Abstract
This study is part of a school-based collaborative research project with a Nova Scotian Mi’kmaq community that hopes to shed light on the relationship between exposure to violence and mental health in First Nations youth. This particular study sought to examine how the multifaceted construct of resilience might act as a protective factor, buffering some students from the negative mental health consequences of exposure to violence. The present paper focuses on whether the construct of resilience, measured by the Child and Youth Resiliency Measure (CYRM; Ungar et al. 2008), has a moderating impact on the relationship between exposure to violence (emotional, physical, and sexual), measured by the Childhood Experience of Violence Questionnaire (CEVQ; Walsh, MacMillan, Trocmé, Jamieson, & Boyle, in press), and posttraumatic stress symptoms, measured by the Child PTSD Symptom Scale (CPSS, Foa et al. 2001). Results showed that the positive relationship between exposure to violence—measured as emotional, physical, and sexual abuse, and witnessing domestic violence—and the reexperiencing symptom cluster of PTSD was moderated by resilience, such that exposure to violence was only predictive of reexperiencing at lower levels of resilience. These findings not only help provide further cross-cultural validation for the CYRM as a measure, but provide support for an ecological conceptualization of resilience.
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Notes
As previously mentioned, psychological reactivity to trauma related triggers was dropped from our measurement of this symptom cluster.
References
Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks: Sage.
Agaibi, C. E., & Wilson, J. P. (2005). Trauma, PTSD, and resilience: a review of the literature. Trauma Violence Abuse, 6, 195–216.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.) Text Revision. Washington: Author.
Arellano, C. M. (1996). Child maltreatment and substance use: a review of the literature. Substance Use and Misuse, 31, 927–935.
Barker-Collo, S. L. (1999). Reported symptomatology of Native Canadian and Caucasian females sexually abused in childhood: a comparison. Journal of Interpersonal Violence, 14, 747–760.
Blackstock, C., Trocmé, N., & Bennett, M. (2004). Child maltreatment investigations among Aboriginal and Non-Aboriginal families in Canada. Violence Against Women, 10, 901–916.
Brewin, C. R., Andrews, B., & Valentine, J. D. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology, 68, 748–766.
Browne, A., & Finkelhor, D. (1986). Impact of child sexual abuse: a review of the research. Psychological Bulletin, 99, 66–77.
Children and Family Services Act. (1990). Retrieved 2006. http://www.gov.ns.ca/legislature/legc/statutes/childfam.htm.
Coffey, S. F., Stasiewicz, P. R., Hughes, P. M., & Brimo, M. L. (2006). Trauma-focused imaginal exposure for individuals with comorbid posttraumatic stress disorder and alcohol dependence: Revealing mechanisms of alcohol craving in a cue reactivity paradigm. Psychology of Addictive Behaviors, 20, 425–435.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Earlbaum.
Comeau, M. N., Stewart, S. H., & Collins, P. (2004). A qualitative study of self-perceived reasons for drinking in a sample of high personality risk First Nation adolescents: Implications for early intervention. Mega-NET conference: CIHR “Violence, Gender, and Health Workshop”, York University, Toronto.
Duran, B., Malcoe, L. H., Sanders, M., Waitzkin, H., Skipper, B., & Yager, J. (2004). Child maltreatment prevalence and mental disorders outcomes among American Indian women in primary care. Child Abuse and Neglect, 28, 131–145.
Fang, X., & Corso, P. S. (2008). Child maltreatment, youth violence, and intimate partner violence developmental relations. American Journal of Preventative Medicine, 33, 281–290.
Foa, E. B., Johnson, K. M., Feeny, N. C., & Treadwell, K. R. H. (2001). The child PTSD symptom scale: a preliminary examination of its psychometric properties. Journal of Clinical Child Psychology, 30, 376–384.
Gottfredsen, D. C. (1986). An empirical test of school-based environmental and individual interventions to reduce the risk of delinquent behavior. Criminology, 24, 705–731.
Hamby, S. L., & Finkelhor, D. (2000). The victimization of children: recommendations for assessment and instrument development. Journal of the American Academy of Child Adolescent Psychiatry, 39, 829–840.
Hardt, J., & Rutter, M. (2004). Validity of adult retrospective reports of adverse childhood experiences: review of the evidence. Journal of Child Psychology and Psychiatry, 45, 260–273.
Health Canada. (2003). A statistical profile on the health of First Nations in Canada. Ottawa: Health Canada, First Nations and Inuit Health Branch.
Henderson, N., & Millstein, M. (1992). Resiliency in schools. Thousand Oaks: Corwin.
Hubbard, R., & Allen, S. (1987). An empirical comparison of alternative methods for principal component extraction. Journal of Business Research, 15, 173–190.
Jaffee, S. R., Caspi, A., Moffitt, T. E., Polo-Tomas, M., & Taylor, A. (2007). Individual, family, and neighborhood factors distinguish resilient from non-resilient maltreated children: a cumulative stressors model. Child Abuse and Neglect, 31, 231–253.
Kaiser, H. F. (1960). The application of electronic computers to factor analysis. Educational and Psychological Measurement, 20, 141–151.
Kaplan, H. B. (1999). Toward an understanding of resilience: A critical review of definitions and models. In M. D. Glantz & J. L. Johnson (Eds.), Resilience and development: Positive life adaptations (pp. 17–84). New York: Kluwer/Plenum.
Kaplow, J. B., & Widom, C. S. (2007). Age of onset of child maltreatment predicts long-term mental health outcomes. Journal of Abnormal Psychology, 116, 176–187.
Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993). The effects of sexual abuse on children: a review and synthesis of recent empirical findings. Psychological Bulletin, 113, 164–181.
King, D. W., Leskin, G. A., King, L. A., & Weathers, F. W. (1998). Confirmatory factor analysis of the clinician-administered PTSD scale: evidence for the dimensionality of posttraumatic stress disorder. Psychological Assessment, 10, 90–96.
Kirmayer, L. J. (1994). Suicide among Canadian Aboriginal peoples. Transcultural Psychiatric Research Review, 31, 3–58.
Lehmann, P. (2000). Posttraumatic stress disorder (PTSD) and child witnesses to mother-assault: a summary and review. Children and Youth Services Review, 22, 275–306.
Lerner, R. M., & Benson, P. L. (2003). Developmental assets and asset-building communities: Implications for research, policy, and practice. New York: Kluwer Academic Plenum.
Longman, R. S., Cota, A. A., Holden, R. R., & Fekken, G. C. (1989). A regression equation for the parallel analysis criterion in principal components analysis: Mean and 95th percentile eigenvalues. Multivariate Behavioral Research, 24, 59–69.
Luthar, S. S. (ed). (2003). Resilience and vulnerability: Adaptation in the context of childhood adversities. Cambridge: Cambridge University Press.
Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: a critical evaluation and guidelines for future work. Child Development, 71, 543–562.
MacMillan, H. L., Walsh, C. A., Faries, E. J., MacMillan, A., McCue, H., & Wong, M. Y. -Y., et al. (1998). Ontario first nations regional health survey final report June.
Masten, A. S., & Powell, J. L. (2003). A resilience framework for research, policy, and practice. In S. S. Luthar (Ed.), Resilience and vulnerability: Adaptation in the context of childhood adversities (pp. 1–25). New York: Cambridge University Press.
Michael, T., Ehlers, A., Halligan, S. L., & Clark, D. M. (2005). Unwanted memories of assault: what intrusion characteristics are associated with PTSD? Behaviour Research and Therapy, 43, 613–628.
Read, J. P., Brown, P. J., & Kahler, C. W. (2004). Substance use and posttraumatic stress disorders: symptom interplay and effects on outcome. Addictive Behaviors, 29, 1665–1672.
Palyo, S. A., Clapp, J. D., Beck, G. J., Grant, D. M., & Marques, L. (2008). Unpacking the relationship between posttraumatic numbing and hyperarousal in a sample of help-seeking motor vehicle accident survivors: Replication and extension. Journal of Traumatic Stress, 21, 235–238.
Statistics Canada. (1993). Language, tradition, health, lifestyle and social issues: 1991 Aboriginal peoples survey. Ottawa: Minister of Supply and Services Canada. Statistics Canada Catalogue No. 89-533.
Stewart, S. H., Pihl, R. O., Conrod, P. J., & Dongier, M. (1998). Functional associations among trauma, PTSD and substance-related disorders. Addictive Behaviors, 23, 797–812.
Tabachnick, B., & Fidell, L. (2001). Using Multivariate Statistics (4th ed.). Boston: Allyn and Bacon.
Thornberry, T. P., Ireland, T. O., & Smith, C. A. (2001). The importance of timing: the varying impact of childhood and adolescent maltreatment on multiple problem outcomes. Development and Psychopathology, 13, 957–979.
Ungar, M. (2001). The social construction of resilience among “problem” youth in out-of-home placement: a study of health-enhancing deviance. Child and Youth Care Forum, 50, 137–154.
Ungar, M. (2005). Pathways to resilience among children in Child Welfare, Corrections, Mental Health and Educational settings: navigation and negotiation. Child and Youth Care Forum, 34, 423–444.
Ungar, M. (2008). Resilience across cultures. British Journal of Social Work, 38, 218–235.
Ungar, M., & Liebenberg, L. (2005). The International Resilience Project: A mixed methods approach to the study of resilience across cultures. In M. Ungar (Ed.), Handbook for working with children and youth: Pathways to resilience across cultures and contexts (pp. 211–226). Thousand Oaks: Sage.
Ungar, M., Liebenberg, L., Boothroyd, R., Kwong, W. M., Lee, T. Y., Leblanc, J., et al. (2008). The study of youth resilience across cultures: lessons from a pilot study of measurement development. Research in Human Development, 5, 166–180.
Veltman, M. W. M., & Browne, K. D. (2001). Three decades of child maltreatment research: implications for the school years. Trauma, Violence and Abuse, 2, 215–239.
Walsh, C. A., MacMillan, H. L., Trocmé, N., Jamieson, E., & Boyle, M. H. (2008). Measurement of victimization in adolescence: development and validation of the childhood experiences of violence questionnaire. Child Abuse and Neglect, 32, 1037–1057.
Weierich, M. R., & Nock, M. K. (2008). Posttraumatic stress symptoms mediate the relation between childhood sexual abuse and nonsuicidal self-injury. Journal of Consulting and Clinical Psychology, 76, 39–44.
Werner, E. E., & Smith, R. (1992). Overcoming the odds. Ithaca: Cornell University Press.
Widom, C. S., Marmorstein, N. R., & White, N. H. (2006). Childhood victimization and illicit drug use in middle adulthood. Psychology of Addictive Behaviors, 20, 394–403.
Zahradnik, M., Stevens, D., Stewart, H. S., Comeau, M. N., Mushquash, C. J., & Wekerle, C. (2007). Building a collaborative understanding of pathways to adolescent alcohol misuse in a Mi’kmaq community: A process paper. First Peoples Child and Family Review, 3, 27–36.
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Zahradnik, M., Stewart, S.H., O’Connor, R.M. et al. Resilience Moderates the Relationship Between Exposure to Violence and Posttraumatic Reexperiencing in Mi’kmaq Youth. Int J Ment Health Addiction 8, 408–420 (2010). https://doi.org/10.1007/s11469-009-9228-y
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DOI: https://doi.org/10.1007/s11469-009-9228-y