Child Maltreatment: Etiology, Prevention, Neurobiological and Psychosocial Consequences, and Intervention Strategies

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Mental Health".

Deadline for manuscript submissions: 15 June 2026 | Viewed by 3586

Special Issue Editor


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Guest Editor
Department of Child and Adolescent Psychiatry, Saarland University Medical Center, Homburg, Germany
Interests: early life stress; stress resilience; child protection; child development
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Please consider submitting your valuable work on child protection, early life stress, or adverse childhood experiences to our Special Issue on child maltreatment. 

Child maltreatment is a major source of early life stress in human development. As early life stress has been known to have substantial effects on telomere length, DNA-methylation, inflammatory and immune responses, as well as glucocorticoid sensitivity and dopaminergic pathways, this issue is rapidly evolving and of utmost importance. While research in primates and rodents has provided a multitude of novel findings, the impact of early life stress and, specifically, child maltreatment in human development is still vastly understudied. In general, neurobiology as well as physiology has been shown to be vastly altered in victims of childhood abuse, and three-generational studies revealed that approximately fifty percent of abused parents transmit this history of abuse to their offspring via neurobiological, psychological, and epigenetic mechanisms. 

This Special Issue aims to close this research gap and encourages articles targeting child maltreatment in terms of etiology, prevention, neurobiological, and psychosocial as well as mental consequences through short- and long-term observations. Also, the evaluation of community-centered (and other forms of) intervention and child protection strategies should be featured. Another significant topic is emotional abuse, which, despite its frequency, still seems to be vastly understudied. Furthermore, endocrine consequences, e.g., a potentially altered HPA axis functioning and differences in prenatal programming in HoA victims, is a subject of interest in this Special Issue. 

Complex or developmental trauma disorder with transdiagnostic characteristics of emotional dysregulation and relational disturbances are innovative constructs in need of scientific elaboration. The negative effects of child maltreatment on their ability to regulate emotions and tolerate stress and tension need to be focussed on, specifically in relation to child psychiatric presentation, as victims of childhood abuse are themselves at risk of maladaptive development—childhood maltreatment appears to have an impact on the next generation as well. Children with behavioral disorders should be a central focus in this Special Issue, as recent reasarch reveals an immense prevalence of child maltreatment in this specific population. 

In general, the research in this Special Issue should focus on child or adult victims of chronic maltreatment and placement into foster care or institutional deprivation. One important target is developmental pathways linking child abuse and child mental illness that include neurobiological mechanisms or genetic influences and gene-environment interactions. Articles examining the impacts of socio-economic or political developments on the prevalence of child maltreatment will also be welcomed. Furthermore, child maltreatment in digital settings, which represent a novel threat, is also important potential topic for publications in this Special Issue.

Prof. Dr. Eva Möhler
Guest Editor

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Keywords

  • child maltreatment
  • child abuse
  • child neglect
  • early life stress
  • adverse childhood experiences

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Published Papers (3 papers)

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Research

15 pages, 287 KB  
Article
The “Fostering Changes” Parent Training Programme for Foster Carers: A Feasibility Study of the German Version
by Judith Bürzle, Sarah Degen and Christian J. Bachmann
Children 2026, 13(1), 57; https://doi.org/10.3390/children13010057 - 30 Dec 2025
Cited by 1 | Viewed by 712
Abstract
Background: Foster children exhibit higher rates of psychiatric and physical disorders than children living with their biological families. This places a high burden on the parenting skills of foster parents and potentially increases the risk of placement failure. One possibility to increase foster [...] Read more.
Background: Foster children exhibit higher rates of psychiatric and physical disorders than children living with their biological families. This places a high burden on the parenting skills of foster parents and potentially increases the risk of placement failure. One possibility to increase foster carers’ parenting skills and to reduce child problems is through parent training. In this study, the feasibility and effectiveness of the German-translated version of Fostering Changes, a parent training programme for foster parents, was investigated. The aims of Fostering Changes are the reduction in child behavioural problems, supporting children’s affect regulation, and improving the quality of the foster parent–child relationship through the promotion of foster parents’ sensitivity and parenting skills. Methods: We conducted six Fostering Changes courses in 2022 and 2023, with a total of 33 foster carers (i.e., foster parents) participating. Child behavioural problems (Carer-Defined Problems Scale; primary outcome), child psychopathology (Strengths and Difficulties Questionnaire), carer–child relationship quality (Child Relationship Behavior Inventory, Quality of Attachment Relationship Questionnaire), foster carers’ stress (Parental Stress Scale), and foster carers’ parenting strategies (Parenting Scale) were assessed at the start (t0) and end of each course (t1) and three months after course completion (t2). To examine the effect of training participation, mixed linear models and generalised estimating equations were applied. Additionally, effect sizes (Cohen’s d) were calculated. Results: When comparing t0 with t1 scores, there was a significant reduction in child behavioural problems (d = 1.87) and child psychopathology (d = 0.70), and improvement in foster carers’ parenting skills (d = 0.76) and the quality of the foster parent–child relationship (CRBI: d = 0.77, QUARQ: d = 0.72). Effect sizes for changes in the abovementioned variables between t0 and t2 were also moderate to large, with the exception of child psychopathology (d = 0.44). Conclusions: The results of this feasibility study, which is the first trial of Fostering Changes outside the UK, suggest that the German version of Fostering Changes could be an effective intervention for foster families. The largely comparable results for the periods t0–t1 and t0–t2 suggest constancy of the observed changes three months after course completion. Trial registration: DRKS-ID: DRKS00029014; date of registration: 23 May 2022. Full article
9 pages, 216 KB  
Article
Mental Health Status of North Korean Refugee Adolescents Living in South Korea: A Comparative Study with South Korean Adolescents
by Susie Kim, Hyo-Seong Han, You-Shin Yi, Eun-Ju Bae, Youngil Lee, Chang-Min Lee, Ji-Yeon Shim, Dong-Sun Chung, Min-Sun Kim and Myung-Ho Lim
Children 2025, 12(12), 1689; https://doi.org/10.3390/children12121689 - 12 Dec 2025
Viewed by 949
Abstract
The refugee population is increasing worldwide, and in South Korea, the refugee population, including children and adolescents, is also rapidly increasing. This study aimed to compare the psychological problems of North Korean refugee adolescents with those of South Korean adolescents and to evaluate [...] Read more.
The refugee population is increasing worldwide, and in South Korea, the refugee population, including children and adolescents, is also rapidly increasing. This study aimed to compare the psychological problems of North Korean refugee adolescents with those of South Korean adolescents and to evaluate their mental health characteristics. Methods: This cross-sectional comparative study assessed psychological problems using the Korean version of the Youth Self-Report Scale (K-YSR) among 206 South Korean adolescents and 130 North Korean refugee adolescents enrolled in middle and high schools in Gyeonggi Province. The inclusion criteria included adolescents aged 13–18 years at middle or high school and residing in South Korea for at least 6 months (for North Korean refugees). Data were collected in October 2025. Results: North Korean refugee adolescents showed significantly higher scores of anxiety/depression (F = 11.304, p < 0.001, η2 = 0.033), somatic symptoms (F = 20.997, p < 0.001, η2 = 0.060), social immaturity (F = 11.083, p < 0.001, η2 = 0.032), rule-breaking behavior (F = 12.851, p < 0.001, η2 = 0.037), and aggressive behavior (F = 50.386, p < 0.001, η2 = 0.132). Notably, the largest effect size (η2 = 0.132) was observed in the aggressive behavior domain, while the somatic symptoms also showed a moderate effect size (η2 = 0.060). In the ANCOVA analysis, controlling for gender and age as covariates, female students scored higher in the anxiety/depression and somatic symptoms domains, while male students scored higher in the rule-breaking behavior and aggressive behavior domains. Conclusions: North Korean refugee adolescents experience various psychological difficulties during their adaptation to South Korean society. These results can be used as basic data to detect mental health problems in North Korean adolescent refugees early and develop customized support plans. Full article
12 pages, 250 KB  
Article
Parental Adverse Childhood Experiences (ACEs) in an Early Childhood Mental Health Outpatient Clinic in Germany: Prevalence and Associations with Child Psychiatric Diagnoses
by Franziska Laqua, Eva Möhler, Jens Joas and Frank W. Paulus
Children 2025, 12(10), 1420; https://doi.org/10.3390/children12101420 - 21 Oct 2025
Viewed by 1318
Abstract
Parental adverse childhood experiences (ACEs) are linked to negative outcomes in children, including emotional and behavioral problems, developmental delays, and higher risk for psychopathology. Most research focuses on school-aged children or community samples, with few studies examining preschool-aged children in child psychiatric care. [...] Read more.
Parental adverse childhood experiences (ACEs) are linked to negative outcomes in children, including emotional and behavioral problems, developmental delays, and higher risk for psychopathology. Most research focuses on school-aged children or community samples, with few studies examining preschool-aged children in child psychiatric care. Understanding parental ACEs in this population is crucial, as early childhood is a sensitive developmental period, and intergenerational effects may be particularly pronounced in children already presenting with psychiatric symptoms. Background/Objectives: The goal of this study was to analyze how parents of patients in an early childhood (0–5.9 yrs) mental health outpatient clinic differ from the general population in terms of the frequency of ACEs. In addition, we investigated the connection between mental health disorders in young children and the specific ACE scores of their parents. Methods: A total of 116 caregivers (34.45 years (SD = 5.28)) and their children (71.6% boys, 28.4% girls) at an average age of 3.99 years (SD = 1.35, range = 0.31–5.95) were included in the analysis. The legal guardians completed the 10-item ACE questionnaire. The young children were diagnosed as part of outpatient treatment using the DC:0–5 classification system. We analyzed the ACE scores and diagnoses descriptively and in comparison to a community sample. Results: An average value of 2.38 parental ACEs was reported by our sample, and 68.1% (n = 79) reported at least one ACE. The high-risk group with four or more ACEs comprised 30.2% (n = 35). The most common diagnosis in young children was the Disorder of Dysregulated Anger and Aggression of Early Childhood, followed by global developmental delay. Adjustment disorder was third in terms of frequency. Among the examined child psychiatric diagnoses, adjustment disorder showed a significant correlation with parents being affected by the ACE category of neglect (OR = 2.54; 95% CI: 1.012–6.369; p = 0.047). Conclusions: Parents who presented their children at an early childhood mental health outpatient clinic reported significantly more ACEs as compared to representative data on ACEs in adulthood. These results highlight the need for further studies with larger samples to enable a more in-depth analysis of the general intergenerational transmission processes and the differential transmission of specific ACEs to specific diagnoses in preschool-aged children. Full article
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