Prospective and Concurrent Affective Dynamics in Self-Injurious Thoughts and Behaviors: An Examination in Young Adult Women

Affective dynamics, assessed using ecological momentary assessment (EMA), provide a nuanced understanding of within-person fluctuations of negative affect (NA) and positive affect (PA) in daily life. NA and PA dynamics have been associated with psychopathology and response to psychological treatments. NA and PA dynamics have been rarely studied concurrently in association with self-injurious thoughts and behaviors (SITB), transdiagnostic difficulties encountered regularly in clinical and community settings. Here we present EMA data from a large, diverse sample of young adult women with high rates of SITB to examine NA and PA dynamics (mean intensity, variability, and inertia). Specifically, we considered the prospective associations between past-year suicidal thoughts and past-year nonsuicidal self-injury and affective dynamics, as well as the concurrent associations between affective dynamics, EMA-reported suicidal thoughts, and EMA-reported urges for nonsuicidal self-injury. Results demonstrate that elevated mean NA and NA variability are robustly associated with all types of SITB assessed prospectively or concurrently. Interestingly, these associations were weakest for past-year nonsuicidal self-injurious behaviors, relative to past-year and concurrent suicidal or nonsuicidal self-injurious thoughts. Past-year suicidal thoughts further predicted increased NA inertia. Decreased PA inertia was associated with past-year nonsuicidal self-injury behavior, as well as concurrent EMA suicidal thoughts. We found no associations (prospective or concurrent) between SITB and mean PA intensity or PA variability. These results highlight the importance of understanding affective processes to develop real-world interventions to prevent nonsuicidal self-injury and suicidal behavior in daily life.     

Repetitive Intimate Partner Victimization: An Exploratory Application of Social Learning Theory

The research literature on intimate partner violence (IPV) has documented a number of poignant facts that serve as the foundation for this study. First, IPV is prevalent, frequent, and often repetitive. Moreover, repetitive violence within an intimate relationship tends to escalate over time, both in its frequency of occurrence and in its severity. We also know that decisions to leave the relationship do not guarantee that the violence will end. In addition, the phenomenon of “mutual combatancy,” prevalent in many intimate partner relationships, suggests that both parties in this dyadic process co-share the roles of offender and victim. Finally, we know that targets of IPV, like their abusers, tend to disproportionately come from families-of-origin in which violence and aggression were directly and/or vicariously experienced. These facts suggest that one possible starting point for the exploration of repetitive intimate partner victimization (R-IPV) may derive from an inter-generational transmission, or cycle of violence theory, suggested more formally in social learning approaches to criminal and deviant behaviors. The present study examines the extent to which measures of Akers' social learning constructs are able to predict repetitive intimate partner victimization. Self-report data on intimate partner violence among a sample of college students reveal the social learning theory variables, differential association and differential reinforcement in particular, are able to predict both the prevalence and frequency of predict repetitive intimate partner victimization.     

Emotion Dysregulation Mediates the Relationship Between Child Maltreatment and Non-Suicidal Self-Injury

One risk factor for non-suicidal self-injury (NSSI) in adolescents is exposure to traumatic experiences, particularly child maltreatment. However, the mechanisms through which childhood maltreatment predicts NSSI are largely unknown. Emotion dysregulation (ED) is likely an important mechanism in this relationship. Therefore, this study examined the relationship between childhood maltreatment, ED, and NSSI in a sample of adolescent inpatients (n = 53). Results demonstrated that child physical and emotional maltreatment, but not child sexual abuse, was significantly associated with NSSI frequency. More specifically, ED mediated the relationship between child physical and emotional maltreatment and NSSI frequency. Findings support the importance of ED as a mediating factor in the relationship between childhood maltreatment and NSSI behaviors and highlight the need for teaching emotion regulation skills to youth affected by trauma.     

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.     

Inward- and Outward-Directed Violence in the Lives of Urban Minority Adults Followed from Middle School into Their Thirties

This study explores connections between inward-directed violence and outward-directed violence using data from the Reach for Health sample, which was originally recruited in the 1990s from three middle schools in economically distressed, predominantly African American neighborhoods of New York City. Now in their thirties, participants (N = 595) completed surveys assessing current suicidal thoughts and behaviors as well as other violence involvements, including intimate partner violence victimization and perpetration. About 10% of males and females reported any suicidal ideation or attempt in the past 12 months. In logistic regression analyses adjusting for sociodemographics, prior reports of feeling blue in middle school (OR: 1.12, CI: 1.02–4.39) and young adult suicidality (OR: 2.54, CI: 1.30–4.95) are significantly related to later suicidality. So are concurrent aggressive behaviors, including reports of physical fighting outside the home (OR: 2.70, CI: 1.29–5.67) and IPV perpetration (OR: 2.09, CI: 1.11–3.94). Neither IPV victimization nor witnessing neighborhood violence is correlated. Findings shed light on the persistence of suicidality in the lives of those who come of age, and often remain, in communities with high levels of poverty, and confirm linkages of suicidality with externally directed aggression. Life-stage interventions are needed to counter the interwoven causes and consequences of multiple forms of violence.     

INTIMATE PARTNER VIOLENCE PERPETRATED BY COLLEGE WOMEN WITHIN THE CONTEXT OF A HISTORY OF VICTIMIZATION

Using a longitudinal design, the current study explored intimate partner violence perpetration among 1,300 college women within the context of one's history of physical and sexual victimization across 4 years of college. Structural equation modeling indicated that sexual victimization does not predict concurrent use of women's intimate partner violence but does predict subsequent use of women's intimate partner violence during the later years of college. In contrast, physical victimization is associated positively with concurrent use of women's intimate partner violence but is negatively associated with subsequent use of women's intimate partner violence for women. Furthermore, the negative relationship of victimization to subsequent perpetration primarily is due to those with high levels of victimization histories. The present study provides the first model of intimate partner violence within the context of victimization history using longitudinal data. The findings indicate that women's intimate partner violence perpetration is not context-free, but rather is influenced by their own physical and sexual victimization histories.     

Interpersonal Violence Victimization and Sexual Harassment: A Prospective Study of Revictimization

This study examined associations between past interpersonal victimization (including both child and adult victimization) and sexual harassment (SH); and it examined intervening and moderating variables of the association of past victimization with SH, including posttraumatic stress symptoms (PTSS) and job-gender context. In addition, we examined an alternative hypothesis for revictimization that abuse survivors are hyper-sensitive to perceptions of sexual harassment. Employed women residing in Kentucky (U.S.) who had received an order of protection from a male partner and who were followed-up 12 months later (n?=?445, 78 % White, mean age?=?31.98, SD?=?8.60) were selected for this analysis. SH experienced between baseline and follow-up interviews was associated with baseline assessments of child nonsexual assault experiences (r?=?0.24, p?<?0.001) and intimate partner violence victimization (r?=?0.20, p?<?0.000), demonstrating a revictimization effect. PTSS mediated the relationship between child sexual assault, child nonsexual assault and subsequent SH. Further, working in a job with a male supervisor or in a male-dominated workgroup increased associations between child nonsexual abuse and subsequent SH. No support was found for the hyper-sensitivity hypothesis. Findings are consistent with prior research that identifies sexual harassment as a form of interpersonal violence that mental health and victim service providers and researchers should include in their assessment and treatment strategies. Employers should also understand that working in male-dominated work environments compound the risk of sexual harassment for those with prior abuse histories and should be vigilant to reducing these risks.     

Childhood Maltreatment Increases the Risk of Intimate Partner Violence via PTSD and Anger Personality Traits in Individuals Consulting for Sexual Problems

Childhood maltreatment is a significant risk factor for the perpetration of intimate partner violence (IPV) in adulthood. This study tested, in a clinical sample, a conceptual model suggesting that childhood maltreatment contributes to the development of anger personality traits, directly and indirectly via posttraumatic stress disorder (PTSD), and that anger personality traits, in turn, are associated with IPV. Adults consulting for sex therapy (n = 114) completed self-report measures of childhood maltreatment, PTSD, anger, and IPV. Participants were exposed to high rates of childhood maltreatment (83%). Path analysis supported the hypothesized model: Exposure to child maltreatment was associated with anger personality traits, and this association was partially mediated by PTSD symptoms. Anger personality traits were highly correlated with IPV.     

Coparenting Quality Mediates the Association Between Intimate Partner Violence and Child Behavior Problems in Low-income,Racial and Ethnic Minority Families

Exposure to intimate partner violence (IPV) in the family context has detrimental effects for children’s physical health and psychological adjustment. The current study examined the direct links between IPV and children’s externalizing and internalizing behavior problems and the indirect effect of coparenting quality as reported by a sample of 79 (80% African American, 11% Latina, and 9% Multiracial/Other), low-income mothers of children aged 2–12 years, the majority of whom were not in a romantic relationship (61%) or cohabitating with their child’s biological father (64%). Results indicated that IPV history was directly associated with higher rates of internalizing behaviors, but not with externalizing behaviors. Coparenting quality mediated the association between IPV and child externalizing and internalizing behaviors, when controlling for parent relationship status, such that IPV history was associated with lower levels of coparenting quality, which was associated with higher rates of child behavior problems. Findings highlight the importance of culturally appropriate self-report measures of coparenting and implications of IPV in racially and ethnically diverse low-income families on child adjustment.

     

Examining the Course of Suicidal and Nonsuicidal Self-Injurious Thoughts and Behaviors in Outpatient and Inpatient Adolescents

Suicidal and nonsuicidal self-injurious thoughts and behaviors (SITBs) among youth are major public health concerns. Although a growing body of research has focused on the complex association between nonsuicidal and suicidal self-injury, the temporal relationship between these two classes of behaviors is unclear. The current study addresses this empirical gap by examining the course of SITBs in adolescents receiving outpatient (N = 106; 82.1 % female) and inpatient (N = 174; 75.9 % female) treatment. SITBs (co-occurrence, age-of-onset, and time lag between SITBs) and major psychiatric disorders were assessed at a single time point with well-validated structured interviews. Adolescents in both clinical samples reported high co-occurrence of SITBs: most adolescents reported both lifetime nonsuicidal self-injury (NSSI) and suicidal thoughts. A similar temporal pattern of SITBs was reported in the two samples: thoughts of NSSI and suicide ideation had the earliest age-of-onset, followed by NSSI behaviors, suicide plans, and suicide attempts. However, the age-of-onset for each SITB was younger in the inpatient sample than in the outpatient sample. In terms of time lag between SITBs, suicide ideation occurred on average before initial engagement in NSSI, suggesting that pathways to NSSI and suicidal behavior may occur simultaneously rather than in succession from nonsuicidal to suicidal self-injury. Results also indicated that the time to transition between SITBs was relatively fast, and that a key period for intervention and prevention is within the first 6–12 months after the onset of suicidal thinking. Taken together, these findings have important implications for understanding the time-lagged relationship between nonsuicidal and suicidal self-injury.     

Bullying Behaviors and Victimization Experiences Among Adolescent Students: The Role of Resilience

The role of resilience in the relationship between bullying behaviors, victimization experiences, and self-efficacy was examined. Participants were 393 (191 young men, 202 young women) adolescents (M age = 15.88 years, SD = 0.64 years) from schools in Coimbatore, India, who completed scales to assess bullying behaviors and victimization experiences, resilience, and self-efficacy. Multigroup structural equation modeling, with separate groups created according to participant gender, revealed that resilience mediated the relationship between bullying behaviors and self-efficacy in young men. Young men engaged in bullying behaviors and experienced victimization more frequently than young women. The findings of the study have implication for designing intervention programs to enhance resilience among adolescents and young adults to enable them to manage bullying behaviors.     

Trauma Models of the Effects of Childhood Maltreatment

Abstract

Trauma models of child maltreatment effects are addressed, with emphasis on the Diagnostic and Statistical Manual of Mental Disorders' diagnosis of posttraumatic stress disorder and the degree to which it fails to account for many salient symptoms and behaviors associated with maltreatment and victimization in children and adults. Research is presented to support the idea that posttraumatic stress disorder is best conceptualized as a dimensional outcome rather than a categorical all-or-none diagnosis. The PTSD model(s) needs to be either expanded to correct deficiencies or to be integrated into a larger model of the effects of trauma and victimization.     

Disclosure Experiences of Sexual Minority College Student Victims of Intimate Partner Violence

Although research on disclosure following intimate partner violence (IPV) victimization is burgeoning, sexual minority young adults’ (lesbian, gay, bisexual, queer, questioning, etc.; LGBQ+) experiences have not received equal attention. The current study employed the minority stress framework to examine disclosure experiences of LGBQ+ college students across the United States reporting physical IPV victimization within their current relationship (n = 77). Participants completed measures assessing minority stress and IPV disclosure, and answered open‐ended questions regarding the most and least helpful persons/responses to disclosure or reasons for non‐disclosure. Results indicated that approximately one‐third (35 %) of victims disclosed to at least one person, with friends being the most common recipients. Thematic analyses indicated that talking or listening to the victim was considered the most helpful response and not understanding the situation least helpful. Reasons for non‐disclosure centered on themes of the victims’ perception that the IPV was not a big deal. Quantitative findings regarding physical IPV disclosure indicated that non‐disclosers experienced greater minority stress than disclosers. The current study suggests the presence of differences between sexual minority (i.e., LGBQ +persons) and non‐sexual minority persons, as well as between LGBQ+ young adults/college students and older adults and presents a theoretical structure (i.e., minority stress framework) through which these differences may be understood.     

Maternal Intergenerational Transmission of Childhood Multitype Maltreatment

Previous research suggests that child maltreatment is transmitted across familial generations. However, extant studies focused exclusively on single maltreatment subtypes, instead of the more common experience of multitype maltreatment. This limitation is addressed in the first known study to examine the maternal intergenerational transmission of childhood multitype maltreatment among 104 mothers and their children. Findings demonstrated that mothers' childhood multitype maltreatment directly predicted their children's multitype maltreatment, instead of having indirect effects through maternal romantic attachment dimension, intimate partner violence, and psychological distress. Mothers' childhood multitype maltreatment was also related to intimate partner violence and anxious romantic attachment but unrelated to psychological distress. Our findings highlight the need for clinical attention to the long-term generational effects of diverse childhood traumas.     

The relationship between self-harm and alexithymia: A systematic review and meta-analysis

Self-harm, defined for the purpose of this review as any act of self-injury without explicit suicidal intent, is an increasing public health concern, with potential long-term implications for those who engage in it. Previous research has identified a correlational relationship between self-harm and alexithymia, an emotion processing deficit characterized by difficulties identifying and describing feelings, and an externally orientated thinking style. Through a systematic search of the literature, the current review examines the association between alexithymia and self-harm. A meta-analysis based on 23 studies found a significant, positive relationship between self-harm and alexithymia, with a medium effect size (g = 0.57, 95% CI 0.46–0.69). All 23 studies used the Toronto Alexithymia Scale (TAS20) to measure alexithymia. The alexithymia subcomponents difficulty identifying feelings and difficulty describing feelings were significantly associated with self-harm, but there was no significant association between self-harm and externally orientated thinking. The effect size of the relationship was significantly larger in adolescent samples compared with adult samples and in female compared with male samples. The definition of self-harm did not affect the effect size of the relationship between alexithymia and self-harm and the results are consistent with previous meta-analyses focused more narrowly on non-suicidal self-injury and, separately, suicidal behaviors. Heterogeneity between the included studies was high. The results support an affect regulation model of self-harm, in which self-harm is used to regulate an emotional experience that is poorly understood.     

Reductions of intimate partner violence resulting from supplementing children with omega‐3 fatty acids: A randomized,double‐blind,placebo‐controlled,stratified, parallel‐group trial

Omega‐3 supplementation has been found to reduce externalizing behavior in children. Reciprocal models of parent‐child behavior suggest that improving child behavior could lead to improvements in parent behavior, however no study has examined whether omega‐3 supplementation in children could reduce intimate partner violence or child maltreatment by their adult caregivers. In this randomized, double‐blind, placebo‐controlled, stratified, parallel group trial, a community sample of children were randomized to receive either a fruit drink containing 1 gm of omega‐3 fats (Smartfish Recharge; Omega‐3 group, n = 100) or the same fruit drink without omega‐3's (Placebo group, n = 100). Child participants, adult caregivers, and research staff were blinded to group assignment. Adult caregivers reported inter‐partner and child‐directed physical assault and psychological aggression at baseline, 6 months (end of treatment) and 12 months (6 months post‐treatment) using the Conflicts Tactics Scale. Caregivers of children in the omega‐3 group reported long‐term reductions in psychological aggression in a group × time interaction. Improvements in adult psychological aggression were correlated with improvements in child externalizing behavior scores. No differences were reported for child maltreatment. This study is the first to show that omega‐3 supplementation in children can reduce inter‐partner psychological aggression among adult caregivers not receiving supplements. Findings suggest that improving child behavior through omega‐3 supplementation could have long‐term benefits to the family system as a whole.

     

CHILD MALTREATMENT, BULLYING, GENDER-BASED HARASSMENT, AND ADOLESCENT DATING VIOLENCE: MAKING THE CONNECTIONS

Learning to relate to others begins at birth and carries forward to new relationships, which is why child maltreatment and exposure to intimate partner violence have emerged as powerful risk factors for future coercive and hostile relationship patterns. Although not inevitable, it is more likely that children who are victims of maltreatment will carry forward these behavior patterns into adolescence and adulthood, thus perpetuating bullying and harassment with peers and dating partners. We examine the importance of relationships in understanding how abusive patterns of relating to others are shaped throughout childhood and adolescence and how they can be prevented. While early relationships are very important, they are not deterministic; there are ample opportunities for corrective experiences to offset negative early experiences.     

Interpersonal Style and Hypothetical Treatment Choice Among Survivors of Intimate Partner Violence

Individual differences between women victimized by intimate partner violence (IPV) may account for whether they choose to seek treatment and what kind of treatment they might prefer. Recent research has highlighted the importance of interpersonal warmth and dominance on women’s response to IPV, although this has not yet been extended to area of treatment choice in the aftermath of IPV victimization. In this study, we examined the association between interpersonal warmth and dominance on four choices of hypothetical treatment (individual therapy only, medication only, combined therapy and medication, and no treatment) in a sample of young adult women victimized by IPV (N = 117). Results indicated that the majority of women would choose therapy (with or without medication) and that interpersonal warmth was negatively associated, and dominance positively associated, with a preference for medication only. These findings extend previous research on both treatment choice and interpersonal style within the context of IPV.     

Testing Posttraumatic Stress as a Mediator of Childhood Trauma and Adult Intimate Partner Violence Victimization

This study examined whether potential posttraumatic stress disorder (PTSD) mediated the relationships between different forms of childhood trauma (sexual abuse, physical abuse, violence between caregivers) and intimate partner violence (IPV) victimization (psychological, physical, sexual). Participants were 1,150 female nurses and nursing personnel. Path analytic findings revealed potential PTSD partially mediated the relationships between childhood sexual abuse and psychological IPV and childhood sexual abuse and sexual IPV. Potential PTSD did not mediate the relationship between other types of childhood trauma and IPV. This study adds to the literature indicating PTSD as a risk factor for revictimization in the form of adult IPV among women. Screening for and treatment of PTSD among female child sexual abuse survivors could prevent future IPV victimization.     

Gender Differences in the Association of Intimate Partner Violence and Relationship Values among College Students

Although research has indicated that cognitions and situational factors play a role in relationship satisfaction and aggression, few studies have investigated the association between intimate partner violence (IPV) and relationship values. We addressed this gap by measuring college students’ perpetration of and victimization by four types of IPV; namely, physical violence, sexual violence, threats, and psychological aggression over the past year. One-way ANOVAs and multiple regression analyses were used to measure the association between IPV and the endorsement of relationship values. The results suggest that past IPV perpetration and victimization correlated with the current endorsement of relationship values for males more than females. In general, male perpetrators rated relationship values such as security, investment, others’ approval, and daily conflict as less important than non-perpetrators. Although male victimization explained significant variance in security, investment, and others’ approval, the results were somewhat mixed as to whether victimization related to higher or lower ratings of relationship values, with the majority of the results suggesting an inverse correlation between relationship value endorsement and IPV experience. Future research can investigate mediating factors in the relationship between IPV and relationship value endorsement, as well as look at how IPV and relationship values influence decisions concerning relationship maintenance.