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Ndjatou T, Qiu Y, Gerber LM, Chang J. How do Differences in Adolescent and Caregiver Reports of Adolescent Adverse Childhood Experiences Relate to Adolescent Depression? JOURNAL OF PEDIATRICS. CLINICAL PRACTICE 2024; 13:200113. [PMID: 38948383 PMCID: PMC11208938 DOI: 10.1016/j.jpedcp.2024.200113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2023] [Revised: 04/15/2024] [Accepted: 04/19/2024] [Indexed: 07/02/2024]
Abstract
Objective To compare adolescent and caregiver reports of adolescent adverse childhood experiences (ACEs) and their relationship with current adolescent depression and to analyze the relationship between ACEs and depression. Methods We recruited 46 adolescent-caregiver dyads from a large, inner-city medical center's adolescent medicine clinic. Adolescents and caregivers completed the Center for Youth Wellness ACE questionnaire, encompassing traditional ACEs (eg, abuse, neglect, household dysfunction) and nontraditional ACEs (eg, foster care, parental death, exposure to community violence). Adolescents also completed the Patient Health Questionnaire-9A (PHQ-9A) depression screening tool. Results Among adolescents, 14 (30%) reported no traditional ACEs, 11 (24%) reported 1, and 21 (46%) reported more than 1. Regarding nontraditional ACEs, 16 (35%) reported none, 11 (24%) reported 1, and 19 (41%) reported more than 1. Caregiver reports consistently indicated lower ACEs compared with adolescent self-reports (P < .005). For the PHQ-9A scores, 26 (57%) of adolescents showed no or minimal depression, 14 (30%) mild, and 6 (13%) moderate depression. A moderate positive correlation emerged between PHQ-9A scores and self-reported traditional ACEs (rs = 0.5, P < .001) and nontraditional ACEs (rs = 0.49, P < .001). In addition, a positive correlation was observed between the absolute differences in adolescent and caregiver reports of traditional ACEs and PHQ-9A scores (n = 46, ρ = 0.51, P < .001). Conclusions As the differences in ACE reports between adolescents and caregivers increased, there was a corresponding increase in adolescent depression scores. It is essential to incorporate comprehensive ACE screening and encourage open communication between adolescents and caregivers, which may improve mental health outcomes.
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Affiliation(s)
- Tatiana Ndjatou
- Department of Pediatrics, Division of Adolescent Medicine, Children’s Hospital at Montefiore, Bronx, NY
| | - Yuqing Qiu
- Department of Population Health Sciences, Division of Biostatistics, Weill Cornell Medicine, New York, NY
| | - Linda M. Gerber
- Department of Population Health Sciences, Division of Biostatistics, Weill Cornell Medicine, New York, NY
| | - Jane Chang
- Department of Pediatrics, Section of Adolescent Medicine, Weill Cornell Medicine, New York, NY
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2
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Brunton RJ, Dryer R. Intimate Partner Violence Risk Factors: A Vulnerability-Adaptation Stress Model Approach. JOURNAL OF INTERPERSONAL VIOLENCE 2024; 39:3738-3763. [PMID: 38409776 DOI: 10.1177/08862605241234352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/28/2024]
Abstract
Intimate partner violence (IPV) disproportionally affects women. Using the vulnerability-adaptation stress model, we examined adverse childhood experiences (ACEs), self-esteem, and hope as vulnerability indicators and relationship status and length, positive and negative affect, and socioeconomic status (SES) as stressors to ascertain the risk for IPV. Women (N = 491, M = 37.15, standard deviation = 12.51) completed an online survey comprised of the Positive and Negative Affect Scale, Rosenberg's Self-esteem Scale, Snyder's Hope Scale, ACE questionnaire, Composite Abuse Scale Revised-Short Form, and demographic questions. Factor analysis identified four ACE factors of sexual abuse, physical or psychological abuse, witnessing domestic violence, and household dysfunction. A five-step hierarchical multiple regression identified that greater exposure to physical or psychological child abuse was associated with an increased risk of IPV (Step 2), B = 0.73 [0.16, 1.34]. Lower self-esteem, B = -0.30 [-0.47, -0.14] predicted IPV (Step 3). Age B = 0.07 [0.01, 0.13], negative affect, B = 0.39 [0.19, 0.59], and relationship length, B = -1.24 [-2.16, 0.41] were associated with a higher risk of IPV (Step 4). In Step 5, previous variables attenuated to non-significance while age, B = 0.07 [0.01, 0.13], negative affect, B = 0.39 [0.19, 0.59], and relationship length B = -1.25 [-2.16, 0.41] remained significant. While the key findings of this study were inconsistent with some commonly reported findings (e.g., ACEs, self-esteem, hope, relationship status, SES, age), these inconsistencies are important to highlight given the factorial approach to examining ACEs, the comprehensive analyses conducted, and our examination of these variables' direct relationship to IPV. The study was limited by its cross-sectional nature, higher prevalence of IPV victims, and not examining IPV sub-types. Similar studies need to be conducted for other relationship types and victimized individuals (e.g., same-sex relationships and male victims) to provide a complete picture of risk factors for IPV.
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Affiliation(s)
| | - Rachel Dryer
- Australian Catholic University, Strathfield, NSW, Australia
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3
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McCollum DC, Smathers SE, Sullivan T, Jowaheer Y, Mereish EH. Associations among intimate partner violence, suicidal ideation, suicide behaviors, non-suicidal self-injury, and psychological well-being in Black American emerging adults. Suicide Life Threat Behav 2024. [PMID: 38860444 DOI: 10.1111/sltb.13102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 05/29/2024] [Accepted: 06/02/2024] [Indexed: 06/12/2024]
Abstract
BACKGROUND Suicidal ideation and behavior and non-suicidal self-injury (NSSI) among Black emerging adults is a major public health concern. Intimate partner violence (IPV) is a significant risk factor for suicidal ideation and behavior and NSSI, but there is little work examining the buffering effect of psychological well-being (PWB). The purpose of this study was to examine the associations between IPV, suicide ideation and behavior, and NSSI, and the moderating role of PWB on these associations. METHOD Secondary data analyses were conducted using a subsample of Black American emerging adults (N = 4694) from the National College Health Assessment. RESULTS IPV was associated with greater odds of suicide ideation, past-year suicide attempt, and NSSI. PWB was associated with lower odds of suicide ideation, past-year suicide attempt, and NSSI. PWB did not moderate the relationships between IPV and the outcomes. CONCLUSIONS IPV was a risk factor for suicidal ideation, suicide attempt, and NSSI among Black American emerging adults. PWB was associated with lower suicidal ideation and behavior and NSSI engagement, suggesting it can be a protective factor. Bolstering PWB in Black communities may be beneficial in intervention and prevention efforts.
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Affiliation(s)
- Diamonde C McCollum
- Psychological Sciences Department, Western Kentucky University, Bowling Green, Kentucky, USA
| | - Steven E Smathers
- Department of Psychology, American University, Washington, District of Columbia, USA
| | - Tara Sullivan
- Lavender Lab, Department of Psychology, University of Maryland, College Park, Maryland, USA
| | - Yajna Jowaheer
- Department of Psychology, American University, Washington, District of Columbia, USA
| | - Ethan H Mereish
- Lavender Lab, Department of Psychology, University of Maryland, College Park, Maryland, USA
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4
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Zhu J, Exner-Cortens D, Dobson K, Wells L, Noel M, Madigan S. Adverse childhood experiences and intimate partner violence: A meta-analysis. Dev Psychopathol 2024; 36:929-943. [PMID: 37009672 DOI: 10.1017/s0954579423000196] [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] [Indexed: 04/04/2023]
Abstract
Intimate partner violence (IPV) represents a significant public health concern. Adverse childhood experiences (ACEs) represent one risk factor for IPV, however, the results of existing research on the association between ACEs and IPV demonstrate mixed findings. The present research sought to meta-analytically examine the association between ACEs and (a) IPV perpetration and (b) IPV victimization. Moderator analyses were conducted to determine factors that may impact the association between ACEs and IPV involvement. Electronic searches were conducted in MEDLINE, Embase, and PsycINFO in August of 2021. One-hundred and twenty-three records were screened for inclusion. All studies included a measure of ACEs and IPV victimization or perpetration. Among the 27 studies and 41 samples included in the meta-analysis, 65,330 participants were included. The results of the meta-analyses demonstrated that ACEs were positively associated with IPV perpetration and victimization. Significant methodological and measurement moderators further inform our understanding of ACEs and IPV involvement. The present meta-analyses demonstrates that trauma-informed approaches to IPV screening, prevention, and intervention may be useful, given that individuals who are involved with IPV may be more likely to possess a history of ACEs exposure.
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Affiliation(s)
- Jenney Zhu
- Department of Psychology, University of Calgary, Calgary, Alberta, Canada
- Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada
| | - Deinera Exner-Cortens
- Department of Psychology, University of Calgary, Calgary, Alberta, Canada
- Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada
| | - Keith Dobson
- Department of Psychology, University of Calgary, Calgary, Alberta, Canada
| | - Lana Wells
- Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada
| | - Melanie Noel
- Department of Psychology, University of Calgary, Calgary, Alberta, Canada
- Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada
| | - Sheri Madigan
- Department of Psychology, University of Calgary, Calgary, Alberta, Canada
- Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada
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5
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Choi YJ, Rai A, Yun SH, Lee JO, Hong S, Cho H, An S. Risk factors for intimate partner violence perpetration among college students: Impact of childhood adversities. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1103-1111. [PMID: 35549994 DOI: 10.1080/07448481.2022.2068017] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 02/23/2022] [Accepted: 04/10/2022] [Indexed: 06/15/2023]
Abstract
Objective Intimate partner violence (IPV) among college students is a significant problem that negatively affects their physical and emotional health. This study aimed at examining risk factors, especially childhood adversities at the individual, relationship, and community levels, of IPV perpetration among college students. Methods: The sample from seven universities in the U.S. and Canada (N = 3,725) completed an online survey. Major variables included IPV perpetration, five types of childhood adversities, alcohol and drug use, depression, and demographic information. Logistic regression was performed. Results: Peer violence victimization, witnessing parental IPV, experiencing child maltreatment, drug use, and depression were associated with a higher odd of perpetrating IPV. Conclusions: Research and practice must account for exposure to multiple risk factors when intervening with college students. An integrative approach that combines trauma-informed interventions with substance use and mental health treatment may be most successful at IPV perpetration prevention and intervention among college students.
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Affiliation(s)
- Y Joon Choi
- School of Social Work, University of Georgia, Athens, Georgia, USA
| | - Abha Rai
- School of Social Work, Loyola University Chicago, Chicago, Illinois, USA
| | - Sung Hyun Yun
- School of Social Work, University of Windsor, Windsor, Ontario, Canada
| | - Jungeun Olivia Lee
- School of Social Work, University of Southern California, Los Angeles, California, USA
| | - Seunghye Hong
- School of Social Work, University of Hawaii, Honolu, Hawaii, USA
| | - Hyunkag Cho
- School of Social Work, Michigan State University, East Lansing, Michigan, USA
| | - Soonok An
- Department of Social Work and Sociology, North Carolina A&T State University, Greensboro, North Carolina, USA
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6
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Moodley L, Ntlantsana V, Tomita A, Paruk S. The missed pandemic: Intimate partner violence in female mental-health-care-users during the COVID-19 pandemic. PSYCHOL HEALTH MED 2023; 28:3064-3075. [PMID: 37122135 DOI: 10.1080/13548506.2023.2206143] [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: 01/06/2022] [Accepted: 04/17/2023] [Indexed: 05/02/2023]
Abstract
Adverse childhood experiences (ACEs) and interpersonal violence (IPV) in mentally ill women are often neglected and need to be reviewed in light of the suggested increase in IPV during the COVID-19 pandemic.We investigated the prevalence of ACEs and IPV in women living with severe mental illness (SMI) attending an outpatient psychiatry service at a public hospital in KwaZulu-Natal, South Africa, during the COVID-19 pandemic. We also described the association of ACEs with later IPV.A written survey comprising socio-demographic and clinical questionnaire, WHO Adverse Childhood Experiences International Questionnaire (ACE-IQ) for ACEs and the Women abuse screening tool (WAST) for IPV, was completed by the 154 women with SMI.141 (91.6%) participants scored positive for ACEs and 104 (67.5%) had experienced three or more ACEs. The most prevalent forms of ACEs were emotional neglect 72 (46.8%), one or no parents, parental separation, or divorce 104 (67.5%), contact sexual abuse 67 (43.5%) and witnessing a household member treated violently 67 (43.5%). Sixty-one (46.6%) participants reported IPV with scores 13 (indicative of abuse). On logistic regression, experience of three or more ACEs was significantly associated with IPV in adulthood (aOR 3.3, 95% CI: 1.2-9.6).The high prevalence of IPV and association of IPV with cumulative ACEs reflect firstly the hidden epidemic of domestic violence and secondly the vulnerability of those with ACEs to become victims of abuse later which is often missed in the care of women with SMI.
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Affiliation(s)
- Lynette Moodley
- Discipline of Psychiatry, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Vuyokazi Ntlantsana
- Discipline of Psychiatry, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Andrew Tomita
- Centre for Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Saeeda Paruk
- Discipline of Psychiatry, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
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7
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Kaufman-Parks AM, Longmore MA, Manning WD, Giordano PC. Understanding the effect of adverse childhood experiences on the risk of engaging in physical violence toward an intimate partner: The influence of relationship, social psychological, and sociodemographic contextual risk factors. CHILD ABUSE & NEGLECT 2023; 144:106381. [PMID: 37542994 PMCID: PMC10528963 DOI: 10.1016/j.chiabu.2023.106381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 07/10/2023] [Accepted: 07/23/2023] [Indexed: 08/07/2023]
Abstract
BACKGROUND Adverse childhood experiences (ACEs) increase the risk of engaging in intimate partner violence (IPV) in later life. OBJECTIVE This study investigates the association between ACEs and engaging in physical violence toward a romantic partner in emerging adulthood while also accounting for proximal life experiences, including social psychological, intimate relationship, and sociodemographic characteristics. PARTICIPANTS AND SETTING This study draws on two waves of data from the Toledo Adolescent Relationships Study, a 19-year population-based longitudinal cohort study of adolescents transitioning to adulthood from Lucas County, Ohio (United States). This investigation includes 878 (399 men and 479 women) emerging adults. METHODS To evaluate the association between ACEs and IPV perpetration, two waves of survey data were used, collected in 2001 and 2011-2012. RESULTS ACEs had a cumulative effect on IPV, where each additional ACE increased the odds of engaging in IPV by 51.0 % (p < 0.001). However, current drug use (OR = 1.131, p < 0.05), arguments between partners (OR = 1.517, p < 0.01), partner mistrust (OR = 1.663, p < 0.001), and jealousy and control (OR = 1.412, p < 0.001) were also significant correlates of IPV reports. CONCLUSIONS ACEs are a significant predictor of IPV perpetration among emerging adults, even when accounting for more proximal risk factors. These findings suggest that individuals working with clients who engage in IPV would do well to address the long-term trauma impacts of early life adversity in addition to more proximal risk factors to reduce the risk of continued violence.
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Affiliation(s)
- Angela M Kaufman-Parks
- Assumption University, Department of Sociology & Criminology, 500 Salisbury Street, Worcester, MA 01609, United States.
| | - Monica A Longmore
- Bowling Green State University, Department of Sociology, 1001 E. Wooster Street, Bowling Green, OH 43403, United States
| | - Wendy D Manning
- Bowling Green State University, Department of Sociology, 1001 E. Wooster Street, Bowling Green, OH 43403, United States
| | - Peggy C Giordano
- Bowling Green State University, Department of Sociology, 1001 E. Wooster Street, Bowling Green, OH 43403, United States
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8
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Singh S, Thomas E. Interparental Conflict and Young Adult Romantic Relationships: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2023; 24:2630-2647. [PMID: 35732581 DOI: 10.1177/15248380221109787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
In the last two decades, researchers have been progressively investigating the impact of interparental conflict (IPC) on young adults romantic relationships. This systematic review aimed to synthesize literature on IPC and romantic relationship outcomes among young adults and highlight mechanisms found in this link. Following the PRISMA protocol, 3232 studies were identified using Boolean searches on ProQuest, PubMed, EBSCOhost, Jstor, Cochrane, and Google Scholar, and 17 met the eligibility criteria. To be included, in addition to having IPC and romantic relationship outcomes as variables, studies had to be quantitative in design, have a mean sample age of 18-25, include only participants in romantic relationships at the time of the study, and be published in English with full text available. The review found that IPC is associated with negative conflict management, both perpetration and victimization of aggression, worse communication, negative conflict behaviors, and poor relationship quality. Other outcomes like relationship satisfaction, commitment, as well as mediator variables in the link between IPC and young adult romantic relationship outcomes, such as attitudes towards marriage and conflict attributions, yielded varied results. Several shortcomings in the methodology of the reviewed articles, such as the research sample and measures, were discovered. To deal with the impact of IPC on offspring's romantic relationships, preventive interventions should be designed and evaluated, and more research with different variables and study designs, with more men, other ethnicities, and more representative sample frames are needed to detect crucial mediators and obtain reliable and generalizable results.
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9
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Kidman R, Breton E, Behrman JR, Zulu A, Kohler HP. Longitudinal Associations Between Childhood Adversity and Adolescent Intimate Partner Violence in Malawi. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:7335-7354. [PMID: 36695114 DOI: 10.1177/08862605221145720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Adverse childhood experiences (ACEs)-including child maltreatment, witnessing violence, and household dysfunction-have been robustly associated with poor health in later life. There is also increasing evidence that those who experience childhood adversity are more likely subsequently to be victims or perpetrators of intimate partner violence (IPV). Most evidence, however, is cross-sectional and concentrated in high-income settings, and cannot be generalized to more diverse contexts. In contrast, this study assessed longitudinal relations between ACEs and IPV in a low-income country. We interviewed 1,878 adolescents in rural Malawi between 2017 and 2018 (aged 10-16) and again in 2021 (aged 13-20). Adolescents completed the Adverse Childhood Experience-International Questionnaire. Past-year physical, sexual, and emotional IPV victimization and perpetration were measured using the WHO's Violence Against Women Instrument. We estimated multivariate regression models between cumulative adversity (0-13 adversities) at baseline and IPV at follow-up among respondents who reported any romantic or sexual partnerships. The cumulative ACEs score was associated with emotional IPV victimization for boys (OR = 1.12 per ACE) and sexual IPV victimization for girls (OR = 1.18). The ACEs score demonstrated a significant association with perpetration for girls only (OR = 1.33 for emotional IPV). By using longitudinal data, we more rigorously demonstrated the critical role of childhood adversity in shaping later IPV behavior. There are ongoing efforts toward primary prevention of childhood adversity. Given the burden that adolescents already carry (six ACEs on average in our sample), we also need secondary interventions that can help interrupt the pathway from adversity to IPV. This calls for increased collaboration between those working to address violence against children and violence against women.
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Affiliation(s)
- Rachel Kidman
- Stony Brook University (State University of New York), USA
| | | | | | - Andrew Zulu
- Invest in Knowledge Initiative, Zomba, Malawi
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10
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Miedema SS, Le VD, Chiang L, Ngann T, Shortt JW. Adverse Childhood Experiences and Intimate Partner Violence Among Youth in Cambodia: A Latent Class Analysis. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:NP1446-NP1472. [PMID: 35471130 PMCID: PMC10263171 DOI: 10.1177/08862605221090573] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Adverse childhood experiences (ACEs) are a global public health problem, including in low- and middle-income country settings, and are associated with increased risk of intimate partner violence (IPV) during young adulthood. However, current measurement of ACEs may underestimate sequelae of different combinations, or classes, of ACEs and mask class-specific associations with adult exposure to IPV. We used data among ever-partnered young women and men aged 18-24 years from the Cambodia Violence Against Children Survey (Nw = 369; Nm = 298). Participants retrospectively reported on seven ACEs and lifetime physical and/or sexual IPV victimization and perpetration. Latent classes comprised of ACEs were used as predictors of physical and/or sexual IPV perpetration and victimization, controlling for household wealth. Identified latent classes for women were "Low ACEs" (60%), "Community Violence and Physical Abuse" (23%), and "Physical, Sexual and Emotional Abuse" (17%). Latent classes for men were "Low ACEs" (48%) and "Household and Community Violence" (52%). Among women, those in the Physical, Sexual and Emotional Abuse class were more likely to experience and perpetrate physical and/or sexual IPV in their romantic relationships compared to the reference group (Low ACEs). Women in the Community Violence and Physical Abuse class were more likely to perpetrate physical and/or sexual IPV, but not experience IPV, compared to women in the Low ACEs class. Among men, those in the Household and Community Violence class were more likely to perpetrate physical and/or sexual IPV against a partner, compared to men in the Low ACEs class. Overall, patterns of ACEs were differently associated with IPV outcomes among young women and men in Cambodia. National violence prevention efforts might consider how different combinations of childhood experiences shape risk of young adulthood IPV and tailor interventions accordingly to work with youth disproportionately affected by varied combinations of ACEs.
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Affiliation(s)
- Stephanie S. Miedema
- Research and Evaluation Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Vi Donna Le
- Research and Evaluation Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Laura Chiang
- Field Epidemiology and Prevention Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Thanak Ngann
- Gender and Development for Cambodia (GAD/C), Phnom Penh, Cambodia
| | - Joann Wu Shortt
- Research and Evaluation Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA
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11
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Nelson A, Allen J, Cho H, Yun SH, Choi YJ, Choi GY. Intimate Partner Violence and Openness to Online Counseling Among College Students. JOURNAL OF FAMILY VIOLENCE 2023; 38:611-621. [PMID: 35464668 PMCID: PMC9016205 DOI: 10.1007/s10896-022-00396-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/11/2022] [Indexed: 05/04/2023]
Abstract
Intimate partner violence (IPV) is prevalent and has devastating consequences for college students. Online counseling (OC) may be a way to decrease barriers to help. This study seeks to determine openness to OC compared to face-to-face counseling (F2F) by examining: (1) How openness to OC varies depending on college students' personal and IPV characteristics and (2) How these characteristics vary compared to college non-IPV survivors. Two linear regressions were conducted using a sample from a cross sectional survey. First with the entire sample of college students (N = 1,518) to examine characteristics of those more open to OC and second with only those that identified as experiencing IPV (n = 1,211). The results demonstrated that IPV survivors are less open to OC than to F2F counseling (b = -.23, p < .01). For the model with all college students, those who were significantly more open to OC were female (b = -.39, p < .001), identified as LGBT (b = .23, p < .05), or Asian/Pacific Islander (API) (b = .26, p < .05), and had a physical health issue (b = -.19, p < .05). For the model that only analyzed IPV survivors, the same characteristics were shown to be significantly related to openness to OC. More research is needed to explore why IPV survivors are less open to OC compared to F2F counseling. Exploring why characteristics of female, LGBT, and physical health issues lead to openness to OC could help understand what barriers need to be addressed for wider use.
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Affiliation(s)
- Abbie Nelson
- School of Social Work, Michigan State University, 655 Auditorium Rd #254, East Lansing, MI 48824 USA
| | - Jennifer Allen
- School of Social Work, Michigan State University, 655 Auditorium Rd #254, East Lansing, MI 48824 USA
| | - Hyunkag Cho
- School of Social Work, Michigan State University, 655 Auditorium Rd #254, East Lansing, MI 48824 USA
| | - Sung Hyun Yun
- School of Social Work, Windsor University, 201-B, 167 Ferry Street, Windsor, ON N9A 0C5 Canada
| | - Yoon Joon Choi
- School of Social Work, University of Georgia, 279 Williams Street, Athens, GA 30602 USA
| | - Ga-Young Choi
- School of Social Work, Cal State LA, Los Angeles, CA USA
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12
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Ndumo ML, Bhengu BS, Mashaphu S, Paruk S, Tomita A. Intimate partner violence, adverse childhood experiences and prenatal substance use in South Africa. S Afr J Psychiatr 2022; 28:1937. [PMID: 36569806 PMCID: PMC9772706 DOI: 10.4102/sajpsychiatry.v28i0.1937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 08/07/2022] [Indexed: 12/23/2022] Open
Abstract
Background Intimate partner violence (IPV) is one of the most pressing public health conditions among women worldwide, particularly in sub-Saharan Africa. Intimate partner violence in South Africa, along with human immunodeficiency virus (HIV), is an epidemic that is closely linked to trauma and substance use in women. Aim This study aimed to identify factors associated with IPV among pregnant women, with a specific focus on adverse childhood experiences (ACE), prenatal substance use, and HIV status. Setting A large public general hospital in the KwaZulu-Natal province. Methods The sampled study participants included 223 adult postpartum women (18 - 45 years) based on convenience sampling who recently gave birth. Four separate logistic regression models were fitted to examine the role of ACE, perinatal substance abuse and HIV against threat (model 1), physical violence (model 2), sexual violence (model 3) and any IPV (model 4) outcomes (threat and/or physical and/or sexual violence). Results The prevalence of threat, physical violence, sexual violence and any IPV were 19.7%, 16.6%, 1.8% and 20.2%, respectively. The total ACE scores ranged from 0 to 11 (of 13 possible events) with a mean of 3.28 (standard deviation [s.d.] = 2.76), where 14.4% reported using substances during pregnancy (n = 32) as well as 47.1% (n = 105) of participants living with HIV. The authors found that the presence of family support was protective against IPV physical. Conclusion It is essential that obstetric services screen and address potential risk factors along the life course pathways from early adversity to adult maternal health that drive IPV, particularly in young women who may lack family support during pregnancy. Contribution This research gives insight into the dynamics between IPV, HV, ACE and perinatal substance use facing young women in South Africa.
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Affiliation(s)
- Mathabo L. Ndumo
- Department of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
| | - Busisiwe S. Bhengu
- Discipline of Psychiatry, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa
| | - Sibongile Mashaphu
- Discipline of Psychiatry, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa
| | - Saeeda Paruk
- Discipline of Psychiatry, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa
| | - Andrew Tomita
- Centre for Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa,KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
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Forster M, Rogers CJ, Rainisch B, Grigsby T, De La Torre C, Albers L, Unger JB. Adverse Childhood Experiences and Intimate Partner Violence; Findings From a Community Sample of Hispanic Young Adults. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP18291-NP18316. [PMID: 34344225 DOI: 10.1177/08862605211035881] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
In the United States, a substantial proportion of the adult population (36% of women and 34% of men) from all socioeconomic and ethnic backgrounds report experiencing intimate partner violence (IPV) over the life course. Family risk factors have been linked to adolescent and young adult IPV involvement, yet few studies have examined the effect of multiple, co-occurring adverse childhood experiences (ACEs) in the stability and change of IPV behaviors over young adulthood-the period of highest risk for IPV. We investigated the relationship between the degree of ACE exposure and IPV victimization and perpetration at age 22 and two years later at age 24 among a sample of Hispanic young adults (N= 1,273) in Southern California. Negative binomial regression models compared the incident rate ratio (IRR) of past-year verbal and physical IPV victimization and perpetration of respondents with 1-3 ACE and with ≥4 ACE to their peers who reported no history of ACE cross-sectionally (age 22) and longitudinally (age 24). At age 22, participants with 1-3 and ≥4 ACE were overrepresented in all IPV behaviors and had higher IRRs of verbal and physical victimization and perpetration compared to their peers with no ACE. By age 24, respondents with a history of ≥4 ACE were at significantly greater risk for escalating IPV behaviors over this time period than their peers with 1-3 ACE and no ACE. These findings highlight the importance of investing in coordinated efforts to develop strategies that help young people cope with the downstream effects of early life adversity. Research should continue to identify what individual, community, and cultural assets that promote resilience and are promising foci of IPV prevention approaches among vulnerable populations.
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Affiliation(s)
- Myriam Forster
- California State University, Northridge, Northridge, CA, USA
| | | | | | | | | | - Larisa Albers
- University of Southern California, Los Angeles, CA, USA
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14
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Tinn CS, Kim B, Thepthien BO. Changing pattern of smoking in relation to adverse childhood experiences among adolescents: a cross-sectional study in Bangkok, Thailand. JOURNAL OF SUBSTANCE USE 2022. [DOI: 10.1080/14659891.2021.1953164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Chit Su Tinn
- Department of Public Health, University of Medicine, Yangon, Myanmar
| | - Bee Kim
- Addiction Science Department, SahmYook University, Kyunggi Do, South Korea
| | - Bang-on Thepthien
- ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand
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15
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Luft HS, Mersky JP, Choi C, Canario Guzmán JA, Quezada Ortiz MV, Sehi GT, Temple JR. Prevalence of adverse childhood experiences (ACEs) and association with dating violence and symptoms of mental illness among adolescents in the Dominican Republic. CHILD ABUSE & NEGLECT 2022; 129:105668. [PMID: 35617753 DOI: 10.1016/j.chiabu.2022.105668] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 04/27/2022] [Accepted: 05/05/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Adolescent dating violence (ADV) and mental illness are highly prevalent, interrelated public health priorities. Increasingly, scholars are looking to adverse childhood experiences (ACEs) to explain risk for these health concerns. OBJECTIVES Determine prevalence of ACEs, ADV perpetration and victimization, and anxiety and depression symptoms among adolescents in the Dominican Republic (DR). Evaluate the association of ACEs with these ADV and mental health outcomes. PARTICIPANTS AND SETTING Cross-sectional survey data were collected from 142 adolescents at middle and high schools in the DR. METHODS We assessed ACEs using the Childhood Experiences Survey, ADV using the Conflict in Dating Relationships Inventory, and depression/anxiety symptoms using Patient-Reported Outcomes Measurement Information System scales. Linear and logistic regressions were performed to test dose-response relationships between a cumulative ACE score and ADV and mental health outcomes while adjusting for age, gender, and rural/urban residence. RESULTS 80.6% of students reported at least one ACE. The most prevalent ACEs reported were physical abuse (49%) and witnessing domestic violence (48%). After adjusting for covariates, cumulative ACE scores were significantly associated with depression symptoms, anxiety symptoms, physical and emotional ADV perpetration, and physical and emotional ADV victimization. CONCLUSIONS Structural and community-based interventions to prevent ADV and promote mental health for adolescents in the DR should address ACEs.
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Affiliation(s)
- Heidi S Luft
- University of Wisconsin-Milwaukee, 1921 E Hartford Ave, Milwaukee, WI 53211, United States of America; University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, United States of America.
| | - Joshua P Mersky
- University of Wisconsin-Milwaukee, 1921 E Hartford Ave, Milwaukee, WI 53211, United States of America.
| | - Changyong Choi
- Virginia Commonwealth University, 907 Floyd Ave, Richmond, VA 23284, United States of America; Gachon University, 1342, Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Republic of Korea.
| | - Julio Arturo Canario Guzmán
- Instituto de Salud Mental y Telepsicología, Plaza Amer, Rómulo Betancourt 1212, Apto 404 A, Dominican Republic.
| | - María Violeta Quezada Ortiz
- Programa SUPERATE de la Presidencia de la República Dominicana, Ave. Leopoldo Navarro #61, Edif. San Rafael, 6to. Nivel. Ensanche San Juan Bosco, Santo Domingo, Dominican Republic.
| | - Gaelle T Sehi
- University of Wisconsin-Milwaukee, 1921 E Hartford Ave, Milwaukee, WI 53211, United States of America.
| | - Jeff R Temple
- University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, United States of America.
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16
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Navarro R, Larrañaga E, Yubero S, Víllora B. Associations between Adverse Childhood Experiences within the Family Context and In-Person and Online Dating Violence in Adulthood: A Scoping Review. Behav Sci (Basel) 2022; 12:bs12060162. [PMID: 35735372 PMCID: PMC9219904 DOI: 10.3390/bs12060162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 05/22/2022] [Accepted: 05/23/2022] [Indexed: 12/03/2022] Open
Abstract
Background: Adverse childhood experiences (ACEs) are a common pathway to risky behaviour, violence or re-victimisation, disability, illness, and premature mortality and, as such, may be associated with victimisation and perpetration of dating violence not only in adolescence but also in adulthood. Method: A scoping review was performed in accordance with PRISMA guidelines. Four databases (Web of Science, Scopus, PubMed, and PsycINFO) were used to search for studies published between 2000 and 2021 that analysed the relationship between adverse childhood experiences within the family context and the perpetration or victimisation of dating violence in adulthood. Results: The search yielded 599 articles, 32 of which met the inclusion criteria and were ultimately included in the review. Most of the study samples were from the United States. Most of the studies sampled university populations. The studies had a clear objective, were of an appropriate design, contained a detailed description of the sample, and used valid and reliable measurement instruments. Conclusion: This scoping review shows that the relationship between ACEs and perpetration and/or subsequent victimisation is complex and that, while adverse childhood experiences are a factor associated with adult dating violence, they are likely to coexist with other personal, family, and environmental problems. Therefore, adverse childhood experiences may not be a necessary or sufficient condition for experiencing dating violence.
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Affiliation(s)
- Raúl Navarro
- Department of Psychology, Faculty of Education and Humanities, University of Castilla-La Mancha, Avda de los Alfares, 42, 16071 Cuenca, Spain; (S.Y.); (B.V.)
- Correspondence:
| | - Elisa Larrañaga
- Department of Psychology, Faculty of Social Work, University of Castilla-La Mancha, C/ Camino Cañete, s/n, 16071 Cuenca, Spain;
| | - Santiago Yubero
- Department of Psychology, Faculty of Education and Humanities, University of Castilla-La Mancha, Avda de los Alfares, 42, 16071 Cuenca, Spain; (S.Y.); (B.V.)
| | - Beatriz Víllora
- Department of Psychology, Faculty of Education and Humanities, University of Castilla-La Mancha, Avda de los Alfares, 42, 16071 Cuenca, Spain; (S.Y.); (B.V.)
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17
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“You don’t notice it, it’s like boiling water”: Identifying psychological abuse within intimate partner relationships and how it develops across a domestic homicide timeline. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03103-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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18
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Babad S, Zwilling A, Carson K, Fairchild V, Nikulina V. Childhood Environmental Instability and Social-Emotional Outcomes in Emerging Adults. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP3875-NP3904. [PMID: 32854580 PMCID: PMC8041097 DOI: 10.1177/0886260520948147] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Adverse childhood experiences (ACEs) can negatively affect social-emotional functioning. The association between individual and cumulative ACEs and social-emotional domains of self-esteem, loneliness, and negotiation in intimate partner relationships has not been explored in low-risk emerging adults, a gap this study aims to fill. An online survey was administered to undergraduate emerging adults, ages 18 to 25 years (Mage = 19.73, SD = 1.83; N = 436; 20.60% Hispanic; 63.80% female). The ACEs Survey, Child Abuse Potential Inventory, and Conflict Tactics Scale-2nd Edition were used. Three multivariate ordinary least squares regressions were run, each including predictors significant in bivariate analyses and outcomes of self-esteem, loneliness, and negotiation for each regression. Emotional abuse, B = -.20, p < .01; emotional neglect, B = -.21, p < .001; and substance using family member, B = -.12, p < .05, were negatively associated with self-esteem; emotional neglect, B = .11, p < .01, and cumulative ACEs, B = .16, p < .01, were positively associated with loneliness; and incarcerated family member was positively associated with negotiation, B = .12, p < .05. Overall, these findings suggest that individual ACEs associated with environmental instability (e.g., emotional abuse) are strong predictors of social-emotional outcomes, relative to ACEs associated with more direct physical harm (e.g., sexual abuse).
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Affiliation(s)
- S. Babad
- Queens College, City University of New York
- The Graduate Center, City University of New York
- Corresponding Author: Sara Babad, M.A., Doctoral Candidate, The Graduate Center & Queens College, City University of New York, Psychology Department, 65-30 Kissena Blvd, Science Building A344, Queens, NY 11367-1597, Phone: 516-578-5698,
| | - A. Zwilling
- Queens College, City University of New York
- The Graduate Center, City University of New York
| | - K.W. Carson
- Queens College, City University of New York
- The Graduate Center, City University of New York
| | - V. Fairchild
- Queens College, City University of New York
- The Graduate Center, City University of New York
| | - V. Nikulina
- Queens College, City University of New York
- The Graduate Center, City University of New York
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19
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Babad S, Zwilling A, Carson KW, Fairchild V, Razak S, Robinson G, Nikulina V. Risk-Taking Propensity and Sensation Seeking in Survivors of Adverse Childhood Experiences. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP10670-NP10687. [PMID: 31538863 DOI: 10.1177/0886260519876035] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Risk-taking propensity and sensation seeking are developmentally meaningful traits for emerging adults, individuals ages 18 to 25 years. Adverse childhood experiences (ACEs) of childhood abuse and neglect, exposure to domestic violence, residing with a substance abusing or mentally ill caregiver, and growing up with an incarcerated family member negatively impact the well-being of emerging adults. However, the specific association between ACEs and risk-taking propensity and sensation seeking has not been previously examined in this age group. This study aims to determine whether ACEs are individually or cumulatively related to risk-taking propensity (assessed by the Domain-Specific Risk-Taking Scale) and sensation seeking (assessed by the Behavior Inhibition System/Behavior Approach System Scales) in a diverse sample of undergraduates, n = 436; Mage = 19.73 years (SD = 1.83 years); 67% female; 22% Hispanic. Multivariate ordinary least squares regressions were run to examine the association between ACEs and risk-taking propensity and sensation seeking. Individually, emotional abuse predicted greater inhibition (B = .28, p < .001), growing up with a mentally ill family member (B = -.12, p < .05) and emotional neglect (B = -.13, p < .05) predicted reduced motivation to pursue rewarding cues, and emotional neglect (B = -.12, p < .05) and witnessing domestic violence (B = -.10, p < .05) predicted less reward responsiveness. No cumulative effects were found. ACEs related to environmental instability may have a unique impact on sensation seeking domains in emerging adults. Clarifying the role of sensation seeking in emerging adults can contribute to better understanding of risk and resilience factors in this vulnerable population.
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Affiliation(s)
- Sara Babad
- The Graduate Center, The City University of New York, New York City, USA
- Queens College, The City University of New York, Queens, USA
| | - Amanda Zwilling
- The Graduate Center, The City University of New York, New York City, USA
- Queens College, The City University of New York, Queens, USA
| | - Kaitlin Walsh Carson
- The Graduate Center, The City University of New York, New York City, USA
- Queens College, The City University of New York, Queens, USA
| | - Victoria Fairchild
- The Graduate Center, The City University of New York, New York City, USA
- Queens College, The City University of New York, Queens, USA
| | - Shanna Razak
- Queens College, The City University of New York, Queens, USA
| | - Gabriella Robinson
- The Graduate Center, The City University of New York, New York City, USA
| | - Valentina Nikulina
- The Graduate Center, The City University of New York, New York City, USA
- Queens College, The City University of New York, Queens, USA
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20
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Krinner LM, Warren-Findlow J, Bowling J. Examining the Role of Childhood Adversity on Excess Alcohol Intake and Tobacco Exposure among US College Students. Subst Use Misuse 2020; 55:2087-2098. [PMID: 32657199 DOI: 10.1080/10826084.2020.1790009] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
BACKGROUND Adverse childhood experiences (ACEs) are often associated with substance use behaviors such as drinking excess alcohol and tobacco use. Resilience may protect individuals from engaging in these maladaptive behaviors following ACEs. Objectives: We examined the associations between ACEs and excessive alcohol consumption, and ACEs and tobacco intake and exposure among diverse college students, and whether resilience buffered this relationship. Methods: We conducted a cross-sectional online survey in October 2018 with students at a large Southern university to assess ACEs, levels of resilience, and students' health behaviors. We used the Adverse Childhood Experiences - International Questionnaire (ACE-IQ) and the Brief Resilience Scale. Logistic regression modeled the relationship between ACEs and students' substance use behaviors. We adjusted for demographics, other health behaviors, and emotional health and we tested resilience as a possible buffer. Results: Participants (n = 568) were in their early twenties, almost three-fourths were female. We had a racially/ethnically diverse sample. Over two-thirds had experienced 1-4 ACEs. ACE exposure was not associated with excess alcohol consumption but exhibited a consistent dose-response relationship in unadjusted and adjusted models. Moderate ACEs increased the odds of tobacco exposure by 227% (OR: 3.27, 95% CI: 1.17-9.11) in adjusted models. Resilience was unrelated to either behavior. Black respondents had significantly reduced odds for both substance use outcomes. Tobacco exposure and excess alcohol intake were comorbid behaviors. Conclusion: Childhood adversity was a significant predictor for tobacco exposure among diverse US college students. Resilience did not buffer this relationship. Age, gender, and race/ethnicity were differentially associated with substance use.
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Affiliation(s)
- Lisa M Krinner
- Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina, USA
| | - Jan Warren-Findlow
- Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina, USA
| | - Jessamyn Bowling
- Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina, USA
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21
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Children Exposed to Intimate Partner Violence: Association Among Battered Mothers' Parenting Competences and Children's Behavior. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041134. [PMID: 32053912 PMCID: PMC7068337 DOI: 10.3390/ijerph17041134] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 02/03/2020] [Accepted: 02/05/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND Exposure to violence perpetrated on a mother by her intimate partner (IPV or intimate partner violence) has an impact on the psychosocial adjustment of her children. In addition, the violence suffered by mothers could affect parental competences. METHODS Through the Child Behavior Checklist (CBCL), this work analyzes the psychosocial adjustment in children between 6 and 17 years old who live with their mothers in shelters after having experienced IPV situations. It also explores the association between mothers' parenting competences and children's adjustment in shelters. RESULTS The evaluation shows a negative correlation between the quality of mothers' care of their children during their stay in shelters and the rate of children's behavioral problems, so that the better the parental competences of mothers, the lower the rate of behavioral problems presented by children. CONCLUSIONS As a result of IPV, mother-child relationships can be affected. Children exposed to IPV may exhibit more externalizing behavior problems and their mothers may have difficulty demonstrating competent parenting behaviors while living in a shelter. Work should be aimed at reestablishing parenting competences in mothers and the quality of mother-child interactions while they remain in the shelters, in an effort to mitigate the psychosocial consequences of IPV for their children.
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22
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Riedl D, Exenberger S, Daniels JK, Böttcher B, Beck T, Dejaco D, Lampe A. Domestic violence victims in a hospital setting: prevalence, health impact and patients' preferences - results from a cross-sectional study. Eur J Psychotraumatol 2019; 10:1654063. [PMID: 31497261 PMCID: PMC6719257 DOI: 10.1080/20008198.2019.1654063] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Revised: 07/22/2019] [Accepted: 07/26/2019] [Indexed: 11/24/2022] Open
Abstract
Background: Domestic violence (DV) is a widespread yet commonly underdetected problem with severe impact on physical and mental health. To date, only limited information is available on prevalence and detection-rates of victims of DV in hospital settings. Objective: The aim of this study was (a) to assess the prevalence and impact of DV on physical and mental health as well as risk-factors associated with it, (b) to determine how many patients had been asked directly about DV in the hospital and (c) to investigate patients' preferences about being asked about DV in a hospital setting. Methods: Adult inpatients and outpatients at seven somatic departments at the University Hospital Innsbruck (Austria) were included consecutively in this ad-hoc, cross-sectional paper-and-pencil questionnaire-based study. In total, n = 2,031 patients were assessed regarding their experiences with DV. They also reported on whether they had been asked about DV at the hospital and whether they would mind being asked about it. To evaluate the impact of DV on patients' self-reported physical and mental health, odds ratios were calculated using binary logistic regression. Results: DV was reported by 17.4% of patients, with 4.0% indicating current DV exposure. Lifetime DV exposure was associated with a significant risk for both physical and mental health-problems. Only 4.8% of patients with DV exposure had ever been asked about it by hospital staff. While patients with a history of DV were more open to being asked about DV than patients without DV (78.2% vs. 72.9%), overall acceptance was still high (74%). Conclusion: DV is a frequently overlooked problem with detrimental effects on physical and mental health. While high acceptance of DV assessment was found, only a small proportion of affected patients had indeed been assessed for DV. Screening for DV in hospitals may thus increase the number of identified patients.
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Affiliation(s)
- David Riedl
- University Clinic of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Silvia Exenberger
- University Clinic of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Judith K Daniels
- Department of Clinical Psychology, University of Groningen, Groningen, The Netherlands
| | - Bettina Böttcher
- Department of Gynaecological Endocrinology and Reproductive Medicine, Medical University of Innsbruck, Innsbruck, Austria
| | - Thomas Beck
- University Clinic of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Daniel Dejaco
- Department of Otorhinolaryngology - Head and Neck Surgery, Medical University of Innsbruck, Innsbruck, Austria
| | - Astrid Lampe
- University Clinic of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
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