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A Systematic Review of the Effect of Parental Adverse Childhood Experiences on Parenting and Child Psychopathology

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Abstract

Adverse childhood experiences (ACEs) are defined as early exposure to maltreatment and household dysfunction. Researchers have demonstrated the link between ACEs and negative psychological, behavioral, interpersonal, and health outcomes. A growing area of interest in the ACE literature concerns the relationship between ACEs, parenting, and child psychopathology due to the intergenerational effect of ACEs. Emotional availability and discipline strategies are two domains of parenting that can increase understanding of the associations between ACEs, parenting, and child psychopathology from an attachment framework because they are both salient during early childhood and directly influence a child’s later behavior. This paper utilized the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to elucidate the relationships between parental ACEs, parents’ emotional availability and discipline strategies, and children’s psychopathology. PubMed, PSYCINFO, and Psychology and Behavioral Sciences Collection were used to access the literature on June 16, 2020, and 26 studies met the inclusion criteria. Results from this review suggested that there is a direct association between ACEs and parental emotional availability and discipline techniques. Depression and dissociation were identified as potential mediators. There was support for the direct association between parental ACEs and children’s internalizing and externalizing difficulties. Maternal anxiety and depressive symptoms, emotional availability, attachment, and children’s maltreatment experiences were found to be possible mediators. Recommendations are proposed to address limitations within the literature to further expand upon the research of ACEs, parenting, and child psychopathology.

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References

References Marked with an Asterisk Indicate Studies Included in the Systematic Review

  • Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4-18 and 1991 profile. University of Vermont.

    Google Scholar 

  • Achenbach, T. M., & Rescorla, L. A. (2000). Child behavior checklist for ages 1 1/2-5. University of Vermont.

    Google Scholar 

  • American Psychological Association (n.d.). Parenting. Retrieved June 13, 2020, from https://www.apa.org/topics/parenting

  • Appleyard, K., & Osofsky, J. D. (2003). Parenting after trauma: Supporting parents and caregivers in the treatment of children impacted by violence. Infant Mental Health Journal: Official Publication of the World Association for Infant Mental Health, 24(2), 111–125.

    Google Scholar 

  • *Babcock Fenerci, R. L., Chu, A. T., & DePrince, A. P. (2016). Intergenerational transmission of trauma-related distress: Maternal betrayal trauma, parenting attitudes, and behaviors. Journal of Aggression, Maltreatment & Trauma, 25(4), 382–399.

    Google Scholar 

  • *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.

    Google Scholar 

  • *Banyard, V. L., Williams, L. M., & Siegel, J. A. (2003). The impact of complex trauma and depression on parenting: An exploration of mediating risk and protective factors. Child Maltreatment, 8(4), 334–349.

    PubMed  Google Scholar 

  • Bernstein, D. P., Fink, L., Handelsman, L., & Foote, J. (1994). Childhood Trauma Questionnaire (CTQ) [Database record]. APA PsycTests.

  • Biringen, Z., Batten, R., Neelan, P., Altenhofen, S., Swaim, R., Bruce, A., ... & Zachary, V. (2010). Emotional availability (EA): The assessment of and intervention for global parent-child relational quality. Journal of Experiential Psychotherapy, 49(1).

  • *Bödeker, K., Fuchs, A., Führer, 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 & Human Development, 50(2), 278–290.

    Google Scholar 

  • Bowlby, J. (1958). The nature of the child’s tie to his mother. International Journal of Psychoanalysis, 39, 350–371.

    PubMed  Google Scholar 

  • Bowlby, J. (1969). Attachment and loss. Bd. 1: Attachment. New York.

  • Brodsky, B. S. (2016). Early childhood environment and genetic interactions: The diathesis for suicidal behavior. Current Psychiatry Reports, 18(9), 86.

    PubMed  Google Scholar 

  • *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.

    PubMed  Google Scholar 

  • Cicchetti, D., & Doyle, C. (2016). Child maltreatment, attachment and psychopathology: Mediating relations. World Psychiatry, 15(2), 89.

    PubMed  PubMed Central  Google Scholar 

  • Cohen, J. A., & Mannarino, A. P. (2008). Trauma-focused cognitive behavioural therapy for children and parents. Child and Adolescent Mental Health, 13(4), 158–162.

    PubMed  Google Scholar 

  • Colegrove, V. M., Havighurst, S. S., Kehoe, C. E., & Jacobsen, S. L. (2018). Pilot randomized controlled trial of tuning relationships with music: Intervention for parents with a trauma history and their adolescent. Child Abuse & Neglect, 79, 259–268.

    Google Scholar 

  • *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.

    PubMed  PubMed Central  Google Scholar 

  • Conn, A. M., Szilagyi, M. A., Jee, S. H., Manly, J. T., Briggs, R., & Szilagyi, P. G. (2018). Parental perspectives of screening for adverse childhood experiences in pediatric primary care. Families, Systems, & Health, 36(1), 62.

    Google Scholar 

  • *Cooke, J. E., Racine, N., Plamondon, A., Tough, S., & Madigan, S. (2019). Maternal adverse childhood experiences, attachment style, and mental health: Pathways of transmission to child behavior problems. Child Abuse & Neglect, 93, 27–37.

    Google Scholar 

  • Crowe, M., Sheppard, L., & Campbell, A. (2011). Comparison of the effects of using the Crowe Critical Appraisal Tool versus informal appraisal in assessing health research: A randomised trial. International Journal of Evidence-Based Healthcare, 9(4), 444–449.

    PubMed  Google Scholar 

  • Erozkan, A. (2016). The Link between Types of Attachment and Childhood Trauma. Universal Journal of Educational Research, 4(5), 1071–1079.

    Google Scholar 

  • *Esteves, K., Gray, S. A., Theall, K. P., & Drury, S. S. (2017). Impact of physical abuse on internalizing behavior across generations. Journal of Child and Family Studies, 26(10), 2753–2761.

    PubMed  PubMed Central  Google Scholar 

  • Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258.

    Google Scholar 

  • Fuchs, A., Möhler, 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 & Neglect, 48, 179–189.

    Google Scholar 

  • Gillespie, R. J., & Folger, A. T. (2017). Feasibility of assessing parental ACEs in pediatric primary care: Implications for practice-based implementation. Journal of Child & Adolescent Trauma, 10(3), 249–256.

    Google Scholar 

  • Goodman, G. S., Ghetti, S., Quas, J. A., Edelstein, R. S., Alexander, K. W., Redlich, A. D., & Jones, D. P. (2003). A prospective study of memory for child sexual abuse: New findings relevant to the repressed-memory controversy. Psychological Science, 14(2), 113–118.

    PubMed  Google Scholar 

  • Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38(5), 581–586.

    PubMed  Google Scholar 

  • *Harel, G., & Finzi-Dottan, R. (2018). Childhood Maltreatment and its Effect on Parenting among High-Risk Parents. Journal of Child & Family Studies, 27(5), 1513–1524. https://doi.org/10.1007/s10826-017-0994-z

    Article  Google Scholar 

  • *Harmer, A. L., Sanderson, J., & Mertin, P. (1999). Influence of negative childhood experiences on psychological functioning, social support, and parenting for mothers recovering from addiction. Child Abuse & Neglect, 23(5), 421–433.

    Google Scholar 

  • Hill, J., Fonagy, P., Safier, E., & Sargent, J. (2003). The ecology of attachment in the family. Family Process, 42(2), 205–221.

    PubMed  Google Scholar 

  • Hughes, M., & Cossar, J. (2016). The relationship between maternal childhood emotional abuse/neglect and parenting outcomes: A systematic review. Child Abuse Review, 25(1), 31–45.

    Google Scholar 

  • Hugill, M., Berry, K., & Fletcher, I. (2017). The association between historical childhood sexual abuse and later parenting stress: A systematic review. Archives of Women’s Mental Health, 20(2), 257–271.

    PubMed  PubMed Central  Google Scholar 

  • *Kim, K., Trickett, P. K., & Putnam, F. W. (2010). Childhood experiences of sexual abuse and later parenting practices among non-offending mothers of sexually abused and comparison girls. Child Abuse & Neglect, 34(8), 610–622.

    Google Scholar 

  • *Kluczniok, D., Boedeker, K., Fuchs, A., Hindi Attar, C., Fydrich, T., Fuehrer, D., & Herpertz, S. C. (2016). Emotional availability in mother–child interaction: The effects of maternal depression in remission and additional history of childhood abuse. Depression and Anxiety, 33(7), 648–657.

    PubMed  Google Scholar 

  • Lang, J., McKie, J., Smith, H., McLaughlin, A., Gillberg, C., Shiels, P. G., & Minnis, H. (2019). Adverse childhood experiences, epigenetics and telomere length variation in childhood and beyond: a systematic review of the literature. European child & adolescent psychiatry, 1–10.

  • *Letourneau, N., Dewey, D., Kaplan, B. J., Ntanda, H., Novick, J., Thomas, J. C., … & 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.

    Google Scholar 

  • *Lyons-Ruth, K., & Block, D. (1996). The disturbed caregiving system: Relations among childhood trauma, maternal caregiving, and infant affect and attachment. Infant Mental Health Journal: Official Publication of the World Association for Infant Mental Health, 17(3), 257–275.

    Google Scholar 

  • Madigan, S., Bakermans-Kranenburg, M. J., Van Ijzendoorn, M. H., Moran, G., Pederson, D. R., & Benoit, D. (2006). Unresolved states of mind, anomalous parental behavior, and disorganized attachment: A review and meta-analysis of a transmission gap. Attachment & Human Development, 8(2), 89–111.

    Google Scholar 

  • *Madigan, S., Wade, M., Plamondon, A., & Jenkins, J. (2015). Maternal abuse history, postpartum depression, and parenting: Links with preschoolers’ internalizing problems. Infant Mental Health Journal, 36(2), 146–155.

    PubMed  Google Scholar 

  • *McDonald, S. W., Madigan, S., Racine, N., Benzies, K., Tomfohr, L., & Tough, S. (2019). Maternal adverse childhood experiences, mental health, and child behaviour at age 3: The all our families community cohort study. Preventive Medicine, 118, 286–294.

    PubMed  Google Scholar 

  • McEwen, C. A., & Gregerson, S. F. (2019). A critical assessment of the adverse childhood experiences study at 20 years. American Journal of Preventive Medicine, 56(6), 790–794.

    Google Scholar 

  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Prisma Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine, 6(7), e1000097.

  • Moran, G., Bailey, H. N., Gleason, K., DeOliveira, C. A., & Pederson, D. R. (2008). Exploring the mind behind unresolved attachment: Lessons from and for attachment-based interventions with infants and their traumatized mothers. In H. Steele & M. Steele (Eds.), Clinical applications of the Adult Attachment Interview (p. 371–398). The Guilford Press.

  • Morgan, R. L., Whaley, P., Thayer, K. A., & Schünemann, H. J. (2018). Identifying the PECO: A framework for formulating good questions to explore the association of environmental and other exposures with health outcomes. Environment International, 121(Pt 1), 1027.

    PubMed  PubMed Central  Google Scholar 

  • NICHD Early Child Care Research Network. (1999). Child care and mother–child interaction in the first three years of life. Developmental Psychology, 35, 1399–1413.

    Google Scholar 

  • Nieman, P., Shea, S., Canadian Paediatric Society., & Community Paediatrics Committee. (2004). Effective discipline for children. Paediatrics & Child Health, 9(1), 37–41.

    Google Scholar 

  • *Plant, D. T., Barker, E. D., Waters, C. S., Pawlby, S., & Pariante, C. M. (2013). Intergenerational transmission of maltreatment and psychopathology: The role of antenatal depression. Psychological Medicine, 43(3), 519–528.

    PubMed  Google Scholar 

  • *Plant, D. T., Jones, F. W., Pariante, C. M., & Pawlby, S. (2017). Association between maternal childhood trauma and offspring childhood psychopathology: Mediation analysis from the ALSPAC cohort. The British Journal of Psychiatry, 211(3), 144–150.

    PubMed  PubMed Central  Google Scholar 

  • *Rea, H. M., & Shaffer, A. (2016). Expressed Emotion in Mothers of School-Age Children: Relations to Maternal Maltreatment and Parenting Behavior. Journal of Child and Family Studies, 25(12), 3749–3759.

    Google Scholar 

  • Reece, H. (2013). The pitfalls of positive parenting. Ethics and Education, 8(1), 42–54.

    Google Scholar 

  • *Reichl, C., Kaess, M., Fuchs, A., Bertsch, K., Bödeker, K., Zietlow, A. -L., Dittrich, K., Hartmann, A. M., Rujescu, D., Parzer, P., Resch, F., Bermpohl, F., Herpertz, S. C., & Brunner, R. (2019). Childhood adversity and parenting behavior: The role of oxytocin receptor gene polymorphisms. Journal of Neural Transmission, 126(6), 777–787. https://doi.org/10.1007/s00702-019-02009-9

    Article  PubMed  Google Scholar 

  • Reynolds, C. R. (2010). Behavior assessment system for children. The Corsini encyclopedia of psychology, 1–2.

  • Riggs, S. A. (2010). Childhood emotional abuse and the attachment system across the life cycle: What theory and research tell us. Journal of Aggression, Maltreatment & Trauma, 19(1), 5–51.

    Google Scholar 

  • *Roberts, R., O’Connor, T., Dunn, J., Golding, J., & ALSPAC Study Team. (2004). The effects of child sexual abuse in later family life; mental health, parenting and adjustment of offspring. Child Abuse & Neglect, 28(5), 525–545.

    Google Scholar 

  • Schechter, D. S., & Willheim, E. (2009). When parenting becomes unthinkable: Intervening with traumatized parents and their toddlers. Adolescent Psychiatry, 890(8567/09), 4803–5249.

    Google Scholar 

  • *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.

  • Seay, A., Freysteinson, W. M., & McFarlane, J. (2014, July). Positive parenting. In Nursing Forum (Vol. 49, No. 3, pp. 200–208).

  • Sroufe, L. A., Carlson, E. A., Levy, A. K., & Egeland, B. (2003). Implications of Attachment Theory for Developmental Psychopathogy. Annual Progress in Child Psychiatry and Child Development, 2000–2001, 43–63.

    Google Scholar 

  • Straus, M. (1979). Measuring intrafamily conflict and violence: The conflict tactics scales. Journal of Marriage and the Family, 41(1), 75–88.

    Google Scholar 

  • *van de Ven, M. C., van den Heuvel, M. I., Bhogal, A., Lewis, T., & Thomason, M. E. (2020). Impact of maternal childhood trauma on child behavioral problems: The role of child frontal alpha asymmetry. Developmental Psychobiology, 62(2), 154–169.

    PubMed  Google Scholar 

  • Van Leeuwen, K. G., & Vermulst, A. A. (2004). Ghent Parental Behavior Questionnaire: Psychometric properties; parents ratings; factor structure; internal consistency. European Journal of Psychological Assessment, 4, 283–298.

    Google Scholar 

  • Verschueren, K., Dossche, D., Marcoen, A., Mahieu, S., & Bakermans-Kranenburg, M. (2006). Attachment representations and discipline in mothers of young school children: An observation study. Social Development, 15(4), 659–675.

    Google Scholar 

  • Vig, K. D., Paluszek, M. M., & Asmundson, G. J. (2020). ACEs and physical health outcomes. In Adverse Childhood Experiences (pp. 71–90). Academic Press.

  • Widom, C. S., Czaja, S. J., Kozakowski, S. S., & Chauhan, P. (2018). Does adult attachment style mediate the relationship between childhood maltreatment and mental and physical health outcomes? Child Abuse & Neglect, 76, 533–545.

    Google Scholar 

  • Zietlow, A. L., Nonnenmacher, N., Reck, C., Mueller, M., Herpertz, S. C., Neukel, C., & Attar, C. H. (2017). Early life maltreatment but not lifetime depression predicts insecure attachment in women. Archives of Women’s Mental Health, 20(4), 477–486.

    PubMed  Google Scholar 

  • Zubizarreta, A., Calvete, E., & Hankin, B. L. (2019). Punitive parenting style and psychological problems in childhood: The moderating role of warmth and temperament. Journal of Child and Family Studies, 28(1), 233–244.

    Google Scholar 

  • *Zvara, B. J., Meltzer‐Brody, S., Mills‐Koonce, W. R., Cox, M., & Family Life Project Key Investigators. (2017a). Maternal childhood sexual trauma and early parenting: prenatal and postnatal associations. Infant and Child Development, 26(3), e1991.

  • *Zvara, B. J., Mills-Koonce, R., & Cox, M. (2017b). Maternal childhood sexual trauma, child directed aggression, parenting behavior, and the moderating role of child sex. Journal of Family Violence, 32(2), 219–229.

    PubMed  Google Scholar 

  • *Zvara, B. J., Mills-Koonce, W. R., Carmody, K. A., Cox, M., & Family Life Project Key Investigators. (2015). Childhood sexual trauma and subsequent parenting beliefs and behaviors. Child Abuse & Neglect, 44, 87–97.

    Google Scholar 

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  1. Department of Psychological Sciences, Kent State University, 600 Hilltop Drive, Kent, OH, 44240, USA

    Tiffany Rowell & Angela Neal-Barnett

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  1. Tiffany Rowell
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PRISMA Flow Diagram of Study Selection

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Rowell, T., Neal-Barnett, A. A Systematic Review of the Effect of Parental Adverse Childhood Experiences on Parenting and Child Psychopathology. Journ Child Adol Trauma 15, 167–180 (2022). https://doi.org/10.1007/s40653-021-00400-x

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