Adverse childhood experiences of emotional and physical abuse and emotional and behavioral problems: the mediating effects of family function and resilience

Adverse childhood experiences are a widespread phenomenon that can have a variety of negative effects on children. Emotional and behavioral problems (EBP) in children have been gaining interest in recent years. Therefore, this study aims to explore the association between emotional and physical abuse (EPA) and preschool children's EBP, as well as to assess the mediating effects of family function and resilience in this association. A cross-sectional study was conducted, and we recruited 3,636 participants from 26 kindergartens in three cities. Correlation analysis and regression analysis were used to test the relationships between EPA, mediators (family function and resilience), and EBP. Structural equation modeling was used to perform the mediation analyses. The results of this study showed that EPA predicted EBP in preschool children, family function, and resilience independently and in combination to mediate the relationship. Therefore, improving family function and increasing children's level of resilience are beneficial methods for the prevention and intervention of EBP in preschool children who experience EPA, but most fundamentally to avoid or reduce the occurrence of abuse. Further longitudinal studies are needed to confirm our findings and explore possible mediating mechanisms.

A chain multiple mediation model reveals the association between abuse and depression in Chinese adolescents

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.

The role of attachment in the relationship between child maltreatment and later emotional and behavioral functioning

The experience of childhood maltreatment is an important predictor of unfavorable emotional and behavioral outcomes. Because little research examined explanatory variables in the relationship between childhood maltreatment experiences and later outcomes, this study examined the role that attachment serves in this relationship. Four hundred twenty-four participants completed questionnaires assessing the variables of interest for this study. Results indicated that both childhood maltreatment experiences (particularly emotional abuse) and attachment (particularly to mothers and peers) are significant predictors of later emotional and behavioral outcomes. Further, attachment contributed unique and significant variance to the relationship between childhood maltreatment experiences and later outcomes. Such findings suggested that secure attachment may serve as a protective factor against maladaptive emotional and behavioral outcomes as children reach emerging adulthood, even in the context of childhood maltreatment experiences. The importance of studying the relationships among these variables is discussed.

Are two voices better than one? Predicting permanency in minority youth using multi-informant mental health and strength data

Among youth in child welfare ages 6-17 years, 40 % meet the criteria for one or more DSM diagnoses. For minority youth in child welfare, poor mental health is compounded by limited access to care and racial disparity bias, leading to poorer outcomes. This paper uses data collected and analyzed by an automated behavioral health assessment system for a multiyear study that focused on ways to improve case planning in child welfare. Youth, their caseworkers, and, in some cases, parents completed assessments that measured and monitored the youths' needs and strengths. More than 60 % of youth participating in the study were African-American; permanency rates after six months of case planning were found to be only one third. Predictive factors related to better behavioral health and permanency outcomes are identified and discussed, as well as the implications for improving case planning by incorporating the views of multiple informants, including the youth.

Desire to dissociate: implications for problematic drinking in college students with childhood or adolescent sexual abuse exposure

Alcohol use to replace inadequate dissociative capabilities, or chemical dissociation, has been linked to college students with childhood or adolescent sexual abuse (CASA). Insofar as CASA-exposed persons experience a restricted range of dissociative capabilities, what remains relatively unclear is whether some desire to achieve greater dissociative experiences. Nonclinical levels of dissociative tendencies have positively predicted alcohol-related blackouts in CASA-exposed students, and dissociation mediated the relations between CASA and intoxication frequency. Although alcohol (similar to dissociation) can reduce physiological and psychological responses to stress, alcohol consumption may be prompted by a desire to dissociate rather than inadequate dissociative tendencies alone. To investigate this interpretation of the chemical dissociation phenomenon, researchers examined the mediating potential of dissociative tendencies using the Dissociative Experiences Scale-II (DES-II) as well as the desire to dissociate concept (ie, a modified version of the DES-II) on the relations between CASA exposure and problematic alcohol use in college students (N = 298). Results indicated that dissociation scores did not replicate previous mediation findings whereas desire to dissociate scores fully mediated CASA exposure and problematic alcohol use. Implications of the results are discussed including possible reasons why prior mediation results were not replicated as well as links to experiential avoidance.

The role of need satisfaction as a distinct and basic psychological component of autobiographical memories: a look at well-being

The purpose of the present research was to show that satisfaction of the psychological needs of autonomy, competence, and relatedness constitutes a basic component characterizing autobiographical memories. In Study 1, a coding scheme and a self-rating method for measuring need satisfaction in memories were developed and shown to be highly related to each other. Across 3 studies using graduate and undergraduate students (Study 1: N=244; Study 2: N=309; Study 3: N=159), need satisfaction was found to be moderately associated with well-being measures, over and above several other memory components usually assessed in research on autobiographical memories. In addition, this association between need satisfaction in autobiographical memories and well-being held, even after controlling for person-level measures, such as personality traits, self-determined orientation, or experience of need satisfaction in general in one's life, thus suggesting that autobiographical memory and semantic self-knowledge are distinct databases.

Driven, distracted, or both? A performance-based ex-Gaussian analysis of individual differences in anxiety

Since the inception of the empirical study of personality, and even before it, individual differences in anxiety and distress have been viewed as key predictors of behavioral performance. Yet such literatures have always entertained 2 perspectives, one contending that anxious individuals are "driven" and the other contending that anxious individuals are "distracted." The present 3 studies (total N=289) sought to reconcile such discrepant views according to an ex-Gaussian parsing of reaction time performance tendencies in basic cognitive tasks. As hypothesized, a particular pattern marked by faster responding on the preponderance of trials (in terms of the ex-Gaussian μ parameter) in combination with slower responding on other trials (in terms of the ex-Gaussian τ parameter) was predictive of higher levels of anxiety. Implications for understanding neuroticism, distress, the anxiety-performance interface, and cognitive models of personality processes are discussed.

Defense mechanism differences between younger and older adults: A cross-sectional investigation

This study evaluated defense mechanism differences between younger and older adults and also assessed the relationship between defense mechanisms and perceived stress, in order to provide evidence of construct validity of a self-reported defense mechanisms scale. Community-dwelling younger (n = 259; M age = 19.7 years) and older adults (n = 69; M age = 70.8 years) completed the Defense Style Questionnaire and the Perceived Stress Scale. Whereas there were no age differences on adaptive defense mechanisms, younger adults scored higher than older adults on the Acting Out, Passive-Aggression, and Regression maladaptive defense mechanism scales. Maladaptive defenses were significantly and positively correlated (r = .57) with perceived stress. Cross-sectional results suggest a general stability of adaptive defense mechanisms across the lifespan but a lessening of maladaptive defense mechanisms with advancing age. These results dispel the myth that old age is associated with inevitable psychological impairment and suggest some specific positive psychological adaptations with age. The correlational findings provide partial support for the construct validity of a self-report measure of defense mechanisms.

Intervention strategies for treating traumatized siblings on a pediatric inpatient unit

This article examines the course of treatment for 2 traumatized siblings in an acute inpatient child psychiatric unit following severe physical abuse by their mother. In treating these 2 boys, the authors used intervention strategies that can be applied to the treatment of other traumatized siblings in institutional settings. Issues of self-worth, survivor guilt, and conflictual sibling dynamics are illustrated as they relate to the treatment. In addition, transference-countertransference dynamics are examined.