model with all 4 predictors. CONCLUSION. This longitudinal study suggests that child neglect in the first 2 years of life may be a more-important precursor of childhood aggression than later neglect or physical abuse at any age.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference46 articles.

1. Administration for Children, Youth, and Families. Child Maltreatment 2004. Washington, DC: US Government Printing Office; 2007

2. Widom CS. Childhood victimization: early adversity, later psychopathology. Natl Inst Justice J. 2000;242:2–9. Available at: www.ncjrs.gov/pdffiles1/jr000242b.pdf. Accessed February 5, 2008

3. Manly JT, Kim JE, Rogosch FA, Cicchetti D. Dimensions of child maltreatment and children's adjustment: contributions of developmental timing and subtype. Dev Psychopathol. 2001;13(4):759–782

4. Hildyard KL, Wolfe DA. Child neglect: developmental issues and outcomes. Child Abuse Negl. 2002;26(6–7):679–695

5. Smith D, Thornberry TP. The relationship between childhood maltreatment and adolescent involvement in delinquency. Criminology. 1995;33(4):451–481

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