Marital psychological and physical aggression and children's mental and physical health: direct, mediated, and moderated effects

Linking family violence and children's trauma symptoms through attachment and emotional insecurity

BACKGROUND

Attachment theory and emotional security theory offer distinct but compatible accounts to explain the consequences for children growing up in families with child abuse and neglect (CAN) and intimate partner violence (IPV).

OBJECTIVE

We examined the unique contributions of attachment security and emotional insecurity in explaining associations between CAN and IPV, on the one hand, and children's post-traumatic stress symptoms (PTSS), on the other. We examined to what extent attachment security and emotional insecurity mediate the relationship between CAN and IPV and PTSS.

PARTICIPANTS AND SETTING

Participants were 718 Dutch parents reporting about their children (3-12 years) and 186 children (8-18 years) self-reporting. They were contacted through child protection services.

METHODS

Participants completed questionnaires about CAN, IPV, attachment security, emotional insecurity, and PTSS. Using structural equation modelling, four mediation analyses were conducted: attachment security measured from fathers' (1) and mothers' (2) perspectives, and children's perspectives on fathers (3) and mothers (4).

RESULTS

The indirect effects of CAN and IPV on PTSS through emotional insecurity and attachment security from father's (B = 0.22, p < .05 and B = 0.04, p < .05, respectively) and mother's (B = 0.03, p < .01 and B = 0.15, p < .05, respectively) perspectives were significant. Indirect effects from children's perspectives on fathers and mothers were significant only for IPV (both B = 0.09, p < .01). Emotional insecurity clearly was a more consistent mediator.

CONCLUSIONS

Findings emphasize a family-level rather than a dyadic perspective on the relationship dynamics in families with CAN and IPV. Emotional security theory may be particularly relevant for understanding the psychological needs of children in these families.

The Happy Child Program's Intersectionality: Prenatal Home Visit Frequency, Food Insecurity Risk, Symptoms of Depression, and Parental Practices in Brazilian Women Assisted during Pregnancy

Food insecurity (FI) is a critical issue in developing countries, particularly in low-resource settings, where it can worsen women's mental health. Psychosocial factors such as low household income, limited education, multiparity, and vulnerability are linked to depressive symptoms during pregnancy. Additionally, the family environment influences parental practices, which may impact mental health. This study evaluates the association of socioeconomic factors, parental practices, FI risk, and home visit frequency with depressive symptoms in pregnant women enrolled in the Happy Child Program (Programa Criança Feliz-PCF) in the Federal District, Brazil. In this cross-sectional study, 132 pregnant women monitored by PCF from May to July 2023 were assessed using a self-administered questionnaire for socioeconomic data, the two-item Triage for Food Insecurity (TRIA) instrument for FI risk, the Scale of Parental Beliefs and Early Childhood Care Practices, and the Beck Depression Inventory-II for depressive symptoms. Most participants were multiparous (87.9%), had low income (under 200 USD/month; 80.8%), presented depressive symptoms (67.4%) and were at risk of FI (81.8%). About half demonstrated adequate parental practices (50.8%) and received four home visits per month during pregnancy (54.5%). Women who received four PCF home visits had a lower prevalence of depressive symptoms compared to those with fewer visits (PR 0.76, 95% CI 0.59-0.98). No significant association was found between FI or parental practices and depressive symptoms. These findings suggest that the PCF home-visiting program may strengthen vulnerable families, support social networks, and improve mental health during pregnancy. Additionally, the results of this study highlight the need for targeted interventions aimed at reducing food insecurity and promoting mental health during pregnancy, particularly among socially vulnerable populations. Furthermore, they reinforce the importance of expanding access to home-visiting programs as an effective strategy to improve maternal mental health and well-being, while fostering healthier prenatal environments for both mothers and their children.

Interparental conflict and adolescent emotional security across family structures

This study investigated whether interparental conflict was differentially related to forms of emotional security (i.e., family, interparental, parent-child) and whether forms of emotional security were differentially associated with mental health problems for adolescents in married versus divorced/separated families. Participants were 1032 adolescents (ages 10-15; 51% male, 49% female; 82% non-Hispanic White, 9% Black/African American, 5% Hispanic, 2% Asian or Pacific Islander, 2% Native American) recruited from a public school in a middle-class suburb of a United States metropolitan area. We used multiple group multivariate path analysis to assess (1) associations between interparental conflict and multiple measures of emotional insecurity (i.e., family, interparental, and parent-child), (2) associations between measures of emotional insecurity and internalizing and externalizing problems, and (3) moderation effects of parent-child relationships. The patterns of association were similar across family structures. A high-quality parent-child relationship did not mitigate the harmful effects of interparental conflict on emotional insecurity or mental health problems. Findings suggest that regardless of family structure, emotional security across multiple family systems may be a critical target for intervention to prevent youth mental health problems, in addition to interventions that reduce conflict and improve parent-child relationships.

A call for early, effective, and scalable parent education programs for high-conflict separated/divorcing parents: A synthesized perspective from prevention science and family law

Conflict between parents is stressful and disruptive to children living in the midst of parental separation or divorce. Although some level of post-separation/divorce conflict is understandable in an emotionally-charged separation/divorce, it undermines the extent to which parents protect their children from short- and long-term problems. In this article, we weave together a synthesized perspective informed by our respective training and experience in prevention science and family law on the role of parent education programs for high-conflict separating/divorcing parents. To do so, we first describe the research on the effects of high interparental conflict on children's outcomes and then discuss current approaches and challenges to reducing these negative effects by offering parent education programs for high-conflict separating/divorcing parents. Then, we propose and describe a new model for early, effective, and scalable parent education programs with the ultimate goal of protecting children after separation/divorce.

The Protective Effects of Parent-Child Emotion Dialogues for Preschoolers Exposed to Intimate Partner Violence

Exposure to intimate partner violence (IPV) during early childhood is associated with self-regulation difficulties. Caregivers can facilitate children's self-regulation through emotion-focused conversations about past experiences, buffering downstream effects. However, caregivers experiencing violence may avoid distressing emotions activated by such conversations. This paper explores two different models of relational stress responses, one involving indirect effects (i.e. spillover effects) and the other moderation (i.e. buffering effects). Mothers (n = 117), oversampled for violence exposure, self-reported on IPV and participated in an emotional reminiscing task with children (aged 3-5 years); narratives were coded for maternal sensitive guidance. Maternal sensitive guidance was related to children's self-regulation. Sensitive guidance did not have indirect effects in the association between IPV exposure and children's self-regulation, but did buffer the association between physical IPV and self-regulation; this pattern did not hold for psychological IPV. Results suggest sensitive guidance during reminiscing may promote self-regulation in contexts of high IPV.

Rag-Pickers and Their Young Children During COVID-19: Exploring Issues in Parenting and Feasible Social Work Response

Strict lockdown measures and the pandemic brought immense risks and misery to those already living on the margins of society before the COVID-19 crisis even hit the world. The present study was conducted with rag-pickers, one of the marginalized groups living in Jaipur city of India. The lives of these marginalized populations became more complicated during the pandemic. Due to movement restrictions during the lockdown, access to primary resources was further reduced - from water and sanitation to food, health, and employment, impacting the care and protection they could provide their young children. Rag-pickers, one of the most marginalized communities that face social stigma, struggled to cope with daily life challenges. Young children in such families suffered alongside their parents when the families could not continue their livelihood and lost all sources of income. This paper aims to deepen the understanding of the impact of COVID-19 on the nurturing care of children below eight years of age living in Jaipur, India, accentuating the human rights violations they face right from birth. Many humanitarian relief measures poured in during the lockdown period distributing free food packets and dry rations to the marginalized families. COVID-19 increased parenting challenges for this community. Protection of these families during the ongoing pandemic as well as future pandemics must become a strategic imperative. The paper enumerates feasible social work responses to the issues rag-pickers and their children confront.

Peer Communication about Antisocial Activities as a Mediator of Interparental Conflict in Mid-Adolescence and Externalizing Problems in Late Adolescence

The current study investigated whether adolescent peer communication about antisocial activities mediates the association between interparental conflict within the family system in mid-adolescence and externalizing problems in late adolescence. Participants were 115 families in which an adolescent and caregiver participated in a longitudinal study. Adolescents (53 girls, 62 boys) completed measures of interparental conflict and externalizing problems in 8th grade (age 14). Afterward, adolescents received a BlackBerry device configured to capture all text messages sent and received. During the 9th grade, four days of text messages were coded for peer communication about antisocial topics. Adolescents again completed a measure of externalizing problems in 11th grade (age 17). Results indicated that interparental conflict in 8th grade correlated positively with adolescents' externalizing problems in 11th grade, but only for girls. In addition, the frequency of communication about antisocial activities mediated the link between interparental conflict and girls' externalizing problems. The findings support the idea that adolescent girls' communications about antisocial activities with their peers may contribute to the link between interparental conflict and girls' externalizing problems.

Supporting Children Who Experience Domestic Violence: Evaluating the Child Witness to Domestic Violence Program

Impacting 1 in 4 children in the United States, childhood exposure to domestic violence predicts myriad negative sequelae. Intervening post exposure is critical to help children and their protective parent heal and avoid long-term negative consequences. Children aged 2-17 and their mothers who were victims of domestic violence participated in a 12-week group program delivered by domestic violence agency staff that provides psychoeducation on the impact of trauma and domestic violence and aims to improve parent and child well-being. The impact of the Child Witness to Domestic Violence (CWDV) program was tested in an intervention group (n = 69 children, 33 mothers) who participated in CWDV and control group (n = 80 children, 39 mothers) consisting of children whose mothers received adult-focused domestic violence services but were not enrolled in CWDV or other child-focused services. Multiple regression analyses controlling for child gender, child age, mother's age, and the outcome of interest at time 1 found that participation in CWDV program significantly predicted better child functioning as indicated by less hyperactivity (B = -.85, p = .06), fewer negative emotional symptoms (B = -1.14, p = .01), and fewer total behavioral difficulties (B = -2.48, p = .02) as well as higher maternal hope (B = .57, p = .03). These data provide promising evidence of the impact of a brief, replicable group intervention that promotes healing and well-being among children and parents exposed to domestic violence. Limitations include a quasi-experimental design and reliance on maternal report.

The role of family and peer factors in the development of early adolescent depressive symptoms: A latent class growth analysis

Few studies have explored the trajectories of Chinese early adolescent depressive symptoms or comprehensively considered the factors of family and peers. The present study aimed to identify the trajectories of depressive symptoms in early adolescence using a school-based sample assessed in three waves. The study also examined whether family and peer factors were significant predictors. A total of 586 Chinese primary and middle school students participated in the survey. A growth mixture model was used to find the trajectories of depressive symptoms, and multinominal logistic regression was used to identify the predictors. Three trajectories were identified, including a stable-low class, an increasing class, and a high-decreasing class. Results indicated that gender, parental psychological aggression and neglect, parental psychological control, traditional bullying/cyberbullying victimization, and friendship quality were significant predictors. However, witnessing intimate partner violence, parental behavior control, and traditional bullying/cyberbullying perpetration could not significantly predict the trajectories. The findings of this study can provide an empirical basis for teachers and clinical interveners to determine different development trajectories of depressive symptoms and carry out prevention and intervention.

Impact of Poverty on Parent-Child Relationships, Parental Stress, and Parenting Practices

OBJECTIVES

To explore the impact of poverty on parent-child relationships, parental stress and parenting practices.

DESIGN

A mixed methods study.

SAMPLE

Four hundred and eighty five Hong Kong Chinese parents who had children aged 3-6 years, and who were from low-income families. Eleven of these parents were randomly selected for individual semi-structured interviews.

MEASUREMENTS

A sociodemographic questionnaire, the parent-child relationship score, the Parental Stress Scale and the Perceived Parental Aggression Scale.

RESULTS

The parents were found to have an impaired relationship with their children. The findings indicated that employment status, parental stress and harsh parenting were significantly associated with parent-child relationships. The qualitative findings revealed that parents from low-income families encountered a wide range of difficulties, which made these parents more likely to experience parental stress, thereby increasing their tendency to adopt harsh parenting practices that undermined parent-child relationships.

CONCLUSION

This study sheds light on the associations between parent-child relationships, parental stress and parenting practices in low-income families. These findings will enhance nurses' understanding of the impact of poverty on parent-child relationships, and highlight the need for nurses to ensure that underprivileged parents and their children receive adequate primary care to prevent the development of psychological problems in this vulnerable group.

Trajectories of interparental conflict and children's emotional-behavioural functioning at 10-11 years: an Australian population-based study

Interparental conflict (IPC) has the potential to adversely affect children's social, emotional, and behavioural functioning. The overall objective of this study was to investigate the relationship between both the severity and chronicity of IPC across early and middle childhood and children's emotional-behavioural functioning at 10-11 years. Specifically, we aimed to: (1) identify distinct trajectories of IPC spanning 10-11 years since birth of the study child as reported by mothers, and (2) examine the emotional-behavioural functioning of children exposed to the identified IPC trajectories. Drawing from a nationally representative longitudinal study of Australian families (N = 4875), four distinct trajectories of IPC were identified: (1) consistently low exposure to IPC over time, (2) persistently elevated exposure to IPC, (3) increasing IPC exposure over time, and (4) decreasing IPC exposure over time. Children exposed to trajectories with high IPC at any point during the study period were reported by their mothers to be experiencing more emotional-behavioural difficulties than children exposed to low IPC over time. Based on teacher report, there were no differences in emotional-behavioural functioning of children exposed to the different patterns of IPC. Our findings reinforce that high parental conflict at any point in a child's life is a form of adversity that can have adverse consequences for their mental health, and that early interventions for parents and caregivers experiencing high IPC are critical.

Parental Relationship Status as a Moderator of the Associations Between Mothers' and Fathers' Conflict Behaviors and Early Child Behavior Problems

This study examines interparental conflict and associations with child behavior problems among a large, diverse sample of families with low income (N = 2,691) using path model analyses of mothers' and fathers' reports of constructive interparental conflict, destructive interparental conflict, and intimate partner violence (IPV) victimization at 15 months and child emotional insecurity and child behavior problems at 36 months. Multigroup models examined whether parental relationship status (i.e., married, cohabiting, and churning) moderated these associations. Fathers' perceptions of interparental conflict behaviors showed few direct associations with child outcomes, whereas mothers' perceptions of interparental conflict showed more robust associations with child outcomes. Specifically, mother-reported destructive conflict was associated with higher levels of child emotional insecurity and child behavior problems across parental relationship status subgroups. Mother-reported constructive conflict had a small negative association with child behavior problems in cohabiting families. Child emotional insecurity mediated the association of maternal destructive conflict on child behavior problems. Although churning families experienced higher levels of moderate and severe interparental conflict, associations linking destructive conflict to child behavior problems were consistent across parental relationship subgroups. There were few direct effects of father-reported constructive and destructive conflict on child well-being. However, the results supported the notion that fathers play an influential role in the family system via maternal reports of IPV victimization. Results of this study suggest that the mechanisms underlying emotional security theory, in which child emotional insecurity mediates the associations between maternal destructive conflict and child behavior problems, apply to a large and racially diverse sample of socioeconomically disadvantaged children.

Interparental Violence and Early Adolescents' Adjustment Problems in China: Testing a Moderated Mediation Model of Parental Warmth and Emotional Insecurity

This study analyzed the relationships between exposure to interparental violence and adolescents' adjustment problems. It also explored the mediating role of emotional insecurity and the moderating role of parental warmth in these relationships. Five hundred and seventy-eight early adolescents from three migrant primary schools and one public school in Beijing participated in this survey, reporting on their perceived interparental violence, emotional insecurity, post-traumatic stress symptoms (PTSS), and internalizing and externalizing behavioral problems. The results revealed that emotional insecurity partially mediated the association between interparental violence and all three indicators of adjustment problems, with stronger mediating effects on PTSS and internalizing problems than on externalizing problems; parental warmth buffered the association between emotional insecurity and internalizing/externalizing problems. This study adds insights to present literature on how interparental violence contributes to different aspects of adolescents' adjustment problems in the Chinese context.

The Associations of Constructive and Destructive Interparental Conflict to Child Well-Being Among Low-Income Families

Interparental conflict is a well-established precursor to child maladjustment. However, little is understood of the role of different interparental conflict in shaping the developmental outcomes of young children, especially those from socioeconomically disadvantaged backgrounds. This study uses data from a large and racially diverse sample of low-income, unmarried mothers with young children (n = 1,297) to examine the processes linking parental constructive conflict, destructive conflict, intimate partner violence (IPV) to child behavior problems, and child emotional insecurity as a mediator of these processes. Path analyses were conducted to estimate structural paths between (a) conflict constructs and child behavior problems, (b) conflict constructs and child emotional insecurity, and (c) child emotional insecurity and child behavior problems. Results demonstrated that constructive conflict was associated with decreased levels of both child emotional insecurity and child behavior problems, whereas destructive conflict was associated with increased levels of both child outcomes. IPV was associated with increased levels of child emotional insecurity only. Child emotional insecurity mediated the links between all three conflict constructs and child behavior problems. Such findings suggest the need for clinicians to help raise awareness regarding the consequences of children's exposure to different interparental conflict and educate parents about children's sense of emotional security in the family.

Behavioral problems in the children of women who are victims of intimate partner violence

OBJECTIVE

The purpose of this study was to investigate the association between the maternal experience of intimate partner violence (IPV) and children's behavioral problems.

SAMPLE

The secondary data of the National Survey on Women's Health and Life Experience, which included 980 Cambodian children aged 6-12 years whose mothers responded to questions, were analyzed.

MEASUREMENTS

IPV was measured as any experience of physical or sexual violence against a woman by her husband. The children's behavioral problems were indicated by nightmares, bed-wetting, timidity, and aggressive behavior as reported by their mothers.

RESULTS

The children of the women who had experienced sexual violence had a higher prevalence of nightmares (adjusted OR (aOR) = 2.22, 95% CI: 1.421-3.470), bed-wetting (aOR = 2.15, 95% CI: 1.398-3.308), and timidity (aOR = 1.80, 95% CI 1.075-3.019) than those without reported IPV. The children of mothers who had experienced physical violence had a higher rate of aggression (OR  =  2.19, 95% CI: 1.321-3.630).

CONCLUSION

The Cambodian children exposed to IPV against their mothers experienced more behavioral problems. This study presents evidence to support changes in current policy to prevent violence and alleviate behavioral problems.

The multidimensionality of inter-parental conflict on aggression and mental health among adolescents

The research sets out to reveal that multidimensionality of inter-parental conflict is a limitation in the direction of research which suggests that inter-parental conflict is a risk factor to poor mental health and aggression in adolescents. To validate the above assertion, 394 adolescents (227 males; mean age = 15.6, SD = 1.74) were purposively sampled for the study. Two hypotheses were formulated and tested and data were analyzed using the multiple regression analysis and Multivariate Analysis of Variance/Analysis of Variance (MANOVA/ANOVA) statistics. Results indicated that all dimensions of inter-parental conflict and its full scale had a significantly positive correlation with aggression while all dimensions of inter-parental conflict had a significant negative correlation with adolescents' mental health. Results further showed that all dimensions of inter-parental conflict jointly associated with aggression but only the dimensions of frequency and intensity independently related with aggression. All dimensions of inter-parental conflict jointly related with mental health while intensity, resolution, coping efficacy and self-blame dimensions independently associated with mental health of adolescents. Based on the above, the researchers recommended that the dimensionality of inter-parental conflict should be considered in further research and that intervention programs should aim at promoting positive family relationship, reducing family stress and promoting positive mental health as adolescents grow and develop in the course of time.

Intimate Partner Aggression During the Early Parenting Years: The Role of Dissatisfaction with Division of Labor and Childcare

The high rates of intimate partner aggression (IPA) among new parents may be partly due to changes in couples' division of household labor and childcare, which disproportionately negatively impact women. This is the first study to examine the association between division of labor dissatisfaction and IPA perpetration across genders, while also examining whether such dissatisfaction is specifically associated with IPA during conflicts about division of labor issues. Quarterly for one year, 109 women and 94 men from 111 couples with a first-born child approximately 32 months of age at study commencement described each incident of IPA that occurred during the quarter, including conflict topics and number of aggressive acts perpetrated. Division of labor and childcare comprised the largest portion (30%) of IPA conflict topics. Division of labor dissatisfaction at child age 24 months was positively associated with women's, but not men's, IPA perpetration during conflicts about division of labor issues, but not other topics. A similar pattern of results emerged in the examination of division of childcare dissatisfaction and conflicts about childcare vs. other topics. The discovery that the impact of division of labor and childcare dissatisfaction on IPA perpetration is context- and gender-specific suggests that, among women, a history of dissatisfaction may impair appropriate conflict resolution skills specifically when addressing domains of dissatisfaction. These findings support prevention of women's IPA via nonaggressive strategies for addressing division of labor concerns and promotion of equal opportunities for women and men at home and in the workplace during the early parenting years.

Children's experiences and needs in situations of domestic violence: A secondary analysis of qualitative data from adult friends and family members of female survivors

Estimates suggest that 15% of children in the United Kingdom have been exposed to at least one form of domestic violence (DV) during their childhood, with more than 3% having witnessed an incident during the past year. This exposure increases the risk of children suffering both short-term and long-term impacts, including effects on their behaviour, social development, physical and mental health, educational attainment and quality of life. In addition, children living in environments where there is DV are at higher risk of maltreatment. Adult relatives and friends of the family often observe the experiences of children in situations of DV, and have the potential to shed light in a way that children and survivors may struggle to articulate, or be reluctant to acknowledge or disclose. Such accounts are largely absent from existing research, and yet bring a perspective which can broaden our understanding of the impact that DV has on children. This paper reports a secondary analysis of qualitative data collected during 21 in-depth interviews with people across the United Kingdom who were a friend or family member of a woman experiencing DV. An inductive thematic analysis was undertaken and the themes generated were as follows: 'the context of DV: a chaotic and unpredictable home life'; 'the roles children assume within households where there is DV including: witness of, victim of and conduit of violence and abuse',; 'the impacts of DV on children'; and 'children's coping and resilience'. The implications of these findings are discussed using a basic needs model lens.

Children's emotional and behavioral reactions to interparental aggression: The role of exposure to within-incident, cross-dyad aggression spillover

Despite children's frequent exposure to psychological and physical intimate partner aggression (IPA) and associated long-term consequences, little is known about children's immediate, within-incident reactions to IPA. Additionally, differences in reactions to IPA based on exposure to within-incident "spillover" of aggression across interparental and parent-child dyads have previously remained unexamined. Parents of children age 2.5 years at study commencement (N = 203 from 111 families) reported on incidents of family aggression four times for 1 year. Among select IPA incidents with the child present (n = 163 incidents from 73 families), IPA severity and children's exposure to aggression spillover were uniquely associated with children's expression of greater fear. Moreover, children unexposed to spillover experienced high fear only during relatively severe IPA incidents, whereas spillover-exposed children experienced high fear regardless of IPA severity (supporting observations of fear reactivity in response to low-level threats). Additionally, IPA severity positively predicted, and spillover exposure negatively predicted, children's attempts to make peace or solve the problem for their parents. Further, spillover-exposed children were more likely to withdraw or attempt to make peace during relatively more severe incidents of IPA. Thus, spillover-exposed children may manage their fear during relatively severe IPA incidents by withdrawing and/or engaging in active peacemaking behaviors but not by using other methods that may increase risk of aggression turning toward them. These results extend existing research, illustrate the unique predictive value of within-incident aggression spillover, and provide a foundation for understanding mechanisms through which IPA affects children in a diversity of ways. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Trajectories of traumatic stress reactions in children exposed to intimate partner violence

BACKGROUND

Understanding different longitudinal patterns of traumatic stress reactions in children exposed to intimate partner violence (IPV) can promote early identification of at-risk children.

OBJECTIVE

Our study aims to explore trajectories of traumatic stress reactions following childhood IPV exposure, and their relation with parental traumatic stress and child emotional security in the interparental subsystem.

PARTICIPANTS AND SETTING

The sample comprised 303 children (age 3-10, M = 6.20) from families referred to institutions for IPV. Data were collected at home.

METHODS

Three waves of parent-reported questionnaire data were analyzed using latent class growth analysis and linear regression.

RESULTS

Five trajectories were identified: 'resilient', 'moderate stable', 'struggling', 'improving', and 'elevated adjusting'. Only the 'struggling' trajectory had dysfunctional symptom levels at the final wave. Higher parental traumatic stress predicted 'improving' trajectory membership (β = 0.17, p =  .033), whereas lower parental traumatic stress (β = -0.20, p =  .003) and child emotional insecurity (β = -0.45, p = < .001) predicted 'resilient' trajectory membership. Higher child emotional insecurity predicted membership in trajectories with higher initial traumatic stress (improving: β = 0.26, p <  .001; struggling: β = 0.31, p <  .001; elevated adjusting: β = 0.27, p <  .001). Child emotional security did not buffer the effect of parental traumatic stress on likelihood of dysfunctional trajectory membership (β = 0.04, p =.380).

CONCLUSIONS

Children exposed to IPV show different trajectories of traumatic stress reactions, partly corresponding to trajectories identified in other populations. Child emotional security and parental traumatic stress predict trajectory membership.

Parental conflicts and materialism in adolescents: Emotional insecurity as a mediator

INTRODUCTION

This longitudinal study investigated whether and how parental conflicts contributed to adolescents' endorsement of materialistic values.

METHOD

Two hundred and fourteen Chinese adolescents in Hong Kong (102 boys; mean age = 16.52 years) completed a set of questionnaires including materialism, emotional insecurity, parental conflict behaviour, and perceptions of parents (warmth, autonomy, and involvement).

RESULTS

Consistent with the psychological insecurity hypothesis and the emotional security theory, emotional insecurity mediated the connection between parental conflict behaviour and adolescents' materialism. Adolescents who had their parents dealing with their conflicts in destructive ways reported higher levels of emotional insecurity, which was in turn associated with higher levels of materialism. By contrast, adolescents who had their parents dealing with their conflicts constructively reported lower levels of emotional insecurity, which was linked to lower levels of materialism.

CONCLUSION

Parental conflict behaviour contributes to adolescents' materialism through its influence on emotional insecurity.

Alcoholic family marital heterogeneity aggregates different child behavior problems both pre- and postseparation

Children of alcoholics (COAs) are at risk for elevated internalizing and externalizing symptoms. Yet, little is known about the familial and behavioral adjustments of COAs following parental separation. Using an ecological-transactional framework, we examined how multiple risk factors contributed to the formation of different alcoholic family structures and how living in heterogeneous family structures affected COAs' behavioral problems. The Michigan Longitudinal Study, a multiwave study on initially intact alcoholic and control families with preschool-age children (n = 503), was used to evaluate outcomes of offspring, when families either remained intact or were separated when the child was aged 12-14. Alcoholic families who later transitioned into stepfamilies were characterized with higher paternal antisociality, marital aggression, and serious family crises than alcoholic families that remained intact. COAs in stepfamilies (but not in single-parent families) exhibited higher levels of internalizing and externalizing symptoms in preadolescence compared with those in alcoholic intact families, in part because of elevated behavioral risk at age 3. Structural equation modeling indicated that the aggregated risk of stepfamily residence directly related to COAs' internalizing and indirectly related to COAs' externalizing problems, partially mediated by family stressors. Findings suggest targeting COAs in separated families for early intervention.

Effects of the interparental relationship on adolescents' emotional security and adjustment: The important role of fathers

We examined the mediational roles of multiple types of adolescents' emotional security in relations between multiple aspects of the interparental relationship and adolescents' mental health from ages 13 to 16 (N = 392). General marital quality, nonviolent parent conflict, and physical intimate partner violence independently predicted mental health. Security in the father-adolescent relationship, over and above security with the mother and security in regard to parent conflict, mediated the link from general marital quality to adolescents' mental health. With 2 exceptions, paths were stable for boys and girls, biological- and stepfathers, and Anglo- and Mexican Americans. The findings reveal the need to expand the traditional foci on parent conflict and relationships with mothers to include general marital quality and relationships with fathers. (PsycINFO Database Record

The Children, Intimate Relationships, and Conflictual Life Events (CIRCLE) interview for simultaneous measurement of intimate partner and parent to child aggression

Despite substantial rates of parent to child aggression (PCA) and intimate partner aggression (IPA) co-occurrence within families, the co-occurrence of PCA and IPA within incidents of aggression has not previously been examined. To do so, we developed the Children, Intimate Relationships, and Conflictual Life Events (CIRCLE) interview to simultaneously measure incidents of psychological and physical PCA and IPA. The CIRCLE interview was administered quarterly for approximately 1 year to 109 women and 94 men from 111 couples with a first born child approximately 32 months of age at study initiation. Demonstrating the CIRCLE interview's ability to yield new knowledge about the nature of family aggression, we describe the frequency of aggressive incidents, the average number of aggressive behaviors within incidents, the daily occurrence of multiple aggressive incidents, and rates of within-incident PCA and IPA co-occurrence. With the exception of men's physical IPA, aggression scores derived from the CIRCLE interview exhibited a relatively high degree of interpartner reporting concordance, as well as structural validity and convergent validity with common aggression measures. Aggression reports via repeated testing were not influenced by social desirability or attempts to avoid aggression. Participants who perceived enhanced memory for aggression as a function of study participation reported increasing PCA and IPA frequencies over time. In the prediction of child conduct and emotional problems, the CIRCLE interview demonstrated predictive validity and incremental validity over traditional aggression measures. For the first time, within-incident co-occurrence of PCA and IPA was documented and shown to uniquely impact child outcomes. (PsycINFO Database Record

The distinctive sequelae of children's coping with interparental conflict: Testing the reformulated emotional security theory

Two studies tested hypotheses about the distinctive psychological consequences of children's patterns of responding to interparental conflict. In Study 1, 174 preschool children (M = 4.0 years) and their mothers participated in a cross-sectional design. In Study 2, 243 preschool children (M = 4.6 years) and their parents participated in 2 annual measurement occasions. Across both studies, multiple informants assessed children's psychological functioning. Guided by the reformulated version of emotional security theory, behavioral observations of children's coping with interparental conflict assessed their tendencies to exhibit 4 patterns based on their function in defusing threat: secure (i.e., efficiently address direct instances of threat), mobilizing (i.e., react to potential threat and social opportunities), dominant (i.e., directly defeat threat), and demobilizing (i.e., reduce salience as a target of hostility). As hypothesized, each profile predicted unique patterns of adjustment. Greater security was associated with lower levels of internalizing and externalizing symptoms and greater social competence, whereas higher dominance was associated with externalizing problems and extraversion. In contrast, mobilizing patterns of reactivity predicted more problems with self-regulation, internalizing symptoms, externalizing difficulties, but also greater extraversion. Finally, higher levels of demobilizing reactivity were linked with greater internalizing problems and lower extraversion but also better self-regulation. (PsycINFO Database Record

Adults' Explanations for Intimate Partner Violence During Childhood and Associated Effects

OBJECTIVES

Exposure to intimate partner violence (IPV) is known to challenge children's optimal development. This study sought to associate participants' beliefs about IPV held during childhood with their adjustment as adults, and to compare their beliefs from childhood to their beliefs in early adulthood.

METHOD

A nationally representative sample of 703 Swedish young adults reported on their past and present beliefs about the causes of their parents' IPV. Standardized measures assessed their mental health (anxiety, depression, and traumatic stress symptoms) and the quality of their relationships as adults.

RESULTS

The most common explanations for IPV were that the perpetrator suffered from physical or mental illness, had relationship problems, or was distressed. Participants were less likely to blame themselves for IPV or to believe that the perpetrator was cruel when they were adults, compared to their reports of themselves as children. Women were more likely to attribute mental or physical illness as the cause of the perpetrator's IPV. Childhood beliefs that the perpetrator was debilitated (from mental illness or substance abuse) and cruel (took pleasure in violence and/or despised the child) were associated with greater mental health problems and poorer relationship quality in adulthood.

CONCLUSION

Evaluation of children's harmful beliefs about IPV could be useful in adapting intervention services aimed at ameliorating negative personal causal attributions.

Child Affected by Parental Relationship Distress

OBJECTIVE

A new condition, "child affected by parental relationship distress" (CAPRD), was introduced in the DSM-5. A relational problem, CAPRD is defined in the chapter of the DSM-5 under "Other Conditions That May Be a Focus of Clinical Attention." The purpose of this article is to explain the usefulness of this new terminology.

METHOD

A brief review of the literature establishing that children are affected by parental relationship distress is presented. To elaborate on the clinical presentations of CAPRD, four common scenarios are described in more detail: children may react to parental intimate partner distress; to parental intimate partner violence; to acrimonious divorce; and to unfair disparagement of one parent by another. Reactions of the child may include the onset or exacerbation of psychological symptoms, somatic complaints, an internal loyalty conflict, and, in the extreme, parental alienation, leading to loss of a parent-child relationship.

RESULTS

Since the definition of CAPRD in the DSM-5 consists of only one sentence, the authors propose an expanded explanation, clarifying that children may develop behavioral, cognitive, affective, and physical symptoms when they experience varying degrees of parental relationship distress, that is, intimate partner distress and intimate partner violence, which are defined with more specificity and reliability in the DSM-5.

CONCLUSION

CAPRD, like other relational problems, provides a way to define key relationship patterns that appear to lead to or exacerbate adverse mental health outcomes. It deserves the attention of clinicians who work with youth, as well as researchers assessing environmental inputs to common mental health problems.

Children's exposure to intimate partner violence: Should sexual coercion be considered?

This study examined whether male-perpetrated sexual intimate partner violence (IPV) directed at a child's mother is associated with children's adjustment problems and if sexual IPV increases risk for children's adjustment problems over and above the risk associated with physical IPV alone. Participants were a community sample of 539 mothers and their children (age 7-10 years). Mothers and children reported on children's externalizing and internalizing problems. Mothers reported on recent male-perpetrated physical and sexual IPV and on their own psychological distress (depressive symptoms, relationship dissatisfaction). Four groups were formed on the basis of mothers' reports of IPV: nonviolent, physical only, sexual only, and sexual + physical. Children in the physical-only, sexual-only, and sexual + physical groups exhibited greater levels of externalizing problems than did children in the nonviolent group. Levels of externalizing problems among children in the physical-only and sexual-only groups did not differ. Including sexual IPV in the conceptualization of children's exposure to IPV may offer a more comprehensive understanding of how children are affected by IPV. (PsycINFO Database Record

The multiple faces of interparental conflict: Implications for cascades of children's insecurity and externalizing problems

This multistudy article examined the relative strength of mediational pathways involving hostile, disengaged, and uncooperative forms of interparental conflict, children's emotional insecurity, and their externalizing problems across 2 longitudinal studies. Participants in Study 1 consisted of 243 preschool children (M age = 4.60 years) and their parents, whereas Study 2 consisted of 263 adolescents (M age = 12.62 years) and their parents. Both studies utilized multimethod, multi-informant assessment batteries within a longitudinal design with 3 measurement occasions. Across both studies, lagged, autoregressive tests of the mediational paths revealed that interparental hostility was a significantly stronger predictor of the prospective cascade of children's insecurity and externalizing problems than interparental disengagement and low levels of interparental cooperation. Findings further indicated that interparental disengagement was a stronger predictor of the insecurity pathway than was low interparental cooperation for the sample of adolescents in Study 2. Results are discussed in relation to how they inform and advance developmental models of family risk. (PsycINFO Database Record

Differential sensitization of parenting on early adolescent cortisol: Moderation by profiles of maternal stress

The hypothalamic-pituitary-adrenal (HPA) axis is a critical component of the body's stress-response neurobiological system, and its development and functioning are shaped by the social environment. Much of our understanding of the effects of the caregiving environment on the HPA axis is based on (a) parenting in young children and (b) individual maternal stressors, such as depression. Yet, less is known about how parenting behaviors and maternal stressors interact to influence child cortisol regulation, particularly in older children. With an ethnically diverse sample of 199 mothers and their early adolescent children (M=11.00years; 54% female), a profile analytic approach was used to investigate how multiple phenotypes of maternal stress co-occur and moderate the relation between parenting behaviors and youths' diurnal cortisol rhythms. Latent profile analysis yielded 4 profiles: current parenting stress, concurrent parenting and childhood stress, childhood stress, and low stress. For mothers with the concurrent parenting and childhood stress profile, inconsistent discipline, poor parental supervision, and harsh caregiving behaviors each were related to flattened diurnal cortisol rhythms in their adolescents. For mothers with the current parenting stress and childhood stress profiles, their use of inconsistent discipline was associated with flattened diurnal cortisol rhythms in their adolescents. For mothers with the low stress profile, none of the parenting behaviors was related to their adolescents' cortisol regulation. Findings suggest that based on mothers' stress profile, parenting behaviors are differentially related to youths' diurnal cortisol rhythms. Implications for parenting interventions are discussed.

Monitoring of autonomic response to sociocognitive tasks during treatment in children with Autism Spectrum Disorders by wearable technologies: A feasibility study

BACKGROUND

Autism Spectrum Disorders (ASD) represent a heterogeneous set of neurodevelopmental disorders characterized by impairments in social domain, where the autonomic nervous system (ANS) plays an important role. Several researchers have studied the ANS in ASD, during specific cognitive or sensory stimuli while few studies have examined response during social interactions. Wearable technologies can be very helpful in monitoring autonomic response in children with ASD in semi-naturalistic setting. The novelty of this study is to use such technologies to acquire physiological signals during therapeutic sessions supported by interactive "serious games" and to correlate the ANS response to the engagement of the child during sociocognitive tasks for an evaluation of the treatment effect and for the personalization of the therapy.

METHOD

A wearable chest belt for electrocardiographic (ECG) signal recording was used and specific algorithms for the extraction of clinically relevant features (Heart Rate - HR, Root Mean Square of the Successive Differences - RMSSD and Respiratory Sinus Arrhythmia - RSA) were developed. Sociocognitive tasks were mediated by "serious games" implemented on two tablets, which allowed a precise coding of the behaviors of the children. A longitudinal assessment of the physiological response of the children during six months of treatment was performed.

RESULTS

A link between physiological response, i.e. decrease in RMSSD and RSA, and engagement of the children during sociocognitive tasks was found. Longitudinal changes in the children's autonomic response, including a decrease of RSA during the engagement throughout the therapeutic sessions, were found.

CONCLUSIONS

These results foster the feasibility of this methodology to be applied in a clinical setting for the monitoring of the ANS response of children with ASD during treatment. A larger sample of patients is needed to confirm these preliminary findings.

Identifying the temperamental roots of children's patterns of security in the interparental relationship

Guided by emotional security theory, this study examined the temperamental precursors of distinctive profiles of children's responses to interparental conflict. Participants included 243 children (M = 4.6 years) and their parents across two annual measurement occasions. Temperamental constructs of frustration proneness, approach, positive affect, activity level, and effortful control were assessed through multiple methods, informants, and contexts. Behavioral observations of children's responses to interparental conflict at each wave yielded four profiles: secure (i.e., efficiently address direct threat), mobilizing (i.e., vigilance to potential threat and social opportunities), dominant (i.e., directly defeat threat), and demobilizing (i.e., reduce salience as a target of hostility). Results supported hypotheses on the distinct constellations of temperament in predicting subsequent change in the four security profiles.

Early life stress is associated with default system integrity and emotionality during infancy

BACKGROUND

Extensive animal research has demonstrated the vulnerability of the brain to early life stress (ELS) with consequences for emotional development and mental health. However, the influence of moderate and common forms of stress on early human brain development is less well-understood and precisely characterized. To date, most work has focused on severe forms of stress, and/or on brain functioning years after stress exposure.

METHODS

In this report we focused on conflict between parents (interparental conflict), a common and relatively moderate form of ELS that is highly relevant for children's mental health outcomes. We used resting state functional connectivity MRI to examine the coordinated functioning of the infant brain (N = 23; 6-12-months-of-age) in the context of interparental conflict. We focused on the default mode network (DMN) due to its well-characterized developmental trajectory and implications for mental health. We further examined DMN strength as a mediator between conflict and infants' negative emotionality.

RESULTS

Higher interparental conflict since birth was associated with infants showing stronger connectivity between two core DMN regions, the posterior cingulate cortex (PCC) and the anterior medial prefrontal cortex (aMPFC). PCC to amygdala connectivity was also increased. Stronger PCC-aMPFC connectivity mediated between higher conflict and higher negative infant emotionality.

CONCLUSIONS

The developing DMN may be an important marker for effects of ELS with relevance for emotional development and subsequent mental health. Increasing understanding of the associations between common forms of family stress and emerging functional brain networks has potential to inform intervention efforts to improve mental health outcomes.

Family Functioning and Children's Post-Traumatic Stress Symptoms in a Referred Sample Exposed to Interparental Violence

This study examined the association between interparental violence (IPV), child abuse and neglect, other traumatic experiences, and children's post-traumatic stress (PTS) symptoms and explored the moderating role of family functioning in the aftermath of IPV. One hundred and twenty IPV-exposed children (53.3 % male, M age = 9.85) and parents who were referred to community mental health centers participated in the study. Combined, IPV, child abuse and neglect, and other traumatic experiences were associated with PTS symptoms. For family functioning, higher levels of parenting stress were associated with higher levels of PTS symptoms. No moderating effects were found. To understand the variability in PTS symptoms among children exposed to IPV, other traumatic and stressful experiences need to be taken into account.

Emotional Security Theory

Emotional security theory (EST), initially proposed as a process model for understanding relations between marital conflict and child development, has been empirically tested and validated in numerous studies over the past 20 years. This has demonstrated the relevance of children’s emotional security to consequent emotional and behavioral adjustment. Recently, investigations of EST have employed an exciting new range of multimethod processes that include biobehavioral and physiological evaluations. Together with a broadening of the ecological contexts in which EST is examined, EST research is making innovative strides in the study of process and context that promise to bring it to the forefront of social-ecological systems research.

Interparental Aggression and Adolescent Adjustment: The Role of Emotional Insecurity and Adrenocortical Activity

Adolescents exposed to interparental aggression are at increased risk for developing adjustment problems. The present study explored intervening variables in these pathways in a community sample that included 266 adolescents between 12 and 16 years old (M = 13.82; 52.5% boys, 47.5% girls). A moderated mediation model examined the moderating role of adrenocortical reactivity on the meditational capacity of their emotional insecurity in this context. Information from multiple reporters and adolescents' adrenocortical response to conflict were obtained during laboratory sessions attended by mothers, fathers and their adolescent child. A direct relationship was found between marital aggression and adolescents' internalizing behavior problems. Adolescents' emotional insecurity mediated the relationship between marital aggression and adolescents' depression and anxiety. Adrenocortical reactivity moderated the pathway between emotional insecurity and adolescent adjustment. The implications for further understanding the psychological and physiological effects of adolescents' exposure to interparental aggression and violence are discussed.

A typology of interpartner conflict and maternal parenting practices in high-risk families: Examining spillover and compensatory models and implications for child adjustment

The present study incorporates a person-based approach to identify spillover and compartmentalization patterns of interpartner conflict and maternal parenting practices in an ethnically diverse sample of 192 2-year-old children and their mothers who had experienced higher levels of socioeconomic risk. In addition, we tested whether sociocontextual variables were differentially predictive of theses profiles and examined how interpartner-parenting profiles were associated with children's physiological and psychological adjustment over time. As expected, latent class analyses extracted three primary profiles of functioning: adequate functioning, spillover, and compartmentalizing families. Furthermore, interpartner-parenting profiles were differentially associated with both sociocontextual predictors and children's adjustment trajectories. The findings highlight the developmental utility of incorporating person-based approaches to models of interpartner conflict and maternal parenting practices.

Family conflict, autonomic nervous system functioning, and child adaptation: state of the science and future directions

The family is one of the primary contexts of child development. Marital and parent-child conflict (family conflict) are common and predict a wide range of negative behavioral and emotional outcomes in children. Thus, an important task for developmental researchers is to identify the processes through which family conflict contributes to children's psychological maladjustment, as well as vulnerability and protective factors in the context of family conflict. In the current paper, we aim to advance a conceptual model that focuses on indices of children's autonomic nervous system (ANS) functioning that increase vulnerability or provide protection against psychological maladjustment in the context of family conflict. In doing so, we provide a selective review that reflects the state of the science linking family conflict, children's ANS activity, and child psychological adjustment, and offer directions and guidance for future research. Our hope is to accelerate research at the intersection of family conflict and ANS functioning to advance understanding of risk and resilience among children.

Interparental aggression, attention skills, and early childhood behavior problems

The current study explored longitudinal associations between interparental aggression, the development of child attention skills, and early childhood behavior problems in a diverse sample of 636 families living in predominately low-income, nonmetropolitan communities. The results of latent-variable, cross-lagged longitudinal models revealed that maternal-reported interparental aggression in infancy predicted reduced observed attention skills in toddlerhood; no association was observed, however, between attention in infancy and interparental aggression during the toddler years. Further, reduced toddler attention and high interparental aggression were both associated with increased risk for attention-deficit/hyperactivity disorder symptoms and conduct problems at 3 years of age. Processes largely operated in similar ways regardless of child gender or low-income status, although a few differences were observed. Overall, the results suggest that interparental aggression undermines attention development, putting children's early behavioral adjustment at risk.

Internalizing and externalizing symptoms in young children exposed to intimate partner violence: examining intervening processes

Children's emotion dysregulation, children's appraisals, maternal psychological functioning, and harsh discipline were investigated as potential mediators in the putative link between exposure to intimate partner violence and poor child outcomes. Participants included 132 children ages 6-8 and their mothers who had been enrolled in a longitudinal study of parenting and children's social development. The mothers were receiving some form of government-based economic assistance or other social services, and were currently involved in a romantic relationship. Results of structural equation modeling indicated children's emotion dysregulation mediated the links between exposure to intimate partner violence (IPV) and both internalizing and externalizing problems. Harsh discipline mediated the link between exposure to IPV and externalizing, but not internalizing, symptoms. Child appraisals and maternal psychological functioning mediated the link between exposure to IPV and internalizing, but not externalizing, symptoms.

The reformulation of emotional security theory: the role of children's social defense in developmental psychopathology

Although children's security in the context of the interparental relationship has been identified as a key explanatory mechanism in pathways between family discord and child psychopathology, little is known about the inner workings of emotional security as a goal system. Thus, the objective of this paper is to describe how our reformulation of emotional security theory within an ethological and evolutionary framework may advance the characterization of the architecture and operation of emotional security and, in the process, cultivate sustainable growing points in developmental psychopathology. The first section of the paper describes how children's security in the interparental relationship is organized around a distinctive behavioral system designed to defend against interpersonal threat. Building on this evolutionary foundation for emotional security, the paper offers an innovative taxonomy for identifying qualitatively different ways children try to preserve their security and its innovative implications for more precisely informing understanding of the mechanisms in pathways between family and developmental precursors and children's trajectories of mental health. In the final section, the paper highlights the potential of the reformulation of emotional security theory to stimulate new generations of research on understanding how children defend against social threats in ecologies beyond the interparental dyad, including both familial and extrafamilial settings.

Inter-Parent Aggression as a Precursor to Disengagement Coping in Emerging Adulthood: The Buffering Role of Friendship Competence

Using multi-informant data drawn from a prospective study involving 184 youth, mother perpetrated and father perpetrated partner aggression during early adolescence (age 13) was examined as a predictor of five types of disengagement coping strategies in emerging adulthood (age 21): behavioral disengagement, mental disengagement, denial, substance use, and restraint. The ability to develop close friendships, or friendship competence, was examined as a moderator of these links. Results suggest that inter-parent aggression in early adolescence can predict reliance on disengagement coping eight years later, but that friendship competence can buffer against the reliance on disengagement coping. Moreover, close friendship competence was not directly related to partner aggression by mothers or fathers, suggesting that friendship competence develops along an independent developmental track, and thus may truly serve as a buffer for young adults with a history of exposure to inter-parent aggression.

Maternal depression mediates the association between intimate partner violence and food insecurity

BACKGROUND

Examination of maternal experiences of intimate partner violence (IPV) and depression as risk factors for food insecurity can provide a more nuanced understanding of the role that the family environment and women's health plays in the lives of families with young children that experience food insecurity. We investigated the longitudinal association between mothers' experiences of IPV and household food insecurity, and whether maternal depression mediated the relationship.

METHODS

IPV, depression, and food insecurity were assessed among 1,690 socioeconomically disadvantaged mothers of young children who participated in the Fragile Families and Child Wellbeing study. Longitudinal multivariate logistic regression models were used to examine the association between IPV measured 3 years after the child's birth and increase in food insecurity from child's third to fifth birthday, as well as the mediating role of maternal depression, controlling for a number of maternal and household characteristics.

RESULTS

Mothers who reside in food insecure households and those who experience IPV share similar characteristics of socioeconomic disadvantage and a greater propensity for depression compared to their counterparts. Mothers' experiences of IPV predicted an increased risk of household food insecurity two years later, and the relationship was mediated by maternal depression.

CONCLUSIONS

Food insecure mothers may benefit from widespread assistance. Targeting issues central to women's health must become a priority in combating food insecurity. Having IPV and mental health screenings coincide with food assistance applications may help identify women who would benefit from resources designed to increase physical safety, psychological well-being, and food security.

An expanded approach to batterer intervention programs incorporating neuroscience research

Batterer Intervention Programs have been critiqued for failing to incorporate treatment strategies that are supported by neurobiology research. This article reviews findings that have informed the treatment of disorders that are strongly represented among perpetrators of intimate violence, such as addiction, posttraumatic stress disorder, mood, anxiety, and personality disorders. The article argues for an expanded perspective that recognizes the relationships among childhood trauma, emotional regulation impairment, and intimate partner violence. Recommendations and ways to draw on emerging knowledge to invigorate existing programs are provided.

Quick to berate, slow to sleep: interpartner psychological conflict, mental health, and sleep

OBJECTIVE

Relations between interpartner psychological conflict (IPC) and the sleep of men and women were examined, and depression and anxiety symptoms were assessed as intervening variables of these associations.

METHOD

Participants were 135 cohabiting or married couples. The mean age was 36.50 (SD = 5.93) for women and 39.37 (SD = 7.33) for men. Most women (76%) and men (78%) were European American (EA) and the rest were predominantly African American (AA); there was a wide socioeconomic representation. Men and women reported on IPC used by their partner against them. Sleep was examined objectively with actigraphs, and multiple sleep quantity and quality measures were derived.

RESULTS

Dyadic path analysis in which both actor and partner effects were assessed was conducted. For women, greater IPC by the partner was related to elevated levels of anxiety, which in turn was associated with shorter sleep duration and worse sleep efficiency; anxiety was an intervening variable. For men, IPC by the partner was related to greater symptoms of anxiety and depression; the latter was an intervening variable linking IPC with sleep quality (lower efficiency, longer latency). Some partner effects were observed and indicate that for both men and women, one's perpetration of IPC is related to increased anxiety in the partner, which in turn is related to longer sleep latency for the actor.

CONCLUSION

Results build on this scant literature, and using objective well-validated measures of sleep highlight the importance of relationship processes and mental health for the sleep of men and women.

Marital conflict and growth in children's internalizing symptoms: the role of autonomic nervous system activity

We assessed trajectories of children's internalizing symptoms, indexed through anxiety and depression, with a focus on the role of interactions between interparental marital conflict, children's sympathetic nervous system activity indexed by skin conductance level (SCL), and parasympathetic nervous system activity indexed by respiratory sinus arrhythmia (RSA) as predictors of growth. Children participated in 3 waves of data collection with a 1-year lag between each wave. At T1, 128 girls and 123 boys participated (M age = 8.23 years; SD = 0.73). The most important findings reveal that girls with either low RSA in conjunction with low SCL (i.e., coinhibition) at baseline or with increasing RSA and decreasing SCL in response to a challenging task (i.e., reciprocal parasympathetic activation) are susceptible to high or escalating anxiety and depression symptoms, particularly in the context of marital conflict. Findings support the importance of concurrent examinations of environmental risk factors and physiological activity for better prediction of the development of anxiety and depression symptoms.

Pathways and processes of risk in associations among maternal antisocial personality symptoms, interparental aggression, and preschooler's psychopathology

Two studies examined the nature and processes underlying the joint role of interparental aggression and maternal antisocial personality as predictors of children's disruptive behavior problems. Participants for both studies included a high-risk sample of 201 mothers and their 2-year-old children in a longitudinal, multimethod design. Addressing the form of the interplay between interparental aggression and maternal antisocial personality as risk factors for concurrent and prospective levels of child disruptive problems, the Study 1 findings indicated that maternal antisocial personality was a predictor of the initial levels of preschooler's disruptive problems independent of the effects of interparental violence, comorbid forms of maternal psychopathology, and socioeconomic factors. In attesting to the salience of interparental aggression in the lives of young children, latent difference score analyses further revealed that interparental aggression mediated the link between maternal antisocial personality and subsequent changes in child disruptive problems over a 1-year period. To identify the family mechanisms that account for the two forms of intergenerational transmission of disruptive problems identified in Study 1, Study 2 explored the role of children's difficult temperament, emotional reactivity to interparental conflict, adrenocortical reactivity in a challenging parent-child task, and experiences with maternal parenting as mediating processes. Analyses identified child emotional reactivity to conflict and maternal unresponsiveness as mediators in pathways between interparental aggression and preschooler's disruptive problems. The findings further supported the role of blunted adrenocortical reactivity as an allostatic mediator of the associations between parental unresponsiveness and child disruptive problems.

Educational interventions for intimate partner violence: guidance from survivors

OBJECTIVE

Previous research suggests that health care providers' assumptions about the content and marketing of intimate partner violence (IPV) materials are not always correct and may do harm. This study sought to determine what mothers with histories of IPV identify as important information to communicate about IPV and how it should be presented in a pediatric emergency department.

METHODS

This qualitative study used English- and Spanish-speaking focus groups for data collection and a grounded theory approach for data analysis. Initial focus groups elicited opinions on content, appearance, and location of IPV material. After data analysis, IPV posters were developed. Follow-up focus groups provided feedback on the posters.

RESULTS

Ninety-nine mothers with histories of IPV participated in 8 initial and 4 follow-up focus groups. Women felt information should be presented in a positive, hopeful manner. Key information desired was signs of IPV, effects of childhood IPV exposure, and available resources. Spanish-speaking groups desired that information that helps was available regardless of immigration status. Women cautioned that information regarding the effects of childhood IPV exposure should be presented in a nonjudgmental manner to minimize feelings of anger and guilt in mothers. Participants endorsed the distribution of IPV materials in many formats and locations but also worried that women might suffer retribution if perpetrators see IPV material.

CONCLUSIONS

Passive educational interventions for IPV should present information about the signs of IPV, resources, and effects on children in a positive, hopeful manner. Materials directed toward Spanish-speaking victims should address the issue of immigration status.