Evidence map›Paper›PMID 34197808›Full record

ReviewLancet (London, England)2021

Physical punishment and child outcomes: a narrative review of prospective studies.

Anja Heilmann, Anita Mehay, Richard G Watt, Yvonne Kelly, Joan E Durrant, Jillian van Turnhout, Elizabeth T Gershoff

Open access · greenAbstract readReview
In one paragraph

Review in Lancet (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
21.4field-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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 208 citations in OpenAlex.

  1. Pooled it
  2. Harsh Physical Discipline and Externalizing Behaviors in Children: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  3. Trial
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  16. Legal Banning of Disciplinary Spanking in Canada: Evidence and Human Rights - a Response to Gunnoe and Colleagues.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2025
    Article
  17. An update on the scientific evidenceJournal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2025
    Article
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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

7 authors at 4 institutions in 4 countries.

Anja HeilmannDepartment of Epidemiology and Public Health, University College London, London, UK. Electronic address: anja.heilmann@ucl.ac.uk.
Anita MehayDepartment of Epidemiology and Public Health, University College London, London, UK.
Richard G WattDepartment of Epidemiology and Public Health, University College London, London, UK.
Yvonne KellyDepartment of Epidemiology and Public Health, University College London, London, UK.
Joan E DurrantDepartment of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Jillian van TurnhoutRoyal College of Physicians of Ireland, Faculty of Paediatrics, Dublin, Ireland.
Elizabeth T GershoffPopulation Research Center and Department of Human Development and Family Sciences, University of Texas at Austin, Austin, TX, USA.
University College London · GBRoyal College of Physicians of Ireland · IEThe University of Texas at Austin · USUniversity of Manitoba · CA

Funding

Population Research CenterR24HD042849 · NICHD · UNIVERSITY OF TEXAS AUSTIN · PI HAYWARD, MARK D. · 2002 to 2016
$8.4M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Elizabeth T. Gershoff · 2017 to 2026
$5.2M
NICHD NIH HHS P2C HD042849NICHD NIH HHS R24 HD042849
6 · The paper itself

Abstract

Physical punishment is increasingly viewed as a form of violence that harms children. This narrative review summarises the findings of 69 prospective longitudinal studies to inform practitioners and policy makers about physical punishment's outcomes. Our review identified seven key themes. First, physical punishment consistently predicts increases in child behaviour problems over time. Second, physical punishment is not associated with positive outcomes over time. Third, physical punishment increases the risk of involvement with child protective services. Fourth, the only evidence of children eliciting physical punishment is for externalising behaviour. Fifth, physical punishment predicts worsening behaviour over time in quasi-experimental studies. Sixth, associations between physical punishment and detrimental child outcomes are robust across child and parent characteristics. Finally, there is some evidence of a dose-response relationship. The consistency of these findings indicates that physical punishment is harmful to children and that policy remedies are warranted.

Indexed as

Parent-Child RelationsChildChild BehaviorChild Protective ServicesChild RearingDomestic ViolenceHumansPunishment

Identifiers

PMID34197808
PMCPMC8612122
OpenAlexW3177058887

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.