scholarly journals Intergenerational transmission of maltreatment: A multilevel examination

2015 ◽  
Vol 27 (4pt2) ◽  
pp. 1429-1442 ◽  
Author(s):  
Leslie D. Leve ◽  
Atika Khurana ◽  
Emily B. Reich

AbstractDespite the commonly held belief that there is a high degree of intergenerational continuity in maltreatment, studies to date suggest a mixed pattern of findings. One reason for the variance in findings may be related to the measurement approach used, which includes a range of self-report and official indicators of maltreatment and both cross-sectional and longitudinal designs. This study attempted to shed light on the phenomenon of intergenerational continuity of maltreatment by examining multiple indicators of perpetration of maltreatment in young adults and multiple risk factors across different levels within an individual's social ecology. The sample included 166 women who had been placed in out-of-home care as adolescents (>85% had a substantiated maltreatment incident) and followed into young adulthood, and included three waves of adolescent data and six waves of young adult data collected across 10 years. The participants were originally recruited during adolescence as part of a randomized controlled trial examining the efficacy of the Treatment Foster Care Oregon intervention. Analyses revealed weak to modest associations among the three indicators of perpetration of maltreatment in young adulthood, that is, official child welfare records, self-reported child welfare system involvement, and self-reported maltreatment (r = .03–.51). Further, different patterns of prediction emerged as a function of the measurement approach. Adolescent delinquency was a significant predictor of subsequent self-reported child welfare contact, and young adult partner risk was a significant predictor of perpetration of maltreatment as indexed by both official child welfare records and self-reported child welfare contact. In addition, women who were originally assigned to the intervention condition reported perpetrating less maltreatment during young adulthood. Implications for measurement and interventions related to reducing the risk for intergenerational transmission of risk are discussed.

2000 ◽  
Vol 45 (5) ◽  
pp. 465-470 ◽  
Author(s):  
Eeva T Aronen ◽  
Mika Soininen

Objective: To evaluate the predictive value of childhood depressive symptoms for psychiatric symptoms, adaptive functioning, and self-performance in young adults. Method: The study sample consisted of 111 young adults born during 1975–1976 in the Helsinki region. The young adults were assessed in childhood (10 to 11 years of age) using the Children's Depression Inventory (CDI) and at the age of 20 to 21 years using Achenbach's Young Adult Self Report (YASR), the Beck Depression Inventory (BDI), and the Wallston Self-Performance Survey. Results: Self-reported depressive symptoms in childhood predicted psychiatric symptoms (especially aggression), poor adaptive functioning, and low self-esteem in young adulthood. Conclusions: Depressive symptoms in children should be addressed to prevent later psychiatric problems. The CDI may be a measure of nonspecific psychopathology rather than of pure depression—thus, it may be a good screening tool for child populations.


2017 ◽  
Vol 32 (2) ◽  
pp. 432-439 ◽  
Author(s):  
Sandra H. Soto ◽  
Elva M. Arredondo ◽  
Jessica Haughton ◽  
Holly Shakya

Purpose: To examine the association between characteristics of social support for exercise and moderate-to-vigorous leisure-time physical activity (LTPA) among Latinas. Design: This cross-sectional study used baseline data from a cluster randomized controlled trial. Setting: The study was conducted in 16 churches located in San Diego County. Participants: Participants (N = 436) were Latinas between 18 and 65 years old who did not self-report >150 minutes or did not exceed 250 minutes of moderate-to-vigorous PA per week measured by accelerometer. Measures: Latinas listed up to 6 individuals who had provided support for exercise within the past 6 months, including their gender, relationship with the respondent, types of support provided, and respondent’s satisfaction with support. Self-reported LTPA was dichotomized (none vs any). Analyses: We generated dyads between Latinas who named ≥1 supporter (n = 323) and each supporter they named (n = 569 dyads). Logistic regression analyses were conducted using generalized estimating equations to adjust for multiple observations per participant. Results: Having an exercise partner (odds ratio [OR]: 2.16; 95% confidence interval [CI]: 1.01-4.62), help with household duties (OR: 2.70; 95% CI: 1.35-3.38), being “very much” satisfied with support (OR: 2.33; 95% CI: 1.26-4.30), and naming >2 supporters (OR: 2.57; 95% CI: 1.06-6.25) was positively associated with LTPA. Conclusions: Findings suggest specific aspects of support for exercise that should be targeted in future interventions to promote LTPA.


2020 ◽  
Vol 30 (7) ◽  
pp. 3991-3999
Author(s):  
Klara Mareckova ◽  
Radek Marecek ◽  
Lenka Andryskova ◽  
Milan Brazdil ◽  
Yuliya S Nikolova

Abstract Maternal depression during pregnancy is associated with elevated risk of anxiety and depression in offspring, but the mechanisms are incompletely understood. Here we conducted a neuroimaging follow-up of a prenatal birth cohort from the European Longitudinal Study of Pregnancy and Childhood (n = 131; 53% women, age 23–24) to test whether deviations from age-normative structural brain development in young adulthood may partially underlie this link. Structural brain age was calculated based on previously published neuroanatomical age prediction models using cortical thickness maps from healthy controls aged 6–89. Brain age gap was computed as the difference between chronological and structural brain age. Participants also completed self-report measures of anxiety and mood dysregulation. Further, mothers of a subset of participants (n = 103, 54% women) answered a self-report questionnaire in 1990–1992 about depressive symptoms during pregnancy. Higher exposure to maternal depressive symptoms in utero showed a linear relationship with elevated brain age gap, which showed a quadratic relationship with anxiety and mood dysregulation in the young adult offspring. Our findings suggest that exposure to maternal depressive symptoms in utero may be associated with accelerated brain maturation and that deviations from age-normative structural brain development in either direction predict more anxiety and dysregulated mood in young adulthood.


CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S119-S120
Author(s):  
C. Villa-Roel ◽  
B. Borgundvaag ◽  
S.R. Majumdar ◽  
R. Leigh ◽  
M. Bhutani ◽  
...  

Introduction: Social desirability bias is a systematic error in self-report measures resulting from the desire of respondents to avoid embarrassment and project a favourable image of themselves to others. This bias may decrease the accuracy of self-reported health outcomes collected in health research compromise the validity of research findings. This study compared outcomes obtained by patient self-report vs. the same outcomes after undergoing verification and external adjudication, in trial involving patients with acute asthma. Methods: Cross-sectional analysis of outcome data obtained in a randomized controlled trial conducted in 6 Canadian emergency departments (ED). Adult patients were allocated to receive usual care (UC), opinion leader [OL] guidance to their primary care provider (PCP), or OL guidance+nurse case-management [OL+CM] for patients (NCT01079000). Asthma relapses and PCP follow-up visits were blindly assessed through patient self-report 30 and 90 days after their ED presentation for acute asthma. Each reported event was verified through the provincial electronic medical record, the ED Information Systems, and by calling the PCPs’ offices. Two study investigators, blinded to the study interventions, independently reviewed and adjudicated the verified outcomes. Disagreements were resolved by consensus prior to un-blinding. Results: Overall, 367 patients were enrolled; more were female (64%) and the median age was 28 years. Overall, patient follow-up was obtained in 85% of cases. The proportion of asthma relapses occurring within the first 90 days were lower when considering patient self-report than when considering the adjudicated outcomes (17%[39/227] vs. 19%[70/367]). The proportion of PCP follow-up visits occurring within the first 30 days were higher when considering patient self-report than when considering the adjudicated outcomes (47%[139/290] vs. 40%[146/367]). The pattern was similar, regardless of the arm of the study (UC vs. OL vs. OL+CM arms); outcome disagreement did not influence the direction of magnitude of the treatment effect. Conclusion: Social desirability bias could have influenced the outcomes obtained by patient self-report in this ED-based study. The direction of the bias was the same for both outcomes; however, the variation did not change the study results. This bias may play a role in studies with smaller sample sizes.


Hypertension ◽  
2017 ◽  
Vol 70 (suppl_1) ◽  
Author(s):  
Elaine M Urbina ◽  
Lydia Bazzano ◽  
Trudy Burns ◽  
Terry Dwyer ◽  
David Jacobs ◽  
...  

The natural history of blood pressure (BP) tracking from childhood to adulthood is not well defined. Using data from the International Childhood CV Cohorts Consortium, consisting of 7 international longitudinal cohorts, participants (N=5042) were evaluated by self-reported adult hypertension (HTN). Correlation between mean of all measures of BP on a subject during childhood (8-11 years) or adolescence (15-18 years) and adult BP (28-31 years) was evaluated with Spearman correlation coefficients. Differences in mean BP, body mass index (BMI) and laboratory values were evaluated by t-tests. Participants at time of self-report of HTN were mean age 48.5 years (81.7% white, 17.4% black; 39% male). Prevalence of HTN (N=1562) was 31%; 3480 were normotensive (NT). Correlations between child and adolescent SBP and DBP were r=0.43, 0.42, respectively, child and young adult r=0.24, 0.23 and adolescent and young adult r=0.41, 0.27 (all p<0.0001). Participants self-reporting HTN were more likely to be non-white (46.8% black, 30.2% white, 29.7% other, p<0.0001). Males were more likely to report HTN (33% vs 28% females, p<0.0001). They had significantly higher SBP and BMI as children and adolescents and also significantly higher DBP and fasting glucose by adolescence and lower HDL and higher TG by young adulthood (all p<0.01). We conclude that adult HTN begins in childhood with higher BP and BMI which appear to be important clinical markers for progressive increases in metabolic risk factors as these individuals age through adolescence and young adulthood.


Crisis ◽  
2018 ◽  
Vol 39 (2) ◽  
pp. 144-148 ◽  
Author(s):  
Leah Shelef ◽  
Anat Brunstein Klomek ◽  
Nirit Yavnai ◽  
Golan Shahar

Abstract. Background: Intent to die is an important component of suicide risk assessment. The authors compared the predictive effect of two forms of stress – military and perceived – in intent to die by suicide among young adult Israeli soldiers with a history of suicide attempts. Depression, suicide ideation, and habituation/acquired capacity for suicidality served as covariates. Methods: Participants were 60 young adult soldiers in the Israeli Defense Force (ISF; aged 18–21 years), who made a suicide attempt during their military service. Study variables were assessed using self-report measures. Results: Intent to die by suicide correlated with suicide ideation, habituation/acquired capacity, depressive symptoms, and perceived stress. In a multiple regression analysis, perceived stress predicted intent to die (b = .44, p = .002) over and above the prediction by suicide ideation (b = .42, p = .013) and acquired capacity/habituation (b = .28, p = .023). Limitations: The cross-sectional design restricts causal inference. In addition, an exclusive reliance on self-report measures might have inflated shared method variance. Conclusions: Perceived stress captures a unique dimension of intent to die by suicide among young suicide attempters.


2013 ◽  
Vol 25 (1) ◽  
pp. 96-117
Author(s):  
Fabian Escher ◽  
Inge Seiffge-Krenke

In a longitudinal study, the influence of three types of fathers on their children’s psychopathology in adolescence and young adulthood was analyzed. In a sample of 213 subjects, the symptomatology was evaluated at five points in adolescence (Youth Self-Report) and in young adulthood (Young Adult Self-Report). The results show elevated levels of internalizing symptomatology in females compared to males. Furthermore, the results point to significant problems in young adults who have described their father as increasingly negative or distant through adolescence. At all measurement points, these two groups show higher symptomatology than the group of young adults who have described their father as normative in adolescence. Zusammenfassung In einer Längsschnittstudie wurde der Einfluss dreier Vatertypen auf die Symptombelastung ihrer Kinder im Jugend- und im jungen Erwachsenenalter analysiert. An einer Stichprobe aus 213 Probanden wurde die Symptombelastung zu fünf Messzeitpunkten im Jugendalter (Youth Self- Report) und im jungen Erwachsenenalter (Young Adult Self-Report) untersucht. Die Ergebnisse der Studie zeigen erhöhte Werte in der internalisierenden Symptombelastung der weiblichen im Vergleich zu den männlichen Probanden. Des Weiteren weisen die Ergebnisse auf erhebliche Probleme bei jungen Erwachsenen, welche ihren Vater im Jugendalter als zunehmend negativ oder distanziert beschrieben haben, hin. In diesen beiden Gruppen zeigte sich zu allen Messzeitpunkten eine höhere Symptombelastung als in der Gruppe der jungen Erwachsenen, welche ihren Vater im Jugendalter als normativ beschrieben haben.


2011 ◽  
Vol 40 (2) ◽  
pp. 75-84 ◽  
Author(s):  
Urska Agrez ◽  
Christa Winkler Metzke ◽  
Hans-Christoph Steinhausen
Keyword(s):  

Zusammenfassung. Der Young Adult Self-Report (YASR) erfasst behaviorale und emotionale Symptome bei jungen Erwachsenen im Alter von 18 bis 30 Jahre. Das Hauptziel der vorliegenden Studie war die Überprüfung der psychometrischen Qualität der deutschen Version des YASR auf der Basis von Daten aus einer großen epidemiologischen Stichprobe junger Erwachsener in der Schweiz (N = 951; Durchschnittsalter = 19.8, SD = 1.6; 56.3% Frauen). Die syndromale Struktur der amerikanischen Originalversion wurde in den Stichprobendaten mittels konfirmatorischer Faktorenanalyse gut repliziert. Mit Ausnahme der Skala Schizoid/zwanghaftes Denken sind alle Skalen für Forschungszwecke ausreichend zuverlässig. Aufgrund mangelnder interner Konsistenz einzelner Skalen müssen individuelle Testergebnisse mit Vorsicht interpretiert werden.


Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 272-279 ◽  
Author(s):  
Allison S. Christian ◽  
Kristen M. McCabe

Background: Deliberate self-harm (DSH) occurs with high frequency among clinical and nonclinical youth populations. Although depression has been consistently linked with the behavior, not all depressed individuals engage in DSH. Aims: The current study examined maladaptive coping strategies (i.e., self-blame, distancing, and self-isolation) as mediators between depression and DSH among undergraduate students. Methods: 202 students from undergraduate psychology courses at a private university in Southern California (77.7% women) completed anonymous self-report measures. Results: A hierarchical regression model found no differences in DSH history across demographic variables. Among coping variables, self-isolation alone was significantly related to DSH. A full meditational model was supported: Depressive symptoms were significantly related to DSH, but adding self-isolation to the model rendered the relationship nonsignificant. Limitations: The cross-sectional study design prevents determination of whether a casual relation exists between self-isolation and DSH, and obscures the direction of that relationship. Conclusions: Results suggest targeting self-isolation as a means of DSH prevention and intervention among nonclinical, youth populations.


Crisis ◽  
2020 ◽  
Vol 41 (4) ◽  
pp. 288-295 ◽  
Author(s):  
Nadia Bounoua ◽  
Jasmeet P. Hayes ◽  
Naomi Sadeh

Abstract. Background: Suicide among veterans has increased in recent years, making the identification of those at greatest risk for self-injurious behavior a high research priority. Aims: We investigated whether affective impulsivity and risky behaviors distinguished typologies of self-injurious thoughts and behaviors in a sample of trauma-exposed veterans. Method: A total of 95 trauma-exposed veterans (ages 21–55; 87% men) completed self-report measures of self-injurious thoughts and behaviors, impulsivity, and clinical symptoms. Results: A latent profile analysis produced three classes that differed in suicidal ideation, suicide attempts and nonsuicidal self-injury (NSSI): A low class that reported little to no self-injurious thoughts or behaviors; a self-injurious thoughts (ST) class that endorsed high levels of ideation but no self-harm behaviors; and a self-injurious thoughts and behaviors (STaB) class that reported ideation, suicide attempts and NSSI. Membership in the STaB class was associated with greater affective impulsivity, disinhibition, and distress/arousal than the other two classes. Limitations: Limitations include an overrepresentation of males in our sample, the cross-sectional nature of the data, and reliance on self-report measures. Conclusion: Findings point to affective impulsivity and risky behaviors as important characteristics of veterans who engage in self-injurious behaviors.


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