Longitudinal associations among child maltreatment, social functioning, and cortisol regulation.

Child maltreatment increases the risk for impaired social functioning and cortisol regulation. However, the longitudinal interplay among these factors is still unclear. This study aimed to shed light on the effect of maltreatment on social functioning and cortisol regulation over time. The sample consisted of 236 children (mean age 7.64 years, SD = 1.36; 125 maltreated children and 111 nonmaltreated children, 128 boys and 108 girls) who attended a week-long summer camp for 2 consecutive years. Saliva was collected during 5 days at 9:00 a.m. and 4:00 p.m. Means of morning and afternoon cortisol levels and cortisol change (difference between morning and afternoon levels, controlled for morning levels) were used to group the children into low-, medium-, and high-cortisol groups. Prosocial, disruptive/aggressive, and withdrawn behaviors were assessed using information from peers and counselors. Maltreated children showed less prosocial and more disruptive/aggressive and withdrawn behavior. Results of structural equation modeling analyses indicated that there were indirect effects of maltreatment on Year 2 morning cortisol via prosocial and disruptive/aggressive behavior: Lower levels of prosocial behavior and higher levels of disruptive/aggressive behavior were related to lower morning cortisol levels 1 year later. Withdrawn behavior was related to higher afternoon cortisol values 1 year later. Results of this study suggest that maltreated children are more likely to experience difficulties in social functioning, which in turn is related to cortisol regulation 1 year later. This altered hypothalamic-pituitary-adrenocortical (HPA) axis functioning may put children at risk for later psychopathology.

Dynamic changes in anger, externalizing and internalizing problems: attention and regulation.

BACKGROUND: Low levels of dispositional anger and a good attention span are critical to healthy social emotional development, with attention control reflecting effective cognitive self-regulation of negative emotions such as anger. Using a longitudinal design, we examined attention span as a moderator of reciprocal links between changes in anger and changes in externalizing and internalizing problems from 4.5 to 11 years of age. METHOD: Participants were children from the Study of Early Child Care and Youth Development (SECCYD), assessed four times between 4.5 and 11 years. Composite scores for anger and attention were computed using indicators from multiple informants. Externalizing and internalizing problems were reported by mothers. RESULTS: Latent difference score analysis showed reciprocal lagged effects between increased anger and elevated levels of externalizing or internalizing problems. Significant moderating effects of attention indicated more persistent effects of anger on externalizing problems in the poor attention group. Although the poor and the good attention groups did not differ regarding the effects of anger on internalizing problems, significant moderating effects of attention indicated stronger and more persistent reciprocal effects of internalizing problems on anger in the poor attention group. CONCLUSIONS: Attention control mechanisms are involved in self-regulation of anger and its connections with changes in behavioral and emotional problems. Strong attention regulation may serve to protect children with higher levels of dispositional anger from developing behavioral and emotional problems in middle childhood.

Approach/positive anticipation, frustration/anger, and overt aggression in childhood.

We examined mothers' ratings of children's affective and behavioral aspects of approach tendencies and links with overt aggressive behavior problems while considering the genetic etiology of these processes. Approach/positive anticipation (AP), frustration/anger (FA), and overt aggression in 4-9-year-olds were assessed using mothers' reports in a diverse national sample (n=992) and a sample of same-sex twins (n=195 pairs). AP and FA were positively correlated with each other and with overt aggression (r from .2 to .5), and these associations were very similar for boys and girls. AP and FA provided overlapping as well as independent statistical prediction of aggression. AP statistical prediction of aggression was substantially mediated by FA, an effect that was accounted for by underlying genetic and nonshared environmental influences.

Longitudinal studies of anger and attention span: context and informant effects.

This study examined stabilities of informant and context (home vs. classroom) latent factors regarding anger and attention. Participants included children from the National Institute of Child Health and Development Study of Early Child Care and Youth Development who were measured at 54 months, first grade, and third grade. Latent factors of anger and attention span were structured using different indicators based on mothers', fathers', caregivers', teachers', and observers' reports. We used structural equation modeling to examine the autoregressive effects within a context (stability), the concurrent associations between home and classroom contexts, and informant effects. The results indicated that for both anger and attention (1) there were significant informant effects that influenced stability in a context, (2) there was higher stability in home context than nonhome context, and (3) stability within a context increased over time. The findings suggested that anger was more prone to context effects and informant effects than attention.

Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology.

BACKGROUND: The aim of this study was to investigate longitudinal relations among child maltreatment, emotion regulation, peer acceptance and rejection, and psychopathology. METHODS: Data were collected on 215 maltreated and 206 nonmaltreated children (ages 6-12 years) from low-income families. Children were evaluated by camp counselors on emotion regulation and internalizing and externalizing symptomatology and were nominated by peers for peer acceptance and rejection. RESULTS: Structural equation modeling analyses revealed that experiencing neglect, physical and/or sexual abuse, multiple maltreatment subtypes, and earlier onset of maltreatment were related to emotion dysregulation. Lower emotion regulation (Time 1) was associated with higher externalizing symptomatology (Time 1) that contributed to later peer rejection (Time 2), which in turn was related to higher externalizing symptomatology (Time 2). Conversely, higher emotion regulation was predictive of higher peer acceptance over time, which was related to lower internalizing symptomatology controlling for initial levels of symptomatology. CONCLUSIONS: The findings emphasize the important role of emotion regulation as a risk or a protective mechanism in the link between earlier child maltreatment and later psychopathology through its influences on peer relations.

Child maltreatment and trajectories of personality and behavioral functioning: implications for the development of personality disorder.

This study investigated the longitudinal impact of maltreatment parameters on personality processes and maladjustment and prospective relationships between personality trajectory classes and subsequent maladjustment outcomes. The sample involved maltreated (n = 249) and nonmaltreated (n = 200) children followed longitudinally between ages 6 and 10. Growth mixture modeling indicated multifinality in personality development depending on the risk status (i.e., maltreated vs. nonmaltreated). Two trajectory classes of ego resiliency were identified for maltreated children: those who showed a declining trajectory exhibited greater maladjustment. In contrast, three trajectory classes of ego control were identified for nonmaltreated children; the subgroups showing increases in ego undercontrol or dramatic changes from high ego undercontrol to high ego overcontrol exhibited poor adjustment. Experiencing multiple maltreatment subtypes and physical/sexual abuse were related to higher levels of ego undercontrol and externalizing symptomatology, whereas early onset of maltreatment was associated with the low and decreasing trajectory of ego resiliency and higher levels of internalizing symptomatology. The findings suggest that ego resiliency and ego control, personality processes related to self-regulation, may be important factors in identifying distinct pathways to later personality disorders as well as pathways to resilient functioning.

Childhood abuse and current interpersonal conflict: the role of shame.

OBJECTIVE: To examine whether shame-proneness mediates the relationship between women's histories of childhood sexual abuse and their current partner and family conflict and child maltreatment. Previous research has found that women with childhood sexual abuse histories experience heightened shame and interpersonal conflict. However, research examining the relationship of shame to interpersonal conflict is lacking. METHOD: Participants were 129 mothers of children enrolled in a summer camp program for at-risk children from financially disadvantaged families. Data were collected on women's childhood abuse histories, shame in daily life, and current interpersonal conflict involving family conflict, intimate partner conflict (verbal and physical aggression), and child maltreatment. RESULTS: Consistent with our hypothesis, the results of hierarchical regressions and logistic regression indicated that shame significantly mediated the association between childhood sexual abuse and interpersonal conflict. Women with sexual abuse histories reported more shame in their daily lives, which in turn was associated with higher levels of conflicts with intimate partners (self-verbal aggression and partner-physical aggression) and in the family. Shame did not mediate the relationship between mothers' histories of sexual abuse and child maltreatment. CONCLUSION: The role of shame in the intimate partner and family conflicts of women with sexual abuse histories has not been examined. The current findings indicate that childhood sexual abuse was related to interpersonal conflicts indirectly through the emotion of shame. PRACTICAL IMPLICATIONS: These findings highlight the importance of investigating the role of shame in the interpersonal conflicts of women with histories of childhood sexual abuse. Healthcare professionals in medical and mental health settings frequently treat women with abuse histories who are involved in family and partner conflicts. Assessing and addressing the links of abused women's shame to interpersonal conflicts could be important in clinical interventions.

Mediating and moderating processes in the relation between maltreatment and psychopathology: mother-child relationship quality and emotion regulation.

The present study investigated underlying processes of the effect of maltreatment on psychopathology (i.e., internalizing and externalizing problems) in a group of 111 maltreated and 110 nonmaltreated 7-10 year-old children (60% boys). We tested the moderating and/or mediating roles of emotion regulation and the mother-child relationship quality (pattern of relatedness) using Structural Equation Modeling. Emotion regulation, but not the pattern of relatedness, mediated the relation between maltreatment and psychopathology. This mediation was moderated by the pattern of relatedness: For the group of children with an insecure pattern of relatedness, maltreatment was related to lower levels of emotion regulation, which was predictive of higher levels of internalizing and externalizing symptomatology. In contrast, for the secure relatedness group, there was no mediation by emotion regulation since the impact of maltreatment on emotion regulation was not significant. Implications of the mediating role of emotion regulation and the buffering role of the mother-child relationship quality were discussed.

Mean-level change and intraindividual variability in self-esteem and depression among high-risk children.

This study investigated mean-level changes and intraindividual variability of self-esteem among maltreated (n=142) and nonmaltreated (n=109) school-aged children from low-income families. Longitudinal factor analysis revealed higher temporal stability of self-esteem among maltreated children compared to nonmaltreated children. Cross-domain latent growth curve models indicated that nonmaltreated children showed higher initial levels and greater increases in self-esteem than maltreated children, and that the initial levels of self-esteem were significantly associated with depressive symptoms among maltreated and nonmaltreated children. The average level (mean of repeated measurements) of self-esteem was predictive of depression at the final occasion for both maltreated and nonmaltreated children. For nonmaltreated children intraindividual variability of self-esteem had a direct contribution to prediction of depression. The findings enhance our understanding of developmental changes in self-esteem and the role of the average level and within-person variability of self-esteem in predicting depressive symptoms among high-risk children.

Parents' and Children's Religiosity and Child Behavioral Adjustment among Maltreated and Nonmaltreated Children.

We investigated the role of parents' and children's religiosity in behavioral adjustment among maltreated and nonmaltreated children. Data were collected on 170 maltreated and 159 nonmaltreated children from low-income families (mean age = 10 years). We performed dyadic data analyses to examine unique contributions of parents' and children's religiosity and their interaction to predicting child internalizing and externalizing symptomatology. A four group structural equation modeling was used to test whether the structural relations among religiosity predictors and child outcomes differed by child maltreatment status and child gender. We found evidence of parent-child religiosity interaction suggesting that (1) parents' frequent church attendance was related to lower levels of internalizing symptomatology among nonmaltreated children with low church attendance and (2) parents' importance of faith was associated with lower levels of internalizing and externalizing symptomatology among nonmaltreated children with low faith. The results suggest that independent effects of parents' religiosity varied depending on children's religiosity and parent-child relationship.

Linking Childhood Maltreatment to Substance Use in College Students: The Mediating Role of Self-Worth Contingencies.

This study investigated the link between childhood maltreatment and substance use focusing on examining contingencies of self-worth (CSW) as mediators among college students (N = 513). Structural equation modeling indicated that childhood sexual abuse among females was related to lower God's love CSW, which in turn was related to higher levels of cigarette, marijuana, and other illicit drug use, supporting the mediational role of God's love CSW. Correlational analyses demonstrated that, for both male and female students, external contingency of appearance was related to higher substance use, whereas internal contingencies of God's love and virtue were related to lower substance use. The findings highlight the protective role of internal CSW in substance use among females with childhood sexual abuse.

The protective effects of religiosity on maladjustment among maltreated and nonmaltreated children.

OBJECTIVE: The aim of this study was to investigate the role of child religiosity in the development of maladaptation among maltreated children. METHODS: Data were collected on 188 maltreated and 196 nonmaltreated children from low-income families (ages 6-12 years). Children were assessed on religiosity and depressive symptoms, and were evaluated by camp counselors on internalizing symptomatology and externalizing symptomatology. RESULTS: Significant interactions indicated protective effects of religiosity. Child reports of the importance of faith were related to lower levels of internalizing symptomatology among maltreated girls (t=-2.81, p<.05). Child reports of attendance at religious services were associated with lower levels of externalizing symptomatology among nonmaltreated boys (t=1.94, p=.05). CONCLUSION: These results suggest that child religiosity may largely contribute to stress coping process among maltreated and nonmaltreated children from low-income families. The results also indicate that the protective roles of religiosity varied by risk status and gender. PRACTICAL IMPLICATIONS: The results indicate that a range of child religiosity behaviors and practices can be assessed in translational prevention research. It is recommended that healthcare professionals, psychologists, and social workers working with maltreated children and their families assess for salience of religiosity and may encourage them to consider the role religiosity plays in the development of prevention and intervention programs to alleviate distress and enhance stress coping.

Longitudinal trajectories of self-system processes and depressive symptoms among maltreated and nonmaltreated children.

This study used latent growth modeling to investigate longitudinal relationships between self-system processes and depressive symptoms among maltreated (n = 142) and nonmaltreated children (n = 109) aged 6-11 years. On average, self-esteem and self-agency increased and depressive symptoms decreased over time. Multivariate growth modeling indicated that, regardless of gender, physical abuse was negatively related to initial levels of self-esteem, and physical abuse and physical neglect were positively associated with initial levels of depressive symptoms. Emotional maltreatment was predictive of changes in self-esteem and changes in depressive symptoms. Initial levels of self-esteem were negatively associated with initial levels of depressive symptoms. The findings contribute to enhancing our understanding of the developmental processes whereby early maltreatment experiences are linked to later maladjustment.

A longitudinal study of child maltreatment, mother-child relationship quality and maladjustment: the role of self-esteem and social competence.

This study examined the concurrent and longitudinal relations of mother-child relationship quality, self-esteem, social competence, and maladjustment among maltreated (n = 206) and nonmaltreated (n = 139) school-aged children from low-income families. Results of the path analysis using structural equation modeling revealed that maltreatment at Time 1 was related to internalizing and externalizing symptomatology at Time 1, both directly as well as indirectly, through its influence on social competence at Time 1. Regardless of maltreatment status, secure mother-child relationship quality was negatively related to internalizing symptomatology at Time 1 and to internalizing and externalizing symptomatology at Time 2 via its influence on self-esteem at Time 1. The results are discussed as suggestive of the role of self-esteem and social competence as mediating mechanisms in the link between relational risks and children's maladjustment.

Social self-efficacy and behavior problems in maltreated and nonmaltreated children.

Investigated the relations among child maltreatment, children's social self-efficacy, and behavioral adjustment. Data were collected on 305 maltreated and 195 non-maltreated children from low-income families (ages 5 to 12 years) who were assessed on perceived social self-efficacy and evaluated by camp counselors on internalizing and externalizing symptomatology. Younger (< 8 years) maltreated children exhibited inflated levels of perceived self-efficacy in confictual peer interactions compared to younger nonmaltreated children. Younger maltreated children with higher levels of social self-efficacy showed significantly less internalizing behaviors compared to younger maltreated children with lower levels of social self-efficacy. For older children (> 8 years), regardless of maltreatment status, higher levels of perceived social self-efficacy in conflict situations were related to lower levels of internalizing symptomatology. The results are discussed as suggestive of the role of children's social self-efficacy as a protective factor in the link between maltreatment and internalizing symptomatology.

Relations among children's perceptions of maternal behavior, attributional styles, and behavioral symptomatology in maltreated children.

This investigation examined relations among perceptions of mothers, attributional style, and counselor-rated behavior problems in 187 school age children (88 maltreated, 99 nonmaltreated). Hypotheses regarding the presence of higher levels of internalizing and externalizing behavior problems in maltreated children were confirmed. Attributional style was found to function as a moderator of externalizing behavior problems, suggesting that attributional style exerts a protective role against the harmful effect of child maltreatment. Perceptions of mothers were found to operate as a mediator of both internalizing and externalizing symptomatology, with maltreated children with less positive perceptions of their mothers exhibiting greater internalizing and externalizing behavior problems. These findings advance knowledge of how cognitive processes contribute to behavior problems in maltreated children and possess implications for prevention and intervention efforts.

Retirement transitions, gender, and psychological well-being: a life-course, ecological model.

This longitudinal study investigated the relationship between retirement transitions and subsequent psychological well-being using data on 458 married men and women (aged 50-72 years) who were either still in their primary career jobs, retired, or had just made the transition to retirement over the preceding 2 years. The findings show that the relationship between retirement and psychological well-being must be viewed in a temporal, life course context. Specifically, making the transition to retirement within the last 2 years is associated with higher levels of morale for men, whereas being "continuously" retired is related to greater depressive symptoms among men. The results suggest the importance of examining various resources and contexts surrounding retirement transitions (gender, prior level of psychological well-being, spouses' circumstance, and changes in personal control, marital quality, subjective health, and income adequacy) to understand the dynamics of the retirement transition and its relationship with psychological well-being.