Psychosocial Development of Maltreated Children: A Prospective Study

NCT02148419 | Terminated

• 1 other identifier: KEK-ZH-Nr. 2013-0331
• Study Type: observational
• Target: 17
• Locations: 1 country
• Sites: 1

Brief Summary

Between 2007-2010 the Child Protection Team (CPT) at University Children's Hospital Zurich was the first in Europe to follow up the development of maltreated children in a hospital sample . The follow-up took place 2-3 years after the child had been reported to the CPT. As a major result, children's health-related quality of life (HRQoL) had been impaired in maltreated children compared to controls (Jud, Landolt, Tatalias, Lach, \& Lips, 2012). However, this difference only emerged for the self-assessment of HRQoL by children aged 6 years or older .To address limitations, the CPT at University Children's Hospital Zurich and Children's Hospital Baden AG propose a prospective study with a baseline at the time of report to the CPT and a two year follow-up. This study aims at analyzing HRQoL, behavior and mental health of maltreated children prospectively and will be the first to provide data on changes in HRQoL in the aftermath of maltreatment. We assume the following hypotheses:

• The HRQoL and mental health of children will be impaired following maltreatment even while controlling for others possible predictors of impaired HRQoL and mental health.
• We assume a dose-response relationship between severity of maltreatment and impaired HRQoL. Multiple maltreatment is hypothesized to have a larger impact then a single type of maltreatment.
• At baseline, HRQoL scores are hypothesized to be at a markedly low level. We assume a slight increase in HRQoL from baseline to first follow-up, but not a continuing increase to second follow-up.

Conditions

Quality of Life

Keywords

quality of life; maltreatment; neglect; childhood

Outcome Measures

Primary Outcomes (1)

• Psychosocial development

  Normed and established instruments will be used for psychosocial assessment of children and caregivers. The assessment of child's development and well-being by primary caregivers will be complemented by child's self-assessment. Instruments: SON-R 2.5-7 (≥2.5 y.) DDST (0-5 years) KIDSCREEN-27 (≥8 y.) SDQ (11-17 y.) UCLA PTSD Index CDI (≥8 y.) CFT 1 (6-9.5 y.) or CFT 20-R (8.5-16 y.)

  Four years

Interventions

no intervention OTHER

Eligibility Criteria

• Age: 1 Day - 15 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

The sample is drawn from in- and outpatients reported to CPTs at University Children's Hospital Zurich and Children's Hospital Baden AG between July 2013 and August 2015.

You may qualify if:

• Inpatients
• Outpatients
• Sexual abuse
• Physical maltreatment
• Psychological maltreatment
• Neglect
• Substantiated maltreatment
• Indicated maltreatment
• Aged 0-15 years at recruitment

You may not qualify if:

• telephone counseling
• Munchausen Syndrome by proxy
• Maltreatment not confirmed
• Aged 16 years and older at recruitment

Sponsors & Collaborators

• University Children's Hospital, Zurich: lead
• Kantonsspital Baden: collaborator

Study Sites (1)

University Children's Hospital

Zurich, Canton of Zurich, 8032, Switzerland

Location

Study Officials

• Andreas Jud, Dr.

  University Children's Hospital, Zurich

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Andreas Jud

Study Record Dates

• First Submitted: May 13, 2014
• First Posted: May 28, 2014
• Study Start: February 1, 2014
• Primary Completion: January 1, 2017
• Study Completion: January 1, 2017
• Last Updated: February 9, 2017

Record last verified: 2017-02

Locations

CH (1)