Systematic Review of the Impact of Parent-Child Separation on Children's Mental Health and Development

Authors

DOI:

https://doi.org/10.5944/rdp.v36i130.44134

Keywords:

Decision-making in family courts, attachment, adoption, family separation, childhood trauma

Abstract

A large number of children   around the world are separated from their parents either by social services or due to parental decisions. The causes are multiple and include child violence, parental abandonment, illegal immigration, parental imprisonment, etc. The purpose of the present study is to review scientific research on the effects on children of being separated from their parents. For this, a Systematic Review was carried out using the PRISMA statement on the scientific bases DOAJ, Scielo and Redalyc. Open access articles in English have been included. The filtering, screening and final selection are expressed in a flowchart and tables. According to the analysis it was identified that the effects are not specific to the type of separation and include a high incidence of neurological changes as a result of psychological trauma, early sexual development, physical and sexual abuse, school dropout, subpar academic performance, strained peer relationships, symptoms of psychosomatic and psychiatric disorders, as well as internalizing and externalizing behavior. It is also associated with anxiety, depression, delinquency, substance abuse, inappropriate sexual behavior and self-harm. Evidence suggests that separation can lead to ongoing cycles of family division. Research has shown that children are most at risk between the ages of 9 months and 9 years. Particularly high-risk conditions include separation during the preschool years, abrupt separation without prior notice to the child, being cared for by strangers and simultaneous change of residence.

Downloads

References

Acion, L., Ramirez, M. R., Jorge, R. E., & Arndt, S. (2013). Increased risk of alcohol and drug use among children from deployed military families. Addiction, 108(8), 1418-1425. https://doi.org/10.1111/add.12161

*Alfano, C. A., Lau, S., Balderas, J., Bunnell, B. E., & Beidel, D. C. (2016). The impact of military deployment on children: Placing developmental risk in context. Clinical Psychology Review, 43, 17-29. https://doi.org/10.1016/j.cpr.2015.11.003

*Amuedo-Durantes, C., & Arenas-Arroyo, E. (2019). Immigration enforcement and children's living arrangements. Journal of Policy Analysis and Management, 38(1), 11-40. https://doi.org/10.1002/pam.22106

*Auersperg, F., Vlasak, T., Ponocny, I., & Barth, A. (2019). Long-term effects of parental divorce on mental health - A meta-analysis. Journal of Psychiatric Research, 119, 107-115. https://doi.org/10.1016/j.jpsychires.2019.09.011

*Bald, A., Chyn, E., Hastings, J. S., & Machelett, M. (2019). The causal impact of removing children from abusive and neglectful homes. National Bureau of Economic Research. https://www.nber.org/system/files/working_papers/w25419/w25419.pdf

*Barajas-Gonzalez, R. G., Ayon, C., & Torres, F. (2018). Applying a community violence framework to understand the impact of immigration enforcement threat on Latino children. SRCD Social Policy Report, 31(3). https://srcd.onlinelibrary.wiley.com/doi/10.1002/sop2.1

*Bell, T., & Romano, E. (2017). Permanency and safety among children in foster family and kinship care: A scoping review. Trauma, Violence, & Abuse, 18(3), 268-286. https://doi.org/10.1177/1524838015611673

*Bergström, M., Fransson, E., Modin, B., Berlin, M., Gustafsson, P. A., & Hjern, A. (2015). Fifty moves a year: is there an association between joint physical custody and psychosomatic problems in children? Journal of Epidemiology and Community Health, 69(8), 769-774. https://doi.org/10.1136/jech-2014-205058

*Bergström, M., Salari, R., Hjern, A., Hognas, R., Bergqvist, K., & Fransson, E. (2021). Importance of living arrangements and coparenting quality for young children's mental health after parental divorce: a cross-sectional parental survey. BMJ Paediatrics Open, 5(1), e000657. https://doi.org/10.1136/bmjpo-2020-000657

*Biehal, N., Sinclair, I., & Wade, J. (2015). Reunifying abused or neglected children: Decision- making and outcomes. Child Abuse & Neglect, 49, 107-118. https://doi.org/10.1016/j.chiabu.2015.04.014

*Boyle, C. (2015). ‘What is the impact of birth family contact on children in adoption and long- term foster care?’ A systematic review. Child and Family Social Work, 22(S1), 22-33. https://doi.org/https://doi.org/10.1111/cfs.12236

Brown, A., Waters, C. S., & Shelton, K. H. (2017). A systematic review of the school performance and behavioural and emotional adjustments of children adopted from care. Adoption & Fostering, 41(4), 346-368. https://doi.org/10.1177/0308575917731064

Child Welfare Information Gateway. (2019). Long term consequences of child abuse and neglect. https://www.childwelfare.gov/pubPDFs/long_term_consequences.pdf

*Côté, S. M., Orri, M., Marttila, M., & Ristikari, T. (2018). Out-of-home placement in early childhood and psychiatric diagnoses and criminal convictions in young adulthood: a population-based propensity score-matched study. The Lancet Child & Adolescent Health, 2(9), 647-653. https://doi.org/10.1016/s2352-4642(18)30207-4

Crittenden, P. (2016). Raising parents: Attachment, representation and treatment. Routledge. https://doi.org/10.4324/9781315726069

*Crittenden, P. M., & Spieker, S. J. (2023). The effects of separation from parents on children. In K. Diann Cameron (Ed.), Child abuse and neglect - perspectives and research (pp. 1-23). IntechOpen. https://doi.org/10.5772/intechopen.1002940

*Culpin, I., Heron, J., Araya, R., & Joinson, C. (2015). Early childhood father absence and depressive symptoms in adolescent girls from a UK cohort: The mediating role of early menarche. Journal of Abnormal Child Psychology, 43(5), 921-931. https://doi.org/10.1007/s10802-014-9960-z

Desmond, M., Kimbro, R. T., & Gault, S. (2020). Child welfare systems and parental separation: Trends in foster care placements. Social Work Research, 44(3), 219–229. https://doi.org/10.1093/swr/svaa003

*Doyle, J. J. (2013). Causal effects of foster care: An instrumental-variables approach. Children and Youth Services Review, 35(7), 1143-1151. https://doi.org/https://doi.org/10.1016/j.childyouth.2011.03.014

*Edyburn, K. L., & Meek, S. (2021). Seeking safety and humanity in the harshest immigration climate in a generation: A review of the literature on the effects of separation and detention on migrant and asylum-seeking children and families in the United States during the Trump administration. SRCD Social Policy Report, 34(1). https://srcd.onlinelibrary.wiley.com/doi/full/10.1002/sop2.12

*Fisher, P. A. (2015). Review: Adoption, fostering, and the needs of looked-after and adopted children. Child and Adolescent Mental Health, 20(1), 5-12. https://doi.org/10.1111/camh.12084

*Friborg, O., Sørlie, T., Schei, B., Javø, C., Sørbye, Ø., & Hansen, K. L. (2020). Do childhood boarding school experiences predict health, well-being and disability pension in adults? A SAMINOR study. Journal of Cross-Cultural Psychology, 51(10), 848-875. https://doi.org/10.1177/0022022120962571

*Fujisawa, T. X., Shimada, K., Takiguchi, S., Mizushima, S., Kosaka, H., Teicher, M. H., & Tomoda, A. (2018). Type and timing of childhood maltreatment and reduced visual cortex volumen in Children and adolescents with reactive attachment disorder. Neuroimage: Clinical, 20, 216–221. https://doi.org/10.1016/j.nicl.2018.07.018

Goemans, A., van Geel, M., & Vedder, P. (2015). Over three decades of longitudinal research on the development of foster children: A meta-analysis. Child Abuse & Neglect, 42, 121-134. https://doi.org/10.1016/j.chiabu.2015.02.003

*Khan, M. R., Scheidell, J. D., Rosen, D. L., Geller, A., & Brotman, L. M. (2018). Early age at childhood parental incarceration and STI/HIV-related drug use and sex risk across the young adult lifecourse in the US: Heightened vulnerability of black and Hispanic. Drug and Alcohol Dependence 183, 231-239. https://doi.org/10.1016/j.drugalcdep.2017.11.006

Kopan, T. (2018). Thousands of children separated from their parents at the border. CNN. Available in: https://edition.cnn.com/2018/06/18/politics/us-border-family-separations/index.html

Lester, P., Peterson, K., Reeves, J., Knauss, L., Glover, D., Mogil, C., Duan, N., Saltzman, W., Pynoos, R., Wilt, K., & Beardslee, W. (2010). The long war and parental combat deployment: effects on military children and at-home spouses. Journal of the Academy of Child & Adolescent Psychiatry, 49(4), 310-320. https://www.ncbi.nlm.nih.gov/pubmed/20410724

*MacLean, S. A., Agyeman, P. O., Walther, J., Singer, E. K., Baranowski, K. A., & Katz, C. L. (2020). Characterization of the mental health of immigrant children separated from their mothers at the U.S.-Mexico border. Psychiatry Research, 286, 112555. https://doi.org/10.1016/j.psychres.2019.112555

* McIntosh, J., Smyth, B. M., & Kelaher, M. (2013). Overnight care patterns following parental separation: Associations with emotion regulation in infants and young children. Journal of Family Studies, 19(3), 224-239. https://doi.org/10.5172/jfs.2013.19.3.224

* Miller, A., Hess, J. M., Bybee, D., & Goodkind, J. R. (2018). Understanding the mental health consequences of family separation for refugees: Implications for policy and practice. American Journal of Orthopsychiatry, 88(1), 26-37.

Milozzi, S., & Marmo, J. (2022). Revisión sistemática de la relación entre apego y regulación emocional [Systematic review of the relationship between attachment and emotional regulation]. Revista Psicología UNEMI, 6(11), 70-86. https://doi.org/10.29076/issn.2602-8379vol6iss11.2022pp70-86p

*Mok, P. L. H., Astrup, A., Carr, M. J., Antonsen, S., Webb, R. T., & Pedersen, C. B. (2018). Experience of child-parent separation and later risk of violent criminality. American Journal of Preventive Medicine, 55(2), 178-186. https://doi.org/10.1016/j.amepre.2018.04.008

Munive-Rojas, S., & Gutiérrez-Garibay, M. (2015). Cómo realizar una revisión sistemática y meta-análisis [How to conduct a systematic review and meta-analysis]. Revista de cardiología del Cuerpo Médico del Instituto Nacional Cardiovascular, 2, 32-37.

Nguyen, D. R., Ee, J., Berry-Caban, C. S., & Hoedebecke, K. (2014). The effects of military deployment on early child development. The Army Medical Department Journal, 81-86.

*Paksarian, D., Eaton, W. W., Mortensen, P. B., Merikangas, K. R., & Pedersen, C. B. (2015). A population-based study of the risk of schizophrenia and bipolar disorder associated with parent-child separation during development. Psychological Medicine, 45(13), 2825-2837. https://doi.org/10.1017/s0033291715000781

*Poitras, K., Tarabulsy, G. M., & Pulido, N. V. (2021). Contact with biological parents following placement in foster care: Associations with preschool child externalizing behavior. Clinical Child Psychology and Psychiatry, 13591045211049295. https://doi.org/10.1177/13591045211049295

Rubin, D. M., O'Reilly, A. L., Luan, X., & Localio, A. R. (2007). The impact of placement stability on behavioral well-being for children in foster care. Pediatrics, 119(2), 336-344. https://doi.org/10.1542/peds.2006-1995

Ryan, J. P., & Testa, M. F. (2005). Child maltreatment and juvenile delinquency: Investigating the role of placement and placement instability. Children and Youth Services Review, 27(3), 227-249. https://doi.org/https://doi.org/10.1016/j.childyouth.2004.05.007

*Running Bear, U., Croy, C. D., Kaufman, C. E., Thayer, Z. M., Manson, S. M., & The, A. I. S. T. (2018). The relationship of five boarding school experiences and physical health status among Northern Plains Tribes. Quality of Life Research, 27(1), 153-157. https://doi.org/10.1007/s11136-017-1742-y

*Sattler, K. M. P. & Font, S. A. (2021). Predictors of adoption and guardianship dissolution: The role of race, age, and gender among children in foster care. Child Maltreatment, 26(2), 216-227. https://doi.org/10.1177/1077559520952171

*Shi, H., Wang, Y., Li, M., Tan, C., Zhao, C., Huang, X., Dou, Y., Duan, X., Du, Y., Wu, T., Wang, X., & Zhang, J. (2021). Impact of parent-child separation on children's social-emotional development: a cross-sectional study of left-behind children in poor rural areas of China. BMC Public Health, 21(1), 823. https://doi.org/10.1186/s12889-021-10831-8

*Siegel, B. S., & Davis, B. E. (2013). Health and mental health needs of children in US military families. Pediatrics, 131(6), e2002-e2015. https://doi.org/10.1542/peds.2013-0940

*Smith, M., González-Pasarín, L., Salas, M. D., & Bernedo, I. M. (2020). Review of benefits and risks for children in open adoption arrangements. Child & Family Social Work, 25(4), 761-774. https://doi.org/https://doi.org/10.1111/cfs.12753

*Turney, K., & Wildeman, C. (2016). Mental and physical health of children in foster care. Pediatrics, 138(5). https://doi.org/10.1542/peds.2016-1118

U.K. Department of Education. (2017). Children looked after in England (including adoption), year ending 31 March 2017 (SFR 50/2017). https://assets.publishing.service.gov.uk/media/5a81c34340f0b62305b90ad7/SFR50_2017-Children_looked_after_in_England.pdf

Urrútia, G., & Bonfill, X. (2010). Declaración Prisma: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis [Prisma declaration: a proposal to improve the publication of systematic review and meta-analyses. Medicina Clínica, 135(11), 507-511. https://bmjopen.bmj.com/content/bmjopen/suppl/2013/06/10/bmjopen-2012-002330.DC1/bmjopen-2012-002330supp_PRISMA-2010.pdf

U.S. Department of Health and Human Services., & Administration for Children and Families. (2022). The AFCARS Report (No. 29). https://www.acf.hhs.gov/cb/report/afcars-report-29

*Wall-Wieler, E., Roos, L. L., Nickel, N. C., Chateau, D., & Brownell, M. (2018). A discordant sibling analysis. American Journal of Epidemiology, 187(6), 1182-1188. https://doi.org/10.1093/aje/kwy062

*Whittle, S., Dennison, M., Vijayakumar, N., Simmons, J. G., Yücel, M., Lubman, D. I., Pantelis, C., & Allen, N. B. (2013). Childhood maltreatment and psychopathology affect brain development during adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 52(9), 940-952.e941. https://doi.org/10.1016/j.jaac.2013.06.007

*Wildeman, C., Goldman, A. W., & Turney, K. (2018). Parental incarceration and child health in the United States. Epidemiologic Reviews, 40(1), 146-156. https://doi.org/10.1093/epirev/mxx013

Downloads

Published

2025-03-01

How to Cite

Milozzi, S. (2025). Systematic Review of the Impact of Parent-Child Separation on Children’s Mental Health and Development. Revista De Psicoterapia, 36(130), 5–17. https://doi.org/10.5944/rdp.v36i130.44134

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.