Abstract
Purpose
Social support buffers the impact of stress on multiple psychosocial domains and may buffer the impact of parental Adverse Childhood Experiences (ACEs) on parenting. However, little is understood about the biological pathways through which social support buffering occurs and research has rarely examined social support among fathers. This study examined the effects of ACEs and social support on the physiological stress response (cortisol levels) of expectant fathers.
Method
Data were analyzed from a larger study of the influence of bio-psycho-social factors on early parenting processes in expectant mothers and fathers. Exposure to ACEs and social support were assessed, and salivary cortisol was collected from 38 expectant fathers, the majority of whom were African American, exposed to contextual risk. Multilevel random effects models tested associations between ACEs, social support and cortisol while controlling for sociodemographic covariates.
Results
There was a significant interaction between the higher ACEs category (three or more) and the level of social support so that increased social support moderated the effect of exposure to a higher number of ACEs on baseline cortisol levels (p < 0.05). Differences in cortisol between high and low ACEs groups decreased as social support increased until there was no difference between the high and low ACEs groups at an MSPSS score of 64 (p = 0.056).
Conclusions
The apparent dosing effect of social support on the ACEs-cortisol relationship has important implications for parenting, as the buffering effect of social support may reduce the potential for harsh or insensitive parenting among fathers with high ACEs.
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References
Adler, N. E., Epel, E. S., Castellazzo, G., & Ickovics, J. R. (2000). Relationship of subjective and objective social status with psychological and physiological functioning: Preliminary data in healthy. White Women. Health Psychology, 19(6), 586. https://doi.org/10.1037/0278-6133.19.6.586
Anda, R. F., Porter, L. E., & Brown, D. W. (2020). Inside the adverse childhood experience score: Strengths, limitations, and misapplications. American Journal of Preventive Medicine, 59(2), 293–295. https://doi.org/10.1016/j.amepre.2020.01.009
Bailey, H. N., DeOliveira, C. A., Wolfe, V. V., Evans, E. M., & Hartwick, C. (2012). The impact of childhood maltreatment history on parenting: A comparison of maltreatment types and assessment methods. Child Abuse & Neglect, 36(3), 236–246. https://doi.org/10.1016/j.chiabu.2011
Barr, R., Morin, M., Brito, N., Richeda, B., Rodriquez, J., & Shauffer, C. (2014). Delivering services to incarcerated teen fathers: A pilot intervention to increase the quality of father-infant interactions during visitation. Psychological Services, 11(1), 10–21. https://doi.org/10.1037/a0034877
Bennett, G. G., Merritt, M. M., & Wolin, K. Y. (2004). Ethnicity, education, and the cortisol response to awakening: A preliminary investigation. Ethnicity and Health, 9(4), 337–347. https://doi.org/10.1080/1355785042000285366
Bevan, K., & Kumari, M. (2021). Maternal separation in childhood and hair cortisol concentrations in late adulthood. Psychoneuroendocrinology, 130, 105253. https://doi.org/10.1016/j.psyneuen.2021.105253
Black, D. S., Peng, C., Sleight, A. G., Nguyen, N., Lenz, H. J., & Figueiredo, J. C. (2017). Mindfulness practice reduces cortisol blunting during chemotherapy: A randomized controlled study of colorectal cancer patients. Cancer, 123(16), 3088–3096. https://doi.org/10.1002/cncr.30698
Bödeker, K., Fuchs, A., Fuhrer, D., Kluczniok, D., Dittrich, K., Reichl, C., & Neukel, C. (2019). Impact of maternal early life maltreatment and maternal history of depression on child psychopathology: Mediating role of maternal sensitivity? Child Psychiatry and Human Development, 50(2), 278–290. https://doi.org/10.1007/s10578-018-0839-z
Bos, P. A., Hechler, C., Beijers, R., Shinohara, K., Esposito, G., & de Weerth, C. (2018). Prenatal and postnatal cortisol and testosterone are related to parental caregiving quality in fathers, but not in mothers. Psychoneuroendocrinology, 97, 94–103. https://doi.org/10.1016/j.psyneuen.2018.07.013
BosquetEnlow, M., Englund, M. M., & Egeland, B. (2018). Maternal childhood maltreatment history and child mental health: Mechanisms in intergenerational effects. Journal of Clinical Child & Adolescent Psychology, 47(sup1), S47–S62. https://doi.org/10.1080/15374416.2016.1144189
Brockie, T. N., Dana-Sacco, G., Wallen, G. R., Wilcox, H. C., & Campbell, J. C. (2015). The relationship of adverse childhood experiences to PTSD, depression, poly-drug use and suicide attempt in reservation-based Native American adolescents and young adults. American Journal of Community Psychology, 55, 411–421. https://doi.org/10.1007/s10464-015-9721-3
Brown, S., Sabbath, E., Bessaha, M., Cosby, R., Munson, M., Tracy, E.M., & Crewe, S. (2022). Eradicating Social Isolation. In Barth, R.P., Shanks, T.R., Messing, J., & Williams, J.H. (Eds.). Grand challenges for social work and society. (2nd Edition). London, Oxford.
Brown, S., Hicks, L. M., & Tracy, E. M. (2016). Parenting efficacy and support in mothers with dual disorders in a substance abuse treatment program. Journal of Dual Diagnosis, 12(3–4), 227–237. https://doi.org/10.1080/15504263.2016.1247998
Charmandari, E., Tsigos, C., & Chrousos, G. (2005). Endocrinology of the stress response. Annual Review of Physiology, 67, 259–284. https://doi.org/10.1146/annurev.physiol.67.040403.120816
Chung, E. K., Mathew, L., Rothkopf, A. C., Elo, I. T., Coyne, J. C., & Culhane, J. F. (2009). Parenting attitudes and infant spanking: The influence of childhood experiences. Pediatrics, 124(2), e278–e286. https://doi.org/10.1542/peds.2008-3247
Clemens, V., Berthold, O., Witt, A., Brähler, E., Plener, P. L., & Fegert, J. M. (2020). Childhood adversities and later attitudes towards harmful parenting behavior including shaking in a German population-based sample. Child Abuse Review, 29(3), 269–281. https://doi.org/10.1002/car.2623
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310. https://doi.org/10.1037/0033-2909.98.2.310
Condon, E. M., Holland, M. L., Slade, A., Redeker, N. S., Mayes, L. C., & Sadler, L. S. (2019). Maternal adverse childhood experiences, family strengths, and chronic stress in children. Nursing Research, 68(3), 189–199. https://doi.org/10.1097/nnr.0000000000000349
Dahlem, N. W., Zimet, G. D., & Walker, R. R. (1991). The multidimensional scale of perceived social support: A confirmation study. Journal of Clinical Psychology, 47(6), 756–761. https://doi.org/10.1002/1097-4679(199111)47:6%3c756::aid-jclp2270470605%3e3.0.co;2-l
Dayton, C. J., Brown, S., Goletz, J., Hicks, L., Barron, C., Sperlich, M., & Smith-Darden, J. (2019). Pathways to parenting: Predictors of prenatal bonding in a sample of expectant mothers and fathers exposed to contextual risk. Journal of Child and Family Studies, 28(4), 1134–1144. https://doi.org/10.1007/s10826-019-01343-6
Dayton, C. J., Malone, J. C., & Brown, S. (2020). Pathways to parenting: The emotional journeys of fathers as they prepare to parent a new infant. Handbook of Fathers and Child Development, Prenatal to Preschool, 173–194. https://doi.org/10.1007/978-3-030-51027-5_12
Faraway, J. J. (2016). Extending the linear model with R: Generalized linear, mixed effects and nonparametric regression models. Chapman and Hall/CRC. https://doi.org/10.1201/9781315382722
Feldman, R. (2016). The neurobiology of mammalian parenting and the biosocial context of human caregiving. Hormones & Behavior, 77, 3–17. https://doi.org/10.1016/j.yhbeh.2015.10.001
Felitti, V. J., Anda, R. F., Nordenberg, D., & Williamson, D. F. (1998). Adverse childhood experiences and health outcomes in adults: The ACE study. Journal of Family and Consumer Sciences, 90(3), 31.
Felix, A. S., Shisler, R., Nolan, T. S., Warren, B. J., Rhoades, J., Barnett, K. S., & Williams, K. P. (2019). High-effort coping and cardiovascular disease among women: A systematic review of the John Henryism Hypothesis. Journal of Urban Health, 96, 12–22. https://doi.org/10.1007/s11524-018-00333-1
Ferguson, H., & Gates, P. (2015). Early intervention and holistic, relationship-based practice with fathers: Evidence from the work of the family nurse partnership. Child & Family Social Work, 20(1), 96–105. https://doi.org/10.1111/cfs.12059
Finegood, E. D., Blair, C., Granger, D. A., Hibel, L. C., Mills-Koonce, R., The Family Life Project Key Investigators. (2016). Psychobiological influences on maternal sensitivity in the context of adversity. Developmental Psychology, 52(7), 1073–108.
Fiocco, A. J., Joober, R., & Lupien, S. J. (2007). Education modulates cortisol reactivity to the Trier Social Stress Test in middle-aged adults. Psychoneuroendocrinology, 32(8–10), 1158–1163. https://doi.org/10.1016/j.psyneuen.2007.08.008
Fisher, D., Khashu, M., Adama, E. A., Feeley, N., Garfield, C. F., Ireland, J., Koliouli, F., Lindberg, B., Nørgaard, B., Provenzi, L., Thomson-Salo, F., & van Teijlingen, E. (2018). Fathers in neonatal units: Improving infant health by supporting the baby-father bond and mother-father coparenting. Journal of Neonatal Nursing, 24(6), 306–312. https://doi.org/10.1016/j.jnn.2018.08.007
Folger, A. T., Eismann, E. A., Stephenson, N. B., Shapiro, R. A., Macaluso, M., Brownrigg, M. E., & Gillespie, R. J. (2018). Parental adverse childhood experiences and offspring development at 2 years of age. Pediatrics, 141(4), 1–9. https://doi.org/10.1542/peds.2017-2826
Gettler, L. T., & Oka, R. C. (2016). Aging US males with multiple sources of emotional social support have low testosterone. Hormones and Behavior, 78, 32–42. https://doi.org/10.1016/j.yhbeh.2015.10.003
Gillespie, R. J., & Folger, A. T. (2017). Feasability of assessing parental ACEs in pediatric primary care. Journal of Child and Adolescent Trauma, 10(3), 249–256. https://doi.org/10.1007/s40653-017-0138-z
Giesbrecht, G. F., Poole, J. C., Letourneau, N., Campbell, T., & Kaplan, B. J. (2013). The buffering effect of social support on HPA axis functioning during pregnancy. Psychosomatic Medicine, 75, 856–862. https://doi.org/10.1097/PSY.0000000000000004
Gottlieb, B. H. (1987). Using social support to protect and promote health. Journal of Primary Prevention, 8(1–2), 49–70.
Guo, Y., Logan, H. L., Glueck, D. H., & Muller, K. E. (2013). Selecting a sample size for studies with repeated measures. BMC Medical Research Methodology, 13(1), 1–8. https://doi.org/10.1186/1471-2288-13-100
Gupta, R. C., Randell, K. A., & Dowd, M. D. (2021). Addressing parental ACEs in the pediatric setting. Advanced Pediatrics, 68, 71–88. https://doi.org/10.1016/j.yapd.2021.05.003
Harel, G., & Finzi-Dottan, R. (2018). Childhood maltreatment and its effect on parenting among high-risk parents. Journal of Child and Family Studies, 27(5), 1513–1524. https://doi.org/10.1007/s10826-017-0994-z
Hechler, C., Beijers, R., Riksen-Walraven, M., & De Weerth, C. (2019). Studying quality of caregiving behavior: The roles of infant, mother, father, and culture. Parenting, 19(1–2), 133–136. https://doi.org/10.1080/15295192.2019.1556021
Helth, T. D., & Jarden, M. (2013). Fathers’ experiences with the skin-to-skin method in NICU: Competent parenthood and redefined gender roles. Journal of Neonatal Nursing, 19(3), 114–121. https://doi.org/10.1016/j.jnn.2012.06.001
Hicks, L. M., Dayton, C. J., & Viktor, B. G. (2018). Depressive and trauma symptoms in expectant, risk-exposed, mothers and fathers: Is mindfulness a buffer? Journal of Affective Disorders, 238(1), 179–186. https://doi.org/10.1016/j.jad.2018.05.044
Hoffman, L. (2015). Longitudinal analysis: Modeling within-person fluctuation and change. Routledge. https://doi.org/10.4324/9781315744094-12
Hudson, D. L., Neighbors, H. W., Geronimus, A. T., & Jackson, J. S. (2016). Racial discrimination, john henryism, and depression among African Americans. Journal of Black Psychology, 42(3), 221–243. https://doi.org/10.1177/0095798414567757
Isaksson, G., Lexell, J., & Skär, L. (2007). Social support provides motivation and ability to participate in occupation. OTJR: Occupation Participation and Health, 27(1), 23–30.
Jacob, G., Faber, S. C., Faber, N., Bartlett, A., Ouimet, A. J., & Williams, M. T. (2023). A systematic review of Black People coping with racism: Approaches, analysis, and empowerment. Perspectives on Psychological Science, 18(2), 392–415. https://doi.org/10.1177/17456916221100509
James, S. A., Hartnett, S. A., & Kalsbeek, W. D. (1983). John Henryism and blood pressure differences among black men. Journal of Behavioral Medicine, 6(3), 259–278. https://doi.org/10.1007/bf01315113
Johnson, A. J., Urizar, G. G., Jr., Nwabuzor, J., & Dinh, P. (2022). Racism, shame, and stress reactivity among young black women. Stress and Health. https://doi.org/10.1002/smi.3152
Kelly, S. M., O’Grady, K. E., Schwartz, R. P., Peterson, J. A., Wilson, M. E., & Brown, B. S. (2010). The relationship of social support to treatment entry and engagement: The Community Assessment Inventory. Substance Abuse, 31(1), 43–52. https://doi.org/10.1080/08897070903442640
Kenward. M. G., & Roger, J. H. (1997). Small sample inference for fixed effects from restricted maximum likelihood. Biometrics, 53(3), 983–997. https://doi.org/10.2307/2533558
Kiel, E. J., & Buss, K. A. (2013). Toddler inhibited temperament, maternal cortisol reactivity and embarrassment, and intrusive parenting. Journal of Family Psychology, 27(3), 512–517. https://doi.org/10.1037/a0032892
Kolomeyer, E., Renk, K., Cunningham, A., Lowell, A., & Khan, M. (2016). Mothers’ adverse childhood experiences and negative parenting behaviors: Connecting mothers’ difficult pasts to present parenting behavior via reflective functioning. Zero to Three, 37(1), 5–12.
Kuo, P. X., Braungart-Rieker, J. M., Lefever, J. E. B., Sarma, M. S., O’Neill, M., & Gettler, L. T. (2018). Fathers’ cortisol and testosterone in the days around infants’ births predict later paternal involvement. Hormones and Behavior, 106, 28–34. https://doi.org/10.1016/j.yhbeh.2018.08.011
Kuras, Y. I., McInnis, C. M., Thoma, M. V., Chen, X., Hanlin, L., Gianferante, D., & Rohleder, N. (2017). Increased alpha-amylase response to an acute psychosocial stress challenge in healthy adults with childhood adversity. Developmental Psychobiology, 59(1), 91–98. https://doi.org/10.1002/dev.21470
Letourneau, N., Dewey, D., Kaplan, B. J., Ntanda, H., Novick, J., Thomas, J. C., Deane, A. J., Leung, B., Pon, K., Giesbrecht, G. F., APrON Study Team. (2019). Intergenerational transmission of adverse childhood experiences via maternal depression and anxiety and moderation by child sex. Journal of Developmental Origins of Health and Disease, 10(1), 88–99. https://doi.org/10.1017/s2040174418000648
Liming, K. W., & Grube, W. A. (2018). Wellbeing outcomes for children exposed to multiple adverse experiences in early childhood: A systematic review. Child and Adolescent Social Work Journal, 35, 317–335. https://doi.org/10.1007/s10560-018-0532-x
Lutz, K. F., Burnson, C., Hane, A., Samuelson, A., Maleck, S., & Poehlmann, J. (2012). Parenting stress, social support, and mother-child interactions in families of multiple and singleton preterm toddlers. Family Relations, 61(4), 642–656. https://doi.org/10.1111/j.1741
Maguire-Jack, K., & Wang, X. (2016). Pathways from neighborhood to neglect: The mediating effects of social support and parenting stress. Children and Youth Services Review, 66, 28–34. https://doi.org/10.1016/j.childyouth.2016.04.017
McDoom, M. M., Bokhour, B., Sullivan, M., & Drainoni, M. L. (2015). How older black women perceive the effects of stigma and social support on engagement in HIV care. AIDS Patient Care and STDs, 29(2), 95–101. https://doi.org/10.1089/apc.2014.0184
Mohan, R., & Kulkarni, M. (2018). Resilience in parents of children with intellectual disabilities. Psychology and Developing Societies, 30(1), 19–43. https://doi.org/10.1177/0971333617747321
Morgan, C. H., Pu, D. F., & Rodriguez, C. M. (2022). Parenting style history in predicting harsh parenting and child abuse risk across the transition to parenthood: Role of gender. Child Abuse & Neglect, 127, 1–12. https://doi.org/10.1016/j.chiabu.2022.105587
Nazzari, S., Fearon, P., Rice, F., Molteni, M., & Frigerio, A. (2021). Maternal caregiving moderates the impact of antenatal maternal cortisol on infant stress regulation. Journal of Child Psychology and Psychiatry. https://doi.org/10.1111/jcpp.13532
O’Connor, D. B., Green, J. A., Ferguson, E., O’Carroll, R. E., & O’Connor, R. C. (2018). Effects of childhood trauma on cortisol levels in suicide attempters and ideators. Psychoneuroendocrinology, 88, 9–16. https://doi.org/10.1016/j.psyneuen.2017.11.004
Pålsson, P., Persson, E. K., Ekelin, M., Hallström, I. K., & Kvist, L. J. (2017). First-time fathers experiences of their prenatal preparation in relation to challenges met in the early parenthood period: Implications for early parenthood preparation. Midwifery, 50, 86–92. https://doi.org/10.1016/j.midw.2017.03.021
Panisch, L. S., LaBrenz, C. A., Lawson, J., Gerlach, B., Tennant, P. S., Nulu, S., & Faulkner, M. (2020). Relationships between adverse childhood experiences and protective factors among parents at-risk for child maltreatment. Children and Youth Services Review, 110, 104816. https://doi.org/10.1016/j.childyouth.2020.104816
Peer, J. W., & Hillman, S. B. (2014). Stress and resilience for parents of children with intellectual and developmental disabilities. Journal of Policy and Practice in Intellectual Disabilities, 11(2), 92–98. https://doi.org/10.1111/jppi.12072
Pinkerton, L. M., Kisiel, C. L., & Risser, H. J. (2023). Treatment engagement among children exposed to violence: A systems perspective. Journal of Interpersonal Violence, 38(3–4), 4215–4239. https://doi.org/10.1177/08862605221114306
Plant, D. T., Jones, F. W., Pariante, C. M., & Pawlby, S. (2017). Association between maternal childhood trauma and offspring childhood psychopathology. The British Journal of Psychiatry, 211(3), 144–150. https://doi.org/10.1192/bjp.bp.117.198721
Porges, S. W. (2015). Making the world safe for our children: Down-regulating defence and up regulating social engagement to ‘optimise’ the human experience. Children Australia, 40(2), 114–123. https://doi.org/10.1017/cha.2015.12
Racine, N., Madigan, S., Plamondon, A., Hetherington, E., McDonald, S., & Tough, S. (2018). Maternal adverse childhood experiences and antepartum risks. Archives of Women’s Mental Health, 21, 663–670. https://doi.org/10.1007/s00737-018-0826-1
Rajendran, K., Smith, B. D., & Videka, L. (2015). Association of caregiver social support with the safety, permanency, and well-being of children in child welfare. Children and Youth Services Review, 48, 150–158. https://doi.org/10.1016/j.childyouth.2014.12.012
Rariden, C., SmithBattle, L., Yoo, J. H., Cibulka, N., & Loman, D. (2021). Screening for adverse childhood experiences: Literature review and practice implications. The Journal for Nurse Practitioners, 17(1), 98–104. https://doi.org/10.1016/j.nurpra.2020.08.002
Rayburn, S. R., Coatsworth, J. D., & MacPhee, D. (2021). Becoming fathers: A mixed-methods study of the feasibility and acceptability of a mindfulness-based group intervention for perinatal fathers. Journal of Child and Family Studies, 30, 2822–2832. https://doi.org/10.1007/s10826-021-02105-z
Robinson, M. N., & Thomas Tobin, C. S. (2021). Is John Henryism a Health Risk or Resource?: Exploring the Role of Culturally Relevant Coping for Physical and Mental Health among Black Americans. Journal of Health and Social Behavior, 62(2), 136–151. https://doi.org/10.1177/00221465211009142
Rowell, T., & Neal-Barnett, A. (2022). A systematic review of the effect of parental adverse childhood experiences on parenting and child psychopathology. Journal of Child & Adolescent Trauma, 15(1), 167–180. https://doi.org/10.1007/s40653-021-00400-x
Sanada, K., Montero-Marin, J., AldaDÃez, M., Salas-Valero, M., Pérez-Yus, M. C., Morillo, H., Demarzo, M. M., GarcÃa-Toro, M., & GarcÃa-Campayo, J. (2016). Effects of mindfulness-based interventions on salivary cortisol in healthy adults. Frontiers in Physiology, 7, 471. https://doi.org/10.3389/fphys.2016.00471
Sangsawang, B., Deoisres, W., Hengudomsub, P., & Sangsawang, N. (2021). Effectiveness of psychosocial support provided by midwives and family on preventing postpartum depression among first-time adolescent mothers at 3-month follow-up: A randomized controlled trial. Journal of Clinical Nursing, 31(5–6), 689–702.
Schaalje, G. B., McBride, J. B., & Fellingham, G. W. (2002). Adequacy of approximations to distributions of test statistics in complex mixed linear models. Journal of Agricultural, Biological, and Environmental Statistics, 7(4), 512–524. https://doi.org/10.1198/108571102726
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. https://doi.org/10.1542/peds.2018-0023
Schmidt-Reinwald, A., Pruessner, J. C., Hellhammer, D. H., Federenko, I., Rohleder, N., Schürmeyer, T. H., & Kirschbaum, C. (1999). The cortisol response to awakening in relation to different challenge tests and a 12-hour cortisol rhythm. Life Sciences, 64(18), 1653–1660. https://doi.org/10.1016/s0024-3205(99)00103-4
Schwarzer, R., & Knoll, N. (2007). Functional roles of social support within the stress and coping process: A theoretical and empirical overview. International Journal of Psychology, 42(4), 243–252. https://doi.org/10.1080/00207590701396641
StataCorp. (2017). Stata multilevel mixed-effects reference manual: Release 17. Stata Press.
Thompson, M. P., Kingree, J. B., & Lamis, D. (2019). Associations of adverse childhood experiences and suicidal behaviors in adulthood in a US nationally representative sample. Child: Care Health and Development, 45(1), 121–128. https://doi.org/10.1111/cch.12617
Treat, A. E., Sheffield Morris, A., Williamson, A. C., Hays-Grudo, J., & Laurin, D. (2019). Adverse childhood experiences, parenting, and child executive function. Early Child Development and Care, 189(6), 926–937. https://doi.org/10.1080/03004430.2017.1353978
van Anders, S. M., Tolman, R. M., & Volling, B. L. (2012). Baby cries and nurturance affect testosterone in men. Hormones and Behavior, 61(1), 31–36. https://doi.org/10.1016/j.yhbeh.2011
Voellmin, A., Winzeler, K., Hug, E., Wilhelm, F. H., Schaefer, V., et al. (2015). Blunted endocrine and cardiovascular reactivity in young healthy women reporting a history of childhood adversity. Psychoneuroendocrinology, 51, 58–67. https://doi.org/10.1016/j.psyneuen.2014.09.008
West, B. T., Welch, K. B., & Galecki, A. T. (2006). Linear mixed models: a practical guide using statistical software (pp. 9–58). Chapman and Hall/CRC.
Wooldredge, J., Frank, J., Goulette, N., & Travis, L. (2015). Is the impact of cumulative disadvantage on sentencing greater for Black defendants? Criminology & Public Policy, 14(2), 187–223. https://doi.org/10.1111/1745-9133.12124
Yachi, C. T., Hitomi, T., & Yamaguchi, H. (2018). Two experiments on the psychological and physiological effects of touching on both healthy and traumatized experiment participants. Behavioral Sciences, 8(10), 95. https://doi.org/10.3390/bs8100095
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41. https://doi.org/10.1207/s15327752jpa5201_2
Zvara, B. J., Mills-Koonce, R., & Cox, M. (2017). Maternal childhood sexual trauma, child directed aggression, parenting behavior, and the moderating role of child sex. Journal of Family Violence, 32(2), 219–229. https://doi.org/10.1007/s10896-016-9839-6
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Brown, S., Carbone, J.T., Hicks, L.M. et al. The Moderating Role of Social Support on the Cortisol Stress Response of Expectant Fathers Exposed to Adverse Childhood Experiences. J Fam Viol (2023). https://doi.org/10.1007/s10896-023-00555-1
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DOI: https://doi.org/10.1007/s10896-023-00555-1