Maltreatment and Family Dysfunction in Childhood and the Subsequent Adjustment of Children and Adults

The adjustment problems associated with sexual abuse, physical abuse, psychological maltreatment, neglect, and witnessing family violence during childhood were examined in three studies. Study 1 demonstrated significant overlap between maltreatment types in parent reports (N = 50) of maltreatment experiences of their child aged 5–12 years. Parental sexual punitiveness, traditionality, family adaptability and family cohesion significantly predicted scores on 4 maltreatment scales and children's externalizing behavior problems. Level of maltreatment predicted internalizing, externalizing, and sexual behavior problems. In Study 2, significant overlap was found between adults' retrospective reports (N = 138) of all 5 types of maltreating behaviors. Parental sexual punitiveness, traditionality, family adaptability, and family cohesion during childhood predicted the level of maltreatment and current psychopathology. Although child maltreatment scores predicted psychopathology, childhood family variables were better predictors of adjustment. Study 3 demonstrated that child maltreatment scores predicted positive aspects of adult adaptive functioning (N = 95).     

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.     

Childhood Maltreatment in College Women: Effect on Severe Physical Partner Violence

This study examined risk of severe physical partner violence victimization as a function of childhood maltreatment among college women. Engaged and soon to be engaged female students were recruited for the study. Compared to their counterparts, risk of severe physical partner violence was three-fold greater in women who experienced childhood physical violence and five-fold greater among those who witnessed mother-to-father violence. Victims of childhood maltreatment may encounter social and personal problems that increase their vulnerability to violence in adulthood. Physical violence is a problem among college students and is related to their experiences of childhood victimization.     

Adult psychopathology and intimate partner violence among survivors of childhood maltreatment

Childhood maltreatment is associated with psychopathology and revictimization in adulthood. Whether different types of childhood maltreatment have different long-term consequences, however, is largely unknown. The participants in this study included 42 female victims of intimate partner violence and 30 women with no history of serious trauma. These women completed measures of their trauma history, current psychological symptoms, and severity of current abuse. Regression-based techniques were used to assess the relationships among these constructs. Childhood maltreatment was associated with current distress and current conflict in relationships. There was a positive relationship between number of types of childhood traumatization and psychopathology. Symptoms of post-traumatic stress disorder (PTSD) and depression were negatively associated with current relationships involving physical assault. This work underscores the importance of assessing multiple types of childhood maltreatment and of considering the cumulative effects of such experiences.     

Personality Disorders in a Sample of Parents Accused of Physical Abuse or Neglect

The objective of this study was to provide a psychological profile of parents who have been formally accused of child maltreatment. A clinical group of 16 parents accused of physical abuse and 22 parents accused of neglect were compared with 18 parents from a control group. The MCMI-III was administered individually for each parent. Both groups of maltreatment showed significant differences on different scales of the MCMI-III. No difference was seen between the parents of both groups of child maltreatment. Many parents of both child maltreatment groups reported at least one form of abuse during their childhood, suggesting that a childhood marked by abuse or neglect on the part of a parent could result in personality disorders and that these disorders may have something to do with the intergenerational transmission of abuse.     

Exposure to Interparental Violence and Childhood Physical and Emotional Abuse as Related to Physical Aggression in Undergraduate Dating Relationships

The present study examined whether witnessing interparental violence and experiencing childhood physical or emotional abuse were associated with college students’ perpetration of physical aggression and self-reports of victimization by their dating partners. Participants (183 males, 475 females) completed the Adult-Recall Version of the Revised Conflict Tactics Scale (CTS2-CA; Straus 2000), the Exposure to Abusive and Supportive Environments Parenting Inventory (EASE-PI; Nicholas and Bieber 1997), and the Revised Conflict Tactics Scale (CTS2; Straus et al. 1996). Results of zero-inflated Poisson (ZIP) regressions demonstrated that being female and having experienced higher levels of childhood physical abuse were associated with having perpetrated physical aggression at least once. Among women, exposure to mother-to-father violence and childhood physical abuse were related to the extent of dating aggression. Among men, witnessing father-to-mother violence and childhood emotional abuse were associated with the extent of dating aggression. Witnessing interparental violence and experiencing childhood physical abuse increased the likelihood that women would report victimization, whereas childhood emotional abuse decreased the likelihood that respondents reported dating victimization. Viewing father-to-mother violence and experiencing childhood emotional abuse increased the extent that men reported being victimized by their dating partners, whereas witnessing mother-to-father violence and experiencing physical abuse decreased the extent that men reported being victimized by their dating partners. Results suggest the importance of parent and respondent gender on dating aggression.     

The Effects of Low Self-Control and Childhood Maltreatment on Stalking Victimization among Men and Women

This study examines sex differences among stalking victimization using two theoretical perspectives: self-control and the intergenerational transmission of violence. A sample of 1,490 undergraduate students at a large southeastern university were surveyed and asked to report their experiences with stalking, childhood maltreatment, and self-control. Given that men and women may experience stalking, self-control, and child maltreatment differently, logistic regression models were estimated separately to disentangle sex differences. Findings indicate that women are more likely than men to be victims of stalking. Childhood maltreatment was significantly related to stalking victimization for both men and women whereas low self-control was significantly related to stalking victimization for women only. Implications for policy and directions for future research are discussed.     

DEVELOPMENTAL ISSUES IN THE IMPACT OF CHILD MALTREATMENT ON LATER DELINQUENCY AND DRUG USE*

Developmental psychopathology emphasizes the impact that early childhood maltreatment has on adolescent and early adult development. The life‐course perspective, however, emphasizes more proximal events—adolescent maltreatment, for example—as developmentally disruptive. Prior research suggests that childhood maltreatment is a risk factor for adolescent delinquency and drug use. However, the results appear to depend on a loose definition of childhood. This study utilizes a four‐category maltreatment classification—never, childhood‐only, adolescence‐only, and persistent—to re‐examine the maltreatment‐delinquency relationship. Using data from the Rochester Youth Development Study, we find no relationship between childhood‐only maltreatment and adolescent delinquency or drug use; yet, we do find a consistent impact of adolescence‐only and persistent maltreatment on these outcomes.     

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.     

Emotional Dysregulation and Negative Affect Mediate the Relationship Between Maternal History of Child Maltreatment and Maternal Child Abuse Potential

Risk for committing child abuse is frequently attributed to an intergenerational “cycle of violence” through which abuse as a child increases risk for committing abuse as a parent. While this hypothesis has support, more research is needed to understand the factors that account for this pattern of risk. Given literature suggesting that adults with a history of child maltreatment have increased risk for a wide range of psychopathology, this study examined the role of two behavioral endophenotypes, emotional dysregulation and negative affect, in the association between maternal experiences of childhood maltreatment and maternal child abuse potential among 83 low-income, primarily African-American mothers of elementary school age children. Results indicate that a mother’s experience of abuse as a child predicts later risk for abusive parenting as measured by child abuse potential scores. However, our data also indicate that the relationship between maternal experience of child abuse and later child abuse potential is mediated by maternal emotional dysregulation and negative affect.     

Maltreatment Chronicity Defined with Reference to Development: Extension of the Social Adaptation Outcomes Findings to Peer Relations

The purpose of this study was to extend work seeking to improve research definitions of chronic maltreatment by contrasting a definition based on patterns of CPS reports across childhood developmental stages to a previously used definition based upon duration of the period including reports, using teacher-estimated peer relations to represent an extrafamilial outcome domain of social adaptation. The sample includes 387 children who are participating in a multi-site longitudinal study and had been reported for abuse or neglect to CPS between birth and age 8. CPS records from this time period provided the basis of two chronicity constructs: 1) an ordinal categories (OC) definition based upon four Eriksonian stages, and 2) a durational definition (time between first and last reports). Block-wise regression analyses were conducted to examine the relative degree to which the two chronicity definitions contributed to prediction of teacher-estimated peer relations at the age 8 interview. Chronicity characterized with reference to developmental stages significantly predicted troubled peer relations, with child age, sex, and minority status, family income, geographic location, and time of first report taken into account. The effect was pronounced with regard to aggressive peer relations. Duration of maltreatment reports also predicted aggressive peer relations, but significantly less so than did the OC definition. The findings support the view that maltreatment chronicity is usefully defined by taking children’s development into consideration to characterize patterns of maltreatment across developmental stages. Practice and research implications are suggested.     

The use of multiple informants to assess children's maltreatment experiences

Most researchers rely exclusively on the reports of protective service workers to determine children's abuse history. In this report, information about children's maltreatment experiences is obtained from protective service workers and three supplementary sources of data: parents, medical records, and clinical observations. Fifty-six children from 34 families receiving protective services for verified reports of physical abuse, neglect, sexual abuse, and/or emotional maltreatment participated in the study, with most children known to have experienced more than one type of abuse. The supplementary data provided important information about the range and severity of children's maltreatment experiences. Review of the parent and medical record data led to identification of 28 children who had additional types of maltreatment experiences that were not reported by their protective services workers—nine cases of physical abuse, two cases of neglect, five cases of sexual abuse, and 12 cases of emotional maltreatment. Supplementary data also revealed information about incidents of specific types of abuse that were more severe than those reported by the children's protective service workers in an additional 24 cases. A method was devised to synthesize information provided from the different sources of data examined in this report to derive 0–4 point ratings of four categories of maltreatment experiences: (1) physical abuse, (3) neglect, (3) sexual abuse, and (4) emotional maltreatment. The Kappa reliability coefficients for each of these scales were .88, .73, .83, and .90, respectively. Data demonstrating the relationship between these maltreatment ratings and various indices of the children's socioemotional and cognitive functioning were also presented to provide preliminary support for the validity of these scales. The findings from this study suggest that multiple sources of data should be examined in order to obtain accurate assessments of children's maltreatment experiences, and that independent raters can synthesize discrepant data to obtain reliable and valid estimates of children's abuse history. Clinical and methodological issues relevant to the improved assessment of children's maltreatment experiences are also discussed.     

Life Stress as Mediator of the Childhood Maltreatment – Intimate Partner Violence Link in Low-Income, African American Women

This study examined the relations between childhood maltreatment, daily life hassles, and intimate partner violence among low-income, suicidal, abused African American women (N = 208). Findings indicated a significant association between childhood maltreatment and intimate partner violence, such that women who experienced childhood maltreatment were more likely to experience intimate partner violence as adults than those who reported no childhood maltreatment history. Also, results from bootstrapping analyses revealed that daily life stressors mediated the link between childhood maltreatment and both physical and nonphysical forms of intimate partner violence. These findings highlight the importance of thoroughly assessing for a history of childhood maltreatment, current intimate partner violence, and the nature and extent of daily hassles when working with low-income African American women, as well as helping abused women with a history of childhood maltreatment to cope effectively with the daily life hassles that they encounter.     

Characteristics of Domestic Violence Offenders: Associations with Childhood Exposure to Violence

Many women are abused by intimate partners, millions of children witness such acts, and many of these children are physically abused. Children who are exposed to violence often evidence difficulties, including violent behavior, as adults. One hypothesized mode of intergenerational transmission is modeling. There is evidence that witnessing and/or experiencing violence are related to different patterns of abusive behavior and, perhaps, psychopathology, but the extent of the relationship is unclear. This study examined differences in generality, frequency, and severity of violent offenses, nonviolent criminal behavior, and psychopathology within a battering population of 1,099 adult males with varying levels of exposure to violence as children. Generality, frequency, and severity of violence and psychopathology all increased as level of childhood exposure to violence increased. Modeling theory was supported by the findings that men who witnessed domestic violence as children committed the most frequent domestic violence, and men who were abused as children were more likely to abuse children. Men who were abused also committed more general violence.     

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.     

From child maltreatment to violent offending: an examination of mixed-gender and gender-specific models

Research suggests that child maltreatment predicts juvenile violence, but it is uncertain whether the effects of victimization persist into adulthood or differ across gender. Furthermore, we know little about the mechanisms underlying the victim-perpetrator cycle for males and females. Consequently, this study analyzed associations between child maltreatment and a number of adult measures of violent offending within mixed-gender and gender-specific models. Along with main effects, the study directly tested the moderating effects of gender on the maltreatment-violence link and analyzed theory-informed gender-specific mediators. Data were derived from the Chicago Longitudinal Study, a panel investigation of 1,539 low-income minority participants born in 1979 or 1980. Child welfare, juvenile court, and criminal court records informed the study's explanatory and outcome measures. Prospectively collected covariate and mediator measures originated with parent, teacher, and self-reports along with several administrative sources. Results indicated that child maltreatment, ages 0 to 11, significantly predicted all study indicators of violence in the full sample and most study outcomes in the male and female subsamples. In no instance did gender moderate the maltreatment-violence association. Late childhood/early adolescence environmental instability, childhood externalizing behaviors, and adolescent peer social skills fully mediated the maltreatment-violence nexus among males. Adolescent externalizing behavior partially mediated the relationship of interest among females. Evidence also indicated that internalizing processes protected females who had been maltreated in childhood against perpetrating violence later in life. Implications of results are discussed.     

Self-esteem of young adults experiencing interparental violence and child physical maltreatment: parental and peer relationships as mediators

This study examined the joint impact of experiencing both interparental violence and child physical maltreatment on young adults' self-esteem. It also tested the hypothesis of parental and peer relationship qualities as mediators in the relationship between childhood histories of family violence and adult self-esteem. Data were collected from a national probability sample of 1,924 college students in Taiwan. Research results demonstrated that experiencing both interparental violence and physical maltreatment during childhood have long-term and detrimental impact on adult self-esteem. This impact was statistically independent of other potential confounding factors. Moreover, participants experiencing dual violence during childhood reported lower self-esteem than those experiencing only one type of family violence or none at all. Male participants who experienced dual violence reported lower self-esteem than female participants who experienced dual violence. Further analyses revealed that parental and peer relationship qualities mediated the joint impact of interparental violence and physical maltreatment on adult self-esteem.     

Childhood psychological abuse and adult aggression: the mediating role of self-capacities

The current study examines the utility of self-trauma theory for explaining the long-term impact of childhood psychological abuse on aggression. Specifically, the self-capacities of interpersonal relatedness, identity, and affect regulation are tested as mediators of the impact of psychological abuse on various types of aggression in adulthood. Hierarchical regression analyses are used to examine data collected from 268 university students who completed the Personality Assessment Inventory, Comprehensive Child Maltreatment Scale, and the Inventory of Altered Self-Capacities. Results show that self-capacities were predicted by maltreatment, particularly psychological abuse. Altered self-capacities fully mediate the impact of child maltreatment on various forms of aggression. Problems with interpersonal relationships play the most significant role in mediating the relationship between child maltreatment and aggression. Results suggest more frequent maltreating experiences predict more dysfunctional self-capacities, which increases the probability of displaying various forms of aggression.     

Severity of Partner and Child Maltreatment: Reliability of Scales Used in America's Largest Child and Family Protection Agency

This paper describes two studies investigating the interrater agreement of severity scales for family maltreatment used in America's largest child and family maltreatment agency: the U.S. military's Family Advocacy Program (FAP). The USAF-FAP Severity Index is a multidimensional rating system for clinicians' evaluations of the severity of seven forms of family maltreatment: partner physical, emotional, and sexual abuse; child physical, emotional, and sexual abuse; and child neglect. The first study evaluated the reliability of the scale as it is used in the field. The second study compared a generalizable sample of clinicians' ratings to an established gold standard of what the ratings should have been. The Severity Index demonstrated fair-to-good levels of reliability, suggesting that with minimal cost, investigating caseworkers can routinely assess, and make fairly reliable ratings of, the severity of seven forms of family maltreatment for each case they investigate.     

Risk factors for physical assault and rape among six Native American tribes

Prevalence and correlates of adult physical assault and rape in six Native American tribes are presented (N = 1,368). Among women, 45% reported being physically assaulted and 14% were raped since age 18 years. For men, figures were 36% and 2%, respectively. Demographic characteristics, adverse childhood experiences, adulthood alcohol dependence, and cultural and regional variables were assessed. Using logistic regression, predictors of physical assault among women were marital status, an alcoholic parent, childhood maltreatment, and lifetime alcohol dependence. Predictors of sexual assault among women were marital status, childhood maltreatment, and lifetime alcohol dependence. Among men, only childhood maltreatment and lifetime alcohol dependence predicted being physically assaulted. Tribal differences existed in rates of physical assault (both sexes) and rape (women only). The results underscore the problem of violence victimization among Native Americans and point to certain environmental features that increase risk of adulthood physical and sexual assault. Implications for tribe-specific interventions are discussed.