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Journal of Family Violence

, Volume 12, Issue 3, pp 241–257 | Cite as

The Development of Posttraumatic Stress Disorder (PTSD) in a Sample of Child Witnesses to Mother Assault

  • Peter Lehmann
Article

Abstract

This exploratory study examined the relationship between the development of posttraumatic stress disorder (PTSD) and a number of coping variables in child witnesses to mother assault. The sample consisted of 84 children (mean age 11 years) who had been referred from shelters for battered women and child welfare agencies. Comparisons of those who met PTSD criteria (n = 47) and those who did not meet PTSD criteria (n = 37) found significant differences on variables of age, duration, and frequency of witnessing children. Child self-report instruments indicated that the PTSD group differed significantly from the non-PTSD group on the basis of assault anxiety, depression, dissociation, anger, and negative attributions. Hierarchical multiple regression analysis indicated that factors related to negative attributions and assault variables each contributed significantly to explaining 71% of the variance of PTSD symptoms, after the variables of age and sex were controlled. Discriminant function analysis correctly classified 84.3% of the respondents. The relevance of PTSD to child witnesses is considered, along with study limitations.

children posttraumatic stress disorder family violence 

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REFERENCES

  1. Amaya-Jackson, L., & March, J. S. (1995). Posttraumtic stress disorder. In March, J. S. (Ed.), Anxiety Disorders in Children and Adolescents, Guilford Press, New York, (pp. 276–300).Google Scholar
  2. American Psychiatric Association (1987). Diagnostic And Statistical Manual Of Mental Disorders (3rd. ed., rev.). Washington, DC: Author.Google Scholar
  3. American Psychiatric Association. (1994). Diagnostic And Statistical Manual Of Mental Disorders (4th ed.) Washington, DC: Author.Google Scholar
  4. Arroyo, W., and Eth, S. (1995). Assessment following violence-witnessing trauma. In Peled, E., Jaffe, P. G., and Edelson, J. L. (eds.), Ending The Cycle Of Violence: Community Responses To Children Of Battered Women, Sage, Thousand Oaks, CA, pp. 27–42.Google Scholar
  5. Birt, J. (1992). Childhood dissociative checklist-child form. Unpublished questionnaire. Children's Hospital of Western Ontario, London, Ontario.Google Scholar
  6. Black, D., and Kaplan, T. (1988). Father kills mother. Brit. J. Psychiatry 153: 624–630.Google Scholar
  7. Black, D., Hendriks, J. H., and Kaplan, T. (1992). Father kills mother: Post-traumatic stress disorder in the children. Psychother. Psychosomat. 57: 152–157.Google Scholar
  8. Black, D., Kaplan, T., and Hendriks, J. H. (1993). Father kills mother: Effects on the children in the united kingdom. In Wilson, J. P., and Raphael, B. (eds.). International Handbook Of Traumatic Stress Syndromes, Plenum Press, New York, pp. 551–559.Google Scholar
  9. Briere, J., and Runtz, M. (1989). The trauma symptom checklist (TSC-33): Early data on a new scale. J. Interpers. Viol. 4: 151–163.Google Scholar
  10. Briere, J. (1992). Methodological Issues in the study of sexual abuse effects. J. Consult. Clin. Psychol. 60: 196–203.Google Scholar
  11. Burman, S., and Allen-Meares, P. (1994). Neglected Victims of Murder: Children's witness to parental homicide. Social Work 48: 28–34.Google Scholar
  12. Carlson, B. (1984). Children's observations of interparental violence. In Roberts, A. (ed.), Battered Women And Their Families, Springer, New York, 147–167.Google Scholar
  13. Carlson, B. (1990). Adolescent observers of marital violence. J. Fam. Viol. 5: 285–289.Google Scholar
  14. Carlson, B. (1996). Children of battered women.: Research, Programs, and Services. In Roberts, A. R. (ed.), Helping Battered Women: New Perspectives and Remedies, Oxford University Press, New York, pp. 172–187.Google Scholar
  15. Cicchetti, D., and Lynch, M (1993). Toward an ecological/transactional model of community violence and child maltreatment: Consequences for children's development. Psychiatry 56: 96–118.Google Scholar
  16. Davis, L. V., and Carlson, B. (1987). Observation of spouse abuse: What happens to the children? J. Interpers. Viol. 3: 278–291.Google Scholar
  17. Elbow, M. (1982). Children of violent marriages: The forgotten victims. Social Casework 63: 465–471.Google Scholar
  18. Eth, S., and Pynoos, R.S. (1985). Developmental perspective on psychic trauma in childhood. In Figley, C. R. (ed.) Trauma and Its Wake: The Study and Treatment of Post-traumatic Stress Disorder, Brunner/Mazel Inc., New York, pp. 36–52.Google Scholar
  19. Eth, S., and Pynoos, R. S. (1994). Children who witness the Homicide of a parent. Psychiatry 57: 287–306.Google Scholar
  20. Famularo, R., Kinscherff, R., and Fenton, T. (1991). Posttraumatic stress disorder among children clinically diagnosed as borderline personality disorder. J. Nerv. Ment. Dis. 179: 428–431.Google Scholar
  21. Fantuzzo, J. W., and Lindquist, U. C. (1989). The effects of observing conjugal violence on children: A review and analysis of research methodology. J. Fam. Viol. 4: 77–94.Google Scholar
  22. Fantuzzo, J. W., De Paola, L. M., Lambert, L., Martino, T., Anderson, G., and Sutton, S. (1991). Effects of interparental violence on the psychological adjustment and competencies of young children. J. Consult. Clin. Psychol. 59: 258–265.Google Scholar
  23. Figley, C. R. (1989). Helping Traumatized Families, Jossey-Bass, San Francisco.Google Scholar
  24. Fitzpatrick, K. M., and Boldizar, J. P. (1993). The prevalence and consequences of exposure to violence among African-American youth. J. Am. Acad. Child Adol. Psychiatry 32: 424–430.Google Scholar
  25. Health and Welfare Canada (1990). Canada's Living Standards. Ottawa: Author.Google Scholar
  26. Holaday, M., Armsworth, M. W., Swank, P. R., and Vincent, K.R. (1992). Rorschach responding in traumatized children and adolescents. J. Traum. Stress 5: 119–130.Google Scholar
  27. Hoshmand, L., and Austin, G. (1987). Validation studies of a multifactor cognitive-behavioral anger control inventory. J. Personal. Assess. 51: 417–432.Google Scholar
  28. Hughes, H. M. (1988). Psychological and behavioral correlates of family violence in child witnesses and victims. Am. J. Orthopsychiatry 58: 77–90.Google Scholar
  29. Hughes, H. M., Parkinson, D. L., and Vargo, M. C. (1989). Witnessing spouse abuse and experiencing physical abuse: A double whammy? J. Fam. Viol. 4: 197–209.Google Scholar
  30. Hughes, H. M., Vargo, M. C., Ito, E. S., and Skinner, S. K. (1991). Psychological adjustment of children of battered women: Influences of gender. Fam. Viol. Bull. 7: 15–17.Google Scholar
  31. Hughes, H. M. (1997). Research concerning children of battered women: Clinical implications. In Geffner, R., Sorenson, S. B., and Lundberg-Love, P. K. (eds.), Violence and Sexual Abuse at Home: Current Issues, Interventions, and Research in Spousal Battering And Child Maltreatment, Haworth, Binghamton, NY, In Press.Google Scholar
  32. Jaffe, P. G., Wolfe, D., and Wilson, S. (1990). Children of Battered Women, Sage, Newbury Park, CA.Google Scholar
  33. Jaffe, P. G., Sudermann, M., and Reitzel, D. (1992). Working with children and adolescents to end the cycle of violence: A social learning approach to intervention and prevention programs. In DeV. Peters, R., McMahon, R. J., and Quinsey, V. L. (eds.), Aggression and Violence Throughout the Lifespan, Sage, Newbury Park, CA, pp. 83–99.Google Scholar
  34. Jaffe, P. G., Sudermann, M., and Reitzel, D. (1993). Child witnesses of marital violence. In Ammerman, R. T., and Hersen, N. W. (eds.), Assessment of Family Violence: A Clinical and Legal Sourcebook, Wiley, New York, pp. 313–331.Google Scholar
  35. van der Kolk, B. A. (1987). Psychological Trauma, American Psychiatric Press, Washington, DC.Google Scholar
  36. Kovacs, M. (1983). The Children's Depression Inventory: A self-rated depression scale for school-aged youngsters. Unpublished manuscript.Google Scholar
  37. Landis, T. (1989). Children in shelters: An exploration of dissociative processes and traumatization in some children. Unpublished doctoral dissertation. University of Colorado, Boulder.Google Scholar
  38. Lanktree, C., and Briere, J. (1992, January). Further data on the Trauma Symptom Checklist for Children (TSC-C): Reliability, validity, and sensitivity to treatment. Paper presented at the San Diego Conference on Responding to Child Maltreatment, San Diego.Google Scholar
  39. Lehmann, P. J., and Wolfe, V. V. (1992). History of violence witnessed by child questionnaire. Unpublished questionnaire. Madame Vanier Children's Services, London, Ontario.Google Scholar
  40. Lehmann, P., Rabenstein, S., Duff, J., and Van Meyel, R. (1994). A multi-dimensional model for treating families that have survived mother-assault. Contemp. Fam. Ther. 16: 7–25.Google Scholar
  41. Lipovsky, J. A. (1991). Posttraumatic stress disorder in children. Fam. Commun. Health 14: 42–51.Google Scholar
  42. Lyons, J. A. (1987). Posttraumatic stress disorder in children and adolescents: A review of the literature. Dev. Behav. Pediat. 8: 349–356.Google Scholar
  43. MacLeod, L. (1987). Battered but Not Beaten...Preventing Wife Assault in Canada. Canadian Advisory Council On The Status Of Women, Ottawa.Google Scholar
  44. Malmquist, C. P. (1986). Children who witness parental murder: Posttraumatic aspects. J. Am. Acad. Child Psychiatry 25: 320–325.Google Scholar
  45. Martinez, P., and Richters, J. E. (1993). The nimh community violence project: II. Children's distress symptoms associated with violence exposure. Psychiatry 56: 22–35.Google Scholar
  46. McGee, R., Wolfe, D., and Yuen, S. (1991, April). A device for measuring children's and adolescents maltreatment experiences. Paper presented at the biennial meeting of the Society for Research in Child Development, Seattle.Google Scholar
  47. O'Keefe, M. (1995). Predictors of child abuse in maritally violent families. J. Interpers. Viol. 10: 3–25.Google Scholar
  48. Osofsky, J. D., Wewers, S., Hann, D. M., and Fick, A. C. (1993). Chronic community violence: What is happening to our children. Psychiatry 56: 36–45.PubMedGoogle Scholar
  49. Osofsky, J. D., and Fenichel, E. (eds.) (1994). Hurt, Healing, Hope: Caring for Infants and Toddlers in Violent Environments, Zero to Three Publications, Washington, DC.Google Scholar
  50. Osofsky, J. D., Cohen, G., and Drell, M. (1995). The effects of trauma on young children: A case of two year old twins. Int. J. Psychoanal. 76: 595–607.Google Scholar
  51. Osofsky, J. D., and Fenichel, E. (eds.) (1996). Islands of Safety: Assessing and Treating Young Victims of Violence, Zero to Three Publications, Washington, DC.Google Scholar
  52. Pruett, K. (1979). Home-based treatment for two infants who witnessed their mother's murder. J. Am. Acad. Child Psychiatry 18: 647–659.Google Scholar
  53. Putnam, F. W., Helmers, K., and Trickett, P.K. (1993). Development, reliability, and validity of a child dissociation scale. Child Abuse Negl. 17: 731–739.Google Scholar
  54. Pynoos, R. S., and Eth, S. (1984). The child as witness to homicide. J. Social Issues 40(2): 87–108.Google Scholar
  55. Pynoos, R. S., and Eth, S. (1985). Children traumatized by witnessing acts of personal violence: Homicide, rape, or suicide behaviour. In Eth, S., and Pynoos, R. (eds.), Posttraumatic Stress Disorder in Children, American Psychiatric Press, Inc, Washington, DC, pp. 17–44.Google Scholar
  56. Pynoos, R. S., and Eth, S. (1986). Witness to violence: The child interview. J. Am. Acad. Child Psychiatry 25: 306–319.Google Scholar
  57. Pynoos, R. S., and Nader, K. (1988). Children who witness the sexual assaults of their mothers. J. Am. Acad. Child Adol. Psychiatry 27: 567–572.Google Scholar
  58. Pynoos, R. S. (1990). Posttraumatic stress disorder in children and adolescents. In Garfinkel, B. D., Carlson, G. A., Weller, E. B. (eds.), Psychiatric Disorders in Children and Adolescents, Saunders Co., Toronto, ON, pp. 48–63.Google Scholar
  59. Pynoos, R. S., and Nader, K. (1993). Issues in the treatment of postraumatic stress in children and adolescents. In Wilson, J. P., and Raphael, B. (eds.), International Handbook Of Traumatic Stress Syndromes, Plenum Press, New York, pp. 535–549.Google Scholar
  60. Pynoos, R. S. (1994). Traumatic stress and developmental psychopathology in children and adolescents. In Pynoos, R.S. (ed.), Posttraumatic Stress Disorder: A Clinical Review, The Sidran Press, Lutherville, MD, pp. 65–98.Google Scholar
  61. Pynoos, R. S. (1996). Exposure to catastrophic violence and disaster in childhood. In Pfeffer, C. R. (ed.), Severe Stress And Mental Disturbance in Children, American Psychiatric Association, Washington, DC, pp. 181–210.Google Scholar
  62. Ribbe, D. P., Lipovsky, J. A., and Freedy, J. R. (1995). Posttraumtic stress disorder. In Eisen, A. R., Kearney, C. A., and Schaefer, C. E. (eds.), Clinical Handbook of Anxiety Disorders in Children and Adolescents, Jason Aronson, Inc, Northvale, NJ, pp. 317–356.Google Scholar
  63. Richman, N. (1993). Annotation: Children in situations of political violence. J. Child Psychol. Psychiatry 34: 1286–1302.Google Scholar
  64. Richters, J. E., and Martinez, P. (1993). The NIMH community violence project: 1. Children as victims and witnesses to violence. Psychiatry 56: 7–21.Google Scholar
  65. Rosenberg, M. S., and Rossman, B. B. (1990). The child witness to marital violence. In Ammerman, R. T., and Hersen, H. (eds.), Treatment of Family Violence: A Sourcebook, John Wiley, New York, pp. 182–210.Google Scholar
  66. Rossman, B. B. (1994). Children in violent families: Diagnostic and treatment considerations. Fam. Viol. Sexual Assault Bull. 10: 29–34.Google Scholar
  67. Scheeringa, M. S., Zeanah, C. H., Drell, M. J., and Larrieu, J. A. (1995). Two approaches to the diagnosis of posttraumatic stress disorder in infancy and early childhood. J. Am. Acad. Child Adolescent Psychiatry 34: 191–200.Google Scholar
  68. Silvern, L., and Kaersvang, L. (1989). The traumatized children of violent marriages. Child Welfare LXVIII: 421–436.Google Scholar
  69. Silvern, L., Karyl, J., and Landis, T. Y. (1995). Individual psychotherapy for the traumatized children of abused women. In Peled, E., Jaffe, P. G., and Edleson, J. L. (eds.), Ending The Cycle Of Violence: Community Responses to Children of Battered Women, Sage, Thousand Oaks, CA, pp. 43–76.Google Scholar
  70. Straus, M. (1991, September). Children as witness to marital violence: A risk factor for lifelong problems among a nationally representative sample of American men and women. Paper presented at the Ross Roundtable on Children and Violence, Washington, DC.Google Scholar
  71. Terr, L. (1991). Childhood traumas: An outline and overview. Am. J. Psychiatry 140: 10–20.Google Scholar
  72. Wolfe, D. A., Jaffe, P. G., Wilson, S., and Zak, L. (1985). Children of battered women: The relation of child behavior to family violence and maternal stress. J. Consult. Clin. Psychol. 53: 657–665.Google Scholar
  73. Wolfe, D. A., Jaffe, P. G., Wilson, S., and Zak, L. (1988). A multivariate investigation of children's adjustment to family violence. In Hotaling, G., Finkelhor, D., Kirkpatrick, J., and Straus, M. (eds.), Family Abuse and its Consequences: New Directions in Research, Sage Publications, Newbury Park, CA, pp. 228–243.Google Scholar
  74. Wolfe, D. A., and Jaffe, P. G. (1991). Child abuse and family violence as determinants of child psychopathology. Can. J. Behav. Sci. 23: 282–299.Google Scholar
  75. Wolfe, D. A., Sas, L., and Werkerle. (1994). Factors associated with the development of posttraumatic stress disorder among child victims of sexual abuse. Child Abuse Negl. 18: 37–50.Google Scholar
  76. Wolfe, V. V., Gentile, C., and Klinck, A. (1988). Psychometric properties of the sexual abuse fear evaluation (SAFE), Unpublished manuscript. Children's Hospital of Western Ontario, London, Ontario.Google Scholar
  77. Wolfe, V. V., and Gentile, C. (1992). Psychological assessment of sexually abused children. In O'Donohue, W., and Geer, J. (eds.), The Sexual Abuse of Children: Theory, Research, and Therapy, Lawrence Erlbaum, New York, pp. 143–187.Google Scholar
  78. Wolfe, V. V., and Lehmann, P. (1992). The Children's Impact of Traumatic Events Scale-Family Violence Form (CITES-FVF). Unpublished assessment instrument, Children's Hospital of Western Ontario.Google Scholar
  79. Wolfe, V. V., Gentile, C., Michienzi, T., Sas, L., and Wolfe, D. (1991). The children's impact of traumatic events scale: A measure of post-sexual abuse ptsd symptoms. Beh. Assess. 13: 359–383.Google Scholar
  80. Wolfe, V. V., and Birt, J. (1995). The psychological sequelae of child sexual abuse. Advan. Child Clin. Psychol. 17: 1–25.Google Scholar
  81. Zeanah, C. H., and Burk, (1984). A young child who witnessed her mother's murder: Therapeutic and legal considerations. Am. J. Psychother. 38: 132–145.Google Scholar

Copyright information

© Plenum Publishing Corporation 1997

Authors and Affiliations

  • Peter Lehmann
    • 1
  1. 1.School of Social WorkThe University of Texas at ArlingtonArlington

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