Evidence map›Paper›PMID 30368827›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2019

Child maltreatment in autism spectrum disorder and intellectual disability: results from a population-based sample.

Christina G McDonnell, Andrea D Boan, Catherine C Bradley, Kristen D Seay, Jane M Charles, Laura A Carpenter

Open access · greenAbstract read
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 5 pooled it
18.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 5 syntheses or guidelines pooled it, 218 citations in OpenAlex.

  1. Pooled it
  2. Identifying Risk Factors of Children Who Suffered Physical Abuse: A Systematic Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Christina G McDonnellMedical University of South Carolina, Charleston, SC, USA.ORCID 0000-0001-5152-2288
Andrea D BoanMedical University of South Carolina, Charleston, SC, USA.
Catherine C BradleyMedical University of South Carolina, Charleston, SC, USA.
Kristen D SeayUniversity of South Carolina, Columbia, SC, USA.
Jane M CharlesMedical University of South Carolina, Charleston, SC, USA.
Laura A CarpenterMedical University of South Carolina, Charleston, SC, USA.
Medical University of South Carolina · USUniversity of South Carolina · US

Funding

Transdisciplinary Training in Addictions ResearchT32DA015035 · NIDA · WASHINGTON UNIVERSITY · PI Patricia A Cavazos-Rehg, Jordan P Davis · 2002 to 2026
$5.3M
Pathways from Caregiver Substance Abuse to Child HarmF31DA034442 · NIDA · WASHINGTON UNIVERSITY · PI SEAY, KRISTEN D. · 2013 to 2013
$27k
NICHD NIH HHS L40 HD045538NIDA NIH HHS F31 DA034442NIDA NIH HHS T32 DA015035
6 · The paper itself

Abstract

backgroundChildren with developmental disabilities are at heightened risk for maltreatment. However, little is known regarding the prevalence of maltreatment among specific groups, such as autism spectrum disorder (ASD) and/or intellectual disability (ID). Information about maltreatment in these groups can aid in the development of supports and prevention strategies for vulnerable children and their families.

methodsUsing record linkage between the Department of Social Services (DSS) and the Autism and Developmental Disabilities Monitoring (ADDM) network, this study compares the prevalence and characteristics of maltreatment among children with ASD-only (n = 316), ASD and comorbid ID (ASD+ID; n = 291), ID-only (n = 1,280), and controls (n = 3,101). Behavioral correlates of maltreatment are examined.

resultsControlling for demographic factors, this study found significantly higher odds of reported and substantiated maltreatment among children with ASD-only (odds ratio = 1.86 for reported, 1.51 for substantiated), ASD+ID (odds ratio = 2.35 for reported, 1.97 for substantiated), and ID-only (odds ratio = 2.45 for reported, 2.49 for substantiated) relative to a population control group, with large effects. In particular, children with ASD+ID and ID-only were between two and three times more likely to experience maltreatment. All groups were more likely to experience physical neglect, and children in the ASD+ID and ID-only groups were more likely to experience all forms of abuse. Children in the ASD-only group were more likely to experience physical abuse. Maltreated children in the ASD-only and ID-only groups experienced more cases of physical abuse and neglect, and were victimized by more perpetrators compared to other maltreated youth. Maltreatment was associated with higher likelihood of aggression, hyperactivity, and tantrums for children with ASD.

conclusionsChildren with ASD and/or ID are at heightened risk for maltreatment. Empirically-supported assessment and intervention approaches for identifying and addressing traumatic stress related to maltreatment in ASD are urgently needed.

Indexed as

Autism Spectrum DisorderChildChild AbuseComorbidityFemaleHumansIntellectual DisabilityMalePrevalenceSouth CarolinaAutism spectrum disorderchild maltreatmentintellectual disability

Identifiers

PMID30368827
PMCPMC6458088
OpenAlexW2898493034

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.