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1.
J Trauma Dissociation ; 25(3): 408-418, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38385573

RESUMO

The Personality Assessment Inventory (PAI) is among the most commonly used broadband inventories of psychological functioning. For the purposes of assessing trauma specifically, the most relevant aspect of the PAI is the Traumatic Stress subscale of the Anxiety-Related Disorders scale (ARD-T), which measures the degree to which a person feels wounded by something in their past. Research suggests that ARD-T is associated with exposure to a variety of different traumatic stressors. However, there is little research on the degree to which traumatic stressors that entail a component of interpersonal betrayal (i.e. betrayal trauma) are associated with higher scores on ARD-T relative to other stressors. In this study, we evaluated the relative associations between traumas with varying degrees of betrayal and scores on ARD-T in a secondary analysis of two non-clinical samples (college sample N = 494; crowdsourced sample N = 364) using a Bayesian approach to multiple regression. In both samples, traumas with both high and medium (but not low) degrees of betrayal were associated with elevated ARD-T scores. Findings suggest that ARD-T scores are associated with interpersonal trauma regardless of betrayal, which has implications for interpretation of the ARD-T scale in practice.


Assuntos
Traição , Transtornos de Estresse Pós-Traumáticos , Humanos , Teorema de Bayes , Determinação da Personalidade , Emoções , Universidades , Transtornos de Estresse Pós-Traumáticos/psicologia
2.
Arch Womens Ment Health ; 27(2): 285-292, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37991597

RESUMO

Maternal HPA axis dysregulation during early pregnancy can negatively affect maternal functioning. However, findings are mixed regarding how intimate partner violence (IPV), a common traumatic stressor, impacts HPA axis regulation during pregnancy. Interactions between IPV and mental health symptoms as they influence cortisol production are rarely examined, especially among pregnant women. Therefore, this study examined the impact of IPV, mental health symptoms, and their interactions on the maternal HPA axis during early pregnancy; 255 pregnant women, oversampled for experiences of IPV, completed a laboratory stressor and measures of depressive and post-traumatic stress symptoms (PTSS) at 15-18 weeks of pregnancy. Participants provided saliva samples following the Trier Social Stress Test that were assayed for cortisol; the area under the curve with respect to ground (AUCg) was computed as a measure of cortisol reactivity. The interactive effects of IPV, depressive symptoms, and PTSS on AUCg were significant, but the main effects were not. At low levels of depressive symptoms, the association between IPV and AUCg was negative; at moderate levels of depressive symptoms, it was not significant, and at high levels, it was positive. At low and moderate levels of PTSS, the effects of IPV on cortisol AUCg were not significant, but at high levels, the association was positive. IPV during early pregnancy was associated with both hyperactive and blunted stress reactivity, depending on the type and severity of mental health symptoms. These patterns of dysregulation of the HPA axis may have differential effects both for women's functioning throughout pregnancy as well as for the offspring.


Assuntos
Violência por Parceiro Íntimo , Saúde Mental , Humanos , Feminino , Gravidez , Hidrocortisona , Sistema Hipotálamo-Hipofisário , Estresse Psicológico/psicologia , Sistema Hipófise-Suprarrenal , Violência por Parceiro Íntimo/psicologia , Mães/psicologia
3.
Psychol Violence ; 13(5): 396-404, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37928622

RESUMO

Objective: Intimate partner violence (IPV) during pregnancy is associated with negative physical and mental health consequences for both mothers and infants. Economic hardship is often exacerbated during pregnancy and is associated with increased rates of IPV in non-pregnant samples. However, temporal associations between economic hardship and IPV victimization have not been well characterized during pregnancy. The present study used data collected at the weekly level to examine the interindividual and intraindividual effects of economic hardship on IPV victimization during pregnancy and determine whether longitudinal changes in IPV across pregnancy vary based on level of economic hardship. Method: Two hundred ninety-four women reported on weekly experiences of IPV and economic hardship (i.e., food insecurity and other money problems) during weeks 17-40 of pregnancy. Participants were oversampled for low income and IPV exposure. Binary logistic multilevel models were used to test study hypotheses. Results: Greater economic hardship on average during pregnancy predicted increased odds of IPV victimization. Within-person increases in economic hardship also predicted increased odds of IPV victimization in the same week. Although IPV victimization tended to decrease on average over the course of pregnancy, there was a significant time by economic hardship interaction such that IPV decreased more gradually for women reporting high levels of economic hardship. Conclusions: The present study examined weekly patterns of IPV victimization across pregnancy in a low-income community sample. Results suggest that policies aimed at increasing families' economic security during the perinatal period may reduce the individual and societal burden of IPV.

4.
J Clin Psychol ; 79(10): 2439-2451, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37310149

RESUMO

OBJECTIVE: There is a strong evidence-base for a psychodynamic approach, supporting primary theoretical tenets as well as the treatment effectiveness. Additionally, there are increasing calls from the field for more individualized treatment for clients, and the lack of training in multiple orientations limits the ability of students in clinical psychology Ph.D. programs in the United States to personalize their treatments. The accumulated evidence-base for contemporary relational psychodynamic theory and therapy places it in good standing to return to the standard clinical psychology curriculum, along with other evidence-based approaches. METHODS: We use data from the Insider's Guide (which describes clinical Ph.D. programs in the United States) from three time points over 20 years to document the waning psychodynamic approach in clinical psychology programs. We review the scientific evidence for four primary tenets of a contemporary psychodynamic approach: three related to development-from healthy to psychopathological: (1) unconscious processes; (2) internal representations of self and other; (3) dimensional model of psychopathology, and a fourth tenet that builds on these three and is the foundation for a contemporary psychodynamic approach to psychotherapy: (4) therapeutic relationship as a primary mechanism of change. RESULTS/CONCLUSIONS: Based on the review of the evidence, we make specific recommendations for clinical psychology training programs about how to include a psychodynamic approach in the curriculum.


Assuntos
Psicologia Clínica , Psicoterapia Psicodinâmica , Humanos , Psicoterapia/métodos , Currículo , Estudantes , Resultado do Tratamento , Psicoterapia Psicodinâmica/métodos
5.
Annu Rev Clin Psychol ; 19: 303-329, 2023 05 09.
Artigo em Inglês | MEDLINE | ID: mdl-36791766

RESUMO

Numerous studies associate childhood exposure to intimate partner violence (IPV) with adverse adjustment in the domains of mental health, social, and academic functioning. This review synthesizes this literature and highlights the critical role of child self-regulation in mediating children's adjustment outcomes. We discuss major methodological problems of the field, including failure to consider the effects of prenatal IPV exposure and the limitations of variable-oriented and cross-sectional approaches. Finally, we present a comprehensive theoretical model of the effects of IPV on children's development. This model includes three mechanistic pathways-one that is unique to IPV (maternal representations) and two that are consistent with the effects of other stressors (maternal mental health and physiological functioning). In our model, the effects of these three pathways on child adjustment outcomes are mediated through parenting and child self-regulation. Future research directions and clinical implications are discussed in the context of the model.


Assuntos
Violência por Parceiro Íntimo , Criança , Humanos , Estudos Transversais , Violência por Parceiro Íntimo/psicologia , Saúde Mental , Poder Familiar
6.
Psychol Trauma ; 2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-36455885

RESUMO

OBJECTIVE: Intimate partner violence (IPV) is a pervasive and common form of violence against women. IPV is multifaceted, with physical, sexual, and/or psychological means of perpetration, and has detrimental effects on women's mental health. IPV generally affects women; however, how IPV differentially affects different groups of women is less clear. Women who are socioeconomically vulnerable are often considered at risk for IPV, although women in college are also often the topic of IPV research due both to high rates of IPV and to ease of study recruitment. There is increasing research on the effects of IPV in a third group of women, those recruited through online platforms (i.e., crowdsourcing). How IPV differs across these three samples has yet to be examined. METHOD: In this study, we examined differences in IPV exposure across three samples of women, at risk (n = 144), college (n = 654), and crowdsourced (n = 168), using a Bayesian approach to general linear modeling. RESULTS: Results indicated that the majority of women in each sample experienced some IPV. Results further suggested that women in the crowdsourced sample had the highest exposure to IPV in general and to physical IPV, sexual IPV, and IPV-related injury in particular, whereas women in the at-risk sample had the highest rates of psychological IPV. CONCLUSION: These findings highlight the importance of sampling in studies of IPV and thus have ramifications for future research. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

8.
Arch Womens Ment Health ; 25(5): 943-956, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-35962855

RESUMO

Our primary objective was to document COVID-19 induced changes to perinatal care across the USA and examine the implication of these changes for maternal mental health. We performed an observational cross-sectional study with convenience sampling using direct patient reports from 1918 postpartum and 3868 pregnant individuals collected between April 2020 and December 2020 from 10 states across the USA. We leverage a subgroup of these participants who gave birth prior to March 2020 to estimate the pre-pandemic prevalence of specific birthing practices as a comparison. Our primary analyses describe the prevalence and timing of perinatal care changes, compare perinatal care changes depending on when and where individuals gave birth, and assess the linkage between perinatal care alterations and maternal anxiety and depressive symptoms. Seventy-eight percent of pregnant participants and 63% of postpartum participants reported at least one change to their perinatal care between March and August 2020. However, the prevalence and nature of specific perinatal care changes occurred unevenly over time and across geographic locations. The separation of infants and mothers immediately after birth and the cancelation of prenatal visits were associated with worsened depression and anxiety symptoms in mothers after controlling for sociodemographic factors, mental health history, number of pregnancy complications, and general stress about the COVID-19 pandemic. Our analyses reveal widespread changes to perinatal care across the US that fluctuated depending on where and when individuals gave birth. Disruptions to perinatal care may also exacerbate mental health concerns, so focused treatments that can mitigate the negative psychiatric sequelae of interrupted care are warranted.


Assuntos
COVID-19 , Ansiedade/epidemiologia , Ansiedade/etiologia , COVID-19/epidemiologia , Criança , Estudos Transversais , Depressão/epidemiologia , Depressão/etiologia , Feminino , Humanos , Lactente , Recém-Nascido , Saúde Mental , Pandemias , Assistência Perinatal , Gravidez
9.
J Couns Psychol ; 69(5): 642-655, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35511576

RESUMO

In this study, we aimed to examine how moment-to-moment interpersonal behaviors of warmth and dominance in patients and therapists, as well as interpersonal complementarity, are related to withdrawal and confrontation ruptures as sessions unfold. Sixteen psychotherapy sessions from eight independent therapeutic dyads were sampled for the highest level of alliance ruptures from a naturalistic psychotherapy data set featuring evidence-based psychodynamic psychotherapy for patients with interpersonal problems and personality pathology. Interpersonal behaviors, complementarity, and alliance ruptures were generated every 30 s within each session. Subgrouping within group iterative multiple model estimation (S-GIMME) was used to identify an idiographic network structure for each session and examine generalizability at the nomothetic and subgroup levels. Nomothetically, patients' dominance negatively predicted therapists' dominance concurrently, but positively predicted therapists' dominance with a 30-s lag; additionally, therapists' dominance predicted their own concurrent warmth. At the subgroup level, therapists being less dominant than typical predicted more concurrent withdrawal ruptures. Idiographic modeling revealed a high degree of heterogeneity in how interpersonal behaviors are associated with ruptures. More confrontation ruptures concurrently predicted higher dominance complementarity in one subgroup. This study demonstrated the interconnection between patients' and therapists' in-session behaviors as well as the role of therapists' behaviors in momentary rupture development. This study highlights the importance of attuning and responding to individualized, momentary therapeutic contexts in navigating ruptures, and emphasizes the value of idiographic relational network approaches to aid in psychotherapy research and case conceptualization. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Psicoterapia Psicodinâmica , Aliança Terapêutica , Humanos , Personalidade , Transtornos da Personalidade/terapia , Relações Profissional-Paciente , Psicoterapia
10.
Violence Vict ; 37(2): 244-259, 2022 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-35197304

RESUMO

Children exposed to intimate partner violence (IPV) are at risk for posttraumatic stress symptoms (PTSS) and alterations in hypothalamic-pituitary-adrenal (HPA) axis functioning. The current study investigated children's threat and self-blame appraisals about parental conflict as potential mechanisms leading to these adverse outcomes. Parent-child relationships were also examined. The sample consisted of 119 10-year-olds and their mothers who were recruited from the community as part of a larger study of IPV. Children's reports of IPV directed at their mother in the past year were not associated with PTSS; however, IPV exposure was associated with attenuated cortisol output in response to a social stressor. IPV exposure was also associated with greater threat appraisals and poorer quality parent-child relationships. These results provide further evidence that witnessing IPV is threatening for children, has negative consequences for parent-child relationships, and can impact children's HPA axis functioning.


Assuntos
Sistema Hipotálamo-Hipofisário , Violência por Parceiro Íntimo , Feminino , Humanos , Mães , Relações Pais-Filho , Sistema Hipófise-Suprarrenal
11.
J Fam Psychol ; 36(6): 885-895, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35143226

RESUMO

The parent-child relationship is critically important for children's functioning and long-term outcomes. Although typically measured by self-report or global codes in observed interactions, parent-child interactions actually occur on a moment-to-moment basis, with frequent shifts in behavior and affect happening in each member of the dyad. Even so, moment-to-moment interactions in these dyads are rarely studied. We sought to illuminate how complementarity, or the extent to which behavior in one member of the dyad shapes that of the other, impacts the quality of the parent-child relationship. Parent-child dyads in 1,030 families completed a cooperative video-recorded task, after which each member of the dyad was rated on warmth and control twice a second. Results illustrated high levels of warmth and control complementarity in parent-child relationships, with mothers showing more complementarity than fathers and greater control complementarity relative to warmth complementarity. Results showed mother-child and father-child warmth complementarity was associated with increased parent-child reciprocity, whereas mother-child and father-child control complementarity was associated with increased parent-child cooperation. In addition, father-child warmth complementarity was associated with a decrease in observed father-child conflict and an increase in father-child cooperation. Finally, father-child control complementarity was associated with a decrease in observed father-child reciprocity. However, no significant associations were found between complementarity and family reports of parental involvement or conflict with child. Results highlight complementarity as an important part of parent-child interactions but also indicate it is relationship- and domain specific. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Relações Pais-Filho , Pais , Pai/psicologia , Feminino , Humanos , Masculino , Mães , Pais/psicologia , Autorrelato
12.
Infant Behav Dev ; 67: 101703, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35220177

RESUMO

Touch is a primary form of communication for mother-infant dyads in the infant's first year of life. Stressors such as intimate partner violence (IPV) and maternal depression experienced during the perinatal period may interfere with mother-infant touch via prenatal programming of the stress response and disrupted parenting. Mother-infant touch research typically focuses on maternal touch, while research on infant touch is limited. However, research suggests that infants sometimes lead interactive behavior, with mothers responding and adapting to their infants. Therefore, the aim of the present study was to examine the effects of IPV and maternal depression on infant-led touch interactions and maternal touch responses. Touch behaviors were coded in 174 mother-infant dyads while they engaged in a free play. ANCOVA analyses indicated that male infants with pre- or postnatal IPV exposure initiated more negative touch (e.g., hitting, kicking, pushing) with their mothers than female or nonexposed male infants. IPV did not predict differences in maternal touch responses to infants, while postpartum depressive symptoms were associated with maternal decreased touch responsiveness to male infant touch. The results suggest that male infant touch behavior is particularly susceptible to prenatal or postnatal exposure to IPV. Importantly, aggressive behavior in early childhood predicts more aggressive behavior across time, and these early negative touch behaviors may be indicative of the beginning of a trajectory of increased physical aggression into childhood, adolescence, and adulthood. Moreover, the results support extant findings that prenatal life is a sensitive period for postnatal development, including postnatal socially interactive behavior. Finally, depressed mothers of male infants exhibited decreased touch responsiveness, suggesting that depression may alter maternal interpretation of male infant cues, resulting in maternal withdrawal.


Assuntos
Violência por Parceiro Íntimo , Mães , Adolescente , Adulto , Pré-Escolar , Depressão , Feminino , Humanos , Lactente , Comportamento do Lactente , Masculino , Relações Mãe-Filho , Gravidez , Tato
13.
Sci Rep ; 12(1): 1209, 2022 01 24.
Artigo em Inglês | MEDLINE | ID: mdl-35075202

RESUMO

The impact of COVID-19-related stress on perinatal women is of heightened public health concern given the established intergenerational impact of maternal stress-exposure on infants and fetuses. There is urgent need to characterize the coping styles associated with adverse psychosocial outcomes in perinatal women during the COVID-19 pandemic to help mitigate the potential for lasting sequelae on both mothers and infants. This study uses a data-driven approach to identify the patterns of behavioral coping strategies that associate with maternal psychosocial distress during the COVID-19 pandemic in a large multicenter sample of pregnant women (N = 2876) and postpartum women (N = 1536). Data was collected from 9 states across the United States from March to October 2020. Women reported behaviors they were engaging in to manage pandemic-related stress, symptoms of depression, anxiety and global psychological distress, as well as changes in energy levels, sleep quality and stress levels. Using latent profile analysis, we identified four behavioral phenotypes of coping strategies. Critically, phenotypes with high levels of passive coping strategies (increased screen time, social media, and intake of comfort foods) were associated with elevated symptoms of depression, anxiety, and global psychological distress, as well as worsening stress and energy levels, relative to other coping phenotypes. In contrast, phenotypes with high levels of active coping strategies (social support, and self-care) were associated with greater resiliency relative to other phenotypes. The identification of these widespread coping phenotypes reveals novel behavioral patterns associated with risk and resiliency to pandemic-related stress in perinatal women. These findings may contribute to early identification of women at risk for poor long-term outcomes and indicate malleable targets for interventions aimed at mitigating lasting sequelae on women and children during the COVID-19 pandemic.


Assuntos
Ansiedade , COVID-19 , Pandemias , Período Pós-Parto/psicologia , Complicações na Gravidez , Angústia Psicológica , SARS-CoV-2 , Adaptação Psicológica , Adulto , Ansiedade/epidemiologia , Ansiedade/psicologia , COVID-19/epidemiologia , COVID-19/psicologia , Feminino , Humanos , Gravidez , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/psicologia
14.
J Trauma Dissociation ; 23(4): 356-365, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34651565

RESUMO

Symptoms of posttraumatic stress disorder (PTSD) are common reactions to trauma. One factor that influences the manifestation of PTSD symptoms is the type of trauma experienced. Traumas perpetrated by someone on whom the trauma survivor trusts and relies on for support (i.e., betrayal traumas) are especially predictive of PTSD symptoms. However, the degree to which this is true differs somewhat across men and women. Another factor that influences PTSD symptoms is personality, which is most often operationalized in terms of discrete personality traits. Among these traits, Neuroticism (the tendency to experience negative affect) is linked to a wide range of psychological dysfunction in general and to PTSD symptoms in particular. However, there is little research on how trauma type and personality differentially influence PTSD symptoms. To address this gap, in this study we examined the incremental effects of traumas with varying degrees of betrayal and personality traits on PTSD symptoms in a sample of college students (N = 276) using a Bayesian approach to multiple regression. Results suggest that Neuroticism and trauma at all levels of betrayal were associated with higher levels of PTSD symptoms, although this differed across sex. These results are consistent with previous research that identifies Neuroticism as a risk factor for a wide range of mental health problems and clarifies earlier findings on betrayal trauma.


Assuntos
Traição , Transtornos de Estresse Pós-Traumáticos , Teorema de Bayes , Feminino , Humanos , Masculino , Personalidade , Transtornos da Personalidade , Transtornos de Estresse Pós-Traumáticos/psicologia
15.
Front Psychiatry ; 12: 650700, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34658939

RESUMO

Introduction: The aim of this study was to explore the mediating effect of psychopathology between childhood adversity and trauma and quality of life (QOL) in adolescents. The second aim of the study was testing the moderation by social support of this mediation effect. Methods: Self-reports of childhood adversity and trauma, QOL, social support, and psychopathology were collected from 150 Portuguese adolescents' who had been exposed to at least one traumatic event or one childhood adversity (M age = 16.89, SD = 1.32). The surveys were administered at two time points with an approximate time interval of 1 year. Results: Indirect effects were observed for depression (B = -0.33, CI [-0.62, -0.11]), somatization (B = -0.52, CI [-0.82, -0.23]), and post-traumatic stress symptoms (PTSS) (B = -0.23, CI [-0.45, -0.01]), but not for anxiety (B = 0.20, CI [-0.08, 0.50]). A moderated mediation was found between social support and depression (B = -0.10, CI [-16, -0.04]), and PTSS (B = 0.03, CI [-0.1, -0.05]), but not for somatization (B = -0.02, CI [-0.8, 0.05]). Conclusions: We found that depression and somatization were strong mediators of the relationship between adversity/trauma and QOL, whereas PTSS was moderately mediated this relationship. Anxiety did not mediate this relationship. The moderated-mediation effect of social support was only found for depression and PTSS. The improvement of QOL in adolescents exposed to childhood adversity and trauma should include the assessment of psychopathology symptoms and social support, with the aim of identifying risk and protective factors.

16.
Front Psychol ; 12: 711109, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34484067

RESUMO

The Alternative Model of Personality Disorders (AMPD) integrates several theoretical models of personality functioning, including interpersonal theory. The interpersonal circumplex dimensions of warmth and dominance can be conceptualized as traits similar to those in AMPD Criterion B, but interpersonal theory also offers dynamic hypotheses about how these variables that change from moment to moment, which help to operationalize some of the processes alluded to in AMPD Criterion A. In the psychotherapy literature, dynamic interpersonal behaviors are thought to be critical for identifying therapeutic alliance ruptures, yet few studies have examined moment-to-moment interpersonal behaviors that are associated with alliance ruptures at an idiographic level. The current study examined the concurrent and cross-lagged relationships between interpersonal behaviors and alliance ruptures within each session in the famous Gloria films ("Three Approaches to Psychotherapy"). Interpersonal behaviors (warmth and dominance) as well as alliance ruptures (i.e., withdrawal and confrontation) were calculated at half minute intervals for each dyad. We identified distinct interpersonal patterns associated with alliance ruptures for each session: Gloria (patient)'s warmth was positively related with withdrawal ruptures concurrently in the session with Carl Rogers; Gloria's dominance and coldness were related with increased confrontation ruptures in the session with Fritz Perls concurrently, while her coldness was also predicted by confrontation ruptures at previous moments; lastly, both Gloria's dominance and Albert Ellis's submissiveness were positively related with withdrawal ruptures. These interpersonal patterns demonstrated the promise of using AMPD dimensions to conceptualize momentary interpersonal processes related to therapy ruptures, as well as the clinical importance of attuning to repetitive, dyad-specific interpersonal cues of ruptures within each session.

17.
J Fam Psychol ; 35(6): 745-755, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33956467

RESUMO

The current study examined self-reported and observed positive (i.e., nurturing, sensitive, and responsive) parenting behavior among women who experienced intimate partner violence (IPV) during pregnancy and through their early parenting years. Mother-child dyads were assessed during the third trimester of pregnancy and each year postpartum until age 4. Latent growth curve models of self-reported positive parenting suggested that IPV experienced during pregnancy was related to women reporting more gradual reductions in positive parenting between ages 1 and 4 and higher levels of positive parenting behavior at age 4. However, IPV experienced during pregnancy was associated with lower levels of observed positive parenting at age 4. These findings suggest that mothers who experience IPV during pregnancy may positively distort their perceptions of their positive parenting during early childhood, such that it is inconsistent with actual parenting behavior. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Violência por Parceiro Íntimo , Poder Familiar , Pré-Escolar , Feminino , Humanos , Lactente , Mães , Período Pós-Parto , Gravidez , Autorrelato
18.
Psychol Trauma ; 13(7): 810-813, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33661690

RESUMO

OBJECTIVE: Suicide is a problem on college campuses. One of the strongest predictors of suicide risk is symptoms of borderline personality disorder (BPD). Additional factors, such as trauma, also increase risk for suicide. One type of trauma that is especially insidious is 1 in which people are betrayed by others on whom they depend for support or protection (betrayal traumas). However, there is little research on the incremental effects of BPD symptoms and trauma with varying degrees of betrayal on suicide risk. METHOD: In this study, we examined the relative effects of BPD symptoms and traumatic experiences with varying degrees of betrayal on suicide risk in a sample of college students (N = 915) using a Bayesian approach to multiple linear regression. RESULTS: Results suggest that BPD symptoms and traumas with high and medium degrees of betrayal have incremental effects on suicide risk, although this effect differs by sex. CONCLUSION: These findings highlight the utility of assessing history of trauma over and above BPD symptoms in the prediction of suicide risk and have implications for future research and clinical intervention. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Transtorno da Personalidade Borderline , Suicídio , Teorema de Bayes , Traição , Humanos , Violência
19.
Infant Ment Health J ; 42(3): 315-330, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33570212

RESUMO

Parentification occurs when children are unfairly charged with fulfilling parental instrumental and emotional needs. Parentification is associated with risk to evaluative self cognitions from childhood to emerging adulthood, but this association has not yet been studied among parents. The transition to parenthood is typically characterized by declines in self-esteem, suggesting it is a critical period for understanding the risk parentification history poses to evaluative self-cognitions and evaluative cognitions about children. The present study addresses these gaps using longitudinal data (N = 374 first-time mothers) to examine the influence of maternal parentification history domains (emotional and instrumental caregiving, role unfairness) on trajectories of maternal evaluative cognitions about the self (self-esteem, parenting self-efficacy) and about the child (difficult child temperament, dissatisfaction with child contributions to relationships) in early parenthood. A spillover model was also examined such that evaluative cognitions about the self were examined as potential mediators between parentification history and evaluative cognitions about children. Results support associations between the role unfairness domain of parentification and each domain of maternal evaluative cognitions and a significant indirect effect of unfairness on risk to maternal evaluative cognitions about child contributions via parenting self-efficacy. Implications for mother-child relationships and processes of intergenerational transmission of parentification are discussed.


La parentalización ocurre cuando a los niños se les hace asumir injustamente las necesidades instrumentales y emocionales de los padres. Se asocia la parentalización con el riesgo de auto cognición evaluativa de la niñez al naciente estado de adultez, pero esta asociación no ha sido aún estudiada entre los padres. La transición a la condición de ser padres se caracteriza típicamente por las bajas en la auto estima, lo cual sugiere que se trata de un período crítico para comprender el riesgo que el historial de la parentalización presenta para la auto cognición evaluativa y las cogniciones evaluativas sobre los niños. El presente estudio trata de estos vacíos usando datos longitudinales (N = 374 madres primerizas) para examinar la influencia de los campos del historial de la parentalización materna (el cuidado emocional e instrumental, el papel de lo que es injusto) sobre las trayectorias de las cogniciones evaluativas maternas acerca de ellas mismas (auto estima, auto efectividad en la crianza) y acerca del niño (el difícil temperamento del niño, la insatisfacción con las contribuciones del niño a las relaciones) en la temprana etapa de la maternidad. Se examinó un modelo de efectos secundarios de tal manera que se examinaron las cogniciones evaluativas acerca del yo como posibles factores de mediación entre el historial de parentalización y las cogniciones evaluativas acerca de los niños. Los resultados apoyan las asociaciones entre el papel del ámbito de lo injusto de la parentalización y cada ámbito de cogniciones evaluativas maternas y un efecto indirecto significativo de lo injusto sobre el riesgo de cogniciones evaluativas maternas sobre las contribuciones del niño por medio de la auto efectividad de la crianza. Se discuten las implicaciones de las relaciones madre-niño y los procesos de transmisión intergeneracional de la parentalización.


La parentification prend place lorsque on exige injustement des enfants qu'ils remplissent les besoins instrumentaux et émotionnels parentaux. La parentification est liée au risque d'auto-cognitions évaluatives de l'enfance au début de l'âge adulte, mais cette association n'a pas encore été étudiée chez les parents. La transition à la parenté est typiquement caractérisée par des déclins dans la confiance, suggérant que c'est une période critique pour comprendre l'histoire de risque que la parentification pose aux auto-cognitions évaluative et aux cognitions évaluatives sur les enfants. Cette étude porte sur ces écarts en utilisant des données longitudinales (N = 374 mères dont c'était la première grossesse) afin d'examiner l'influence des domaines de l'histoire de la parentification maternelle (soins émotionnels et instrumentaux, injustice du rôle) sur des trajectoires de cognition évaluative maternelle sur le moi (confiance en soi, auto-efficacité de parentage) et sur l'enfant (tempérament difficile de l'enfant, insatisfaction avec les contributions de l'enfant à la relation) au début de la parenté. Un modèle de débordement a aussi été examiné de telle manière que les cognitions évaluatives sur le self ont été examinées en tant que médiatrices potentielles entre l'histoire de parentification et les cognitions évaluatives sur les enfants. Les résultats soutiennent les liens entre le domaine de parentification de l'injustice du rôle et chaque domaine de cognitions évaluatives maternelles et un effet indirect important de l'injustice sur le risque aux cognitions évaluatives maternelles sur les contributions de l'enfant au travers de l'auto-efficacité de parentage. Les implications pour les relations mère-enfant et les processus de transmission intergénérationnelle de la parentification sont discutés.


Assuntos
Relações Mãe-Filho , Poder Familiar , Adulto , Criança , Cognição , Feminino , Humanos , Mães , Pais
20.
J Interpers Violence ; 36(9-10): NP4919-NP4940, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-30156952

RESUMO

Children's appraisals of interparental violence, including appraisals of high threat and low coping efficacy, are robust predictors of behavioral and emotional problems. However, few studies have examined the factors that account for children's use of these maladaptive appraisals, particularly among children exposed to more severe forms of interparental conflict. The current study examines parent-child relationship quality as a mediator of the effect of intimate partner violence (IPV) exposure on children's appraisals of conflict. Participants were 118 mother-child dyads (54 girls and 64 boys), recruited from three Midwestern counties. Consistent with previous reports, child exposure to IPV, as reported by children's mothers, predicted higher threat and lower coping efficacy appraisals. In addition, mediation analyses showed child reports of parent-child relationship quality mediated the association between IPV and coping efficacy, but not the effects of IPV on threat appraisals. The role of parent-child relationships in shaping cognitive appraisals in the context of IPV exposure can have implications for prevention and intervention efforts as well as public policy.


Assuntos
Conflito Familiar , Violência por Parceiro Íntimo , Feminino , Humanos , Masculino , Mães , Relações Pais-Filho , Violência
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