Addressing the Neglect of Emotional Neglect: Prevalence and Long-Term Consequences in a Low-Income Sample

Abstract

Emotional neglect (EN) is severely underrepresented in child maltreatment research. The current study addressed this gap by estimating the prevalence and psychosocial consequences of EN in a sample of 1,926 low-income women who received home visiting services. Results indicated that 22% to 57% endured EN depending on the operational criteria, exceeding general population estimates. Rates of endorsement differed across racial/ethnic groups, underscoring the need to explore the extent to which prevalence varies along with sampling and measurement approaches. Regression analyses showed that EN was associated with mental health and relationship difficulties in adulthood, including higher depression, anxiety, and PTSD scores; lower levels of social support and relationship satisfaction; and an increased risk of intimate partner violence. Controlling for demographics and other adverse childhood experiences, EN was associated with small but robust effects on adult mental health and social relationships at two time points four years apart. Taken together, the findings confirm EN deserves greater attention from researchers and practitioners.