Maternal childhood trauma and prenatal stressors are associated with child behavioral health

Author(s):  
Shaikh I. Ahmad ◽  
Kristen L. Rudd ◽  
Kaja Z. LeWinn ◽  
W. Alex Mason ◽  
Laura Murphy ◽  
...  

Abstract Maternal adversity and prenatal stress confer risk for child behavioral health problems. Few studies have examined this intergenerational process across multiple dimensions of stress; fewer have explored potential protective factors. Using a large, diverse sample of mother–child dyads, we examined associations between maternal childhood trauma, prenatal stressors, and offspring socioemotional-behavioral development, while also examining potential resilience-promoting factors. The Conditions Affecting Neurocognitive Development and Learning and Early Childhood (CANDLE) study prospectively followed 1503 mother–child dyads (65% Black, 32% White) from pregnancy. Exposures included maternal childhood trauma, socioeconomic risk, intimate partner violence, and geocode-linked neighborhood violent crime during pregnancy. Child socioemotional-behavioral functioning was measured via the Brief Infant Toddler Social Emotional Assessment (mean age = 1.1 years). Maternal social support and parenting knowledge during pregnancy were tested as potential moderators. Multiple linear regressions (N = 1127) revealed that maternal childhood trauma, socioeconomic risk, and intimate partner violence were independently, positively associated with child socioemotional-behavioral problems at age one in fully adjusted models. Maternal parenting knowledge moderated associations between both maternal childhood trauma and prenatal socioeconomic risk on child problems: greater knowledge was protective against the effects of socioeconomic risk and was promotive in the context of low maternal history of childhood trauma. Findings indicate that multiple dimensions of maternal stress and adversity are independently associated with child socioemotional-behavioral problems. Further, modifiable environmental factors, including knowledge regarding child development, can mitigate these risks. Both findings support the importance of parental screening and early intervention to promote child socioemotional-behavioral health.

Author(s):  
Ana Rosser-Limiñana ◽  
Raquel Suriá-Martínez ◽  
Miguel Ángel Mateo Pérez

Background: Exposure to violence perpetrated on a mother by her intimate partner (IPV or intimate partner violence) has an impact on the psychosocial adjustment of her children. In addition, the violence suffered by mothers could affect parental competences. Methods: Through the Child Behavior Checklist (CBCL), this work analyzes the psychosocial adjustment in children between 6 and 17 years old who live with their mothers in shelters after having experienced IPV situations. It also explores the association between mothers’ parenting competences and children’s adjustment in shelters. Results: The evaluation shows a negative correlation between the quality of mothers’ care of their children during their stay in shelters and the rate of children’s behavioral problems, so that the better the parental competences of mothers, the lower the rate of behavioral problems presented by children. Conclusions: As a result of IPV, mother–child relationships can be affected. Children exposed to IPV may exhibit more externalizing behavior problems and their mothers may have difficulty demonstrating competent parenting behaviors while living in a shelter. Work should be aimed at reestablishing parenting competences in mothers and the quality of mother–child interactions while they remain in the shelters, in an effort to mitigate the psychosocial consequences of IPV for their children.


2019 ◽  
pp. 088626051986770 ◽  
Author(s):  
Lynette M. Renner ◽  
Qi Wang ◽  
Mary E. Logeais ◽  
Cari Jo Clark

Screening rates for intimate partner violence (IPV) among most health care providers are low; yet, positive interactions with providers can benefit people who experience IPV, with respect to increased safety, support, and self-efficacy. Missing is a broad assessment and comparison of knowledge, attitudes, and behavior across the range of providers who are likely to be involved in a response to IPV disclosure. The purpose of our study was to assess health care providers’ IPV preparation, knowledge, opinions, and practices and examine differences across three types of health care providers (medical providers, nursing staff, and social/behavioral health providers). We used an anonymous online survey to gather self-reported information on preparation, knowledge, opinions, and practices around IPV. A random sample of 402 providers was drawn from 13 clinics in a large multispecialty outpatient practice setting. The respondents ( N = 204) consisted of medical providers ( n = 70), nursing staff ( n = 107), and social/behavioral health providers ( n = 27). Data analyses consisted of univariate, bivariate, and multivariate analyses. Social/behavioral health providers reported more preparation, knowledge, victim understanding, and less job-related constraints, yet they reported lower screening rates than medical providers and nursing staff. Overall, no provider group seemed well-equipped to work with patients who disclose IPV. Our findings identify unmet needs within our health system to better train health care providers and restructure care models to support IPV identification and response. A focus on interprofessional training and care collaboration would bolster competency and reduce constraints felt by the health care workforce.


2017 ◽  
Vol 95 (3) ◽  
pp. 332-338 ◽  
Author(s):  
Lamerial McRae ◽  
Andrew P. Daire ◽  
Eileen M. Abel ◽  
Glenn W. Lambie

2016 ◽  
Vol 33 (16) ◽  
pp. 2512-2536 ◽  
Author(s):  
Bianca Harper ◽  
Ijeoma Nwabuzor Ogbonnaya ◽  
Kelly C. McCullough

This study used data from the National Survey of Child and Adolescent Well-Being II to examine the effects of intimate partner violence (IPV) on child-welfare-involved toddlers’ psychosocial development. The sample was limited to toddlers aged 12 to 18 months with mothers who did ( n = 102) and did not ( n = 163) report IPV physical victimization. Multiple linear regression analyses showed, when compared with mothers who did not report IPV physical victimization, mothers who reported IPV physical victimization were more likely to have toddlers with higher levels of socioemotional and behavioral problems ( B = 5.06, p < .001). Conversely, delayed social competence was not associated with IPV ( B = −1.33, p > .05). Further analyses examining only toddlers with mothers who reported IPV physical victimization revealed, when compared with IPV-exposed toddlers who had a child welfare report of physical abuse as the primary maltreatment type, those with IPV as the primary maltreatment type were at lower risk of having socioemotional and behavioral problems ( B = −12.90, p < .05) and delayed social competence ( B = 3.27, p < .05). These findings indicate a significant concern regarding toddler psychosocial development when a mother has experienced IPV. This concern is even greater among IPV-exposed toddlers who experience physical abuse. We recommend child welfare workers assess for IPV. Once identified, early prevention and intervention services should be offered and tailored to the specific needs of IPV-affected families.


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