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.     

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.     

Family Violence and Health Among Elderly in Croatia

This article presents the research carried out on a sample of 303 elderly men and women. In the last year they reported experiencing violence in the family as follows: psychological abuse (24.1%), financial exploitation (6.4%), physical abuse (4.4%), and sexual abuse (2.1%). The abusers were most often husbands (30.15%), sons (16.64%), daughters (14.01%), and wives (9.21%). In the partner relationship, 44%?of the women and 35%?of the men had experienced at least some form of violence. The results showed that elderly men and women who were victims of family abuse had poorer psychological health than those without such experiences. Elderly who had experienced partner violence consumed alcohol more often than those who had experienced violence by other household members.     

Characteristics of Traumatic Experience and Survivor Perceptions of Mental Health Services: The 2004–2005 Erie County Community Trauma Survey

Trauma is associated with severe mental illness and substance abuse problems, yet it typically is not addressed sufficiently in treatment. This article reports on an assessment of mental health service recipients and their experience of traumatic events and perceptions of service providers' sensitivity, helpfulness, and knowledge regarding their trauma and service needs using a community-based participatory research model. Demographic characteristics and status of co-occurring disorders were measured. Participants perceived that individual therapists and peer service providers were sensitive to and knowledgeable about their trauma. Group treatment and peer programs were seen as being most helpful. Psychiatric services were seen as being the least sensitive to trauma issues. Implications for practice and research are discussed.     

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.     

Integrating Spirituality and Domestic Violence Treatment

Summary

This article provides a brief reflection on how the Change of Seasons treatment model developed and the reasons for its success with Aboriginal men. Parallels between Aboriginal perspectives, or worldviews, and Ken Wilber's transpersonal psychology, Rupert Sheldrake's fields theory, and Peter Senge's systems thinking are also discussed. Practical rituals and ceremonies that have been successfully integrated into psychoeducational group counselling as practiced in the Change of Seasons model are explained. These musings are included to initiate further dialogue on holistic approaches to counselling and other community initiatives.     

The Mediating Role of Peritraumatic Dissociation and Thought Control Strategies on Posttraumatic Stress in Women Survivors of Child Sexual and Physical Abuse

This study examined the link between cognitive coping strategies, type of abuse, and posttraumatic stress symptomatology. In a sample of 294 undergraduate women, several key findings emerged: (a) reported use of cognitive coping strategies significantly differed based on the type of abuse; (b) some differences in posttraumatic stress symptomatology emerged based on the type of abuse; (c) once the cognitive coping strategies were accounted for, the type of abuse was no longer associated with posttraumatic stress symptomatology. These findings suggest that peritraumatic dissociation, punishment, and social control significantly mediated the relationship between the type of abuse and posttraumatic stress symptomatology. This is important information for interventionists striving to help their clients maximize already-occurring adaptive strategies (e.g., social control).     

Children with Disabilities

Abstract

Children in out-of-home care due to abuse and neglect are at disproportionately high risk for disabling conditions. The reasons for the over-representation of children with disabilities in the child welfare system are reviewed and discussed in this chapter. Factors discussed include impact of abuse and neglect, the impact risk factors such as exposure to community and domestic violence and poverty, risk of abuse or neglect associated with disability, and child welfare system factors. In addition, the need for greater efficacy in identification of disability, identification of service needs, and linkage with and delivery of services to serve the needs of children with disabilities in out-of-home care is addressed. Recommendations for policy review at State and Federal levels are offered along with direction for future research.     

Sticks,Stones, or Words? Counting the Prevalence of Different Types of Intimate Partner Violence Reported by New Zealand Women

This study documents the lifetime and 12-month prevalence and overlap of psychological/emotional, physical, and sexual intimate partner violence (IPV) reported by a representative sample of New Zealand women. Use of controlling behaviors by women's current or most recent intimate partner was also explored. The results indicated that 55% of ever-partnered women had experienced any IPV in their lifetime: 33% had experienced more than one type of IPV (usually psychological/emotional violence and physical and/or sexual violence), and 22% had experienced one type of IPV. Use of controlling behaviors by the woman's current or most recent partner was associated with partner's use of physical or sexual violence. Implications are discussed at the population level, for service providers, and for future studies.     

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.