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Impact of Physical Abuse on Internalizing Behavior Across Generations
Kyle Esteves1, Sarah A O Gray2, Katherine P Theall3
1Department of Psychiatry, Tulane University School of Medicine, New Orleans, LA.
Insights
Mothers who experienced childhood physical maltreatment may pass on internalizing symptoms to their children. This effect persists even when considering maternal depression, parenting, and child
Area of Science:
- Psychology
- Child Development
- Public Health
Background:
- Child maltreatment can have long-lasting effects across generations.
- Understanding intergenerational transmission of trauma is crucial for intervention.
- Internalizing symptoms in children are a significant public health concern.
Purpose of the Study:
- To investigate the multigenerational impact of maternal childhood physical maltreatment on child internalizing symptoms.
- To examine the role of maternal parenting practices and depressive symptoms as potential mediators.
- To assess the influence of child's stressful life events on this intergenerational link.
Main Methods:
- Cross-sectional study with 101 children (ages 5-16) and their mothers.
- Mothers reported on their childhood physical maltreatment, current depressive symptoms, and parenting practices.
- Maternal and child reports were used to assess child's stressful life events and internalizing symptoms.
Main Results:
- Maternal childhood physical maltreatment was significantly associated with increased child internalizing symptoms (p = .004).
- This association remained significant after controlling for child sex, maternal depression, harsh parenting, and child's stressful life events.
- Mediation analyses through parenting practices, maternal depression, or child's stressful life events were non-significant.
Conclusions:
- Maternal experience of childhood maltreatment uniquely contributes to children's internalizing symptoms.
- The transmission pathway may involve uncharacterized behavioral, psychosocial, or biological factors.
- Further research is needed to elucidate the mechanisms of intergenerational trauma transmission.
Abstract:
This study investigated the multigenerational impact of mothers' own exposure to physical maltreatment on internalizing symptoms in her child after accounting for her parenting practices, depression, and the child's own exposure to stressful life events. Children (n = 101, ages 5-16), predominantly African American, were recruited into this cross sectional study using ethnographic mapping and targeted sampling for high-risk neighborhoods. Mothers reported retrospectively on their own exposure to physical maltreatment in childhood, their parenting practices, as well as current depressive symptoms. Maternal report of her child's exposure to stressful life events and child behavior was also collected. Maternal childhood exposure to physical maltreatment was significantly associated with her child's internalizing symptoms (p = .004); this effect remained after accounting for child sex, maternal depressive symptoms, harsh parenting practices, and the child's own exposure to stressful life events. Formal tests of mediation through these pathways were non-significant. Findings suggest mothers' experience of childhood maltreatment contributes uniquely to children's internalizing symptoms, potentially through previously uncharacterized pathways. Examination of additional behavioral, psychosocial and biological pathways may help better describe the multi-generational effects of child maltreatment.
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