دورية أكاديمية

Intergenerational impacts of trauma and hardship through parenting.

التفاصيل البيبلوغرافية
العنوان: Intergenerational impacts of trauma and hardship through parenting.
المؤلفون: Jensen SKG; Boston College School of Social Work, Boston College, Chestnut Hill, MA, USA., Sezibera V; Centre for Mental Health, University of Rwanda, Kigali, Rwanda., Murray SM; Boston College School of Social Work, Boston College, Chestnut Hill, MA, USA., Brennan RT; Boston College School of Social Work, Boston College, Chestnut Hill, MA, USA.; Women's Study Research Center, Brandeis University, Waltham, MA, USA., Betancourt TS; Boston College School of Social Work, Boston College, Chestnut Hill, MA, USA.
المصدر: Journal of child psychology and psychiatry, and allied disciplines [J Child Psychol Psychiatry] 2021 Aug; Vol. 62 (8), pp. 989-999. Date of Electronic Publication: 2020 Dec 07.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
اللغة: English
بيانات الدورية: Publisher: Blackwell Publishers Country of Publication: England NLM ID: 0375361 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1469-7610 (Electronic) Linking ISSN: 00219630 NLM ISO Abbreviation: J Child Psychol Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Publication: 2002- : Oxford : Blackwell Publishers
Original Publication: Oxford ; New York : Pergamon Press
مواضيع طبية MeSH: Emotional Regulation* , Stress Disorders, Post-Traumatic*, Emotions ; Humans ; Mental Health ; Parenting
مستخلص: Background: Millions of people worldwide experience severe trauma in their lifetime. Trauma has immediate and long-term effects on emotional wellbeing. Moreover, the experiences of one generation may influence subsequent generations via social and biological pathways. Poor mental health and emotion dysregulation associated with trauma may affect parenting behaviours, which may have long-lasting effects on children's development.
Methods: We use longitudinal data from a unique sample of 732 caregivers of children aged 6-36 months living in extremely poor rural households in Rwanda to examine associations of caregiver lifetime trauma, recent daily hardships, mental health, and emotion dysregulation with parenting behaviours reflecting parental acceptance and rejection of their offspring.
Results: Cumulative trauma exposure (β = .234, p < .001) and recent daily hardships (β = .323, p < .001) are associated with higher levels of internalising symptoms. Trauma (β = .257, p < .001) and daily hardships (β = .323, p < 0.001) are also associated with post-traumatic stress disorder (PTSD) symptoms. Internalising symptoms predict more rejection (β = .177, p = .001), but show no association with acceptance. Caregiver PTSD symptoms predict more rejection (β = .277, p < .001) and less acceptance (β = -.190, p = .003). Both internalising symptoms (β = .557, p < .001) and PTSD symptoms (β = .606, p < .001) are strongly associated with poor emotion regulation. Indirect effects suggest that caregiver trauma and hardships affect parenting indirectly via elevated caregiver internalising symptoms and PTSD and that some of these effects are accounted for by emotion dysregulation.
Conclusions: Caregiver internalising and PTSD symptoms are important mechanisms through which caregiver trauma and hardship affect parenting behaviours. Emotion dysregulation is a shared mechanism linking caregivers' mental health problems with parenting behaviours that reflect acceptance and rejection of the child. Emotion regulation is indicated as a key target for prevention of adverse effects of caregiver trauma on mental health and child wellbeing.
(© 2020 Association for Child and Adolescent Mental Health.)
References: Ali, S., Khaleque, A., & Rohner, R.P. (2015). Pancultural gender differences in the relation between perceived parental acceptance and psychological adjustment of children and adult offspring: A meta-analytic review of worldwide research. Journal of Cross-Cultural Psychology, 46, 1059-1080.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th edn). Washington DC: American Psychiatric Association.
Betancourt, T.S., Jensen, S.K.G., Barnhart, D.A., Brennan, R.T., Murray, S.M., Yousafzai, A.K., … & Kamurase, A. (2020). Promoting parent-child relationships and preventing violence via home-visiting: A pre-post cluster randomised trial among Rwandan families linked to social protection programmes. BMC Public Health, 20, 1-11.
Betancourt, T.S., McBain, R.K., Newnham, E.A., & Brennan, R.T. (2015). The intergenerational impact of war: Longitudinal relationships between caregiver and child mental health in postconflict Sierra Leone. Journal of Child Psychology and Psychiatry, 10, 1101-1107.
Betancourt, T.S., Newnham, E.A., McBain, R., & Brennan, R.T. (2013). Post-traumatic stress symptoms among former child soldiers in Sierra Leone: Follow-up study. The British Journal of Psychiatry, 203, 196-202.
Betancourt, T.S., Rubin-Smith, J.E., Beardslee, W.R., Stulac, S.N., Fayida, I., & Safren, S. (2011). Understanding locally, culturally, and contextually relevant mental health problems among Rwandan children and adolescents affected by HIV/AIDS. AIDS Care, 23, 401-412.
Bolton, P. (2001). Local perceptions of the mental health effects of the Rwandan genocide. The Journal of Nervous and Mental Disease, 189, 243-248.
Bjureberg, J., Ljótsson, B., Tull, M.T., Hedman, E., Sahlin, H., Lundh, L.G., … & Gratz, K.L. (2016). Development and validation of a brief version of the difficulties in emotion regulation scale: the DERS-16. Journal of Psychopathology and Behavioral Assessment, 38, 284-296.
Conybeare, D., Behar, E., Solomon, A., Newman, M.G., & Borkovec, T.D. (2012). The PTSD Checklist-Civilian Version: Reliability, validity, and factor structure in a nonclinical sample. Journal of Clinical Psychology, 68, 699-713.
Creech, S.K., & Misca, G. (2017). Parenting with PTSD: A review of research on the influence of PTSD on parent-child functioning in military and veteran families. Frontiers in Psychology, 8, 1101.
Enders, C.K. (2010). Applied missing data analysis. New York, NY: The Guilford Press.
Espié, E., Gaboulaud, V., Baubet, T., Casas, G., Mouchenik, Y., Yun, O., … & Moro, M.R. (2009). International Journal of Mental Trauma-related psychological disorders among Palestinian children and adults in Gaza and West Bank, 2005-2008. International Journal of Mental Health Systems, 5, 1-5.
Fernandez, K.C., Jazaieri, H., & Gross, J.J. (2016). Emotion regulation: A transdiagnostic perspective on a new RDoC domain. Cognitive Therapy and Research, 40, 426-440.
Fodor, K.E., Pozen, J., Ntaganira, J., Sezibera, V., & Neugebauer, R. (2015). Journal of Anxiety Disorders The factor structure of posttraumatic stress disorder symptoms among Rwandans exposed to the 1994 genocide: A confirmatory factor analytic study using the PCL-C. Journal of Anxiety Disorders, 32, 8-16.
Gratz, K.L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41-54.
Herzog, J.R., Everson, R.B., & Whitworth, J.D. (2011). Do secondary trauma symptoms in spouses of combat-exposed national guard soldiers mediate impacts of soldiers’ trauma exposure on their children? Child and Adolescent Social Work Journal, 28, 459-473.
Hu, L.T., & Bentler, P.M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1-55.
Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D.S., Quinn, K., & Wang, P. (2010). Research domain criteria (RDoC): toward a new classification framework for research on mental disorders. The American Journal of Psychiatry, 167, 748-751.
Khaleque, A., & Rohner, R.P. (2012). Pancultural associations between perceived parental acceptance and psychological adjustment of children and adults: A meta-analytic review of worldwide research. Journal of Cross-cultural Psychology, 43, 784-800.
Kline, R.B. (2011). Principles and practise of structural equation modeling (Third edition). New York: Guilford Press.
Layne, C.M., Stuvland, R., Saltzman, W.R., Djapo, N., & Pynoos, R.S. (1999). War Trauma Screening Index. Unpublished manuscript. University of California, Los Angeles.
Lester, P., Aralis, H., Sinclair, M., Kiff, C., Lee, K.-H., Mustillo, S., & Wadsworth, S.M. (2016). The impact of deployment on parental, family and child adjustment in military families. Child Psychiatry & Human Development, 47, 938-949.
Lovejoy, M.C., Graczyk, P.A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review, 20, 561-592.
Murray, L.K., & Jordans, M.J.D. (2016). Rethinking the service delivery system of psychological interventions in low and middle income countries. BMC Psychiatry, 1-6.
Muthén, L.K., & Muthén, B.O. (2015). Mplus User's Guide (Seventh edition). Los Angels, CA: Muthén & Muthén.
Mutuyimana, C., Sezibera, V., Nsabimana, E., Mugabo, L., Cassady, C., Musanabaganwa, C., & Kayiteshonga, Y. (2019). PTSD prevalence among resident mothers and their offspring in Rwanda 25 years after the 1994 genocide against the Tutsi. BMC Psychology, 7, 1-7.
Neumann, A., van Lier, P.A., Gratz, K.L., & Koot, H.M. (2010). Multidimensional assessment of emotion regulation difficulties in adolescents using the difficulties in emotion regulation scale. Assessment, 17, 138-149.
Newnham, E.A., McBain, R.K., Hann, K., Akinsulure-Smith, A.M., Weisz, J., Lilienthal, G.M., … & Betancourt, T.S. (2015). The youth readiness intervention for war-affected youth. Journal of Adolescent Health, 56, 606-611.
Onyut, L.P., Neuner, F., Ertl, V., Schauer, E., Odenwald, M., Elbert, T., … & Michaelodenwalduni-konstanzde, M.O. (2009). Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement - an epidemiological study. Conflict and Health, 3, 6.
Putnick, D.L., Bornstein, M.H., Lansford, J.E., Malone, P.S., Pastorelli, C., Skinner, A.T., … & Oburu, P. (2015). Perceived mother and father acceptance-rejection predict four unique aspects of child adjustment across nine countries. Journal of Child Psychology and Psychiatry, 56, 923-932.
Rohner, R.P., & Khaleque, A. (2005). Handbook for the study of parental acceptance and rejection (fourth edition). Storres, CT: Rohner Research.
Yehuda, R., Halligan, S.L., & Bierer, L.M. (2001). Relationship of parental trauma exposure and PTSD to PTSD, depressive and anxiety disorders in offspring. Journal of Psychiatric Research, 35, 261-270.
فهرسة مساهمة: Keywords: Parenting; emotional dysregulation; internalising disorder; post-traumatic stress disorder; trauma
تواريخ الأحداث: Date Created: 20201207 Date Completed: 20211018 Latest Revision: 20211018
رمز التحديث: 20231215
DOI: 10.1111/jcpp.13359
PMID: 33284991
قاعدة البيانات: MEDLINE
الوصف
تدمد:1469-7610
DOI:10.1111/jcpp.13359