Effects of maltreatment and parental schizophrenia spectrum disorders on early childhood social-emotional functioning: a population record linkage study

S. L. Matheson, M. Kariuki, M. J. Green, K. Dean, F. Harris, S. Tzoumakis, M. Tarren-Sweeney, S. Brinkman, M. Chilvers, T. Sprague, V. J. Carr, K. R. Laurens

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aims. Childhood maltreatment and a family history of a schizophrenia spectrum disorder (SSD) are each associated with social-emotional dysfunction in childhood. Both are also strong risk factors for adult SSDs, and social-emotional dysfunction in childhood may be an antecedent of these disorders. We used data from a large Australian population cohort to determine the independent and moderating effects of maltreatment and parental SSDs on early childhood social-emotional functioning.

Methods. The New South Wales Child Development Study combines intergenerational multi-agency data using record linkage methods. Multiple measures of social-emotional functioning (social competency, prosocial/helping behaviour, anxious/fearful behaviour; aggressive behaviour, and hyperactivity/inattention) on 69 116 kindergarten children (age similar to 5 years) were linked with government records of child maltreatment and parental presentations to health services for SSD. Multivariable analyses investigated the association between maltreatment and social-emotional functioning, adjusting for demographic variables and parental SSD history, in the population sample and in sub-cohorts exposed and not exposed to parental SSD history. We also examined the association of parental SSD history and social-emotional functioning, adjusting for demographic variables and maltreatment.

Results. Medium-sized associations were identified between maltreatment and poor social competency, aggressive behaviour and hyperactivity/inattention; small associations were revealed between maltreatment and poor prosocial/helping and anxious/fearful behaviours. These associations did not differ greatly when adjusted for parental SSD, and were greater in magnitude among children with no history of parental SSD. Small associations between parental SSD and poor social-emotional functioning remained after adjusting for demographic variables and maltreatment.

Conclusions. Childhood maltreatment and history of parental SSD are associated independently with poor early childhood social-emotional functioning, with the impact of exposure to maltreatment on social-emotional functioning in early childhood of greater magnitude than that observed for parental SSDs. The impact of maltreatment was reduced in the context of parental SSDs. The influence of parental SSDs on later outcomes of maltreated children may become more apparent during adolescence and young adulthood when overt symptoms of SSD are likely to emerge. Early intervention to strengthen childhood social-emotional functioning might mitigate the impact of maltreatment, and potentially also avert future psychopathology.

Original languageEnglish
Pages (from-to)612-623
Number of pages12
JournalEpidemiology and Psychiatric Sciences
Volume26
Issue number6
DOIs
Publication statusPublished - Dec 2017

Cite this

Matheson, S. L. ; Kariuki, M. ; Green, M. J. ; Dean, K. ; Harris, F. ; Tzoumakis, S. ; Tarren-Sweeney, M. ; Brinkman, S. ; Chilvers, M. ; Sprague, T. ; Carr, V. J. ; Laurens, K. R. / Effects of maltreatment and parental schizophrenia spectrum disorders on early childhood social-emotional functioning : a population record linkage study. In: Epidemiology and Psychiatric Sciences. 2017 ; Vol. 26, No. 6. pp. 612-623.
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title = "Effects of maltreatment and parental schizophrenia spectrum disorders on early childhood social-emotional functioning: a population record linkage study",
abstract = "Aims. Childhood maltreatment and a family history of a schizophrenia spectrum disorder (SSD) are each associated with social-emotional dysfunction in childhood. Both are also strong risk factors for adult SSDs, and social-emotional dysfunction in childhood may be an antecedent of these disorders. We used data from a large Australian population cohort to determine the independent and moderating effects of maltreatment and parental SSDs on early childhood social-emotional functioning.Methods. The New South Wales Child Development Study combines intergenerational multi-agency data using record linkage methods. Multiple measures of social-emotional functioning (social competency, prosocial/helping behaviour, anxious/fearful behaviour; aggressive behaviour, and hyperactivity/inattention) on 69 116 kindergarten children (age similar to 5 years) were linked with government records of child maltreatment and parental presentations to health services for SSD. Multivariable analyses investigated the association between maltreatment and social-emotional functioning, adjusting for demographic variables and parental SSD history, in the population sample and in sub-cohorts exposed and not exposed to parental SSD history. We also examined the association of parental SSD history and social-emotional functioning, adjusting for demographic variables and maltreatment.Results. Medium-sized associations were identified between maltreatment and poor social competency, aggressive behaviour and hyperactivity/inattention; small associations were revealed between maltreatment and poor prosocial/helping and anxious/fearful behaviours. These associations did not differ greatly when adjusted for parental SSD, and were greater in magnitude among children with no history of parental SSD. Small associations between parental SSD and poor social-emotional functioning remained after adjusting for demographic variables and maltreatment.Conclusions. Childhood maltreatment and history of parental SSD are associated independently with poor early childhood social-emotional functioning, with the impact of exposure to maltreatment on social-emotional functioning in early childhood of greater magnitude than that observed for parental SSDs. The impact of maltreatment was reduced in the context of parental SSDs. The influence of parental SSDs on later outcomes of maltreated children may become more apparent during adolescence and young adulthood when overt symptoms of SSD are likely to emerge. Early intervention to strengthen childhood social-emotional functioning might mitigate the impact of maltreatment, and potentially also avert future psychopathology.",
keywords = "Behaviour problems, child abuse, neglect, mental health, risk factors, DEVELOPMENTAL RISK-FACTORS, ADULT SCHIZOPHRENIA, PHYSICAL ABUSE, BEHAVIORAL-DEVIANCE, AFFECTIVE PSYCHOSES, DIFFERENT FORMS, MENTAL-HEALTH, BIRTH COHORT, CHILDREN, METAANALYSIS",
author = "Matheson, {S. L.} and M. Kariuki and Green, {M. J.} and K. Dean and F. Harris and S. Tzoumakis and M. Tarren-Sweeney and S. Brinkman and M. Chilvers and T. Sprague and Carr, {V. J.} and Laurens, {K. R.}",
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Matheson, SL, Kariuki, M, Green, MJ, Dean, K, Harris, F, Tzoumakis, S, Tarren-Sweeney, M, Brinkman, S, Chilvers, M, Sprague, T, Carr, VJ & Laurens, KR 2017, 'Effects of maltreatment and parental schizophrenia spectrum disorders on early childhood social-emotional functioning: a population record linkage study' Epidemiology and Psychiatric Sciences, vol. 26, no. 6, pp. 612-623. https://doi.org/10.1017/S204579601600055X

Effects of maltreatment and parental schizophrenia spectrum disorders on early childhood social-emotional functioning : a population record linkage study. / Matheson, S. L.; Kariuki, M.; Green, M. J.; Dean, K.; Harris, F.; Tzoumakis, S.; Tarren-Sweeney, M.; Brinkman, S.; Chilvers, M.; Sprague, T.; Carr, V. J.; Laurens, K. R.

In: Epidemiology and Psychiatric Sciences, Vol. 26, No. 6, 12.2017, p. 612-623.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Effects of maltreatment and parental schizophrenia spectrum disorders on early childhood social-emotional functioning

T2 - a population record linkage study

AU - Matheson, S. L.

AU - Kariuki, M.

AU - Green, M. J.

AU - Dean, K.

AU - Harris, F.

AU - Tzoumakis, S.

AU - Tarren-Sweeney, M.

AU - Brinkman, S.

AU - Chilvers, M.

AU - Sprague, T.

AU - Carr, V. J.

AU - Laurens, K. R.

PY - 2017/12

Y1 - 2017/12

N2 - Aims. Childhood maltreatment and a family history of a schizophrenia spectrum disorder (SSD) are each associated with social-emotional dysfunction in childhood. Both are also strong risk factors for adult SSDs, and social-emotional dysfunction in childhood may be an antecedent of these disorders. We used data from a large Australian population cohort to determine the independent and moderating effects of maltreatment and parental SSDs on early childhood social-emotional functioning.Methods. The New South Wales Child Development Study combines intergenerational multi-agency data using record linkage methods. Multiple measures of social-emotional functioning (social competency, prosocial/helping behaviour, anxious/fearful behaviour; aggressive behaviour, and hyperactivity/inattention) on 69 116 kindergarten children (age similar to 5 years) were linked with government records of child maltreatment and parental presentations to health services for SSD. Multivariable analyses investigated the association between maltreatment and social-emotional functioning, adjusting for demographic variables and parental SSD history, in the population sample and in sub-cohorts exposed and not exposed to parental SSD history. We also examined the association of parental SSD history and social-emotional functioning, adjusting for demographic variables and maltreatment.Results. Medium-sized associations were identified between maltreatment and poor social competency, aggressive behaviour and hyperactivity/inattention; small associations were revealed between maltreatment and poor prosocial/helping and anxious/fearful behaviours. These associations did not differ greatly when adjusted for parental SSD, and were greater in magnitude among children with no history of parental SSD. Small associations between parental SSD and poor social-emotional functioning remained after adjusting for demographic variables and maltreatment.Conclusions. Childhood maltreatment and history of parental SSD are associated independently with poor early childhood social-emotional functioning, with the impact of exposure to maltreatment on social-emotional functioning in early childhood of greater magnitude than that observed for parental SSDs. The impact of maltreatment was reduced in the context of parental SSDs. The influence of parental SSDs on later outcomes of maltreated children may become more apparent during adolescence and young adulthood when overt symptoms of SSD are likely to emerge. Early intervention to strengthen childhood social-emotional functioning might mitigate the impact of maltreatment, and potentially also avert future psychopathology.

AB - Aims. Childhood maltreatment and a family history of a schizophrenia spectrum disorder (SSD) are each associated with social-emotional dysfunction in childhood. Both are also strong risk factors for adult SSDs, and social-emotional dysfunction in childhood may be an antecedent of these disorders. We used data from a large Australian population cohort to determine the independent and moderating effects of maltreatment and parental SSDs on early childhood social-emotional functioning.Methods. The New South Wales Child Development Study combines intergenerational multi-agency data using record linkage methods. Multiple measures of social-emotional functioning (social competency, prosocial/helping behaviour, anxious/fearful behaviour; aggressive behaviour, and hyperactivity/inattention) on 69 116 kindergarten children (age similar to 5 years) were linked with government records of child maltreatment and parental presentations to health services for SSD. Multivariable analyses investigated the association between maltreatment and social-emotional functioning, adjusting for demographic variables and parental SSD history, in the population sample and in sub-cohorts exposed and not exposed to parental SSD history. We also examined the association of parental SSD history and social-emotional functioning, adjusting for demographic variables and maltreatment.Results. Medium-sized associations were identified between maltreatment and poor social competency, aggressive behaviour and hyperactivity/inattention; small associations were revealed between maltreatment and poor prosocial/helping and anxious/fearful behaviours. These associations did not differ greatly when adjusted for parental SSD, and were greater in magnitude among children with no history of parental SSD. Small associations between parental SSD and poor social-emotional functioning remained after adjusting for demographic variables and maltreatment.Conclusions. Childhood maltreatment and history of parental SSD are associated independently with poor early childhood social-emotional functioning, with the impact of exposure to maltreatment on social-emotional functioning in early childhood of greater magnitude than that observed for parental SSDs. The impact of maltreatment was reduced in the context of parental SSDs. The influence of parental SSDs on later outcomes of maltreated children may become more apparent during adolescence and young adulthood when overt symptoms of SSD are likely to emerge. Early intervention to strengthen childhood social-emotional functioning might mitigate the impact of maltreatment, and potentially also avert future psychopathology.

KW - Behaviour problems

KW - child abuse

KW - neglect

KW - mental health

KW - risk factors

KW - DEVELOPMENTAL RISK-FACTORS

KW - ADULT SCHIZOPHRENIA

KW - PHYSICAL ABUSE

KW - BEHAVIORAL-DEVIANCE

KW - AFFECTIVE PSYCHOSES

KW - DIFFERENT FORMS

KW - MENTAL-HEALTH

KW - BIRTH COHORT

KW - CHILDREN

KW - METAANALYSIS

U2 - 10.1017/S204579601600055X

DO - 10.1017/S204579601600055X

M3 - Article

VL - 26

SP - 612

EP - 623

JO - Epidemiology and Psychiatric Sciences

JF - Epidemiology and Psychiatric Sciences

SN - 1121-189X

IS - 6

ER -