Linking Childhood Maltreatment to Substance Use in College Students: The Mediating Role of Self-Worth Contingencies

This study investigated the link between childhood maltreatment and substance use, focusing on examining contingencies of self-worth (CSWs) as mediators among college students (N?=?513). Structural equation modeling indicated that childhood sexual abuse among females was related to lower God's love CSW, which in turn was related to higher levels of cigarette, marijuana, and other illicit drug use, supporting the mediational role of God's love CSW. Correlational analyses demonstrated that, for both male and female students, external contingency of appearance was related to higher substance use, whereas internal contingencies of God's love and virtue were related to lower substance use. The findings highlight the protective role of internal CSWs in substance use among females with childhood sexual abuse.     

A Latent Class Analysis of Childhood Maltreatment: Identifying Abuse Typologies

Multiple forms of abuse may co-occur, resulting in specific abuse typologies. A stratified random probability survey was conducted in Denmark with 4,718 participants, aged 24, from the 1984 birth cohort. A total of 2,980 interviews were successfully conducted. Latent class analysis was implemented using 20 categorical abuse experience items across four domains of childhood maltreatment. Logistic regression was conducted to ascertain whether abuse typologies could be differentiated by child protection status and gender. Four distinct abuse typologies were revealed: a non-abused group, a psychologically maltreated group, a sexually abused group, and a group experiencing multiple abuse types. Child protection status and female gender were predictive of group membership in certain abused groups compared to a non-abused group.     

Dating Violence Perpetration: The Predictive Roles of Maternally versus Paternally Perpetrated Childhood Abuse and Subsequent Dating Violence Attitudes and Behaviors

This study investigated both young men's and young women's perpetration of physical, sexual, and psychological forms of dating violence, examining predictors of violence including maternally or paternally perpetrated forms of various types of child maltreatment, as well as attitudes toward dating violence and dating violence victimization. Results of hierarchical linear regressions found that childhood experiences of maternal neglect predicted men's physical perpetration, and childhood sexual abuse predicted women's sexual perpetration and men's psychological perpetration. Further, positive attitudes toward dating violence predicted women's physical, psychological, and sexual perpetration, as well as men's sexual perpetration, and experiences of dating violence victimization were the strongest predictors of most forms of dating violence perpetration, particularly among women. Implications for future research and prevention initiatives are discussed.     

The Relationships among Childhood Maltreatment,Emotion Regulation,and Sexual Risk Taking in Men from Urban STD Clinics

This study sought to examine the relationships among emotion regulation difficulties, childhood maltreatment, and risky sexual behavior in a sample of 320 heterosexual men recruited from urban sexually transmitted disease clinics. Overall childhood maltreatment and several specific types of child abuse were significantly associated with emotion dysregulation, number of sexual partners, and sexually transmitted infection (STI) diagnosis. There was evidence of an additive effect of multiple forms of maltreatment on difficulties with emotion regulation and sexual risk taking. Impulse control difficulties and access to emotion regulation strategies, two components of emotion dysregulation, were related to measures of risky sexual behavior. Furthermore, limited access to emotion regulation strategies mediated the relationship between frequency of childhood sexual abuse and a greater number of lifetime sexual partners. This study has important implications for developing effective interventions to reduce the spread of STIs and HIV by expanding affect regulation and distress tolerance strategies among men who have experienced childhood maltreatment.     

Preface

Abstract

Child victimization is a serious and on-going problem in the United States and throughout the world. In 2000, an estimated 900,000 children were victims of abuse and neglect in the United States. New and different responses to child maltreatment will have to be developed and implemented in response to the increasingly diverse contexts and situations within which maltreatment occurs. Emerging trends in adult-child boundary violations are explored within this volume from a cross-section of disciplines, including law, sociology, criminal justice, psychology, and health services. The selections analyze issues critical to child maltreatment and offer intriguingly different perspectives of present and future issues related to child abuse.     

Preface

Summary

Child victimization is a serious and on-going problem in the United States and throughout the world. In 2000, an estimated 900,000 children were victims of abuse and neglect in the United States. New and different responses to child maltreatment will have to be developed and implemented in response to the increasingly diverse contexts and situations within which maltreatment occurs. Emerging trends in adult-child boundary violations are explored within this volume from a cross-section of disciplines, including law, sociology, criminal justice, psychology, and health services. The selections analyze issues critical to child maltreatment and offer intriguingly different perspectives of present and future issues related to child abuse.     

Reliability and Factor Structure of the Psychological Maltreatment and Neglect Scales of the Computer Assisted Maltreatment Inventory (CAMI)

The primary objective of this study was to evaluate the psychometric properties of the Psychological Maltreatment (PM) and Neglect subscales of the Computer Assisted Maltreatment Inventory (CAMI; DiLillo et al., 2010 DiLillo, D., Hayes-Skelton, S. A., Fortier, M. A., Perry, A. R., Evans, S.Messman-Moore, T. L. 2010. Development and initial psychometric properties of the Computer Assisted Maltreatment Inventory (CAMI): A comprehensive self-report measure of child maltreatment history. Child Abuse and Neglect, 34: 305–317. [Crossref], [Web of Science ®] , [Google Scholar]). The CAMI is a retrospective self-report measure that assesses multiple forms of child maltreatment (i.e., sexual, physical, psychological, neglect, exposure to interparental violence) retrospectively from adults. The CAMI's PM and Neglect subscales were administered to a geographically diverse sample of 400 college students and a sample of 412 newlyweds. Exploratory factor analyses were conducted for each group separately by subscale. Represented in the PM factor structures were items that depict emotional responsiveness, terrorizing/spurning, demanding/rigid, corrupting, and isolating parental behaviors. The Neglect scale included items depicting basic needs, cleanliness, abandonment, monitoring and medical neglect factors. Revised versions of the CAMI PM and Neglect subscales based on the factor analysis are presented.     

Child Maltreatment,Problem Behaviors,and Neighborhood Attainment

Using data from a prospective cohort design study of a group of children with documented histories of abuse and neglect (n = 908) and matched controls (n = 667), this paper examines whether problem behaviors (e.g., prostitution, crime, school problems, and homelessness) in young adulthood explain the link between maltreatment in childhood and living in high‐risk neighborhoods in middle adulthood. Problem behaviors were assessed at mean age of 29 and neighborhood characteristics were assessed at mean age of 40. Child maltreatment predicted living in less desirable neighborhoods in middle adulthood. Problem behaviors in young adulthood partially mediated the relationship between childhood maltreatment and residence in less desirable neighborhoods in middle adulthood. The direct paths from child maltreatment to neighborhoods were not significant for Black children. For White children, there was a direct relationship between child maltreatment and living in an economically disadvantaged neighborhood. Problem behaviors were a stronger mediator between child maltreatment and living in more disordered and less socially cohesive neighborhoods for Black children, while the problem behaviors were a stronger mediator for living in more economically disadvantaged and less socially cohesive neighborhoods for White children. Further research is needed to understand these racial differences. Interventions should focus on preventing problem behaviors to minimize the risk of residency in high‐risk neighborhoods.     

The Impact of Protective Factors on Posttraumatic Growth for College Student Survivors of Childhood Maltreatment

Many college students experience traumatic life events in childhood, yet demonstrate personal growth following these experiences. Deriving benefit in the face of adversity has been termed “posttraumatic growth.” The relationship between posttraumatic growth and childhood experiences of abuse and neglect was investigated in a sample of 501 college students. The primary focus was on what protective factors moderated the relationship between childhood experiences of abuse and neglect and later posttraumatic growth. It was found that although the protective factors of acceptance, positive reframing, and emotional support all significantly predicted scores on the Posttraumatic Growth Inventory, only the factor of prosocial adults and the overall number of social and emotional resources experienced moderated the relationship between childhood maltreatment and posttraumatic growth. These findings have implications for designing effective interventions that foster growth in college students who report a history of childhood maltreatment.     

虐待与流动儿童对立违抗症状的关系:亲密度和冲突性的作用

以来自北京10所小学的369名有对立违抗障碍症状的流动儿童,349名无ODD症状的对照组流动儿童和94名有ODD症状的北京儿童为被试,探究了有ODD症状流动儿童的症状严重程度及影响因素,并进一步探讨了ODD症状流动儿童在家庭中所受情感虐待、躯体虐待对其情绪方面的ODD症状和行为方面的ODD症状的影响,以及亲子关系(包括亲密度和冲突性)在其中起的作用。研究结果发现:(1)对比ODD症状北京儿童和对照组流动儿童,ODD症状流动儿童受到更严重的虐待,亲子关系亲密度更差,冲突性更高;(2)对ODD症状流动儿童,虐待和亲密度显著负相关,虐待和冲突性显著正相关,躯体虐待、冲突性均和行为方面ODD症状显著正相关;(3)躯体虐待能直接预测ODD症状流动儿童的行为方面ODD症状,但无法直接预测其情绪方面ODD症状;(4)在躯体虐待对ODD症状的影响中,冲突性起着显著的中介作用,躯体虐待通过影响亲子关系冲突性,对流动儿童的行为方面ODD症状产生影响,而亲密度则显著调节了躯体虐待对流动儿童情绪方面ODD症状的影响。     

Risk Factors for the Occurrence of Child Abuse and Neglect

SUMMARY

A large, nationally representative database of child abuse and neglect cases was analyzed to identify demographic risk factors for the occurrence of different types of abuse and neglect. The analyses used the data collected in the second National Incidence Study of Child Abuse and Neglect (the NIS-2) concerning children who were harmed by abuse or neglect. Multiple-factor logistic models were developed to identify risk factors for the occurrence of abuse or neglect in six categories of maltreatment: physical abuse, sexual abuse, emotional maltreatment, physical neglect, educational neglect, and multiple maltreatment. A key finding was that children in families with incomes under $15,000 per year were at far greater risk in every category of maltreatment. Also, older children were generally at greater risk in every category, and risk was related to family structure, family size, child's sex and race/ethnicity, and metropolitan status of the county. However, these relationships applied to only certain types of abuse or neglect or took different forms in different maltreatment categories. Interactions among risk factors were the rule rather than the exception. Findings emphasize the need for better coordination between human services and income support services to families. The results imply that risk assessment would be appreciably advanced by going beyond simple matrix approaches that independently consider different factors by developing assessment models that include interactions between different risk factors.     

Trauma Exposure and Health: A Review of Outcomes and Pathways

A growing body of literature has established robust relations between trauma and a variety of adverse physical health outcomes. In both retrospective and prospective research, adults with a history of self-reported or court-substantiated maltreatment report significantly more health concerns than those without maltreatment histories, in both clinical and community samples, whether health problems are self-reported or physician-diagnosed. Two pathways by which poor health outcomes are theorized to occur include the biological pathway, which largely implicates severe stress and subsequent dysregulations in central stress-response systems as the underlying cause of health problems, and the behavioral pathway, which suggests that health risk behaviors are largely responsible for the relations between trauma and health. This article reviews the research evaluating the relations between various types of trauma, particularly physical and sexual abuse in childhood, and three such health outcomes: pain, gastrointestinal disorders, and cardiovascular disease. Evidence to support the biological and behavioral pathways is also reviewed.     

Experimental and Self-Reported Indices of Childhood Abuse Using the Binghamton Childhood Abuse Screen

This study describes the validation of the Binghamton Childhood Abuse Screen (BCAS) using response latencies on an emotional Stroop task as a criterion measure. Sixty-four male undergraduate participants were selected based on their responses to the BCAS and a brief screen of their abuse history. Participants completed an emotional Stroop task in which they named the colors of neutral, positive, and abuse words. Participants scoring high on the BCAS exhibited greater response latencies to abuse words than participants scoring low on the BCAS. No group differences were found for positive words. The results provide support for the validity of the BCAS.     

Understanding the Role of Neighborhood Context in the Long-Term Criminal Consequences of Child Maltreatment

This study investigated how neighborhood conditions influence the relationship between early child maltreatment and criminal behavior, using official data from a sample of maltreated children (N = 908) and matched controls (N = 667), as well as census data about respondents' neighborhoods. Using multilevel data that incorporated information about individuals, families, and neighborhoods, 2 hypotheses (direct influence and interaction effect) were examined using hierarchical generalized linear modeling (HGLM). The results indicated that neighborhood disadvantage and stability moderated the relationship between early child maltreatment and offending. Specifically, the effect of early child maltreatment on later juvenile and adult criminal behavior was strongest for those individuals from the most disadvantaged and most stable neighborhoods. These results suggest that studying the interaction between family functioning and neighborhood conditions provides a more comprehensive understanding of offending than does studying each factor separately.     

Emotional Abuse Questionnaire (EAQ): A New Scale for Measuring Emotional Abuse and Psychological Maltreatment1

Emotional abuse is the core of all other kinds of child abuses and maltreatments. The significant and serious outcomes of other kinds of abuses are often due to the emotional aspects. Moreover, emotional abuse has several forms, and each form may lead to different adverse outcomes for children and adolescents. Unfortunately, there is not a comprehensive instrument to assess all categories of emotional abuse. A 30-item self-report questionnaire was developed for ages 12 years and older. The sample included 328 students aged 12 to 19 years selected randomly from students referred to different student counseling centers. Exploratory factor analysis categorized the scale into six subscales. Confirmatory factor analysis revealed that all items were fitted with the subscales significantly. Content and concurrent validity demonstrated good validity and reliability for each subscale. Overall reliability was also significantly acceptable.     

Predictors of Child Maltreatment Potential in a National Sample of Mothers of Young Children

Although previous studies have furthered our broad ability to predict child maltreatment potential, young children remain at the highest risk for experiencing maltreatment. Thus, several variables of relevance for this population were examined. A national community sample of 158 mothers with young children between ages 1.5 and 5 years rated their young children’s temperament as well as their own temperament, emotion regulation, stress, coping, and child maltreatment potential. Young children’s mood quality as well as mothers’ mood quality, flexibility/rigidity, emotion dysregulation, parenting stress, cumulated severity of stress, and emotion-focused coping added unique incremental variance to the prediction of child maltreatment potential, accounting for 67% of the variance overall. Further, mothers’ emotion dysregulation mediated the relationship between mothers’ flexibility/rigidity and child maltreatment potential. Consequently, emotion regulation skills represent an important point of intervention for mothers of young children who are at increased risk for child maltreatment due to difficult temperament characteristics.     

Parental satisfaction in child abuse and neglect: A review of standardized measures

Low levels of parental satisfaction have been implicated in parents' utilization of harsh disciplining strategies and perpetration of child abuse and neglect. Although measures of parental satisfaction have been present for more than 3 decades, the employment of these instruments in child maltreatment populations has been limited, perhaps due to a lack of empirical evaluation. This paper reviews extant studies that demonstrate the need to examine the relationship between parental satisfaction and child maltreatment, and provides a critical examination of existing measures of parental satisfaction, including their psychometric support and application to child maltreatment. Recommendations are offered regarding the utility of these measures in child maltreatment.     

Child Maltreatment in Vietnam: Prevalence and Cross-Cultural Comparison

This Vietnam prevalence study on child maltreatment (VPM-2014) was designed to examine the prevalence of child maltreatment in Vietnam and to compare it with the child maltreatment prevalence in the Netherlands using the same measures and procedure. Questionnaires were filled out by 1,851 students aged 12 to 17 years (47.3% were boys). Results indicated that half of the students (49.9%) reported at least 1 event of child maltreatment in the past year. Emotional abuse was most frequently reported (31.8%), followed by physical abuse, neglect, and witnessing parental conflict. Sexual abuse was the least prevalent (2.6%). Compared with the Netherlands, the prevalence rates of most types of child maltreatment were higher in Vietnam: The largest difference was with emotional abuse, followed by neglect, physical abuse, and witnessing parental conflict. Only the past-year sexual abuse prevalence in Vietnam was lower. These findings highlight the alarming problem of child maltreatment in Vietnam.