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CMAJ. Oct 5, 1999; 161(7): 805–809.
PMCID: PMC1230651

Slapping and spanking in childhood and its association with lifetime prevalence of psychiatric disorders in a general population sample


BACKGROUND: Little information is available in Canada about the prevalence of and outcomes associated with a history of slapping and spanking in childhood. The objectives of this study were to estimate the prevalence of a history of slapping or spanking in a general population sample and to assess the relation between such a history and the lifetime prevalence of psychiatric disorders. METHODS: In this general population survey, a probability sample of 9953 residents of Ontario aged 15 years and older who participated in the Ontario Health Supplement was used to examine the prevalence of a history of slapping and spanking. A subgroup of this sample (n = 4888), which comprised people aged 15 to 64 years who did not report a history of physical or sexual abuse during childhood, was used to assess the relation between a history of slapping or spanking and the lifetime prevalence of 4 categories of psychiatric disorder. The measures included a self-administered questionnaire with a question about frequency of slapping and spanking during childhood, as well as an interviewer-administered questionnaire to measure psychiatric disorder. RESULTS: The majority of respondents indicated that they had been slapped or spanked, or both, by an adult during childhood "sometimes" (33.4%) or "rarely" (40.9%); 5.5% reported that this occurred "often." The remainder (20.2%) reported "never" experiencing these behaviours. Among the respondents without a history of physical or sexual abuse during childhood, those who reported being slapped or spanked "often" or "sometimes" had significantly higher lifetime rates of anxiety disorders (adjusted odds ratio [OR] 1.43, 95% confidence interval [CI] 1.04-1.96), alcohol abuse or dependence (adjusted OR 2.02, 95% CI 1.27-3.21) and one or more externalizing problems (adjusted OR 2.08, 95% CI 1.36-3.16), compared with those who reported "never" being slapped or spanked. There was also an association between a history of slapping or spanking and major depression, but it was not statistically significant (adjusted OR 1.64, 95% CI 0.96-2.80). INTERPRETATION: There appears to be a linear association between the frequency of slapping and spanking during childhood and a lifetime prevalence of anxiety disorder, alcohol abuse or dependence and externalizing problems.

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Selected References

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  • Cohen L. Debate about parents' right to spank causes divisions among MDs. CMAJ. 1995 Jul 1;153(1):73–75. [PMC free article] [PubMed]
  • Hemenway D, Solnick S, Carter J. Child-rearing violence. Child Abuse Negl. 1994 Dec;18(12):1011–1020. [PubMed]
  • Whipple EE, Richey CA. Crossing the line from physical discipline to child abuse: how much is too much? Child Abuse Negl. 1997 May;21(5):431–444. [PubMed]
  • Smith JR, Brooks-Gunn J. Correlates and consequences of harsh discipline for young children. Arch Pediatr Adolesc Med. 1997 Aug;151(8):777–786. [PubMed]
  • Straus MA, Kantor GK. Corporal punishment of adolescents by parents: a risk factor in the epidemiology of depression, suicide, alcohol abuse, child abuse, and wife beating. Adolescence. 1994 Fall;29(115):543–561. [PubMed]
  • Larzelere RE. A review of the outcomes of parental use of nonabusive or customary physical punishment. Pediatrics. 1996 Oct;98(4 Pt 2):824–828. [PubMed]
  • Baumrind D. A blanket injunction against disciplinary use of spanking is not warranted by the data. Pediatrics. 1996 Oct;98(4 Pt 2):828–831. [PubMed]
  • Hällström T. Major depression, parental mental disorder and early family relationships. Acta Psychiatr Scand. 1987 Mar;75(3):259–263. [PubMed]
  • Fergusson DM, Lynskey MT. Physical punishment/maltreatment during childhood and adjustment in young adulthood. Child Abuse Negl. 1997 Jul;21(7):617–630. [PubMed]
  • Joubert CE. Self-esteem and social desirability in relation to college students' retrospective perceptions of parental fairness and disciplinary practices. Psychol Rep. 1991 Aug;69(1):115–120. [PubMed]
  • Holmes SJ, Robins LN. The influence of childhood disciplinary experience on the development of alcoholism and depression. J Child Psychol Psychiatry. 1987 May;28(3):399–415. [PubMed]
  • Boyle MH, Offord DR, Campbell D, Catlin G, Goering P, Lin E, Racine YA. Mental health supplement to the Ontario Health Survey: methodology. Can J Psychiatry. 1996 Nov;41(9):549–558. [PubMed]
  • Offord DR, Boyle MH, Campbell D, Goering P, Lin E, Wong M, Racine YA. One-year prevalence of psychiatric disorder in Ontarians 15 to 64 years of age. Can J Psychiatry. 1996 Nov;41(9):559–563. [PubMed]
  • MacMillan HL, Fleming JE, Trocmé N, Boyle MH, Wong M, Racine YA, Beardslee WR, Offord DR. Prevalence of child physical and sexual abuse in the community. Results from the Ontario Health Supplement. JAMA. 1997 Jul 9;278(2):131–135. [PubMed]
  • Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, Wittchen HU, Kendler KS. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994 Jan;51(1):8–19. [PubMed]
  • Brewin CR, Andrews B, Gotlib IH. Psychopathology and early experience: a reappraisal of retrospective reports. Psychol Bull. 1993 Jan;113(1):82–98. [PubMed]

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