Abstract
This study examined the association between children’s exposure to a range of victimization experiences and their psychosocial functioning, namely trauma symptoms as well as internalizing and externalizing behaviors. We also examined the role of potential moderating (child sex, parental mental health, family functioning) and mediating (inconsistent parenting) variables. Caregivers (N = 138) of 6–12 year olds completed an online questionnaire. Results indicated that greater victimization exposure in children was significantly associated with greater trauma symptoms as well as greater internalizing and externalizing difficulties. Child sex significantly moderated the association between victimization exposure and all three psychosocial outcomes. As victimization exposure increased, both boys and girls were reported to exhibit higher levels of trauma symptoms, internalizing behaviors, and externalizing behaviors. However, the increases across the three outcomes were not as great in boys, compared to girls. Family functioning was also found to be a statistically significant moderator; greater dysfunction exacerbated the positive association between victimization exposure and internalizing as well as externalizing difficulties. Finally, inconsistent parenting partially mediated the association between victimization exposure and all three psychosocial outcomes. These findings highlight the cumulative negative impact of childhood victimization and emphasize the importance of family-level interventions. In addition, the sex-based findings suggest that boys and girls are both impacted by victimization exposure but perhaps to different degrees.
Similar content being viewed by others
References
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the Achenbach system of empirically based assessment school-age forms & profiles. Burlington: University of Vermont, Research Center for Children, Youth, & Families.
Achenbach, T. M., & Rescorla, L. A. (2003). Manual for the Achenbach system of empirically based assessment adult forms & profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families.
Arsenault, L., Bowes, L., & Shakoor, S. (2010). Bullying victimization in youths and mental health problems: ‘Much ado about nothing?’. Psychological Medicine, 40, 717–729. doi:10.1017/S0033291709991383.
Babchishin, L. K., & Romano, E. (2014). Evaluating the frequency, co-occurrence, and psychosocial correlates of childhood multiple victimization. Canadian Journal of Community Mental Health, 33, 47–65. doi:10.7870/cjcmh-2014-015.
Beardslee, W. R., Gladstone, T. R., & O’Connor, E. E. (2011). Transmission and prevention of mood disorders among children of affectively ill parents: a review. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 1098–1109. doi:10.1016/j.jaac.2011.07.020.
Berzenski, S. R., & Yates, T. M. (2011). Classes and consequences of multiple maltreatment: a person- centered analysis. Child Maltreatment, 16, 250–261. doi:10.1177/1077559511428353.
Bradley, R. H. (2007). Parenting in the breach: how parents help children cope with developmentally challenging circumstances. Parenting: Science and Practice, 7, 99–148. doi:10.1080/15295190701306896.
Briere, J. (2005). Trauma symptom checklist for young children. Odessa: Psychological Assessment Resources.
Burke, L. L. (2003). The impact of maternal depression on familial relationships. International Review of Psychiatry, 15, 243–255. doi:10.1080/0954026031000136866.
Cicchetti, D., & Lynch, M. (1993). Toward an ecological/transactional model of community violence and child maltreatment: consequences for children’s development. Psychiatry, 56, 96–118. doi:10.1521/00332747.1993.11024624.
Conger, R. D., Patterson, G. R., & Ge, X. (1995). It takes two to replicate: a mediational model for the impact of parents’ stress on adolescent adjustment. Child Development, 66, 80–97. doi:10.2307/1131192.
Contractor, A. A., Layne, C. M., Steinberg, A. M., Ostrowski, S. A., Ford, J. D., & Elhai, J. D. (2013). Do gender and age moderate the symptom structure of PTSD? Findings from a national clinical sample of children and adolescents. Psychiatry Research, 210, 1056–1064. doi:10.1016/j.psychres.2013.09.012.
Cyr, K., Clément, M.-È., & Chamberland, C. (2013). Lifetime prevalence of multiple victimization and its impact on children’s mental health. Journal of Interpersonal Violence, 29, 616–634.
Dubowitz, H., Kim, J., Black, M. M., Weisbart, C., Semiatin, J., & Magder, L. S. (2011). Identifying children at high risk for a child maltreatment report. Child Abuse & Neglect, 35, i96–i104. doi:10.1016/j.chiabu.2010.09.003.
Edwards, V. J., Holden, G. W., Felitti, V. J., & Anda, R. F. (2003). Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: results from the Adverse Childhood Experiences study. American Journal of Psychiatry, 160, 1453–1460. doi:10.1176/appi.ajp.160.8.1453.
Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The McMaster family assessment device. Journal of Marital and Family Therapy, 9, 171–180.
Finkelhor, D. (2009). Childhood victimization: Violence, crime, and abuse in the lives of young people. New York: Oxford University Press.
Finkelhor, D., Ormrod, R. K., Turner, H. A., & Hamby, S. L. (2005). Measuring poly-victimization using the Juvenile Victimization Questionnaire. Child Abuse & Neglect, 29, 1297–1312. doi:10.1016/j.chiabu.2005.06.005.
Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2007a). Polyvictimization and trauma in a national longitudinal chart. Development and Psychopathology, 19, 149–166. doi:10.1017/S0954579407070083.
Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2007b). Lifetime assessment of poly- victimization in a national sample of children and youth. Child Abuse and Neglect, 33, 403–411. doi:10.1016/j.chiabu.2008.09.012.
Finkelhor, D., Turner, H., Ormrod, R., & Hamby, S. L. (2009). Violence, abuse, and crime exposure in a national sample of children and youth. Pediatrics, 124, 1–13. doi:10.1542/peds.2009-0467.
Ford, J. D., Wasser, T., & Connor, D. F. (2011). Identifying and determining symptom severity associated with polyvictimization among psychiatrically impaired children in the outpatient setting. Child Maltreatment, 16, 216–226. doi:10.1177/1077559511406109.
Fowler, P. J., Tompsett, C. J., Braciszewski, J. M., Jacques-Tiura, A. J., & Baltes, B. B. (2009). Community violence: a meta-analysis on the effect of exposure and mental health outcomes of children and adolescents. Development and Psychopathology, 21, 227–259. doi:10.1017/S0954579409000145.
Frick, P. J. (1991). The Alabama parenting questionnaire. Unpublished rating scale, University of Alabama.
Hamby, S., & Grych, J. (2013). The web of violence: Exploring connections among different forms of interpersonal violence and abuse. New York: Springer.
Hamby, S. L., Finkelhor, D., Ormrod, R., & Turner, H. A. (2005). The Juvenile Victimization Questionnaire (JVQ): Administration and Scoring Manual. Durham: Crimes Against Children Research Center.
Hayes, A. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
Higgins, D. J., & McCabe, M. P. (2003). Maltreatment and family dysfunction in childhood and the subsequent adjustment of children and adults. Journal of Family Violence, 18, 107–120.
Kendall-Tackett, K. (2012). Handbook of child sexual abuse: Identification, assessment, and treatment. Hoboken: Wiley.
Kilpatrick, D. G., Ruggiero, K. J., Acierno, R., Saunders, B. E., Resnick, H. S., & Best, C. L. (2003). Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: results from the National Survey of Adolescents. Journal of Consulting and Clinical Psychology, 71, 692–700. doi:10.1037/0022-006X.71.4.692.
Kliewer, W., Parrish, K. A., Taylor, K. W., Jackson, K., Walker, J. M., & Shivy, V. A. (2006). Socialization of coping with community violence: influences of caregiver coaching, modeling, and family context. Child Development, 77, 605–623. doi:10.1111/j.1467-8624.2006.00893.x.
Kuther, T. L., & Fisher, C. B. (1998). Victimization by community violence in young adolescents from a suburban city. Journal of Early Adolescence, 18, 53–76. doi:10.1177/0272431698018001003.
Lee, S. J., Perron, B. E., Taylor, C. A., & Guterman, N. B. (2011). Paternal psychosocial characteristics and corporal punishment of their 3-year-old children. Journal of Interpersonal Violence, 26, 71–87. doi:10.1177/0886260510362888.
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, 454–468. doi:10.1177/1559827611410266.
Leinonen, J. A., Solantaus, T. S., & Punamaki, R. L. (2003). Parental mental health and children’s adjustment: the quality of marital interaction and parenting as mediating factors. Journal of Child Psychology and Psychiatry, 44, 227–241. doi:10.1111/1469-7610.t01-1-00116.
Maikovich, A. K., Koenen, K. C., & Jaffee, S. R. (2009). Posttraumatic stress symptoms and trajectories in child sexual abuse victims: an analysis of sex differences using the National Survey of Child and Adolescent Well-Being. Journal of Abnormal Child Psychology, 37, 727–737.
Margolin, G., & Gordis, E. B. (2000). The effects of family and community violence on children. Annual Review of Psychology, 51, 445–479.
Maschi, T., Morgen, K., Bradley, C., & Hatcher, S. S. (2008). Exploring gender differences on internalzing and externalzing behavior among maltreated youth: implications for social work action. Children and Adolescent Social Work Journal, 25, 531–547. doi:10.1007/s10560-008-0139-8.
Moylan, C. A., Herrenkohl, T. I., Sousa, C., Tajima, E. A., Herrenkohl, R. C., & Russo, M. J. (2010). The effects of child abuse and exposure to domestic violence on adolescent internalizing and externalizing behavior problems. Journal of Family Violence, 25, 53–63. doi:10.1007/s10896-009-9269-9.
Pat-Horenczyk, R., Robinowitz, R. G., Rice, A., & Tucker-Levin, A. (2009). The search for risk and protective factors in childhood PTSD: From variables to process. In D. Brom, R. Pat-Horenczyk, & J. D. Ford (Eds.), Treating traumatized children: Risk, resiliency and recovery. New York: Routledge.
Pfefferbaum, B. (1997). Posttraumatic stress disorder in children: a review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1503–1511.
Preacher, K. J., & Kelly, K. (2011). Effect size measures for mediational models: quantitative strategies for communicating indirect effects. Psychological Methods, 16, 93–115. doi:10.1037/a0022658.
Proctor, L. J. (2006). Children growing up in a violent community: the role of the family. Aggression and Violent Behavior, 11, 558–576. doi:10.1016/j.avb.2005.12.004.
Sheppard, M. (1997). Double jeopardy: the link between child abuse and maternal depression in child and family social work. Child & Family Social Work, 2, 91–107. doi:10.1046/j.1365-2206.1997.00047.x.
Statistics Canada (2012b). Faits ssaillants en tableaux familles et ménages, Recensement de 2011. Statistics Canada catalogue no. 98-312-XWF2011002. Retrieved from: http://www12.statcan.gc.ca/census-recensement/2011/dp-pd/hlt-fst/fam/index-fra.cfm?Lang=F.
Statistics Canada (2013). 2011 National Household Survey highlights: Factsheet 2. Office of Economic Policy: Labour and Demographics Analysis Branch. Retrieved from: http://www.fin.gov.on.ca/en/economy/demographics/census/nhshi11-2.pdf.
Statsitics Canada (2012a). Income and earning highlights. Statistics Canada catalogue no. 97- 563-XWE2006002. Retrieved from: http://www.livingin-canada.com/compare-canadian-cities.html.
Thompson, R. A., & Meyer, S. (2007). The socialization of emotion regulation in the family. In J. Gross (Ed.), Handbook of emotion regulation (pp. 249–268). New York: Guilford.
Tolin, D. F., & Foa, E. B. (2006). Sex differences in trauma and posttraumatic stress disorder: a review of 25 years of research. Psychological Bulletin, 132, 959–992. doi:10.1037/0033-2909.132.6.959.
Trickey, D., Siddaway, A. P., Meiser-Stedman, R., Serpell, L., & Field, A. P. (2012). A meta- analysis of risk factors for post-traumatic stress disorder in children and adolescents. Clinical Psychology Review, 32, 122–138. doi:10.1016/j.cpr.2011.12.001.
Turner, H. A., Finkelhor, D., & Ormrod, R. (2006). The effect of lifetime victimization on the mental health of children and adolescents. Social Science & Medicine, 62, 13–27.
Turner, H. A., Finkelhor, D., & Ormrod, R. (2010). Poly-victimization in a national sample of children and youth. American Journal of Preventive Medicine, 38, 323–330. doi:10.1016/j.amepre.2009.11.012.
Turner, H. A., Finkelhor, D., & Ormrod, R. (2012). Family context, victimization, and child trauma symptoms: variations in safe, stable, and nurturing relationships during early and middle childhood. American Journal of Orthopsychiatry, 82, 209–219. doi:10.1111/j.1939-0025.2012.01147.x.
VanDeMark, N. R., Russell, L. A., O’Keefe, M., Finkelstein, N., Noether, C. D., & Gampel, J. C. (2005). Children of mothers with histories of substance abuse, mental illness, and trauma. Journal of Community Psychology, 33, 445–459. doi:10.1002/jcop.20062.
Zona, K., & Milan, S. (2011). Gender differences in the longitudinal impact of exposure to violence on mental health in urban youth. Journal of Youth and Adolescence, 40, 1674–1690. doi:10.1007/s10964-011-9649-3.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Romano, E., Babchishin, L. & Wong, S. Victimization Exposure and Psychosocial Functioning Among School-Aged Children: The Role of Moderating and Mediating Variables. Journ Child Adol Trauma 9, 329–340 (2016). https://doi.org/10.1007/s40653-016-0106-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40653-016-0106-z