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May 29, 20260 citationsOpen Access

Child development in dysfunctional families

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FMFrancesco Mappa

Key Points

  • This review explores how dysfunctional family environments impact various aspects of child development. It seeks to collate findings from multiple research domains to understand these effects.
  • Synthesis of findings from longitudinal cohort studies, neuroimaging, and randomized controlled trials.
  • Examination of psychological and neurobiological outcomes related to adverse childhood experiences (ACEs).
  • Focus on moderating variables such as temperament, social support, and genetic polymorphisms.
  • Adverse childhood experiences (ACEs) correlate with HPA axis dysregulation and reduced hippocampal volume.
  • Disrupted caregiving leads to insecure attachment styles, emotion dysregulation, and increased vulnerability to psychopathology.
  • Intervention methods like TF-CBT and PCIT are suggested for mitigating negative outcomes in children.

Abstract

Dysfunctional family environments constitute one of the most pervasive and enduring risk factors in developmental psychopathology, yielding measurable disruptions across cognitive, affective, social, and neurobiological domains. The present article offers a comprehensive, integrative review of the extant empirical literature on child development within dysfunctional family systems, encompassing neglect, physical and psychological maltreatment, parental psychopathology, intimate partner violence, substance abuse, and chronic relational conflict. Drawing upon attachment theory (Bowlby, 1969; Ainsworth et al., 1978), the bioecological model (Bronfenbrenner & Morris, 2006), and advances in developmental neuroscience—including allostatic load (McEwen, 1998) and biological embedding (Hertzman & Boyce, 2010)—this review synthesizes findings from longitudinal cohort studies, neuroimaging research, epigenetic investigations, and randomized controlled trials. Evidence indicates that adverse childhood experiences (ACEs) are robustly associated with HPA axis dysregulation, hippocampal volume reductions, prefrontal cortical thinning, and alterations in oxytocin and serotonergic signaling. At the psychological level, disrupted caregiving precipitates insecure and disorganized attachment, emotion dysregulation, impaired executive functioning, and heightened vulnerability to internalizing and externalizing psychopathology. Moderating variables—including temperament, social support, and genetic polymorphisms—are examined in relation to differential susceptibility and resilience. Implications for evidence-based prevention and intervention are discussed, with emphasis on TF-CBT, PCIT, and MST.

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Cite This Study

Francesco Mappa (2026) studied this question.

synapsesocial.com/papers/6a192e4efab5b468c44175c5https://doi.org/10.5281/zenodo.20401050
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