@article {2781, title = {Psychiatric co-morbidity in caregivers and children involved in maltreatment: a pilot research study with policy implications}, journal = {Child Abuse Negl}, volume = {25}, number = {7}, year = {2001}, note = {De Bellis, M D
Broussard, E R
Herring, D J
Wexler, S
Moritz, G
Benitez, J G
eng
5 K08 MHO1324-02/MH/NIMH NIH HHS/
Research Support, U.S. Gov{\textquoteright}t, P.H.S.
England
2001/08/29 10:00
Child Abuse Negl. 2001 Jul;25(7):923-44.}, month = {Jul}, pages = {923-44}, abstract = {OBJECTIVE: The purpose of this study was to determine the lifetime incidence of mental disorders in caregivers involved in maltreatment and in their maltreated child. METHODS: Lifetime DSM-III-R and IV psychiatric diagnoses were obtained for 53 maltreating families, including at least one primary caregiver and one proband maltreated child or adolescent subject (28 males, 25 females), and for a comparison group of 46 sociodemographically, similar nonmaltreating families, including one proband healthy child and adolescent subject (22 males, 22 females). RESULTS: Mothers of maltreated children exhibited a significantly greater lifetime incidence of anxiety disorders (especially post-traumatic stress disorder), mood disorders, alcohol and/or substance abuse or dependence disorder, suicide attempts, and comorbidity of two or more psychiatric disorders, compared to control mothers. Natural fathers or mothers{\textquoteright} live-in mates involved in maltreatment exhibited a significantly greater lifetime incidence of an alcohol and/or substance abuse or dependence disorder compared to controls. The majority of maltreated children and adolescents reported anxiety disorders, especially post-traumatic stress disorder (from witnessing domestic violence and/or sexual abuse), mood disorders, suicidal ideation and attempts, and disruptive disorders. Most maltreated children (72\%) suffered from comorbidity involving both emotional and behavioral regulation disorders. CONCLUSIONS: Families involved in maltreatment manifest significant histories of psychiatric comorbidity. Policies which target identification and treatment of comorbidity may contribute to breaking the intergenerational transmission of maltreatment.}, keywords = {Adolescent, Adult, Child, Child Abuse/psychology/*statistics \& numerical data, Comorbidity, Diagnosis, Dual (Psychiatry), Family Health, Fathers/psychology, Female, Humans, Male, Mental Disorders/classification/complications/*epidemiology, Middle Aged, Mothers/psychology, Parents/*psychology, Pennsylvania/epidemiology, Stress Disorders, Post-Traumatic}, isbn = {0145-2134 (Print)
0145-2134 (Linking)}, doi = {https://doi.org/10.1016/S0145-2134(01)00247-2}, author = {De Bellis, M. D. and Broussard, E. R. and Herring, D. J. and Wexler, S. and Moritz, G. and Benitez, J. G.} }