Self-Control and Child Abuse Potential in Mothers with an Abuse History and Their Preschool Children

We examined whether physically and sexually abused mothers display lower levels of self-control, whether this explains their higher tendency to abuse their own children, and if this results in lower levels of self-control among their children. In a cross-sectional study, 40 abused and 47 matched, non-abused mothers completed validated self-control and child abuse potential questionnaires. Their preschool children (2.3–3.7 years) were tested for self-control with the effortful control battery and delay of gratification test. Relationships and mediations were tested using stepwise regression analyses and bootstrap mediation tests, while controlling for potential confounders. Mothers with a history of abuse had a significantly higher potential to abuse their children (p < .001) and lower levels of self-control (p < .05) compared to non-abused mothers. Maternal self-control predicted child abuse potential (p < .001) while controlling for maternal history of abuse, revealing that self-control partially mediated the relation between past abuse and current abuse potential. Next, child abuse potential was found to be a borderline significant predictor of child self-control (p = .05) on the delay of gratification task but not on the effortful control battery. We did not discover a correlation between child self-control and maternal self-control. These findings suggest that self-control may be a potentially important mechanism in the intergenerational cycle of child abuse. Further investigation on the topic is needed to confirm this hypothesis, for example through investigating the impact of parental self-control training on abusive parenting and children’s self-control development. Improved child self-control measures or focusing on older children is expected to address the key limitations of the current study.     

Functional Somatic Syndromes and Childhood Physical Abuse in Women: Data From a Representative Community-Based Sample

This study investigated whether childhood physical abuse was associated with functional somatic syndromes (FSS) in women while controlling for age, race, and four clusters of potentially confounding factors: (a) Other childhood adversities, (b) adult health behaviors, (c) socioeconomic status and stressors, and (d) mental health. A regional subsample of the 2005 Canadian Community Health Survey of 7,342 women was used. Women reported whether they had been diagnosed with chronic fatigue syndrome (CFS), fibromyalgia (Fm), irritable bowel syndrome (IBS), or multiple chemical sensitivities (MCS). Fully 749 reported having been physically abused by someone close to them during their youth. When controlling for potentially confounding factors, childhood physical abuse was significantly associated with CFS (OR = 2.11; 95% CI = 1.22, 3.65), Fm (OR = 1.65; 95% CI = 1.08, 2.52), and MCS (OR = 2.82; 95% = CI 1.90, 4.17). Clinicians using reattribution and stepped care approaches in the management of FSS should assess for a history of abuse.     

Prevalence of child psychological, physical, emotional, and ritualistic abuse among high school students in Mpumalanga Province, South Africa.

Based on self-reports the prevalence during childhood of psychological, physical, emotional, and ritualistic abuse among 559 high school students in Standards 7, 8, 9, and 10 of three high schools in the Mpumalanga Province of South Africa was examined. The questionnaire asked for the demographic information and experiences of psychological, physical, and emotional abuse by their parents or adult caretakers as well as ritualistic abusive experiences before they were 17 years of age plus an estimate of self-perceived abuse during childhood and an overall rating of their own childhood. Analysis showed the self-reported prevalence rates to be as follows: 70.7% psychologically abused (but 14.4% for extreme cases), 27.0% physically abused, 35.3% emotionally abused, and 10.0% ritualistically abused. 13.4% of those who reported themselves as psychologically abused, 20.7% of the physically abused, 19.3% of the emotionally abused, and 35.8% of the ritualistically abused perceive themselves as not abused in any form during childhood. Yet, of the psychologically abused 23.4%, of the physically abused 18.2%, of the emotionally abused 22.0%, and of the ritualistically abused 28.3% rated their childhood as 'very unhappy'. It appears these various forms of abuse are experienced by the participants as widespread, suggesting that a much more serious problem may exist than has been recognised. More research into those forms of child abuse in this Province and elsewhere is needed for a clear appreciation of the problems and the effects of such abuse in children's behavior.     

The Influence of Religion on Victims of Childhood Sexual Abuse

Survey responses of 5,417 women were studied to obtain information about childhood sexual abuse, religion, and mental health. There were 653 (13%) who reported being sexually abused while growing up. When studying those who were sexually abused, it was found that this childhood experience was associated with less emotional maturity, lower self-esteem, more instability in their relationships with partners, and higher levels of depression. The highest scores on the mental health indicators were found for women who were not abused and highly religious, then highly religious and abused, and the lower scores for no abuse and low religiosity, low religiosity and abuse, and medium religiosity and abuse. These findings were interpreted as demon- strating that religion could help ameliorate negative mental health outcomes associ- ated with childhood sexual abuse.     

Family of Origin Violence and Courtship Abuse

Research has shown that family of origin violence is related to later courtship and marital abuse. Few researchers, however, have distinguished between observed and received violence as a child and expressed and received abuse in adult relationships. Questionnaires addressing these issues were completed by 336 undergraduates. Results indicated that 75% of the sample had expressed threats or actual violence and 64% had received such abuse in an intimate relationship. Only 25% had been publicly identified as a result of the violence. In this sample, 30% had parents who abused each other. Less often, the mother (9.1%) or father (8.5%) had been the sole abuser. Most (76.4%) had been abused as children. Multiple regression indicated that being abused as a child predicted receiving and expressing violence as an adult.     

Bystander Responses to Public Episodes of Child Abuse

Bystander responses to public episodes of child abuse were surveyed among 269 self reported witnesses. Respondents completed an 80-item self-report questionnaire which inquired into a broad range of events, experiences, and behaviors surrounding naturally occurring incidents of perceived child abuse witnessed in public places. Almost one-half of the sample reported having witnessed at least one event of child abuse in public, but only one out of four witnesses acted to intervene. Data analyses identified 40 statistically significant variables across four categories: characteristics of the bystander, situation, victim, and perpetrator. Results were generally consistent with predictions and findings from previous research on bystander intervention, but a number of new and significant variables were identified that characterized intervention events. Direct and indirect forms of intervention were also distinguished. Implications of the findings are discussed, and educating people to intervene on behalf of abused children is proposed.     

Long-term consequences of childhood physical and psychological maltreatment

This study assessed whether some of the correlates of learned helplessness—depression, low self-esteem, and a maladaptive attributional style—are long-term consequences of child abused. In this study, 260 subjects were identified as physically abused, psychologically abused, both physically and psychologically abused, or nonabused, based on responses to the Child Abuse Questionnaire (CAQ). Subjects were tested for levels of nonclinical depression via the Beck Depression Inventory (BDI), for levels of self-esteem via the Rosenberg Self-Esteem Scale (RSE), and for the adaptiveness of attributional style via the Attributional Style Questionnaire (ASQ). It was hypothesized that each of the three abuse groups would differ from the control group on the three dependent measures; differences among the three abuse groups were also explored. Three one-way analyses of variance indicated that (1) BDI scores reflected a greater tendency toward depression in subjects reporting both types of abuse than in nonabused subjects or in subjects reporting either psychological or physical abuse, (2) subjects reporting psychological abuse only or both psychological and physical abuse showed lower self-esteem than did nonabused subjects, and (3) abused subjects did not seem to exhibit a more maladaptive attributional style than that of nonabused subjects. In addition, multiple linear regression analyses pointed to psychological abuse as a critical variable in predicting levels of depression, self-esteem, and attributional style, when physical abuse effects were controlled. Controlling for the effects of psychological abuse, however, indicated that physical abuse did not significantly contribute to the variance in these variables. Implications for the learned helplessness model and for future research are discussed. © 1992 Wiley-Liss, Inc.     

Prevalence of Sexual Abuse Among Children with Conduct Disorder: A Systematic Review

Many clinicians and researchers have speculated that child sexual abuse and conduct disorder co-occur frequently, yet no systematic reviews of literature have specifically addressed both these conditions. To estimate the prevalence of sexual abuse among children with conduct disorder, the pertinent literature was systematically reviewed. Ten databases were searched, supplemented with hand search of reference lists from retrieved papers. Blind assessments of study eligibility and quality were conducted by two independent researchers. Disagreements were resolved by consensus. Twenty-three studies meeting minimum quality criteria that were enough to insure objectivity and not to invalidate results and including 7,256 participants with either conduct disorder or child sexual abuse were examined. The prevalence of child sexual abuse among participants with conduct disorder was 27 %; however, such figure might be underestimated due to selection, sampling, and recall biases; poor assessment methods; and narrow definitions of abuse in included studies. Participants with conduct disorder, compared with healthy individuals, reported higher rates of child sexual abuse. However, compared with other psychiatric populations, they reported similar or lower rates. There was also some evidence suggesting that children with conduct disorder might be more likely to report child physical abuse. Female participants with conduct disorder, compared with males, were significantly more likely to report child sexual abuse. Youths with conduct disorder are at risk of being (or having been) sexually abused, although such risk seems to be neither more specific to nor stronger for these individuals, compared with people with other psychiatric disorders.     

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.     

Maltreated Children's Emotional and Behavioral Problems: Do Teachers and Parents See the Same Things?

We examined whether parent/caregivers and teacher/therapists differ in their perceptions of the behavior problems of young maltreated children. The sample consisted of 33 maltreated preschoolers (58% neglected, 24% sexually abused, 18% physically abused, 59% African American, 41% Caucasian) enrolled in a metropolitan-area treatment center providing an educational/intervention program for maltreated children and their families. Most (82%) of the participant families had an annual income of $10,000 or less. Parent/caregivers and teacher/ therapists provided data about the children, employing the Colorado Child Temperament Inventory, Child Behavior Checklist, and Preschool Behavior Questionnaire. The results indicate that the teacher/therapists and the parent/caregivers perceived the same child as behaving differently. Implications concerning how teachers and parents might communicate are discussed, as well as possible reasons for the two different perceptions of the same child. Three potential reasons for the differences are that they are due to the different perspectives of parents and teachers in assessing child behaviors, to situational variation in child behavior (e.g., home versus school), or to some combination of both effects.     

Emotional Abuse: Correlates to Abuse Among College Students

Emotional abuse, also known as psychological maltreatment, is a significant health problem. Long-term outcomes of emotional abuse are quite negative and include physical and mental health disorders. The present study examined emotional abuse and correlates to such abuse among college students. The American College Health Association–National College Health Assessment II was completed by study participants at one urban, Midwestern university. A total of 777 students participated in the survey. Greater than one in 10 (10.7%) students reported being emotionally abused in the past year. The final logistic regression model found being female, being an older student, recent marijuana use, and being so depressed it was difficult to function were significant predictors of emotional abuse. Study findings suggest it may be important to screen high-risk students for emotional abuse as part of mental health treatment or other medical screenings. Given that one in 10 students experienced past year emotional abuse, it may also be crucial to raise awareness of emotional abuse on college campuses.     

Perceptions of Child Abuse by Teacher Trainees in Zimbabwean Schools

This study is a part of a larger study that examined the epidemiology and aetiology of child abuse by teachers in Zimbabwean primary schools. The purpose of the study was to determine teacher trainees' conception of sexual abuse of pupils by teachers within the school context, the forms of sexual abuse perpetrated on pupils by teachers in Zimbabwean schools, and the aetiology of sexual abuse of pupils by teachers in Zimbabwean schools. One hundred and fifty (75 male, 75 female) teacher trainees from three colleges of education, located in the same province, participated in the study. Participants indicated that sexual abuse of pupils within the school context involves having sexual intercourse with pupils; having love affairs with pupils; impregnating pupils by teachers; and fondling pupils' breasts, buttocks, and private parts. Results suggested that pupils are vulnerable to sexual abuse by teachers in Zimbabwean schools.     

Sexual and Physical Abuse Among Adolescent Girls with Disruptive Behavior Problems

We examined the prevalence and age of onset of physical and sexual abuse in a clinic-referred sample of adolescent girls, as well as differences in diagnoses and symptoms among abused and non-abused girls. Forty-nine girls (aged 13–17 years) with disruptive behavior were interviewed along with their primary caretaker. Data were gathered through both a structured interview with the girl and her parent, as well as self and parent-report questionnaires. Findings indicated that the prevalence of Conduct Disorder (CD) and Major Depression were higher for abused girls. Somatoform Pain Disorder was significantly less likely for physically abused girls, compared to girls who were both physically and sexually abused. Of CD symptoms, truancy was twice as high for the physically and sexually abused group, compared to the prevalence for non-abused girls. Internalizing symptoms were also highest for the dual abuse group. Onset graphs show that the onset of sexual abuse usually occurred at an earlier age than the onset of physical abuse. Abused girls showed an earlier age of onset of CD symptoms. Results indicated that the experience of combined types of abuse is associated with a poorer psychiatric prognosis.     

The Effect of Adolescent Sex Offender Abuse History on Counselor Attitudes

Counseling students' judgments of adolescent sex offenders with sexual or physical abuse histories were examined. Sexually abused offenders were more desirable as prospective clients than were nonabused offenders. Sexually abused counselors desired to see physically abused offenders as clients over sexually abused offenders. Implications for counseling are presented.     

Child molestations by homosexual foster parents: Illinois, 1997--2002

Do those who engage in homosexuality disproportionately sexually abuse foster or adoptive children as reported by child protective services? Illinois child services reported sexual abuse for 1997 through 2002. 270 parents committed "substantiated" sexual offenses against foster or subsidized adoptive children: 67 (69%) of 97 of these mother and 148 (86%) of 173 of these father perpetrators sexually abused girls; 30 (31%) of the mothers and 25 (14%) of the father perpetrators sexually abused boys, i.e., 92 (34%) of the perpetrators homosexually abused their charges. Of these parents 15 both physically and sexually abused charges: daughters by 8 of the mothers and 4 of the fathers, sons by 3 of the mothers, i.e., same-sex perpetrators were involved in 53%. Thus, homosexual practitioners were proportionately more apt to abuse foster or adoptive children sexually.     

Child Sexual Abuse

Summary

Children who are recent victims of sexual abuse may initially present to their primary care health provider. Often, the outward manifestations of sexual abuse are somatic complaints or nonspecific behavioral changes. Retrospective reports of adults suggest that about 20-30% of women were sexually abused as children, with figures for men ranging from 10-15%. Interview guidelines for children and adolescents emphasize the need for sensitivity to cognitive development and emotional issues while simultaneously being focused on eliciting specific behavioral data. The use of anatomically detailed dolls, in the context of a comprehensive assessment, is discussed. Health care providers are mandated reporters and must disclose suspected child sexual abuse to the state's child protective service department. Guidelines for reporting as well as addressing this issue with parents are discussed.     

Transgenerational patterns of abusive parenting: Analog and clinical tests

Two studies were conducted to determine whether there was an association between punitive childhood histories and abusive parenting. In the first experiment, undergraduate students who reported more punitive childhood histories and undergraduates who reported mild or nonpunishing childhoods were tested with an Analog Parenting Task. The task used photographic stimuli to depict child behaviors and to elicit disciplinary choices in response to children's transgressions. Persons from the more punitive backgrounds were significantly more likely to endorse potentially injurious disciplinary responses. Additionally, in a post-hoc analysis, women with mild punishment backgrounds were more likely to indicate they were annoyed by the depicted child behaviors than women with the severe punishment backgrounds and men with both punishment histories. In the second experiment, childhood histories of parents of children seen at a psychiatric clinic were assessed. The data indicated an association between severely punitive backgrounds of parents and the probability that the referred child had been physically abused. Also, the punishment histories of the parents were associated with the presence of antisocial and aggressive presenting problems displayed by the referred child. The two experiments together were considered to provide support for a modified version of the trans-generational hypothesis of abuse.     

Do Parent and Teacher Report of ADHD Symptoms in Children Differ by SES and Racial Status?

Parent and teacher reports of symptoms of Attention Deficit Hyperactivity Disorder (ADHD) in children often differ from each other. These informant report differences may occur in systematic ways that vary by child socioeconomic status (SES) and race, but little is known about how SES and race together relate to parent and teacher report of ADHD symptoms in school-aged children. We examined the relationship between child SES, child race and parent and teacher reports of ADHD symptoms in two samples of school-aged Caucasian and African American children being evaluated for ADHD (N = 1056; N = 317). Multivariate regression was used to predict parent and teacher reports of ADHD symptoms from child SES, race, age, gender and interaction terms. The Wald test of parameter constraints was used to test the contrast between the predictors of interest and parent and teacher report of symptoms. In the second sample, we also examined observer report measures of ADHD symptoms during one-to-one testing and in the classroom. In both samples, lower SES was associated with higher levels of inattention symptoms, as reported by teachers, but not by parents. Lower SES was also associated with higher levels of hyperactivity/impulsivity symptoms, as reported by both teachers and parents. African American race was associated with higher levels of inattention and hyperactivity/impulsivity symptoms reported by teachers than reported by parents. Observer report measures showed a different pattern of associations with SES and race. Investigating how children’s SES and race influence cross-informant agreement on ratings of children’s behavior might lead to the development of better assessment practices and more accurate diagnoses for diverse child populations.     

Counseling Sexually Abused Children

Cases of sexual abuse of children are being reported in increasing numbers. A large percentage of child sexual abuse occurs in or around the home. Family members, family friends, or known adults are most often the offenders. There are certain family factors likely to be operating in a child's sexual abuse and these factors must be explored with all family members. Sexual abuse can have many disturbing consequences for the child and the family. A counseling approach should be to help an abused child and the offender feel that they are still worthwhile individuals. Underlying issues in the family should also be explored. Paula Slager-Jorné is director of training at the Children's Center in Detroit, Michigan.