title: Risk factors of child physical abuse by parents with mixed anxiety-depressive disorder or posttraumatic stress disorder.
abstract: OBJECTIVE
  To determine the risk that parents with mixed anxiety and depressive disorder (MADD) or posttraumatic stress disorder (PTSD) will physically abuse their child and evaluate the specific contribution of mental health, perceived social support, experience of childhood abuse, and attributes of family relations to the risk of child physical abuse.
  
  
  METHODS
  The study conducted in 2007 included men (n = 25) and women (n = 25) with a diagnosis of MADD, men with a diagnosis of PTSD (n = 30), and a control sample of parents from the general population (n = 100, 45 men and 55 women) with children of elementary school age. General Information Questionnaire, Child Abuse Experience Inventory, Perceived Social Support Scale, and the Child Abuse Potential Inventory (CAPI) Clinical Abuse Scale were used.
  
  
  RESULTS
  Total results on the Clinical Abuse Scale of the CAPI indicated higher risk of child physical abuse in parents with MADD (273.3 ± 13.6) and in fathers with PTSD (333.21 ± 17.98) than in parents from the general population (79.6 ± 9.9) (F = 110.40, P < 0.001; tPTSD,MADD = 13.73, P < 0.001). A hierarchical regression analysis showed that the greatest predictors in the multivariate model were mental health difficulties, poorer economic status, poor social support, and physical and verbal aggression in partner conflicts.
  
  
  CONCLUSIONS
  Parents with MADD and PTSD exhibit high risk of child abuse. Since parents with PTSD have significantly higher risk of child abuse than parents with MADD, further large-sample research is needed to clarify the relationship between PTSD intensity and the risk of child abuse.
authors.affiliation: University Hospital Split, Split, Croatia.
authors.forename: Katija
authors.initials: K
authors.lastname: Kalebić Jakupčević
authors.forename: Marina
authors.initials: M
authors.lastname: Ajduković
mesh_terms: D001008:Anxiety Disorders / Q000150:complications / Q000175:diagnosis / Q000523:psychology*; D002648:Child; D002650:Child Abuse, Sexual / Q000517:prevention & control / Q000523:psychology / Q000706:statistics & numerical data; D017523:Croatia / Q000453:epidemiology; D003866:Depressive Disorder / Q000150:complications / Q000175:diagnosis / Q000523:psychology*; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D010290:Parents / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012923:Social Class; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology*; D011795:Surveys and Questionnaires