Romantic Attachment as a Moderator of the Association Between Childhood Abuse and Posttraumatic Stress Disorder Symptoms

Childhood abuse can have significant negative effects on survivors that often last into adulthood. The purpose of this study was to explore the role of romantic attachment in understanding the relationship between childhood abuse and posttraumatic stress disorder (PTSD) symptoms in adulthood. Data for this study were taken from the first wave of a five-wave longitudinal study. The sample included 120 mothers in their third trimester of pregnancy. Regression analyses were conducted in order to examine adult romantic attachment as a possible protective or vulnerability factor. Main effects of attachment anxiety and attachment avoidance on PTSD symptoms were found, such that higher levels of attachment anxiety and attachment avoidance were related to more PTSD symptoms. Attachment avoidance moderated this relationship, such that child abuse was significantly related to greater PTSD symptoms in those with high attachment avoidance. Implications for attachment-based interventions are discussed.     

Attachment and Psychopathology Among Formerly Maltreated Adults

The purpose of this study was to examine the relationships of attachment security and psychopathology in an adult sample of high-risk abuse survivors. Attachment security was conceptualized in terms of two underlying dimensions, the working models of self and other. A sample of 66 survivors of childhood maltreatment completed measures of abuse history, attachment style, and psychopathology. Results demonstrated a strong relationship between a negative view of self and reported psychopathology, regardless of whether attachment was conceptualized continuously or categorically. Findings also revealed that the association of negative view of self and psychopathology was much stronger than that of negative view of other and psychopathology.     

Long-Term Effects of Witnessing Marital Violence for Women: The Contribution of Childhood Physical and Sexual Abuse

A sample of 313 college women completed a questionnaire about experiences with violence in childhood and adulthood and adult adjustment and relationship functioning. Nine percent of the women reported having witnessed some type of physical conflict between their parents. Witnessing marital violence was associated with other family mental health risks, childhood physical and sexual abuse, and adult physical assaults by strangers. Women who witnessed marital violence reported more symptoms of posttraumatic stress disorder than other women, after family background and abuse variables were accounted for. Significant interactions between witnessing marital violence and childhood physical abuse were observed for measures of social avoidance and predictability in partner relationships, indicating that the effects of witnessing marital violence depended on the presence of childhood abuse. Implications of these results for research and interventions are discussed.     

Childhood Violence and Adult Partner Maltreatment: The Roles of Coping Style and Psychological Distress

The study investigates the impact of psychological well-being, coping style, and maltreatment types on adult partner maltreatment patterns. A large sample of undergraduates completed assessments measuring history of childhood violence exposure, psychological distress, coping, and adult partner maltreatment. The multiply abused group (childhood physical abuse and witnessing family violence) experienced the highest levels of all forms of adult maltreatment, followed by the childhood physical abuse group. As childhood victimization became more severe, the relationship between childhood victimization and adult partner maltreatment became more direct. The current study highlights that individuals exposed to a greater degree of childhood victimization are more vulnerable to adult maltreatment because there are few mediators which may prevent or decrease risk for adult maltreatment. The results suggest that treatment and prevention efforts with victims of interpersonal violence should foster individualized coping skills and address specific psychopathology depending upon the individual??s childhood abuse history.     

The Relationships Between Childhood Sexual Abuse,Social Anxiety,and Symptoms of Posttraumatic Stress Disorder in Women

The relationships between childhood sexual abuse, social anxiety, and symptoms of posttraumatic stress disorder were examined in a sample of 313 undergraduate women. Thirty-one percent of the women reported some form of sexual abuse in childhood. Women with a history of sexual abuse reported more symptoms of anxiety, distress in social situations, and posttraumatic stress disorder than other women. Women who experienced attempted or actual intercourse reported more avoidance than women with no history of abuse and women with exposure only, and more PTSD symptoms than all other groups of women. Women who experienced fondling reported more PTSD symptoms than women with no history of abuse. Pressure, age of onset of abuse, abuse by a family friend, and abuse by other perpetrators were all significant abuse characteristics in predicting adult social anxiety. Implications of these results for research and interventions are discussed.     

Relationship between victimization and substance use treatment motivation in a jail-based sample: the role of adult attachment and peer support

The current study investigated the impact of victimization on substance use treatment motivation and the potential role of adult attachment and peer support, with a sample of 149 justice-involved individuals participating in a jail-based substance treatment program. Results of mediation analyses indicated that attachment anxiety mediated the relationship between victimization and problem recognition and desire for help; more victimization was associated with higher levels of attachment anxiety, which in turn predicted greater problem recognition and desire for help. Attachment avoidance mediated the association between victimization and desire for help, wherein more victimization was associated with more attachment avoidance, which in turn predicted a greater desire for help. Moderation analyses indicated that peer support moderated the relationship of attachment anxiety with desire for help, but not with problem recognition. For those perceiving high peer support, individuals with high attachment anxiety tended to report a greater desire for help; for those with low peer support, attachment anxiety did not predict desire for help. Clinicians might consider the role of attachment in treatment planning, particularly for those with a history of victimization. Treatment programs might benefit from cultivating an atmosphere of peer support while enabling and subsequently increasing the willingness for treatment.     

Parents’ Potential for Child Abuse: An Intergenerational Perspective

This study examined predictors for parents’ potential for abusing their children. Two hundred and thirteen Jewish and Arab parents of children up to 6 years of age completed six questionnaires assessing child-abuse potential, childhood history of abuse/neglect, attachment style, emotional control, perceived stress, and cognitive appraisal of parenthood. Results indicated that parents who experienced childhood abuse and neglect scored significantly higher in child-abuse potential than parents without a history of abuse or neglect. A Structural Equation Model indicated that anxious and avoidant attachment mediated the experiences of abuse and neglect in childhood and emotional control; whereas emotional control deficits mediated the relationship between insecure attachment and parenthood as challenge vs. threat, leading to greater child-abuse potential. Clinical implications were discussed.     

Is childhood physical abuse associated with peptic ulcer disease? Findings from a population-based study

This study investigated childhood physical abuse and ulcers in a regionally representative community sample. Age, race and sex were controlled for in addition to five clusters of potentially confounding factors: adverse childhood conditions, adult socioeconomic status, current health behaviors, current stress and marital status, and history of mood/anxiety disorders. Childhood physical abuse is associated with many negative physical and psychological adult health outcomes. Two recent studies demonstrate a potential link between childhood physical abuse and peptic ulcer disease in adulthood. The authors use regional data for the Canadian provinces of Manitoba and Saskatchewan from the 2005 Canadian Community Health Survey. Of the 13,069 respondents with complete data on abuse and ulcers, 7.3% (n = 1,020) report that they had been physically abused as a child by someone close to them and 3.0% (n = 493) report that they had been diagnosed with peptic ulcers by a health professional. The regional response rate is approximately 84%. Findings show that those reporting abuse had more than twice the prevalence of ulcers than did those not reporting abuse (6.6% vs. 2.7%). The fully adjusted odd ratio of peptic ulcers among those who had reported childhood physical abuse is 1.68 (95% CI = 1.22, 2.32). A significant and stable relationship between childhood physical abuse and peptic ulcers is found, even when taking into account five clusters of potentially confounding factors. Prospective studies that apply the biopsychosocial model are likely to be the most effective for identifying the pathways that connect childhood physical abuse and ulcer disease.     

Evaluation of a Treatment Program for Sexually Abused Adult Males

This study evaluated the effectiveness of an individual treatment program for five adult males who experienced childhood sexual abuse. A treatment manual focusing on abuse-related self-blame, anger, and anxiety was developed. Daily self-blame, anger, and anxiety self-ratings were completed before and throughout treatment. A multiple-baseline approach was used to evaluate treatment effects. Overall findings indicated that most participants experienced significant reductions in self-blame, anger, and anxiety as a result of their involvement in the sexual abuse treatment program. Treatment was particularly helpful in decreasing feelings of self-blame and anger. The study made an important initial contribution to the development of systematic treatment outcome research for a population of individuals that has received relatively little attention. The results have implications for future clinical and research efforts with sexually abused adult males.     

A Dyadic Analysis of Partner Violence and Adult Attachment

Studies of individual attachment features have linked insecure attachment to intimate partner violence (IPV), but these studies have neither taken into account couple-level factors nor evidence of high rates of dual-partner perpetration. The current study examined three forms of IPV as a function of both partners’ adult attachment characteristics in order to better understand the maintenance of relationship violence by using a dyadic statistical design. Heterosexual couples (n = 163) were recruited from the community. Results suggest that one’s own attachment avoidance and a partner’s attachment avoidance and anxiety was associated with perpetration of physical assault. Similarly, one’s own attachment avoidance and a partner’s attachment avoidance and anxiety was associated with perpetration of psychological aggression. Attachment anxiety influenced one’s own perpetration of sexual coercion and their partner’s perpetration. Thus, functional analysis of violence in terms of attachment and risk regulation may afford targeted interventions to certain types of couples.     

Attachment as a Mediator between Childhood Maltreatment and Adult Symptomatology

This study examined the mediating role of attachment in the relationship between childhood maltreatment perpetrated by parents and adult symptomatology. Young adults (N = 803), with and without a history of abuse, were recruited from a local university to complete a series of questionnaires inquiring about past maltreatment experiences, adult attachment in current close relationships, and psychological symptomatology. While attachment was found to be a mediator for all three types of abuse when they were looked at individually, a more robust mediated effect was found in the case of psychological abuse. When all three types of parental maltreatment (psychological, physical, and exposure to family violence) were considered simultaneously, attachment mediated the relationship between only psychological abuse and symptomatology. Parallel meditated effects were observed across two measures of symptomatology: trauma-related symptomatology and externalizing and internalizing symptomatology. The results of this study further our understanding of psychological maltreatment and its intra-individual correlates.     

Exposure to interpersonal violence as a predictor of PTSD symptomatology in domestic violence survivors

This study examines the interrelationships between childhood abuse, exposure to maternal domestic violence, and posttraumatic stress disorder (PTSD) symptomatology in a multiethnic sample of 111 adult female residents of a domestic violence (DV) shelter. Participants completed structured interviews about the DV and their prior violence exposure, as well as the Impact of Event Scale-Revised. As hypothesized, there was high co-occurrence between exposure to maternal DV and childhood physical and sexual abuse, and the frequency of lifetime violence exposure predicted PTSD symptomatology. A series of multiple regressions indicated a more complex pattern of relationships, in which specific forms of prior violence exposure predicted different PTSD symptom dimensions. A history of witnessing maternal DV predicted intrusion symptoms, and a history of childhood sexual abuse predicted hyperarousal symptoms. Ethnicity was not related to levels of violence exposure or to PTSD symptoms. Clinical implications of the findings are discussed.     

Adult Survivors of Childhood Abuse: An Analysis of Coping Mechanisms Used for Stressful Childhood Memories and Current Stressors

Coping mechanisms used to deal with stressful childhood memories and current stressors were assessed for 196 women in each of 4 groups: no abuse history, sexual abuse history, physical abuse history, and both sexual and physical abuse history. Current psychological adjustment was also examined. Discriminant function analyses revealed a variety of significant differences between the groups in use of strategies for coping with memories of abuse or another childhood stressor. There was no relationship between childhood history of abuse and the manner in which women coped with a current stressor. Women with an abuse history reported significantly poorer adult adjustment than did nonabused women, and different coping strategies were predictive of adjustment for abused and nonabused women.     

Isolating Adult Psychological Correlates of Witnessing Parental Violence: Findings from a Predominantly Latina Sample

This study examined the relationship between childhood exposure to parental violence and adult psychological functioning in a sample of predominantly Mexican American participants. Questionnaires assessing childhood maltreatment, family environment, and current psychological symptomatology were completed by 142 female undergraduates. Findings revealed that witnessing parental violence in childhood was associated with depressive symptoms, low self-esteem, and trauma symptoms in adulthood, even after controlling for child physical and sexual abuse. However, in subsequent analyses, also controlling for levels of nonphysical family conflict, previous associations between exposure to parental violence and adult symptomatology were reduced, such that trauma-related symptoms remained the sole outcome still predicted by a history of witnessing parental violence. Implications of these findings, issues related to the use of statistical control procedures in abuse effects research, and directions for future investigation are discussed.     

Lifetime Abuse, Mental Health, and African American Women

This study examined the relationship between lifetime abuse and mental health among 126 African American women and 365 White women from a primary health care setting who participated in a telephone interview as part of a larger study. Seven types of childhood and adult intimate partner abuse were measured. Consistent with hypotheses, (1) lifetime abuse was associated with elevated levels of anxiety and depression, and (2) women who experienced childhood abuse were more likely to report adult partner abuse. African American and White women showed more similarities than differences in the associations between most abuse experiences and depression and anxiety, as well as types of childhood abuse. African American abused women reported more excessive jealousy by partners. Nonabused African American women reported higher levels of depression and anxiety than their White counterparts. Results are interpreted and discussed taking into account relevant social and cultural factors.     

When Loving Means Hurting: An Exploration of Attachment and Intimate Abuse In a Community Sample

Intimate relationship abuse can be understood by considering two critical tenets of attachment. First, attachment fulfills a basic need for survival. Thus, the tenacity of the attachment bond is independent of relationship quality. Second, individuals whose attachment needs have been frustrated may strike out violently to regain proximity to the perceived loss of an intimate partner. We examined how individual differences in attachment were associated with women's and men's relationship abuse. A telephone survey assessed levels of psychological and physical abuse in 1249 Vancouver residents. Of these, 128 completed an attachment interview exploring their interpersonal relationships. Hierarchical regressions revealed that attachment variables contributed significant variance to prediction of both receipt and perpetration of psychological and physical abuse, with preoccupied attachment acting as an independent predictor. There was no evidence that gender moderated these associations. The findings suggest that attachment preoccupation in either partner may increase likelihood of abuse in couples.     

Child abuse and chronic pain in a community survey of women

This study examined the relationship between a self-reported history of child physical and sexual abuse and chronic pain among women (N = 3,381) in a provincewide community sample. Chronic pain was significantly associated with physical abuse, education, and age of the respondents and was unrelated to child sexual abuse alone or in combination with physical abuse, mental disorder (anxiety, depression, or substance abuse), or low income. Number of health problems and mental health disorders did not mediate the relationship between physical abuse and chronic pain. Despite considerable evidence from the clinical literature linking exposure to child maltreatment and chronic pain in adulthood, this may well be the first population-based study to investigate this relationship for child physical and sexual abuse independently. The significant association between childhood history of physical abuse and pain in adulthood calls for a greater awareness of the potential for chronic pain problems associated with this type of maltreatment. Further research is needed to understand the mechanism for this complex relationship.     

The correlation of childhood physical abuse history and later abuse in a group of Turkish population

Domestic violence is passed from one generation to the next, and it affects not only the victim but also the psychological states of the witnesses, and especially the psychosocial development of children. Studies have reported that those who have been the victim of or witnessing violence during their childhood will use violence to a greater extent as adults in their own families. This research examines the relationships between a history of childhood physical abuse, likelihood of psychiatric diagnoses, and potential for being a perpetrator of childhood physical abuse in adulthood among women who received psychiatric treatment and in the healthy population from Turkey. Estimates of the prevalence of childhood physical abuse vary depending on definition and setting. The frequency of witnessing and undergoing physical abuse within the family during childhood is much higher in the psychiatrically disordered group than the healthy controls. Childhood physical abuse history is one of the major risk factors for being an abuser in adulthood. The best indicator of physically abusing one's own children was found to be as physical abuse during the childhood period rather than psychiatric diagnosis. There is a large body of research indicating that adults who have been abused as children are more likely to abuse their own children than adults without this history. This is an important study from the point of view that consequences of violence can span generations. Further studies with different risk factor and populations will help to identify different dimensions of the problem.     

Forms of Social Support That Moderate PTSD in Childhood Sexual Abuse Survivors

Although social support has been found to attenuate psychological symptoms in victims of sexual abuse, literature does not identify the specific forms of social support that mitigate maladjustment following a sexual abuse experience. This study sought to distinguish the specific types of perceived social support that buffer the development of post-traumatic stress disorder (PTSD) in victims of childhood sexual abuse (CSA). One hundred and seventy-two adult females reporting CSA were administered the Interpersonal Support Evaluation List (ISEL) and the Impact of Events Scale (IES). The ISEL measures the perceived availability of 4 support types. The IES measures core PTSD symptoms of intrusion and avoidance. Regression analysis indicated that social support significantly buffered PTSD development. The best model was one which contained self-esteem and appraisal support. Tangible and belonging support added little to prediction. Further, self-esteem support was identified as the most important variable in preventing PTSD development.     

The Impact of Child Abuse Severity on Adult Attachment Anxiety and Avoidance in College Women: The Role of Emotion Dysregulation

Recent evidence suggests a significant and unique effect of child abuse experiences on attachment-related anxiety and avoidance in adult romantic relationships, although mechanisms underlying this relationship have yet to be identified. The current study examined the relation between three forms of child abuse (sexual, physical, and psychological) severity, emotion dysregulation, and attachment-related anxiety and avoidance among 830 college women. Results indicated that emotion dysregulation significantly mediated the relationship between child abuse severity and attachment-related anxiety and avoidance. Future directions for research and implications for intervention are discussed.