Child exposure to parental violence and psychological distress associated with delayed milestones.

Content Provider	Europe PMC
Author	Gilbert, Amy Lewis Bauer, Nerissa S. Carroll, Aaron E. Downs, Stephen M.
Copyright Year	2013
Abstract	OBJECTIVE: To examine the association between parental report of intimate partner violence (IPV) and parental psychological distress (PPD) with child attainment of developmental milestones. METHODS: By using data collected from a large cohort of primary care patients, this cross-sectional study examined the relationship between parental report of IPV and/or PPD and the attainment of developmental milestones within the first 72 months of a child’s life. Multivariate logistic regression analyses were used to adjust for parental report of child abuse concern and sociodemographic characteristics. RESULTS: Our study population included 16 595 subjects. Children of parents reporting both IPV and PPD (n = 88; 0.5%) were more likely to fail at least 1 milestone across the following developmental domains: language (adjusted odds ratio [aOR] 2.1; 95% confidence interval [CI] 1.3–3.3), personal-social (aOR 1.9; 95% CI 1.2–2.9), and gross motor (aOR 3.0; 95% CI 1.8–5.0). Significant associations for those reporting IPV-only (n = 331; 2.0%) were found for language (aOR 1.4; 95% CI 1.1–1.9), personal-social (aOR 1.7; 95% CI 1.4–2.2), and fine motor-adaptive (aOR 1.7; 95% CI 1.0–2.7). Significant associations for those reporting PPD-only (n = 1920; 11.6%) were found for: language (aOR 1.5; 95% CI 1.3–1.7), personal-social (aOR 1.6; 95% CI 1.5–1.8), gross motor (aOR 1.6; 95% CI 1.4–1.8), and fine-motor adaptive (aOR 1.6; 95% CI 1.3–2.0). CONCLUSIONS: Screening children for IPV and PPD helps identify those at risk for poor developmental outcomes who may benefit from early intervention.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC3838530&blobtype=pdf
Page Count	7
ISSN	00314005
Volume Number	132
DOI	10.1542/peds.2013-1020
PubMed Central reference number	PMC3838530
Issue Number	6
PubMed reference number	24190682
Journal	Pediatrics
e-ISSN	10984275
Language	English
Publisher	American Academy of Pediatrics
Publisher Date	2013-11-04
Publisher Place	Elk Grove Village, IL, USA
Access Restriction	Open
Rights License	Copyright © 2013 by the American Academy of Pediatrics
Subject Keyword	child development computerized clinical decision support developmental milestones intimate partner violence parental psychological distress
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health