The reproduction of child maltreatment: An examination of adolescent problem behavior, substance use, and precocious transitions in the link between victimization and perpetration

The mediating role of distress tolerance in the relationship between childhood maltreatment and anxiety in a sample of Lebanese adults

Childhood maltreatment is a widespread issue worldwide and has a significant impact on the society at multiple levels, as it affects children. Numerous studies have shown the relationship between various forms of child abuse and the development of adverse outcomes in affected individuals. This study aims to assess the mediating role of distress tolerance in the relationship between childhood maltreatment and anxiety among a sample of Lebanese adults. This cross-sectional study was conducted between March and April 2024; 507 participants were recruited using a snowball sampling method. The results of the mediation analysis were adjusted over sex and physical activity. Distress tolerance partially mediated the association between child abuse and anxiety (indirect effect: Beta = 0.01; Boot SE = 0.01; Boot CI 0.001; 0.02). Higher child abuse was significantly associated with less distress tolerance and directly associated with more anxiety. Higher distress tolerance was significantly associated with less anxiety. The mediating role of distress tolerance in the relationship between childhood maltreatment and anxiety as a mental health outcome was established in this study. Thus, this study highlights the importance of enhancing distress tolerance through therapeutic means including Cognitive and Behavioral Therapies and Dialectical Behavioral Therapy. By doing so, individuals can learn to cope with anxiety caused by childhood maltreatment.

Construct validity of probable child maltreatment indicators using prospectively recorded information in a longitudinal cohort of Canadian children

BACKGROUND

Officially reported and self-reported measures of child maltreatment show poor agreement and may differentially predict psychosocial problems in adulthood. However, research remains primarily based on retrospective self-reports, warranting examination of the validity of prospective assessments of maltreatment.

OBJECTIVE

To assess the construct validity of prospective indicators of child maltreatment using a longitudinal cohort of Canadian children.

PARTICIPANTS AND SETTING

The population-based cohort comprises 2120 participants born between 1997 and 1998 in Quebec, Canada.

METHODS

Maternal and familial risk factors (maternal age, depressive symptoms, and antisocial behaviors, socioeconomic status, and single-parent home) and early adulthood functioning difficulties (depression, anxiety, suicidality, alcohol misuse, and unemployment status) were assessed across various time points (0-23 years). Associations between factors and prospective and retrospective maltreatment indicators were appraised.

RESULTS

Most maternal and familial risk factors (80 %) showed associations with indicators of prospective maltreatment (ΔM = +/-0.04 to 0.72; p < 0.05). Several early adulthood functioning difficulties (30 %) showed associations with physical (ΔM = 0.05 to 0.22; p < 0.05) and sexual abuse (ΔM = 0.33 to 0.34; p < 0.05), while emotional, supervisory, and physical neglect were only associated with educational/employment status (ΔM = 0.04 to 0.10; p < 0.05). Cumulatively assessed maltreatment also showed a dose-response relationship with maternal and familial risk factors/functioning difficulties.

CONCLUSIONS

The strong construct validity exhibited by our prospective indicators highlights the need to assess child maltreatment multi-modally. Our findings further contribute to the wider discussion surrounding the measurement of child maltreatment.

Intergenerational Cycles of Maltreatment: An Updated Scoping Review of Psychosocial Risk and Protective Factors

The intergenerational continuity of child maltreatment (CM) is a growing public health concern. Identifying modifiable risk and protective factors involved in these cycles is crucial. A previous scoping review synthesized the literature on psychosocial factors associated with intergenerational CM up to 2018. Since then, a sizable number of studies have been published; this updated review aims to summarize this recent literature. We conducted a comprehensive search across five major databases (PsycINFO, Scopus, Medline, Social Work Abstracts, and ProQuest Dissertations/Theses) from November 2018 to November 2023. The primary inclusion criterion was documentation of intergenerational maltreatment, with studies reporting at least one psychosocial risk or protective factor. Included studies involved human participants, presented original findings, were written in English or French, and employed any research design. This updated review included 29 new studies. Findings indicate that caregivers' individual (e.g., sociodemographic characteristics, psychopathology), relational (e.g., IPV, attachment), contextual (e.g., socioeconomic disadvantage), and historical factors (e.g., cumulative CM, out-of-home placement), along with characteristics of the second generation (e.g., sociodemographic characteristics, psychopathology), are involved in the intergenerational continuity of CM. The implications for practice suggest targeted interventions should address depression, PTSD, and emotional dysregulation in CM survivors, along with fostering secure, supportive family relationships, and positive parenting skills. Policy implications emphasize the need for enhanced support for child protection services in early CM identification, public policies to combat poverty, equitable childcare responsibilities, and funding for research in low-to-middle-income countries.

The role of interpersonal emotion regulation tendencies in the association between maternal childhood maltreatment and social support in parenting

BACKGROUND

Alleviating psychological stress in parenting is crucial for breaking the intergenerational cycle of childhood maltreatment (CM). However, issues with social support-recognized as effective in addressing parenting challenges, including psychological stress-have been noted among parents with CM experiences. Specifically, these issues include a lack of resources and diminished effectiveness of social support. Previous findings suggest that decreased interpersonal emotion regulation (IER) contributes to both issues; however, no empirical study has examined this mechanism.

OBJECTIVE

This study explored the role of IER in the association between CM, social support, and psychological stress.

PARTICIPANTS AND SETTING

Data from 1889 Japanese mothers were used for analysis.

METHOD

An online cross-sectional survey was conducted.

RESULTS

Structural equation modeling validated the model, indicating that CM is associated with increased psychological stress through decreased IER and reduced social support resources (χ2 = 8.67, p < .05, CFI = 0.99, GFI = 1.00, AGFI = 0.99, RMSEA = 0.042). Multiple regression analysis revealed a significant IER × social support utilization interaction effect on psychological stress (β = -0.06, p < .01). Social support utilization significantly associated with reduced psychological stress for both high and low IER mothers; however, the association was stronger for those with high IER (β = -0.23, p < .01) than those with low IER (β = -0.12, p < .01).

CONCLUSIONS

Decreased IER tendencies are linked to social support challenges among parents with CM experiences. However, high IER tendencies may exacerbate psychological symptoms in parenting contexts, necessitating careful consideration in interventions.

The Role of Psychopathology and Emotion Regulation in the Intergenerational Transmission of Childhood Abuse: A Family Study

Previous studies have shown that parents with a history of childhood abuse are at increased risk of perpetrating child abuse. To break the cycle of childhood abuse we need to better understand the mechanisms that play a role. In a cross-sectional extended family design including three generations (N = 250, 59% female), we examined the possible mediating role of parental psychopathology and emotion regulation in the association between a history of childhood abuse and perpetrating child abuse. Parents' own history of childhood abuse was associated with perpetrating abuse toward their children, and externalizing (but not internalizing) problems partially mediated this association statistically. Implicit and explicit emotion regulation were not associated with experienced or perpetrated abuse. Findings did not differ across fathers and mothers. Findings underline the importance of (early) treatment of externalizing problems in parents with a history of childhood abuse, to possibly prevent the transmission of child abuse.

The relative effects of parental alcohol use disorder and maltreatment on offspring alcohol use: Unique pathways of risk

Childhood adversity represents a robust risk factor for the development of harmful substance use. Although a range of empirical studies have examined the consequences of multiple forms of adversity (i.e., childhood maltreatment, parental alcohol use disorder [AUD]), there is a dearth of information on the relative effects of each form of adversity when considered simultaneously. The current study utilizes structural equation modeling to investigate three unique and amplifying pathways from parental AUD and maltreatment exposure to offspring alcohol use as emerging adults: (1) childhood externalizing symptomatology, (2) internalizing symptomatology, and (3) affiliation with substance-using peers and siblings. Participants (N = 422) were drawn from a longitudinal follow-up study of emerging adults who participated in a research summer camp program as children. Wave 1 of the study included 674 school-aged children with and without maltreatment histories. Results indicated that chronic maltreatment, over and above the effect of parent AUD, was uniquely associated with greater childhood conduct problems and depressive symptomatology. Mother alcohol dependence was uniquely associated with greater affiliation with substance-using peers and siblings, which in turn predicted greater alcohol use as emerging adults. Results support peer and sibling affiliation as a key mechanism in the intergenerational transmission of substance use between mothers and offspring.

Constructing the 'zero family': Breaking the intergenerational transmission of maltreatment from the perspective of care-experienced parents

BACKGROUND

Several studies have explored the mechanisms of intergenerational transmission of child maltreatment (ITCM), which also involves care-experienced parents; however, what is less explored is their direct experience, especially regarding resilience processes.

OBJECTIVE

Developing the theoretical framework of ITCM through an exploration of the perspectives of those who appear to have interrupted it.

PARTICIPANTS AND SETTING

A sample of 27 Italian parents - with experience in foster and/or residential care - who have broken the ITCM, completed an in-depth interview between May 2021 and February 2023.

METHODS

A Constructivist Grounded Theory (Charmaz, 2014) approach was adopted in carrying out the interviews, which focused on daily experiences of parenting (Morgan, 2011) and on factors perceived as supporting ITCM interruption. Data were analyzed using open, focused and theoretical coding; the analysis itself was discussed with a consultive board of care-experienced parents.

RESULTS

The study highlighted important aspects that, from parents' perspectives, play a role in breaking ITCM: for instance, how their parenting experience is a challenging process of constructing what they term 'zero family'. Furthermore, starting a family from scratch requires coming to terms with the past, re-imagining oneself as a parent, and managing the complexity of everyday life despite such tensions.

CONCLUSIONS

The results throw light on how the transition to parenthood itself is perceived as a significant developmental opportunity for the interruption of ITCM. However, many problems persist, foregrounding the relevance of discussing possible supports to strengthen parenting agency and skills. Such a discussion should therefore be increasingly informed by ecological approaches and parents' perspectives (also on everyday practices and life contexts), thus avoiding the risk of pathologizing responses.

Intergenerational (Dis)continuity of Child Maltreatment: Variation by Parents' Childhood Victimization Experiences and Sex

This longitudinal population-based study examines the association between maltreatment victimization experiences and the likelihood of intergenerational (dis)continuity of maltreatment. Our data include all individuals born in 1983/1984 in Queensland (QLD), Australia who are registered as parents via birth records and who experienced system contacts for maltreatment victimization in childhood (n = 2906). Child safety data on system contacts as a child victim and person responsible for harm to a child were obtained from the Department of Children, Youth Justice and Multicultural Affairs. Out-of-home care experiences and maltreatment frequency, timing, and type were examined. Results indicated that childhood maltreatment experiences significantly differed between parents who were not subsequently responsible for harm to a child (cycle breakers) and parents who were subsequently responsible for harm to a child (cycle maintainers). Different patterns of association were observed across sex. These findings highlight the importance of recognizing the heterogeneity of victim maltreatment experiences and associated risk of maltreatment for their children, and can inform effective and targeted interventions by tailoring these by sex and developmental period.

Adverse Childhood Experiences and Depression: The Mediating Role of Resilience and Emotional Regulation

The current study examined the mediating roles of resilience and emotional regulation in the association between childhood trauma and depressive symptoms among individuals who experienced adverse childhood experiences (ACEs). Data from 200 women aged 17 to 77 years who were psychiatric outpatients were collected using self-reported questionnaires assessing child adversity, depressive symptoms, resilience, and emotional regulation. A positive correlation was found between a subscale of the ACE-IQ and depression. Childhood trauma was associated with higher risk of depressive symptoms among participants with lower resilience (an association that was partly explained by resilience level [mediation]). Emotional regulation was not a significant mediator in the childhood trauma-depression association. Our findings indicate that resilience is a key mediator between childhood trauma and depression. Individuals who experienced childhood trauma may benefit from evidence-based interventions focused on strengthening resilience and improving coping strategies. [Journal of Psychosocial Nursing and Mental Health Services, 62(1), 45-54.].

Protective factors for psychosocial outcomes following cumulative childhood adversity: systematic review

BACKGROUND

The long-term cumulative impact of exposure to childhood adversity is well documented. There is an increasing body of literature examining protective factors following childhood adversity. However, no known reviews have summarised studies examining protective factors for broad psychosocial outcomes following childhood adversity.

AIMS

To summarise the current evidence from longitudinal studies of protective factors for adult psychosocial outcomes following cumulative exposure to childhood adversity.

METHOD

We conducted a formal systematic review of studies that were longitudinal; were published in a peer-reviewed journal; examined social, environmental or psychological factors that were measured following a cumulative measure of childhood adversity; and resulted in more positive adult psychosocial outcomes.

RESULTS

A total of 28 studies from 23 cohorts were included. Because of significant heterogeneity and conceptual differences in the final sample of articles, a meta-analysis was not conducted. The narrative review identified that social support is a protective factor specifically for mental health outcomes following childhood adversity. Findings also suggest that aspects of education are protective factors to adult socioeconomic, mental health and social outcomes following childhood adversity. Personality factors were protective for a variety of outcomes, particularly mental health. The personality factors were too various to summarise into meaningful combined effects. Overall GRADE quality assessments were low and very low, although these scores mostly reflect that all observational studies are low quality by default.

CONCLUSIONS

These findings support strategies that improve connection and access to education following childhood adversity exposure. Further research is needed for the roles of personality and dispositional factors, romantic relationship factors and the combined influences of multiple protective factors.

Childhood maltreatment affects college students' nonsuicidal self-injury: Dual effects via trauma-related guilt, trauma-related shame, and prosocial behaviors

BACKGROUND

Few studies have explored the impact of trauma-related guilt, trauma-related shame and prosocial behaviors on the relationship between childhood maltreatment and college students' NSSI.

OBJECTIVE

The present study examined how trauma-related guilt, trauma-related shame, and prosocial behaviors mediate the relationship between childhood maltreatment and college students' NSSI.

PARTICIPANTS AND SETTING

The sample comprised 496 college students (40.7 % male participants, age = 18.98 ± 1.35 years) from five universities in China.

METHODS

This longitudinal study was conducted three times with a six-month interval. Childhood maltreatment was assessed at Time 1; trauma-related guilt, trauma-related shame, and prosocial behaviors were assessed at Time 2; and NSSI was assessed at Time 3.

RESULTS

The results suggested that prosocial behaviors mediated the relationship between childhood maltreatment and college students' NSSI (β = 0.021, 95 % CI = 0.005 to 0.049), and trauma-related shame played a mediating role in the relationship between childhood maltreatment and college students' NSSI (β = 0.030, 95 % CI = 0.004 to 0.077). In addition, trauma-related guilt and prosocial behaviors showed a serial mediating effect between childhood maltreatment and NSSI (β = -0.002, 95 % CI = -0.009 to -0.0003). Trauma-related shame and prosocial behaviors also showed a serial mediating effect between childhood maltreatment and NSSI (β = 0.002, 95 % CI = 0.0002 to 0.009).

CONCLUSION

Prosocial behaviors act as a protective factor of college students' NSSI. Trauma-related shame following childhood maltreatment could reduce prosocial behaviors, which may ultimately increase NSSI.

Childhood Maltreatment and Adolescents' Aggression: A Moderated Mediation Model of Callous-Unemotional Traits and Friendship Quality

A growing body of research has documented that childhood maltreatment is associated with increased risk of child aggression. However, little is known about the mediating and moderating mechanisms underlying the relationships between childhood maltreatment and reactive and proactive functions of aggression. Therefore, the present study examined whether callous-unemotional traits mediated the relationships between childhood maltreatment and two subtypes of aggression and whether these mediating processes were moderated by friendship quality. A cross-sectional study was conducted among 2407 adolescents between 11 and 16 years (M _age = 12.75, SD = .58) in Shanxi province, China. Participants filled out questionnaires regarding childhood maltreatment, callous-unemotional traits, aggression, and friendship quality. The results indicated that childhood maltreatment was significantly and positively associated with proactive and reactive aggression, and these relationships were partially mediated by callous-unemotional traits after controlling for demographic variables. Friendship quality moderated the relationship between childhood maltreatment and proactive aggression as well as callous-unemotional traits and proactive aggression. These relationships became weaker for adolescents with high levels of friendship quality. Friendship quality did not moderate the effects of childhood maltreatment and callous-unemotional traits on reactive aggression.

Intergenerational Continuity in Child Maltreatment: Explicating Underlying Mechanisms

The current study examined direct and indirect effects of a mother's history of childhood physical and sexual abuse on her child's officially reported victimization. This prospective, longitudinal study followed a community-based sample of 499 mothers and their children. Mothers (35% White/non-Latina, 34% Black/non-Latina, 23% Latina, and 7% other) were recruited and interviewed during pregnancy, and child protective services records were reviewed for the presence of the participants' target child between birth and age 3.5. Whereas both types of maternal maltreatment history doubled the child's risk of child protective services investigation, mothers' sexual abuse history conferred significantly greater risk. Pathways to child victimization varied by type of maternal maltreatment history. Mothers who had been physically abused later demonstrated interpersonal aggressive response biases, which mediated the path to child victimization. In contrast, the association between maternal history of sexual abuse and child victimization was mediated by mothers' substance use problems. Study implications center on targeting child maltreatment prevention efforts according to the mother's history and current problems.

Intergenerational Cycles of Maltreatment: A Scoping Review of Psychosocial Risk and Protective Factors

Child maltreatment tends to show intergenerational continuity. However, a significant proportion of maltreated parents break these cycles. Since several studies have investigated risk and protective factors associated with the intergenerational continuity of child maltreatment over the past decades, and no systematic review of the literature is available, this scoping review aimed to summarize studies documenting associated psychosocial risk and protective factors. A secondary objective was to document the prevalence of this phenomenon. A search in six major databases (PsycINFO, Scopus, Medline, Social Work Abstracts, ProQuest Dissertations/Theses, and Web of Science) was conducted. Studies involving human participants, presenting original findings, written in French or English, and of any type of design were included. There was no limit regarding the date of publication, except for theses/dissertations (5 years). A final sample of 51 papers was retained, 33 providing data on risk and protective factors and 18 providing only prevalence data. Results indicate that parents' individual characteristics (e.g., mental health, age), childhood adversity (e.g., multiple forms of adversity), relational (e.g., couples' adjustment, attachment, social support), and contextual factors (e.g., disadvantage, community violence) are relevant to the intergenerational continuity of child maltreatment. Prevalence rates of continuity ranged from 7% to 88%. Major limitations of reviewed studies are discussed. Continued efforts to uncover the mechanisms associated with the intergenerational continuity of child maltreatment using strong methodological designs are necessary. Knowledge in this area could lead to the development of effective prevention strategies (e.g., mental health services for parents, family/dyadic interventions) to break harmful intergenerational cycles of violence.

"Who maltreats? Distinct pathways of intergenerational (dis)continuity of child maltreatment"

BACKGROUND

Maltreatment victimization history is an established risk factor for child maltreatment across generations. However, many parents with a victimization history do not maltreat, and many parents with no victimization history do have victimized children.

OBJECTIVES

To understand differences in demographic and maltreatment risk factors across the following intergenerational patterns of maltreatment: cycle maintainers, cycle breakers, cycle initiators, and a comparison group (no maltreatment).

PARTICIPANTS AND SETTING

Data were drawn from a large population-based cohort in Queensland, Australia and included 32,574 biological parents and their children. Maltreatment experiences as a victim or person responsible for harm towards a child were obtained from the Queensland Child Protection System.

METHODS

Multinomial regression was completed with the full sample to compare the three maltreatment groups with the comparison group. Logistic regressions were conducted on all pairwise combinations of maltreatment groups. Models accounted for several demographic and maltreatment factors.

RESULTS

Compared with breakers, maintainers were more likely to be Indigenous (OR = 1.86), never married (OR = 0.34), younger at first birth (OR = 0.87), have ≥3 children (OR = 1.99), be younger at first-and older at last-maltreatment victimization (ORs = 0.97 and 1.07, respectively), and experience a higher frequency of victimization (OR = 1.05). Amongst maltreaters, males were significantly more likely to be initiators while females were more likely to be maintainers (OR = .62). There were few other differences between initiators and maintainers.

CONCLUSIONS

Meaningful differences among the three maltreatment groups were revealed suggesting that research should focus on the intergenerational discontinuity of maltreatment.

Early childhood psychosocial family risks and cumulative dopaminergic sensitizing score: Links to behavior problems in U.S. 9-year-olds

BACKGROUND

We examined, (a) whether in early childhood exposure to risky family environment in different domains (socioeconomic, mental, parenting practices, health behavior, and child-related risks) and accumulatively across various domains (cumulative risk) is associated with child's problem behavior at age 9, and (b) whether the association is more pronounced in children carrying cumulative dopaminergic sensitizing genotype or living in low-income families.

METHODS

Participants were 2,860 9-year old children (48% females; 48% Black) and their mothers from the 'Fragile Families and Child Wellbeing Study', a probability birth cohort from large U.S. cities. Mothers responded to questions on child's problem behavior (CBCL). Children responded to questions about their vandalism and substance use.

RESULTS

Cumulative family risk was associated with higher internalizing and externalizing behavior and higher vandalism and substance use. All domain-specific risk clusters were associated with higher internalizing behavior and, with the exception of child-related risk, with higher externalizing behavior. Mental health risks, risky parenting practices, and risky health behavior were associated with higher vandalism. Risky parenting practices were associated with higher substance use. The associations were robust to adjustment for cumulative dopaminergic sensitizing genotype. No G x E interactions with dopaminergic genotype and family SES were observed.

LIMITATIONS

Sample size was relatively small for genetic analysis and polygenic risk scores were not available.

CONCLUSIONS

Exposure to cumulative psychosocial family risks from early childhood is associated with early indicators of problem behavior in adolescence.

The intergenerational transmission of harsh parenting, substance use, and emotional distress: Impact on the third-generation child

The current study evaluated the intergenerational transmission of harsh parenting, substance use, and emotional distress across generations and the association with child aggression. The study included 218 Generation 1 (G1) mothers and fathers, their adolescent (Generation 2; G2) who participated from middle adolescence through adulthood, and the 3rd-generation (G3) child between ages 3-5 years and 6-10 years. G1 behavior was examined when G2 was 16 and 18 years old; G2 alcohol problems and marijuana use were assessed when G2 was 19 and 21 years old. G2 emotional distress and harsh parenting were examined when the G3 child was between 3 and 5 years old. Finally, G3 aggression was assessed between 6 and 10 years old. Results showed continuity of G1 behavior when G2 was in adolescence to G2 behavior in adulthood. G1 alcohol problems and G1 harsh parenting were both associated with G3 aggression through G2 alcohol problems, G2 emotional distress, and G2 harsh parenting. Results suggest that G1 problem behavior as experienced by G2 adolescents in the family of origin plays an important role in G2 alcohol problems in emerging adulthood, which leads to G2 emotional distress and G2 harsh parenting in adulthood, which is related to G3 aggression in the early elementary school years. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Intergenerational effects of childhood maltreatment: A systematic review of the parenting practices of adult survivors of childhood abuse, neglect, and violence

A history of maltreatment in childhood may influence adults' parenting practices, potentially affecting their children. This systematic review examines 97 studies investigating associations of parental childhood victimization with a range of parenting behaviors that may contribute to the intergenerational effects of abuse: abusive parenting, problematic parenting, positive parenting, and positive parental affect. Key findings include: (1) parents who report experiencing physical abuse or witnessing violence in the home during childhood are at increased risk for reporting that they engage in abusive or neglectful parenting; (2) a cumulative effect of maltreatment experiences, such that adults who report experiencing multiple types or repeated instances of victimization are at greatest risk for perpetrating child abuse; (3) associations between reported childhood maltreatment experiences and parents' problematic role reversal with, rejection of, and withdrawal from their children; (4) indirect effects between reported childhood maltreatment and abusive parenting via adult intimate partner violence; and (5) indirect effects between reported childhood maltreatment and lower levels of positive parenting behaviors and affect via mothers' mental health. Thus, childhood experiences of maltreatment may alter parents' ability to avoid negative and utilize positive parenting practices. Limitations of this body of literature include few prospective studies, an overreliance on adults' self-report of their childhood victimization and current parenting, and little examination of potentially differential associations for mothers and fathers.