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Wu L, Dai Z, Yang X, Tang J, Fang J, Huang J, Zheng Y, Liu Y, Chen L. Linkages between childhood emotional maltreatment and adulthood marital attitudes among rural first-generation college students in China: A latent profile analysis and multigroup comparisons. CHILD ABUSE & NEGLECT 2024; 154:106918. [PMID: 38955052 DOI: 10.1016/j.chiabu.2024.106918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 06/15/2024] [Accepted: 06/20/2024] [Indexed: 07/04/2024]
Abstract
BACKGROUND Although there is a wealth of evidence indicating the enduring consequences of childhood emotional maltreatment (CEM) on social and relational functioning across life stages, little known about how CEM affects marital attitudes in emerging adulthood, particularly among rural first-generation college students (rural FGCS) at the critical stage of developing romantic relationships. OBJECTIVE To explore whether differential patterns of CEM existed among rural FGCS in China during emerging adulthood. Furthermore, the study aims to examine the potential differences in the chain mediating role of CEM on the pathway to adulthood marital attitudes across different CEM profiles. PARTICIPANTS AND SETTING Using a cluster sampling approach, a total of 3848 rural first-generation college freshmen (males = 39.2 %, mean age = 18.42 years) were recruited from three universities in China. METHODS Latent profile analysis was utilized to identify potential patterns of CEM using Mplus version 7.4. Structural equation modeling and multigroup comparisons were then performed to investigate the association between CEM and attitudes towards marriage in emerging adulthood, utilizing AMOS 24.0. RESULTS Three profiles of CEM was identified among rural FGCS: a low-CEM group (51.87 %), a moderate-CEM group (36.69 %), and a severe-CEM group (11.44 %). The association between CEM and adulthood marital attitudes was mediated by core self-evaluation and meaning in life. However, the mediation effects varied across the three CEM profiles. In the low-CEM group, core self-evaluation and meaning in life were observed to partially mediate the negative association between CEM and adulthood marital attitudes. On the other hand, in the moderate-CEM and severe-CEM groups, the relationship between CEM and adulthood marital attitudes was fully mediated by core self-evaluation. CONCLUSIONS The study's findings suggest that CEM is a significant predictor of marital attitudes among rural FGCS during emerging adulthood, with the severity of emotional neglect and abuse being the primary distinguishing factor between different CEM profiles. Core self-evaluation plays an important role in this relationship. Future clinical interventions could benefit from focusing on enhancing core self-evaluation and meaning in life, particularly for those with CEM experiences.
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Affiliation(s)
- Liujun Wu
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China; Cixi Biomedical Research Institute, Wenzhou Medical University, Ningbo, Zhejiang, China
| | - Zheru Dai
- Student Affairs Department, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Xudong Yang
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China; Cixi Biomedical Research Institute, Wenzhou Medical University, Ningbo, Zhejiang, China
| | - Jiayi Tang
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China; Cixi Biomedical Research Institute, Wenzhou Medical University, Ningbo, Zhejiang, China
| | - Juan Fang
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Jiahui Huang
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Yawen Zheng
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China; Lishui Second People's Hospital Affiliated to Wenzhou Medical University, Lishui, Zhejiang, China
| | - Yanlong Liu
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China.
| | - Li Chen
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China; Zhejiang Provincial Clinical Research Center for Mental Disorders, The affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
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Vaillancourt-Morel MP, Bussières ÈL, Nolin MC, Daspe MÈ. Partner Effects of Childhood Maltreatment: A Systematic Review and Meta-Analysis. TRAUMA, VIOLENCE & ABUSE 2024; 25:1150-1167. [PMID: 37209135 PMCID: PMC10913306 DOI: 10.1177/15248380231173427] [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] [Indexed: 05/22/2023]
Abstract
Although several studies have shown that childhood maltreatment (CM) is associated with a host of negative consequences including romantic relationship difficulties for victims in adulthood, most overlooked the potential effects on the romantic partner. This systematic review and meta-analysis aims to comprehensively synthesize the literature on the association between a person's CM and their partner's individual and couple outcomes. We searched PubMed, PsycNET, Medline, CINAHL, and Eric using search strings related to CM and partner. We identified 3,238 articles after removal of duplicates; 28 studies met the inclusion criteria and relied on independent sample. The studies reported associations between a person's CM and a wide breadth of partner's negative couple outcomes (e.g., communication, sexuality) as well as intra-individual psychological difficulties (e.g., psychological distress, emotion, and stress reactivity). Meta-analytic results showed significant, but trivial to small associations between a person's CM and their partner's lower relationship satisfaction (r = -.09, 95% CI [-.14, -.04]), higher intimate partner violence (r = .08, [.05, .12]), and higher psychological distress (r = .11, [.06, .16]). These associations were similar for women and men and did not differ as a function of sample's mean age, proportion of cultural diversity, and publication year. These findings suggest that a person's CM is related to their partner's outcomes including to the partner's intra-individual outcomes. Prevention and intervention strategies should acknowledge that a person's CM may also affect their romantic partner, considering the couple as a reciprocal system, and offer victims' romantic partners specific services.
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Finzi-Dottan R, Gewirtz-Meydan A. In Love With a Trauma Survivor: When a History of Childhood Abuse Interferes With Relationship Satisfaction Among Couples. JOURNAL OF INTERPERSONAL VIOLENCE 2024; 39:541-568. [PMID: 37731352 DOI: 10.1177/08862605231198009] [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: 09/22/2023]
Abstract
To date, the majority of research examining the effect of childhood abuse on relational aspects in adulthood is almost exclusively based on intraindividual data. The current study explores a moderating-mediating model from a dyadic perspective, examining the mediating effect that perceived intimacy has on the associations between concern couple caregiving and relationship satisfaction. It further investigates whether these mediation paths are moderated by a history of childhood abuse (physical/emotional/sexual). A total of 143 nonclinical couples (n = 286) in enduring relationships were recruited. A moderated mediation actor-partner interdependence model (moderated mediation actor-partner interdependence model (APIM)) comprised of three segments, was conducted. Results indicated that intimacy mediated the link between concern caregiving and relationship satisfaction on the actor's level, with effects applying equally to both husbands and wives. A higher level of intimacy among husbands and wives alike is linked, in turn, with higher relationship satisfaction. The path between actors' concern caregiving and their level of intimacy was moderated by the actors' childhood emotional and physical abuse; specifically, concern caregiving exerts greater effect on intimacy among participants who experienced high levels of emotional abuse, or low levels of physical abuse. Our findings highlight how different types of childhood abuse affect adult romantic relationships differently.
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Bravo P, Kim Y, Xerxa Y, Koopman-Verhoeff ME, Cárcamo R, Oldehinkel A, Hillegers M, Jansen P. Maternal history of maltreatment and offspring's emotional and behavioral problems in adolescence: Do family factors contribute to the intergenerational risk transmission? CHILD ABUSE & NEGLECT 2023; 141:106228. [PMID: 37172532 DOI: 10.1016/j.chiabu.2023.106228] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 04/18/2023] [Accepted: 04/28/2023] [Indexed: 05/15/2023]
Abstract
BACKGROUND A history of childhood maltreatment often has a negative and long-lasting impact across different domains in life. A childhood maltreatment experience in parents may even affect the next generation. So far, the effects of family factors have been considered in the intergenerational transmission of adversity across the childhood years, but whether the effects remain until adolescence is less clear. OBJECTIVE Using data from a large population-based study in the Netherlands, including both mother and child reports, we examined whether maternal childhood maltreatment history is associated with increased mental health problems in offspring and the role of family functioning and harsh parenting as a potential pathway. PARTICIPANTS 4912 adolescents (aged 13 years) and their mothers were recruited in the Generation R study. METHODS Mothers reported childhood maltreatment experiences using the Childhood Trauma Questionnaire (CTQ), and adolescents reported on their mental health using the Youth Self Report (YSR). Structural equation modeling (SEM) was used to test the association of maternal childhood maltreatment on mental health problems in offspring and family functioning and harsh parenting as mechanisms to explain this association. RESULTS Adolescents of mothers with a history of maltreatment had greater internalizing (β = 0.07, p < .01) and externalizing problems (β = 0.08, p < .01). Moreover, we found an indirect effect via family functioning over time and harsh parenting at ages 3 and 8 years which mediated this association. CONCLUSION We concluded an intergenerational effect of maternal childhood maltreatment on adolescents internalizing and externalizing problems. The findings might enable earlier intervention within the family context to mitigate the consequences of maternal childhood maltreatment.
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Affiliation(s)
- Patricia Bravo
- The Generation R Study Group, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC, University Medical Center Rotterdam, the Netherlands
| | - Yugyun Kim
- Department of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Yllza Xerxa
- The Generation R Study Group, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC, University Medical Center Rotterdam, the Netherlands
| | | | - Rodrigo Cárcamo
- Facultad de Psicología, Universidad San Sebastián, Sede Valdivia, Chile; Facultad de Psicología, Universidad de Magallanes, Chile
| | - Albertine Oldehinkel
- Department of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Manon Hillegers
- Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC, University Medical Center Rotterdam, the Netherlands
| | - Pauline Jansen
- Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC, University Medical Center Rotterdam, the Netherlands; Department of Psychology, Education and Child Studies, Erasmus University Rotterdam, the Netherlands.
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Langevin R, Kern A, Fernet M, Brassard A. Emerging Adults' Adverse Life Events and Psychological Functioning: A Comparison Based on Intergenerational Trajectories of Child Maltreatment. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:5774-5804. [PMID: 36213948 PMCID: PMC9969488 DOI: 10.1177/08862605221127214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Intergenerational continuity of child maltreatment (CM) is a well-documented phenomenon of concern; however, its effects on the child's level of exposure to CM, as well as subsequent trauma exposure and adult functioning remain undocumented. The present study aimed to further explore the intergenerational effects of CM by comparing emerging adults (EA; ages 18-25) on their exposure to CM, adult victimization, and psychological functioning according to their mother's CM histories. One hundred and eighty-five mothers and their EA completed independently an online survey measuring sociodemographics, material deprivation, CM, adult victimization, and psychological functioning. The participating dyads (primarily White and female-identifying) were recruited online through social media, universities, and advertisements in non-profit organizations throughout Canada. Findings revealed that maternal histories of CM were associated with increased neglectful and physically abusive acts endured in childhood for maltreated EA. Maternal histories of CM, regardless of the EA' victimization status, were associated with a higher EA' number of adulthood interpersonal-but not non-interpersonal-traumas experienced. While a maternal history of CM was a risk factor for intimate partner violence (IPV) in maltreated EA, it was protective for non-maltreated EA. Maltreated EA with maltreated versus non-maltreated mothers presented more psychological difficulties, but only if they also reported material deprivation. Practitioners working with children at-risk or exposed to CM should document parents' histories of CM and take that into account in their assessments and intervention practices. This study also provides further evidence to support social policies targeting the family system as a whole.
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Lotto CR, Altafim ERP, Linhares MBM. Maternal History of Childhood Adversities and Later Negative Parenting: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2023; 24:662-683. [PMID: 34342253 DOI: 10.1177/15248380211036076] [Citation(s) in RCA: 19] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Adverse childhood experiences negatively impact future violence, victimization, perpetration, health, and lifelong development. The aim of the present study was to systematically review the scientific evidence of empirical studies on the association between maternal childhood adversity in a familial context, including maltreatment, household challenges, and later maternal negative parenting. A search was performed in the PubMed, PsycINFO, Web of Science, SciELO, and LILACS databases, using the combination of the following keywords: (neglect OR abuse OR maltreatment OR harsh parenting OR punishment OR discipline OR negative parenting practices) AND (adverse childhood experiences OR early adversity OR cycle of violence OR cycle of maltreatment OR history of maltreatment) AND (mother OR maternal). The results of 29 studies showed predominantly significant direct associations between maternal childhood adversities and negative parenting with their children (83%). Parental stress was also significantly associated with a maternal history of childhood adversities. Focusing on the type of maltreatment practices, there were similar intergenerational transmission types: homotypic and heterotypic. Few studies have examined the protective factors that could buffer the negative impact of a maternal childhood history of adversities on later negative parenting.
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Affiliation(s)
- Camila Regina Lotto
- Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, State of São Paulo, Brazil
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Zhang L, Mersky JP, Lee CP. Intergenerational Pathways Linking Mothers' Adverse Childhood Experiences and Children's Social-Emotional Problems. CHILD MALTREATMENT 2023; 28:107-118. [PMID: 35068215 DOI: 10.1177/10775595211067212] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Despite the persistent hypothesis that adverse childhood experiences (ACE) have intergenerational implications, empirical research documenting the effects and the mechanisms of transmission remains underdeveloped. This study examined the intergenerational effects of mothers' adverse childhood experiences on their offspring's social-emotional development and whether the association was mediated by mothers' mental health, adult adversity, and perceptions of paternal involvement. The study sample included 831 mothers (19-49 years old, 47.5% White) with children aged 12-48 months who participated in a longitudinal investigation of low-income families in Wisconsin. ACEs were assessed by home visitors, and two waves of survey data were collected by researchers to assess demographics, mediators, and social-emotional outcomes. A path analysis showed that the association between maternal ACEs and children's social-emotional problems was fully mediated, with postpartum mental health acting as a primary mechanism. Implications for intervention and future research directions are discussed.
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Affiliation(s)
- Lixia Zhang
- Department of Social Work, 2313University of Northern Iowa, Cedar Falls, IA, USA
| | - Joshua P Mersky
- Helen Bader School of Social Welfare, 14751University of Wisconsin-Milwaukee, Chicago, IL, USA
| | - Chienti P Lee
- The Institute for Child and Family Well-Being, 14751University of Wisconsin-Milwaukee, Milwaukee, WI, USA
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Pierce J, Presto J, Hinckley E, Hassett AL, Dickens J, Schneiderhan JR, Grace K, McAfee J. Perceived social support partially mediates the association between childhood abuse and pain-related characteristics. FRONTIERS IN PAIN RESEARCH (LAUSANNE, SWITZERLAND) 2022; 3:1075605. [PMID: 36618580 PMCID: PMC9815443 DOI: 10.3389/fpain.2022.1075605] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 11/23/2022] [Indexed: 12/24/2022]
Abstract
Higher perceived social support has been shown to buffer the impact of negative stressful events like childhood abuse on health outcomes. Yet, the role of perceived social support as a mediator of the association between childhood abuse and pain-related characteristics is not well understood. The present study explored this premise. Patients (n = 1,542) presenting to a tertiary-care, outpatient pain clinic completed a cross-sectional survey consisting of regularly collected clinical data and validated measures. Path analysis suggested that the impact of childhood abuse on sensory and affective pain-related characteristics was partially explained by perceived emotional support. Survivors of childhood abuse display a more complex clinical pain phenotype and this extends to more negative perceptions of social support. Our findings may reflect processes whereby childhood abuse negatively impacts social relationships across the lifespan, and these negative social perceptions and relationships influence sensory and affective components of pain.
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Affiliation(s)
- Jennifer Pierce
- Department of Anesthesiology, University of Michigan, Ann Arbor, MI, United States,Correspondence: Jennifer Pierce
| | - Jacob Presto
- Department of Anesthesiology, University of Michigan, Ann Arbor, MI, United States
| | - Elizabeth Hinckley
- Department of Pediatric Neurology, Vanderbilt University Medical Center, Nashville, TN, United States
| | - Afton L. Hassett
- Department of Anesthesiology, University of Michigan, Ann Arbor, MI, United States
| | - Joseph Dickens
- Department of Anesthesiology, University of Michigan, Ann Arbor, MI, United States
| | - Jill R. Schneiderhan
- Department of Family Medicine, University of Michigan, Ann Arbor, MI, United States
| | - Kathryn Grace
- Department of Anesthesiology, University of Michigan, Ann Arbor, MI, United States
| | - Jenna McAfee
- Department of Anesthesiology, University of Michigan, Ann Arbor, MI, United States
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Zamir O. Childhood Maltreatment and Relationship Quality: A Review of Type of Abuse and Mediating and Protective Factors. TRAUMA, VIOLENCE & ABUSE 2022; 23:1344-1357. [PMID: 33657928 DOI: 10.1177/1524838021998319] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Childhood maltreatment (CM) has long been recognized as a risk factor for good intimate relationships. Research on the effects of CM on relationship functioning has focused on sexual abuse in girls. However, CM also includes emotional and physical abuse and neglect and is also common in boys. Moreover, prior research has mostly focused on individuals in isolation, ignoring that marriage is a system in which two partners mutually influence each other. Questions also remain about mediating and protective factors for healthy relationships in the context of CM. This article reviews the literature on the link between different forms of CM and one's own and one's partner relationship quality. It reviews 43 empirical studies that assessed associations between CM in any form and relationship quality. Also, mediating and protective factors and major methodological topics are examined. The review indicated that CM (neglect, sexual, emotional, or physical abuse) is associated with lower relationship quality in men and women. Psychological distress, cognitive and behavioral problems, insecure attachment, and self-dysregulation were identified as mediating factors. Protective processes involve good coping strategies, emotion regulation, parental support, and early secure attachment, but not partner characteristics. The results regarding gender are inconclusive. It is crucial to broaden the research on the dyadic effects of CM of various forms on relationship quality and study mediating and protective factors. More studies on neglect and diverse populations are needed, as well as prospective studies. This will enable the development of prevention programs for couples with a partner exposed to CM.
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Affiliation(s)
- Osnat Zamir
- 173772The Paul Baerwald School of Social Work and Social Welfare, The Hebrew University of Jerusalem, Israel
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The modifiable biopsychosocial drivers of psychological distress for adolescents with asthma: Implications for Clinical Care. Paediatr Respir Rev 2022; 41:68-72. [PMID: 34531130 DOI: 10.1016/j.prrv.2021.07.005] [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] [Received: 04/18/2021] [Revised: 07/16/2021] [Accepted: 07/28/2021] [Indexed: 11/23/2022]
Abstract
PURPOSE Overwhelming distress exceeds the capacity of healthy coping strategies to feel better using healthy coping strategies alone, resulting in the use of unhealthy coping strategies. Unhealthy coping strategies may exacerbate asthma symptoms and asthma can contribute to overwhelming distress. This study aimed to review the modifiable drivers of overwhelming distress in adolescents with asthma. METHODS The biopsychosocial drivers of psychological distress for adolescents with asthma were explored within the domains of the modifiable biopsychosocial model of health and wellbeing. RESULTS Asthma in adolescents is associated with problems in the domains of environment, developmental outcomes, sense of belonging, health behaviours, coping, and treatment of illness. CONCLUSIONS The relationship between asthma and psychological distress highlights the need for holistic treatment of asthma. Further research is needed to establish causation between variables and to investigate whether interventions that address either asthma symptoms or biopsychosocial drivers of distress can improve both factors.
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Functional seizures: Cluster analysis may predict the associated risk factors. Epilepsy Behav 2022; 126:108485. [PMID: 34922327 DOI: 10.1016/j.yebeh.2021.108485] [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] [Received: 09/17/2021] [Revised: 10/27/2021] [Accepted: 11/28/2021] [Indexed: 11/21/2022]
Abstract
OBJECTIVES We applied the Two-Step cluster analysis on a large cohort of patients with functional seizures (FS). We studied whether the background risk factors differed between the patient clusters. METHODS All patients with a diagnosis of FS were studied at the outpatient epilepsy clinic at Shiraz University of Medical Sciences, Shiraz, Iran, from 2008 until 2021. The Two-Step cluster analysis was applied considering the age at onset, sex, and seizure semiology. We also studied whether the background risk factors (e.g., a history of sexual abuse, physical abuse, etc.) differed between these patient clusters. RESULTS Three-hundred and fifty four patients were studied. The Two-Step cluster analysis was applied to the 230 patients who reported any associated risk factors; there were three clusters of patients. The most prominent feature of cluster 1 included akinetic seizures. The most prominent features of cluster 2 included motor seizures and no ictal injury. The most prominent features of cluster 3 included motor seizures with ictal injury. Compared with patients in cluster 3, a history of sexual abuse was more often reported by patients in cluster 1 (OR: 3.26, 95%CI: 1.12-9.47; p = 0.03). Compared with patients in cluster 3, a history of physical abuse was less often reported by patients in cluster 2 (OR: 0.45, 95%CI: 0.22-0.90; p = 0.026). CONCLUSION The Two-Step cluster analysis could identify three distinct clusters of patients based on their demographic and clinical characteristics. These clusters had correlations with the associated risk factors in patients with FS.
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Sun L, Canevello A, Lewis KA, Li J, Crocker J. Childhood Emotional Maltreatment and Romantic Relationships: The Role of Compassionate Goals. Front Psychol 2021; 12:723126. [PMID: 34912264 PMCID: PMC8666543 DOI: 10.3389/fpsyg.2021.723126] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 11/08/2021] [Indexed: 11/29/2022] Open
Abstract
Past research indicates that childhood emotional maltreatment (CEM) undermines the quality of adult romantic relationships by fostering negative characteristics in survivors. Two longitudinal studies investigated the hypothesis that decreased compassionate goals toward partners over time explain the association between CEM and declining relationship quality. In Study 1, CEM predicted decreased compassionate goals over time, which in turn predicted decreased relationship quality in individuals in romantic relationships. Study 2 replicated this effect in romantically involved couples and showed that partners' high compassionate goals attenuated the decline in compassionate goals associated with reported CEM. These results point to the importance of examining how CEM may affect positive relationship processes and the protective roles of partners' compassionate goals.
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Affiliation(s)
- Lining Sun
- Department of Psychology, National University of Singapore, Singapore, Singapore
- Department of Psychology, The Ohio State University, Columbus, OH, United States
| | - Amy Canevello
- Department of Psychological Science, University of North Carolina at Charlotte, Charlotte, NC, United States
| | - Kathrine A. Lewis
- Department of Psychology, The Pennsylvania State University, University Park, PA, United States
| | - Jiqiang Li
- Department of Psychology, The Ohio State University, Columbus, OH, United States
| | - Jennifer Crocker
- Department of Psychology, The Ohio State University, Columbus, OH, United States
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Interpersonal Trauma, Therapeutic Alliance and Relationship Satisfaction: A Dyadic Examination. CONTEMPORARY FAMILY THERAPY 2021. [DOI: 10.1007/s10591-021-09606-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Is sexual trauma a risk factor for functional (psychogenic) seizures? Neurosci Biobehav Rev 2021; 128:58-63. [PMID: 34119526 DOI: 10.1016/j.neubiorev.2021.06.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 06/02/2021] [Accepted: 06/08/2021] [Indexed: 11/21/2022]
Abstract
The relationship between functional seizures (FS) and sexual trauma has received attention in many previous studies. However, the mechanisms underlying this relationship have not been elucidated yet. The purpose of this narrative review is to explore and speculate on the underpinning neurobiological mechanisms for the association and link between sexual trauma and functional seizures. While existence of a causal relationship between a history of sexual trauma and functional seizures is plausible, it should be viewed and treated as a hypothesis. In explaining this hypothesis, we can speculate that interactions between genetic factors and a history of sexual trauma may contribute to the risk of experiencing functional seizures. Childhood sexual trauma may lead to structural and functional connectivity changes in the brain and dysregulation of the biological stress systems, particularly in women. These neurobiological changes speculatively may predispose patients to functional seizures later in life. Importantly, a history of sexual trauma has many other implications beyond the predisposition towards FS.
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MacIntosh HB, Ménard AD. Couple and parenting functioning of childhood sexual abuse survivors: a systematic review of the literature (2001-2018). JOURNAL OF CHILD SEXUAL ABUSE 2021; 30:353-384. [PMID: 33491586 DOI: 10.1080/10538712.2020.1847227] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 10/15/2020] [Accepted: 10/15/2020] [Indexed: 06/12/2023]
Abstract
In this review, 55 unique empirical studies of the impacts of a history of CSA on couple and parenting functioning were identified and analyzed according to assumptions considered in an earlier review. Overall, this current systematic review supported earlier assumptions that CSA survivors would evidence insecure attachments in their adult couple relationships; that CSA survivors would be less likely to marry and more likely to divorce; and that partners would also experience difficulties in relation to their partnership with a CSA survivor. Assumptions about parenting functioning included: that CSA survivors would have different attitudes toward their children; that CSA survivors would function poorly as parents; and that children of CSA survivors would be at increased risk for sexual abuse. Evolutions in the literature since that first review included methodological improvements, as well as the inclusion of male survivors in some studies. More sophisticated statistical modeling allowed for a greater understanding of mediators and moderators in the relationship between CSA and later interpersonal functioning in couple relationships and in parenting. Recommendations for future research and clinical implications were proposed.
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VanBergen AM, Bartle-Haring S, Kawar C, Bortz P. Trauma and Relationship Satisfaction in Treatment Seeking Couples: A Dyadic Investigation of Differentiation as a Mediator. CONTEMPORARY FAMILY THERAPY 2021. [DOI: 10.1007/s10591-021-09565-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Cederbaum JA, Negriff S, Palmer Molina A. Child maltreatment and romantic relationships in adolescence and young adulthood: The mediating role of self-perception. CHILD ABUSE & NEGLECT 2020; 109:104718. [PMID: 32961427 DOI: 10.1016/j.chiabu.2020.104718] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2020] [Revised: 08/31/2020] [Accepted: 09/03/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Child maltreatment (CM) can disrupt the development of self, influencing the ability to form positive relationships, including romantic attachment. While mental health is a known mediator of maltreatment history and romantic relationships, less is known about the role of self-perception. OBJECTIVE The goal of this work is to understand the role self-perception plays in the association between CM history and romantic relationships during adolescence and young adulthood. PARTICIPANTS Longitudinal data from child welfare involved and comparison youth were gathered to examine whether self-perception mediated the association between CM history and the proportion of positive romantic relationships. Mean age at T1 was 11.03 years and 18.24 years at T4. METHODS Participants in the CM group were recruited from active Child Protective Services cases in a large west coast city. The comparison group was recruited using names from school lists of children residing in the same 10 zip codes. Assessments were conducted at an urban research university. After assent/consent were obtained, the adolescent was administered questionnaires. For the current analyses, only those who indicated they had ever had a romantic relationship were included (n = 306). Hypotheses were tested used path modeling in Mplus 7.0. RESULTS CM history was associated with lower self-perceptions in all domains. Only behavioral (β = 0.15, p= 0.02) and scholastic (β= -0.14, p= 0.04) self- perceptions predicted proportion of later positive romantic relationships. A significant mediation effect was found only for behavioral self- perceptions. CONCLUSIONS Interventions aimed at bolstering self- perceptions and engagement in positive behaviors could strengthen positive relationships for youth with CM and child welfare experiences.
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Affiliation(s)
- Julie A Cederbaum
- University of Southern California, Suzanne Dworak-Peck School of Social Work, 669W.34(th) Street, MRF 214, Los Angeles, CA, 90089, United States.
| | - Sonya Negriff
- Kaiser Permanente Research, Department of Research & Evaluation, 100 S. Los Robles Avenue, Pasadena, CA, United States.
| | - Abigail Palmer Molina
- University of Southern California, Suzanne Dworak-Peck School of Social Work, 669W.34(th) Street, MRF 214, Los Angeles, CA, 90089, United States.
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Marital status in patients with functional (psychogenic nonepileptic) seizures: An international study. Epilepsy Behav 2020; 112:107461. [PMID: 32950767 DOI: 10.1016/j.yebeh.2020.107461] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2020] [Revised: 08/31/2020] [Accepted: 08/31/2020] [Indexed: 01/26/2023]
Abstract
PURPOSE The study aimed to investigate the marital status in a cohort of patients with functional seizures from seven countries in four continents. Factors associated with marital status were also explored. METHODS Adult patients with functional seizures who were admitted to the epilepsy monitoring units at centers in Iran, Qatar, USA, France, Georgia, Egypt, and United Arab Emirates (UAE) were retrospectively identified. Marital status was assessed in the whole cohort. RESULTS Four hundred thirty-two patients were included (241 from Iran, 52 from France, 48 from Qatar, 41 from the USA, 19 from UAE, 18 from Egypt, and 13 from Georgia); 302 were women and 130 were men. One hundred fifty (35%) subjects were single, 245 (57%) were married, and 37 (8%) were separated (31 divorced, 7%; 6 widowed, 1%). Auras with functional seizures were less frequently reported by single people in comparison with that by married patients (54% vs. 61%) [odds ratio (OR) = 0.58]. Separated people compared with those who were married less often had auras with their functional seizures (27% vs. 61%; OR = 0.26) and more often reported a history of sexual abuse (49% vs. 12%; OR = 6.14). CONCLUSION The marital status has significant associations with the semiology of functional seizures. A history of sexual abuse is significantly associated with being separated and should be inquired and tackled appropriately during the management process of patients with functional seizures.
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Lee C, Harari L, Park S. Early-Life Adversities and Recalcitrant Smoking in Midlife: An Examination of Gender and Life-Course Pathways. Ann Behav Med 2020; 54:867-879. [PMID: 32329785 DOI: 10.1093/abm/kaaa023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Little is known about life-course factors that explain why some individuals continue smoking despite having smoking-related diseases. PURPOSE We examined (a) the extent to which early-life adversities are associated with the risk of recalcitrant smoking, (b) psychosocial factors that mediate the association, and (c) gender differences in the associations. METHODS Data were from 4,932 respondents (53% women) who participated in the first and follow-up waves of the Midlife Development in the U.S. National Survey. Early-life adversities include low socioeconomic status (SES), abuse, and family instability. Potential mediators include education, financial strain, purpose in life, mood disorder, family problems/support, and marital status. We used sequential logistic regression models to estimate the effect of early-life adversities on the risk of each of the three stages on the path to recalcitrant smoking (ever-smoking, smoking-related illness, and recalcitrant smoking). RESULTS For women, low SES (odds ratio [OR] = 1.29; 1.06-1.55) and family instability (OR = 1.73; 1.14-2.62) are associated with an elevated risk of recalcitrant smoking. Education significantly reduces the effect of childhood SES, yet the effect of family instability remains significant even after accounting for life-course mediators. For men, the effect of low SES on recalcitrant smoking is robust (OR = 1.48; 1.10-2.00) even after controlling for potential mediators. There are noteworthy life-course factors that independently affect recalcitrant smoking: for both genders, not living with a partner; for women, education; and for men, family problems. CONCLUSIONS The findings can help shape intervention programs that address the underlying factors of recalcitrant smoking.
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Affiliation(s)
- Chioun Lee
- Department of Sociology, University of California-Riverside, Riverside, CA, USA
| | - Lexi Harari
- Department of Sociology, University of California-Riverside, Riverside, CA, USA
| | - Soojin Park
- Graduate School of Education, University of California-Riverside, Riverside, CA, USA
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VanBergen A, Blalock J, Bryant A, Bortz P, Bartle-Haring S. Couples and Trauma History: A Descriptive Overview of Interpersonal Trauma and Clinical Outcomes. CONTEMPORARY FAMILY THERAPY 2020. [DOI: 10.1007/s10591-020-09548-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Gobout N, Morissette Harvey F, Cyr G, Bélanger C. Cumulative Childhood Trauma and Couple Satisfaction: Examining the Mediating Role of Mindfulness. Mindfulness (N Y) 2020; 11:1723-1733. [PMID: 32655706 PMCID: PMC7334265 DOI: 10.1007/s12671-020-01390-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Objectives Cumulative childhood trauma (CCT) survivors are at a higher risk of suffering from interpersonal problems including couple dissatisfaction. Dispositional mindfulness is increasingly proposed as a potential explanatory mechanism of post-traumatic symptomatology and has been documented as a predictor of couple satisfaction. Most authors operationalize mindfulness as a multidimensional disposition comprised of five facets (i.e., Describing, Observing, Non-judgment of inner experiences, Non-reactivity, and Acting with awareness), but the role of these facets in the link between CCT and couple satisfaction has yet to be understood. This study aimed to assess mindfulness as a potential mediator in the relationship between CCT and couple satisfaction and to examine the distinctive contributions of mindfulness facets in this mediation. Methods A sample of 330 participants from the community completed measures of couple satisfaction, mindfulness, and exposure to eight types of childhood maltreatment experiences. Results Path analysis results revealed that mindfulness mediated the relationship between CCT and couple satisfaction. More precisely, two mindfulness facets acted as specific mediators, namely, Describing and Non-judgment of inner experiences. The final integrative model explained 14% (p < .001) of the variance in couple satisfaction. Conclusions Findings suggest that mindfulness may be a meaningful mechanism in the link between CCT and couple satisfaction. They also highlight that description of inner experiences and a non-judgmental attitude of these experiences may act as key components to understand the influence of CCT on adults' lower couple satisfaction.
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Affiliation(s)
- Natacha Gobout
- Department of Sexology, Université du Québec à Montréal (UQAM), C.P. 8888 Succursale Centre-Ville, Montreal, Quebec H3C 3P8 Canada.,Université du Québec à Montréal (UQAM) and Interdisciplinary Research Center on Intimate Relationship Problems and Sexual Abuse (CRIPCAS), Montreal, Quebec Canada
| | - Francis Morissette Harvey
- Université du Québec à Montréal (UQAM) and Interdisciplinary Research Center on Intimate Relationship Problems and Sexual Abuse (CRIPCAS), Montreal, Quebec Canada.,Department of Psychology, Université du Québec à Montréal (UQAM), Montreal, Quebec Canada
| | - Gaëlle Cyr
- Université du Québec à Montréal (UQAM) and Interdisciplinary Research Center on Intimate Relationship Problems and Sexual Abuse (CRIPCAS), Montreal, Quebec Canada.,Department of Psychology, Université du Québec à Montréal (UQAM), Montreal, Quebec Canada
| | - Claude Bélanger
- Université du Québec à Montréal (UQAM) and Interdisciplinary Research Center on Intimate Relationship Problems and Sexual Abuse (CRIPCAS), Montreal, Quebec Canada.,Department of Psychology, Université du Québec à Montréal (UQAM), Montreal, Quebec Canada
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Williamson HC, Lavner JA. Trajectories of Marital Satisfaction in Diverse Newlywed Couples. SOCIAL PSYCHOLOGICAL AND PERSONALITY SCIENCE 2020; 11:597-604. [PMID: 34055202 PMCID: PMC8153381 DOI: 10.1177/1948550619865056] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Couples' marital satisfaction is thought to decline over the newlywed years, but recent research indicates that the majority of spouses have high, stable trajectories during this period and significant declines occur only among initially dissatisfied spouses. These findings are drawn from predominantly White, middle-class samples, however, which may over-estimate marital stability compared to samples with higher levels of sociodemographic risk. Accordingly, the current study tested the generalizability of newlyweds' marital stability by examining satisfaction trajectories among 431 ethnically diverse newlywed couples living in low-income neighborhoods. Consistent with previous work, most spouses had high levels of satisfaction, substantial declines were limited to spouses with lower initial levels of satisfaction, and divorce significantly differed between groups. Wives with higher levels of sociodemographic risk started marriage less satisfied and declined more in satisfaction. Overall, these findings reveal risky and resilient relationships among disadvantaged couples, with considerable stability during the newlywed years.
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Kalmakis KA, Chiodo LM, Kent N, Meyer JS. Adverse childhood experiences, post-traumatic stress disorder symptoms, and self-reported stress among traditional and nontraditional college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2020; 68:411-418. [PMID: 30908168 DOI: 10.1080/07448481.2019.1577860] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Revised: 11/13/2018] [Accepted: 01/29/2019] [Indexed: 06/09/2023]
Abstract
Objective: To investigate the relationships between adverse childhood experiences (ACEs), post-traumatic stress disorder symptoms (PTSD-S), and self-reported stress among college students. Participants: A total of 236 undergraduate students enrolled in nursing courses participated. Method: Using a correlational design, participants completed questionnaires online. To examine PTSD moderation between ACE and self-reported stress, multiple regression was employed. Stress outcomes were examined using a 4-group variable. Mean differences in stress response between these four groups were examined. Differences in ACE, PTSD-S, and stress response between traditional and nontraditional students were also examined. Results: PTSD-S moderated the relationship between ACEs, and self-reported stress. This indicates that students who report PTSD-S following childhood adversity perceive higher levels of stress. Nontraditional and traditional students differed in their responses to the ICLRE scale. Conclusion: Individuals who report PTSD-S following childhood adversity perceive higher levels of stress later in life. Stress reduction programs may be beneficial for students.
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Affiliation(s)
| | - Lisa M Chiodo
- University of Massachusetts Amherst, Amherst, MA, USA
| | - Nicole Kent
- University of Massachusetts Amherst, Amherst, MA, USA
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de Montigny Gauthier L, Vaillancourt-Morel MP, Rellini A, Godbout N, Charbonneau-Lefebvre V, Desjardins F, Bergeron S. The risk of Telling: A Dyadic Perspective on Romantic Partners' Responses to Child Sexual Abuse Disclosure and Their Associations with Sexual and Relationship Satisfaction. JOURNAL OF MARITAL AND FAMILY THERAPY 2019; 45:480-493. [PMID: 30006975 DOI: 10.1111/jmft.12345] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Among 70 community couples who reported childhood sexual abuse (CSA) and disclosure to their partner, this study examined associations between survivors' perception of partner responses to their disclosure, and both partners' sexual and relationship satisfaction. Participants completed self-report questionnaires online. Results of path analyses within an actor-partner interdependence model indicated that survivors' perceived partner responses of emotional support to disclosure were associated with their own and their partners' higher sexual satisfaction. Survivors' perceived responses of being stigmatized/treated differently by the partner were associated with their own and their partners' poorer relationship satisfaction. Findings suggest that survivor-perceived partner responses to the disclosure of CSA can have a positive and a negative impact on the sexual and relationship satisfaction of both partners.
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Maternal history of childhood maltreatment and later parenting behavior: A meta-analysis. Dev Psychopathol 2019; 31:9-21. [DOI: 10.1017/s0954579418001542] [Citation(s) in RCA: 70] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
AbstractExposure to maltreatment during childhood (CM) can have deleterious effects throughout the life span of an individual. A parent's history of child maltreatment can also impact his or her own parenting behavior. Theoretically, parents who experienced maltreatment as children may have fewer resources to cope with the challenges of childrearing and may adopt more problematic parenting behaviors. However, empirical studies examining the association between CM and later parenting behavior have yielded mixed results. The aim of this study is to conduct a meta-analysis of studies that have examined the association between exposure to CM and the subsequent parenting outcomes of mothers of 0- to 6-year-old children. A secondary aim is to examine the potential impact of both conceptual and methodological moderators. A total of 32 studies (27 samples, 41 effect sizes, 17,932 participants) were retained for analysis. Results revealed that there is a small but statistically significant association between maternal exposure to CM and parenting behavior (r = –.13, p < .05). Moderator analyses revealed that effect sizes were larger when parenting measures involved relationship-based or negative, potentially abusive behaviors, when samples had a greater number of boys compared to girls, and when studies were older versus more recent. Results are discussed as they relate to the intergenerational transmission of maltreatment and abuse.
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Li S, Zhao F, Yu G. Childhood maltreatment and intimate partner violence victimization: A meta-analysis. CHILD ABUSE & NEGLECT 2019; 88:212-224. [PMID: 30537622 DOI: 10.1016/j.chiabu.2018.11.012] [Citation(s) in RCA: 81] [Impact Index Per Article: 16.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2018] [Revised: 11/13/2018] [Accepted: 11/22/2018] [Indexed: 06/09/2023]
Abstract
BACKGROUND Intimate partner violence (IPV) victimization is a serious public health problem in the world. It is imperative to examine risk factors for IPV victimization. OBJECTIVE This meta-analysis aimed to explore the relationship between childhood maltreatment (CM) and IPV victimization and investigate the moderating effects of gender and marital status. PARTICIPANTS AND SETTING Examination of the literature produced a sample of 56 effect sizes (N = 23,127) for review. METHODS PsycINFO, PsycArticles, EBSCO-ERIC, Medline, Google Scholar, and ProQuest Dissertations & Theses databases were systematically searched until March 31, 2018. Forty-six eligible studies were included in the meta-analysis. Random effects model was used for meta-analysis of the studies. RESULTS Results indicated a significant association between total CM and IPV victimization (r = .18, p < .001). Further subgroup analyses revealed that all four types of CM (childhood physical abuse, psychological abuse, sexual abuse, and neglect) were positively related to IPV victimization (r = .19, .18, .17, and .12, respectively). Moreover, the moderation analyses revealed that the association between CM and IPV victimization was stronger for dating couples than for married ones. However, this relation did not show significant difference between males and females. CONCLUSIONS There is an association between CM and IPV victimization, and it is moderated by marital status.
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Affiliation(s)
- Sen Li
- School of Education, Renmin University of China, No. 59 Zhongguancun Street, Haidian District, Beijing, 100872, China.
| | - Fengqing Zhao
- School of Education, Zhengzhou University, No. 100 Science Street, Zhengzhou, 450001, China.
| | - Guoliang Yu
- Institute of Psychology, Renmin University of China, No. 59 Zhongguancun Street, Haidian District, Beijing, 100872, China.
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Nielsen BFR, Wind G, Tjørnhøj-Thomsen T, Martinsen B. A Scoping Review of Challenges in Adult Intimate Relationships After Childhood Sexual Abuse. JOURNAL OF CHILD SEXUAL ABUSE 2018; 27:718-728. [PMID: 30040596 DOI: 10.1080/10538712.2018.1491915] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Childhood sexual abuse is a severe problem worldwide. Childhood sexual abuse can be detrimental to children and their abilities to cope with and communicate in their subsequent adult intimate relationships. The aim of this review was to generate and summarize knowledge about how childhood sexual abuse manifests in adult intimate relationships so healthcare professionals can incorporate this knowledge into treatment and care. A scoping review methodology was selected because it supports examination of the extent, range, and nature of research activity. A content analysis of the studies included in this review led to three thematic categories of challenges in adult intimate relationships after childhood sexual abuse: (a) relationship satisfaction, (b) sexual satisfaction, and (c) communication and trust.
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Affiliation(s)
| | - Gitte Wind
- a Section of Nursing , University College Copenhagen , Copenhagen , Denmark
| | - Tine Tjørnhøj-Thomsen
- b National Institute of Public Health , University of Southern Denmark , Copenhagen , Denmark
| | - Bente Martinsen
- c Section for Nursing , Aarhus University , Aarhus , Denmark
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