Makhoul Khoury Siwar, Cohen Ayala, Fabris Matteo Angelo, Gur Ayelet
Social Work Department, Research Center for Innovation in Social Work (RCISW), Tel-Hai College, Upper Galilee, North District, Qiryat Shemona 1220800, Israel.
Department of Psychology, University of Turin, 10124 Turin, Italy.
Children (Basel). 2025 Mar 20;12(3):386. doi: 10.3390/children12030386.
Children with disabilities face an increased risk of neglect and maltreatment due to their dependence on caregivers, social isolation, and challenges in seeking help. While extensive research has examined child abuse, neglect remains an underexplored yet pervasive issue affecting this vulnerable population. This scoping review synthesizes literature from the past decade to assess the prevalence, characteristics, and risk factors of neglect among children with disabilities, aiming to identify gaps in research and inform policy and intervention efforts. Following the PRISMA-ScR guidelines, a systematic search was conducted across multiple electronic databases, including PsycNET, Social Services Abstracts, ERIC, PubMed, and EBSCO. Studies were included if they focused on neglect among children with disabilities and were published in English within the last ten years. Thematic analysis was employed to extract and categorize findings. Sixteen studies met the inclusion criteria, revealing a significantly higher prevalence of neglect among children with disabilities compared to their typically developing peers. The type and severity of disability influenced the likelihood and nature of neglect, with children with intellectual disabilities (ID), autism spectrum disorder (ASD), and sensory impairments facing particularly high risks. Key risk factors included parental stress, economic hardship, limited access to resources, and systemic failures in early identification and intervention. Despite the severity of neglect, evidence-based preventive strategies remain scarce, and existing child protection frameworks often fail to account for the unique needs of children with disabilities. The findings underscore the urgent need for targeted interventions, specialized training for professionals, and policy reforms to address the neglect of children with disabilities. Future research should focus on developing and evaluating culturally sensitive and disability-specific support systems to mitigate the long-term consequences of neglect.
由于残疾儿童依赖照料者、社会孤立以及寻求帮助方面存在困难,他们面临着被忽视和虐待的风险增加。虽然已有大量研究探讨了儿童虐待问题,但忽视仍然是一个未得到充分研究却普遍存在的问题,影响着这一弱势群体。本范围综述综合了过去十年的文献,以评估残疾儿童中忽视行为的患病率、特征和风险因素,旨在找出研究中的差距,并为政策制定和干预措施提供参考。按照PRISMA-ScR指南,在多个电子数据库中进行了系统检索,包括PsycNET、社会服务摘要数据库、教育资源信息中心数据库、医学期刊数据库和EBSCO数据库。如果研究聚焦于残疾儿童中的忽视行为且在过去十年内以英文发表,则纳入研究范围。采用主题分析法提取并分类研究结果。十六项研究符合纳入标准,结果显示残疾儿童被忽视的患病率显著高于发育正常的同龄人。残疾的类型和严重程度影响了忽视行为的可能性和性质,智力残疾、自闭症谱系障碍和感官障碍儿童面临的风险尤其高。关键风险因素包括父母压力、经济困难、资源获取受限以及早期识别和干预方面的系统性失灵。尽管忽视问题严重,但基于证据的预防策略仍然匮乏,现有的儿童保护框架往往未能考虑到残疾儿童的特殊需求。研究结果强调迫切需要针对性的干预措施、为专业人员提供专门培训以及进行政策改革,以解决对残疾儿童的忽视问题。未来的研究应侧重于开发和评估具有文化敏感性且针对残疾儿童的支持系统,以减轻忽视行为的长期后果。