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      Family Functioning and Children’s Post-Traumatic Stress Symptoms in a Referred Sample Exposed to Interparental Violence

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          Abstract

          This study examined the association between interparental violence (IPV), child abuse and neglect, other traumatic experiences, and children’s post-traumatic stress (PTS) symptoms and explored the moderating role of family functioning in the aftermath of IPV. One hundred and twenty IPV-exposed children (53.3 % male, M age = 9.85) and parents who were referred to community mental health centers participated in the study. Combined, IPV, child abuse and neglect, and other traumatic experiences were associated with PTS symptoms. For family functioning, higher levels of parenting stress were associated with higher levels of PTS symptoms. No moderating effects were found. To understand the variability in PTS symptoms among children exposed to IPV, other traumatic and stressful experiences need to be taken into account.

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          Most cited references39

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          Parenting Stress and Child Adjustment: Some Old Hypotheses and New Questions

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            Exposure to domestic violence: A meta-analysis of child and adolescent outcomes

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              The impact of adverse childhood experiences on health problems: evidence from four birth cohorts dating back to 1900.

              We examined the relationship of the number of adverse childhood experiences (ACE score) to six health problems among four successive birth cohorts dating back to 1900 to assess the strength and consistency of these relationships in face of secular influences the 20th century brought in changing health behaviors and conditions. We hypothesized that the ACE score/health problem relationship would be relatively "immune" to secular influences, in support of recent studies documenting the negative neurobiologic effects of childhood stressors on the developing brain. A retrospective cohort study of 17,337 adult health maintenance organization (HMO) members who completed a survey about childhood abuse and household dysfunction, as well as their health. We used logistic regression to examine the relationships between ACE score and six health problems (depressed affect, suicide attempts, multiple sexual partners, sexually transmitted diseases, smoking, and alcoholism) across four successive birth cohorts: 1900-1931, 1932-1946, 1947-1961, and 1962-1978. The ACE score increased the risk for each health problem in a consistent, strong, and graded manner across four birth cohorts (P < 0.05). For each unit increase in the ACE score (range: 0-8), the adjusted odds ratios (ORs) for depressed affect, STDs, and multiple sexual partners were increased within a narrow range (ORs: 1.2-1.3 per unit increase) for each of the birth cohorts; the increase in risk for suicide attempts was stronger but also in a narrow range (ORs: 1.5-1.7). Growing up with ACEs increased the risk of numerous health behaviors and outcomes for 20th century birth cohorts, suggesting that the effects of ACEs on the risk of various health problems are unaffected by social or secular changes. Research showing detrimental and lasting neurobiologic effects of child abuse on the developing brain provides a plausible explanation for the consistency and dose-response relationships found for each health problem across birth cohorts, despite changing secular influences.
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                Author and article information

                Contributors
                j.c.de.schipper@vu.nl
                Journal
                J Fam Violence
                J Fam Violence
                Journal of Family Violence
                Springer US (New York )
                0885-7482
                1573-2851
                2 August 2015
                2 August 2015
                2016
                : 31
                : 127-136
                Affiliations
                [ ]Section of Clinical Child and Family Studies, VU University Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands
                [ ]EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands
                [ ]Child and Youth Trauma Center, Zuiderhoutlaan 12, 2012 PJ, Haarlem, The Netherlands
                Article
                9769
                10.1007/s10896-015-9769-8
                4688302
                26709333
                2b5d3477-cd15-4230-bfc9-c77ccd1f0dcd
                © The Author(s) 2015

                Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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                Original Article
                Custom metadata
                © Springer Science+Business Media New York 2016

                Family & Child studies
                domestic violence,post-traumatic stress,family functioning,child abuse,neglect,emotional security,parenting stress,maltreatment

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