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EPSDT Care for Kids Newsletter

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Effects of Domestic Violence on Children
Binnie LeHew, Violence Prevention Coordinator
Iowa Department of Public Health
Spring 2004

Children who live in homes where domestic violence occurs are affected by that violence, whether or not they directly experience it. An estimated 3.3 to 10 million American children annually see one parent assault another.  

In homes where domestic violence occurs, children are at significantly higher risk of physical and sexual abuse. In 2003, the Minnesota Center Against Violence and Abuse of Women (MINCAVA), reported that child physical or sexual abuse is found in 30% to 60% of the families experiencing domestic abuse. Iowa Attorney General Tom Miller reports that from 1990 to 1999, domestic abuse caused 121 Iowa deaths, and 53 children were present at those killings. More than a third of Iowa child abuse cases involved domestic violence.

Domestic violence constitutes psychological maltreatment. It can result in the child being:

  • Terrorized by behavior that threatens or hurts them or a loved one
  • Spurned by verbal or nonverbal acts that degrade or reject them
  • Denied a nurturing response to their attempts and needs to interact
  • Isolated by unreasonable limits to interactions with others
  • Neglected through failure to receive needed mental health, health, or educational services
  • Corrupted by actions that model, permit, or encourage inappropriate behavior
The effects of domestic violence on children may be short-term or long-term. These children are living in an environment of psychological maltreatment, a "repeated pattern of behavior that conveys the child is …seriously threatened with physical or psychological violence…" A child who watches a parent being physically hurt often experiences intense feelings of fear and helplessness. While simply watching violence is bad enough, watching the victimization of someone you depend on for protection and safety can be devastating.   

Jeff Edelson of MINCAVA found that children who have witnessed domestic violence are more likely to have trouble with:   

  • Aggressive and antisocial behaviors
  • Depression and anxiety
  • Delayed cognitive development
  • Mental health and social adjustment concerns later in life

Factors that affect a child's response to violence

The effect of domestic violence on a child depends on:

  • The child's age, gender, and developmental stage
  • Patterns of abuse in the child's life
  • The child's system of social supports

Age, gender, and developmental stage. Young children may be especially vulnerable to the harmful effects of domestic violence. They don't have the capacity to understand what is happening. They are more likely to be exposed to violence because they are dependent on their caretakers. Older children can often seek safety, have more fully developed internal resources, and better problem-solving skills. 

While simply watching violence is bad enough, watching the victimization of someone you depend on for protection and safety can be devastating.

Children learn from their parents as role models. Domestic violence affects attachment to both parents. When there is domestic violence, a child may identify with the abusive parent (who appears to have power and control) or with the abused parent (who appears to be helpless). Limited exposure to healthy role models can affect personal relationships later in life.

Patterns of abuse. How seriously domestic violence affects a child depends on: 

  • The child's proximity to the violence
  • Whether the abuse injures someone the child relies on or is close to
  • How well the child knows the abuser
  • Severity of abuse (causing serious physical injury or death)
  • Frequency of abuse
     

Drawing of scowling young boy Systems of social support. Relationships with other adults who provide a safe attachment and meet the child's emotional or physical needs may moderate the impact of the domestic violence. Such support can come from other family members, neighbors, school personnel, or others. It is important to note that some battered women can and do meet the psychological and emotional needs of their children. A child's witnessing of abuse should be viewed as a significant risk factor for child physical abuse, but not as conclusive evidence of this.

How can we help?
 

Iowa law requires health care providers who see evidence of child physical or sexual abuse to immediately report this to the Department of Human Services. Providers should always consider the impact of any interventions on the safety of the child and other family members. In cases where the child saw abuse but was not abused, we have two key responsibilities: 

  • First, to communicate with the child's parents about the ways that domestic abuse hurts the child.
  • Second, to guide the family to help. Referral resources that you may find useful are listed on page 5.

Resources 

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