Effects of domestic violence on children
Encyclopedia
Effects of domestic violence on children, result from witnessing domestic violence
Domestic violence
Domestic violence, also known as domestic abuse, spousal abuse, battering, family violence, and intimate partner violence , is broadly defined as a pattern of abusive behaviors by one or both partners in an intimate relationship such as marriage, dating, family, or cohabitation...

 in a home where one of their parents are abusing the other parent, plays a tremendous role on the well-being
Quality of life
The term quality of life is used to evaluate the general well-being of individuals and societies. The term is used in a wide range of contexts, including the fields of international development, healthcare, and politics. Quality of life should not be confused with the concept of standard of...

 and developmental growth
Child development
Child development stages describe theoretical milestones of child development. Many stage models of development have been proposed, used as working concepts and in some cases asserted as nativist theories....

 of children witnessing the violence. In 2009 in the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

, it was estimated that as many as 7 to 14 million children are exposed to domestic violence with about 3.3 million children exposed to domestic violence in their homes every year.

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
Child abuse is the physical, sexual, emotional mistreatment, or neglect of a child. In the United States, the Centers for Disease Control and Prevention and the Department of Children And Families define child maltreatment as any act or series of acts of commission or omission by a parent or...

. Close observation during an interaction can alert providers to the need for further investigation and intervention, such as dysfunctions in the physical, behavioral, emotional, and social areas of life, and can aid in early intervention and assistance for child victims.

Physical symtoms

In general, children who witness domestic violence in the home can suffer a tremendous 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
A headache or cephalalgia is pain anywhere in the region of the head or neck. It can be a symptom of a number of different conditions of the head and neck. The brain tissue itself is not sensitive to pain because it lacks pain receptors. Rather, the pain is caused by disturbance of the...

s and stomach aches. They may also have irritable and irregular bowel habits, cold sores, and they may have problems with bedwetting
Bedwetting
Nocturnal enuresis, commonly called bedwetting, is involuntary urination while asleep after the age at which bladder control usually occurs. Nocturnal enuresis is considered primary when a child has not yet had a prolonged period of being dry...

. 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 span
Attention span
Attention span is the amount of time that a person can concentrate on a task without becoming distracted. Most educators and psychologists agree that the ability to focus one's attention on a task is crucial for the achievement of one's goals....

s. These children display some of the same symptoms as children who have been diagnosed with attention deficit hyperactivity disorder. On the reverse, these children may show symptoms of fatigue 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 of domestic violence victims are frequently ill, and suffer from poor personal hygiene. Children who witness domestic violence also have a tendency to partake in high risk play activities, self abuse, and suicide
Suicide
Suicide is the act of intentionally causing one's own death. Suicide is often committed out of despair or attributed to some underlying mental disorder, such as depression, bipolar disorder, schizophrenia, alcoholism, or drug abuse...

.

Prenatal

The physical effects of domestic violence on children, different than the effects of direct abuse, can start when they are fetus
Fetus
A fetus is a developing mammal or other viviparous vertebrate after the embryonic stage and before birth.In humans, the fetal stage of prenatal development starts at the beginning of the 11th week in gestational age, which is the 9th week after fertilization.-Etymology and spelling variations:The...

 in their mother's womb, can result in low infant birth weight
Birth weight
Birth weight is the body weight of a baby at its birth.There have been numerous studies that have attempted, with varying degrees of success, to show links between birth weight and later-life conditions, including diabetes, obesity, tobacco smoking and intelligence.-Determinants:There are...

s, premature birth
Premature birth
In humans preterm birth refers to the birth of a baby of less than 37 weeks gestational age. The cause for preterm birth is in many situations elusive and unknown; many factors appear to be associated with the development of preterm birth, making the reduction of preterm birth a challenging...

, excessive bleeding
Bleeding
Bleeding, technically known as hemorrhaging or haemorrhaging is the loss of blood or blood escape from the circulatory system...

, and fetal death, due to the mother's physical trauma
Trauma (medicine)
Trauma refers to "a body wound or shock produced by sudden physical injury, as from violence or accident." It can also be described as "a physical wound or injury, such as a fracture or blow." Major trauma can result in secondary complications such as circulatory shock, respiratory failure and death...

 and emotional stress. Increased maternal stress during the times of abuse, especially when combined with smoking
Smoking
Smoking is a practice in which a substance, most commonly tobacco or cannabis, is burned and the smoke is tasted or inhaled. This is primarily practised as a route of administration for recreational drug use, as combustion releases the active substances in drugs such as nicotine and makes them...

 and drug abuse
Drug abuse
Substance abuse, also known as drug abuse, refers to a maladaptive pattern of use of a substance that is not considered dependent. The term "drug abuse" does not exclude dependency, but is otherwise used in a similar manner in nonmedical contexts...

, can also lead to premature deliveries and low weight babies.

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 battered. Infants may be inconsolable and irritable, have a lack of responsiveness secondary to lacking the emotional and physical attachment to their mother, suffer from developmental delays, and have excessive diarrhea
Diarrhea
Diarrhea , also spelled diarrhoea, is the condition of having three or more loose or liquid bowel movements per day. It is a common cause of death in developing countries and the second most common cause of infant deaths worldwide. The loss of fluids through diarrhea can cause dehydration and...

 from both trauma and stress.

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
Child development
Child development stages describe theoretical milestones of child development. Many stage models of development have been proposed, used as working concepts and in some cases asserted as nativist theories....

 and physical well being
Quality of life
The term quality of life is used to evaluate the general well-being of individuals and societies. The term is used in a wide range of contexts, including the fields of international development, healthcare, and politics. Quality of life should not be confused with the concept of standard of...

. The children, however, will exhibit physical symptom
Symptom
A symptom is a departure from normal function or feeling which is noticed by a patient, indicating the presence of disease or abnormality...

s 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
Anxiety is a psychological and physiological state characterized by somatic, emotional, cognitive, and behavioral components. The root meaning of the word anxiety is 'to vex or trouble'; in either presence or absence of psychological stress, anxiety can create feelings of fear, worry, uneasiness,...

 often accompanies a physical symptom in children who witness domestic violence in the home. These children harbor feelings of guilt
Guilt
Guilt is the state of being responsible for the commission of an offense. It is also a cognitive or an emotional experience that occurs when a person realizes or believes—accurately or not—that he or she has violated a moral standard, and bears significant responsibility for that...

, blame, and are constantly on edge. They may startle at the smallest things, such as a car door slamming or a glass cup accidentally falling to the floor. If their anxiety progresses to more physical symptoms, they may show signs of tiredness from lack of sleep and weight and nutrition
Nutrition
Nutrition is the provision, to cells and organisms, of the materials necessary to support life. Many common health problems can be prevented or alleviated with a healthy diet....

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. Some physical findings may be difficult to evaluate, like changes in their eating habits, sleep patterns, or bowel patterns should be further examined or questioned by someone whom they trust.

Behavioral Symptoms

Children exposed to domestic violence are likely to develop behavioral
Behaviorism
Behaviorism , also called the learning perspective , is a philosophy of psychology based on the proposition that all things that organisms do—including acting, thinking, and feeling—can and should be regarded as behaviors, and that psychological disorders are best treated by altering behavior...

 problems, such as regressing
Regression (psychology)
Regression, according to psychoanalyst Sigmund Freud, is a defense mechanism leading to the temporary or long-term reversion of the ego to an earlier stage of development rather than handling unacceptable impulses in a more adult way...

, exhibiting out of control behavior, and imitating behaviors. Children may think that violence
Violence
Violence is the use of physical force to apply a state to others contrary to their wishes. violence, while often a stand-alone issue, is often the culmination of other kinds of conflict, e.g...

 is an acceptable behavior of intimate relationships and become either the abused or the abuser. Some warning signs are bed-wetting, nightmare
Nightmare
A nightmare is an unpleasant dream that can cause a strong negative emotional response from the mind, typically fear or horror, but also despair, anxiety and great sadness. The dream may contain situations of danger, discomfort, psychological or physical terror...

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
Confrontation is a tactical fantasy miniature wargaming in which the combatants are represented by metal figures in 28 mm scale. For comparison purposes, the system's figures are slightly larger than those of Games Workshop or The Foundry....

 and excessive attention getting.

Adolescents are in jeopardy of academic failure, school drop-out, and substance abuse
Substance abuse
A substance-related disorder is an umbrella term used to describe several different conditions associated with several different substances .A substance related disorder is a condition in which an individual uses or abuses a...

.

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
Denial is a defense mechanism postulated by Sigmund Freud, in which a person is faced with a fact that is too uncomfortable to accept and rejects it instead, insisting that it is not true despite what may be overwhelming evidence.The subject may use:* simple denial: deny the reality of the...

 and aggression
Aggression
In psychology, as well as other social and behavioral sciences, aggression refers to behavior between members of the same species that is intended to cause humiliation, pain, or harm. Ferguson and Beaver defined aggressive behavior as "Behavior which is intended to increase the social dominance of...

 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
Teen dating violence
-What is teen dating violence?:Teen dating violence is defined as the physical, sexual, or psychological/emotional violence within a dating relationship. According to the United States' Centers for Disease Control and Prevention the prevalence of teen dating violence is often misunderstood...

, regularly abusing or being abused by their partners verbally, mentally, emotionally, sexually and/or physically. 30 to 50% of dating relationships can exhibit the same cycle of escalating violence in their marital relationships.

Emotional Symptoms

Children exposed to violence in their home often have conflicting feelings towards their parents; For instance, distrust
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 on distrust simply divide the responsibility so that...

 and affection
Affection
Affection or fondness is a "disposition or rare state of mind or body" that is often associated with a feeling or type of love. It has given rise to a number of branches of philosophy and psychology concerning: emotion ; disease; influence; state of being ; and state of mind...

 often coexist for the abuser. The child becomes overprotective of the victim and feels sorry for them.

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. Grief
Grief
Grief is a multi-faceted response to loss, particularly to the loss of someone or something to which a bond was formed. Although conventionally focused on the emotional response to loss, it also has physical, cognitive, behavioral, social, and philosophical dimensions...

, shame
Shame
Shame is, variously, an affect, emotion, cognition, state, or condition. The roots of the word shame are thought to derive from an older word meaning to cover; as such, covering oneself, literally or figuratively, is a natural expression of shame....

, and low self esteem are common emotions that children exposed to domestic violence experience.

Depression

Depression is a common problem in these children. 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
Anger is an automatic response to ill treatment. It is the way a person indicates he or she will not tolerate certain types of behaviour. It is a feedback mechanism in which an unpleasant stimulus is met with an unpleasant response....

 and are more aggressive than other children. Even in situations that do not call for it, children will respond with anger.

Post Traumatic Stress Disorder

Post Traumatic Stress Disorder can result in children from exposure to domestic violence. Symptoms of this are nightmares, insomnia
Insomnia
Insomnia is most often defined by an individual's report of sleeping difficulties. While the term is sometimes used in sleep literature to describe a disorder demonstrated by polysomnographic evidence of disturbed sleep, insomnia is often defined as a positive response to either of two questions:...

, anxiety, increased alertness to the environment, having problems concentrating, and can lead to physical symptoms.

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 children. The responsibilities that they take on are beyond normal 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
Desensitization
Desensitization can refer to:* Desensitization * Desensitization * Desensitization * Desensitization of explosives, see Phlegmatized...

 to aggressive behavior, poor anger management and problem solving skills, and learn to engage in exploitative relationships.
  • School age children exposed to domestic violence present with an excessive worry of possible danger and feelings of resentment towards the perpetrating party. Symptoms include isolation from friends and relatives in an effort to stay close to siblings and victimized parent.
  • Adolescent children present with a difficulty in trusting adults and engage in excessive social involvement to avoid volatile situations at home. 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 violene require a safe nurturing environment and the space and respect to progress at their own pace. The caretaker should provide reassurance and an increase sense of security by providing explanations and comfort for the things that worry the children, like loud noises. The 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 organization’s designed to assist families in domestic violence situations.

Effects on Infants and Toddlers

Children exposed to domestic violence at infancy often experience an inability to bond and form secure attachments, often resulting in intensified startle 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 and kindergarten
Kindergarten
A kindergarten is a preschool educational institution for children. The term was created by Friedrich Fröbel for the play and activity institute that he created in 1837 in Bad Blankenburg as a social experience for children for their transition from home to school...

 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
Worry is thoughts, images and emotions of a negative nature in whichmental attempts are made to avoid anticipated potential threats. As an emotion it is experienced as anxiety or concern about a real or imagined issue, usually personal issues such as health or finances or broader ones such as...

, 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
Concentration
In chemistry, concentration is defined as the abundance of a constituent divided by the total volume of a mixture. Four types can be distinguished: mass concentration, molar concentration, number concentration, and volume concentration...

 problems.

Preschoolers living with violence internalize the learned gender roles associated with victimization, 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.

Effects of infants witnessing domestic violence

  • Cries excessively, screaming
  • Diarrhea
  • Digestive problems
  • Failure to thrive
  • Feeding and sleeping routines are disrupted
  • Frequent illness
  • Injuries while caught in the crossfire
  • Irritability, sadness, anxiety
  • Low weight
  • Need for attachment is disrupted
  • No appetite
  • Sleeping problems
  • Startles easily

Effects of toddlers witnessing domestic violence

  • Insomnia/parasomnias
  • Lack feelings of safety
  • Regressive behaviors
  • Separation/stranger anxiety

Ways to help

Early intervention is one of the best ways to counteract the effects of witnessing abuse. Ways to help children who have witnessed domestic abuse include:
  • Arrange school age children to receive counseling from professionals at their school, often school counselors.
  • Experiement with various types of counseling: play therapy, peer support groups, anger management classes and safety programs to teach kids how to extract themselves from dangerous situations.
  • Help children find 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. 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.
  • Provide a safe environment that does not include violence in any form after a child has witnessed domestic violence.
  • Find ways to discipline that do not involve hitting, name-calling, yelling, or any form of verbally aggressive behavior.
  • Help children create a sense of safety by having scheduled routines, such as regular meals and homework times.

See also

Further reading

  • Project Making Medicine. Center on Child Abuse and Neglect. 2005. Oklahoma City, OK.
  • How are children affected by domestic violence? Custody Preparation for Moms.
  • Sexual Assault Survivor Services (SASS). (1996). Facts about domestic violence.
  • 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.
  • Parentification Research
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