1
|
Tang Q, Zou X, Gui J, Wang S, Liu X, Liu G, Tao Y. Effects of childhood trauma on the symptom-level relation between depression, anxiety, stress, and problematic smartphone use: A network analysis. J Affect Disord 2024; 358:1-11. [PMID: 38705521 DOI: 10.1016/j.jad.2024.05.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Revised: 04/12/2024] [Accepted: 05/02/2024] [Indexed: 05/07/2024]
Abstract
BACKGROUND Childhood trauma experience is closely associated with depression, anxiety, stress, and problematic smartphone use (PSU). However, few studies have explored the complex symptom-level relations between these variables among people with and without trauma experiences, leaving a gap in treating and alleviating these mental disorders among individuals with childhood trauma. METHODS The current study used a convenience sampling method and recruited 2708 participants who completed Childhood Trauma Questionnaire-Short Form (CTQ-SF), Depression Anxiety and Stress Scales (DASS-21), and Mobile Phone Addiction Tendency Scale (MPATS), dividing them into trauma (n = 1454, Mean age = 19.67) and no-trauma (n = 1254, Mean age = 19.57) groups according to the cut-off scores of CTQ-SF. Symptom network analysis and network comparison test were conducted to construct and compare the network models between trauma and no-trauma groups. RESULTS The findings indicate that the trauma group and females exhibit greater average levels of DASS-21 and PSU symptoms compared to the no-trauma group and males, respectively. Additionally, the edge between "Stress" and "Anxiety" is the strongest across trauma and no-trauma groups. "Social comfort" is a bridge symptom of the trauma group network and the results of bridge symptoms in the no-trauma group are not stable. LIMITATIONS This study did not categorize all individuals according to specific types of trauma experiences and it is a cross-sectional design. The prevalences calculated in this study may not be generalizable. CONCLUSIONS Interventions targeting different bridge symptoms in the trauma and no-trauma network models may help reduce the severity of symptoms.
Collapse
Affiliation(s)
- Qihui Tang
- Faculty of Psychology, Beijing Normal University, Beijing 100875, China; Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Beijing 100875, China
| | - Xinyuan Zou
- Faculty of Psychology, Beijing Normal University, Beijing 100875, China; Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Beijing 100875, China
| | - Jie Gui
- Faculty of Architectural Decoration and Art, Jiangsu Vocational College of Electronics and Information, Huaian 223003, China
| | - Shujian Wang
- Faculty of Psychology, Beijing Normal University, Beijing 100875, China; Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Beijing 100875, China
| | - Xiangping Liu
- Faculty of Psychology, Beijing Normal University, Beijing 100875, China; Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Beijing 100875, China
| | - Gang Liu
- Department of Psychiatry, Affiliated Nanjing Brain Hospital, Nanjing Medical University, Nanjing 210029, China.
| | - Yanqiang Tao
- Faculty of Psychology, Beijing Normal University, Beijing 100875, China; Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Beijing 100875, China.
| |
Collapse
|
2
|
Peckins MK, Negriff S, Gordis EB, Zhen A, Susman EJ. Maltreatment type differences in cortisol stress response trajectories across adolescence. Child Dev 2024; 95:1092-1108. [PMID: 38115174 DOI: 10.1111/cdev.14058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 11/17/2023] [Accepted: 11/25/2023] [Indexed: 12/21/2023]
Abstract
This study examined cortisol stress response trajectories across adolescence in 454 maltreated and comparison youth recruited from Los Angeles County between 2002 and 2005 (66.7% maltreated; 46.7% girls; 39.0% Latino; 37.7% Black; 12.3% Mixed or Biracial; 11.0% White; Mage = 10.9 years, SD = 1.2). Adolescents' peak activation and cortisol reactivity and recovery slopes following the Trier Social Stress Test for Children were calculated at four waves, then used to model peak activation and cortisol reactivity and recovery trajectories arrayed by age. Maltreated youth had blunted cortisol reactivity at age 9 relative to comparison youth (b = -.19, p = .02). Sexually and physically abused youth showed blunted cortisol reactivity and recovery trajectories relative to emotionally abused and neglected youth.
Collapse
Affiliation(s)
- Melissa K Peckins
- Department of Psychology, St. John's University, Queens, New York, USA
| | - Sonya Negriff
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA
- Department of Health Systems Science, Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, California, USA
| | - Elana B Gordis
- Department of Psychology, University at Albany, State University of New York, Albany, New York, USA
| | - Anna Zhen
- Department of Psychology, St. John's University, Queens, New York, USA
| | - Elizabeth J Susman
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania, USA
| |
Collapse
|
3
|
Niu L, French DC, Wang Y, Sun J, Lin D. Childhood maltreatment and alcohol and tobacco use trajectories in rural Chinese adolescents. Child Adolesc Psychiatry Ment Health 2024; 18:51. [PMID: 38702797 PMCID: PMC11067222 DOI: 10.1186/s13034-024-00744-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 04/24/2024] [Indexed: 05/06/2024] Open
Abstract
BACKGROUND There is a high prevalence of childhood maltreatment among Chinese children and adolescents, but little is known about its impact on alcohol and tobacco use trajectories and how positive school and neighborhood environments moderate the associations. The objective of this study was to assess the association between multiple forms of childhood maltreatment and longitudinal alcohol and tobacco use trajectories, and to assess the possibility that perceived connections to school and neighborhood moderate these associations. METHODS This longitudinal cohort study included 2594 adolescents (9 to 13 years) from a low-income rural area in China. Childhood exposure to abuse and neglect was assessed using the Childhood Trauma Questionnaire. Participants reported past-month alcohol and tobacco use at three time points over 1 year. RESULTS Growth curve models revealed that childhood sexual abuse was associated with a higher risk of past-month drinking (OR = 1.53, 95% CI 1.19-2.03, p < 0.001) and smoking (OR = 1.82, 95% CI 1.30-2.55, p < 0.001). Neglect was associated with a higher risk of past-month drinking (OR = 1.52, 95% CI 1.06-1.90, p < 0.05) and smoking (OR = 2.02, 95% CI 1.34-3.02, p < 0.001). None of the maltreatment forms predicted a faster increase in either drinking or smoking. These associations were found independent of personal, family, and contextual characteristics. School and neighborhood connection moderated the association between physical abuse and past-month drinking, such that physical abuse was associated with a greater risk of drinking only for youth who perceived low school or neighborhood connections. CONCLUSIONS Findings demonstrate the importance of early experiences of childhood maltreatment for adolescent alcohol and tobacco use. Enhancing school and neighborhood connectedness for physically abused youth may help protect them from alcohol use.
Collapse
Affiliation(s)
- Li Niu
- Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Doran C French
- Department of Human Development and Family Science, Purdue University, West Lafayette, IN, USA
| | - Yuyan Wang
- Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Jianing Sun
- Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Danhua Lin
- Institute of Developmental Psychology, Faculty of Psychology, Beijing Normal University, 19 XinJieKouWai St., Haidian District, Beijing, China.
| |
Collapse
|
4
|
Bosetti RL. Investigating Trauma Symptomology as a Mediator of the Relationships Between Childhood Maltreatment and Sexual and Non-Sexual Delinquency. SEXUAL ABUSE : A JOURNAL OF RESEARCH AND TREATMENT 2024; 36:349-380. [PMID: 37095700 DOI: 10.1177/10790632231172156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Maltreatment is a risk factor for both sexual and non-sexual delinquency. Little is known about how specific forms of maltreatment relate to the distinct offending outcomes. Though trauma symptoms have been associated with maltreatment and delinquency, the intervening role of trauma symptoms in pathways from maltreatment to offending is not well understood. The goal of the current study was to test social learning and general strain theory explanations for sexual and non-sexual delinquency in adolescence, exploring trauma symptoms as a mediator between the four major types of maltreatment and offending outcomes. Data were collected via surveys of 136 incarcerated youth at seven residential treatment and community corrections facilities in a Midwestern state. Confirmatory factor analysis (CFA) was used to establish a measurement model, and structural equation modeling was employed to test direct and indirect pathways from maltreatment to offending. Individual forms of maltreatment had differential relationships with offending outcomes, with neglect having a significant association with non-sexual delinquency, and sexual abuse having a significant direct relationship with sexual delinquency. Trauma symptomology did not mediate these relationships. Future research should explore developmentally appropriate proxies for measuring childhood trauma. Practice and policy should consider the role of maltreatment victimization history in the inception of delinquency behaviors, prioritizing therapeutic alternatives to detention and incarceration.
Collapse
|
5
|
Schiff M, Auslander WF, Gerke DR. Child Maltreatment, Mental Health, and Self-Reported Health Among Adolescent Girls in Child Welfare: Mediating Pathways. JOURNAL OF CHILD & ADOLESCENT TRAUMA 2023; 16:759-771. [PMID: 37593056 PMCID: PMC10427600 DOI: 10.1007/s40653-023-00545-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/06/2023] [Indexed: 08/19/2023]
Abstract
Child maltreatment is common in the US and has been shown to be associated with physical and psychological health problems in adolescence and adulthood. Based on the allostatic load theory, this study examined the association between different types of child maltreatment (emotional, physical, and sexual abuse, and physical neglect) and self-rated health, and the mediating roles of post-traumatic stress and depression in these relationships. Participants were 249 girls involved in the child welfare system, ages 12-19 years, the majority of whom were African American. A one item self-reported general health measure, the Child Trauma Questionnaire-Short Form (CTQ-SF), Child PTSD Symptom Scale (CPSS) and the Child Depression Inventory (CDI) measured self-reported health, child maltreatment, and posttraumatic and depression symptoms, respectively. Higher levels of emotional, physical, and sexual abuse, and physical neglect were significantly associated with poorer ratings of health. PTSD and depression were significant mediators between histories of childhood emotional, physical, and sexual abuse and physical health. In conclusion, results indicate that the pathways from child abuse to physical health problems in adolescents are through psychological distress. Trauma focused interventions to reduce symptoms of PTSD and depression among this vulnerable group of adolescents are essential to improve health.
Collapse
Affiliation(s)
- Miriam Schiff
- The Hebrew University of Jerusalem, Jerusalem, Israel
| | | | | |
Collapse
|
6
|
Brown S, Tezanos KM, Nugent NR. Childhood Maltreatment, Executive Function, and Suicide Attempts in Adolescents. CHILD MALTREATMENT 2023:10775595231182047. [PMID: 37279026 DOI: 10.1177/10775595231182047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Evidence suggests that child maltreatment is a risk factor for adolescent suicidal behavior. However, the differential influence of distinct forms of child maltreatment on adolescent suicide attempts is understudied and the factors that might exacerbate or ameliorate these associations warrant attention. We examined the associations between two distinct forms of child maltreatment (threat and deprivation) and suicide attempt history, and investigated whether executive function domains moderated these associations. Participants were 119 adolescents (M = 15.24, SD = 1.46, 72.3% female) recruited from an inpatient psychiatric hospital during hospitalization for suicidal thoughts and behaviors. Results indicated that the executive function domains of initiation, shifting, and planning/organization moderated the associations between threat and suicide attempt history. Associations between threat and suicide attempt history were significant only when initiation and shifting T-scores were lower (OR = 1.22, p = .03 and OR = 1.32, p = .01, respectively). The association between threat and suicide attempt history trended toward significance when planning/organization T-scores were lower (OR = 1.15, p = .10). None of the executive function domains moderated the link between deprivation and suicide attempt history. Findings highlight the need for research investigating whether initiation, shifting, and planning/organization might be amendable to intervention in the context of threat-related child maltreatment.
Collapse
Affiliation(s)
- Shaquanna Brown
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
- Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, USA
| | - Katherine M Tezanos
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Nicole R Nugent
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
| |
Collapse
|
7
|
Lee DS, Cederbaum JA, Davis JP, Hurlburt MS, Mennen FE. Maternal and adolescent depressive symptoms and family conflict: An autoregressive cross-lagged examination of competing models in multi-stressed mothers and adolescents. FAMILY PROCESS 2023; 62:254-271. [PMID: 35545438 DOI: 10.1111/famp.12779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Revised: 03/29/2022] [Accepted: 03/31/2022] [Indexed: 06/15/2023]
Abstract
Maternal and adolescent depression are challenges that often co-occur. Many studies have drawn bivariate associations between maternal depressive symptoms, adolescent depressive symptoms, and family conflict, but few have examined reciprocal effects. Even among extant studies, there is a lack of clarity related to directionality of influence. Three competing theoretical models may explain the relationship between maternal depressive symptoms, adolescent depressive symptoms, and family conflict, and these processes may differ by adolescents' sex. Using three time points of data from 187 diverse mother-adolescent dyads, we fit a taxonomy of autoregressive cross-lagged structural equation models to simultaneously evaluate the competing theoretical models and also examine differences by sex using multiple-group analyses. Results indicate a symptom-driven model whereby adolescent depressive symptoms predicted increases in family conflict. Sex differences were also found. For males, but not females, greater adolescent depressive symptoms predicted subsequent increases in maternal depressive symptoms, which then predicted lower family conflict-possibly indicating maternal disengagement/withdrawal. Our findings suggest addressing adolescent depressive symptoms in order to prevent family conflict and that distinctive targets for the prevention/intervention of family conflict should account for differences by adolescents' sex.
Collapse
Affiliation(s)
- Daniel S Lee
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA
| | - Julie A Cederbaum
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA
| | - Jordan P Davis
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA
- USC Center for Artificial Intelligence in Society, USC Center for Mindfulness Science, USC Institute on Addiction Science, University of Southern California, Los Angeles, California, USA
| | - Michael S Hurlburt
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA
| | - Ferol E Mennen
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA
| |
Collapse
|
8
|
Associations between HPA axis reactivity and PTSD and depressive symptoms: Importance of maltreatment type and puberty. Dev Psychopathol 2023; 35:130-141. [PMID: 34092276 PMCID: PMC8648873 DOI: 10.1017/s095457942100050x] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The functioning of the hypothalamic-pituitary-adrenal (HPA) axis is implicated in the etiology and maintenance of depressive and posttraumatic stress disorder (PTSD) symptoms. However, different maltreatment experiences as well as the increased sensitivity of the HPA axis during puberty may alter associations between the HPA axis and mental health. To address these gaps, the current study examined the potential bidirectional associations between cortisol reactivity to a stressor, PTSD symptoms, and depressive symptoms among early adolescents across two time points, 1 year apart (n = 454; Mage = 10.98 at Time 1 and Mage = 12.11 at Time 2). Multiple-group path models tested the pathways between cortiol reactivity and mental health prior to and during puberty, for different types of maltreatment . Overall, the results showed that associations between cortisol output and symptoms of PTSD and depression were driven by those in the midst of puberty. Specifically, higher cortisol output at Time 1 was linked with higher levels of subsequent PTSD and depressive symptoms for neglected youth who had reached puberty. However, depressive symptoms predicted subsequent lower cortisol output for the physical abuse and emotional abuse groups. These findings demonstrate longitudinal links between cortisol, depressive symptoms, and PTSD symptoms among youth with different types of maltreatment histories and highlight the need to consider the reorganization of the stress system during puberty in order to advance our understanding of the HPA axis and mental health.
Collapse
|
9
|
Bounoua N, Sadeh N. Dimensions of childhood maltreatment and adult risky behaviors: Differential affective and inhibitory control mechanisms. CHILD ABUSE & NEGLECT 2022; 134:105877. [PMID: 36152530 DOI: 10.1016/j.chiabu.2022.105877] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 08/30/2022] [Accepted: 09/07/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND While childhood maltreatment has been identified as a robust risk factor for a myriad of poor outcomes, significant gaps in our understanding still remain regarding mechanisms of this risk transmission across the lifespan. OBJECTIVE Informed by recent dimensional models, the objective of this study was to examine how unique dimensions of childhood maltreatment relate to adult risky behaviors via interactions between cognitive control and affective processes across Positive and Negative Valence Systems. PARTICIPANTS AND SETTING Our sample consisted of 110 community adults (M/SDage = 31.92/10.58 years old, 52.7 % male). METHODS Participants completed a neuropsychological test of inhibitory control and self-report measures of childhood maltreatment, recent adult risky behaviors, and indices of affective processing. RESULTS Moderated-mediation analyses revealed that childhood experiences of neglect and abuse exhibited distinct mechanisms of risk transmission related to adult risky behaviors. Specifically, disruptions in inhibitory control and reward-related processes were linked to adult risky behavior in the context of Childhood Deprivation (95%CI = -0.166/-0.002), whereas negative affective processes were associated with adult risky behavior in the context of Childhood Threat (95 % CI = 0.015/0.157). CONCLUSIONS Findings provide empirical support for novel dimensional theories of childhood maltreatment and suggest that distinct regulatory processes are impacted by these early life experiences, which may confer risk into adulthood.
Collapse
Affiliation(s)
- Nadia Bounoua
- University of Delaware, Department of Psychological and Brain Sciences, United States of America.
| | - Naomi Sadeh
- University of Delaware, Department of Psychological and Brain Sciences, United States of America
| |
Collapse
|
10
|
Zhan X, Li K, Zheng Y, Yang G, Luo X. A chain multiple mediation model reveals the association between abuse and depression in Chinese adolescents. Front Public Health 2022; 10:1023749. [PMID: 36466489 PMCID: PMC9714438 DOI: 10.3389/fpubh.2022.1023749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Accepted: 10/31/2022] [Indexed: 11/18/2022] Open
Abstract
Background Depression is a common mental disorder in Chinese adolescents. Identifying its risk factors will facilitate early prevention. As abuse is reported to be a great risk factor of depression, it is necessary to identify factors mediating the relation between abuse and depression. Objective This study aims to investigate the association between abuse and depression by investigating the mediating role of academic stress, social anxiety, and generalized anxiety to offer insights for depression prevention. Participants and setting We investigated adolescents in urban and rural areas in Wansheng District of Chongqing city in China. This study included a total of 14,108 students from secondary and primary schools, among whom 7,086 were men (50.2%) and 7,022 were women (49.8%). The participants aged from 11 to 17 with an average age of 13.58 (M = 13.58, SD = 1.86). Methods A questionnaire survey was conducted among the participants between October and December in 2020. The following questionnaires were adopted: DSM-5 Patient Health Questionnaire for Adolescents, DSM-5 Severity Measure for Generalized Anxiety Disorder, The International Society for Prevention of Child Abuse and Neglect Child Abuse Screening Tool, DSM-5 Severity Measure for Social Anxiety Disorder (Social Phobia), and Study Stress Scale. Results The lifetime prevalence of abuse was high in Chinese adolescents. The direct effect value from abuse to depression was 0.05, the total mediating effect value was 0.14, and the overall effect value was 0.19. According to the mediating effect analysis, the direct and indirect effects from abuse to depression were significant, and the mediating effect accounted for 73.68% of the total effect, suggesting that 73.68% of the effects of abuse to depression are mediated by academic stress, social anxiety, and generalized anxiety. Conclusions Academic stress, social anxiety and generalized anxiety play a chain multiple mediating role in the association between abuse and depression, which sheds light on the prevention of depression in the future.
Collapse
Affiliation(s)
- Xiaoqing Zhan
- Department of Medical English, School of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Kuiliang Li
- School of Psychology, Army Medical University, Chongqing, China
| | - Yingcan Zheng
- School of Psychology, Army Medical University, Chongqing, China
| | - Guoyu Yang
- School of Psychology, Army Medical University, Chongqing, China,Guoyu Yang
| | - Xi Luo
- Department of Medical English, School of Basic Medical Sciences, Army Medical University, Chongqing, China,*Correspondence: Xi Luo
| |
Collapse
|
11
|
Jablonka O, Palusci VJ. Role of Psychologists in Child Abuse Pediatrics. Pediatr Clin North Am 2022; 69:879-893. [PMID: 36207099 DOI: 10.1016/j.pcl.2022.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
This article describes the extent of the problem and the medical evaluation of child maltreatment, focusing on the outpatient interdisciplinary assessment of suspected child physical and sexual abuse. Separate from their role as clinicians, the roles of the child psychologist before, during, and after the medical assessment are highlighted. The child psychologist is an important member of the interdisciplinary team who helps the team prepare for the evaluation (before), assists in screening and determining immediate psychological safety during the medical evaluation (during), and communicating the need for further treatment and follow-up (after).
Collapse
Affiliation(s)
- Olga Jablonka
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, 462 First Avenue, GC-65, New York, NY 10016, USA.
| | - Vincent J Palusci
- Department of Pediatrics, NYU Grossman School of Medicine, 462 First Avenue, GC-65, New York, NY 10016, USA
| |
Collapse
|
12
|
Yang Y, Ma X, Kelifa MO, Li X, Chen Z, Wang P. The relationship between childhood abuse and depression among adolescents: The mediating role of school connectedness and psychological resilience. CHILD ABUSE & NEGLECT 2022; 131:105760. [PMID: 35803026 DOI: 10.1016/j.chiabu.2022.105760] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 05/05/2022] [Accepted: 06/17/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Adolescent depression is a major public health concern worldwide, and depressive symptoms among adolescents in Chinese secondary school increase with grade. Although numerous studies noted that childhood abuse was associated with the development of depression in adolescents, the underlying mediators involved in this pathway remain unclear. Therefore, our study aims to explore whether psychological resilience and school connectedness mediate the association between childhood abuse and depression among Chinese adolescents. METHODS A cross-sectional survey was carried out among 1607 adolescents at four high schools located in Henan Province, Central China. Structural equation modeling was performed to determine whether psychological resilience and school connectedness mediate the influence of childhood abuse on depression. RESULTS Findings revealed that childhood abuse was directly (β = 0.410, p < 0.001) and indirectly (β = 0.141, p < 0.001) related to depression. Specifically, psychological resilience (β = 0.018, p = 0.009), school connectedness (β = 0.087, p < 0.001), and school connectedness together with psychological resilience (β = 0.036, p < 0.001) partially mediated the relationship between childhood abuse and depression. CONCLUSIONS The detrimental impact of childhood abuse on adolescents' depression may be reduced by fostering psychological resilience and school connectedness.
Collapse
Affiliation(s)
- Yinmei Yang
- School of Public Health, Wuhan University, 115 Donghu Road, Wuhan, Hubei 430071, China
| | - Xiaoqian Ma
- School of Public Health, Wuhan University, 115 Donghu Road, Wuhan, Hubei 430071, China
| | | | - Xuyang Li
- School of Public Health, Wuhan University, 115 Donghu Road, Wuhan, Hubei 430071, China
| | - Zongshun Chen
- School of Public Health, Wuhan University, 115 Donghu Road, Wuhan, Hubei 430071, China
| | - Peigang Wang
- School of Health Sciences, Asmara College, Asmara, Meakel, Eritrea.
| |
Collapse
|
13
|
Song L, Fang P, Jiang Z, Li S, Song X, Wan Y. Mediating effects of parent-child relationship on the association between childhood maltreatment and depressive symptoms among adolescents. CHILD ABUSE & NEGLECT 2022; 131:105408. [PMID: 34810024 DOI: 10.1016/j.chiabu.2021.105408] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2021] [Revised: 10/11/2021] [Accepted: 11/09/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Depressive symptoms are the most common mental disorder among adolescents, and its prevalence has been increasing in recent years. Although childhood maltreatment is a contributing factor to depressive symptoms among adolescents, the underlying mechanism of how this factor causes depressive symptoms is unclear. OBJECTIVE This study aimed to investigate the mediating effects of parent-child relationship on the association between childhood maltreatment and depressive symptoms among adolescents and to identify how sex and only child status affect this association. METHODS A total of 14,500 middle school students were randomly selected from four cities (Shenzhen, Zhengzhou, Nanchang, and Guiyang) in China. A survey questionnaire was administered to collect information on childhood maltreatment, parent-child relationship, and depressive symptoms. Pearson's correlation analysis was used in analyzing the relationship, Bootstrap method was used to test the mediating effects. A moderated mediation analysis has been used to determine the moderated mediation effect. RESULTS Childhood maltreatment significantly negatively correlated with parent-child relationship and positively correlated with depressive symptoms (P < 0.001). The indirect effect of parent-child relationship accounted for 20.60% of the total effect between childhood maltreatment and depressive symptoms in all respondents and differed by sex (boys, 17.00%; girls, 25.23%) and only child status (only child, 15.61%; child with siblings, 23.49%). Besides, the indirect effect of the mediation model was moderated by sex and only child status. CONCLUSIONS Childhood maltreatment increased the risk of depressive symptoms, and this relationship was partially mediated by parent-child relationship, sex and only child status have moderated the indirect relationship. These findings showed efforts aimed at enhancing the parent-child relationship may prevent or reduce the prevalence of depressive symptoms among adolescents, especially in girls and children with siblings.
Collapse
Affiliation(s)
- Lingling Song
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Anhui, China; Department of Epidemiology and Biostatistics School of Public Health, Tongji Medical College Huazhong University of Science and Technology, Wuhan, China
| | - Peifei Fang
- Department of Human Anatomy, Histology & Embryology, Anhui Medical College, Anhui, China
| | - Zhicheng Jiang
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Anhui, China; Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui, China
| | - Shuqin Li
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Anhui, China; Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui, China
| | - Xianbing Song
- Department of Human Anatomy, Histology & Embryology, Anhui Medical College, Anhui, China.
| | - Yuhui Wan
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Anhui, China; Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui, China.
| |
Collapse
|
14
|
Cárdenas EF, Kujawa A, Humphreys KL. Benevolent Childhood Experiences and Childhood Maltreatment History: Examining their Roles in Depressive Symptoms Across the Peripartum Period. ADVERSITY AND RESILIENCE SCIENCE 2022; 3:169-179. [PMID: 37113656 PMCID: PMC10128865 DOI: 10.1007/s42844-022-00062-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/05/2022] [Indexed: 04/29/2023]
Abstract
Peripartum depressive symptoms are associated with a range of adverse outcomes for offspring and mothers. Childhood experiences, both negative and positive, may impact peripartum depression risk. Longitudinal studies are needed to examine trajectories of change in depression across the peripartum and predictors of symptoms across time. We examined the associations between women's reports of specific childhood experiences and trajectories of depressive symptoms across the peripartum period. Participants were 208 pregnant women (Mage=30.31, SD=5.45, range=20-45 years) at the prenatal session. Participants completed follow up sessions approximately 1 month and 6 months postpartum. At baseline, participants completed questionnaire measures of benevolent childhood experiences, childhood maltreatment, and depressive symptoms. Greater benevolent childhood experiences were associated with lower depressive symptoms across the peripartum period. The association with postpartum symptoms remained significant even when covarying antepartum depressive symptoms, indicating that benevolent childhood experiences may protect against postpartum depressive symptoms even after accounting for earlier symptoms. We did not find significant associations between childhood maltreatment and depressive symptoms. These findings extend previous research on benevolent childhood experiences by offering insight into unique associations with symptoms across the peripartum period.
Collapse
Affiliation(s)
- Emilia F Cárdenas
- Vanderbilt University, Department of Psychology and Human Development
| | - Autumn Kujawa
- Vanderbilt University, Department of Psychology and Human Development
| | | |
Collapse
|
15
|
Scheuplein M, Harmelen ALV. The importance of friendships in reducing brain responses to stress in adolescents exposed to childhood adversity: a pre-registered systematic review. Curr Opin Psychol 2022; 45:101310. [DOI: 10.1016/j.copsyc.2022.101310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 01/14/2022] [Accepted: 02/08/2022] [Indexed: 11/17/2022]
|
16
|
Volgenau KM, Hokes KE, Hacker N, Adams LM. A Network Analysis Approach to Understanding the Relationship Between Childhood Trauma and Wellbeing Later in Life. Child Psychiatry Hum Dev 2022:10.1007/s10578-022-01321-y. [PMID: 35094181 DOI: 10.1007/s10578-022-01321-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/17/2022] [Indexed: 11/28/2022]
Abstract
Though childhood maltreatment negatively affects later in life functioning, current interventions do little to mitigate this impact. This ineffectiveness may be exacerbated by deficit-focused models which focus primarily on mental illness, ignoring other indicators of healthy functioning. This paper presents two studies that examine the relationships between childhood maltreatment and later in life functioning, including indicators of mental illness and mental health. In Study 1, network analysis was used as an exploratory tool to examine how childhood maltreatment relates to later in life wellbeing. Study 2 used a different sample of adults to provide a confirmatory test of the network obtained in Study 1 given remaining concerns about the replicability of networks from network analysis. Study 1 included a subset of participants from the Midlife Development in the United States Study 2 (MIDUS 2) Biomarker Project 4, 2004-2009. Study 2 included individuals from the MIDUS Refresher Biomarker Project 4, 2012-2016. Network comparison tests demonstrated that the networks generally replicated as they did not significantly vary in structure, global strength, or measures of strength centrality. In both studies, emotional forms of maltreatment (i.e., emotional abuse, emotional neglect) emerged as particularly influential in the networks. Childhood maltreatment impacts the ability to thrive in adulthood, beyond its impact on diagnosable mental illness, and also affects positive functioning. A stronger focus on emotional abuse and emotional neglect is warranted within maltreatment intervention and education initiatives, as is an emphasis on the impact of maltreatment on positive functioning in adulthood.
Collapse
Affiliation(s)
- Kristina M Volgenau
- Department of Psychology, George Mason University, 4400 University Drive, MS 3f5, Fairfax, VA, 22030, USA.
| | - Kara E Hokes
- Department of Psychology, George Mason University, 4400 University Drive, MS 3f5, Fairfax, VA, 22030, USA
| | - Nathan Hacker
- Department of Psychology, George Mason University, 4400 University Drive, MS 3f5, Fairfax, VA, 22030, USA
| | - Leah M Adams
- Department of Psychology, George Mason University, 4400 University Drive, MS 3f5, Fairfax, VA, 22030, USA
| |
Collapse
|
17
|
Xu X, Zhang L. How does childhood socio-economic environment affect the health of middle-aged and elderly people in China? A new perspective with four dimensions of health. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-021-01681-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
|
18
|
Li K, Zhan X, Ren L, Liu N, Zhang L, Li L, Chen T, Feng Z, Luo X. The Association of Abuse and Depression With Suicidal Ideation in Chinese Adolescents: A Network Analysis. Front Psychiatry 2022; 13:853951. [PMID: 35418891 PMCID: PMC8995894 DOI: 10.3389/fpsyt.2022.853951] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 02/14/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Abuse experiences in adolescents are associated with the risk of depression and suicide. Thus, there is an urgent need to develop prevention and intervention measures for clinicians, policymakers, and researchers. METHODS Network analysis method was used to analyze the cross-sectional data of Chinese adolescents in this study. The Patient Health Questionnaire for Adolescents (PHQ-A) was used for assessing depression, in which item 9 of the PHQ-A was used to assess suicide ideation, and International Society for the Prevention of Child Abuse and Neglect (ISPCAN) Child Abuse Screening Tool-Children's Home Version (ICAST-CH) was used for assessing abuse. RESULTS The prevalence of suicidal ideation among Chinese adolescents was 21.46% (95% CI, 20.79-22.16%). The prevalence of moderate or severe depression was 16.76%, and the prevalence of violence exposure, psychological victimization, neglect, and physical victimization was 33.5%, 59.5%, 28.37%, and 31.51% in the past years, respectively. Network analysis results showed that the most central nodes in the network of abuse and depression were "unimportant," "not cared," and "pushed." The bridge nodes were "suicidal ideation" and "unimportant." The nodes "sadness," "failure," and "unimportant" explained the largest proportion of the variance of suicidal ideation in our network. Differences were found in the structure of both abuse and depression networks between adolescents with or without suicidal ideation. LIMITATIONS The self-reporting-based cross-sectional surveys and community sample groups limit the inference of causality and the generalization of the results. CONCLUSION This study shows that "unimportant" is the central and bridge nodes in the abuse and depression networks and also explains a part of variance of suicidal ideation. The effect of "unimportant" should be considered in the prevention and intervention of depression and suicide in adolescents with abuse experience. Future study is needed to confirm its role in clinical intervention.
Collapse
Affiliation(s)
- Kuiliang Li
- Department of Medical English, School of Basic Medical Sciences, Army Medical University, Chongqing, China.,School of Psychology, Army Medical University, Chongqing, China
| | - Xiaoqing Zhan
- Department of Medical English, School of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Lei Ren
- Department of Military Medical Psychology, Fourth Military Medical University, Xi'an, China
| | - Nan Liu
- Department of Health Examination, People's Hospital of Wansheng Economic Development Zone, Chongqing, China
| | - Lei Zhang
- Department of Medical English, School of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Ling Li
- College of General Education, Chong Qing Water Resources and Electric Engineering College, Chongqing, China
| | - Ting Chen
- Department of Health Examination, People's Hospital of Wansheng Economic Development Zone, Chongqing, China
| | - Zhengzhi Feng
- School of Psychology, Army Medical University, Chongqing, China
| | - Xi Luo
- Department of Medical English, School of Basic Medical Sciences, Army Medical University, Chongqing, China
| |
Collapse
|
19
|
Sharratt K, Panicker A, Banerjee R, Mason SJ, Jones A, Varma B, Patil P, Wager N. Profiles of abuse and neglect and the association with mental health indicators among a large sample of boys and girls from India. CHILD ABUSE & NEGLECT 2021; 122:105354. [PMID: 34634525 DOI: 10.1016/j.chiabu.2021.105354] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 09/24/2021] [Accepted: 09/28/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Child abuse and neglect (CAN) is a major public health concern, but limited data are available on the occurrence, co-occurrence, and correlates of these phenomena outside Western societies. OBJECTIVES The first aim of this study was to establish the prevalence of CAN across two settings (inside and outside the home) among children and adolescents in Mumbai, India. Another aim was to use latent class analysis (LCA) to identify meaningful profiles of maltreatment, and to examine how class membership is associated with mental wellbeing. PARTICIPANTS AND SETTING Self-report data was collected from males (n = 4454; Mage = 12.77 years) and females (n = 3850; Mage = 12.87) at secondary schools. RESULTS Four latent classes of maltreatment were identified among males, including 'low victimisation' (50.4% of participants), 'intra-familial non-sexual abuse' (34.6%), 'intra- and extra- familial non-sexual abuse' (10.2%), and 'poly-victimisation' (4.8%). Among females, three latent classes were identified including, 'low victimisation' (68.1%), 'intra-familial non-sexual abuse' (28.8%), and 'poly-victimisation' (3.0%). Compared to the 'low victimisation' class, children in the abuse classes demonstrated higher levels of anxiety and depression and increased odds of self-injurious thoughts and behaviours. These associations were augmented for girls relative to boys. CONCLUSION There were very few maltreated children who were subjected to just one form of CAN and experiencing co-occurring patterns of abuse and neglect was associated with indicators of poor mental health, especially among girls. These findings highlight the complexity of the situation and will inform policy makers, health professionals and school counsellors.
Collapse
Affiliation(s)
| | - Anne Panicker
- University of Huddersfield, Huddersfield, United Kingdom
| | | | | | - Adele Jones
- University of Huddersfield, Huddersfield, United Kingdom
| | | | | | - Nadia Wager
- University of Huddersfield, Huddersfield, United Kingdom
| |
Collapse
|
20
|
Schneiderman JU, Palmer Molina A, Mennen FE, Negriff S. Effect of Caregiver Depressive Symptoms on the Concordance Between Caregiver and Youth Assessment of Youth Physical Health. Matern Child Health J 2021; 25:1814-1819. [PMID: 34671869 DOI: 10.1007/s10995-021-03273-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/09/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To explore how caregivers' (birth parents, adoptive parents, relative caregivers, and unrelated caregivers) depressive symptoms moderate the concordance between their and their youth's assessment of the youth's physical health symptoms, diseases, and physical health status. METHODS Participants included 224 youth with mean age of 18.0 years (SD = 1.3) and their caregivers. Multiple-group models were run to test whether caregiver depression status moderated the concordance between youth and caregiver report of physical health outcomes. Models compared caregivers above the mean for depression in the sample (n = 62) with caregivers below the mean for depression in this sample (n = 128). RESULTS There was a strong correlation between youth and caregiver report of pain in the last 30 days and physical health status in the caregiver group with no/fewer depressive symptoms [r (128) = 0.29, p = 0.04; r (128) = 0.59, p < 0.01], but no significant correlation between the two in the caregiver group with higher depressive symptoms [r (62) = - 0.27, p = 0.27; r (62) = - 0.14, p = 0.57]. CONCLUSIONS FOR PRACTICE Higher caregiver depressive symptoms was associated with worse concordance between caregiver and youth assessment of the youth's pain and physical health status. These two health issues are less visible and more subjective and communication between caregiver and youth may be affected by the caregiver's depressive symptoms. Since both caregiver and youth assessments of a youth's physical health provide the best clinical data, it may be helpful for health providers to assess caregiver's mental health status to provide a more complete picture.
Collapse
Affiliation(s)
- Janet U Schneiderman
- Nursing Department, Suzanne Dworak-Peck School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA, 90089-0411, USA.
| | - Abigail Palmer Molina
- Suzanne Dworak-Peck School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA, 90089-0411, USA
| | - Ferol E Mennen
- Suzanne Dworak-Peck School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA, 90089-0411, USA
| | - Sonya Negriff
- Department of Research & Evaluation, Kaiser Permanente Southern California, 100 South Los Robles Avenue, Pasadena, CA, 91101-2453, USA
| |
Collapse
|
21
|
Schneiderman JU, Davis JP, Negriff S. Associations Between Psychosocial Functioning and Physical Health in Youth with Maltreatment Experiences. CHILDREN AND YOUTH SERVICES REVIEW 2021; 127:106080. [PMID: 34211239 PMCID: PMC8240661 DOI: 10.1016/j.childyouth.2021.106080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Childhood maltreatment often results in long-term untoward outcomes, although some individuals demonstrate better psychosocial functioning. Maltreatment is linked with poor physical health outcomes but little is known about how psychosocial functioning is related to physical health. The aims of this study were to: 1) Identify heterogeneity of psychosocial functioning using a latent profile analysis. Positive functioning was measured by both fewer problematic symptoms (depressive, PTSD, anxiety, externalizing behavior, and substance abuse disorder) and the presence of the protective factor of social support; and 2) Explore the relationship between emergent classes of psychosocial functioning and physical health (self-reported illnesses, symptoms, and health status as well as measured overweight/obesity). Participants included a sample of youth with child welfare-documented maltreatment (n=219; mean age 18.3 years; range 15-23 years) at Time 4 (T4) of a longitudinal study. Mean differences or odds ratios were assessed across the health variables between classes. The three resulting classes were labeled: 1) higher support/lower symptoms (60.7%); 2) lower support/higher internalizing symptoms (29.2%); and 3) lower support/higher externalizing/substance abuse symptoms (10%). Youth in the lower/support/higher externalizing/substance abuse symptoms class had a similar high level of internalizing symptoms as the lower support/higher internalizing symptoms class. Youth in the lower support/high externalizing/substance abuse symptoms class had more colds and pain symptoms in the past month and gastrointestinal illnesses in the past year than the higher support/lower symptoms class, and more illnesses, respiratory problems, and gastrointestinal illnesses the last year than the lower support/higher internalizing symptoms class. Overall, functioning class was related to certain health problems which often have a stress component and were more prevalent for youth with more externalizing and substance abuse symptoms.
Collapse
Affiliation(s)
- Janet U. Schneiderman
- Corresponding Author: Nursing Department, Suzanne Dworak-Peck School of Social Work; University of Southern California; 669 West 34 Street, Los Angeles, CA, USA 90089-0411; ; 213-821-1338
| | - Jordan P. Davis
- Suzanne Dworak-Peck School of Social Work; USC Center for Artificial Intelligence in Society; USC Center for Mindfulness Science; University of Southern California; 669 West 34 Street, Los Angeles, CA, USA 90089-0411
| | - Sonya Negriff
- Department of Research & Evaluation, Kaiser Permanente Southern California; 100 South Los Robles Avenue, Pasadena, CA USA, 91101-2453
| |
Collapse
|
22
|
Characterizing competence among a high-risk sample of emerging adults: Prospective predictions and biological considerations. Dev Psychopathol 2021; 32:1937-1953. [PMID: 33427177 DOI: 10.1017/s0954579420001467] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Few conditions epitomize severe and chronic stress to a greater extent than child maltreatment, which can derail development across multiple domains of functioning and throughout the life course. Furthermore, child maltreatment tends to co-occur with other adversities, such as poverty. Many individuals grow up under the stressful conditions of these adversities and exhibit developmental competence. The current study prospectively charted the developmental progression of economically disadvantaged maltreated and nonmaltreated children from childhood to emerging adulthood, and examined patterns of competence across multiple developmental domains of functioning central to the period of emerging adulthood. The study investigated childhood precursors to these patterns of adaptation and maladaptation, as well as the physiological cost of these patterns of adaptation (i.e., C-reactive protein; CRP). Latent class analysis revealed four distinct classes of functioning: multifaceted competence across domains (Multifaceted Competence); (multifaceted maladaptation across domains (Multi-Problem); (c) and two classes with mixed patterns of competence and maladaptation (Externalizing Problems and Work/School Impairment). Maltreated individuals were less likely than nonmaltreated individuals to demonstrate patterns of multifaceted competence and more likely to demonstrate aggregate maladaptation across domains. Additionally, Black men who demonstrated a pattern of multifaceted psychosocial competence also evidenced higher levels of low-grade inflammation (indexed by CRP), suggesting physiological distress was associated with adaptation in the context of stress among these individuals. Findings demonstrate the heterogenous patterns of functioning and diverse developmental outcomes that follow early adversity.
Collapse
|
23
|
Negriff S, Palmer Molina A, Hackman DA. Parental Exposure to Childhood Maltreatment and Offspring's Mental Health: Investigating Pathways Through Parental Adversity and Offspring Exposure to Maltreatment. CHILD MALTREATMENT 2020; 25:422-432. [PMID: 32208855 DOI: 10.1177/1077559520912342] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Parental exposure to child maltreatment (CM) is an important predictor of their offspring's CM experiences and mental health. However, less attention has been paid to examine possible mechanisms of transmission, which is critical to inform prevention and intervention efforts. The current study tested (1) whether the association between parental CM exposure and offspring CM exposure was mediated by (a) parental exposure to violence in adulthood or (b) other emotional stressors/adversities in adulthood and (2) the indirect effects from parental CM exposure to offspring mental health outcomes through parental adversity and offspring CM exposure. Data came from a longitudinal study of maltreatment on adolescent development, and analyses focused on adolescents living with a biological parent (N = 185, 51% female). Biological parents (95% mothers) reported on their history of CM and exposure to other adversities across their lifetime. Adolescents self-reported lifetime CM experiences and current depression, anxiety, posttraumatic stress disorder, and externalizing behaviors in late adolescence (Mage = 18.49). Results showed a significant indirect effect of parent CM exposure on offspring's CM exposure and mental health through parental emotional stressors/adversities, but not physical violence. These findings highlight different types of stressors that may impact the risk for intergenerational transmission of CM and subsequent offspring mental health.
Collapse
Affiliation(s)
| | - Abigail Palmer Molina
- USC Suzanne Dworak-Peck School of Social Work, 5116University of Southern California, Los Angeles, CA, USA
| | - Daniel A Hackman
- USC Suzanne Dworak-Peck School of Social Work, 5116University of Southern California, Los Angeles, CA, USA
| |
Collapse
|