Skip to main content
Log in

The Moderating and Mediating Role of Responsive Parenting Behavior in Explaining the Link between Intimate Partner Violence and Posttraumatic Stress Symptoms in Young Children

  • Original Article
  • Published:
Journal of Child & Adolescent Trauma Aims and scope Submit manuscript

Abstract

Responsive parenting serves an influential role in explaining the link between children’s exposure to intimate partner violence (IPV) and children’s mental health impairment, but how this occurs is not well elucidated. In some cases, researchers examine parenting as a mediator to explain how IPV leads to maladaptive outcomes (i.e., IPV negatively impacts one’s capacity for responsive parenting, which in turn impacts children), whereas others examine moderation in which either the absence of responsive parenting exacerbates adverse outcomes or increased responsive parenting buffers risk. Mediation addresses theoretical questions about how or why IPV leads to maladaptive outcomes, whereas moderation addresses who might be most impacted. However, responsive parenting has rarely, if ever, been tested as both a mediator and moderator of the link between IPV and posttraumatic stress symptoms (PTSS) within the same sample. The current study examined the mediating and moderating role of responsive parenting on physical IPV exposure and child PTSS in a longitudinal sample of 391 children ages 3 to 5 years (M = 4.74, SD = 0.89). Self-report measures of physical IPV exposure, parenting practices, and PTSS were completed by mothers. We found that responsive parenting significantly moderated and mediated the association between physical IPV exposure and child PTSS over time. Studies that include tests of both moderation and mediation are critical for advancing mechanistic insight into the role of parenting in the etiology of mental health impairment in children exposed to IPV.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Artz, S., Jackson, M. A., Rossiter, K. R., Nijdam-Jones, A., Géczy, I., & Porteous, S. (2014). A Comprehensive Review of the literature on the impact of exposure to intimate Partner Violence for children and youth. International Journal of Child Youth and Family Studies, 5(4), 493. https://doi.org/10.18357/ijcyfs54201413274.

    Article  Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.

    Article  PubMed  Google Scholar 

  • Bogat, G. A., DeJonghe, E., Levendosky, A. A., Davidson, W. S., & Von Eye, A. (2006). Trauma symptoms among infants exposed to intimate partner Violence. Child Abuse & Neglect, 30(2), 109–125.

    Article  Google Scholar 

  • Bornstein, M. H., Tamis-LeMonda, C. S., Hahn, C.-S. & Haynes, O. M. (2008). Maternal responsiveness to young children at three ages: Longitudinal analysis of a multidimensional, modular, and specific parenting construct. Developmental Psychology, 44(3), 867–874. https://doi.org/10.1037/0012-1649.44.3.867.

  • Briere, J., Johnson, K., Bissada, A., Damon, L., Crouch, J., Gil, E., Hanson, R., & Ernst, V. (2001). The Trauma Symptom Checklist for Young Children (TSCYC): Reliability and association with abuse exposure in a multi-site study. Child Abuse and Neglect, 25(8), 1001–1014. https://doi.org/10.1016/S0145-2134(01)00253-8.

    Article  PubMed  Google Scholar 

  • Briggs-Gowan, M. J., Estabrook, R., Henry, D., Grasso, D. G., Burns, J., McCarthy, K. J., Pollak, S. J., & Wakschlag, L. S. (2019). Parsing dimensions of family violence exposure in early childhood: Shared and specific contributions to emergent psychopathology and impairment. Child Abuse and Neglect, 87(May 2017), 100–111. https://doi.org/10.1016/j.chiabu.2018.06.006.

  • Cameranesi, M., & Piotrowski, C. C. (2020). Critical review of theoretical frameworks elucidating the mechanisms accounting for the adverse developmental outcomes observed in children following exposure to intimate partner violence. Aggression and Violent Behavior, 55(July 2018), 101455. https://doi.org/10.1016/j.avb.2020.101455.

  • Connor, D. F., Ford, J. D., Arnsten, A. F. T., & Greene, C. A. (2015). An update on posttraumatic stress disorder in children and adolescents. Clinical Pediatrics, 54(6), 517–528. https://doi.org/10.1177/0009922814540793.

    Article  PubMed  Google Scholar 

  • Ehrensaft, M. K., Knous-Westfall, H., & Cohen, P. (2017). Long-term influence of intimate partner Violence and parenting practices on offspring trauma symptoms. Psychology of Violence, 7(2), 296–305. https://doi.org/10.1037/a0040168.

    Article  Google Scholar 

  • Eshel, N., Daelmans, B., Mello, M. C. D., & Martines, J. (2006). Responsive parenting: Interventions and outcomes. Bulletin of the World Health Organization, 84, 991–998.

  • Evans, S. E., Davies, C., & DiLillo, D. (2008). Exposure to Domestic Violence: A meta-analysis of child and adolescent outcomes. Aggression and Violent Behavior, 13(2), 131–140. https://doi.org/10.1016/j.avb.2008.02.005.

    Article  Google Scholar 

  • Goldstein, B. L., Finsaas, M. C., Olino, T. M., Kotov, R., Grasso, D. J., & Klein, D. N. (2021). Three-variable systems: An integrative moderation and mediation framework for developmental psychopathology. Development and Psychopathology, 1–12. https://doi.org/10.1017/S0954579421000493.

  • Gorman-Smith, D., Henry, D., Tolan, P., & Schoeny, M. (2010). Developmental-ecological measurement of neighborhood effects on youth Violence. Centers for Disease Control and Prevention.

  • Graham-Bermann, S. A., & Levendosky, A. A. (1998). Traumatic stress symptoms in children of battered women. Journal of Interpersonal Violence, 13(1), 111–128. https://doi.org/10.1177/088626098013001007.

    Article  Google Scholar 

  • Grasso, D. J., Henry, D., Kestler, J., Nieto, R., Wakschlag, L. S., & Briggs-Gowan, M. J. (2016). Harsh parenting as a potential Mediator of the Association between Intimate Partner Violence and child disruptive behavior in families with Young Children. Journal of Interpersonal Violence, 31(11), 2102–2126. https://doi.org/10.1177/0886260515572472.

    Article  PubMed  Google Scholar 

  • Greene, C. A., Chan, G., McCarthy, K. J., Wakschlag, L. S., & Briggs-Gowan, M. J. (2018). Psychological and physical intimate partner Violence and young children’s mental health: The role of maternal posttraumatic stress symptoms and parenting behaviors. Child Abuse and Neglect, 77(January), 168–179. https://doi.org/10.1016/j.chiabu.2018.01.012.

    Article  PubMed  Google Scholar 

  • Greene, C. A., McCarthy, K. J., Estabrook, R., Wakschlag, L. S. & Briggs-Gowan, M. J. (2020). Responsive parenting buffers the impact of maternal PTSD on young children. Parenting, 20(2), 141–165. https://doi.org/10.1080/15295192.2019.1707623.

  • Greeson, M. R., Kennedy, A. C., Bybee, D. I., Beeble, M., Adams, A. E., & Sullivan, C. (2014). Beyond deficits: Intimate Partner Violence, maternal parenting, and child Behavior Over Time. American Journal of Community Psychology, 54(1–2), 46–58. https://doi.org/10.1007/s10464-014-9658-y.

    Article  PubMed  Google Scholar 

  • Hayes, A. F. (2015). An Index and Test of Linear Moderated Mediation. Multivariate Behavioral Research, 50(1), 1–22. https://doi.org/10.1080/00273171.2014.962683.

    Article  PubMed  Google Scholar 

  • Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the Study and Pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65(4), 599–610.

    Article  PubMed  Google Scholar 

  • Holmes, M. R. (2013). Aggressive behavior of children exposed to intimate partner Violence: An examination of maternal mental health, maternal warmth and child maltreatment. Child Abuse and Neglect, 37(8), 520–530. https://doi.org/10.1016/j.chiabu.2012.12.006.

    Article  PubMed  Google Scholar 

  • Howell, K. H., Barnes, S. E., Miller, L. E., & Graham-Bermann, S. A. (2016). Developmental variations in the impact of intimate partner Violence exposure during childhood. Journal of Injury and Violence Research, 8(1), 43–57. https://doi.org/10.5249/jivr.v8i1.663.

    Article  PubMed  PubMed Central  Google Scholar 

  • Huang, C. C., Wang, L. R., & Warrener, C. (2010). Effects of Domestic Violence on behavior problems of preschool-aged children: Do maternal mental health and parenting mediate the effects? Children and Youth Services Review, 32(10), 1317–1323.

    Article  Google Scholar 

  • Knickerbocker, L., Heyman, R. E., Slep, A. M. S., Jouriles, E. N., & McDonald, R. (2007). Co-occurrence of child and partner maltreatment: Definitions, prevalence, theory, and implications for assessment. European Psychologist, 12(1), 36–44. https://doi.org/10.1027/1016-9040.12.1.36.

    Article  Google Scholar 

  • Labella, M. H., & Masten, A. S. (2018). Family influences on the development of aggression and Violence. Current Opinion in Psychology, 19, 11–16. https://doi.org/10.1016/j.copsyc.2017.03.028.

    Article  PubMed  Google Scholar 

  • Landry, S. H., Smith, K. E. & Swank, P. R. (2006). Responsive parenting: Establishing early foundations for social, communication, and independent problem-solving skills. Developmental Psychology, 42(4), 627–642. https://doi.org/10.1037/0012-1649.42.4.627.

  • Lee, A. H., Mirhashem, R., Bernard, K., & Dozier, M. (2022). Prospective Associations between Early Childhood Intimate Partner Violence Exposure and Middle Childhood Internalizing and Externalizing psychopathology. Child Maltreatment, 0(0), 1–11. https://doi.org/10.1177/10775595221100722.

    Article  Google Scholar 

  • Levendosky, A. A., & Graham-Bermann, S. A. (2000). Behavioral observations of parenting in battered women. Journal of Family Psychology, 14(1), 80.

    Article  PubMed  Google Scholar 

  • Levendosky, A. A., & Graham-Bermann, S. A. (2001). Parenting in battered women: The effects of Domestic Violence on women and their children. Journal of Family Violence, 16(2), 171–192. https://doi.org/10.1023/A:1011111003373.

    Article  Google Scholar 

  • Levendosky, A. A., Huth-Bocks, A., & Semel, M. A. (2002). Adolescent Peer Relationships and Mental Health Functioning in families with Domestic Violence. Journal of Clinical Child and Adolescent Psychology, 31(2), 206–218. https://doi.org/10.1207/S15374424JCCP3102_06.

    Article  PubMed  Google Scholar 

  • Levendosky, A. A., Leahy, K. L., Bogat, G. A., Davidson, W. S., & Von Eye, A. (2006). Domestic Violence, maternal parenting, maternal mental health, and infant externalizing behavior. Journal of Family Psychology, 20(4), 544.

    Article  PubMed  Google Scholar 

  • Levendosky, A. A., Bogat, G. A., & Martinez-Torteya, C. (2013). PTSD symptoms in Young Children exposed to intimate Partner Violence. Violence against Women, 19(2), 187–201. https://doi.org/10.1177/1077801213476458.

    Article  PubMed  Google Scholar 

  • Miller-Graff, L. E., Cater, Å. K., Howell, K. H. & Graham-Bermann, S. A. (2016). Parent–child warmth as a potential mediator of childhood exposure to intimate partner violence and positive adulthood functioning. Anxiety, Stress and Coping, 29(3), 259–273. https://doi.org/10.1080/10615806.2015.1028030.

  • Muthén, L. K., & Muthén, B. O. (2017). Mplus user’s guide (version 8.0). Mplus user’s guide. Eighth Ed). Muthén & Muthén.

  • O’Campo, P., Caughy, M. O. & Nettles, S. M. (2010). Partner abuse or violence, parenting and neighborhood influences on children’s behavioral problems. Social Science and Medicine, 70(9), 1404–1415. https://doi.org/10.1016/j.socscimed.2009.11.036.

  • Olds, D. L. (2006). The nurse–family partnership: An evidence-based preventive intervention. Infant Mental Health Journal, 27(1), 5–25. https://doi.org/10.1002/imhj.20077.

    Article  PubMed  Google Scholar 

  • Pu, D. F., & Rodriguez, C. M. (2021). Spillover and crossover effects: Mothers’ and fathers’ intimate Partner Violence, parent-child aggression risk, and child behavior problems. Child Maltreatment, 107755952098593. https://doi.org/10.1177/1077559520985936.

  • Rossman, B. B. R., & Rea, J. G. (2005). The relation of parenting styles and inconsistencies to adaptive functioning for children in conflictual and violent families. Journal of Family Violence, 20(5), 261–277. https://doi.org/10.1007/s10896-005-6603-8.

    Article  Google Scholar 

  • Sanders, M. R. (2008). Triple P-Positive parenting program as a public health approach to strengthening parenting. Journal of Family Psychology, 22(4), 506–517. https://doi.org/10.1037/0893-3200.22.3.506.

    Article  PubMed  Google Scholar 

  • Sanders, M. R., Kirby, J. N., Tellegen, C. L., & Day, J. J. (2014). The triple P-Positive parenting program: A systematic review and meta-analysis of a multi-level system of parenting support. Clinical Psychology Review, 34(4), 337–357.

    Article  PubMed  Google Scholar 

  • Skopp, N. A., McDonald, R., Jouriles, E. N., & Rosenfield, D. (2007). Partner Aggression and Children’s externalizing problems: Maternal and Partner Warmth as protective factors. Journal of Family Psychology, 21(3), 459–467. https://doi.org/10.1037/0893-3200.21.3.459.

    Article  PubMed  Google Scholar 

  • Slep, A. M. S., & O’Leary, S. G. (2005). Parent and Partner Violence in families with Young children: Rates, patterns, and connections. Journal of Consulting and Clinical Psychology, 73(3), 435–444. https://doi.org/10.1037/0022-006X.73.3.435.

    Article  PubMed  Google Scholar 

  • Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. B. (1996). The revised conflict tactics scales (CTS2) development and preliminary psychometric data. Journal of Family Issues, 17(3), 283–316.

    Article  Google Scholar 

  • Vu, N. L., Jouriles, E. N., McDonald, R., & Rosenfield, D. (2016). Children’s exposure to intimate partner Violence: A meta-analysis of longitudinal associations with child adjustment problems. Clinical Psychology Review, 46, 25–33. https://doi.org/10.1016/j.cpr.2016.04.003.

    Article  PubMed  Google Scholar 

  • Williamson, V., Creswell, C., Fearon, P., Hiller, R. M., Walker, J., & Halligan, S. L. (2017). The role of parenting behaviors in childhood post-traumatic stress disorder: A meta-analytic review. Clinical Psychology Review, 53, 1–13. https://doi.org/10.1016/j.cpr.2017.01.005.

    Article  PubMed  Google Scholar 

Download references

Funding

Financial support for the study was provided by grants from the National Institute of Mental Health (U01MH090301; R01MH082830) and by the National Institute of Mental Health Intramural Research Program.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brandon L. Goldstein.

Ethics declarations

Conflict of Interest

The authors do not have any conflicts of interests to report.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Goldstein, B., McCarthy, K., Greene, C. et al. The Moderating and Mediating Role of Responsive Parenting Behavior in Explaining the Link between Intimate Partner Violence and Posttraumatic Stress Symptoms in Young Children. Journ Child Adol Trauma (2023). https://doi.org/10.1007/s40653-023-00593-3

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s40653-023-00593-3

Keywords

Navigation