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Published in: Journal of Family Violence 7/2017

01-10-2017 | Original Article

PTSD Symptom Trajectories among Mothers Reporting Interpersonal Trauma: Protective Factors and Parenting Outcomes

Authors: Katherine L. Guyon-Harris, Sarah Ahlfs-Dunn, Alissa Huth-Bocks

Published in: Journal of Family Violence | Issue 7/2017

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Abstract

The childbearing years are further complicated when experiences of interpersonal trauma from childhood and/or adulthood lead to symptoms of posttraumatic stress disorder (PTSD). Maternal symptoms of PTSD over time were examined in relation to supportive adult relationships and parenting experiences. Ninety-five primarily economically disadvantaged mothers reporting exposure to childhood maltreatment and/or intimate partner violence were assessed from pregnancy through 2-years postpartum. Latent class growth analysis of PTSD symptoms indicated a 2-group model: stable low (82%) and moderate dysfunction (18%). The stable low group reported higher levels of support from romantic partners and family members, but not friends, and lower levels of parenting distress compared to the moderate dysfunction group. Results highlight individual variability in adaptation after violence exposure; current support from romantic partners and family members may have helped maintain lower PTSD symptoms for some trauma-exposed mothers. Psychological interventions aimed at reducing the impact of trauma exposure on parenting should consider promoting ongoing social support.
Literature
go back to reference Abidin, R. R. (1995). Parenting stress index: Professional manual (3rd edn.). Odessa: Psychological Assessment Resources. Abidin, R. R. (1995). Parenting stress index: Professional manual (3rd edn.). Odessa: Psychological Assessment Resources.
go back to reference Belsky, J., Jaffee, S. R., Sligo, J., Woodward, L., & Silva, P. A. (2005). Intergenerational transmission of warm-sensitive-stimulating parenting: a prospective study of mothers and fathers of 3-year-olds. Child Development, 76(2), 384–396. doi:10.1111/j.1467-8624.2005.00852.x. Belsky, J., Jaffee, S. R., Sligo, J., Woodward, L., & Silva, P. A. (2005). Intergenerational transmission of warm-sensitive-stimulating parenting: a prospective study of mothers and fathers of 3-year-olds. Child Development, 76(2), 384–396. doi:10.​1111/​j.​1467-8624.​2005.​00852.​x.
go back to reference Bernstein, D. P., & Fink, L. (1998). Childhood trauma questionnaire: A retrospective self-report: Manual. San Antonio: The Psychological Corporation. Bernstein, D. P., & Fink, L. (1998). Childhood trauma questionnaire: A retrospective self-report: Manual. San Antonio: The Psychological Corporation.
go back to reference Bonanno, G. A., & Mancini, A. D. (2012). Beyond resilience and PTSD: mapping the heterogeneity of responses to potential trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4(1), 74–83. doi:10.1037/a0017829.CrossRef Bonanno, G. A., & Mancini, A. D. (2012). Beyond resilience and PTSD: mapping the heterogeneity of responses to potential trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4(1), 74–83. doi:10.​1037/​a0017829.CrossRef
go back to reference Bosch, L. A., & Curran, M. A. (2011). Identity style and relationship quality for pregnant cohabitating couples during the transition to parenthood. Identity: An International Journal of Theory and Research, 11(1), 47–63. doi:10.1080/15283488.2010.540738. Bosch, L. A., & Curran, M. A. (2011). Identity style and relationship quality for pregnant cohabitating couples during the transition to parenthood. Identity: An International Journal of Theory and Research, 11(1), 47–63. doi:10.​1080/​15283488.​2010.​540738.
go back to reference Braiker, H. B., & Kelley, H. H. (1979). Conflict in the development of close relationships. In R. Burgess & T. Huston (Eds.), Social exchange and developing relationships (pp. 135–168). New York: Academic Press.CrossRef Braiker, H. B., & Kelley, H. H. (1979). Conflict in the development of close relationships. In R. Burgess & T. Huston (Eds.), Social exchange and developing relationships (pp. 135–168). New York: Academic Press.CrossRef
go back to reference Busuito, A., Huth-Bocks, A., & Puro, E. (2014). Romantic attachment as a moderator of the association between childhood abuse and posttraumatic stress disorder symptoms. Journal of Family Violence, 29, 567–577. doi:10.1007/s10896-014-9611-8.CrossRef Busuito, A., Huth-Bocks, A., & Puro, E. (2014). Romantic attachment as a moderator of the association between childhood abuse and posttraumatic stress disorder symptoms. Journal of Family Violence, 29, 567–577. doi:10.​1007/​s10896-014-9611-8.CrossRef
go back to reference Cloitre, M., Miranda, R., Stovall-McClough, K. C., & Han, H. (2005). Beyond PTSD: emotion regulation and interpersonal problems as predictors of functional impairment in survivors of childhood abuse. Behavior Therapy, 36, 119–124. doi:10.1016/S0005-7894(05)80060-7.CrossRef Cloitre, M., Miranda, R., Stovall-McClough, K. C., & Han, H. (2005). Beyond PTSD: emotion regulation and interpersonal problems as predictors of functional impairment in survivors of childhood abuse. Behavior Therapy, 36, 119–124. doi:10.​1016/​S0005-7894(05)80060-7.CrossRef
go back to reference Davies, J., Slade, P., Wright, I., & Stewart, P. (2008). Posttraumatic stress symptoms following childbirth and mothers’ perceptions of their infants. Infant Mental Health Journal, 29, 537–554. doi:10.1002/imhj.20197.CrossRefPubMed Davies, J., Slade, P., Wright, I., & Stewart, P. (2008). Posttraumatic stress symptoms following childbirth and mothers’ perceptions of their infants. Infant Mental Health Journal, 29, 537–554. doi:10.​1002/​imhj.​20197.CrossRefPubMed
go back to reference Forbes, D., Fletcher, S., Parslow, R., Phelps, A., O’Donnell, M., Bryant, R. A., McFarlane, A., Silove, D., & Creamer, M. (2012). Trauma at the hands of another: longitudinal study of differences in the posttraumatic stress disorder symptom profile following interpersonal compared with noninterpersonal trauma. Journal of Clinical Psychiatry, 73, 372–376. doi:10.4088/JCP.10m06640.CrossRefPubMed Forbes, D., Fletcher, S., Parslow, R., Phelps, A., O’Donnell, M., Bryant, R. A., McFarlane, A., Silove, D., & Creamer, M. (2012). Trauma at the hands of another: longitudinal study of differences in the posttraumatic stress disorder symptom profile following interpersonal compared with noninterpersonal trauma. Journal of Clinical Psychiatry, 73, 372–376. doi:10.​4088/​JCP.​10m06640.CrossRefPubMed
go back to reference Iverson, K. M., Dick, A., McLaughlin, K. A., Smith, B. N., Bell, M. E., Gerber, M. R., Dick, A., Smith, B. N., Bell, M. E., Cook, N., & Mitchell, K. S. (2013). Exposure to interpersonal violence and its associations with psychiatric morbidity in a U.S. national sample: a gender comparison. Psychology of Violence, 3(3), 273–287. doi:10.1037/a0030956.CrossRefPubMedPubMedCentral Iverson, K. M., Dick, A., McLaughlin, K. A., Smith, B. N., Bell, M. E., Gerber, M. R., Dick, A., Smith, B. N., Bell, M. E., Cook, N., & Mitchell, K. S. (2013). Exposure to interpersonal violence and its associations with psychiatric morbidity in a U.S. national sample: a gender comparison. Psychology of Violence, 3(3), 273–287. doi:10.​1037/​a0030956.CrossRefPubMedPubMedCentral
go back to reference Jonzon, E., & Lindblad, F. (2005). Adult female victims of child sexual abuse: multitype maltreatment and disclosure characteristics related to subjective health. Journal of Interpersonal Violence, 20(6), 651–666. doi:10.1177/0886260504272427. Jonzon, E., & Lindblad, F. (2005). Adult female victims of child sexual abuse: multitype maltreatment and disclosure characteristics related to subjective health. Journal of Interpersonal Violence, 20(6), 651–666. doi:10.​1177/​0886260504272427​.
go back to reference Kelleher, K. J., Hazen, A. L., Coben, J. H., Wang, Y., McGeehan, J., Kohl, P. L., & Gardner, W. P. (2008). Self-reported disciplinary practices among women in the child welfare system: association with domestic violence victimization. Child Abuse & Neglect, 32, 811–818. doi:10.1016/j.chiabu.2007.12.004.CrossRef Kelleher, K. J., Hazen, A. L., Coben, J. H., Wang, Y., McGeehan, J., Kohl, P. L., & Gardner, W. P. (2008). Self-reported disciplinary practices among women in the child welfare system: association with domestic violence victimization. Child Abuse & Neglect, 32, 811–818. doi:10.​1016/​j.​chiabu.​2007.​12.​004.CrossRef
go back to reference Kessler, R. C., Berglund, P., Demler, O., Jin, R., & Merikangas, K. R. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602. doi:10.1001/archpsyc.62.6.593.CrossRefPubMed Kessler, R. C., Berglund, P., Demler, O., Jin, R., & Merikangas, K. R. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602. doi:10.​1001/​archpsyc.​62.​6.​593.CrossRefPubMed
go back to reference Levendosky, A. A., & Graham-Bermann, S. A. (2001). Parenting in battered women: the effects of domestic violence on women and their children. Journal Of Family Violence, 16(2), 171–192. doi:10.1023/A:1011111003373. Levendosky, A. A., & Graham-Bermann, S. A. (2001). Parenting in battered women: the effects of domestic violence on women and their children. Journal Of Family Violence, 16(2), 171–192. doi:10.​1023/​A:​1011111003373.
go back to reference Levendosky, A. A., Leahy, K. L., Bogat, G. A., Davidson, W. S., & von Eye, A. (2006). Domestic violence, maternal parenting, maternal mental health, and infant externalizing behavior. Journal of Family Psychology, 20, 544–552. doi:10.1037/0893-3200.20.4.544.CrossRefPubMed Levendosky, A. A., Leahy, K. L., Bogat, G. A., Davidson, W. S., & von Eye, A. (2006). Domestic violence, maternal parenting, maternal mental health, and infant externalizing behavior. Journal of Family Psychology, 20, 544–552. doi:10.​1037/​0893-3200.​20.​4.​544.CrossRefPubMed
go back to reference Muthén, B., & Muthén, L. K. (2000). Integrating person-centered and variable-centered analyses: growth mixture modeling with latent trajectory classes. Alcoholism: Clinical And Experimental Research, 24(6), 882–891. doi:10.1111/j.1530-0277.2000.tb02070.x. Muthén, B., & Muthén, L. K. (2000). Integrating person-centered and variable-centered analyses: growth mixture modeling with latent trajectory classes. Alcoholism: Clinical And Experimental Research, 24(6), 882–891. doi:10.​1111/​j.​1530-0277.​2000.​tb02070.​x.
go back to reference Muzik, M., Bockneck, E. L., Broderick, A., Richardson, P., Rosenblum, K. L., Thelen, K., & Seng, J. S. (2013). Mother–infant bonding impairment across the first 6 months postpartum: the primacy of psychopathology in women with childhood abuse and neglect histories. Archives of Women’s Mental Health, 16, 29–38. doi:10.1007/s00737-012-0312-0.CrossRefPubMed Muzik, M., Bockneck, E. L., Broderick, A., Richardson, P., Rosenblum, K. L., Thelen, K., & Seng, J. S. (2013). Mother–infant bonding impairment across the first 6 months postpartum: the primacy of psychopathology in women with childhood abuse and neglect histories. Archives of Women’s Mental Health, 16, 29–38. doi:10.​1007/​s00737-012-0312-0.CrossRefPubMed
go back to reference Onoye, J. M., Goebert, D., Morland, L., Matsu, C., & Wright, T. (2009). PTSD and postpartum mental health of Caucasian, Asian, and Pacific Islander women. Archives of Women’s Mental Health, 12, 393–400. doi:10.1007/s00737-009-0087-0.CrossRefPubMed Onoye, J. M., Goebert, D., Morland, L., Matsu, C., & Wright, T. (2009). PTSD and postpartum mental health of Caucasian, Asian, and Pacific Islander women. Archives of Women’s Mental Health, 12, 393–400. doi:10.​1007/​s00737-009-0087-0.CrossRefPubMed
go back to reference Pereira, J., Vickers, K., Atkinson, L., Gonzalez, A., Wekerle, C., & Levitan, R. (2012). Parenting mediates between maternal maltreatment history and maternal sensitivity in a community sample. Child Abuse & Neglect, 36, 433–437. doi:10.1016/j.chiabu.2012.01.006.CrossRef Pereira, J., Vickers, K., Atkinson, L., Gonzalez, A., Wekerle, C., & Levitan, R. (2012). Parenting mediates between maternal maltreatment history and maternal sensitivity in a community sample. Child Abuse & Neglect, 36, 433–437. doi:10.​1016/​j.​chiabu.​2012.​01.​006.CrossRef
go back to reference Procidano, M., & Heller, K. (1983). Measures of perceived social support from friends and from family: three validation studies. American Journal of Community Psychology, 11, 1–24. doi:10.1007/BF00898416.CrossRefPubMed Procidano, M., & Heller, K. (1983). Measures of perceived social support from friends and from family: three validation studies. American Journal of Community Psychology, 11, 1–24. doi:10.​1007/​BF00898416.CrossRefPubMed
go back to reference Resnick, H. S., Kilpatrick, D. G., Dansky, B. S., Saunders, B. E., & Best, C. L. (1993). Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. Journal of Consulting and Clinical Psychology, 61, 984–991. doi:10.1037/0022-006X.61.6.984.CrossRefPubMed Resnick, H. S., Kilpatrick, D. G., Dansky, B. S., Saunders, B. E., & Best, C. L. (1993). Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. Journal of Consulting and Clinical Psychology, 61, 984–991. doi:10.​1037/​0022-006X.​61.​6.​984.CrossRefPubMed
go back to reference Salloum, A., Stover, C. S., Swaidan, V. R., & Storch, E. A. (2014). Parent and child PTSD and parent depression in relation to parenting stress among trauma-exposed children. Journal of Child and Family Studies. doi:10.1007/s10826-014-9928-1. Salloum, A., Stover, C. S., Swaidan, V. R., & Storch, E. A. (2014). Parent and child PTSD and parent depression in relation to parenting stress among trauma-exposed children. Journal of Child and Family Studies. doi:10.​1007/​s10826-014-9928-1.
go back to reference Schechter, D. S., Coates, S. W., Kaminer, T., Coots, T., Zeanah, J. C., Daives, M., Schonfeld, I. S., Marshall, R. D., Liebowitz, M. R., Trabka, K. A., McCaw, J. E., & Myers, M. M. (2008). Distorted maternal mental representations and atypical behaviors in a clinical sample of violence-exposed mothers and their toddlers. Journal of Trauma and Dissociation, 9, 123–147. doi:10.1080/15299730802045666.CrossRefPubMedPubMedCentral Schechter, D. S., Coates, S. W., Kaminer, T., Coots, T., Zeanah, J. C., Daives, M., Schonfeld, I. S., Marshall, R. D., Liebowitz, M. R., Trabka, K. A., McCaw, J. E., & Myers, M. M. (2008). Distorted maternal mental representations and atypical behaviors in a clinical sample of violence-exposed mothers and their toddlers. Journal of Trauma and Dissociation, 9, 123–147. doi:10.​1080/​1529973080204566​6.CrossRefPubMedPubMedCentral
go back to reference Schumm, J. A., Briggs-Phillips, M., & Hobfoll, S. E. (2006). Cumulative interpersonal traumas and social support as risk and resiliency factors in predicting PTSD and depression among inner-city women. Journal of Traumatic Stress, 19(6), 825–836. doi:10.1002/jts.20159. Schumm, J. A., Briggs-Phillips, M., & Hobfoll, S. E. (2006). Cumulative interpersonal traumas and social support as risk and resiliency factors in predicting PTSD and depression among inner-city women. Journal of Traumatic Stress, 19(6), 825–836. doi:10.​1002/​jts.​20159.
go back to reference Seng, J. S., D’Andrea, W., & Ford, J. D. (2014). Complex mental health sequelae of psychological trauma among women in prenatal care. Psychological Trauma: Theory, Research, Practice, and Policy, 6, 41–49. doi:10.1037/a0031467.CrossRef Seng, J. S., D’Andrea, W., & Ford, J. D. (2014). Complex mental health sequelae of psychological trauma among women in prenatal care. Psychological Trauma: Theory, Research, Practice, and Policy, 6, 41–49. doi:10.​1037/​a0031467.CrossRef
go back to reference Seng, J. S., Sperlich, M., Low, L. K., Ronis, D. L., Muzik, M., & Liberzon, I. (2013). Childhood abuse history, posttraumatic stress disorder, postpartum mental health, and bonding: a prospective cohort study. Journal of Midwifery & Women’s Health, 58(1), 57–68. doi:10.1111/j.1542-2011.2012.00237.x.CrossRef Seng, J. S., Sperlich, M., Low, L. K., Ronis, D. L., Muzik, M., & Liberzon, I. (2013). Childhood abuse history, posttraumatic stress disorder, postpartum mental health, and bonding: a prospective cohort study. Journal of Midwifery & Women’s Health, 58(1), 57–68. doi:10.​1111/​j.​1542-2011.​2012.​00237.​x.CrossRef
go back to reference Steenkamp, M. M., Dickstein, B. D., Salters-Pedneault, K., Hofmann, S. G., & Litz, B. T. (2012). Trajectories of PTSD symptoms following sexual assault: is resilience the modal outcome? Journal of Traumatic Stress, 25(4), 469–474. doi:10.1002/jts.21718.CrossRefPubMed Steenkamp, M. M., Dickstein, B. D., Salters-Pedneault, K., Hofmann, S. G., & Litz, B. T. (2012). Trajectories of PTSD symptoms following sexual assault: is resilience the modal outcome? Journal of Traumatic Stress, 25(4), 469–474. doi:10.​1002/​jts.​21718.CrossRefPubMed
go back to reference Straus, M. A., Hamby, S. L., & Warren, W. L. (2003). The conflict tactics scales handbook. Los Angeles: Western Psychological Services. Straus, M. A., Hamby, S. L., & Warren, W. L. (2003). The conflict tactics scales handbook. Los Angeles: Western Psychological Services.
go back to reference Wang, M., & Bodner, T. E. (2007). Growth mixture modeling: identifying and predicting unobserved subpopulations with longitudinal data. Organizational Research Methods, 10, 635–656. doi:10.1177/1094428106289397.CrossRef Wang, M., & Bodner, T. E. (2007). Growth mixture modeling: identifying and predicting unobserved subpopulations with longitudinal data. Organizational Research Methods, 10, 635–656. doi:10.​1177/​1094428106289397​.CrossRef
go back to reference Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993). The PTSD checklist (PCL): Reliability, validity, and diagnostic utility. Paper presented at the 9th Annual Conference of the ISTSS, San Antonio. Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993). The PTSD checklist (PCL): Reliability, validity, and diagnostic utility. Paper presented at the 9th Annual Conference of the ISTSS, San Antonio.
Metadata
Title
PTSD Symptom Trajectories among Mothers Reporting Interpersonal Trauma: Protective Factors and Parenting Outcomes
Authors
Katherine L. Guyon-Harris
Sarah Ahlfs-Dunn
Alissa Huth-Bocks
Publication date
01-10-2017
Publisher
Springer US
Published in
Journal of Family Violence / Issue 7/2017
Print ISSN: 0885-7482
Electronic ISSN: 1573-2851
DOI
https://doi.org/10.1007/s10896-017-9934-3

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