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Wade M, Parker V, Tang A, Fox NA, Zeanah CH, Nelson CA. Linking caregiving quality during infancy to brain activity in early childhood and later executive function. Dev Sci 2024; 27:e13517. [PMID: 38654410 DOI: 10.1111/desc.13517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 03/22/2024] [Accepted: 03/26/2024] [Indexed: 04/25/2024]
Abstract
There is no relationship more vital than the one a child shares with their primary caregivers early in development. Yet many children worldwide are raised in settings that lack the warmth, connection, and stimulation provided by a responsive primary caregiver. In this study, we used data from the Bucharest Early Intervention Project (BEIP), a longitudinal study of institutionally-reared and family-reared children, to test how caregiving quality during infancy is associated with average EEG power over the first 3.5 years of life in alpha, beta, and theta frequency bands, and associations with later executive function (EF) at age 8 years. The sample comprised 189 children (129 institutionally-reared; 60 family-reared) who contributed data on observed caregiving quality during infancy (baseline; average age of 22 months), resting EEG power at baseline, 30, and 42 months, and performance-based data on a series of EF tasks at 8 years. Using Bayesian estimation, observed caregiving quality at baseline was marginally linked with higher average alpha and beta power, and lower theta power, from baseline to 42 months. In turn, higher average beta power and lower average theta power were marginally associated with higher EF at 8 years. In indirect effects models, higher caregiving quality at baseline was associated with higher EF at 8 years, with a marginal indirect effect through average theta power from baseline to 42 months. Variation in the quality of the early caregiving environment may be associated with later executive function, which is partially underpinned by individual differences in brain activity during early childhood. RESEARCH HIGHLIGHTS: Examined associations between caregiving quality during infancy, brain activity during early childhood, and executive function during mid-childhood in sample of never-institutionalized and institutionally-reared children. Significant associations between higher quality caregiving during infancy and higher executive function during middle childhood. Marginal associations between caregiving quality during infancy and brain activity during early childhood. Marginal associations between brain activity during early childhood and executive function during mid-childhood.
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Affiliation(s)
- Mark Wade
- Department of Applied Psychology and Human Development, University of Toronto, Toronto, Ontario, Canada
| | - Victoria Parker
- Department of Applied Psychology and Human Development, University of Toronto, Toronto, Ontario, Canada
| | - Alva Tang
- Department of Psychology, University of Texas at Dallas, Richardson, Texas, USA
| | - Nathan A Fox
- Department of Human Development and Quantitative Methodology, University of Maryland at College Park, College Park, Maryland, USA
| | - Charles H Zeanah
- Department of Psychiatry and Behavioral Sciences, Tulane University School of Medicine, New Orleans, Louisiana, USA
| | - Charles A Nelson
- Boston Children's Hospital of Harvard Medical School and Harvard Graduate School of Education, Boston, Massachusetts, USA
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Doyle DM, Link BG. On social health: history, conceptualization, and population patterning. Health Psychol Rev 2024; 18:619-648. [PMID: 38349646 PMCID: PMC11332409 DOI: 10.1080/17437199.2024.2314506] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 01/31/2024] [Indexed: 08/20/2024]
Abstract
We propose a psychologically-informed concept of social health to join physical and mental components in a more comprehensive assessment of human health. Although there is an extensive literature on the importance of social relationships to health, a theoretical framework is needed to coalesce this work into a codified conceptualisation of social health, defined here as adequate quantity and quality of relationships in a particular context to meet an individual's need for meaningful human connection. Informing this novel conceptualisation, we outline eight key propositions to guide future research and theory on social health, including five propositions focused on the conceptualisation of social health and three focused on its population patterning. The former five propositions include that social health is an outcome in its own right, that health interventions can have divergent effects on social versus physical and mental aspects of health, that social health has independent effects on quality of life, that it is a dynamic and contextual construct, and that it is embedded and encoded in the human body (and mind). The utility of the social health concept is further revealed in its significance for understanding and addressing population health concerns, such as health inequalities experienced by marginalised groups.
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Affiliation(s)
- David Matthew Doyle
- Department of Medical Psychology, Amsterdam University Medical Centers, Location VUmc, Amsterdam, the Netherlands
| | - Bruce G. Link
- School of Public Policy and Department of Sociology, University of California, Riverside, CA, US
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Davidson C, Islam S, Venturini E, Lowit A, Gillberg C, Minnis H. Social competencies of children with disinhibited social engagement disorder: A systematic review. JCPP ADVANCES 2024; 4:e12226. [PMID: 39411476 PMCID: PMC11472807 DOI: 10.1002/jcv2.12226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 12/15/2023] [Indexed: 10/19/2024] Open
Abstract
Background Children with Disinhibited Social Engagement Disorder (DSED) have specific difficulties with indiscriminate sociability, yet little is known about their broader social competencies as DSED tends not to be identified within samples in the wider 'maltreatment literature.' Aim To systematically review the literature to determine the social competencies of children with DSED. Methods A comprehensive search following PRISMA guidelines was undertaken using PsycINFO, Medline, Embase, and Cumulative Index to Nursing & Allied Health. Results From a total of 553 articles, 16 studies were selected and critically evaluated. Children with DSED were consistently reported to have poorer social competencies than non-maltreated peers and environmental controls. Greater peer problems were consistently found, and they may present with poor self-esteem/concept related to social acceptance. Findings regarding social interaction/communication skills were mixed. Limitations 50% of studies were of moderate quality due to sampling and possible confounding variables. Conclusion Children with DSED present with social relationship problems, beyond the core symptoms of the disorder, but the relative impact of co-occurring neurodevelopmental conditions is not yet clear. In addition, pragmatic language and communication skills require further research.
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Affiliation(s)
- Claire Davidson
- University of GlasgowAcademic CAMHSWest Glasgow Ambulatory Care HospitalGlasgowUK
| | - Shahela Islam
- University of GlasgowAcademic CAMHSWest Glasgow Ambulatory Care HospitalGlasgowUK
| | - Enrico Venturini
- University of GlasgowAcademic CAMHSWest Glasgow Ambulatory Care HospitalGlasgowUK
| | - Anja Lowit
- University of Strathclyde, Speech and Language TherapyGlasgowUK
| | | | - Helen Minnis
- University of GlasgowAcademic CAMHSWest Glasgow Ambulatory Care HospitalGlasgowUK
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McCabe C, Sica A, Fortune DG. Awareness through relationships in individuals undergoing rehabilitation following acquired brain injury. Neuropsychol Rehabil 2024; 34:1005-1033. [PMID: 37903181 DOI: 10.1080/09602011.2023.2273578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 10/04/2023] [Indexed: 11/01/2023]
Abstract
AIM This cross-sectional study investigated the association between self-awareness and quality of therapeutic relationships following acquired brain injury (ABI) while controlling for the potential impact of cognitive problems. It also aimed to investigate attachment as a potential moderator. METHOD 83 adults with ABI were recruited alongside a key member of their community neurorehabilitation team. The Scale to Assess Therapeutic Relationships (STAR) was used to measure therapeutic relationship quality and attachment was measured using the Experiences in Close Relationships - Relationship Structure (ECR-RS) questionnaire. Awareness was measured using the Patient Competency Rating Scale (PCRS) and the Mayo-Portland Adaptability Inventory (MPAI-4) provided a measure of cognitive problems. The MPAI-4 also provided an additional measure of awareness. RESULTS A significant association between self-awareness and therapeutic relationships was found in some regression models such that higher-quality relationships were associated with better awareness, after controlling for the impact of cognitive problems. Neither childhood parental attachment nor participants' attachment towards their rehabilitation staff were moderators. CONCLUSION The observed associations between awareness in clients and therapeutic relationships with rehabilitation staff may have importance for rehabilitation in this context. Results highlight the value of continuing to prioritize the therapeutic relational environment in ABI rehabilitation and research.
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Affiliation(s)
- Corinne McCabe
- Department of Psychology, University of Limerick, Co Limerick, Ireland
| | - Andrea Sica
- Acquired Brain Injury Ireland, Co Dublin, Ireland
| | - Donal G Fortune
- Department of Psychology, University of Limerick, Co Limerick, Ireland
- HSE CHO 3 Mid West, Limerick, Ireland
- Health Research Institute, University of Limerick, Limerick, Ireland
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Gábor A, Pérez Fraga P, Gácsi M, Gerencsér L, Andics A. Domestication and exposure to human social stimuli are not sufficient to trigger attachment to humans: a companion pig-dog comparative study. Sci Rep 2024; 14:14058. [PMID: 38977716 PMCID: PMC11231355 DOI: 10.1038/s41598-024-63529-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 05/29/2024] [Indexed: 07/10/2024] Open
Abstract
Dogs exhibit human-analogue attachment to their owners, with similar function and mechanisms to that of infant-mother bond, but its origin is unclear. Comparative studies on socialised wolves and dogs emphasise genetic influence in dogs' preparedness for attachment to humans. We aimed to reveal if this genetic effect stems from general domestication or artificial selection that increased dogs' dependence on humans. We assessed and compared behavioural patterns of young companion pigs and dogs using a Strange Situation Test. Dogs but not pigs exhibited distinct behaviours towards their owner and a stranger along attachment-specific variables, so only dogs' relevant behaviours fulfilled attachment criteria. From the observed behaviours, three factors were formed: Attachment (to the owner), Anxiety (in a strange situation), and Acceptance (of a stranger). Results indicate (1) higher Attachment scores in dogs than pigs, (2) greater Acceptance scores in pigs, (3) positive correlation of Attachment and Anxiety in both, (4) similar time tendency of pigs' Attachment and Acceptance scores. These suggest that in pigs, domestication and early exposure to human social stimuli did not trigger attachment to humans. Thus, along with species predispositions, the unique dog-owner attachment can be facilitated by artificial selection that increased dogs' dependence on humans.
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Affiliation(s)
- Anna Gábor
- Department of Ethology, Eötvös Loránd University, Budapest, Hungary.
- Neuroethology of Communication Lab, Department of Ethology, Eötvös Loránd University, Budapest, Hungary.
| | - Paula Pérez Fraga
- Department of Ethology, Eötvös Loránd University, Budapest, Hungary
- Neuroethology of Communication Lab, Department of Ethology, Eötvös Loránd University, Budapest, Hungary
| | - Márta Gácsi
- Department of Ethology, Eötvös Loránd University, Budapest, Hungary
- ELKH-ELTE Comparative Ethology Research Group, Budapest, Hungary
| | - Linda Gerencsér
- Department of Ethology, Eötvös Loránd University, Budapest, Hungary
- Neuroethology of Communication Lab, Department of Ethology, Eötvös Loránd University, Budapest, Hungary
| | - Attila Andics
- Department of Ethology, Eötvös Loránd University, Budapest, Hungary
- Neuroethology of Communication Lab, Department of Ethology, Eötvös Loránd University, Budapest, Hungary
- ELTE NAP Canine Brain Research Group, Budapest, Hungary
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Wambua GN, Kilian S, Chiliza B. A qualitative study of coping strategies and resilience in the aftermath of childhood adversity in first-episode psychosis. Early Interv Psychiatry 2024. [PMID: 38764159 DOI: 10.1111/eip.13551] [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: 06/14/2023] [Revised: 01/24/2024] [Accepted: 05/09/2024] [Indexed: 05/21/2024]
Abstract
AIM Exposure to adversity during childhood is associated with elevated risk for commonly occurring forms of psychopathology, especially psychotic disorders. Despite the noteworthy consequences associated with adverse childhood experiences, an inconsistent and unpredictable number of at-risk populations present with remarkably good physical and mental health outcomes that can be attributed to resilience. This study aimed to qualitatively explore the experience of childhood adverse events and coping strategies employed by individuals that promote resilience and better mental health outcomes. METHODS Fourteen individuals with a history of childhood adversity were recruited to participate using a case-study approach. A semi-structured interview guide was developed based on empirical evidence and theoretical background, and the interviews were analysed using a reflexive thematic approach. RESULTS Our findings showed that the type of adversity impacted the experience of trauma, for example, the death of a caregiver versus emotional abuse or witnessing violence at home. Five coping strategies were identified (social support, religious coping, problem or emotion-focused coping, and meaning-making), with healthy controls found to identify and use these resources more than the psychosis group to promote individual well-being and better mental health outcomes. CONCLUSIONS Our findings provide insights into experiences in the aftermath of childhood adversity, emphasising the need to assess the history of trauma systematically. They further underscore the importance of mental health prevention programmes bolstering individual-level coping strategies and the resources available within our environments to help them manage adversity, improve overall outcomes, and promote resilience.
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Affiliation(s)
- G N Wambua
- Department of Psychiatry, University of Kwa-Zulu Natal, Durban, South Africa
| | - S Kilian
- Department of Psychiatry, Stellenbosch University, Cape town, South Africa
| | - B Chiliza
- Department of Psychiatry, University of Kwa-Zulu Natal, Durban, South Africa
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Schulz ML, Wood CE, Fogarty A, Brown SJ, Gartland D, Giallo R. Intimate partner violence exposure during infancy and social functioning in middle childhood: An Australian mother and child cohort study. Child Dev 2024; 95:817-830. [PMID: 37882462 DOI: 10.1111/cdev.14032] [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: 02/20/2023] [Revised: 09/18/2023] [Accepted: 10/09/2023] [Indexed: 10/27/2023]
Abstract
Social functioning of children with experiences of intimate partner violence (IPV) between caregivers in early childhood has received less attention than emotional-behavioral outcomes. Drawing on data from 1507 ten-year-old Australian-born children and their mothers participating in a community-based longitudinal study, this study examined the associations between IPV exposure during infancy and social development during middle childhood. IPV during the first 12 months of life was associated with lower social skills, higher peer problems, and peer victimization at age 10 years, while accounting for concurrent IPV. This study provides evidence for the long-term impacts of early-life IPV exposure on children's social functioning, and the importance of prevention and early intervention programs focused on social development following experiences of IPV.
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Affiliation(s)
- Madison L Schulz
- Department of Psychological Sciences, Swinburne University of Technology, Victoria, Hawthorn, Australia
- Murdoch Children's Research Institute, Victoria, Parkville, Australia
| | - Catherine E Wood
- Department of Psychological Sciences, Swinburne University of Technology, Victoria, Hawthorn, Australia
| | - Alison Fogarty
- Murdoch Children's Research Institute, Victoria, Parkville, Australia
| | - Stephanie J Brown
- Murdoch Children's Research Institute, Victoria, Parkville, Australia
- Department of Paediatrics, University of Melbourne, Victoria, Parkville, Australia
- Department of General Practice, University of Melbourne, Victoria, Parkville, Australia
- South Australian Health and Medical Research Institute, South Australia, Adelaide, Australia
| | - Deirdre Gartland
- Murdoch Children's Research Institute, Victoria, Parkville, Australia
- Department of Paediatrics, University of Melbourne, Victoria, Parkville, Australia
| | - Rebecca Giallo
- Murdoch Children's Research Institute, Victoria, Parkville, Australia
- School of Psychology, Deakin University, Victoria, Geelong, Australia
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Peng X, Hou WP, Ding YS, Wang Q, Li F, Sha S, Yu CC, Zhang XJ, Zhou FC, Wang CY. Independent effects of early life adversity on social cognitive function in patients with schizophrenia. Front Psychiatry 2024; 15:1343188. [PMID: 38505800 PMCID: PMC10948615 DOI: 10.3389/fpsyt.2024.1343188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Accepted: 02/01/2024] [Indexed: 03/21/2024] Open
Abstract
Objective The aim of this study was to investigate the impact of early life adversity on cognitive function in patients with schizophrenia, with a focus on social cognition (SC). Methods Two groups of patients with schizophrenia were recruited and matched on sociodemographic and clinical characteristics. One group consisted of 32 patients with a history of childhood trauma (SCZ-ct), and the other group consisted of 30 patients without a history of childhood trauma (SCZ-nct). In addition, 39 healthy controls without a history of childhood trauma (HC-nct) were also recruited. The intelligence of the three groups was assessed using the Wechsler Abbreviated Scale of Intelligence (WAIS-RC) short version. The cognitive function evaluation was conducted using the MATRICS Consensus Cognitive Battery (MCCB), and early life adversity was measured using the Childhood Trauma Questionnaire-Short Form (CTQ) and Bullying Scale for Adults (BSA). Results Patients with schizophrenia endosed significantly higher scores on the CTQ (F=67.61, p<0.001) and BSA (F=9.84, p<0.001) compared to the HC-nct. Analysis of covariance (ANCOVA) and post-hoc analyses revealed that SCZ-ct (F=11.20, p<0.001) exhibited the most pronounced cognitive impairment among the three groups, as indicated in MCCB total scores and in the domain score of SC. CTQ exhibited a negative correlation with MCCB (r=-0.405, p< 0.001); SC was negatively correlated with physical abuse (PA) of CTQ (r=-0.271, p=0.030) and emotional abuse (EA) of BSA (r=-0.265, p=0.034) in the whole patient sample. Higher SC performance was significantly predicted by CT_total (Beta =-0.582, p<0.001, 95% CI -0.96-0.46), and years of education (Beta=0.260, p =0.014, 95% CI 0.20-1.75) in schizophrenia. Conclusions Besides familial trauma, schizophrenia patients appear to have a higher likelihood of experiencing bullying in their early life. These experiences seem to contribute significantly to their severe impairments in SC.
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Affiliation(s)
- Xing Peng
- School of Public Health, North China University of Science and Technology, Tangshan, China
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Wen-Peng Hou
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Yu-Shen Ding
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Qi Wang
- Department of Psychiatry, Fengtai Mental Health Center, Beijing, China
| | - Feng Li
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Sha Sha
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | | | - Xiu-Jun Zhang
- School of Public Health, North China University of Science and Technology, Tangshan, China
| | - Fu-Chun Zhou
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Chuan-Yue Wang
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
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Homan KJ, Kong J. Sibling support exchange in late adulthood moderates the long-term impact of childhood neglect on psychological outcomes. Aging Ment Health 2024; 28:45-53. [PMID: 37158756 DOI: 10.1080/13607863.2023.2208082] [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: 01/07/2023] [Accepted: 04/20/2023] [Indexed: 05/10/2023]
Abstract
Objectives: Sibling relationships are often the longest-lasting and serve as a source of support and comfort for many older adults. The current study examined the moderating effect of sibling support exchange in the association between childhood maltreatment and mental health outcomes.Method: Using data from the Wisconsin Longitudinal Study (WLS), we analyzed a sample of older adults whose selected sibling was alive across the three data collections (baseline N = 4,041). Longitudinal multilevel regression models were estimated.Results: Key results showed that a history of neglect was associated with decreased psychological well-being, and all three forms of childhood maltreatment were related to increased depressive symptoms. We also found that sibling support exchange mitigated the negative mental health effects of childhood neglect.Conclusion: Our findings suggest that siblings may be uniquely positioned to support older adults who grew up in a neglectful family environment. Older adults may be encouraged to promote resilience by strengthening their sibling relationships.
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Affiliation(s)
- Kristin J Homan
- Department of Psychology, Grove City College, Grove City, PA, USA
| | - Jooyoung Kong
- School of Social Work, University of Wisconsin, Madison, WI, USA
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The long-term impact of early adverse experience on adaptive functioning: a pilot study integrating measures of mental status, nonverbal communication, and heart rate variability. Eur J Psychotraumatol 2023; 14:2181766. [PMID: 37052107 PMCID: PMC9980016 DOI: 10.1080/20008066.2023.2181766] [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: 03/07/2023] Open
Abstract
Background: Childhood maltreatment (CM) can disrupt the development of behavioural and physiological systems, increasing the risk of physical and psychological adverse outcomes across the lifespan. CM may cause interpersonal dysfunctions that impair social communication and lead to dysfunctional activation of the autonomic nervous system. The present exploratory study analyzed the long-term impact of CM from an integrated perspective through the simultaneous assessment of psychological symptoms, social and behavioural communication, and physiological regulation. Methods: Participants were 55 healthy university students (9 males and 46 females; mean age ± SD = 25.26 ± 2.83 years), who filled out a battery of questionnaires to assess the presence of CM (Childhood Trauma Questionnaire) and psychopathological symptoms (Symptom Check-List-90 Item Revised). Participants were then subjected to a videotaped interview for the assessment of non-verbal behaviour (Ethological Coding System for Interviews) and measurement of tonic heart rate variability (HRV), a measure of physiological adaptability to the environment. We performed Pearson's correlation analysis to evaluate the associations between non-verbal behaviour, HRV, and CM variables. Multiple regression analysis was used to evaluate the independent associations between CM variables on HRV and nonverbal behaviour. Results: We found an association between more severe CM, increased symptoms-related distress (ps < .001), less submissive behaviour (ps < .018), and decreased tonic HRV (ps < .028). As a result of multiple regression analysis, participants with a history of emotional abuse (R² = .18, p = .002) and neglect (R² = .10, p = .03) were more likely to display decreased submissive behaviour during the dyadic interview. Moreover, early experience of emotional (R² = .21, p = .005) and sexual abuse (R² = .14, p = .04) was associated with decreased tonic HRV. Conclusion: Our preliminary findings show the utility of analyzing the long-term effects of adverse early experiences at different levels of ‘adaptive functioning’ (the capabilities needed to respond effectively to environmental demands). Substantial traumatic experiences during childhood, such as emotional abuse, emotional neglect, and sexual abuse were associated with lower heart rate variability levels in a sample of young adults. Young adults with a history of emotional abuse and neglect were more likely to display decreased submissive behaviour (ethological behaviour) during the dyadic interview. Severe childhood maltreatment was associated with increased symptoms-related distress, less submissive behaviour (ethological behaviour), and decreased tonic heart rate variability in young adults.
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Oláh B, Fekete Z, Kuritárné Szabó I, Kovács-Tóth B. Validity and reliability of the 10-Item Adverse Childhood Experiences Questionnaire (ACE-10) among adolescents in the child welfare system. Front Public Health 2023; 11:1258798. [PMID: 38045975 PMCID: PMC10691263 DOI: 10.3389/fpubh.2023.1258798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 11/02/2023] [Indexed: 12/05/2023] Open
Abstract
Introduction Multiple evidence suggests that the vast majority of children in the Child Welfare System (CWS) are victims of early, chronic, and multiple adverse childhood experiences. However, the 10-item version of the Adverse Childhood Experiences Questionnaire (ACE-10) has never been tested in such a particularly vulnerable population as adolescents living in the CWS. We aimed to assess the psychometric properties of the ACE-10 in a community sample of 240 Hungarian adolescents placed in family style group care (FGC) setting. Methods Demographic data, the 10-item version of the Adverse Childhood Experiences Questionnaire (ACE-10), the Strengths and Difficulties Questionnaire (SDQ), and the HBSC Bullying Measure were used. Results Our results showed acceptable internal consistency (α = 0.701) and item-total correlations (rpb = 0.25-0.65, p < 0.001). However, our results also reflect that item 6 ("Parental separation/divorce") is weakly correlated with both the cumulative ACE score and the rest of the questionnaire items. When item 6 is removed, the 9-item version of the ACE produces more favorable consistency results (α = 0.729). Strong and significant associations of the cumulative ACE score with emotional and behavioral symptoms and bully victimization confirm the concurrent criterion validity of both versions of the instrument. Discussion Our findings suggest that ACE-9 and ACE-10 are viable screening tools for adverse childhood experiences in the CWS contributing to the advancement of trauma-informed care. We recommend considering the use of either the 9-item or the 10- item version in the light of the characteristics of the surveyed population. The implications and limitations are discussed.
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Affiliation(s)
- Barnabás Oláh
- Department of Behavioural Sciences, University of Debrecen Faculty of Medicine, Debrecen, Hungary
- Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Zita Fekete
- Department of Behavioural Sciences, University of Debrecen Faculty of Medicine, Debrecen, Hungary
| | - Ildikó Kuritárné Szabó
- Department of Behavioural Sciences, University of Debrecen Faculty of Medicine, Debrecen, Hungary
- Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Beáta Kovács-Tóth
- Department of Behavioural Sciences, University of Debrecen Faculty of Medicine, Debrecen, Hungary
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Levendosky AA, Turchan JE, Luo X, Good E. A re-introduction of the psychodynamic approach to the standard clinical psychology curriculum. J Clin Psychol 2023; 79:2439-2451. [PMID: 37310149 DOI: 10.1002/jclp.23551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Revised: 05/02/2023] [Accepted: 05/28/2023] [Indexed: 06/14/2023]
Abstract
OBJECTIVE There is a strong evidence-base for a psychodynamic approach, supporting primary theoretical tenets as well as the treatment effectiveness. Additionally, there are increasing calls from the field for more individualized treatment for clients, and the lack of training in multiple orientations limits the ability of students in clinical psychology Ph.D. programs in the United States to personalize their treatments. The accumulated evidence-base for contemporary relational psychodynamic theory and therapy places it in good standing to return to the standard clinical psychology curriculum, along with other evidence-based approaches. METHODS We use data from the Insider's Guide (which describes clinical Ph.D. programs in the United States) from three time points over 20 years to document the waning psychodynamic approach in clinical psychology programs. We review the scientific evidence for four primary tenets of a contemporary psychodynamic approach: three related to development-from healthy to psychopathological: (1) unconscious processes; (2) internal representations of self and other; (3) dimensional model of psychopathology, and a fourth tenet that builds on these three and is the foundation for a contemporary psychodynamic approach to psychotherapy: (4) therapeutic relationship as a primary mechanism of change. RESULTS/CONCLUSIONS Based on the review of the evidence, we make specific recommendations for clinical psychology training programs about how to include a psychodynamic approach in the curriculum.
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Affiliation(s)
- Alytia A Levendosky
- Department of Psychology, Michigan State University, East Lansing, Michigan, USA
| | - Joshua E Turchan
- Counseling and Psychiatric Services, Michigan State University, East Lansing, Michigan, USA
| | - Xiaochen Luo
- Department of Counseling Psychology, Santa Clara University, Santa Clara, California, USA
| | - Evan Good
- Austen Riggs Center, Stockbridge, Massachusetts, USA
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Rousseau S, Feldman T, Shlomi Polachek I, Frenkel TI. Persistent symptoms of maternal post-traumatic stress following childbirth across the first months postpartum: Associations with perturbations in maternal behavior and infant avoidance of social gaze toward mother. INFANCY 2023; 28:882-909. [PMID: 37329252 DOI: 10.1111/infa.12553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 04/25/2023] [Accepted: 05/09/2023] [Indexed: 06/18/2023]
Abstract
Recent literature identifies childbirth as a potentially traumatic event, following which mothers may develop symptoms of Post-Traumatic-Stress-Following-Childbirth (PTS-FC). The current study examines whether stable symptoms of PTS-FC during the early postpartum period may impose risk for perturbations in maternal behavior and infant social-engagement with mother, controlling for comorbid postpartum internalizing symptoms. Mother-infant dyads (N = 192) were recruited from the general population, during the third trimester of pregnancy. 49.5% of the mothers were primipara, and 48.4% of the infants were girls. Maternal PTS-FC was assessed at 3-day, 1-month and 4-month postpartum, via self-report and clinician-administered interview. Latent Profile Analysis generated two profiles of symptomology: "Stable-High-PTS-FC" (17.0%), and "Stable-Low-PTS-FC" (83%). Membership in the "Stable-High-PTS-FC" profile associated with perturbed maternal sensitivity, which was in turn significantly associated with infant avoidance of social gaze toward mother (Indirect effect β = -0.15). Results suggest the need for early screening and inform the planning of early preventive interventions.
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Affiliation(s)
- Sofie Rousseau
- School of Education, Ariel University, Ariel, Israel
- Baruch Ivcher School of Psychology, Reichman University (IDC Herzliya), Herzliya, Israel
| | - Tamar Feldman
- Baruch Ivcher School of Psychology, Reichman University (IDC Herzliya), Herzliya, Israel
| | - Inbal Shlomi Polachek
- Be'er Ya'akov Medical Center, Beer Yaakov, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Tahl I Frenkel
- Baruch Ivcher School of Psychology, Reichman University (IDC Herzliya), Herzliya, Israel
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14
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Kidwell MC, Kerig PK. To Trust is to Survive: Toward a Developmental Model of Moral Injury. JOURNAL OF CHILD & ADOLESCENT TRAUMA 2023; 16:459-475. [PMID: 37234829 PMCID: PMC10205960 DOI: 10.1007/s40653-021-00399-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/03/2021] [Indexed: 05/28/2023]
Abstract
Research on trauma- and stressor-related disorders has recently expanded to consider moral injury, or the harmful psychological impact of profound moral transgressions, betrayals, and acts of perpetration. Largely studied among military populations, this construct has rarely been empirically extended to children and adolescents despite its relevance in the early years, as well as youths' potentially heightened susceptibility to moral injury due to ongoing moral development and limited social resources relative to adults. Application of the construct to young persons, however, requires theoretical reconceptualization from a developmental perspective. The present paper brings together theory and research on developmentally-oriented constructs involving morally injurious events, including attachment trauma, betrayal trauma, and perpetration-induced traumatic stress, and describes how they may be integrated and extended to inform a developmentally-informed model of moral injury. Features of such a model include identification of potentially morally injurious events, maladaptive developmental meaning-making processes that underlie moral injury, as well as behavioral and emotional indicators of moral injury among youth. Thus, this review summarizes the currently available developmental literatures, identifies the major implications of each to a developmentally-informed construct of moral injury, and presents a conceptual developmental model of moral injury for children and adolescents to guide future empirical research.
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Affiliation(s)
- Mallory C. Kidwell
- Department of Psychology, University of Utah, 380 S 1530 E, Salt Lake City, UT 84112 USA
| | - Patricia K. Kerig
- Department of Psychology, University of Utah, 380 S 1530 E, Salt Lake City, UT 84112 USA
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15
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Warmingham JM, Russotti J, Handley ED, Toth SL, Cicchetti D. Childhood attachment security mediates the effect of childhood maltreatment chronicity on emotion regulation patterns in emerging adulthood. Attach Hum Dev 2023; 25:437-459. [PMID: 37470397 PMCID: PMC10529986 DOI: 10.1080/14616734.2023.2234891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 07/06/2023] [Indexed: 07/21/2023]
Abstract
This study uses a 2-wave, longitudinal design to evaluate mother-child attachment security (child-reported) and emotion regulation capacities (wave 1, age 10-12) as mediators linking childhood maltreatment chronicity and emotion regulation (ER) patterns in emerging adulthood (wave 2; N = 399; 48.1% male; 77.2% Black/African-American, 11.3% White, 7.8% Hispanic, 3.8% other race). Children from families eligible for public assistance with and without maltreatment exposure participated in a summer research camp (wave 1) and were recontacted in emerging adulthood (wave 2). SEM results showed that greater maltreatment chronicity predicted lower childhood attachment security, which in turn predicted membership in ER profiles marked by emotion dysregulation and limited access to ER strategies. Greater attachment security predicted membership in adaptive ER profiles in emerging adulthood. Results suggest that insecure attachment is one process by which childhood maltreatment disrupts adaptive ER across development, whereas greater attachment security in childhood can promote multiple forms of adaptive emotion regulation.
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Affiliation(s)
- Jennifer M Warmingham
- Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA
| | - Justin Russotti
- Mt. Hope Family Center, University of Rochester, Rochester, NY, USA
| | | | - Sheree L Toth
- Mt. Hope Family Center, University of Rochester, Rochester, NY, USA
| | - Dante Cicchetti
- Mt. Hope Family Center, University of Rochester, Rochester, NY, USA
- Institute of Child Development, University of Minnesota, Minneapolis, MN, USA
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16
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Langevin R, Marshall C, Wallace A, Gagné ME, Kingsland E, Temcheff C. Disentangling the Associations Between Attention Deficit Hyperactivity Disorder and Child Sexual Abuse: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2023; 24:369-389. [PMID: 34238078 PMCID: PMC10009485 DOI: 10.1177/15248380211030234] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
BACKGROUND An association between child sexual abuse (CSA) and attention deficit hyperactivity disorder (ADHD) has been documented. However, the temporal relationship between these problems and the roles of trauma-related symptoms or other forms of maltreatment remain unclear. This review aims to synthesize available research on CSA and ADHD, assess the methodological quality of the available research, and recommend future areas of inquiry. METHODS Studies were searched in five databases including Medline and PsycINFO. Following a title and abstract screening, 151 full texts were reviewed and 28 were included. Inclusion criteria were sexual abuse occurred before 18 years old, published quantitative studies documenting at least a bivariate association between CSA and ADHD, and published in the past 5 years for dissertations/theses, in French or English. The methodological quality of studies was systematically assessed. RESULTS Most studies identified a significant association between CSA and ADHD; most studies conceptualized CSA as a precursor of ADHD, but only one study had a longitudinal design. The quality of the studies varied greatly with main limitations being the lack of (i) longitudinal designs, (ii) rigorous multimethod/ multiinformant assessments of CSA and ADHD, and (iii) control for two major confounders: trauma-related symptoms and other forms of child maltreatment. DISCUSSION Given the lack of longitudinal studies, the directionality of the association remains unclear. The confounding role of other maltreatment forms and trauma-related symptoms also remains mostly unaddressed. Rigorous studies are needed to untangle the association between CSA and ADHD.
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Affiliation(s)
- Rachel Langevin
- Department of Educational and Counselling Psychology, McGill
University, Montreal, Quebec, Canada
- Rachel Langevin, McGill University, 3700
McTavish Street, Education Building, Room 614, Montreal, Quebec, Canada H3A 1Y2.
| | - Carley Marshall
- Department of Educational and Counselling Psychology, McGill
University, Montreal, Quebec, Canada
| | - Aimée Wallace
- Département de sexologie, Université du Québec à Montréal, Quebec,
Canada
| | - Marie-Emma Gagné
- Department of Educational and Counselling Psychology, McGill
University, Montreal, Quebec, Canada
| | | | - Caroline Temcheff
- Department of Educational and Counselling Psychology, McGill
University, Montreal, Quebec, Canada
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17
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Bounoua N, Church L, Sadeh N. Development and Initial Validation of the Neglectful Experiences and Deprivation Scale. Assessment 2023; 30:923-938. [PMID: 35120410 DOI: 10.1177/10731911211072906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Socioemotional deprivation, or the absence of developmentally expected social experiences, has been linked to long-lasting health and psychological outcomes. To date, current measures of socioemotional deprivation fail to capture the cumulative impact of neglectful experiences across multiple social relationships and developmental periods. The current study developed and validated the Neglectful Experiences and Deprivation Scale (NEADS) on a sample of 547 stress-exposed adults (M/SDage=27.77/6.54 years old; 56.5% male). Exploratory and confirmatory factor analyses in independent samples revealed a three-factor solution as the best fitting model: Caregiver Deprivation (four items; e.g., abandonment), Peer Deprivation (four items; e.g., physical isolation), Romantic Partner Deprivation (four items; e.g., emotionally unavailable). Indicators of construct validity and internal consistency support the selected three-factor model. Results provide strong preliminary evidence of the validity of the NEADS for assaying the severity, developmental timing, and psychological impact of socioemotional deprivation across the lifespan.
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18
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Glouchkow A, Weegar K, Romano E. Teachers' Responses to Child Maltreatment. JOURNAL OF CHILD & ADOLESCENT TRAUMA 2023; 16:95-108. [PMID: 36776637 PMCID: PMC9908805 DOI: 10.1007/s40653-022-00473-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/08/2022] [Indexed: 06/18/2023]
Abstract
Purpose Teachers play an important role in detecting and reporting child maltreatment by virtue of their extensive contact with children. Current research, while limited, shows a tendency among teachers to under-detect and under-report various forms of child abuse and neglect. Methods: Using data from a pilot evaluation of child maltreatment training for teachers, we examined teachers' self-reported behaviours for different forms of maltreatment. Participants included 45 experienced teachers from a large urban centre in the province of Ontario (Canada) who rated their likelihood of, and rationale for, detecting and reporting maltreatment based on four case vignettes. Results Accuracy rates for detection and reporting were highest for sexual abuse (95% and 93%), followed by neglect (87% and 75%), emotional abuse (86% and 70%), and physical abuse (58% and 27%). Differences in detection and reporting rates were only significant between physical abuse and other maltreatment types (sexual abuse and neglect for detection; sexual abuse, neglect, and emotional abuse for reporting), with accurate detection and reporting rates being significantly lower for physical abuse. Teachers stated that the physical abuse vignette lacked convincing evidence of child maltreatment. Further, many teachers indicated that additional information was needed to determine whether the vignette represented physical abuse and, as such, was reportable. Conclusion Our findings suggest the need for more targeted interventions to improve teachers' decision-making with potential child maltreatment scenarios, especially for physical abuse, so that children who are experiencing maltreatment may be more accurately detected and reported to child protection.
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Affiliation(s)
| | - Kelly Weegar
- School of Psychology, University of Ottawa, Ottawa, Canada
| | - Elisa Romano
- School of Psychology, University of Ottawa, Ottawa, Canada
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19
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Fitzgerald M, Notice M. The Longitudinal Association Between Childhood Abuse and Positive and Negative Family Interactions in Midlife and Older Adults: The Role of Mindfulness Meditation and Gender. Res Aging 2023; 45:361-373. [PMID: 35786068 DOI: 10.1177/01640275221108869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES Childhood abuse has been linked to problematic familial relationships in adulthood; however, it remains unclear what factors buffer the association. Mindfulness research has demonstrated promise in improving relationships among adults abused during childhood, but research has focused on couples, with fewer studies examining familial relationships. METHODS Using a data sample of 2430 adults from the Midlife Development in the United States, the current study examined mindfulness as a moderator of childhood abuse and familial support and strain in adults. RESULTS Analysis of hierarchical regression revealed that mindfulness was a moderator of childhood abuse and family strain over a 10-year period in women, but not men. However, mindfulness did not moderate childhood abuse and support. DISCUSSION This examination of mindfulness in the context of familial relationships may help women more successfully manage negative familial interactions. Results indicate mindfulness-based interventions may be helpful in improving familial relationships among adults abused by family members in childhood.
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Affiliation(s)
- Michael Fitzgerald
- School of Child and Family Sciences, 5104University of Southern Mississippi, Hattiesburg MS, USA
| | - Maxine Notice
- School of Human Services, 8253University of Central Missouri, Warrensburg, MO, USA
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20
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Xu M, Rosario-Williams B, Kline EA, Miranda R. Social cognitive mechanisms between psychological maltreatment and adolescent suicide ideation: Race/ethnicity and gender as moderators. PSYCHOLOGY OF VIOLENCE 2022; 12:393-402. [PMID: 38044964 PMCID: PMC10691810 DOI: 10.1037/vio0000447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/05/2023]
Abstract
Childhood psychological maltreatment is a well-studied predictor of adolescent suicide ideation, while social support is a protective factor, but little is known about social-cognitive mechanisms that may link psychological maltreatment to suicide ideation. Further, given the impact that culture, race/ethnicity, and gender can have on social relationships and suicide-related risk factors, these mechanisms may differ across demographic groups. Objective The current study examined whether psychological maltreatment predicts suicide ideation through self-perception of social competence, and whether this relationship differs depending on race/ethnicity and gender. Method We analyzed a racially diverse, longitudinal sample of adolescents at risk for maltreatment (N = 765). Self-report measures of lifetime maltreatment were completed at age 12 and combined with data from Child Protective Services. Youth also completed measures of perceived social competence at age 12. Indicators of suicide ideation were taken at ages 8, 12, 16, and 18. Results Perceived social competence scores differed significantly between children who were psychologically maltreated and those who were not, but these differences were nonsignificant for physical and sexual abuse. Self-perception of social competence fully mediated the relationship between childhood psychological maltreatment and suicide ideation for White girls and boys. Conclusions Our findings suggest that poor perceived social competence is uniquely associated with psychological maltreatment, and White adolescents may develop suicide ideation through specific mechanisms involving social cognition. Certain youth may benefit from interventions improving social cognitions and promoting healthy relationships to prevent suicide ideation during adolescence.
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Affiliation(s)
- Mariah Xu
- Columbia University and Hunter College, City University of New York
| | | | | | - Regina Miranda
- Hunter College and The Graduate Center, City University of New York
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21
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Ramos A, Matos F, Soares H. Parenting Programme Structure, Potential Barriers, and Facilitators: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13655. [PMID: 36294249 PMCID: PMC9603259 DOI: 10.3390/ijerph192013655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 10/14/2022] [Accepted: 10/18/2022] [Indexed: 06/16/2023]
Abstract
Becoming a parent is a challenging transition, and stress factors may arise. This scoping review aims to map, from the literature, the structure, potential barriers, and facilitators to be considered when conducting a parenting programme for parents of children up to 3 years old. It followed the JBI methodology and included studies with parents of children up to 3 years old (Participants), studies about parenting programme structure, its potential barriers, and facilitators (Concept) in the healthcare or community setting (Context). Qualitative and/or quantitative study designs and grey literature publications between 2016 and 2021 were eligible. The search was performed in three stages in CINAHL Plus with Full Text, MEDLINE with Full Text, and PubMed databases. It was also conducted in OpenGrey, ProQuest, Portuguese Open Access Scientific Repository, and Google Scholar. Fourteen articles were selected. The following aspects were identified regarding parenting programmes: benefits; structuring elements to be considered; facilitating factors and possible barriers to its development, and measurement instruments to assess the programme. Parenting programmes are important ways to contribute to a healthy, sustainable, and resilient society. It should be adapted to individuals, groups, and communities. They add value to parents, children, and society and should be carefully adapted to the group's needs.
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Affiliation(s)
- Ana Ramos
- Instituto Politécnico de Setúbal, Escola Superior de Saúde. NURSE’IN-UIESI, Campus do IPS, Estefanilha, 2910-761 Setúbal, Portugal
| | - Filomena Matos
- University of Algarve, Health School. UICISA: E. NURSE’IN-UIESI, University of Algarve, Campus de Gambelas, 8005-139 Faro, Portugal
| | - Hélia Soares
- University of Azores, Health School. NURSE’IN-UIESI, University of Azores, 9700-042 Angra do Heroísmo, Portugal
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22
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Reigstad KM, Gunlicks-Stoessel ML, Westervelt A, Gearity AR. Healthy emotions and relationships with teens-a guide for parents: An intervention development study of a parent-based intervention for adolescents with depression. Clin Child Psychol Psychiatry 2022; 27:586-597. [PMID: 35333639 DOI: 10.1177/13591045221078416] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Problems in parent-adolescent relationships are a significant risk factor for the development of depression in adolescents. This paper describes the development of a novel and innovative intervention for parents of depressed adolescents that targets attachment-related parenting behaviors, including parent responses to adolescents' emotions (Healthy Emotions and Relationships with Teens-A Guide for Parents [HEART-P]; Reigstad, 2017) and provides results of an open pilot study that was conducted to assess the feasibility and acceptability of the intervention. 15 parents/parent dyads of adolescents (age 12-18) with a depression diagnosis (14 mothers, and one father) participated in a 10-week open trial of HEART-P. Data regarding acceptability and feasibility were collected. Self-report measures of parenting, stress, family relationships, and adolescent depression were also completed by parents at baseline, week 10, and 2 months post-intervention. Parents completed the intervention with 100% adherence to the protocol and expressed high levels of satisfaction. Parents reported reductions in parenting stress, improvement in the quality of their relationship with their adolescent, and improvement in the perception of their parenting skills, with effect sizes in the medium to large range. Adolescents reported reductions in depression, with effect sizes in the small to medium range. Outcomes appear positive and promising, and the intervention was feasible to implement and acceptable to families. Conducting a full-scale randomized control trial to evaluate the efficacy of this newly developed intervention is warranted and timely given the public health need for improved depression treatment outcomes.
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Affiliation(s)
- Kristina M Reigstad
- Department of Psychiatry and Behavioral Sciences, Division of Child & Adolescent Psychiatry, 12269University of Minnesota-Twin Cities, Saint Paul, MN, USA
| | - Meredith L Gunlicks-Stoessel
- Department of Psychiatry and Behavioral Sciences, Division of Child & Adolescent Psychiatry, 12269University of Minnesota-Twin Cities, Saint Paul, MN, USA
| | - Ana Westervelt
- Department of Psychiatry and Behavioral Sciences, Division of Child & Adolescent Psychiatry, 12269University of Minnesota-Twin Cities, Saint Paul, MN, USA
| | - Anne R Gearity
- Department of Psychiatry and Behavioral Sciences, Division of Child & Adolescent Psychiatry, 12269University of Minnesota-Twin Cities, Saint Paul, MN, USA
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23
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Fitzgerald M, Kawar C. Mindfulness and Attachment as Concurrent Mediators Linking Childhood Maltreatment to Depressive, Anxious, and Dissociative Symptoms. J Trauma Dissociation 2022; 23:229-244. [PMID: 34689700 DOI: 10.1080/15299732.2021.1989120] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Childhood maltreatment has been consistently associated with adult symptoms of depression, anxiety, and dissociation, and attachment has been proposed as one mediator. Attachment, however, tends to only partially mediate the association, and mindfulness may be another explanatory pathway. The current study examined mindfulness and attachment in a multiple mediator model linking maltreatment to adult symptoms of depression, anxiety, and dissociation. A sample of 232 adults were recruited from two universities and an online sample who completed an online survey. Using structural equation modeling, childhood maltreatment was indirectly associated to symptoms of depression (ß = .104; 95% CI [.015, .193]), anxiety (ß = .090; 95% CI [.014, .166]), and dissociation (ß = .088; 95% CI [.006, .170]) through mindfulness. Additionally, childhood maltreatment was associated with symptoms of depression (ß = .062; 95% CI [.007, .118]), anxiety (ß = .074; 95% CI [.009, .139]), and dissociation (ß = .069; 95% CI [.017, .121]) through attachment avoidance. No significant indirect effects were found through attachment anxiety. These findings indicate that both mindfulness and attachment may be explanatory pathways linking childhood maltreatment. Inclusion of both attachment and mindfulness provides a more robust theoretical understanding of how maltreatment is associated with adult mental health.
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Affiliation(s)
- Michael Fitzgerald
- School of Child and Family Sciences, University of Southern Mississippi, Hattiesburg, United States
| | - Codina Kawar
- Department of Psychology, Our Lady of the Lake - San Antonio
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24
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Blume J, Park S, Cox M, Mastergeorge AM. Explicating Child-Driven Patterns of Parent-Child Responsivity in Fragile Families: A Longitudinal Approach. Front Pediatr 2022; 10:813486. [PMID: 35372155 PMCID: PMC8965445 DOI: 10.3389/fped.2022.813486] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Accepted: 02/21/2022] [Indexed: 11/13/2022] Open
Abstract
It has been well-established that development occurs in the context of a transactional framework, with bidirectional parent-child interactions influencing both proximal and distal outcomes. In particular, child vocabulary development is sensitive to parenting qualities including warmth, sensitivity, and control as well as parental stimulation including language input and access to learning enrichment activities. Similarly, these parenting qualities are influenced by and influence children's development of pro-social behaviors. Given the foundational role of both language and pro-social skills for academic achievement and the establishment of healthy relationships across the lifespan, a comprehensive understanding of the magnitude, stability, and reciprocity of such interactions across childhood has the potential to better inform early intervention and prevention practices and highlight risk and resilience factors. This study investigated the concurrent and successive transactional relationships between child pro-social behavior, child emergent language, and parenting qualities within a large, longitudinal sample. This study utilized Waves 3, 4, and 5 of the Fragile Families and Child Well Being Study (FFCWBS), corresponding to focal child age 3, 5, and 9 years, respectively. A series of Structural Equation Modeling (SEM) with full-information likelihood (FIML) estimation (n = 3,422) including child prosocial behavior, receptive vocabulary, and supportive parenting behaviors was tested and compared. Our findings indicate significant, positive associations over time between child pro-social behavior and receptive vocabulary, and parenting quality across all three stages of early child development. The steady decline in magnitude of these associations over time highlights the importance of synergistic parent-child interactions in toddlerhood as an early opportunity to propel these developmental outcomes and supportive parenting behaviors. Patterns of change in child pro-social behavior skills and parenting qualities remained positive and relatively stable, while observed growth in child receptive vocabulary skills increased in magnitude over time. Additional investigation of indirect effects specified the role of receptive vocabulary, as well as the bolstering role of prosocial behavior, in eliciting responsive parenting qualities over time.
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Affiliation(s)
- Jessica Blume
- Department of Human Development and Family Sciences, Texas Tech University, Lubbock, TX, United States
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25
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KOVAČEVIĆ SI, ŠOBOT V, VEJNOVIĆ AM, KNEŽEVIĆ V, MILATOVIĆ J, ŠEGAN D. "Mental Health Problems in Abused Institutionalised Serbian Adolescents and Their Use of Social and Mental Health Services". JOURNAL OF EVIDENCE-BASED PSYCHOTHERAPIES 2022. [DOI: 10.24193/jebp.2022.1.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
"The aim of the study was to determine the frequency of various forms of maltreatment in adolescents without parental care, their mental health problems and treatment needs. Sixty examinees of both genders, aged 12-18, were divided in two groups: abused group (adolescent without parental care in an institutional setting) and control group (general population). The presence/absence of registered abuse/neglect by official social services were the criterion for classifying respondents into groups. The general questionnaire, Childhood Trauma Questionnaire and Youth Self Report were used. 46.67% of adolescents were neglected, 40% of them suffered several types of abuse, 10% were physically abused, 3.33% were emotionally abused, and no adolescent was sexually abused. 16.6% of cases of sexual abuse in the abused group as well as milder forms of maltreatment in the control group were registered by self-reported retrospective measures, which are not part of official registers. Delinquency, aggressive behavior and somatic complaints are significantly more prominent in the abused group compared to the control group. 86% of adolescents used some form of support and counseling from professionals, 56.6% were included in psychiatric treatment, and only 36.6% in psychotherapy. Mental health problems in abused adolescents without parental care indicates the specific needs for psychotherapy and psychiatric treatment."
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26
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Savopoulos P, Brown S, Anderson PJ, Gartland D, Bryant C, Giallo R. Intimate partner violence during infancy and cognitive outcomes in middle childhood: Results from an Australian community-based mother and child cohort study. Child Dev 2022; 93:e396-e411. [PMID: 35137950 DOI: 10.1111/cdev.13736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The cognitive functioning of children who experience intimate partner violence (IPV) has received less attention than their emotional-behavioral outcomes. Drawing upon data from 615 (48.4% female) 10-year-old Australian-born children and their mothers (9.6% of mothers born in non-English speaking countries) participating in a community-based longitudinal study between 2004 and 2016, this study examined the associations between IPV in infancy and cognition in middle childhood (at age 10). Results showed that IPV in the first 12 months of life was associated with lower general cognitive ability and poorer executive attention but not working memory skills. IPV in middle childhood (in the 10th year postpartum) was not associated with cognition. This study provides evidence for the long-term impact of early life exposure to IPV on children's cognition, and points to the importance of early intervention to optimize development.
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Affiliation(s)
- Priscilla Savopoulos
- Murdoch Children's Research Institute, Parkville, Victoria, Australia.,School of Psychological Sciences, University of Melbourne, Parkville, Victoria, Australia
| | - Stephanie Brown
- Murdoch Children's Research Institute, Parkville, Victoria, Australia.,Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia.,South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia
| | - Peter J Anderson
- Murdoch Children's Research Institute, Parkville, Victoria, Australia.,School of Psychological Sciences, Monash University, Clayton, Victoria, Australia
| | - Deirdre Gartland
- Murdoch Children's Research Institute, Parkville, Victoria, Australia.,Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
| | - Christina Bryant
- School of Psychological Sciences, University of Melbourne, Parkville, Victoria, Australia
| | - Rebecca Giallo
- Murdoch Children's Research Institute, Parkville, Victoria, Australia.,Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia.,La Trobe University, Bundoora, Victoria, Australia
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27
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Rousseau S, Polachek IS, Frenkel TI. A machine learning approach to identifying pregnant women's risk for persistent post-traumatic stress following childbirth. J Affect Disord 2022; 296:136-149. [PMID: 34601301 DOI: 10.1016/j.jad.2021.09.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 08/11/2021] [Accepted: 09/12/2021] [Indexed: 10/20/2022]
Abstract
INTRO Recent literature identifies childbirth as a potentially traumatic event, following which mothers may develop symptoms of Post-Traumatic-Stress-Following-Childbirth (PTS-FC). Especially when persistent, PTS-FC may interfere with mothers' caregiving and associated infant development, underscoring the need for accurate predictive screening of risk. Drawing on recent developments in advanced statistical modeling, the aim of the current study was to identify a set of prenatal indicators and prediction rules that may accurately identify pregnant women's risk for developing symptoms of PTS-FC which persist throughout the early postpartum period. METHODS 182 women from the general population completed a comprehensive set of approximately 200 potentially predictive questions during pregnancy, and subsequently reported on their acute stress and PTS-FC at three days, one month, and three months postpartum (self-report and clinician-administered interview). Based on the postpartum acute stress and PTS-FC data, women were classified into profiles of "Stable-High-PTS-FC" and "Stable-Low-PTS-FC" by means of Latent-Class Analyses. Prenatal data were modeled to identify women at risk for "Stable-High PTS-FC". RESULTS Employing machine-learning decision-tree analyses, a total of 36 questions and 7 prediction-rules were selected. Based on a cost-rate of 15 versus 100 for false-negative "Stable-Low-PTS-FC" versus false-negative "Stable-High-PTS-FC", the final model showed 80.6% accuracy for "Stable-High-PTS-FC" prediction. DISCUSSION This study identifies a short set of questions and prediction rules that may be included in future large-scale validation studies aimed at developing and validating a brief PTS-FC screening instrument that could be implemented in general population prenatal healthcare practice. Accurate screening would allow for selective administering of preventive interventions towards women at risk.
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Affiliation(s)
- Sofie Rousseau
- Ziama Arkin Infancy Institute, Interdisciplinary Center (IDC) Herzliya, Hanadiv 71, 1st floor, Herzliya 46485, Israel; Baruch Ivcher School of Psychology, Interdisciplinary Center (IDC) Herzliya, HaUniversity 8, Herzliya 4610101, Israel
| | - Inbal Shlomi Polachek
- Be'er Ya'akov Medical Center, Israel; Tel Aviv University, Sackler School of Medicine, Tel Aviv, Israel
| | - Tahl I Frenkel
- Ziama Arkin Infancy Institute, Interdisciplinary Center (IDC) Herzliya, Hanadiv 71, 1st floor, Herzliya 46485, Israel; Baruch Ivcher School of Psychology, Interdisciplinary Center (IDC) Herzliya, HaUniversity 8, Herzliya 4610101, Israel.
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Schmid M, Fegert JM, Clemens V, Seker S, d’Huart D, Binder M, Schröder M, Friden L, Boonmann C, Jenkel N, Schmeck K, Bürgin D. Misshandlungs- und Vernachlässigungserfahrungen in der Kindheit: Ein Risikofaktor für die soziale Teilhabe ehemals außerfamiliär platzierter junger Erwachsener. KINDHEIT UND ENTWICKLUNG 2022. [DOI: 10.1026/0942-5403/a000366] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Theoretischer Hintergrund: Eine Reihe von Studien zeigen soziale Folgen von Misshandlung und Vernachlässigung in der Kindheit im weiteren Lebenslauf. Fragestellung: Diese Studie zielt darauf ab, die langfristigen Auswirkungen von Misshandlungs- und Vernachlässigungserfahrungen auf die soziale Teilhabe in einer Stichprobe von ehemals fremdplatzierten jungen Erwachsenen in der Schweiz zu untersuchen. Methode: Im Rahmen der Studie wurden 218 ehemals fremdplatzierte junge Erwachsene ( MAlter=26.1, 32.6 % weiblich) mit einer psychometrischen Testbatterie befragt. Dabei wurden Misshandlungserfahrungen in der Kindheit erfasst sowie die soziale Teilhabe bezüglich psychischer Gesundheit, Legalbewährung, sozio-ökonomische Lage und Beziehungen untersucht. Ergebnisse: Die Ergebnisse zeigen die hohe Prävalenz und negativen Folgen von kumulierten Misshandlungserfahrungen bei ehemals fremdplatzierten jungen Menschen. Eine höhere Anzahl von Misshandlungserfahrungen ging mit signifikant mehr Problemen in gesundheitlichen, finanziellen und sozialen Lebensbereichen einher. Diskussion und Schlussfolgerung: Die gravierenden Folgen von Misshandlungserfahrungen in der Kindheit unterstreichen die Bedeutung der Prävention und frühzeitigen Intervention. Sie zeigen aber auch, dass viele schwer betroffene junge Menschen neben therapeutischen auch konkrete und lebensweltorientierte Hilfen benötigen, um ihre Entwicklungsaufgaben adäquat zu bewältigen und erfolgreich an der Gesellschaft teilzuhaben.
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Affiliation(s)
- Marc Schmid
- Forschungsabteilung der Klinik für Kinder und Jugendliche, Universitäre Psychiatrische Kliniken Basel
| | - Jörg M. Fegert
- Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie, Universitäre Kliniken Ulm, Universität Ulm
| | - Vera Clemens
- Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie, Universitäre Kliniken Ulm, Universität Ulm
| | - Süheyla Seker
- Forschungsabteilung der Klinik für Kinder und Jugendliche, Universitäre Psychiatrische Kliniken Basel
| | - Delfine d’Huart
- Forschungsabteilung der Klinik für Kinder und Jugendliche, Universitäre Psychiatrische Kliniken Basel
| | - Melanie Binder
- Forschungsabteilung der Klinik für Kinder und Jugendliche, Universitäre Psychiatrische Kliniken Basel
| | - Martin Schröder
- Forschungsabteilung der Klinik für Kinder und Jugendliche, Universitäre Psychiatrische Kliniken Basel
| | - Liz Friden
- Forschungsabteilung der Klinik für Kinder und Jugendliche, Universitäre Psychiatrische Kliniken Basel
| | - Cyril Boonmann
- Forschungsabteilung der Klinik für Kinder und Jugendliche, Universitäre Psychiatrische Kliniken Basel
| | - Nils Jenkel
- Forschungsabteilung der Klinik für Kinder und Jugendliche, Universitäre Psychiatrische Kliniken Basel
| | - Klaus Schmeck
- Forschungsabteilung der Klinik für Kinder und Jugendliche, Universitäre Psychiatrische Kliniken Basel
| | - David Bürgin
- Forschungsabteilung der Klinik für Kinder und Jugendliche, Universitäre Psychiatrische Kliniken Basel
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Méndez-Méndez MD, Fontanil Y, Martín-Higarza Y, Fernández-Álvarez N, Ezama E. Configurations of Adult Attachment, Indicators of Mental Health and Adverse Childhood Experiences in Women: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413385. [PMID: 34948994 PMCID: PMC8707459 DOI: 10.3390/ijerph182413385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Revised: 12/14/2021] [Accepted: 12/17/2021] [Indexed: 11/23/2022]
Abstract
The relationship between adverse childhood experiences, attachment and adult mental health has been pointed out in a large amount of studies. In a sample of 339 women receiving support from mental health and social services, this research analyzed the association between three adult attachment variables (fear of rejection or abandonment—FRA; desire for closeness—DC; preference for independence—PI) and four mental health indicators. After dichotomizing these variables, we constructed eight configurations of attachment and examined their association with mental health indicators. BAB people (those below the median in FRA, above in DC and below in PI) obtained the most favorable scores in mental health, whereas the ABA configuration (above the median in FRA, below in DC and above in PI) was the least favorable. The association between attachment configurations and mental health indicators was different to what might be expected, aggregating the effects of individual attachment variables. When analyzing the relationship between configurations and adverse childhood experiences (ACEs), women with an ABA configuration reported the highest number of ACEs and eight ACE types had a higher-than-expected contingency coefficient. In conclusion, these findings suggest that certain adult attachment configurations are associated with a greater number of ACEs and poorer mental health indicators in adult women.
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Affiliation(s)
- María Dolores Méndez-Méndez
- Central University Hospital of Asturias, Mental Health Services of the Principality of Asturias, 33011 Oviedo, Spain
- Correspondence: ; Tel.: +34-985-111-109
| | - Yolanda Fontanil
- Department of Psychology, University of Oviedo, 33003 Oviedo, Spain; (Y.F.); (N.F.-Á.)
| | - Yolanda Martín-Higarza
- Institute of Legal Medicine, Government of the Principality of Asturias, 33001 Oviedo, Spain;
| | | | - Esteban Ezama
- Cabueñes University Hospital, Mental Health Services of the Principality of Asturias, 33201 Gijón, Spain;
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30
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Cuevas AG, Ho T, Rodgers J, DeNufrio D, Alley L, Allen J, Williams DR. Developmental timing of initial racial discrimination exposure is associated with cardiovascular health conditions in adulthood. ETHNICITY & HEALTH 2021; 26:949-962. [PMID: 31064206 PMCID: PMC7026859 DOI: 10.1080/13557858.2019.1613517] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Accepted: 04/26/2019] [Indexed: 05/24/2023]
Abstract
OBJECTIVE To examine the association between developmental timing of initial exposure to racial discrimination and cardiovascular health conditions. DESIGN Using data from the 1995 Detroit Area Study, logistic and negative binomial regression models were used to assess the association between timing of initial exposure to racial/ethnic discrimination, classified as early childhood (0-7), childhood (8-12), adolescence (13-19), and adulthood (>19), on physician-diagnosed cardiovascular health conditions during adulthood. Each analysis adjusted for age, gender, race/ethnicity, income, education, marital status, health-related behaviors, and pre-existing health conditions. RESULTS Of the 1,106 participants in the final sample, 520 identified as White and 586 identified as Black. Over half (64%) of the sample experienced at least one major cardiovascular health event at the time of the study, with 39% reporting two or more events. Results from logistic regression models showed that initial exposure to racial discrimination during early childhood was associated with a 2.96 (95%CI:1.15, 7.83) times greater odds of having any cardiovascular-related health condition later in life compared to individuals who reported no discrimination. Results from negative binomial regression models demonstrated that individuals who reported initial exposure to racial discrimination during early childhood and adolescence had a CVD incidence rate that was 1.63 (95%CI:1.11, 2.38) and 1.37 (95%CI:1.10, 1.69) times higher than individuals who reported no discrimination. CONCLUSION Initial exposure to racial discrimination in early childhood and adolescence may increase the risk of cardiovascular conditions later in life. Clinicians and researchers should consider racial discrimination during childhood as a possible risk factor for illness and disease.
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Affiliation(s)
- Adolfo G. Cuevas
- Department of Community Health, Tufts University, Medford, MA, USA
| | - Thao Ho
- Department of Community Health, Tufts University, Medford, MA, USA
| | - Justin Rodgers
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Danielle DeNufrio
- Department of Public Health and Community Medicine, Tufts’ School of Medicine, Boston, MA, USA
| | | | - Jennifer Allen
- Department of Community Health, Tufts University, Medford, MA, USA
| | - David R. Williams
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
- Department of African and African American Studies, Harvard University, Cambridge, MA, USA
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Fitzgerald M. Developmental Pathways from Childhood Maltreatment to Young Adult Romantic Relationship Functioning. J Trauma Dissociation 2021; 22:581-597. [PMID: 33472559 DOI: 10.1080/15299732.2020.1869653] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Childhood abuse has been suggested to potentiate a maladaptive developmental trajectory, leaving adolescents and young adults at risk for mental health and romantic relationship problems. It has been suggested that mental health problems mediate the relationship between childhood abuse and young adult romantic relationship functioning; however, there are few prospective studies. The objective of the current study was to examine the effects of childhood physical, sexual, and emotional abuse on posttraumatic stress symptoms in adolescence, and relationship quality, intimacy, companionship, and conflict in young adult's romantic relationships. Using data from the Longitudinal Studies of Childhood Abuse and Neglect (LONGSCAN), a sample of 313 racially diverse adolescents were used. Using structural equation modeling, it was found that dissociation mediated the relationship between physical abuse and relationship quality, but in the opposite direction of what was expected. Additionally, anger mediated the relationship from both physical and sexual abuse to conflict. Childhood abuse appears to influence young adult relationship functioning through mental health problems in mid-adolescence, particularly anger and dissociation. These results are consistent with the notion that children who were abused may struggle in romantic relationships in young adulthood and addressing mental health problems in adolescence may a point of intervention.
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Affiliation(s)
- Michael Fitzgerald
- Assistant Professor in School of Child and Family Sciences, University of Southern Mississippi, Hattiesburg, Mississippi, USA
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32
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Crow TM, Levy KN, Bradley B, Fani N, Powers A. The roles of attachment and emotion dysregulation in the association between childhood maltreatment and PTSD in an inner-city sample. CHILD ABUSE & NEGLECT 2021; 118:105139. [PMID: 34091237 PMCID: PMC8292198 DOI: 10.1016/j.chiabu.2021.105139] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 04/01/2021] [Accepted: 05/23/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Most people will experience a traumatic event in their lifetime, but only a subset (<10%) will develop posttraumatic stress disorder (PTSD). OBJECTIVE To facilitate prevention and intervention of PTSD, it is important to understand how risk and resilience factors interact with one another to explain individual differences in risk for PTSD, especially in underprivileged groups, who often experience greater burden of trauma and PTSD. METHOD The current study utilized multiple and moderated regression to examine the relation between childhood maltreatment and adulthood PTSD risk in the context of various attachment patterns and emotion dysregulation in a sample (n = 856) of mostly low-income, African American participants. RESULTS Moderation analysis indicated that the strongest association between self-reported childhood maltreatment and PTSD symptoms was manifest in participants reporting the highest levels of both attachment anxiety and attachment avoidance (b = 0.22, 95% CI [0.15, 0.29], p < .001), whereas, among those low on both these dimensions (i.e., more securely attached participants), there was no significant association between childhood maltreatment and current PTSD (b = 0.07, 95% CI [-0.01, 0.14], p = .07). Separately, multiple regression predicting current PTSD symptoms revealed an effect size for the two attachment dimensions similar to that of emotion dysregulation, while controlling for childhood maltreatment. CONCLUSIONS These findings suggest more secure attachment may buffer against the deleterious effects of childhood maltreatment, and both attachment difficulties and emotion dysregulation serve as robust correlates of adulthood PTSD.
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Affiliation(s)
- Thomas M Crow
- Department of Psychology, Pennsylvania State University, USA
| | - Kenneth N Levy
- Department of Psychology, Pennsylvania State University, USA
| | - Bekh Bradley
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, USA; Atlanta VA Medical Center, Mental Health Services, USA
| | - Negar Fani
- Emory University School of Medicine, USA
| | - Abigail Powers
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, USA.
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33
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Erkoreka L, Zamalloa I, Rodriguez S, Muñoz P, Mendizabal I, Zamalloa MI, Arrue A, Zumarraga M, Gonzalez-Torres MA. Attachment anxiety as mediator of the relationship between childhood trauma and personality dysfunction in borderline personality disorder. Clin Psychol Psychother 2021; 29:501-511. [PMID: 34228846 DOI: 10.1002/cpp.2640] [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] [Received: 04/06/2021] [Revised: 06/24/2021] [Accepted: 06/25/2021] [Indexed: 11/11/2022]
Abstract
Insecure attachment has been described as mediating the relationship between childhood trauma and dysfunctional personality traits in different mental disorders. Despite the role insecure attachment and childhood trauma have independently demonstrated to play as determinants of borderline personality disorder, less is known about the mediating mechanisms explaining these associations. For the first time, we assessed adult attachment, childhood trauma and dimensional personality pathology in a sample of outpatients with borderline personality disorder and tested whether the association between childhood trauma and personality dysfunction was at least partially attributable to insecure attachment. The results showed that attachment anxiety fully mediated the relationship between specific types of trauma (emotional abuse and physical neglect) and emotional dysregulation. Further, emotional abuse was both directly associated with dissocial behaviour and indirectly via attachment anxiety (partial mediation). Emotional abuse has been described as an essential environmental factor for the development of borderline personality disorder and emotional dysregulation, on its part, as the core feature of the condition. Our results indicate that attachment anxiety explains the link between these central aspects of borderline personality disorder. Our findings are consistent with previous research and current etiological understanding of the condition and provide support for recommending a careful assessment of childhood traumatic experiences and adult attachment style to gain a more comprehensive insight into the symptoms and its heterogeneity. As a secondary aim, we assessed the effect parental mental illness may have in these mediation models, but no significant influence on childhood trauma, attachment or personality was found.
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Affiliation(s)
- Leire Erkoreka
- Department of Psychiatry, Galdakao-Usansolo Hospital, Osakidetza Basque Health Service, Galdakao, Spain.,Department of Neurosciences, University of the Basque Country UPV/EHU, Leioa, Spain.,Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
| | - Iker Zamalloa
- Department of Neurosciences, University of the Basque Country UPV/EHU, Leioa, Spain
| | | | - Pedro Muñoz
- Eating Disorders Unit, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Barakaldo, Spain
| | - Imanol Mendizabal
- Department of Neurosciences, University of the Basque Country UPV/EHU, Leioa, Spain
| | - M Isabel Zamalloa
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.,Department of Neurochemical Research, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Barakaldo, Spain
| | - Aurora Arrue
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.,Department of Neurochemical Research, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Barakaldo, Spain
| | - Mercedes Zumarraga
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.,Department of Neurochemical Research, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Barakaldo, Spain
| | - Miguel Angel Gonzalez-Torres
- Department of Neurosciences, University of the Basque Country UPV/EHU, Leioa, Spain.,Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.,Department of Psychiatry, Basurto University Hospital, Osakidetza Basque Health Service, Bilbao, Spain
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34
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Ratzoni N, Doron G, Frenkel TI. Initial Evidence for Symptoms of Postpartum Parent-Infant Relationship Obsessive Compulsive Disorder (PI-ROCD) and Associated Risk for Perturbed Maternal Behavior and Infant Social Disengagement From Mother. Front Psychiatry 2021; 12:589949. [PMID: 34603090 PMCID: PMC8481639 DOI: 10.3389/fpsyt.2021.589949] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Accepted: 07/21/2021] [Indexed: 11/18/2022] Open
Abstract
Infant socioemotional development and underlying brain maturation occur primarily within the context of early caregiver-infant relationships. Perinatal research demonstrates detrimental impact of postpartum pathology, including postnatal onset of maternal OCD-on the mother-infant relationship. The present study is the first to examine postnatal onset of a particular dimension of OCD symptoms focusing on close interpersonal relationships (relationship-OCD, i.e., ROCD) within a general population sample. Specifically, we assessed whether symptoms of Parent-Child ROCD (PC-ROCD), may onset postnatally, thus yielding symptoms of Parent-Infant ROCD (PI-ROCD). We adapted the previously validated Parent-Child ROCD measure for use during infancy to assess symptoms of PI-ROCD. The adapted measure, Parent-Infant Relationship Obsessive Compulsive Symptoms Inventory (PI-PROCSI), was administered to 143 mothers from the general population at 4-months postpartum. We investigated concurrent associations between postnatal onset of PI-ROCD, maternal depression and bonding, as well as longitudinal predictive associations with observed maternal and infant behaviors in dyadic interactions at 10 months. Due to dropout across the 1st year postpartum, the subsample with longitudinal data was substantially reduced compared to the full sample. PI-PROCSI scores explained unique variance in concurrent maternal depression over and above concurrent anxiety. PI-PROCSI scores also associated with concurrent impairments of maternal bonding. Moreover, unique associations emerged between maternal PI-ROCD scores and perturbations in both maternal and infant observable behaviors at 10-months. Specifically, observable perturbations in maternal behaviors mediated associations between symptoms of PI-ROCD at 4-months and observable infant avoidance of social engagement behaviors at 10-months. Findings suggest that parent-child ROCD symptoms may onset during the postnatal period, and that such symptoms may play a significant role in shaping quality of reciprocal caregiver-infant interactions. Theoretical and clinical implications are discussed.
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Affiliation(s)
- Nathalie Ratzoni
- Ziama Arkin Infancy Institute, Interdisciplinary Center Herzliya, Herzliya, Israel.,Baruch Ivcher School of Psychology, Interdisciplinary Center Herzliya, Herzliya, Israel
| | - Guy Doron
- Baruch Ivcher School of Psychology, Interdisciplinary Center Herzliya, Herzliya, Israel
| | - Tahl I Frenkel
- Ziama Arkin Infancy Institute, Interdisciplinary Center Herzliya, Herzliya, Israel.,Baruch Ivcher School of Psychology, Interdisciplinary Center Herzliya, Herzliya, Israel
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35
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Kuklinski MR, Oxford ML, Spieker SJ, Lohr MJ, Fleming CB. Benefit-cost analysis of Promoting First Relationships®: Implications of victim benefits assumptions for return on investment. CHILD ABUSE & NEGLECT 2020; 106:104515. [PMID: 32454356 PMCID: PMC7359609 DOI: 10.1016/j.chiabu.2020.104515] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 04/11/2020] [Accepted: 04/22/2020] [Indexed: 05/08/2023]
Abstract
BACKGROUND Child abuse and neglect (CAN) cost United States society $136 billion to $428 billion annually. Preventive interventions that reduce CAN may improve people's lives and generate economic benefits to society, but their magnitude is likely to vary greatly with assumptions about victim costs avoided through intervention. OBJECTIVE We examined the implications of different assumptions about avoided victim costs in a benefit-cost analysis of Promoting First Relationships® (PFR), a 10-session attachment and strengths-based home visiting intervention. PARTICIPANTS AND SETTING Participants were 247 child protection-involved but intact families in Washington State randomized to receive PFR (n = 124) or resource and referral (n = 123). METHODS We monetized intervention effects on out-of-home placements and implicit effects on CAN and calculated net present values under three scenarios: (1) benefits from avoided system costs, (2) additional benefits from avoided tangible victim costs, and (3) additional benefits from avoided tangible and intangible quality-of-life victim costs. For scenarios 2 and 3, we varied the CAN effect size and estimated the effect size at which PFR was reliably cost beneficial. RESULTS PFR's societal net benefit ranged from $1 (scenario 1) to $5514 - $25,562 (scenario 2) and $7004 - $32,072 (scenario 3) (2014 USD). In scenarios 2 and 3, PFR was reliably cost beneficial at a CAN effect size of approximately -0.25. CONCLUSIONS PFR is cost beneficial assuming tangible victim costs are avoided by PFR. Research into the long-term health and economic consequences of reducing CAN in at-risk populations would contribute to comprehensive, accurate benefits models.
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Affiliation(s)
- Margaret R Kuklinski
- Social Development Research Group, School of Social Work, University of Washington, 9725 Third Ave. NE, Suite 401, Seattle, WA 98115, United States.
| | - Monica L Oxford
- Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, United States.
| | - Susan J Spieker
- Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, United States.
| | - Mary Jane Lohr
- Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, United States.
| | - Charles B Fleming
- Center for The Study of Health and Risk Behavior, Department of Psychiatry, University of Washington, United States.
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Sochos A, Aljasas N. The role of child-keyworker attachment in burnout among Saudi residential staff. INTERNATIONAL JOURNAL OF PSYCHOLOGY 2020; 56:228-237. [PMID: 32617969 DOI: 10.1002/ijop.12692] [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] [Received: 12/05/2019] [Accepted: 05/04/2020] [Indexed: 11/09/2022]
Abstract
Research on the impact of the keyworker-child relationship on residential staff is scarce. This longitudinal study investigated the potential moderating effects of child and keyworker attachment styles on the link between child behavioural problems and staff burnout and the moderating effects of child attachment style on the link between keyworker attachment style and keyworker burnout. Participants included 261 children and 59 residential child care workers, from 5 orphanages in Saudi Arabia. Five self-report measures were utilised: The Strengths and Difficulties Questionnaire, the Security Scale, the Coping Strategies Questionnaire, the Maslach Burnout Inventory and the Experiences in Close Relationships Questionnaire. Keyworkers caring for relatively non-avoidant children and those with an avoidant attachment style themselves experienced relatively high burnout a year later. Relatively high burnout was also reported by avoidant keyworkers who cared for avoidant and generally insecure children, while anxiously attached keyworkers reported relatively high burnout when they cared for children with any type of insecure attachment style. The present findings highlight essential interpersonal processes involved in the development of burnout in residential child care workers and call for the employment of attachment-focused interventions as measures of burnout prevention.
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Affiliation(s)
- Antigonos Sochos
- Research Centre for Applied Psychology, University of Bedfordshire, Luton, UK
| | - Najla Aljasas
- Department of Psychology, University of Shaqra, Riyadh, Kingdom of Saudi Arabia
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37
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Aspects of Parent-Child Interaction from Infancy to Late Adolescence Are Associated with Severity of Childhood Maltreatment through Age 18. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17113749. [PMID: 32466383 PMCID: PMC7312453 DOI: 10.3390/ijerph17113749] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 05/15/2020] [Accepted: 05/20/2020] [Indexed: 12/20/2022]
Abstract
Childhood maltreatment (CM) is a pervasive public health problem worldwide, with negative health consequences across the lifespan. Despite these adverse outcomes, identifying children who are being maltreated remains a challenge. Thus, there is a need to identify reliably observable features of parent-child interaction that indicate risk for CM and that can instigate strategically targeted family supports. The aim of this longitudinal study was to assess multiple aspects of observed mother-child interaction from infancy to late adolescence as risk indicators of the overall severity of CM by age 18. Mother-child dyads were assessed in infancy (N = 56), at age 7 years (N = 56), and at age 19 years (N = 56/110). Severity of CM through age 18 was indexed by combined prospective and retrospective assessments. Interactions associated with severity of CM by age 18 included maternal hostility in infancy, maternal withdrawal in infancy and middle childhood, child disorganized attachment behavior in middle childhood and late adolescence, as well as hostile and role-confused interactions in late adolescence. This study identifies new indices of maternal and child behavior as important risk indicators for the severity of CM. These indices could be used to improve early identification and tailor preventive interventions for families at risk for CM.
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Developmental cascades from child maltreatment to negative friend and romantic interactions in emerging adulthood. Dev Psychopathol 2020; 31:1649-1659. [PMID: 31718734 DOI: 10.1017/s095457941900124x] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Maltreatment during childhood is associated with difficult interpersonal relationships throughout the life course. The aim of the current study was to investigate differential pathways from child maltreatment to emerging adult relationship dysfunction. Specifically, we prospectively tested whether child maltreatment initiates a developmental cascade resulting in coercive negative romantic and friend interactions in emerging adulthood via childhood antisocial tendencies and via childhood relational aggression. Utilizing a longitudinal sample of emerging adult participants (N = 392; mean age = 20 years old) who took part in a summer research camp program as children (mean age = 11 years old), results supported pathways via both childhood antisocial behavior and childhood relational aggression. We found specificity within these pathways such that childhood antisocial behavior was a mediator of child maltreatment effects on emerging adult negative romantic interactions, whereas childhood relational aggression was a mediator of child maltreatment effects on emerging adult negative friend interactions. Taken together, results indicate that children exposed to maltreatment face significant interpersonal challenges in emerging adulthood, within both the friend and the romantic domains, and point to distinct childhood pathways to these negative interactions. Our findings are consistent with Dishion's (2016) theoretical framework for understanding the development of coercion in relationships and highlight the criticality of early intervention with maltreating families.
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Handley ED, Warmingham JM, Rogosch FA, Cicchetti D. Infancy onset maltreatment and the development of suicide ideation: An investigation of moderation by oxytocin-related gene polymorphisms. J Affect Disord 2019; 257:421-427. [PMID: 31306993 PMCID: PMC6711826 DOI: 10.1016/j.jad.2019.06.051] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Revised: 06/24/2019] [Accepted: 06/30/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND Suicide ideation and behavior remains a significant public policy concern. The interpersonal-psychological theory of suicide posits that thwarted belongingness potentiates risk for suicide. Early disruptions in caregiving have documented effects on lifespan social and interpersonal development, and therefore warrants further investigation in suicide research. This novel study investigates risk for suicide ideation conferred by infant-onset child maltreatment and oxytocin genotypes (OXTR and CD38) and tests interactive effects of genetics and early maltreatment experiences. METHODS Participants (N = 251) were from a longitudinal follow-up study of emerging adults who participated in a research summer camp program as children (wave 1). Childhood maltreatment was coded from child protective service records and buccal cells were obtained from children and genotyped. At wave 2, self-reported suicide ideation and internalizing symptomatology were obtained. RESULTS Maltreatment onset in infancy was significantly related to lifetime suicide ideation. The CD38 gene variation moderated this association such that early onset maltreatment was related to suicide ideation among C-carriers only. The OXTR gene did not relate to lifetime suicide ideation, nor did it moderate early onset maltreatment risk. LIMITATIONS This study was conducted with a relatively small sample, necessitating the combination of genotypes into binary groups. Replication is necessary. CONCLUSIONS Child maltreatment experienced early in development confers significant risk for lifetime suicide ideation. Furthermore, greater risk for suicide ideation was present for those with specific oxytocin genotypes. These findings further emphasize the importance of preventive interventions aimed at decreasing the incidence of maltreatment and increasing support for high risk families.
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Affiliation(s)
- Elizabeth D Handley
- Mt. Hope Family Center, University of Rochester, 187 Edinburgh Street, Rochester, NY 14608, United States.
| | - Jennifer M Warmingham
- Mt. Hope Family Center, University of Rochester, 187 Edinburgh Street, Rochester, NY 14608, United States
| | - Fred A Rogosch
- Mt. Hope Family Center, University of Rochester, 187 Edinburgh Street, Rochester, NY 14608, United States
| | - Dante Cicchetti
- Mt. Hope Family Center, University of Rochester, 187 Edinburgh Street, Rochester, NY 14608, United States; Institute of Child Development, University of Minnesota, United States
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Bosk EA, Paris R, Hanson KE, Ruisard D, Suchman NE. Innovations in Child Welfare Interventions for Caregivers with Substance Use Disorders and Their Children. CHILDREN AND YOUTH SERVICES REVIEW 2019; 101:99-112. [PMID: 32831444 PMCID: PMC7437721 DOI: 10.1016/j.childyouth.2019.03.040] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Families who enter the Child Welfare System (CWS) as a result of a caregiver's substance use fare worse at every stage from investigation to removal to reunification (Marsh et. al 2007). Intervening with caregivers with Substance Use Disorders (SUDs) and their children poses unique challenges related to the structure and focus of the current CWS. Research demonstrates that caregivers with SUDs are at a greater risk for maladaptive parenting practices, including patterns of insecure attachment and difficulties with attunement and responsiveness (Suchman, 2006). Caregivers with SUDs have also often experienced early adversity and trauma. However, traditional addiction services generally offer limited opportunities to focus on parenting or trauma, and traditional parenting programs rarely address the special needs of parents with SUDs. This article details four innovative interventions that integrate trauma-informed addiction treatments with parenting for families involved in the child welfare system. Common mechanisms for change across programs are identified as critical components for intervention. This work suggests the need for a paradigm shift in how cases involving caregivers with substance use disorders are approached in the child welfare system.
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Affiliation(s)
- Emily A Bosk
- Assistant Professor of Social Work, Rutgers University, the State University of New Jersey
| | - Ruth Paris
- Associate Professor and Chair, Clinical Practice Department, Boston University School of Social Work
| | - Karen E Hanson
- Assistant Clinical Professor of Social Work, Yale University School of Medicine, Yale Child Study Center
| | - Debra Ruisard
- Chief Clinical Officer, The Center for Great Expectations
| | - Nancy E Suchman
- Yale University School of Medicine, Department of Psychiatry and Yale Child Study Center
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Conradt E, Adkins DE, Crowell SE, Raby KL, Diamond L, Ellis B. Incorporating epigenetic mechanisms to advance fetal programming theories. Dev Psychopathol 2018; 30:807-824. [PMID: 30068415 PMCID: PMC6079515 DOI: 10.1017/s0954579418000469] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Decades of fetal programming research indicates that we may be able to map the origins of many physical, psychological, and medical variations and morbidities before the birth of the child. While great strides have been made in identifying associations between prenatal insults, such as undernutrition or psychosocial stress, and negative developmental outcomes, far less is known about how adaptive responses to adversity regulate the developing phenotype to match stressful conditions. As the application of epigenetic methods to human behavior has exploded in the last decade, research has begun to shed light on the role of epigenetic mechanisms in explaining how prenatal conditions shape later susceptibilities to mental and physical health problems. In this review, we describe and attempt to integrate two dominant fetal programming models: the cumulative stress model (a disease-focused approach) and the match-mismatch model (an evolutionary-developmental approach). In conjunction with biological sensitivity to context theory, we employ these two models to generate new hypotheses regarding epigenetic mechanisms through which prenatal and postnatal experiences program child stress reactivity and, in turn, promote development of adaptive versus maladaptive phenotypic outcomes. We conclude by outlining priority questions and future directions for the fetal programming field.
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Charest F, Hébert M, Bernier A. Attachment representations in sexually abused preschoolers: a comparative study. Attach Hum Dev 2018; 20:473-490. [DOI: 10.1080/14616734.2018.1430838] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Florence Charest
- Department of Psychology, Université du Québec à Montréal, Montreal, Canada
| | - Martine Hébert
- Department of Sexology, Université du Québec à Montréal, Montreal, Canada
| | - Annie Bernier
- Department of Psychology, Université de Montréal, Montreal, Canada
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Cicchetti D, Handley ED. Methylation of the glucocorticoid receptor gene, nuclear receptor subfamily 3, group C, member 1 (NR3C1), in maltreated and nonmaltreated children: Associations with behavioral undercontrol, emotional lability/negativity, and externalizing and internalizing symptoms. Dev Psychopathol 2017; 29:1795-1806. [PMID: 29162187 PMCID: PMC5718163 DOI: 10.1017/s0954579417001407] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
The present study examined the effect of various dimensions of child maltreatment (i.e., developmental timing of maltreatment, number of maltreatment subtypes, and chronicity of maltreatment) on methylation of the glucocorticoid receptor gene, nuclear receptor subfamily 3, group C, member 1 (NR3C1), and investigated the associations between NR3C1 methylation and child outcomes. Participants included 534 children who attended a research summer camp program for school-aged maltreated (53.4%) and nonmaltreated (46.6%) children from low socioeconomic backgrounds. Results show that children with early onset maltreatment evidence significant hypermethylation compared to nonmaltreated children. Moreover, more maltreatment subtypes experienced and more chronic maltreatment are both related to greater NR3C1 hypermethylation. Findings also indicate that hypermethylation of NR3C1 is linked with a number of negative child outcomes including greater emotional lability-negativity, higher levels of ego undercontrol, more externalizing behavior, and greater depressive symptoms. Together, results highlight the role of methylation of NR3C1 in the effects of child maltreatment on the development of emotion dysregulation and psychopathology.
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Vanwoerden S, Kalpakci A, Sharp C. The relations between inadequate parent-child boundaries and borderline personality disorder in adolescence. Psychiatry Res 2017; 257:462-471. [PMID: 28837938 DOI: 10.1016/j.psychres.2017.08.015] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2017] [Revised: 08/01/2017] [Accepted: 08/09/2017] [Indexed: 11/17/2022]
Abstract
Borderline Personality Disorder (BPD) is a severe mental illness that onsets in adolescence. Research has demonstrated the central role of parent-child relationships for the development and maintenance of BPD although more research is necessary to clarify the specific dynamics that relate to BPD during adolescence. Based on preliminary research establishing the importance of parent-child boundaries for adolescent BPD, this study sought to evaluate the relations between different forms of inadequate boundaries and BPD in adolescence using a multi-method approach. To that end, 301 adolescents (65.1% female; ages 12-17) inpatients were recruited; parents and adolescents completed questionnaire- and interview-based measures of BPD features in adolescent children and a questionnaire-based measure of parent-child boundaries. Relations were found between parental guilt induction and psychological control with children's BPD features above and beyond relations with psychiatric severity and gender. Relations between parent reports of triangulation (when children are recruited to mediate parental marital conflict) and children's BPD were contingent on the level of children's perceptions of triangulation. Findings confirm previous research suggesting the relevance of inadequate parent-child boundaries to children's BPD features and have important implications for understanding the dynamics in families with adolescents with BPD, representing a relevant treatment target.
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Affiliation(s)
| | - Allison Kalpakci
- Department of Psychology, University of Houston, Houston, TX, USA; Department of Psychiatry, Yale College of Medicine, New Haven, CT, USA
| | - Carla Sharp
- Department of Psychology, University of Houston, Houston, TX, USA.
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Liu RT. Childhood Adversities and Depression in Adulthood: Current Findings and Future Directions. ACTA ACUST UNITED AC 2017; 24:140-153. [PMID: 28924333 DOI: 10.1111/cpsp.12190] [Citation(s) in RCA: 51] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Considerable support exists supporting a relationship between childhood adversities and adult depression. Consistent evidence has emerged linking early life adversities with a more chronic course for depression, as well as to poorer treatment outcomes. What remain decidedly less clear, however, are the moderators and mediating mechanisms underlying this association. This article provides a review of the existing research relating early adversities to adult depression, as well as recent studies suggestive of potential mediators and moderators of this relation. Advances in these areas are important for their potential to lead to the identification of new targets for clinical intervention for adults with a history of childhood adversities, as well as to the development of individually tailored prevention and treatment strategies.
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Affiliation(s)
- Richard T Liu
- Department of Psychiatry and Human Behavior Alpert Medical School of Brown University
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