Dosage matters: The relationship between participation in the Nurturing Parenting Program for Infants, Toddlers, and Preschoolers and
subsequent child maltreatment.
Not exact matches
Ideally, the pediatrician will be able to describe the
child's baseline emotional, developmental, educational, and physical characteristics before the onset of psychological
maltreatment and document the
subsequent adverse consequences of psychological
maltreatment.
Child maltreatment,
subsequent non-suicidal self - injury and the mediating roles of dissociation, alexithymia and self - blame.
The effect of the nurses and paraprofessionals on responsive mother -
child interaction indicates that the program was operating as intended in helping parents provide more sensitive and responsive care for their
children, which is thought to promote secure attachment and healthy emotional and behavioral development.49 The reductions in
subsequent pregnancies and increases in interpregnancy intervals are particularly important as short interpregnancy intervals increase the risk of
child maltreatment (including infant homicide among teen parents) 50 and compromise families» economic self - sufficiency.51
The program of prenatal and infancy home visiting by nurses, tested with a primarily white sample, produced a 48 percent treatment - control difference in the overall rates of substantiated rates of
child abuse and neglect (irrespective of risk) and an 80 percent difference for families in which the mothers were low - income and unmarried at registration.21 Corresponding rates of
child maltreatment were too low to serve as a viable outcome in a
subsequent trial of the program in a large sample of urban African - Americans, 20 but program effects on
children's health - care encounters for serious injuries and ingestions at
child age 2 and reductions in childhood mortality from preventable causes at
child age 9 were consistent with the prevention of abuse and neglect.20, 22
Although the existing research suggests diverse outcomes, scholars have documented that young
children exposed to trauma (for example,
maltreatment and other forms of violence) are more likely than
children who have not been exposed to trauma to experience physiologic changes at the neurotransmitter and hormonal levels (and perhaps even at the level of brain structure) that render them susceptible to heightened arousal and an incapacity to adapt emotions to an appropriate level.21 This emotional state increases their sensitivity to
subsequent experiences of trauma and impairs their capacity to focus, remember, learn, and engage in self - control.22
[jounal] Smith, B. / 2002 / The Risk of
subsequent maltreatment allegations in families with substance - exposed infants /
Child Abuse and Neglect 2: 97 ~ 114