Exploring the prospective role of relationships and psychological distress in postpartum risk of intergenerational continuity of child maltreatment
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Keywords

Intergenerational continuity
child maltreatment
psychological distress
romantic satisfaction
early attachment

How to Cite

LangevinR., HébertM., BernierA., & FrappierJ.-Y. (2022). Exploring the prospective role of relationships and psychological distress in postpartum risk of intergenerational continuity of child maltreatment. International Journal of Child and Adolescent Resilience, 9(1), 34-46. https://doi.org/10.54488/ijcar.2022.311

Abstract

Objectives: This prospective longitudinal study aimed to explore the role of family relationships (romantic satisfaction and mother-infant bonding) and psychological distress in the associations between four child maltreatment (CM) subtypes (sexual, physical, and emotional abuse, neglect) and early child abuse potential in young mothers.
Methods: A sample of 85 pregnant mothers (18-29 years old) was recruited to complete an online survey at Time 1 (T1); 57 mothers participated at T2 (3 months postpartum). The survey documented experiences of CM, prenatal romantic satisfaction, postnatal psychological distress, mother-infant bonding, and child abuse potential using validated questionnaires.
Results: Four sequential mediation models were tested, one for each CM subtype. Results show that a maternal history of CM (all subtypes) was indirectly associated with heightened child abuse potential three months postpartum. All CM subtypes were negatively related to prenatal romantic satisfaction, which was in turn negatively associated with postnatal psychological distress. Postnatal psychological distress was related to lower mother-infant bonding which, in turn, was related to increased child abuse potential. The complete sequential model was significant for physical, sexual, and emotional abuse, while a partial sequence was identified with neglect.
Implications: Our results are consistent with theoretical models and empirical findings demonstrating the importance of relational factors and mental health in the intergenerational continuity of CM. While our findings await replication, they emphasize the need to intervene early - during the perinatal period - on mental health and family relationships to interrupt intergenerational cycles of CM in at-risk families.

https://doi.org/10.54488/ijcar.2022.311
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References

Afifi, T. O., MacMillan, H. L., Boyle, M., Taillieu, T., Cheung, K., & Sareen, J. (2014). Child abuse and mental disorders in Canada. Canadian Medical Association Journal, 186(9), E324‑E332. https://doi.org/10.1503/cmaj.131792

Ayers, S., Bond, R., Webb, R., Miller, P., & Bateson, K. (2019). Perinatal mental health and risk of child maltreatment: A systematic review and meta-analysis. Child Abuse & Neglect, 98, Article 104172. https://doi.org/10.1016/j.chiabu.2019.104172

Berthelot, N., Drouin-Maziade, C., Garon-Bissonnette, J., Lemieux, R., Sériès, T., & Lacharité, C. (2021). Evaluation of the acceptability of a prenatal program for women with histories of childhood trauma: the program STEP. Frontiers in Psychiatry, 12, Article 772706. https://doi.org/10.3389/fpsyt.2021.772706

Berzenski, S. R., Yates, T. M., & Egeland, B. (2014). A multidimensional view of continuity in intergenerational transmission of child maltreatment. In J. E. Korbin & R. D. Krugman (Eds.), Handbook of Child Maltreatment (Vol. 2, pp. 115‑129). Springer Netherlands. https://doi.org/10.1007/978-94-007-7208-3_6

Bradbury, L. L., & Shaffer, A. (2012). Emotion dysregulation mediates the link between childhood emotional maltreatment and young adult romantic relationship satisfaction. Journal of Aggression, Maltreatment & Trauma, 21(5), 497-515. https://doi.org/10.1080/10926771.2012.678466

Bremner, J. D., Bolus, R., & Mayer, E. A. (2007). Psychometric properties of the Early Trauma Inventory - Self Report. The Journal of nervous and mental disease, 195(3), 211‑218. https://doi.org/10.1097/01.nmd.0000243824.84651.6c

Cao, H., Zhou, N., & Leerkes, E. M. (2020). Childhood emotional maltreatment and couple functioning among women across transition to parenthood: A process model. Journal of Family Psychology, 34(8), 991-1003. https://doi.org/10.1037/fam0000662

Condon, J. T., & Corkindale, C. J. (1998). The assessment of parent-to-infant attachment: Development of a self-report questionnaire instrument. Journal of Reproductive and Infant Psychology, 16(1), 57‑76. https://doi.org/10.1080/02646839808404558

Condon, J. T., Corkindale, C. J., & Boyce, P. (2008). Assessment of postnatal paternal-infant attachment: Development of a questionnaire instrument. Journal of Reproductive and Infant Psychology, 26(3), 195-210. https://doi.org/10.1080/02646830701691335

Conger, R. D., Schofield, T. J., Neppl, T. K., & Merrick, M. T. (2013). Disrupting intergenerational continuity in harsh and abusive parenting: The importance of a nurturing relationship with a romantic partner. Journal of Adolescent Health, 53(4, Supplement), S11‑S17. https://doi.org/10.1016/j.jadohealth.2013.03.014

Cuijpers, P., Brännmark, J. G., & van Straten, A. (2008). Psychological treatment of postpartum depression: A meta-analysis. Journal of Clinical Psychology, 64(1), 103‑118. https://doi.org/10.1002/jclp.20432

Cyr, C., Euser, E. M., Bakermans-Kranenburg, M. J., & Van Ijzendoorn, M. H. (2010). Attachment security and disorganization in maltreating and high-risk families: A series of meta-analyses. Development and Psychopathology, 22(1), 87‑108. https://doi.org/10.1017/s0954579409990289

Dixon, L., Browne, K., & Hamilton-Giachritsis, C. (2005). Risk factors of parents abused as children: A mediational analysis of the intergenerational continuity of child maltreatment (Part I). Journal of Child Psychology and Psychiatry, and Allied Disciplines, 46(1), 47-57. https://doi.org/10.1111/j.1469-7610.2004.00339.x

Dixon, L., Browne, K., & Hamilton-Giachritsis, C. (2009). Patterns of risk and protective factors in the intergenerational cycle of maltreatment. Journal of Family Violence, 24(2), 111-122. https://doi.org/10.1007/s10896-008-9215-2

Dixon, L., Hamilton-Giachritsis, C., & Browne, K. (2005). Attributions and behaviours of parents abused as children: A mediational analysis of the intergenerational continuity of child maltreatment (Part II). Journal of Child Psychology and Psychiatry, and Allied Disciplines, 46(1), 58-68. https://doi.org/10.1111/j.1469-7610.2004.00340.x

Dunne, M. P., Zolotor, A. J., Runyan, D. K., Andreva-Miller, I., Choo, W. Y., Dunne, S. K., Gerbaka, B., Isaeva, O., Jain, D., Kasim, M. S., & Macfarlane, B. (2009). ISPCAN child abuse screening tools retrospective version (ICAST-R): Delphi study and field testing in seven countries. Child Abuse & Neglect, 33(11), 815-825. https://doi.org/10.1016/j.chiabu.2009.09.005

Egeland, B., Jacobvitz, D., & Sroufe, L. A. (1988). Breaking the cycle of abuse. Child Development, 59(4), 1080‑1088. https://doi.org/10.2307/1130274

Gilbert, R., Widom, C. S., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009). Burden and consequences of child maltreatment in high-income countries. The Lancet, 373(9657), 68‑81. https://doi.org/10.1016/S0140-6736(08)61706-7

Goemans, A., Viding, E., & McCrory, E. (2021). Child maltreatment, peer victimization, and mental health: Neurocognitive perspectives on the cycle of victimization. Trauma, Violence, & Abuse. Advance online publication. https://doi.org/10.1177/15248380211036393

Grunsfeld, S. (2018). The role of maternal risk factors in the intergenerational transmission of child sexual abuse from the longitudinal studies of child abuse and neglect (Longscan) (Publication No. 10830623) [Doctoral dissertation, Fielding Graduate University]. ProQuest Dissertations and Theses Global. https://www.proquest.com/docview/2092659863/abstract/F93F18E121D5473FPQ/1

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Gilford Press.

Huang, R., Yang, D., Lei, B., Yan, C., Tian, Y., Huang, X., & Lei, J. (2020). The short- and long-term effectiveness of mother-infant psychotherapy on postpartum depression: A systematic review and meta-analysis. Journal of Affective Disorders, 260, 670‑679. https://doi.org/10.1016/j.jad.2019.09.056

International Society for the Prevention of child Abuse and Neglect [ISPCAN]. (2015). ISPCAN child abuse screening tool (ICAST): Questionnaire for young adults (aged 18–24 years) V3.0. https://www.ispcan.org/learn/icast-abuse-screening-tools/?v=402f03a963ba

Jaffee, S. R., Bowes, L., Ouellet-Morin, I., Fisher, H. L., Moffitt, T. E., Merrick, M. T., & Arseneault, L. (2013). Safe, stable, nurturing relationships break the intergenerational cycle of abuse: A prospective nationally representative cohort of children in the United Kingdom. Journal of Adolescent Health, 53(4), S4‑S10. https://doi.org/10.1016/j.jadohealth.2013.04.007

Langevin, R., Marshall, C., & Kingsland, E. (2021). Intergenerational cycles of maltreatment: A scoping review of psychosocial risk and protective factors. Trauma, Violence, and Abuse, 22(4), 672-688. https://doi.org/10.1177/1524838019870917

Lee, J. Y., & Sung, J. (2022). Is the brief version of the child abuse potential inventory a valid and reliable measure for childcare providers? Early Education and Development, 33(2), 350-368. https://doi.org/10.1080/10409289.2021.1884467

Leeb, R. T., Lewis, T., & Zolotor, A. J. (2011). A review of physical and mental health consequences of child abuse and neglect and implications for practice. American Journal of Lifestyle Medicine, 5(5), 454‑468. https://doi.org/10.1177/1559827611410266

Lepièce, B., Reynaert, C., Jacques, D., & Zdanowicz, N. (2015). Poverty and mental health: What should we know as mental health professionals? Psychiatria Danubina, 27(1), S92-S96. https://www.psychiatria-danubina.com/UserDocsImages/pdf/dnb_vol27_sup1/dnb_vol27_sup1_92.pdf

Marshall, C., Langevin, R., & Cabecinha-Alati, S. (2022). Victim-to-victim intergenerational cycles of child maltreatment: A systematic scoping review of theoretical frameworks. International Journal of Child and Adolescent Resilience. Advance online publication. https://doi.org/10.54488/ijcar.2022.283

Miles, J. (2014). Tolerance and variance inflation factor. In Wiley StatsRef: Statistics Reference Online. John Wiley & Sons. https://doi.org/10.1002/9781118445112.stat06593

Mukherjee, S., Velez Edwards, D. R., Baird, D. D., Savitz, D. A., & Hartmann, K. E. (2013). Risk of miscarriage among black women and white women in a US prospective cohort study. American Journal of Epidemiology, 177(11), 1271‑1278. https://doi.org/10.1093/aje/kws393

O’Hara, L., Smith, E. R., Barlow, J., Livingstone, N., Herath, N. I., Wei, Y., Spreckelsen, T. F., & Macdonald, G. (2019). Video feedback for parental sensitivity and attachment security in children under five years. Cochrane Database of Systematic Reviews, 11, Article CD012348. https://doi.org/10.1002/14651858.CD012348.pub2

Ondersma, S. J., Chaffin, M. J., Mullins, S. M., & LeBreton, J. M. (2005). A brief form of the child abuse potential inventory: Development and validation. Journal of Clinical Child & Adolescent Psychology, 34(2), 301‑311. https://doi.org/10.1207/s15374424jccp3402_9

Préville, M., Boyer, R., Potvin, L., Perrault, C., & Légaré, G. (1992). La détresse psychologique : détermination de la fiabilité et de la validité de la mesure utilisée dans l’enquête de Santé Québec. Ministère de la santé et des services sociaux.

Putnam-Hornstein, E., Cederbaum, J. A., King, B., Eastman, A. L., & Trickett, P. K. (2015). A population-level and longitudinal study of adolescent mothers and intergenerational maltreatment. American Journal of Epidemiology, 181(7), 496‑503. https://doi.org/10.1093/aje/kwu321

Rathgeber, M., Bürkner, P.-C., Schiller, E.-M., & Holling, H. (2019). The efficacy of emotionally focused couples therapy and behavioral couples therapy: A meta-analysis. Journal of Marital and Family Therapy, 45(3), 447‑463. https://doi.org/10.1111/jmft.12336

Rheault, S., & Crespo, S. (2015). Les estimations du revenu de l’enquête nationale auprès des ménages: quelques résultats d’un exercice de validation. Données Sociodémographiques en Bref, 19(3), 23-27. https://statistique.quebec.ca/en/fichier/les-estimations-du-revenu-de-lenquete-nationale-aupres-des-menages-quelques-resultats-dun-exercice-de-validation-mise-a-jour.pdf

River, L. M., Narayan, A. J., Atzl, V. M., Rivera, L. M., & Lieberman, A. F. (2020). Past made present: The legacy of childhood maltreatment for romantic relationship quality and psychopathology during pregnancy. Psychology of Violence, 10(3), 324‑333. https://doi.org/10.1037/vio0000273

Roode, T. van, Sharples, K., Dickson, N., & Paul, C. (2017). Life-course relationship between socioeconomic circumstances and timing of first birth in a birth cohort. PLOS ONE, 12(1), Article e0170170. https://doi.org/10.1371/journal.pone.0170170

Sabourin, S., Valois, P., & Lussier, Y. (2005). Development and validation of a brief version of the dyadic adjustment scale with a nonparametric item analysis model. Psychological Assessment, 17(1), 15‑27. https://doi.org/10.1037/1040-3590.17.1.15

Sperlich, M., Seng, J., Rowe, H., Fisher, J., Cuthbert, C., & Taylor, J. (2017). A cycles-breaking framework to disrupt intergenerational patterns of maltreatment and vulnerability during the childbearing year. Journal of Obstetric, Gynecologic & Neonatal Nursing, 46(3), 378‑389. https://doi.org/10.1016/j.jogn.2016.11.017

Statistics Canada (2013). Canadian Survey of Economic Well-Being (CSEW). Government of Canada. https://www23.statcan.gc.ca/imdb/p2SV.pl?Function=getSurvey&SDDS=5206

Statistics Canada (2014). Fertility: Fewer children, older moms. Government of Canada. https://www150.statcan.gc.ca/n1/pub/11-630-x/11-630-x2014002-eng.htm

Statistics Canada (2022). Low income cut-offs (LICOs) before and after tax by community size and family size, in current dollars. Government of Canada. https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=1110024101

Stith, S. M., Topham, G. L., Spencer, C., Jones, B., Coburn, K., Kelly, L., & Langston, Z. (2022). Using systemic interventions to reduce intimate partner violence or child maltreatment: A systematic review of publications between 2010 and 2019. Journal of Marital and Family Therapy, 48(1), 231‑250. https://doi.org/10.1111/jmft.12566

Thornberry, T. P., & Henry, K. L. (2013). Intergenerational continuity in maltreatment. Journal of Abnormal Child Psychology, 41(4), 555‑569. https://doi.org/10.1007/s10802-012-9697-5

Thornberry, T. P., Henry, K. L., Smith, C. A., Ireland, T. O., Greenman, S. J., & Lee, R. D. (2013). Breaking the cycle of maltreatment: The role of safe, stable, and nurturing relationships. Journal of Adolescent Health, 53(4), S25-S31. https://doi.org/10.1016/j.jadohealth.2013.04.019

Tichelman, E., Westerneng, M., Witteveen, A. B., Baar, A. L. van, Horst, H. E. van der, Jonge, A. de, Berger, M. Y., Schellevis, F. G., Burger, H., & Peters, L. L. (2019). Correlates of prenatal and postnatal mother-to-infant bonding quality: A systematic review. PLOS ONE, 14(9), Article e0222998. https://doi.org/10.1371/journal.pone.0222998

Vachon, D. D., Krueger, R. F., Rogosch, F. A., & Cicchetti, D. (2015). Assessment of the harmful psychiatric and behavioral effects of different forms of child maltreatment. JAMA Psychiatry, 72(11), 1135‑1142. https://doi.org/10.1001/jamapsychiatry.2015.1792

van IJzendoorn, M. H., & Bakermans-Kranenburg, M. J. (2010). Invariance of adult attachment across gender, age, culture, and socioeconomic status? Journal of Social and Personal Relationships, 27(2), 200‑208. https://doi.org/10.1177/0265407509360908

World Health Organization. (2020). Child maltreatment. https://www.who.int/news-room/fact-sheets/detail/child-maltreatment

Yang, M.-Y., Font, S. A., Ketchum, M., & Kim, Y. K. (2018). Intergenerational transmission of child abuse and neglect: Effects of maltreatment type and depressive symptoms. Children and Youth Services Review, 91, 364‑371. https://doi.org/10.1016/j.childyouth.2018.06.036