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A Critical Review of the Psychometric Evidence Base of the Child Abuse Potential Inventory

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Abstract

Screening for potential child abuse is an essential component of work in many child and family services. The Child Abuse Potential inventory (CAP; Milner 1986) is one measure developed to help in this task. The primary aim of this review is to critically evaluate studies reporting psychometric information of the CAP. A previous paper by Milner (Clinical Psychology Review 14(6): 547–583 1994) reviewed studies evaluating the psychometric properties of the measure up to 1994. Since then over 100 articles have been published that consider the measurement properties of this tool. This review considers 27 papers published since Milner’s (Clinical Psychology Review 14(6): 547–583 1994) review that clarify previous findings in relation to specific psychometric properties of the CAP. In particular, this review focuses on studies that provide information on the cross-cultural validity of the CAP, on the internal consistency of the CAP measure as a whole and its subscales, or on sensitivity and specificity classification rates. Studies providing information on the differential validity of the CAP (using at least two differentiated sample groups) or the efficacy of the CAP to identify change are also considered. Published evidence suggests that the CAP can help assess for a range of difficulties associated with increased risk for physical child abuse. The CAP scales have shown good internal consistency estimates across sample groups and cultures, with similar underlying themes for CAP factors reported for the different cultures studied. The differential validity of the CAP has also been shown, although sensitivity and specificity classification rates have varied. The CAP appears able to indicate some degree of pre—to post-intervention change, although further investigation is required to clarify what changes in CAP scores actually reflect. Further investigation of this measure in other countries is also required.

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References

  • Abidin, R. R. (1983). Parenting stress index: manual. Charlottesville: Pediatric Psychology.

    Google Scholar 

  • Ammerman, R. T., Kolko, D. J., Kirisci, L., Blackson, T. C., & Dawes, M. A. (1999). Child Abuse Potential in parents with histories of substance use disorder. Child Abuse and Neglect, 23(12), 1225–1238.

    Article  CAS  PubMed  Google Scholar 

  • Ateah, C. A., Secco, M. L., & Woodgate, R. L. (2003). The risks and alternatives to physical punishment use with children. Journal of Pediatric Health Care, 17, 126–132.

    Article  Google Scholar 

  • Azar, S. T., & Wolfe, D. A. (1998). Child physical abuse and neglect. In E. J. Mash and R. A. Barkley (Eds.) Treatment of Childhood Disorders (2nd ed.). New York: Guilford Press.

  • Black, D. A., Heyman, R. E., & Smith-Slep, A. M. (2001). Risk factors for child physical abuse. Aggression and Violent Behavior, 6, 121–188.

    Article  Google Scholar 

  • Bland, J. M., & Altman, D. G. (1994). Statistical notes: regression towards the mean. British Medical Journal, 308, 1499.

    CAS  PubMed  Google Scholar 

  • Blinn-Pike, L., & Mingus, S. (2000). The internal consistency of the Child Abuse Potential Inventory with adolescent mothers. Journal of Adolescence, 23, 107–111.

    Article  CAS  PubMed  Google Scholar 

  • Brown, E. J. (2003). Child physical abuse: risk for psychopathology and efficacy of interventions. Current Psychiatric Reports, 5(2), 87–94.

    Article  Google Scholar 

  • Budd, K. S., Heilman, N. E., & Kane, D. (2000). Psychosocial correlates of child abuse potential in multiply disadvantaged adolescent mothers. Child Abuse and Neglect, 24(5), 611–625.

    Article  CAS  PubMed  Google Scholar 

  • Caselles, C. E., & Milner, J. S. (2000). Evaluations of child transgressions, disciplinary choices, and expected child compliance in a no-cry and a crying infant condition in physically abusive and comparison mothers. Child Abuse and Neglect, 24(4), 477–491.

    Article  CAS  PubMed  Google Scholar 

  • Cawson, P., Wattam, C., Brooker, S., & Kelly, G. (2000). Child maltreatment in the United Kingdom: a study of the prevalence of abuse and neglect. London: NSPCC.

    Google Scholar 

  • Cerny, J. E., & Inouye, J. (2001). Utilizing the Child Abuse Potential Inventory in a community health nursing program for child abuse. Journal of Community Health Nursing, 18(4), 199–211.

    CAS  PubMed  Google Scholar 

  • Cicchetti, D., & Toth, S. L. (1995). A developmental psychopathology perspective on child abuse and neglect. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 541–565.

    Google Scholar 

  • Cousins, J., & Watkins, D. (2005). Macrotheories: child physical punishment, injury and abuse. Community Practitioner, 78(8), 276–279.

    Google Scholar 

  • Creighton, S. J. (1992). Child abuse trends in England and Wales 1988–1990: and an overview from 1973–1990. London: NSPCC.

    Google Scholar 

  • Crouch, J. L., Milner, J. S., & Thomsen, C. (2001). Childhood physical abuse, early social support, and risk for maltreatment: Current social support as a mediator of risk for child physical abuse. Child Abuse and Neglect, 25, 93–107.

    Google Scholar 

  • Dadds, M. R., Mullins, M. J., McAllister, R. A., & Atkinson, E. (2003). Attributions, affect, and behavior in abuse-risk mothers: a laboratory study. Child Abuse and Neglect, 27, 21–45.

    Article  PubMed  Google Scholar 

  • De Paúl, J., & Domencech, L. (2000). Childhood history of abuse and child abuse potential in adolescent mothers: a longitudinal study. Child Abuse and Neglect, 24(5), 701–713.

    Article  PubMed  Google Scholar 

  • De Paúl, J., Milner, J. S., & Múgica, P. (1995). Childhood maltreatment, childhood social support, and child abuse potential in a Basque sample. Child Abuse and Neglect, 19(8), 907–920.

    Article  PubMed  Google Scholar 

  • Diareme, S., Tsiantis, J., & Tsitoura, S. (1997). Cross-cultural validation of the Child Abuse Potential Inventory in Greece: a preliminary study. Child Abuse and Neglect, 21(11), 1067–1079.

    Article  CAS  PubMed  Google Scholar 

  • Dolz, L., Cerezo, M. A., & Milner, J. S. (1997). Mother-child interactional patterns in high—and low-risk mothers. Child Abuse and Neglect, 21(12), 1149–1158.

    Article  CAS  PubMed  Google Scholar 

  • Dopke, C. A., & Milner, J. S. (2000). Impact of child non-compliance on stress appraisals, attributions, and disciplinary choices in mothers at high and low risk for child physical abuse. Child Abuse and Neglect, 24(4), 493–504.

    Article  CAS  PubMed  Google Scholar 

  • Egeland, B. (1993). A history of abuse is a major risk factor for abusing the next generation. In: R.J. Gelles and D.R. Loseke (eds) Current controversies on family violence. Newbury Park, Calif.; London: Sage.

  • Emery, R. E., & Laumann-Billings, L. (1998). An overview of the nature, causes, and consequences of abusive family relationships: Toward differentiating maltreatment and violence. American Psychologist, 53(2), 121–135.

    Google Scholar 

  • Gara, M. A., Rosenberg, S., & Herzog, E. P. (1996). The abused child as parent. Child Abuse and Neglect, 20, 797–807.

    Google Scholar 

  • Gara, M. A., Allen, L. A., Herzog, E. P., & Woolfolk, R. L. (2000). The abused child as parent: the structure and content of physically abused mothers’ perceptions of their babies. Child Abuse and Neglect, 24, 627–639

    Google Scholar 

  • Gershoff, E.T. (2002). Corporal punishment by parents and associated child behaviours and experiences: A meta-analytic and theoretical review. Psychological Bulletin, 128(4), 539–579.

    Google Scholar 

  • Haapasalo, J., & Aaltonen, T. (1999). Child abuse potential: how persistent? Journal of Interpersonal Violence, 14(6), 571–585.

    Article  Google Scholar 

  • Haskett, M. E., Scott, S. S., & Fann, K. D. (1995). Child Abuse Potential Inventory and parenting behavior: relationships with high-risk correlates. Child Abuse and Neglect, 19(12), 1483–1495.

    Article  CAS  PubMed  Google Scholar 

  • Haz, A. M., & Ramirez, V. (1998). Preliminary validation of the child abuse potential inventory in Chile. Child Abuse and Neglect, 22(9), 869–879.

    Article  CAS  PubMed  Google Scholar 

  • Heinze, M. C., & Grisso, T. (1996). Review of instruments assessing parenting competencies used in child custody evaluations. Behavioral Sciences and the Law, 14(3), 293–313.

    Article  Google Scholar 

  • Helfer, R. E., Hoffmeister, J. K., & Schneider, C. J. (1978). MSPP: a manual for the use of the Michigan Screening Profile of Parenting. Boulder: Express.

    Google Scholar 

  • Herman, K. C. (1995). Appropriate use of the Child Abuse Potential Inventory in a big brothers / big sisters agency. Journal of Social Service Research, 20(3/4), 93–103.

    Article  Google Scholar 

  • Herrenkohl, R. C., Egolf, B. P., & Herrenkohl, E. C. (1997). Preschool antecedents of adolescent assaultive behaviour: A longitudinal study. American Journal of Orthopsychiatry, 67(3), 422–432.

    Google Scholar 

  • Herron, K., & Holtzworth-Munroe, A. (2002). Child abuse potential: a comparison of subtypes of martially violent men and non-violent men. Journal of Family Violence, 17(1), 1–21.

    Article  Google Scholar 

  • Holden, E. W., & Banez, G. A. (1996). Child abuse potential and parenting stress within maltreating families. Journal of Family Violence, 11(1), 1–12.

    Article  Google Scholar 

  • Kolko, D. J. (1996). Individual cognitive behavioral treatment and family therapy for physically abused children and their offending parents: a comparison of clinical outcomes. Child Maltreatment, 1(4), 322–342.

    Article  Google Scholar 

  • Kolko, D. J. (2002). Child Physical Abuse. In J.E.B. Myers, L. Berliner, J. Briere, C.T. Hendrix, C. Jenny and T.A. Reid (Eds.) The APSAC Handbook on Child Maltreatment (2nd ed.). Thousand Oaks, California: Sage Publications.

    Article  Google Scholar 

  • Larzelere, R. E. (2000). Child outcomes of nonabusive and customary physical punishment by parents: An updated literature review. Clinical Child and Family Psychology Review, 3(4), 199–221.

    Google Scholar 

  • McCurdy, K. (2005). The influence of support and stress on maternal attitudes. Child Abuse and Neglect, 29, 251–268.

    Article  PubMed  Google Scholar 

  • McNary, S. W., & Black, M. M. (2003). Use of the Child Abuse Potential Inventory as a measure of treatment outcome. Child Abuse and Neglect, 27, 459–461.

    Article  PubMed  Google Scholar 

  • Miller, B. A., Smyth, N. J., & Mudar, P. A. (1997). Mothers’ alcohol and other drug problems and their punitiveness toward their children. Journal of Studies on Alcohol, 60(5), 632–642.

    Google Scholar 

  • Milner, J. S. (1986). The child abuse potential inventory manual (2nd ed.). Webster: Psytec Inc.

    Google Scholar 

  • Milner, J. S. (1994). Assessing physical child abuse risk: the Child Abuse Potential Inventory. Clinical Psychology Review, 14(6), 547–583.

    Article  Google Scholar 

  • Milner, J. S., & Wimberley, R. C. (1980). Prediction and explanation of child abuse. Journal of Clinical Psychology, 36, 875–884.

    Article  CAS  PubMed  Google Scholar 

  • Milner, J. S., Gold, R. G., & Wimberley, R. C. (1986). Prediction and explanation of child abuse: cross-validation of the Child Abuse Potential Inventory. Journal of Consulting and Clinical Psychology, 54, 865–866.

    Article  CAS  PubMed  Google Scholar 

  • Milner, J. S., Halsey, L. B., & Fultz, J. (1995). Empathic responsiveness and affective reactivity to infant stimuli in high—and low-risk for physical child abuse mothers. Child Abuse and Neglect, 19(6), 767–780.

    Article  CAS  PubMed  Google Scholar 

  • Montes, M. P., de Paúl, J., & Milner, J. S. (2001). Evaluations, attributions, affect, and disciplinary choices in mothers at high and low risk for child physical abuse. Child Abuse and Neglect, 25, 1015–1036.

    Article  CAS  PubMed  Google Scholar 

  • Ondersma, S. J., Chaffin, M. J., Mullins, S. M., & Lebreton, J. M. (2005). A brief form of the child abuse potential inventory: development and validation. Journal of Clinical Child and Adolescent Psychology, 34(2), 301–311. Jun.

    Article  PubMed  Google Scholar 

  • Pečnik, N., & Ajduković, M. (1995). The Child Abuse Potential Inventory: cross-validation in Croatia. Psychological Reports, 76, 979–985.

    PubMed  Google Scholar 

  • Perez-Albeniz, A., & de Paúl, J. (2003). Dispositional empathy in high—and low-risk parents for child physical abuse. Child Abuse and Neglect, 27, 769–780.

    Article  CAS  PubMed  Google Scholar 

  • Perez-Albeniz, A., & de Paúl, J. (2004). Gender differences in empathy in parents at high—and low-risk of child physical abuse. Child Abuse and Neglect, 28, 289–300.

    Article  CAS  PubMed  Google Scholar 

  • Read, J., van Os, J., Morrison, A. P., & Ross, C. A. (2005). Childhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications. Acta Psychiatrica Scandinavica, 112, 330–350.

    Google Scholar 

  • Runyon, M. K., Deblinger, E., Ryan, E. E., & Thakkar-Kolar, R. (2004). An overview of child physical abuse: Developing an integrated parent-child cognitive-behavioural treatment approach. Trauma, Violence and Abuse, 5(1), 65–85.

    Google Scholar 

  • Schneider, C. J. (1982). The Michigan screening profile of parenting. In R. Starr (Ed.), Child abuse prediction (pp. 157–174). Cambridge: Ballinger.

    Google Scholar 

  • Speight, N. (2006). Child abuse. Current Paediatrics, 16, 100–105.

    Article  Google Scholar 

  • Straus, M. A. (1979). Measuring intrafamily conflict and violence: the Conflicts Tactics (CT) scale. Journal of Marriage and the Family, 41, 75–88.

    Article  Google Scholar 

  • Todd, M. K., & Gesten, E. L. (1999). Predictors of child abuse potential in at-risk adolescents. Journal of Family Violence, 14(4), 417–436.

    Article  Google Scholar 

  • Trickett, P. K., McBride-Chang, C. (1995). The developmental impact of different forms of child abuse and neglect. Developmental Review, 15, 311–337.

    Google Scholar 

  • Widom, C. S. (1989). Does violence beget violence? A critical examination of the literature. Psychological Bulletin, 106, 3–28.

    Google Scholar 

  • Wimberley, R. C., & Milner, J. S. (1982). Scoring child abuse. Paper presented at the meeting of the Southern Sociological Society, Memphis.

  • Winchester, R. (2001). Child protection: is the child protection system good enough? Community Care, 1357, 10–11.

    Google Scholar 

  • Wolfe, D. A., Wekerle, C., Reitzel-Jaffe, D., & Lefebvre, L. (1998). Factors associated with abusive relationships among maltreated and nonmaltreated youth. Development and Psychopathology, 10, 61–85.

    Google Scholar 

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Correspondence to Clare A. Walker.

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Walker, C.A., Davies, J. A Critical Review of the Psychometric Evidence Base of the Child Abuse Potential Inventory. J Fam Viol 25, 215–227 (2010). https://doi.org/10.1007/s10896-009-9285-9

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