Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT05803265 |
| Other study ID # |
RC 14/19 |
| Secondary ID |
|
| Status |
Completed |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
February 1, 2020 |
| Est. completion date |
May 31, 2022 |
Study information
| Verified date |
April 2023 |
| Source |
IRCCS Burlo Garofolo |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational
|
Clinical Trial Summary
Witnessed violence is a form of child abuse with detrimental effects on child wellbeing and
development, whose recognition relies on the assessment of their mother exposure to intimate
partner violence (IPV). The aim of this cross-sectional study is to assess the frequency of
witnessed violence in a population of children attending a pediatric emergency department
(ED) in Italy, by searching for IPV in their mother, and to define the characteristics of the
mother-child dyads.
Description:
Witnessed violence is a form of child abuse, consisting of the child experience of any kind
of maltreatment against his/her parents/caregivers/family members, and can be either direct
(if the maltreatment takes place in the child presence) or indirect (if the child is aware of
the maltreatment and perceives its acute/chronic, physical/psychological effects). The
recognition of children witnessed violence requires the previous assessment of their mothers'
exposure to intimate partner violence (IPV), defined by the World Health Organization (WHO)
as a "behavior within an intimate relationship that causes physical, sexual, or psychological
harm, including acts of physical aggression, sexual coercion, psychological abuse and
controlling behaviors" committed by a current or former partner. According to the WHO
reports, one in three women is subjected to IPV, and it has been estimated that among
children living in households where IPV takes place, 85% are direct witnesses to violence,
and up to one half undergo direct forms of abuse, mostly by the father or any other male
family member. Exposure to IPV not only has deleterious effects on the child wellbeing, and
cognitive and socio-emotional development, but it also negatively affects behaviors and
relationships into adulthood: boys and girls who experience household violence against their
mother are at increased risk of perpetuating aggressive behaviors and being victims of
domestic violence later in their own lives, respectively, engaging in the so-called
intergenerational perpetuation of violence. While the WHO currently recommends screening for
IPV during pregnancy, no agreement exists on the appropriateness of routine assessments of
postpartum IPV. Nevertheless, on the ground of the detrimental effects of IPV on children,
the American Academy of Pediatrics advocated for IPV screening in pediatric settings,
endorsing the abuse of women as a pediatric issue. Healthcare professionals are generally in
a privileged position to investigate IPV; the emergency department (ED) represents an ideal
setting to detect abuse and take actions against it, providing a unique opportunity to
involve the mother-child dyads in research surveys, in accordance with the international
guidelines on research on violence against women and children. The aim of this study is to
assess the frequency of witnessed violence in a population of children attending a pediatric
emergency department (ED) in Italy, by searching for IPV in their mother, and to define the
characteristics of the mother-child dyads.
