Annual Research Review: Umbrella synthesis of meta-analyses on child maltreatment antecedents and interventions: differential susceptibility perspective on risk and resilience.

Child maltreatment in the family context is a prevalent and pervasive phenomenon in many modern societies. The global perpetration of child abuse and neglect stands in stark contrast to its almost universal condemnation as exemplified in the United Nation's Convention on the Rights of the Child. Much work has been devoted to the task of prevention, yet a grand synthesis of the literature is missing. Focusing on two core elements of prevention, that is, antecedents for maltreatment and the effectiveness of (preventative) interventions, we performed an umbrella review of meta-analyses published between January 1, 2014, and December 17, 2018. Meta-analyses were systematically collected, assessed, and integrated following a uniform approach to allow their comparison across domains. From this analysis of thousands of studies including almost 1.5 million participants, the following risk factors were derived: parental experience of maltreatment in his or her own childhood (d = .47), low socioeconomic status of the family (d = .34), dependent and aggressive parental personality (d = .45), intimate partner violence (d = .41), and higher baseline autonomic nervous system activity (d = .24). The effect size for autonomic stress reactivity was not significant (d = -.10). The umbrella review of interventions to prevent or reduce child maltreatment showed modest intervention effectiveness (d = .23 for interventions targeting child abuse potential or families with self-reported maltreatment and d = .27 for officially reported child maltreatment cases). Despite numerous studies on child maltreatment, some large gaps in our knowledge of antecedents exist. Neurobiological antecedents should receive more research investment. Differential susceptibility theory may shed more light on questions aimed at breaking the intergenerational transmission of maltreatment and on the modest (preventive) intervention effects. In combination with family-based interaction-focused interventions, large-scale socioeconomic experiments such as cash transfer trials and experiments with vouchers to move to a lower-poverty area might be tested to prevent or reduce child maltreatment. Prevalence, antecedents, and preventive interventions of prenatal maltreatment deserve continuing scientific, clinical, and policy attention

Psychopathic traits in young children

Callous and unemotional (CU) traits provide researchers and clinicians with an additional dimension when assessing children displaying early-onset conduct problems. Evidence from genetic, brain and cognitive studies to date suggests that antisocial children with psychopathic personality traits are genetically more vulnerable to antisocial behaviour than their antisocial peers. Neuroimaging studies in adults with psychopathy have demonstrated amygdala hyporeactivity to emotional stimuli, while there is some suggestion that adults with antisocial behaviour but no psychopathy may show the opposite pattern. Child neuroimaging data in this area are still thin on the ground; however, behavioural data support the hypothesis that antisocial children with callous-unemotional traits may have some amygdala abnormality. When compared with each other, antisocial children with callous-unemotional traits demonstrate hyposensitivity to others’ distress, while other antisocial children appear hypersensitive to anger directed towards them. New research combining different levels of analyses will no doubt provide further insight about the distinct developmental patterns associated with psychopathy, and help to inform methods of intervention, allowing treatment of antisocial behaviour to be targeted according to whether elevated levels of CU traits are presen