Quality of Life Clinical Trial
Official title:
Psychosocial Development of Maltreated Children: A Prospective Study
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.
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 (Jud, Lips, & Landolt, 2010). Out of a total 180 children in the 2005/2006 CPT
caseload, 42 children between 2.5 and 16.5 years and their primary caregiver participated
(Jud, Lips, et al., 2010). The follow-up took place 2-3 years after the child had been
reported to the CPT. Non-CPT reported hospital patients were used as controls, matched for
age, gender, nationality, and medical condition. 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 (Jud et al., 2012). The
assessment of children's HRQoL by primary caregivers showed no significant differences for
maltreated children compared to controls for all age groups. An essential lack of
understanding of the child's experiences and beliefs is not only likely to affect the
child's HRQoL, but may also contribute to cur-rent and future risk of maltreatment (Jud et
al., 2012). Furthermore, maltreated children had increased depression scores and more
behavior problems compared to controls. Detailed results can be found in Jud et al. (Jud et
al., 2012; Jud, Lips, et al., 2010). To address these 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. Based on a
literature review and findings of the previous follow-up study, 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.
- We assume differing trends for outcome variables in the aftermath of maltreatment and
intend to analyze if types of trends are associated with clusters of risk and
protective factors (cf. Chaffin, Bard, Hecht, & Silovsky, 2011).
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