Terri Lewis

• Professor (Associate) at University of Colorado

Background Child maltreatment and caregiver history of abuse is negatively associated with the development of emotion regulation, and maltreatment in early childhood may be particularly disruptive. Objective We examined patterns of emotion dysregulation and the contribution of caregiver victimization and early maltreatment history on the developme...

Few studies have reported problem behaviors in adulthood related to the timing of child neglect. The objective was to examine the relationship between classes of child neglect and later behavior. The sample included 473 participants from the prospective Longitudinal Studies of Child Abuse and Neglect (LONGSCAN); their mean age was 23.8 years. They...

Importance In the United States, adolescents who are lesbian, gay, or bisexual (LGB) face disparities across physical and mental health outcomes compared with non-LGB youth, yet few studies have looked at patterns of health care utilization by sexual orientation. Objective To compare health care utilization indicators for LGB and non-LGB youth. D...

Children exposed to maltreatment are at risk of experiencing intimate partner violence (IPV) and behavioral problems. This study examined different forms of family violence that co-occur and their relationship to children’s externalizing behaviors across developmental stages (early childhood, middle childhood, adolescence). Longitudinal data ( N =...

The purpose of the current study was to examine the potential mediating effects of internalizing and externalizing problems at ages 14, 16 and 18 between types of childhood maltreatment and alcohol and marijuana use problems and disorders in young adulthood. Data were from 473 young adults who participated in the Longitudinal Studies of Child Abuse...

Background: Computed tomography (CT) is commonly used for children when there is concern for traumatic brain injury (TBI) and is a significant source of ionizing radiation. Our objective was to determine the feasibility and accuracy of fast MRI (motion-tolerant MRI sequences performed without sedation) in young children. Methods: In this prospec...

Background: Neglect is the most common form of child maltreatment with consequences that appear to be as serious as for abuse. Despite this, the problem has received less than its due attention. Objective: To examine the relationship between the timing and chronicity of neglect during childhood and substance use in early adulthood. Participants...

Introduction: The purpose of this prospective study is to examine the role of emotional abuse in predicting youth smoking. Methods: Data were drawn from the Longitudinal Studies of Child Abuse and Neglect. The sample was restricted to those who had an interview at age 12 years and at least one interview at ages 14, 16, or 18 years (n=775). Self-...

Introduction: Youth with a history of child maltreatment use substances and develop substance use disorders at rates above national averages. Thus far, no research has examined pathways from maltreatment to age of substance use initiation for maltreated youth. We examined the longitudinal impact of maltreatment in early childhood on age of alcohol...

Risky sexual behavior is a serious public health problem. Child sexual abuse is an established risk factor, but other forms of maltreatment appear to elevate risky behavior. The mechanisms by which child maltreatment influence risk are not well understood. This study used data from 859 high-risk youth, followed through age 18. Official reports of e...

Emerging adulthood often entails heightened risk-taking with potential life-long consequences, and research on risk behaviors is needed to guide prevention programming, particularly in under-served and difficult to reach populations. This study evaluated the utility of Respondent Driven Sampling (RDS), a peer-driven methodology that corrects limita...

Child sexual abuse (CSA) continues to be a significant problem with significant short and long term consequences. However, extant literature is limited by the reliance on retrospective recall of adult samples, single-time assessments, and lack of longitudinal data during the childhood and adolescent years. The purpose of this study was to compare i...

Skeletal survey is frequently used to identify occult fractures in young children with concern for physical abuse. Because skeletal survey is relatively insensitive for some abusive fractures, a follow-up skeletal survey (FUSS) may be undertaken at least 10-14 days after the initial skeletal survey to improve sensitivity for healing fractures. This...

The purpose of the current study was to examine the association between violence exposures (no exposure, witness or victim only, and both witness and victim) and attention-deficit/ hyperactivity disorder (ADHD) symptoms, as well as the potential moderating role of gender. Data from 4,745 5th graders and their primary caregivers were drawn from the...

Evidence suggests that parenting attitudes are transmitted within families. However, limited research has examined this prospectively. The current prospective study examined direct effects of early maternal attitudes toward parenting (as measured at child age 4 by the Adult-Adolescent Parenting Inventory [AAPI]) on later youth parenting attitudes (...

Abstract Most studies on the impact of playing violent video games on mental health have focused on aggression. Relatively few studies have examined the relationship between playing violent video games and depression, especially among preadolescent youth. In this study, we investigated whether daily violent video game playing over the past year is...

Objectives Identifying sexual risk patterns associated with HIV/sexually transmitted infections (STI) and early parenthood within population subgroups is critical for targeting risk reduction interventions. Methods Latent Class Analysis (LCA) was used to identify sexual behaviour typologies to predict sexual risk outcomes among 274 (63% female) unm...

Firearms in the home are associated with increased injury risk, especially when loaded and unlocked. In this study, 5,010 fifth-graders and their caregivers in three U.S. metropolitan areas participated in the 2004-2006 Healthy Passages study on adolescent health. Firearm ownership and storage patterns were examined by four self-reported sociodemog...

Childhood obesity continues to be a major public health concern in the United States. This work reviews the current understanding of the relationship between sleep duration and obesity among children and adolescents. A systematic search was conducted for papers published between January 2000 and July 2013 using keywords: (sleep) and (overweight or...

Studies have consistently demonstrated a lack of agreement between youth and parent reports regarding youth-witnessed violence (YWV). However, little empirical investigation has been conducted on the correlates of disagreement. Concordance between youth and parents about YWV was examined in 766 parent-youth dyads from the Longitudinal Studies of Ch...

Background: African American women report low levels of physical activity (PA) and are disproportionately burdened by related chronic diseases. This pilot study tested a 6-month theory-based (Social Cognitive Theory, SCT) culturally-relevant website intervention to promote PA among African American female college students. Materials and methods:...

Objective: Studies have consistently demonstrated a lack of agreement between youth and parent reports regarding youth-witnessed violence. However, little is known about whether disagreement is associated with poorer outcomes and less utilization of mental health services. The purpose of the current study was to examine disagreement among youth an...

A robust literature links childhood sexual abuse (CSA) to later substance use and sexual risk behavior; yet, relatively little empirical attention has been devoted to identifying the mechanisms linking CSA to risky behavior among youth, with even less work examining such processes in boys. With the aim of addressing this gap in the literature, the...

This study identified trajectories of maltreatment re-reports between ages 4 and 12 for children first referred to Child Protective Services (CPS) for maltreatment prior to age 4 and either removed from the home or assessed by a CPS intake worker as moderately or highly likely to be abused/neglected in the future, absent intervention. Participants...

Youth exposure to violence is a significant public health problem, with exposure estimates ranging from 9% to as high as 60%. Research suggests that ADHD, a disorder marked by symptoms of impulsivity, hyperactivity, and/or inattention, is more common among trauma-exposed children, but has not been examined as a function of violence exposure. The cu...

This prospective investigation used multi-informant models to examine whether parental monitoring moderated associations between child maltreatment and either emotional distress or sexual intercourse. Data included 637 youth in the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). Child maltreatment was determined by lifetime Child Protec...

This article provides an overview of mental and physical health outcomes of child maltreatment to help health care providers identify the consequences of maltreatment and consider treatment options. Child maltreatment is associated with a variety of negative physical and mental health outcomes that affect the individual throughout the lifespan and...

The current analyses examined the role of past traumatic experiences in predicting expectations about social, academic, and occupational outcomes. These analyses were conducted in a sample of 843 youth, each 14 years old, who were participants in the Longitudinal Studies on Child Abuse and Neglect (LONGSCAN). The analyses took into account socioeco...

This study examines the association between childhood maltreatment and adolescent smoking and the extent to which internalizing behavioral problems mediate this hypothesized link. Data from 522 youth at ages 12, 14, and 16 and from their caregivers were obtained as part of a prospective, longitudinal study of child abuse and neglect (LONGSCAN). Off...

Witnessed violence has significant negative consequences for youth behavior and mental health. However, many findings on the impact of witnessed violence have been based on a single informant. There is a general lack of consistency between caregiver and youth reports on both witnessed violence and behavioral problems. This study included data from...

Childhood sexual abuse (CSA) has been associated with HIV/AIDS risk behavior; however, much of this work is retrospective and focuses on women. The current study used semi-parametric mixture modeling with youth (n = 844; 48.8% boys) from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) to examine the link between trajectories of CSA (...

This study examined the moderating influence of positive neighborhood factors such as social cohesion and informal social control (collective efficacy), on the relationship between child maltreatment and aggressive behavior at age 12. Caregiver (N = 861) and youth (N = 823) dyads were interviewed when youth were aged 12 as part of a longitudinal st...

To examine whether child maltreatment (physical, emotional, and sexual abuse, and neglect) predicts adolescent sexual intercourse; whether associations between maltreatment and sexual intercourse are explained by children's emotional distress, and whether relations among maltreatment, emotional distress, and sexual intercourse differ according to g...

Despite increasing research on children's exposure to intimate partner aggression/violence (IPAV), and co-occurrence of IPAV and maltreatment, little is known about IPAV in at-risk and maltreating families. We explored the nature of IPAV in 554 homes where children were identified as at risk or reported for maltreatment and examined differences bet...

The goal was to examine the association between early childhood neglect (birth to age 2 years) and later childhood aggression at ages 4, 6, and 8 years, compared with aggression's associations with early childhood abuse and later abuse and neglect. A prospective cohort of 1318 predominantly at-risk children, recruited from 4 US cities and 1 souther...

A sample of 174 college students involved in heterosexual dating relationships was studied lo investigate the role of psychological distress in mediating links between child maltreatment (CM) history and current couple functioning. Females, but not males, with a history of CM reported greater levels of psychological and relationship difficulties th...

LONGSCAN is the largest continuing child maltreatment study funded by the US Administration on Children and Families. Of five local sites, only the Southeast site (n = 243) has completed 18 years of follow-up. This study assessed the effects of lifetime exposure to violence and trauma on young adult engagement in deviant behaviors. Exposure to viol...

A sample of 174 college students involved in heterosexual dating relationships was studied to investigate the role of psychological distress in mediating links between child maltreatment (CM) history and current couple functioning. Females, but not males, with a history of CM reported greater levels of psychological and relationship difficulties th...

This study examines the role of maltreatment in weapon carrying among 12-year-old youth (N = 797) interviewed as part of the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), an ongoing study of the antecedents and consequences of child maltreatment. Participants reported their physical and sexual abuse history and provided responses to i...

Children's exposure to violence is often found to be an important predictor of child outcomes. The measures most frequently used to assess it have not been systematically examined, and there is little consensus about how to use these measures. This study examined a version of the Things I Have Seen and Heard Scale in a sample of 784 children who co...

To examine how maternal and child characteristics interact to moderate injury rate and injury severity for young children. In this study, 149 mothers reported their toddlers' injuries over a 6-month period during biweekly interviews. Mothers completed questionnaires assessing parenting behaviors, psychological characteristics, and their children's...

This study attempted to provide empirical support for conceptual definitions of child neglect. We identified 12 types of needs, conceptualizing neglect as occurring when children's basic needs are not adequately met. We examined measures administered to 377 children and caregivers at ages 4 and 6 years participating in longitudinal studies on child...

To assess parental beliefs that minor childhood injuries play a beneficial role in the development of young children. Mothers and fathers of 159 children, ages 15 to 40 months, completed the Injury Attitudes Questionnaire (IAQ), designed to assess parental beliefs that children "learn from" and "toughen up" as a result of experiencing minor injurie...

This study examined the interplay of marital and severe parental physical aggression, and their links to child behavior problems, in 232 families of clinic-referred adolescents. Combined reports from mothers and adolescents indicated that two thirds of adolescents exposed to marital aggression in the past year had also experienced parental aggressi...

This study examined the interplay of marital and severe parental physical aggression, and their links to child behavior problems, in 232 families of clinic-referred adolescents. Combined reports from mothers and adolescents indicated that two thirds of adolescents exposed to marital aggression in the past year had also experienced parental aggressi...

Injury is the leading killer of children in the United States, yet little research has focused on this vital subject. One of the distinct barriers to injury prevention is the absence of effective assessment devices. Epidemiological aspects of injury have been assessed, but these provide little information at a level sufficient to allow conclusions...

Examined the extent to which 359 mothers and 140 fathers of clinic-referred youth (ages 2 to 17) reported using corporal punishment and severe physical aggression when asked directly via intake screening questionnaires at a community mental health center; higher prevalence rates emerged compared to families in the general population. Clinic-referre...

The purpose of the current research was to investigate adolescent offenders' perspectives about responses to interpersonal aggressive encounters. Specifically, participants' perspectives were assessed regarding the role of a bystander when either a friend or an acquaintance of the bystander was the victim of an aggressive act. Two aggressive acts w...

The purpose of the current research was to investigate adolescent offenders' perspectives about responses to interpersonal aggressive encounters. Specifically, participants' perspectives were assessed regarding the role of a bystander when either a friend or an acquaintance of the bystander was the victim of an aggressive act. Two aggressive acts w...