Effects Of Domestic Violence On Children
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The effects of domestic violence on children have a tremendous impact on the well-being and developmental growth of children witnessing it. Children who witness domestic violence in the home often believe that they are to blame, live in a constant state of fear, and are 15 times more likely to be victims of
child abuse Child abuse (also called child endangerment or child maltreatment) is physical, sexual, and/or psychological maltreatment or neglect of a child or children, especially by a parent or a caregiver. Child abuse may include any act or failure to a ...
. Close observation during an interaction can alert providers to the need for further investigation and intervention, such asStacy, W. and Shupe, A. ''The Family Secret.'' Boston, MA. Beacon Press, 1983. dysfunctions in the
physical Physical may refer to: *Physical examination In a physical examination, medical examination, or clinical examination, a medical practitioner examines a patient for any possible medical signs or symptoms of a medical condition. It generally co ...
,
behavioral Behavior (American English) or behaviour (British English) is the range of actions and mannerisms made by individuals, organisms, systems or artificial entities in some environment. These systems can include other systems or organisms as well ...
,
emotional Emotions are mental states brought on by neurophysiological changes, variously associated with thoughts, feelings, behavioral responses, and a degree of pleasure or displeasure. There is currently no scientific consensus on a definition. E ...
, and
social Social organisms, including human(s), live collectively in interacting populations. This interaction is considered social whether they are aware of it or not, and whether the exchange is voluntary or not. Etymology The word "social" derives from ...
areas of life, and can aid in early intervention and assistance for child victims.


Symptoms children may have while witnessing


In general, children who witness domestic violence in the home can suffer an immense amount of physical symptoms along with their emotional and behavioral state of despair. These children may complain of general aches and pain, such as
headache Headache is the symptom of pain in the face, head, or neck. It can occur as a migraine, tension-type headache, or cluster headache. There is an increased risk of depression in those with severe headaches. Headaches can occur as a result ...
s and
stomach ache Abdominal pain, also known as a stomach ache, is a symptom associated with both non-serious and serious medical issues. Common causes of pain in the abdomen include gastroenteritis and irritable bowel syndrome. About 15% of people have a m ...
s. They may also have irritable and irregular bowel habits,
cold sore Herpes labialis, commonly known as cold sores or fever blisters, is a type of infection by the herpes simplex virus that affects primarily the lip. Symptoms typically include a burning pain followed by small blisters or sores. The first attack ...
s, and problems with
bed-wetting Nocturnal enuresis, also informally called bedwetting, is involuntary urination while asleep after the age at which bladder control usually begins. Bedwetting in children and adults can result in emotional stress. Complications can include urina ...
. These complaints have been associated with depressive disorders in children, a common emotional effect of domestic violence. Along with these general complaints of not feeling well, children who witness domestic violence may also appear nervous, as previously mentioned, and have short attention spans. These children display some of the same symptoms as children who have been diagnosed with
attention deficit hyperactivity disorder Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by excessive amounts of inattention, hyperactivity, and impulsivity that are pervasive, impairing in multiple contexts, and otherwise age-inap ...
(ADHD). On the reverse, these children may show symptoms of
fatigue Fatigue describes a state of tiredness that does not resolve with rest or sleep. In general usage, fatigue is synonymous with extreme tiredness or exhaustion that normally follows prolonged physical or mental activity. When it does not resolve ...
and constant tiredness. They may fall asleep in school due to the lack of sleep at home. Much of their night may be spent listening to or witnessing violence within the home. Children who are victims of domestic violence are often frequently ill, and may suffer from poor
personal hygiene Hygiene is a series of practices performed to preserve health. According to the World Health Organization (WHO), "Hygiene refers to conditions and practices that help to maintain health and prevent the spread of diseases." Personal hygiene refer ...
. Children who witness domestic violence also have a tendency to partake in high risk play activities, self-abuse, and
suicide Suicide is the act of intentionally causing one's own death. Mental disorders (including depression, bipolar disorder, schizophrenia, personality disorders, anxiety disorders), physical disorders (such as chronic fatigue syndrome), and s ...
.''The Effects of Domestic Violence on Children.''
Alabama Coalition Against Domestic Violence.


Prenatal

The physical effects of domestic violence on children, unlike the effects of direct abuse, can start when they are a
fetus A fetus or foetus (; plural fetuses, feti, foetuses, or foeti) is the unborn offspring that develops from an animal embryo. Following embryonic development the fetal stage of development takes place. In human prenatal development, fetal deve ...
in their mother's womb, which can result in low infant
birth weight Birth weight is the body weight of a baby at its birth. The average birth weight in babies of European descent is , with the normative range between . On average, babies of South Asian and Chinese descent weigh about . As far as low birth weight ...
s,
premature birth Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks gestational age, as opposed to full-term delivery at approximately 40 weeks. Extreme preterm is less than 28 weeks, very early preterm birth is between 2 ...
, excessive
bleeding Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethra, vag ...
, and
fetal death Perinatal mortality (PNM) refers to the death of a fetus or neonate and is the basis to calculate the perinatal mortality rate. Variations in the precise definition of the perinatal mortality exist, specifically concerning the issue of inclusion o ...
due to the mother's
physical trauma An injury is any physiological damage to living tissue caused by immediate physical stress. An injury can occur intentionally or unintentionally and may be caused by blunt trauma, penetrating trauma, burning, toxic exposure, asphyxiation, ...
and
emotional stress In psychology, stress is a feeling of emotional strain and pressure. Stress is a type of psychological pain. Small amounts of stress may be beneficial, as it can improve athletic performance, motivation and reaction to the environment. Excess ...
. Increased maternal stress during the times of abuse, especially when combined with
smoking Smoking is a practice in which a substance is burned and the resulting smoke is typically breathed in to be tasted and absorbed into the bloodstream. Most commonly, the substance used is the dried leaves of the tobacco plant, which have bee ...
and
drug abuse Substance abuse, also known as drug abuse, is the use of a drug in amounts or by methods which are harmful to the individual or others. It is a form of substance-related disorder. Differing definitions of drug abuse are used in public health, ...
, can also lead to premature deliveries and low weight babies. When a woman is stressed while pregnant, the baby can be born with stress and anxiety and can sometimes have problems with growth.


Infants

Infant children who are present in the home where domestic violence occurs often fall victim to being "caught in the crossfire." They may suffer physical injuries from unintentional trauma as their parent is suffering from abuse. Infants may be inconsolable and irritable, have a lack of responsiveness secondary to lacking the emotional and physical attachment to their mother, have
developmental delay Global developmental delay is an umbrella term used when children are significantly delayed in their cognitive and physical development. It can be diagnosed when a child is delayed in one or more milestones, categorised into motor skills, speech, c ...
s, and have excessive
diarrhea Diarrhea, also spelled diarrhoea, is the condition of having at least three loose, liquid, or watery bowel movements each day. It often lasts for a few days and can result in dehydration due to fluid loss. Signs of dehydration often begin wi ...
from both trauma and stress. Infants are most affected by the environment of abuse because their brain hasn't fully developed.


Older children

Physical effects of witnessing domestic violence in older children are less evident than behavioral and emotional effects. The trauma that children experience when they witness domestic violence in the home, plays a major role in their
development Development or developing may refer to: Arts *Development hell, when a project is stuck in development *Filmmaking, development phase, including finance and budgeting *Development (music), the process thematic material is reshaped * Photograph ...
and physical well-being. Older children can sometimes turn the stress towards behavioral problems. Sometimes children who witness the abuse turn to drugs, hoping to take the pain away. The children, however, will exhibit physical symptoms associated with their behavioral or emotional problems, such as being withdrawn from those around them, becoming non-verbal, and exhibiting regressed behaviors such as being clingy and whiney.
Anxiety Anxiety is an emotion which is characterized by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety is different than fear in that the former is defined as the anticipation of a future threat wh ...
often accompanies a physical symptom in children who witness domestic violence in the home. If their anxiety progresses to more physical symptoms, they may show signs of tiredness from lack of sleep and weight and
nutrition Nutrition is the biochemical and physiological process by which an organism uses food to support its life. It provides organisms with nutrients, which can be metabolized to create energy and chemical structures. Failure to obtain sufficient n ...
al changes from poor eating habits.


Assessment

Children who witness domestic violence in the home should be assessed for the physical effects and physical injuries. However, it is important to note that physical changes in eating habits, sleeping patterns, or bowel patterns may be difficult to evaluate by a professional.


Behavioral symptoms

Children exposed to domestic violence are likely to develop
behavioral Behavior (American English) or behaviour (British English) is the range of actions and mannerisms made by individuals, organisms, systems or artificial entities in some environment. These systems can include other systems or organisms as well ...
problems, such as regressing, exhibiting out of control behavior, and imitating behaviors. Children may think that
violence Violence is the use of physical force so as to injure, abuse, damage, or destroy. Other definitions are also used, such as the World Health Organization's definition of violence as "the intentional use of physical force or Power (social and p ...
is an acceptable behavior of intimate relationships and become either the victim or the abuser. Some warning signs are bed-wetting,
nightmare A nightmare, also known as a bad dream, Retrieved 11 July 2016. is an unpleasant dream that can cause a strong emotional response from the mind, typically fear but also despair, anxiety or great sadness. The dream may contain situations of d ...
s, distrust of adults, acting tough, having problems becoming attached to other people, and isolating themselves from their close friends and family. Another behavioral response to domestic violence may be that the child may lie in order to avoid
confrontation Confrontation is an element of conflict wherein parties confront one another, directly engaging one another in the course of a dispute between them. A confrontation can be at any scale, between any number of people, between entire nations or cult ...
and excessive attention-getting. A source that supports the stated behavioral effects of domestic violence on children is a study that has been done by Albert Bandura (1977). The study that was presented was about introducing children to a role model that is aggressive, non-aggressive, and a control group that showed no role model. This study is called, "The Bobo Doll Experiment", the experiment influenced the children to act similar to their role model towards the doll itself. The children who were exposed to violence acted with aggression, the children who were exposed to a non-aggressive environment were quite friendly. As a result, children can be highly influenced by what is going on in their environment. Adolescents are in jeopardy of academic failure, school drop-out, and
substance abuse Substance abuse, also known as drug abuse, is the use of a drug in amounts or by methods which are harmful to the individual or others. It is a form of substance-related disorder. Differing definitions of drug abuse are used in public health, ...
.''How are children affected by domestic violence?''
Custody Preparation for Moms. 2002 - 2009.
Their behavior is often guarded and secretive about their family members and they may become embarrassed about their home situation. Adolescents generally don't like to invite friends over and they spend their free time away from home.
Denial Denial, in ordinary English usage, has at least three meanings: asserting that any particular statement or allegation is not true (which might be accurate or inaccurate); the refusal of a request; and asserting that a true statement is not true. ...
and
aggression Aggression is overt or covert, often harmful, social interaction with the intention of inflicting damage or other harm upon another individual; although it can be channeled into creative and practical outlets for some. It may occur either reacti ...
are their major forms of problem-solving. Teens cope with domestic violence by blaming others, encountering violence in a relationship or by running away from home.


Teen dating violence

An estimated 1/5 to 1/3 of teenagers subject to viewing domestic violent situations experience teen dating violence, regularly abusing or being abused by their partners verbally, mentally, emotionally, sexually or physically. 30% to 50% of dating relationships can exhibit the same cycle of escalating violence in their marital relationships.''Sexual Assault Survivor Services''
(SASS) Facts about domestic violence. (1996)]


Physical symptoms

Physical symptoms are a major effect on children due to parental domestic violence. In a study, 52% of 59 children yelled from another room, 53% of 60 children yelled from the same room, a handful actually called someone for help, and some just became significantly involved themselves during the abusive occurrence. When the violent situation is at its peak and a child tries to intervene, logically a person would have thought that in order to save their child from harm, parents would control themselves, however, statistics show otherwise. It is said that about 50% of the abusers also end up abusing their children. Another alarming statistic is that 25% of the victims of the abusive relationship also tend to get violent with their children. The violence imposed on these children can in some cases be life-threatening. If a parent is pregnant during the abuse, the unborn child is at risk of lifelong impairments or at risk of life itself. Researchers have studied, amongst perinatal and neonatal statistics, mothers who experience domestic violence had more than double the risk of child mortality.


Emotional symptoms

Children exposed to violence in their home often have conflicting feelings towards their parents. For instance,
distrust Distrust is a formal way of not trusting any one party too much in a situation of grave risk or deep doubt. It is commonly expressed in civics as a division or balance of powers, or in politics as means of validating treaty terms. Systems based ...
and affection often coexist for the abuser. The child becomes overprotective of the victim and feels sorry for them.Baker, L.L., Jaffe, P.G., Ashbourne, L. (2002)
''Children Exposed to Domestic Violence.''
They often develop anxiety, fearing that they may be injured or abandoned, that the child's parent being abused will be injured, or that they are to blame for the violence that is occurring in their homes.Edleson, J.L., (1999
''Problems Associated with Children's Witnessing of Domestic Violence.''
Grief Grief is the response to loss, particularly to the loss of someone or some living thing that has died, to which a bond or affection was formed. Although conventionally focused on the emotional response to loss, grief also has physical, cogni ...
,
shame Shame is an unpleasant self-conscious emotion often associated with negative self-evaluation; motivation to quit; and feelings of pain, exposure, distrust, powerlessness, and worthlessness. Definition Shame is a discrete, basic emotion, d ...
, and low
self-esteem Self-esteem is confidence in one's own worth or abilities. Self-esteem encompasses beliefs about oneself (for example, "I am loved", "I am worthy") as well as emotional states, such as triumph, despair, pride, and shame. Smith and Mackie (2007) d ...
are common emotions that children exposed to domestic violence experience.


Depression

Depression is a common problem for children who experience domestic violence. The child often feels helpless and powerless. More girls internalize their emotions and show signs of depression than boys. Boys are more apt to act out with aggression and hostility. Witnessing violence in the home can give the child the idea that nothing is safe in the world and that they are not worth being kept safe which contributes to their feelings of low self-worth and depression.


Anger

Some children act out through
anger Anger, also known as wrath or rage, is an intense emotional state involving a strong uncomfortable and non-cooperative response to a perceived provocation, hurt or threat. A person experiencing anger will often experience physical effects, su ...
and are more aggressive than other children. Even in situations that do not call for it, children will respond with anger. Children and young people particularly highlighted angry feelings as a consequence of experiencing domestic violence. Physical aggression can also manifest towards the victim from the children as the victim does not have the ability to develop authority and control over them.


Post-traumatic stress disorder

Post-traumatic stress disorder Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that can develop because of exposure to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on ...
(PTSD) can result in children from exposure to domestic violence. Symptoms of this are nightmares,
insomnia Insomnia, also known as sleeplessness, is a sleep disorder in which people have trouble sleeping. They may have difficulty falling asleep, or staying asleep as long as desired. Insomnia is typically followed by daytime sleepiness, low energy, ...
, anxiety, increased alertness to the environment, having problems concentrating, and can lead to physical symptoms. If the child experiences chronic early maltreatment within the caregiving relationship, then
complex PTSD Complex post-traumatic stress disorder (C-PTSD; also known as complex trauma disorder) is a psychological disorder that is theorized to develop in response to exposure to a series of traumatic events in a context in which the individual perceive ...
can result.


Role reversal

There is sometimes role reversal between the child and the parent and the responsibilities of the victim who is emotionally and psychologically dysfunctional are transferred to the child. In this situation, the parents treat their child as a therapist or confidant, and not as their child. They are forced to mature faster than the average child. They take on household responsibilities such as cooking, cleaning, and caring for younger siblings. The responsibilities that they take on are beyond normally assigned chores and are not age appropriate. The child becomes socially isolated and is not able to participate in activities that are normal for a child their age. The parentified child is at risk for becoming involved in rocky relationships because they have been isolated and are not experienced at forming successful relationships. Also, they tend to become perfectionists because they are forced to live up to such high expectations for their parents.


Social symptoms

Children exposed to domestic violence frequently do not have the foundation of safety and security that is normally provided by the family. The children experience a desensitization to aggressive behavior, poor anger management, poor problem solving skills, and learn to engage in exploitative relationships. * Symptoms include isolation from friends and relatives in an effort to stay close to siblings and victimized parent. * The adolescent may display these symptoms by joining a gang or becoming involved in dating relationships that mimic the learned behavior. Children exposed to domestic violence require a safe nurturing environment and the space and respect to progress at their own pace. The caretaker should provide reassurance and an increased sense of security by providing explanations and comfort for the things that worry the children, like loud noises. Children should develop and maintain positive contact with significant others such as distant family members. All family members are encouraged to become involved in community organizations designed to assist families in domestic violence situations.


Effects on infants and toddlers

Children exposed to domestic violence at
infancy An infant or baby is the very young offspring of human beings. ''Infant'' (from the Latin word ''infans'', meaning 'unable to speak' or 'speechless') is a formal or specialised synonym for the common term ''baby''. The terms may also be used to ...
often experience an inability to bond and form secure attachments, often resulting in intensified startled reactions and an inhibited sense of exploration and play. Children may portray a wide range of reactions to the exposure of domestic violence in their home. The
preschool A preschool, also known as nursery school, pre-primary school, or play school or creche, is an educational establishment or learning space offering early childhood education to children before they begin compulsory education at primary school ...
and
kindergarten Kindergarten is a preschool educational approach based on playing, singing, practical activities such as drawing, and social interaction as part of the transition from home to school. Such institutions were originally made in the late 18th cent ...
child does not understand the meaning of the abuse and may believe they did something wrong, this self-blame may cause the child feelings of guilt,
worry Worry refers to the thoughts, images, emotions, and actions of a negative nature in a repetitive, uncontrollable manner that results from a proactive cognitive risk analysis made to avoid or solve anticipated potential threats and their poten ...
, and anxiety. Younger children do not have the ability to express their feelings verbally and these emotions can cause behavioral problems. They may become withdrawn, non-verbal, and have regressed behaviors such as clinging and whining. Other common behaviors for a child being a victim of domestic violence are eating and sleeping difficulty, and
concentration In chemistry, concentration is the abundance of a constituent divided by the total volume of a mixture. Several types of mathematical description can be distinguished: '' mass concentration'', ''molar concentration'', ''number concentration'', an ...
problems. Preschoolers living with violence internalize the learned gender roles associated with
victimization Victimisation ( or victimization) is the process of being victimised or becoming a victim. The field that studies the process, rates, incidence, effects, and prevalence of victimisation is called victimology. Peer victimisation Peer victimisati ...
, for instance seeing males as perpetrators and females as victims. This symptom presents itself as the preschooler imitating learned behaviors of intimidation and abuse. The preschooler may present with aggressive behavior, lashing out, defensive behavior, or extreme separation anxiety from the primary caregiver. Statistics show that a child who witnesses violence between their parents or guardians is more likely to carry on violent behaviors in their own adult lives. "Even when child witnesses do not suffer physical injury, the emotional consequences of viewing or hearing violent acts are severe and long-lasting. In fact, children who witness violence often experience many of the same symptoms and lasting effects as children who are victims of violence themselves, including TSD" Also in the article Breaking the Cycle of Violence, "it is clearly in the best interest of the child and criminal justice system to handle child victims and witnesses in the most effective and sensitive manner possible. A number of studies have found the following: reducing the number of interviews of children can minimize psychological harm to child victims (Tedesco & Schnell, 1987); testifying is not necessarily harmful to children if adequate preparation is conducted (Goodman et al., 1992; Oates et al., 1995; Whitcomb, Goodman, Runyon, and Hoak, 1994); and, having a trusted person help the child prepare for court and be with the child when he or she testified reduced the anxiety of the child (Henry, 1997).


Effects on witnessing infants

* Cries excessively, screaming * Digestive problems * Failure to thrive * Feeding and sleeping routines are disrupted * Frequent illness * Irritability, sadness, anxiety * Low weight * Need for attachment is disrupted * No appetite * Sleeping problems * Startles easily


Effects on witnessing toddlers

* Insomnia and
parasomnia Parasomnias are a category of sleep disorders that involve abnormal movements, behaviors, emotions, perceptions, and dreams that occur while falling asleep, sleeping, between sleep stages, or during arousal from sleep. Parasomnias are dissociate ...
s * Lack feelings of safety * Regressive behaviors * Separation/stranger anxiety


Dual exposure

It is important to note that children exposed to domestic violence are more at risk for other forms of maltreatment such as physical abuse and neglect. Research suggests that parents who are violent with one another are at higher risk for physically abusing their children. Recent research has proposed that the consequences of child abuse and domestic violence exposure are often similar and mimic one another. Children who are abused and exposed to domestic violence exhibit emotional, psychological, and behavioral consequences that are almost identical to one another. In fact, some researchers refer to this dual exposure as the "double whammy" effect because children receive double exposure to traumatic events and thus react twofold to the abuse and exposure to domestic violence. Emotionally, children who experience the "double whammy" effect can exhibit fear, guilt, isolation, and low self-esteem. Additional psychological outcomes for these children include depression, anxiety, and even
post-traumatic stress disorder Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that can develop because of exposure to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on ...
(PTSD). Children who experience dual exposure to both physical abuse and domestic violence possess more behavioral problems than those who experience only one or the other. The long-term effects of dual exposure in young children can have very negative outcomes later in life. These outcomes have been documented as leading to behavioral problems that include school dropout, violence, teen pregnancy, substance abuse, eating disorders, and even suicide attempts. A study following children from preschool through adolescence found that young children exposed to domestic violence and child abuse were more likely to experience anti-social behaviors in their adolescence. Young children exposed to both domestic violence and child abuse were also more likely to commit an assault and participate in delinquent behavior in their adolescence than those not exposed at all. Lastly, the Adverse Childhood Experiences study (ACE) found a connection between multiple categories of childhood trauma (e.g., child abuse, household dysfunction including domestic violence, and child neglect) and health/behavioral outcomes later in life. The more traumas a child was exposed to, the greater risk for disabilities, social problems, and adverse health outcomes. More recently, researchers have used elements of this model to continue analysis into different aspects of trauma, stressful experiences, and later development.


Ways to help

The ways to help victims of domestic violence are: * Arranging school age children to receive counseling from professionals at their school, often school counselors. * Experimenting with various types of counseling:
play therapy Play therapy refers to a range of methods of capitalising on children's natural urge to explore and harnessing it to meet and respond to the developmental and later also their mental health needs. It is also used for Anatomically correct doll, f ...
, peer support groups, anger management classes, and safety programs to teach kids how to extract themselves from dangerous situations. * Finding a loving and supportive adult to introduce to the child and encourage the child to spend as much time regularly with the adult. This may include a trusted family member or community advocate. The Family Violence Defense Fund reports that the single most important ingredient to help children heal and develop resiliency is the presence of a loving adult. * Providing a safe environment that does not include violence in any form after a child has witnessed domestic violence. * Finding ways to discipline that do not involve hitting, name-calling, yelling or any form of verbally aggressive behavior. * Helping children create a sense of safety by having scheduled routines, such as regular meals and homework times.


See also


References


Further reading

* Breaking the Cycle Consulting the leading voice on adolescent to parent abuse and violence: http://www.childtoparentviolence.com * ''Project Making Medicine.'' Center on Child Abuse and Neglect. 2005. Oklahoma City, OK. * Hooper, L. M. Expanding the discussion regarding parentification and its varied outcomes: Implications for mental health research and practice. ''Journal of Mental Health Counseling,'' 29(2), 322–337. * Hooper, L. M., Marotta, S. A., & Lanthier, R. P. (2008). Predictors of growth and distress following parentification among college students. ''The Journal of Child and Family Studies,'' 17, 693–705.
Effects of Domestic Violence on Children Feelings and Behavior

UNICEF - Behind Closed Doors: The Impact of Domestic Violence on Children
{{abuse Child abuse Domestic violence