Child-to-parent violence: emotional and behavioral predictors

Prevalence of child to parent violence and its determinants: a systematic review and meta-analysis

INTRODUCTION

Child-to-parent violence (CPV) is an increasing issue globally, leading to serious adverse effects on families. This research aimed to conduct a systematic review and meta-analysis to assess the prevalence of CPV and identify its associated risk factors, thereby enhancing understanding of this escalating global issue.

METHODS

In this systematic review and meta-analysis, a thorough search was carried out across various databases in English. The inclusion criteria were developed based on the SPIDER framework, targeting quantitative studies that focused on the prevalence and risk factors associated with CPV. Data were extracted systematically using a validated collection form, and the risk of bias was assessed using the Newcastle-Ottawa Scale. Statistical analyses included meta-regression and sensitivity analyses to determine the prevalence of CPV using Comprehensive Meta-Analysis version 3 software. Among the 25 included studies, 12 studies were included in the meta-analysis for prevalence, both overall and separately for violence against mothers and fathers. Additionally, 8 studies were analyzed through systematic and narrative data synthesis to examine determinants of CPV.

RESULTS

The meta-analysis involving 25,000 participants revealed that the overall prevalence of CPV against both parents was 34.8%. Subgroup analyses indicated that physical violence prevalence was 10.0%, while psychological violence was significantly higher at 82.6%. Additionally, the descriptive analysis identified key determinants of CPV, including family conflict, parental stress, and adolescent behavioral issues, highlighting the complex interplay of factors contributing to this phenomenon and emphasizing the need for targeted interventions.

CONCLUSION

The findings underscore the urgent need for targeted interventions that address these multifaceted issues to effectively reduce CPV and its impact on families. Future research should continue to explore these dynamics to inform effective prevention strategies.

Child-to-Parent Violence Among Adolescents: A Preliminary Analysis of Its Association with Sociodemographic Variables, Dating Violence, and Antisocial Traits

INTRODUCTION

Child-to-parent violence (CPV) is influenced by factors such as sex, age, dating violence, psychopathy traits, and antisocial and law-violating behaviors. This study explores how these variables relate to aggression towards parents, identifying key explanatory factors.

METHODS

This research engaged 136 Spanish adolescents aged 15-18 (mean age = 16.47; 51% female). Assessments included the Conflict in Adolescent Dating Relationships Inventory (CADRI) for dating violence, the Psychopathy Content Scale (P-16) for psychopathy, the Antisocial and Criminal Behavior Scale in Adolescents (ECADA) for antisocial and law-violating behaviors, and the Conflict Tactics Scales (CTS2) for CPV. Analyses of associations included linear regression and qualitative comparative analysis (QCA).

RESULTS

Females exhibited higher levels of verbal violence, less delinquency, and more frequent CPV towards mothers. Psychopathy, antisocial and law-violating behaviors, and exposure to verbal violence were correlated with filial aggression. Violence towards mothers was associated with older age, female sex, verbal violence exposure, and psychopathy (47% variance explained), while violence towards fathers was linked to younger age and psychopathy (28% variance explained). QCA results indicated that specific combinations of having experienced violence and psychopathic traits contribute to CPV towards both parents.

CONCLUSIONS

These findings highlight the importance of addressing psychological and sociodemographic risk factors for CPV. Prevention efforts should focus on reducing exposure to violence, identifying at-risk adolescents, and implementing targeted interventions to promote family well-being.

Child-to-Parent Violence and Abuse: A Scoping Review

Child-to-parent violence and abuse (CPVA) is a pattern of behavior where a parent or carer is abused by a child they are caring for. The main body of work on CPVA is relatively recent and evolving at pace. This scoping review explores the characteristics of parents, carers, children, and young people in cases of CPVA, the characteristics of CPVA, and barriers to and facilitators of help-seeking in cases of CPVA. The scoping review did not exclude any studies on the basis of geographical location or date of the study. The databases Scopus, CINAHL, Web of Science, Medline, and PubMed were searched in August 2023, along with hand searches of key journals. A total of 145 reports were included in the review, selected for their relevance to the scoping review questions. The main findings were: (a) the field of CPVA is rapidly growing, doubling in the last decade but with a predominance of quantitative studies; (b) there is no agreed universal definition; (c) children and young people with disabilities; who identify as trans or nonbinary gender, or who are adopted or fostered, are almost completely absent from the existing research; (d) there is very limited research focusing on protective factors or on help-seeking.

Instruments of Child-to-Parent Violence: Systematic Review and Meta-Analysis

This systematic review and reliability generalization meta-analysis synthesized psychometric literature on instrumentation assessing child-to-parent violence published through September 2023 across four databases. In the screening, we identified studies reporting Cronbach's alpha internal consistency estimates for the child-to-parent violence scales. The eligible reliability coefficients ranged from 0.610 to 0.930, mostly exceeding the minimum threshold of 0.700. Random-effects models calculated pooled Cronbach's alphas separately for global, father-specific, and mother-specific subscales. The results demonstrated cumulative values of 0.83 (global: standard error = 0.0129), 0.800 (fathers: standard error = 0.0203), and 0.81 (mothers: standard error = 0.0179), denoting largely adequate reliability. However, significant between-study heterogeneity was observed. While the mean alpha levels seem acceptable for most tools, substantial variability coupled with the possibility of some studies violating reliability assumptions indicates that a conservative interpretation is warranted. Ongoing scale refinement and additional psychometric evaluations will strengthen the rigor methodology in this developing research domain. However, these results should be interpreted with caution, as there is a high level of heterogeneity, and it is possible that some studies have not verified the assumptions underlying Cronbach's alpha.

Normative Beliefs about Adolescent-to-Parent Violence: The Spanish Adaptations of the Beliefs about Child-to-Parent Abuse Questionnaire and the Abusive Behavior by Children-Indices

Ascertaining the true prevalence of adolescent-to-parent violence (APV) is challenging because the measurement of APV in research is complex. There is no consensus on which behaviors constitute APV or how frequently they need to occur to be considered abusive. This study aimed to explore the normative beliefs about APV related to the perpetrator's gender in a sample of Spanish parents, by developing Spanish adaptations of the BACPAQ and the ABC-I. The participants were 329 Spanish parents aged 19 to 81, and 77% were mothers. They answered the Spanish adaptation of the BACPAQ online after being contacted by university students using the snowball sampling technique. Results show that sons were judged more harshly than daughters; although, differences were statistically significant only for a few psychologically abusive behaviors. There was agreement with the original study on the abusive nature of most behaviors, especially regarding physical violence. Cultural differences were reflected in verbal, psychological, and economic violence, and Spanish parents used more stringent thresholds than Australians. Future research should tackle the difficulty of carrying out studies on APV using a single tool able to reflect normative beliefs about this type of domestic violence in different cultures.

Are All Child-to-Parent Violence Profiles Associated with Exposure to Family Violence? Findings from a Sample of Spanish Adolescents

Exposure to family violence (EFV) is proposed as a relevant antecedent of child-to-parent violence (CPV). However, both previous research and practitioner experience suggest that not all cases of CPV involve EFV. This study aimed to identify profiles of adolescents according to their degree of involvement in CPV and their EFV. A sample of 1647 adolescents (mean age = 14.30, SD = 1.21; 50.5% boys) completed measures of CPV, witnessing family violence, victimization by parents, permissive parenting, parental warmth, and several measures of cognitive and emotional characteristics. Latent profile analyses based on measures of CPV and family characteristics supported a four-profile solution. Profile 1 (82.2%) consisted of adolescents with very low scores on both CPV and exposure to family violence. Profile 2 (6.2%) was characterized by medium scores on psychological CPV and high EFV. Profile 3 (9.7%) was characterized by severe psychological CPV and very low EFV. Profile 4 (1.9%) included adolescents with the highest scores on CPV, including physical violence, and high EFV. These profiles were found to differ from each other according to several cognitive and emotional variables of the adolescents. Therefore, not all CPV profiles were associated with a history of EFV. The obtained profiles have implications for interventions.

Filio-parental violence analyzed through the Spanish press (2010-2020). Child-to-parent violence: A case of family violence

Violence exercised by children against their parents has increased significantly, affecting society both directly and indirectly. This type of violence is one of the least investigated and least exposed by the media. The aim of this work is to examine how the media have portrayed this problem, by means of a qualitative methodology and a multidimensional analysis of journalistic and literary texts. News related to violence committed by children against parents published from 2010 to 2020 were sourced from the following Spanish newspapers: El País, ABC, El Día, El Mundo, La Vanguardia, El Periódico, La Provincia, Canarias 7, 20 Minutos, and Diario de Avisos. The text corpus was subsequently analyzed with the open access software IRaMuTeQ. The results show a total of 204232 words (number of occurrences), of which 4561 appear only once (number of hapaxes). The words "violence," "father," and "son" are those that appear most frequently in the analysis of the texts and present a strong co-occurrence among them. It should be noted that child-to-parent violence is described as a problem confined to the family environment. The importance of prevention strategies against violence within the family context is shown in this paper.

Emotional Loneliness, Suicidal Ideation, and Alexithymia in Adolescents Who Commit Child-to-Parent Violence

The objective of this research was to explore the relationship between involvement in child-to-parent violence (CPV) and the development of emotional loneliness, suicidal ideation, and alexithymia based on sex; 1,928 adolescents of both sexes participated (50.5% males and 49.5% females), aged between 12 and 18 years (M = 14. 67, SD = 1.77), enrolled in four educational centers in Spain. A multivariate analysis of variance (3 × 2 MANOVA) was applied using sex and CPV levels as independent variables. Univariate analyses were carried out to explore the significant relationships detected. Results showed that the adolescents with higher CPV scored higher in emotional loneliness, suicidal ideation, and alexithymia. Girls showed a greater prevalence of CPV at the medium and high levels. An interaction of sex and CPV with alexithymia was detected. Girls with high and moderate values of CPV presented a higher level of alexithymia. These results provide novel information in the field of CPV. Previous research has placed the main focus of analysis on the adolescents' behavior problems and not so much on their perceptions of personal adjustment and their emotional experiences. The information presented in this study contributes to achieve a more precise definition of the profile of adolescent who assault their parents for better prevention of CPV.

The Revised Child-to-Parent Aggressions Questionnaire: an Examination During the Covid-19 Pandemic

Purpose

Child-to-parent violence (CPV) is an important type of family violence that has been relatively understudied. This study examined the main psychometric properties of the revised Child-to-Parent Aggression Questionnaire (CPAQ-R), which examines both violent behaviors against parents and reasons for these behaviors. The aims included identifying the dimensions of CPV and examining the magnitude of CPV during the COVID-19 pandemic.

Methods

A sample of 1,244 adolescents (aged from 12 to 17) from several schools in the Basque Country completed the CPAQ-R. Several confirmatory factor analyses were conducted, including exploratory, confirmatory, exploratory structural equation modeling (ESEM), and bifactor analyses.

Results

The data supported a bifactor ESEM model in which a general factor of violence against parents explained aggressions against both mothers and fathers. In addition, three reasons for the violence emerged: instrumental, reactive, and defensive reasons. Rates of CPV during the COVID-19 pandemic were high, with 16.5% of adolescents reporting reiterative aggressions against their parents. There were no differences between aggressions against mothers and fathers.

Conclusions

The CPAQ-R is an adequate questionnaire for assessing CPV in adolescents. The confinement and restrictions placed on families during the COVID-19 pandemic may explain the high prevalence of CPV and shed light on possible differences related to the sex of the parents.

Process mining the trajectories for adolescent-to-mother violence from longitudinal police and health service data

AIM

The aim was to discover longitudinal trajectories and patterns of events preceding adolescent-to-mother family violence in a geographic locale in Australia.

DESIGN

This was a retrospective case series.

METHODS

Routinely collected administrative data were sourced and linked from police and health service electronic records for adolescents born between 1994 and 2006 who had been issued a legal action for a family violence-related offence (n = 775). A time-stamped log of events from birth (where available) was created. Process mining was employed to discover dominant events and trajectories in the log from birth until adolescents' first recorded offence against their mother.

RESULTS/FINDINGS

Most adolescents in the case series offended against mothers (63%, n = 486). Trajectory analysis confirmed dominant early childhood events were repeated exposure to parental intimate partner violence (P-IPV), parental drug and/or alcohol use and neglect. During early adolescence, pathways towards adolescent-to-mother violence involved other offending, drug and/or alcohol use and mental health service contact.

CONCLUSION

The trajectories evidenced provide a complex picture of the emergence of adolescent-to-mother violence. From an early intervention perspective, it was found that many children and mothers were identifiable from police records in early childhood, at an average age of 35 months. Responses to adolescent family violence need to acknowledge the impact of childhood trauma and emerging mental health problems, along with strategies to mitigate the effect of P-IPV on mother-to-child relationships.

IMPACT

This is the first large-scale study to specifically examine trajectories from birth for adolescents who engage in violence towards mothers. The findings have important implications for the design and delivery of early intervention childhood services and interagency collaboration in nursing and midwifery services. In early adolescence, contact with mental health services represents an opportunity for screening and support interventions. This is an important preventive timepoint for family violence, adolescent drug and alcohol use and other offences.

A Qualitative Exploration of Practitioners' Understanding of and Response to Child-to-Parent Aggression

There has been limited research and policy directed toward defining and understanding child-to-parent aggression (CPA), resulting in inconsistent definitions, understandings, and responses, which has a detrimental impact on families. In particular, there have been limited qualitative studies of those working on the frontline of CPA, hindering the development of effective policy. The present qualitative study therefore aimed to explore practitioner perspectives of CPA. Twenty-five practitioners from diverse fields (e.g., youth justice, police, charities) participated in four focus groups relating to their experiences of working with CPA in the United Kingdom. Thematic analysis of focus groups revealed three key themes: definitions of CPA, understanding of CPA risk factors, and responding to CPA. Practitioners understood CPA to be a broad use of aggression to intimidate and control parents and highlighted a range of individual (e.g., mental health, substance abuse) and social (e.g., parenting, gangs) risk factors for CPA. Further, practitioners felt that current methods of reporting CPA were ineffective and may have a detrimental impact on families. The findings of this study have implications for CPA policy and support the need for a multiagency and coordinated strategy for responding to CPA.

Exposure to Family Violence, Peer Attachment, and Adolescent-to-parent Violence

Although parent violence has been extensively investigated in the literature, few studies have examined its link to adult-initiated family violence. This study investigated the relationship between adult-initiated family violence (i.e., child exposure to intimate partner violence [CEIPV] and child abuse) and adolescent-to-parent violence (APV), with a particular focus on the moderating effect of peer attachment on this relationship. A sample of 709 adolescents from the Children and Adolescent Survey (a subset of the 2010 Nationwide Survey of Domestic Violence in South Korea) was used. The survey included measures of child abuse, CEIPV, APV, peer attachment, and demographic characteristics. Multiple regression analysis was conducted to examine the association between two types of adults-initiated family violence and APV. The interaction terms of peer attachment were included in the regression analysis to test its moderating effect. The results indicate that child abuse victimization is significantly associated with APV, but peer attachment significantly buffers the negative effect of child abuse on APV. CEIPV was not significantly associated with APV. The findings of the current study highlight the importance of breaking cycles of violence and improving children's relationships with their peers in preventing parent violence. Counselors and social workers should explore APV perpetrators' child abuse history when conducting interventions. School counseling programs can help reduce adolescents' violent behaviors towards their parents by promoting positive peer relationships and peer bonding.

A Deeper Understanding of Child to Parent Violence (CPV): Personal Traits, Family Context, and Parenting

The increase in the rate of child to parent violence is a concern for society in various countries. Different psychological and personal characteristics tend to define the profile of the minors who commit this type of offense. Various social factors have been also related to this type of violence, including exposure to violence, the family environment and parenting. The relationship between child to parent violence and previous exposure to violence has yet to be clarified. Comparatively little research on this crime involving samples from juvenile court has been undertaken. This study uses a standardized measure (YLS/CMI) to determine the extent to which three of the most extensively studied groups of factors in child to parent violence-the family context, parenting and the adolescents' psychological characteristics are relevant in the predicting this type of violence. The sample consisted of a total of 342 juveniles from a Juvenile Court in Eastern Spain, dealt with under the terms of Organic Law 5/2000 regulating the Criminal Responsibility of Minors. A child to parent violence group is compared with a control group committing the entire range of offenses. Personal variables, antisocial personality and exposure to violence play a clear role in the commission of this type of crime. Parenting has a determinant influence even when compared with family characteristics. What affects the commission of this type of violence in the most serious cases is therefore not having been exposed to it, but instead the individual's upbringing and their current relationship with their parents.

Case-control study on clinical characteristics of child and adolescent psychiatric outpatients with child-to-parent violence

OBJECTIVES

To the best of our knowledge, no case-control study on child and adolescent psychiatric outpatients has investigated the clinical characteristics of patients with child-to-parent violence (CPV). The current study aimed to evaluate the clinical characteristics of child and adolescent psychiatric patients with CPV.

SETTING AND PARTICIPANTS

This research included child and adolescent psychiatric patients who were aged 10-15 years during their initial consultation. The participants were allocated to one of two groups: children with CPV (CPV group, n=109) and without CPV (non-CPV group, n=713).

OUTCOME MEASURES

This study analysed data including age, sex, diagnostic classification of the primary diagnosis, antisocial behaviour, suicidal attempt or self-harm and refusal to attend school. Moreover, a history of abuse by parents was investigated. Psychological rating scales such as the Spence Children's Anxiety Scale, Depression Self-Rating Scale for Children, Tokyo Autistic Behavior Scale, Attention-deficit/Hyperactivity Disorder-Rating Scale and Oppositional Defiant Behavior Inventory were used.

RESULTS

Of 822 patients who sought consultation in our department, 109 (13.26%) were included in the CPV group during the first consultation. Compared with the non-CPV group, the CPV group had significantly higher proportions of patients who experienced physical abuse, psychological abuse and who witnessed violence between parents. Meanwhile, the proportion of patients with neurodevelopmental disorders was significantly higher in the CPV group than in the non-CPV group. Regarding developmental characteristics, impulsivity might be correlated with CPV. Moreover, violence and behavioural problems outside of home were associated with CPV.

CONCLUSIONS

In patients with CPV who sought consultation, the findings of the current study should be considered to understand invisible side and to facilitate the use of appropriate treatment approaches. However, a prospective study should be performed to investigate the causality between CPV and clinical characteristics.

Interaction of Psychopathic Traits Dimensions in the Prediction of Psychological and Physical Child-to-Parent Violence in Adolescents

This study examined the longitudinal relationships between three psychopathic trait dimensions (callous-unemotional, CU; grandiose-manipulative, GM; and impulsive-irresponsible, II) and their interaction in the prediction of psychological and physical child-to-parent violence (CPV). Furthermore, the study examined whether the predictive relationships were different for boys and girls. A total of 765 adolescents (463 girls), with a mean age of 15.28 years (SD = 1.04), completed measures of the psychopathic trait dimensions (CU, GM, and II) and psychological and physical CPV at the beginning of the study and six months later. At the cross-sectional level, all the psychopathic trait dimensions were related to psychological and physical CPV, although the effect sizes were small. At the longitudinal level, II predicted increased psychological CPV. A significant three-way interaction between the three psychopathic trait dimensions (CU, GM, and II) indicated that the longitudinal association between II and physical CPV was higher for adolescents with high CU and low GM. However, the predictive model did not differ for boys and girls.

Criminological profile of minors who have committed child-to-parent violence

The rise of CPV cases in the last decade has become a matter of concern among researchers, who have investigated prevalence rates and factors related to this type of behavior. This study aims to analyze the criminological profile of the minors who have committed CPV compared to minors who have committed other type of crimes. The participants were 341 juveniles with a disciplinary record in the Juvenile Court of a Spanish province, whose ages ranged from 14 to 17 years old (M = 15.86, SD = 1.02). The results showed that the CPV group represented a moderate level of recidivism and the comparison group had a low risk of recidivism. The CPV group had mostly committed CPV, while the comparison group had tended to commit property crimes. The CPV group had generally served probation or confinement sentences, while the comparison group had mostly been acquitted or served probation.

Child-to-Parent Violence, Peer Victimization and Cybervictimization in Spanish Adolescents

The aim of this study was to analyse the relationship between child-to-parent violence (CPV) (high, moderate and low), peer victimization (PV) (relational and overt, both physical and verbal) and cybervictimization (CV) (relational and overt), taking into account the role of sex. 1304 adolescents (53.14% girls) between the ages of 11 and 18 enrolled at secondary schools in the Autonomous Communities of Valencia, Aragón and Andalusia participated in the study. Adolescents with high CPV scores obtained higher scores for all types of PV and CV compared to the other CPV groups. Boys scored higher than girls in overt physical PV and in overt CV and girls obtained higher scores in relational PV. A statistically significant interaction effect was observed; boys with high CPV scores reported greater overt CV. The results suggest the importance of CPV in relation to specific forms of PV and CV and highlight the need to take into account the different processes of family socialization between boys and girls to reduce the likelihood of adolescents being victimized.

Early Maladaptive Schemas and Social Information Processing in Child-to-Parent Aggression

The purpose of this longitudinal study was to assess the relationship between early maladaptive schemas (EMSs) and child-to-parent aggression (CPA) and to test whether social information processing (SIP) mediates this association. A total of 903 adolescents (50.9% girls) completed measures of EMSs at Time 1, SIP at Time 1 and Time 2 (1 year later), and CPA at Time 1, Time 2, and Time 3 (2 years later) to determine whether SIP measured at Time 2 mediated between the EMSs measured at Time 1 and CPA measured at Time 3. The results showed that each schema evaluated in this study had a different effect on SIP components and CPA. The SIP components of anger and aggressive response access in turn predicted CPA, mediating the relationship between two EMSs and CPA. More specifically, the schemas of defectiveness and the justification of violence predicted the response access component of SIP, which in turn predicted CPA. The results also showed bidirectional relationships between SIP components and CPA; whereas SIP components predicted CPA, the latter also predicted a worsening in SIP, perpetuating the problem. Furthermore, several gender differences were found in these paths. The findings indicate that intervention in the social-cognitive mechanisms is important to reduce adolescents' aggression directed toward their parents.

Raising Spanish Children With an Antisocial Tendency: Do We Know What the Optimal Parenting Style Is?

Families can play an essential role in preventing violent and antisocial behaviors, which are considered a significant public health issue. However, some studies argue that most children are antisocial only during adolescence, and even teenagers can mimic antisocial behavior in ways that are normative and well-adjusted. This study analyzed patterns of competence and adjustment in young adults with and without an antisocial tendency during adolescence from authoritative (characterized by warmth and strictness), authoritarian (strictness but not warmth), indulgent (warmth but not strictness), and neglectful (neither warmth nor strictness) families. Emergent research has indicated that in a European context, the indulgent parenting style is optimal. Offspring's competence and adjustment were captured through self-esteem (academic and family), psychosocial development (self-competence and empathy), and low emotional maladjustment (nervousness and hostility). Participants consisted of a community sample of 489 Spanish young adults, 191 men (39.1%) and 298 women (60.9%), aged 18 to 34 years old. The design was a 4 × 2 × 2 × 2 MANOVA (parenting style × antisocial tendency × sex × age). Analysis of main effects showed that youths with an antisocial tendency have less self-esteem and psychosocial development, but more emotional maladjustment. Regardless of the parenting style, an antisocial tendency during adolescence is consistently associated with worse adjustment in young adults. Both the authoritative and indulgent parenting styles are consistently associated with better outcomes (higher self-esteem and psychosocial development, and lower emotional maladjustment) than the authoritarian and neglectful parenting styles. However, there are interactions between the parenting style and the antisocial tendency. For young adults without an antisocial tendency, only indulgent parenting is associated with less emotional maladjustment. These results support the idea that in Europe the indulgent parenting style performs better than the authoritative style, but only when raising adolescents without an antisocial tendency. For young adults with an antisocial tendency, indulgent and authoritative parenting are equally optimal for all the studied outcomes.

Factors Influencing Law Enforcement Responses to Child to Parent Violence

A domestic violence incident perpetrated by a child toward his or her parent presents a challenging dynamic for law enforcement officers responding to these calls for service. To date, law enforcement responses to child to parent violence (CPV) have only been studied dichotomously (i.e., decision to arrest), and as a result, the associated complexities are not well understood. Here, we add to the understanding of individual, situational, and contextual factors that influence law enforcement response to CPV by examining 1,113 calls for service in a Midwestern state. In assessing the relative influence of these factors on responses using a multinomial logistic regression with cluster robust standard errors, we find evidence that the gendered nature of CPV victim-offender dyads and the presence of victim injury influences police decision to arrest in lieu of an informal, de-escalation only response. We also find officers are less likely to refer youth to social welfare agencies or arrest a youth perpetrator when CPV occurs in neighborhoods with a high level of family disruption. In these instances, the officer works to deescalate the situation, but is significantly less likely to take further action or formally refer the family to social resources. Researchers must work to better understand CPV prevention and improve system responses and resources for affected families.

Risk and Protective Factors of Child-to-Parent Violence: A Comparison Between Physical and Verbal Aggression

Child-to-parent violence (CPV) is a social problem that remains vastly understudied compared with other forms of family violence. The aim of this study is to identify family and child risk and protective factors of CPV, and to investigate whether they differentially predict physical and verbal parent-directed violence among boys and girls. Predictors include parenting behavior during childhood (physical and verbal violence, warmth, monitoring) and respondents' individual characteristics (suicidal ideation, self-control, problematic substance use). Data were examined from a large representative sample of ninth graders (N = 6,444) in Lower Saxony, Germany. Bivariate analyses showed that female adolescents were more likely to aggress verbally, while no gender differences were found for physical CPV. Multilevel logistic regression models revealed that direct experiences of parental physical and verbal violence during childhood were among the strongest predictors of physical and verbal CPV, both among males and females. While parental monitoring was not significantly associated with CPV, parental warmth protected girls from physical parent-directed aggression. Furthermore, high self-control was protective against verbal CPV as well as boys' physical CPV, while problematic substance use predicted physical violence toward parents in both sexes but only boys' verbal CPV. Suicidal ideation was a risk factor of aggression in males only. Except for parental warmth, the importance of risk and protective factors did not substantially vary across child gender. These findings broaden our understanding of different family and child-related factors that either promote or prevent CPV. Specifically, they point to the importance of the parenting context and especially harsh discipline practices for the occurrence of both physical and verbal CPV.

A Systematic Review of Youth-to-Parent Aggression: Conceptualization, Typologies, and Instruments

The goal of this study was to analyze the conceptualization of YPA (youth-to-parent aggression) in relation to terms, definitions, typologies and assessment instruments. To achieve this aim, a systematic review was carried out using the PRISMA protocol. Assessment instruments for YPA were examined in accordance with COSMIN (Consensus-based Standards for the Selection of Health Measurement Instruments). After reviewing the literature on conceptualization and measuring instruments, some gaps were found. The use of some particular terms was justified depending on the age of children and severity of case. Taking into account the theoretical background, a full definition of YPA was offered. Moreover, this study revealed that it was possible to discriminate four typologies of YPA (Offensive, Defensive, Affective, and Situational) as a function of the coercion level and nature of the violence. Eleven instruments to measure YPA were analyzed exhaustively, with the most reported and robust psychometric properties being internal consistency and structural validity, while other validity evidence was understudied. The CPV-Q (12–25 years) obtained the highest rating as a promising instrument. The initial psychodiagnosis of a YPA situation would help in the individual or family intervention, as well as prevent more severe situations of YPA through early intervention.

Suicidal Ideation, Psychological Distress and Child-To-Parent Violence: A Gender Analysis

Child-to-parent violence (CPV) is a growing public health problem with consequences for perpetrators and families. Most research has focused on individual and family risk factors. However, little is known about its links with individual outcomes. The aim of this study was to analyze the relationships between CPV and psychological distress, suicidal ideation, and self-concept in school-aged adolescents, taking into account the gender perspective. A study was conducted with a sample of 8,115 adolescents, aged between 11 and 16 years (M = 13.34; SD = 1.04) from the State of Nuevo León, Mexico. A MANOVA 3 × 2 was performed to analyze the data. The results revealed that adolescents involved in CPV showed higher levels of psychological distress and suicidal ideation and lower levels of family and social self-concept. It was also observed that girls with higher levels of CPV scored the lowest levels of psychological distress and suicidal ideation, as well as the lowest levels of family self-concept. The findings highlight that adolescents and especially girls involved in CPV also report internal maladjustment outcomes. Finally, the results and their implications for research and intervention with adolescents involved in CPV are discussed.

Predictive Psychosocial Factors of Child-to-Parent Violence in a Sample of Mexican Adolescents

The aim of this study was to carry out a psychosocial analysis of child-to-parent violence (CPV) in a sample of school adolescents, considering a set of individual variables (psychological distress, problematic use of social networking sites, and perceived non-conformist social reputation) and family variables (open and problematic communication with parents) according to sex. The sample consisted of 3,731 adolescents (54% boys), aged between 14 and 16 years (M = 14.6 years, SD = 0.567), from the state of Nuevo León, Mexico. The scores of the boys and girls were analyzed to check for differences. Also, correlations between all the study variables were calculated. Finally, a multiple stepwise regression analysis was carried out for the total sample and also for boys and girls separately. Results confirmed the important role of individual variables as predictors of CPV in boys and girls. The main difference between boys and girls was observed in the predictive weight of problematic use of social networking sites, which was higher in girls than in boys. Open communication with the father was a significant factor for predicting the decrease of CPV levels in the case of boys, while open communication with the mother predicted the decrease of CPV in girls. Problematic communication with the mother showed similar values in boys and girls when predicting CPV, however, the predictive weight of problematic communication with the father was higher in girls than in boys. These results are interesting and have important implications for the prevention of CPV.

Child-To-Parent Violence: Which Parenting Style Is More Protective? A Study with Spanish Adolescents

The link between parenting style and violent behavior during adolescence has become a relevant topic of research over the last few years. In order to deepen the understanding of this relationship, the aim of the present study was to examine what type of parenting style (authoritative, indulgent, authoritarian, and neglectful) is more protective against child-to-parent violence (CPV). A total of 2112 adolescents of both sexes participated in this study (50.2% men and 49.8% women), aged between 12 and 18 years (M = 14. 72, SD = 1.55). A multivariate factorial design (MANOVA, 4 × 2 × 3) was applied using parenting style, sex, and age group (12–14, 15–16, and 17–18 years) as independent variables and dimensions of CPV (physical and verbal aggression against the mother and father) as dependent variables. As shown in the results, the lowest scores on all the dimensions of CPV examined corresponded to the adolescents from indulgent families. Further, two interaction effects were observed between parenting style and age in verbal aggression against the mother and verbal aggression against the father. Regarding these effects, the adolescents from indulgent families obtained the lowest scores in two of the three age groups analyzed (12–14 years and 15–16 years). In the 17–18 years group, adolescents from authoritative families obtained similar but lower values than those coming from families with an indulgent style of parenting. These findings suggest that indulgent style is the most protective parenting style against CPV and also highlight the importance of affective warmth, emotional nurturance, and support giving in preventing CPV.

Parental reactions to parent- and sibling-directed aggression within a domestic violence context

Parent- and sibling-directed aggression by minor children are two forms of family violence that often co-occur and have strong relations to prior exposure to domestic violence, yet are often overlooked in intervention efforts. In addition, current research does not examine these forms of family violence in tandem, and there is very limited research with samples exposed to domestic violence. To better understand how these forms of aggression operate within a domestic violence context, we interviewed 44 women residing in a domestic violence shelter with at least one child over 3.5 years of age who was aggressive toward them and/or siblings. Caregivers reported on their emotional reactions to children's parent-directed aggression and the types of and effectiveness of help they sought for parent- and/or sibling-directed aggression. In line with previous literature, caregivers endorsed a complex mix of emotional reactions to their children's parent-directed aggression, including anger, sadness, guilt, forgiveness, and worthlessness. In contrast to other studies, most caregivers (89%) had sought help for children's parent- and/or sibling-directed aggression and found it effective. Findings contribute to the literature on parent- and sibling-directed aggression and provide implications for how to effectively intervene.

Impulsiveness and Child-to-Parent Violence: The Role of Aggressor's Sex

The aim of the present study was to analyze the role of minors' impulsiveness in the perpetration of child-to-parent violence (CPV), controlling for sex, age, interest allocated to studies, and participant´s and parent´s drug consumption habits, as well as to test the moderating role of the aggressor's sex on impulsiveness. The sample comprised 934 students from high school centers (438 boys and 496 girls), aged between 13 and 21 years. Impulsiveness was assessed through the Barratt's Impulsiveness Scale (BIS-11), whereas CPV perpetration was assessed employing the Child-to-Parent Aggression Questionnaire. Hierarchical multiple regression analyses showed that both attentional (β = .09, p < .05; β = .12, p < .001) and motor impulsiveness (β = .26, p < .001; β = .25, p < .001) were related to the perpetration of CPV. Interaction analyses showed a moderating role of the aggressor's sex over motor impulsiveness in the case of CPV towards the father (β = .29, p < .05), and over attentional impulsiveness in the case of CPV towards the mother (β = .45, p < .001). Results confirm the idea that minors' impulsiveness has an effect on the probability of CPV perpetration, which differs according to the sex of the perpetrator.

Effects of nurse-led child- and parent-focused violence intervention on mentally ill adult patients and victimized parents: A randomized controlled trial

BACKGROUND

Child-to-parent violence is an often hidden serious problem for parental caregivers of mentally ill adult children who experience violence toward them. To date, the comprehensive dyadic parent-adult child intervention to manage child-to-parent violence is scarce.

OBJECTIVE

To evaluate the effect of Child- and Parent-focused Violence Program, an adjunctive intervention involved with both violent adult children with mental illness and their victimized biological parent (parent-adult child dyads) on violence management.

DESIGN

Open-label randomized controlled trial.

SETTING

A psychiatric ward in a teaching hospital and two mental hospitals in Southern Taiwan.

PARTICIPANTS

Sixty-nine patients aged ≥20 years, with thought or mood disorders, having violent behavior in the past 6 months toward their biological parent of either gender were recruited. The violent patients' victimized biological parents who had a major and ongoing role in provision of care to these patients, living together with and being assaulted by their violent children were also recruited. The parent-adult child dyads were selected.

METHODS

The intervention was carried out from 2011 to 2013. The parent-adult child dyads were randomly assigned to either the experimental group (36 dyads), which received Child- and Parent-focused Violence Intervention Program, or to the control group (33 dyads), which received only routine psychiatric care. The intervention included two individualized sessions for each patient and parent, separately, and 2 conjoint sessions for each parental-child dyad for a total of 6 sessions. Each session lasted for at least 60-min. Data collection was conducted at 3 different time frames: pre-treatment, post-treatment, and treatment follow-up (one month after the completion of the intervention).

RESULTS

Occurrence of violence prior to intervention was comparable between two groups: 88.9% (n=32) parents in the experimental group versus 93.9% (n=31) in the control group experienced verbal attack, and 50% (n=18) versus 48.5% (n=16) received body attack and were injured. The intervention significantly reduced violence, improved impulsivity, changed patients' and parents' violence attributions, and fostering active coping processes in the experimental group as compared to the control group (p<0.05). No significant reductions were found in verbal aggression, cognitive and social reactions in the parent's reactions to assault, attentional subscale of impulsivity and wishful thinking (p>0.05).

CONCLUSIONS

Child- and Parent-focused Violence Intervention Program is effective on child-to-parent violence management in parent-adult child dyads. Thus, the intervention can be helpful for patients who have just been diagnosed with mental illness and had an episode of violence toward their parents within a narrow time frame.

Children who are exposed to intimate partner violence: Interviewing mothers to understand its impact on children

Children's victimization related to intimate partner violence (IPV) has damaging effects on their well-being and development. The purpose of this research was to assess the impact of IPV on children's emotional and behavioral problems through their mothers' narratives. A total of 30 Spanish mothers (mean age=41.57 years, SD=8.54 years) were individually interviewed. The results showed that many of the children directly suffered from aggression, and most of them witnessed IPV. As a result of their exposure to violence, children often develop psychological, social, and school problems. Their learning of aggressive behaviors is especially remarkable, and these behaviors are sometimes directed towards their mothers. Thus, women can suffer a twofold victimization: by their partner and by their children. These additional problems contribute to hindering the recovery process of victims. Fortunately, not all children develop problems as a result of exposure to IPV; some of them are capable of mature responses.

Reciprocal longitudinal associations between substance use and child-to-parent violence in adolescents

Child-to-parent violence (CPV) is a type of violence that has received little attention despite its increasing rates in Western countries. Several models state that substance abuse constitutes a risk factor for aggressive behavior and that relationships among these variables can be reciprocal. In this study, the temporal relationships among substance use and physical and psychological CPV were examined. A sample of 981 adolescents (mean age = 15.22 years, SD = 1.2 years) completed measures of substance use and CPV at three time points (T1, T2, and T3) spaced 6 months apart. The results indicated that T1 levels of substance use predicted an increase in psychological CPV at T2 and that T2 levels of substance use predicted an increase in physical CPV at T3. Additionally, several mediational mechanisms emerged between substance use at T1 and CPV at T3. Neither physical nor psychological CPV predicted an increase in substance use at any time. Multiple comparisons indicated that the predictive association between substance use and physical aggression against parents was significant only in boys. These findings suggest that preventive programs for CPV should include specific components for reducing substance use.

Brief report: the adolescent Child-to-Parent Aggression Questionnaire: an examination of aggressions against parents in Spanish adolescents

The objective of this study was to develop a questionnaire to assess child-to-parent aggression in adolescents and to document the extent of the problem. The questionnaire developed in this study, the Child-to-Parent Aggression Questionnaire (CPAQ), includes forms of physical and psychological aggression directed at both the mother and the father. It also includes open questions about the reasons for the aggressive acts. The CPAQ was completed by a sample of 2719 adolescents (age range: 13-18 years old, 51.4% girls). Confirmatory factor analysis supported a four-factor correlated structure (physical aggression against mother, physical aggression against father, psychological aggression against mother, and psychological aggression against father). Psychological and physical aggression against the mother was more frequent than against the father. However, there were no differences with regard to severe forms of aggression. Girls scored significantly higher on all indicators of psychological aggression, including severe psychological aggression. Nevertheless, except for the prevalence of physical aggression against mothers, which was higher in females, there were no significant differences in physical aggression against parents. Finally, the reasons provided by the adolescents for the aggression included both instrumental (e.g., to obtain permission to get home late and to access their computers) and reactive reasons (e.g., anger and self-defense). These findings highlight the complexity of child-to-parent aggression in adolescence.