Childhood Sexual Abuse and Adulthood Parenting: The Mediating Role of Intimate Partner Violence

This study examined the role of intimate partner victimization in mediating the relationship between childhood sexual abuse and adulthood parenting in a community sample of mothers reliant on public assistance (N = 483). Baron and Kenny's (1986 Baron, R. M. and Kenny, D. A. 1986. The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51: 1173–1182. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) method for establishing mediation was used to address this question. A recent history of intimate partner violence mediated the relationship between childhood sexual abuse and psychological aggression; however, a lifetime history of intimate partner violence did not. Depressive symptomatology was found to mediate the relationship between childhood sexual abuse and parental warmth. The impact of childhood sexual abuse on corporal punishment was indirect through its association with childhood physical abuse and witnessing domestic violence. Implications for research, theory development, and practice are provided.     

To Add Insight to Injury: Childhood Abuse,Abuse Perceptions,and the Emotional and Physical Health of Young Adults

Although childhood abuse is strongly associated with psychological difficulties, survivors may not perceive their experiences as abusive. Depression, anxiety, dissociation, and physical health complaints may decrease perceptions of abuse and may also be exacerbated by individuals' abuse perceptions. The current study examined abuse perceptions, abuse experiences, and current symptoms among 185 university students. Ninety-six participants repeated the study 1–2 years later. At Time 1, self-labeling as “abused” or “maltreated” was not related to psychological or physical health symptoms. At Time 2, self-labeling as “abused” or “maltreated” was positively related to depression, anxiety, and dissociation. Results indicate that abuse perceptions may change over time and may be connected with emotional and physical symptoms.     

Childhood Maltreatment,Adult Attachment,and Depression as Predictors of Parental Self-Efficacy in At-Risk Mothers

Childhood abuse and neglect can have far-reaching effects on adult relationships, mental health, and parenting. This study examined relations between maltreatment types, anxious and avoidant adult attachment, maternal depression, and parental self-efficacy in a community sample of 76 at-risk mothers. After controlling for other forms of maltreatment, emotional abuse uniquely predicted higher levels of anxious attachment and maternal depression. Structural equation modeling revealed that childhood maltreatment predicted lower parental self-efficacy through indirect pathways involving anxious attachment and depression. Specifically, maltreatment's influence on maternal depression was mediated by attachment anxiety, while its influence on parental self-efficacy was mediated by depressive symptoms. Results are discussed in terms of attachment theory and ways in which parental self-efficacy contributes to adaptive caregiving behavior.     

Childhood Domestic Violence Exposure among a Community Sample of Adult Perpetrators: What Mediates the Connection?

The association between childhood exposure to domestic violence and later intimate partner violence (IPV) perpetration in adulthood has been well established in the literature. However, the literature examining the factors of exposure that contribute to perpetration in adulthood is fraught with mixed findings, with some studies finding a direct link between childhood domestic violence exposure and later IPV perpetration and others ruling out a link after controlling for other contextual barriers such as community violence and socioeconomic status. This study examined 124 non-treatment-seeking and unadjudicated adult male IPV perpetrators and found exposure to domestic violence in childhood contributes to the normalization of violence, which could predict future adult IPV perpetration. Practice implications are discussed, namely primary and secondary prevention of intimate partner violence.     

Attachment Style and Early Maladaptive Schemas as Mediators of the Relationship between Childhood Emotional Abuse and Intimate Partner Violence

Theoretical and empirical research suggests possible pathways between women's experiences of childhood emotional abuse (CEA) and later intimate partner violence victimization (IPV-V) and perpetration (IPV-P), including attachment style and early maladaptive schemas. This study tested a model examining the unique mediating effects of insecure attachment and early maladaptive schemas on the relationship between CEA and IPV-V (n?=?396) or IPV-P (n?=?409) in college women. Contrary to hypotheses that both attachment style and maladaptive schema endorsement would mediate the relationship between CEA and IPV-V and IPV-P, regression analyses indicated the disconnection/rejection schema domain was the only significant mediator between CEA and IPV-V (p = .01). This same relation held for childhood emotional abuse and IPV-P (p < .001). These findings provide preliminary clinical utility for examining schema endorsement, the use of schema therapy (Young, Klosko, &; Weishar, 2003 Young, J. E., Klosko, J. S. and Weishar, M. E. 2003. Schema therapy: A practitioner's guide, New York: NY: Guilford.  [Google Scholar]), or both with women who have emotional abuse and IPV histories.     

Developmental Trauma Disorder: A Provisional Diagnosis

Developmental trauma disorder is a provisional disorder that characterizes multiple trauma exposure that impairs certain domains of human development. These domains are attachment, cognition, behavior regulation, affect regulation, self-concept, dissociation, and biological functioning and maturation. This article reviews the literature and discusses the present understanding of these 7 domains. It discusses the effects of developmental trauma exposure on each domain and alludes to the importance of clinicians understanding the complexity and diversity of development trauma outcomes.     

Childhood Sexual Abuse and Intimate Partner Violence in a Clinical Sample of Men: The Mediating Roles of Adult Attachment and Anger Management

This study examined the association between men’s experience of childhood sexual abuse and later perpetration of intimate partner violence, considering the roles of attachment insecurity and poor anger regulation. The sample was 302 Canadian men undergoing counseling for relationship difficulties or aggression. They completed questionnaires assessing childhood sexual abuse, the two dimensions of attachment insecurity (anxiety and avoidance), anger regulation processes, physical and psychological aggression, and social desirability bias. Path analyses showed that men who experienced childhood sexual abuse scored higher on attachment anxiety, which in turn was associated with aggressive behaviors directly and through four anger-related variables (trait anger, anger-in, anger-out, and low anger control). Attachment-related avoidance predicted psychological aggression, but not physical aggression, through men’s trait anger and anger-in.     

Intergenerational Transmission of Trauma: The Mediating Role of Parenting Styles on Toddlers' DSM-Related Symptoms

Although the intergenerational transmission of trauma has been well documented, the pathways by which trauma symptoms are passed between parents and children remain unclear. This study examined the mediating role of parenting styles in the transmission of maternal trauma to children. Participants were a sample of 105 mothers of toddlers (18–30 months old). Mothers who had experienced interpersonal trauma were more likely to have an authoritarian parenting style, including verbal hostility, physical coercion, and low nurturance. Verbal hostility especially predicted more prevalent and increasing toddler symptoms associated with affective, hyperactive, and oppositional defiant disorders. Thus, the verbal hostility component of authoritarian parenting could serve as a major intergenerational pathway between maternal trauma and early child symptoms.     

Meeting Survivors Where They Are: The Vital Role of Trauma-Informed and Competent Clinicians in Primary Care

For adult survivors of adverse childhood experiences, primary care is the entryway to treatment of post-traumatic stress disorder (PTSD). It is estimated 25% of adult primary care patients have PTSD, and they present to their provider more often with pain and non-specific physical symptoms rather than mental health issues. Physicians, even those somewhat knowledgeable about trauma and PTSD, are unlikely to assess for it in order to avoid issues they may not have the time and/or skills to sufficiently address. This is due to PTSD treatment not being a core training competency in graduate-level education and professional training being timely and expensive. Usual care for PTSD consists of medication to manage symptoms and a referral to a mental health clinician. However, substantial disparities and patient, provider, and delivery system-level barriers means survivors are unlikely to follow-through with referrals nor receive adequate treatment when they do. In this theoretical article, we review the trials and tribulations experienced by research teams and argue what is lacking is trauma-informed care. None of the trials reviewed mentioned trauma-informed care as a component of their intervention nor as a recommendation for future studies. We also outline a host of recommendations for best practice protocols that benefit patients and the collaborative care teams meeting them where they are. Trauma-informed care deepens the focus on relational, physiological, and physical safety. Attention to soothing physiological arousal through the physician-patient-clinician triad creates more positive associations toward moving forward in treatment for survivors and providers.     

Parenting and child body mass index: Longitudinal investigation of maternal and paternal influence

The aim of this study was to investigate the cross‐sectional and longitudinal relationships between general parenting and body mass index (BMI) status of children between the ages of 4 and 7 in Australia. A nationally representative sample of 4,423 children (49% female) and their parents was used for the present study. Measures of parental demandingness and responsiveness were completed by parents at child age 4–5 years. Height and weight measurements of children were taken at child age 4–5, and again at 6–7, from which BMI status was calculated. No influence of mothers' parenting on child BMI status was shown, and fathers' responsiveness was found to be predictive of increased risk for overweight/obesity at 6–7 years. While the present study is complicated by measurement issues, findings suggest that increased risk for overweight in young children may be associated with responsiveness in fathers. Obesity prevention programs involving parents should take into account the influence of fathers' parenting on child BMI status.