Abstract
The study addresses the impact of maternal early life maltreatment (ELM) and maternal history of depression (HoD) on offspring’s mental health. Maternal sensitivity was examined as a potential mediator explaining the relationship between maternal ELM, maternal HoD and child psychopathology. Participants were 194 mothers with and without HoD and/or ELM as well as their children between 5 and 12 years. Maternal sensitivity was assessed using the Emotional Availability Scales. Parent and teacher ratings were utilized to assess child psychopathology. Path analyses showed an indirect effect of maternal HoD on parents’ ratings of child psychopathology with maternal sensitivity as mediating variable. In contrast, maternal ELM was directly linked to teachers’ ratings of child psychopathology; this effect was not mediated by maternal sensitivity. Our results indicate that the impact of maternal HoD, maternal ELM, and maternal sensitivity on offspring psychopathology might vary depending on the context in which child psychopathology is assessed.
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References
Edwards VJ, Holden GW, Felitti VJ, Anda RF (2003) Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: results from the adverse childhood experiences study. Am J Psychiatry 160:1453–1460
Norman RE et al (2012) The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS Med 9:e1001349
Fraiberg S, Adelson E, Shapiro V (1975) Ghosts in the nursery. A psychoanalytic approach to the problems of impaired infant-mother relationships. J Am Acad Child Psychiatry 14:387–421
Fonagy P (1999) The transgenerational transmission of holocaust trauma. Lessons learned from the analysis of an adolescent with obsessive-compulsive disorder. Attach Hum Dev 1:92–114
Lyons-Ruth K, Jacobvitz D (2008) Attachment disorganization: genetic factors, parenting contexts, and developmental transformation from infancy to adulthood. In: Cassidy J, Shaver PR (eds) Handbook of attachment: theory, research, and clinical applications. Guilford Press, New York
Bosquet Enlow M, Englund MM, Egeland B (2016) Maternal childhood maltreatment history and child mental health: mechanisms in intergenerational effects. J Clin Child Adolesc Psychol. https://doi.org/10.1080/15374416.2016.1144189
Brodsky BS et al (2008) Familial transmission of suicidal behavior: factors mediating the relationship between childhood abuse and offspring suicide attempts. J Clin Psychiatry 69:584–596
Collishaw S, Dunn J, O’Connor TG, Golding J (2007) Maternal childhood abuse and offspring adjustment over time. Dev Psychopathol 19:367–383
Miranda JK, de la Osa N, Granero R, Ezpeleta L (2011) Maternal experiences of childhood abuse and intimate partner violence: psychopathology and functional impairment in clinical children and adolescents. Child Abuse Negl 35:700–711
Myhre MC, Dyb GA, Wentzel-Larsen T, Grogaard JB, Thoresen S (2014) Maternal childhood abuse predicts externalizing behaviour in toddlers: a prospective cohort study. Scand J Public Health 42:263–269
Rijlaarsdam J et al (2014) Maternal childhood maltreatment and offspring emotional and behavioral problems: maternal and paternal mechanisms of risk transmission. Child Maltreat 19:67–78
Roberts R, O’Connor T, Dunn J, Golding J, Team AS (2004) The effects of child sexual abuse in later family life; mental health, parenting and adjustment of offspring. Child Abuse Negl 28:525–545
Goodman SH, Gotlib IH (1999) Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol Rev 106:458–490
Goodman SH et al (2011) Maternal depression and child psychopathology: a meta-analytic review. Clin Child Fam Psychol Rev 14:1–27
Brown J, Cohen P, Johnson JG, Smailes EM (1999) Childhood abuse and neglect: specificity of effects on adolescent and young adult depression and suicidality. J Am Acad Child Adolesc Psychiatry 38:1490–1496
Paolucci EO, Genuis ML, Violato C (2001) A meta-analysis of the published research on the effects of child sexual abuse. J Psychol 135:17–36
Plant DT, Barker ED, Waters CS, Pawlby S, Pariante CM (2013) Intergenerational transmission of maltreatment and psychopathology: the role of antenatal depression. Psychol Med 43:519–528
Cohen LR, Hien DA, Batchelder S (2008) The impact of cumulative maternal trauma and diagnosis on parenting behavior. Child Maltreat 13:27–38
Zalewski M, Cyranowski JM, Cheng Y, Swartz HA (2013) Role of maternal childhood trauma on parenting among depressed mothers of psychiatrically ill children. Depress Anxiety 30:792–799
Koverola C et al (2005) Longitudinal investigation of the relationship among maternal victimization, depressive symptoms, social support, and children’s behavior and development. J Interpers Violence 20:1523–1546
Mitchell SJ, Lewin A, Rasmussen A, Horn IB, Joseph JG (2011) Maternal distress explains the relationship of young African American mothers’ violence exposure with their preschoolers’ behavior. J Interpers Violence 26:580–603
Morrel TM, Dubowitz H, Kerr MA, Black MM (2003) The effect of maternal victimization on children: a cross-informant study. J Fam Violence 18:29–41
Thompson R (2007) Mothers’ violence victimization and child behavior problems: examining the link. Am J Orthopsychiatry 77:306–315
Berlin LJ, Appleyard K, Dodge KA (2011) Intergenerational continuity in child maltreatment: mediating mechanisms and implications for prevention. Child Dev 82:162–176
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). J Child Psychol Psychiatry 46:47–57
Fuchs A, Moehler E, Resch F, Kaess M (2015) Impact of a maternal history of childhood abuse on the development of mother-infant interaction during the first year of life. Child Abuse Negl 48:179–189
Lovejoy MC, Graczyk PA, O’Hare E, Neuman G (2000) Maternal depression and parenting behavior: a meta-analytic review. Clin Psychol Rev 20:561–592
Goodman SH (2007) Depression in mothers. Annu Rev Clin Psychol 3:107–135
Banyard VL (1997) The impact of childhood sexual abuse and family functioning on four dimensions of women’s later parenting. Child Abuse Negl 21:1095–1107
Dubowitz H et al (2001) Type and timing of mothers’ victimization: effects on mothers and children. Pediatrics 107:728–735
DiLillo D, Damashek A (2003) Parenting characteristics of women reporting a history of childhood sexual abuse. Child Maltreat 8:319–333
Biringen Z (2008) Emotional availability (EA) scales manual, 4th edn. Colorado State University, Boulder. http://www.emotionalavailability.com
Biringen Z, Easterbrooks MA (2012) Emotional availability: concept, research, and window on developmental psychopathology. Dev Psychopathol 24:1–8
Ainsworth MDS, Blehar MC, Waters E, Wall S (1978) Patterns of attachment: a psychological study of the strange situation. Lawrence Erlbaum, Oxford, pp xviii, 391
Biringen Z, Derscheid D, Vliegen N, Closson L, Easterbrooks MA (2014) Emotional availability (EA): theoretical background, empirical research using the EA scales, and clinical applications. Dev Rev 34:114–167
Driscoll JR, Easterbrooks MA (2007) Young mothers’ play with their toddlers: individual variability as a function of psychosocial factors. Infant Child Development 16:649–670
Kluczniok D et al (2016) Emotional availability in mother-child interaction: the effects of maternal depression in remission and additional history of child abuse. Depress Anxiety 33:648–657
Bailey HN, DeOliveira CA, Wolfe VV, Evans EM, Hartwick C (2012) The impact of childhood maltreatment history on parenting: a comparison of maltreatment types and assessment methods. Child Abuse Negl 36:236–246
Easterbrooks MA, Biesecker G, Lyons-Ruth K (2000) Infancy predictors of emotional availability in middle childhood: the roles of attachment security and maternal depressive symptomatology. Attach Hum Dev 2:170–187
Easterbrooks MA, Bureau JF, Lyons-Ruth K (2012) Developmental correlates and predictors of emotional availability in mother-child interaction: a longitudinal study from infancy to middle childhood. Dev Psychopathol 24:65–78
Trapolini T, Ungerer JA, McMahon CA (2008) Maternal depression: relations with maternal caregiving representations and emotional availability during the preschool years. Attach Hum Dev 10:73–90
van Doesum KT, Hosman CM, Riksen-Walraven JM, Hoefnagels C (2007) Correlates of depressed mothers’ sensitivity toward their infants: the role of maternal, child, and contextual characteristics. J Am Acad Child Adolesc Psychiatry 46:747–756
Fearon RP, Bakermans-Kranenburg MJ, van Ijzendoorn MH, Lapsley AM, Roisman GI (2010) The significance of insecure attachment and disorganization in the development of children’s externalizing behavior: a meta-analytic study. Child Dev 81:435–456
Madigan S, Wade M, Plamondon A, Jenkins J (2015) Maternal abuse history, postpartum depression, and parenting: links with preschoolers’ internalizing problems. Infant Ment Health J 36:146–155
De Wolff MS, van Ijzendoorn MH (1997) Sensitivity and attachment: a meta-analysis on parental antecedents of infant attachment. Child Dev 68:571–591
DeKlyen M, Greenberg MT (2008) Attachment and psychopathology in childhood. In: Cassidy J, Shaver PR (eds) Handbook of attachment: theory, research, and clinical applications, 2nd edn. Guilford Press, New York, pp 637–665
Foster CJ, Garber J, Durlak JA (2008) Current and past maternal depression, maternal interaction behaviors, and children’s externalizing and internalizing symptoms. J Abnorm Child Psychol 36:527–537
Claridge AM, Lettenberger-Klein CG, Farineau HM, Wojciak AS, McWey LM (2014) Maternal history of victimization and adolescent behaviors: protective function of relationship quality among at-risk mother-adolescent dyads. J Fam Violence 29:473–482
Hunsley J, Mash EJ (2007) Evidence-based assessment. Annu Rev Clin Psychol 3:29–51
Najman JM et al (2000) Mothers’ mental illness and child behavior problems: cause-effect association or observation bias? J Am Acad Child Adolesc Psychiatry 39:592–602
Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101:213–232
De Los Reyes A, Kazdin AE (2005) Informant discrepancies in the assessment of childhood psychopathology: a critical review, theoretical framework, and recommendations for further study. Psychol Bull 131:483–509
De Los Reyes A, Henry DB, Tolan PH, Wakschlag LS (2009) Linking informant discrepancies to observed variations in young children’s disruptive behavior. J Abnorm Child Psychol 37:637–652
Min MO, Singer LT, Minnes S, Kim H, Short E (2013) Mediating links between maternal childhood trauma and preadolescent behavioral adjustment. J Interpers Violence 28:831–851
Moehler E, Biringen Z, Poustka L (2007) Emotional availability in a sample of mothers with a history of abuse. Am J Orthopsychiatry 77:624–628
Lecrubier Y et al (1997) The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. Eur Psychiatry 12:224–231
Sheehan DV et al (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59(Suppl 20):22–33 (quiz 34–57)
Trajkovic G et al (2011) Reliability of the Hamilton Rating Scale for Depression: a meta-analysis over a period of 49 years. Psychiatry Res 189:1–9
Zimmerman M, Martinez JH, Young D, Chelminski I, Dalrymple K (2013) Severity classification on the Hamilton Depression Rating Scale. J Affect Disord 150:384–388
Bifulco A, Brown GW, Harris TO (1994) Childhood Experience of Care and Abuse (CECA): a retrospective interview measure. J Child Psychol Psychiatry 35:1419–1435
Kaess M et al (2011) Childhood Experiences of Care and Abuse (CECA). Z Kinder Jugendpsychiatr Psychother 39:243–252
Bifulco A et al (2002) Childhood adversity, parental vulnerability and disorder: examining inter-generational transmission of risk. J Child Psychol Psychiatry 43:1075–1086
Achenbach TM (1991) Integrative guide for the 1991 CBCL/4–18, YSR, and TRF profiles. Department of Psychiatry, University of Vermont
Döpfner M, Schmeck K, Berner W, Lehmkuhl G (1994) Zur Reliabilität und faktoriellen Validität der Child Behavior Checklist—eine Analyse in einer klinischen und einer Feldstichprobe. Zeitschrift für Kinder-und Jugendpsychiatrie und Psychotherapie 22:189–205
Schmeck K et al (2001) Discriminant validity of the child behaviour checklist CBCL-4/18 in German samples. Eur Child Adolesc Psychiatry 10:240–247
Burt KB et al (2005) Mediating links between maternal depression and offspring psychopathology: the importance of independent data. J Child Psychol Psychiatry 46:490–499
Jensen PS, Watanabe H (1999) Sherlock Holmes and child psychopathology assessment approaches: the case of the false-positive. J Am Acad Child Adolesc Psychiatry 38:138–146
Kasius MC, Ferdinand RF, van den Berg H, Verhulst FC (1997) Associations between different diagnostic approaches for child and adolescent psychopathology. J Child Psychol Psychiatry 38:625–632
Döpfner M, Berner W, Schmeck K, Lehmkuhl G, Poustka F (1995) Internal consistencies and validity of the CBCL and the TRF in a German sample: a cross cultural comparison. In: Sergeant J (ed) Eunethydis: European approaches to hyperkinetic disorder. Fotorotar Egg, Zurich, pp 51–81
Kline RB (2015) Principles and practice of structural equation modeling. Guilford publications, New York
Baron RM, Kenny DA (1986) The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173
MacKinnon DP, Lockwood CM, Hoffman JM, West SG, Sheets V (2002) A comparison of methods to test mediation and other intervening variable effects. Psychol Methods 7:83–104
Preacher KJ, Hayes AF (2008) Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods 40:879–891
MacKinnon DP, Fairchild AJ, Fritz MS (2007) Mediation analysis. Annu Rev Psychol 58:593–614
West SG, Taylor AB, Wu W (2012) Model fit and model selection in structural equation modeling. In: Hoyle RH (ed) Handbook of structural equation modeling. Guilford Press, New York, pp 209–231
Steiger JH, Lind JC (1980) Statistically based tests for the number of common factors. In: Annual meeting of the Psychometric Society, Iowa City, pp 424–453
Bentler PM (1995) EQS structural equations program manual (Multivariate Software)
Bentler PM (1990) Comparative fit indexes in structural models. Psychol Bull 107:238
MacKinnon JG (2009) Bootstrap hypothesis testing. In: Belsley DA, Kontoghiorghes EJ (eds) Handbook of computational econometrics. Wiley, New York, pp 183–213
Shrout PE, Bolger N (2002) Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychol Methods 7:422–445
Gartstein MA, Bridgett DJ, Dishion TJ, Kaufman NK (2009) Depressed mood and maternal report of child behavior problems: Another look at the depression–distortion hypothesis. J Appl Dev Psychol 30:149–160
Müller JM, Achtergarde S, Furniss T (2011) The influence of maternal psychopathology on ratings of child psychiatric symptoms: an SEM analysis on cross-informant agreement. Eur Child Adolesc Psychiatry 20:241–252
Mills R, Kisely S, Alati R, Strathearn L, Najman JM (2018) Cognitive and educational outcomes of maltreated and non-maltreated youth: a birth cohort study. Aust N Z J Psychiatry. https://doi.org/10.1177/0004867418768432
Delker BC, Noll LK, Kim HK, Fisher PA (2014) Maternal abuse history and self-regulation difficulties in preadolescence. Child Abuse Negl 38:2033–2043
Miranda JK, de la Osa N, Granero R, Ezpeleta L (2013) Multiple mediators of the relationships among maternal childhood abuse, intimate partner violence, and offspring psychopathology. J Interpers Violence 28:2941–2965
Testa M, VanZile-Tamsen C, Livingston JA (2005) Childhood sexual abuse, relationship satisfaction, and sexual risk taking in a community sample of women. J Consult Clin Psychol 73:1116–1124
Renner LM, Whitney SD (2012) Risk factors for unidirectional and bidirectional intimate partner violence among young adults. Child Abuse Negl 36:40–52
Trickett PK, Noll JG, Putnam FW (2011) The impact of sexual abuse on female development: lessons from a multigenerational, longitudinal research study. Dev Psychopathol 23:453–476
Bakermans-Kranenburg MJ, van IMH, Juffer F (2003) Less is more: meta-analyses of sensitivity and attachment interventions in early childhood. Psychol Bull 129:195–215
Mary D et al (2006) Developing evidence-based interventions for foster children: an example of a randomized clinical trial with infants and toddlers. J Soc Issues 62:767–785
Spieker SJ, Oxford ML, Kelly JF, Nelson EM, Fleming CB (2012) Promoting first relationships: randomized trial of a relationship-based intervention for toddlers in child welfare. Child Maltreat 17:271–286
Thomas R, Zimmer-Gembeck MJ (2012) Parent-child interaction therapy: an evidence-based treatment for child maltreatment. Child Maltreat 17:253–266
Acknowledgements
We would like to thank all mothers and children for participating in our study. This work was supported by the German Federal Ministry of Education and Research (BMBF; Grant Number: 01KR1207C; http://www.ubica.de).
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Bödeker, K., Fuchs, A., Führer, D. et al. Impact of Maternal Early Life Maltreatment and Maternal History of Depression on Child Psychopathology: Mediating Role of Maternal Sensitivity?. Child Psychiatry Hum Dev 50, 278–290 (2019). https://doi.org/10.1007/s10578-018-0839-z
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DOI: https://doi.org/10.1007/s10578-018-0839-z