Abstract
Adverse childhood events have been shown to impact individuals through adulthood, particularly the impact on relationships. This study aimed to examine intergenerational trauma exposure among a sample of parents living in a semi-urban Salvadoran community and the relationship between child trauma exposure with maternal perceived discrimination, internal strengths and external support. Survey data was collected from 49 mothers residing in El Salvador. Bivariate analyses and multivariate linear regression analyses were used to examine the relationship between children’s exposure to adverse childhood events and parents’ exposure to adverse childhood events, while controlling for discrimination. The results of the regression analysis indicate that the maternal number of adverse childhood events and experience of discrimination as an adult explained 52.9% of the variance (R2 = 0.59, F(6, 43) = 10.18, p < .0001). The number of adverse childhood events was significantly predicted by maternal number of adverse events (B = 0.32, 95% CI = 0.17–0.48, p < .0001) and experience of discrimination as adults (B = 5.79, 95% CI = 3.51–8.07, p < .0001). Results suggest that parent exposure to adverse childhood events and parent experience with discrimination are related to the exposure to adverse childhood events of their children. Further research in this area is warranted to better understand the experiences of parents who have been exposed to childhood trauma and the day-to-day parenting challenges. Greater understanding of the impact of childhood trauma also encourages service providers to explore intergenerational interventions.
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References
Allison, A. C., & Ferreira, R. J. (2017). Implementing cognitive behavioral intervention for Trauma in Schools (CBITS) with Latino youth. Child and Adolescent Social Work Journal, 34, 181–189.
Bartlett, J. D., Kotake, C., Fauth, R., & Easterbrooks, M. A. (2017). Intergenerational transmission of child abuse and neglect: Do maltreatment type, perpetrator, and substantiation status matter? Child Abuse & Neglect, 63, 84–94.
Berlin, L. J., Appleyard, K., & Dodge, K. A. (2011). Intergenerational continuity in child maltreatment: Mediating mechanisms and implications for prevention. Child Development, 82(1), 162–176.
Betancourt, T. S. (2015). The intergenerational effect of war. JAMA Psychiatry, 72, 199–200.
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York, NY, US: Basic Books.
Chávez, J. M. (2004). An anatomy of violence in El Salvador. NACLA Report on the Americas, 37(6), 31–37.
Chen, W., & Lee, Y. (2017). The impact of community violence, personal victimization, and paternal support on maternal harsh parenting. Journal of Community Psychology, 45(3), 380–395.
Ehrensaft, M. K., Knous-Westfall, H. M., Cohen, P., & Chen, H. (2015). How does child abuse history influence parenting of the next generation? Psychological Violence, 5, 16–25.
Ellis, B. H., MacDonald, H. Z., Lincoln, A. K., & Cabral, H. J. (2008). Mental health of Somali adolescent refugees: The role of trauma, stress, and perceived discrimination. Journal of Consulting and Clinical Psychology, 76(2), 184–193.
Farina, A., & Mancini, M. A. (2017). Evaluation of a multi-phase trauma-focused intervention with Latino youth. Advances in Social Work, 18(1), 270–283.
Fayyad, J., Cordahi-Tabet, C., Yeretzian, J., Salamoun, M., Najm, C., & Karam, E. G. (2017). Resilience-promoting factors in war-exposed adolescents: An epidemiologic study. European Child and Adolescent Psychiatry, 26, 191–200.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., et al. (1998). The relationship of adult health status to childhood abuse and household dysfunction. American Journal of Preventive Medicine, 14, 245–258.
Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2007). Poly-victimization: A neglected component in child victimization. Child Abuse & Neglect, 31, 7–26.
Flannery, R. B. (1990). Social support and psychological trauma: A methodological review. Journal of Traumatic Stress, 3(4), 593–611.
Flores, E., Tschann, J. M., Dimas, J. M., Pasch, L. A., & de Grouat, C. L. (2010). Perceived racial/ethnic discrimination, posttraumatic stress symptoms, and health risk behaviors among Mexican American adolescents. Journal of Counseling Psychology, 57, 264–273.
Galea, S., Vlahov, D., Resnick, H., Ahern, J., Susser, E., Gold, J., Bucuvalas, M., & Kilpatrick, D. (2003). Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks. American Journal of Epidemiology, 158, 514–524.
Gilbert, R., Spatz Widom, C., Browne, K., Fergusson, D., Webb, E., & Janson, J. (2009). Burden and consequences of child maltreatment in high-income countries. Lancet, 373, 68–81.
Greenspan, S. I., & Wieder, S. (2006). Infant and early childhood mental health: A comprehensive developmental approach to assessment and treatment. Washington, D.C.: American Psychiatric Association.
Hicks, L. M., & Dayton, C. J. (2019). Mindfulness and trauma symptoms predict child abuse potential in risk-exposed, men and women during pregnancy. Child Abuse & Neglect, 90, 43–51.
Higgins, D., & McCabe, M. (2001). Multiple forms of child abuse and neglect: Adult retrospective reports. Aggression and Violent Behaviour, 6, 547–578.
Jaycox, L. H., Kataoka, S. H., Stein, B. D., Langley, A. K., & Wong, M. (2012). Cognitive behavioral intervention for trauma in schools. Journal of Applied School Psychology, 28, 239–255.
Jordan, B. K., Marmar, C. R., Fairbank, J. A., Schlenger, W. E., Kulka, R. A., Hough, R. L., & Weiss, D. S. (1992). Problems in families of male Vietnam veterans with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 60, 916–926.
Kendall-Tackett, K. (2002). The health effects of childhood abuse: Four pathways by which abuse can influence health. Child Abuse & Neglect, 26(6–7), 715–729.
Khamis, V. (2016). Does parent’s psychological distress mediate the relationship between war and psychosocial adjustment in children? Journal of Health Psychology, 21, 1361–1370.
Kwong, M., Bartholomew, K., Henderson, A., & Trinke, S. (2003). The intergenerational transmission of relationship violence. Journal of Family Psychology, 17(3), 288–301.
Ludy-Dobson, C., & Perry, B. (2010). The role of healthy relational interactions in buffering the impact of childhood trauma. In E. Gil (Ed.), Working with children to heal interpersonal trauma: The power of play (pp. 26–43). New York: Guilford Press.
Mancini, M. A. (2019). A pilot study evaluating a school-based, trauma-focused intervention for immigrant and refugee youth. Children and Adolescent Social Work Journal.
Mouzos, J., & Makkai, T. (2004). Women's experiences of male violence. Findings from the Australian component of the International Violence Against Women Survey (IVAWS). Canberra: Australian Institute of Crimonology.
Norman, R. E., Byambaa, M., De, R., Butchart, A., Scott, J., & Vos, T. (2012). The long-term health consequences of child physical abuse, emotional abuse and neglect: A systematic review and meta-analysis. Public Library of Science Medicine, 9(11), 1–31.
Ogden, P., Pain, C., & Fisher, J. (2006). A sensorimotor approach to the treatment of trauma and dissociation. Psychiatry Clinics of North America, 29, 263–279.
Oliver, J. (1993). Intergenerational transmission of child abuse: Rates, research and clinical implications. American Journal of Psychiatry, 150(9), 1315–1324.
Palosaari, E., Punamäki, R., Qouta, S., & Diab, M. (2013). Intergenerational effects of war trauma among Palestinian families mediated via psychological maltreatment. Child Abuse & Neglect, 37, 955–968.
Palosaari, E., Punamäki, R., Peltonen, K., Diab, M., & Qouta, S. R. (2016). Negative social relationships predict posttraumatic stress symptoms among war-affected children via posttraumatic cognitions. Journal of Abnormal Psychology, 44, 845–857.
Panter-Brick, C., Grimon, M., & Eggerman, M. (2014). Caregiver-child mental health: A prospective study in conflict and refugee settings. Journal of Child Psychology and Psychiatry, 55(4), 313–327.
Pears, K., & Capaldi, D. (2001). Intergenerational transmission of abuse: A two-generational prospective study of an at-risk sample. Child Abuse & Neglect, 25, 1439–1461.
Perry, B. D. (2009). Examining child maltreatment through a neurodevelopmental lens: Clinical applications of the Neurosequential model of therapeutics. Journal of Loss and Trauma, 14, 240–255.
Perry, B. D., Pollard, R. A., Blakley, T. L., Baker, W. L., & Vigilante, D. (1995). Childhood trauma, the neurobiology of adaptation, and “use-dependent” development of the brain: How “states” become “traits.”. Infant Mental Health Journal, 16(4), 271–291.
Pfeiffer, E., & Goldbeck, L. (2017). Evaluation of a trauma-focused group intervention for unaccompanied young refugees: A pilot study. Journal of Traumatic Stress, 30, 531–536. https://doi.org/10.1002/jts.22218.
Richmond, J. M., Elliot, A. N., Pierce, T. W., Aspelmeier, J. E., & Alexander, A. A. (2009). Polyvictimization, childhood victimization, and psychological distress in college women. Child Maltreatment, 14(2), 127–147.
Schickedanz, A., Halfon, N., Sastry, N., & Chung, P. J. (2018). Parents’ adverse childhood experiences and their children’s behavioral health problems. Pediatrics, 142(2), e20180023.
Springer, K., Sheridan, J., Kuo, D., & Carnes, M. (2007). Long-term physical and mental health consequences of childhood physical abuse: Results from a large population-based sample of men and women. Child Abuse & Neglect, 31, 517–530.
StataCorp. (2015). Stata statistical software: Release 14. College Station: StataCorp LP.
Timshel, I., Montgomery, E., & Thorup Dalgaard, N. (2017). A systematic review of risk and protective factors associated with family related violence in refugee families. Child Abuse & Neglect, 70, 315–330.
Todorova, I. L. G., Falcón, L. M., Lincoln, A. K., & Price, L. L. (2010). Perceived discrimination, psychological distress and health. Sociology of Health and Illness, 32(6), 843–862.
Torres, L., & Taknint, J. T. (2015). Ethnic microaggressions, traumatic stress symptoms, and Latino depression: A moderated mediational model. Journal of Counseling Psychology, 62(3), 393–401.
Trentacosta, C.J., McLear, C.M., Ziadni, M.S., Lumley, M.A., & Arfken, C.L. (2016). Potentially traumatic events and mental health problems among children of Iraqi refugees: The roles of relationships with parents and feelings about school. American Journal of Orthopsychiatry, 86(4): 384-392. https://doi.org/10.1037/ort0000186.
Walkley, M., & Cox, T. L. (2013). Building trauma-informed schools and communities. Children & Schools, 35(2), 123–126.
Warner, E., Spinazzola, J., Westcott, A., Gunn, C., & Hodgdon, H. (2014). The body can change the score: Empirical support for somatic regulation in the treatment of traumatized adolescents. Journal of Child and Adolescent Trauma, 7(4), 237–246.
Widom, C., DuMont, K., & Czaja, S. (2007). A prospective investigation of major depressive disorder and comorbidity in abused and neglected children grown up. Archives of General Psychiatry, 64, 49–56.
Wolfer, T. A. (2000). Coping with chronic community violence: The variety and implications of women’s efforts. Violence and Victims, 15(3), 283–301.
Yehuda, R., Halligan, S. L., & Grossman, R. (2001). Childhood trauma and risk for PTSD: Relationship to intergenerational effects of trauma, parental PTSD, and cortisol excretion. Development and Psychopathology, 13(3), 733–753.
Yuan, C., Wang, Z., Inslicht, S. S., McCaslin, S. E., Metzler, T. J., Henn-Haase, C., Apfel, B. A., Tong, H., Neylan, T. C., Fang, Y., & Marmar, C. R. (2011). Protective factors for posttraumatic stress disorder symptoms in a prospective study of police offices. Psychiatry Research, 188(1), 45–50.
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Farina, A.S., Kremer, K., Maynard, B. et al. Intergenerational Trauma among Families in El Salvador: an Exploratory Study. Journ Child Adol Trauma 13, 515–525 (2020). https://doi.org/10.1007/s40653-020-00310-4
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DOI: https://doi.org/10.1007/s40653-020-00310-4