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01-10-2018

A Meta-Analysis of Parenting Practices and Child Psychosocial Outcomes in Trauma-Informed Parenting Interventions after Violence Exposure

Authors: Sarah Lindstrom Johnson, Kit Elam, Adam A. Rogers, Chanler Hilley

Published in: Prevention Science | Issue 7/2018

Abstract

Over half of all youth are exposed to violence, which a growing body of literature suggests is associated with a broad range of negative developmental outcomes over the life course. However, best practices for supporting parenting are not widely applied to parents with children exposed to violence-related trauma. This meta-analyses seeks to synthesize the literature base of trauma-informed parenting interventions to better understand their potential impact on parenting and child outcomes. Specifically, 21 trauma-informed parenting interventions were identified that quantitatively assessed intervention effects on parenting and child outcomes. Six meta-analyses were conducted to assess intervention effects on (1) positive parenting practices, (2) negative parenting practices, (3) parenting stress, (4) children’s internalizing problems, (5) children’s externalizing problems, and (6) trauma symptoms, respectively. Moderate to large effect sizes were found for positive parenting practices (d = 0.62) as well as child internalizing problems, externalizing problems, and trauma symptoms (d = 0.48–0.59). Validity tests indicated robust findings for positive parenting and for all child outcomes. Additional moderator analyses support the importance of informed intervention design, showing differential findings by trauma type as well as by duration of the intervention. These findings indicate the value of evidence-based parenting interventions for violence-related trauma and support models of trauma-informed care that situate treatment in the broader social context, particularly the family. Results are discussed with respect to which parenting practices hold the most promise for supporting children exposed to violence-related trauma.

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Alisic, E., Zalta, A. K., Van Wesel, F., Larsen, S. E., Hafstad, G. S., Hassanpour, K., & Smid, G. E. (2014). Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: Meta-analysis. The British Journal of Psychiatry, 204, 335–340.CrossRefPubMed

Amstadter, A. B., & Vernon, L. L. (2008). Emotional reactions during and after trauma: A comparison of trauma types. Journal of Aggression, Maltreatment & Trauma, 16, 391–408. https://doi.org/10.1080/10926770801926492.CrossRef

*Ashton, C. K., O’Brien-Langer, A., & Silverstone, P. H. (2016). The CASA Trauma and Attachment Group (TAG) program for children who have attachment issues following early developmental trauma. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 25, 35–42.

Ballard, E. D., Van Eck, K., Musci, R. J., Hart, S. R., Storr, C. L., Breslau, N., & Wilcox, H. C. (2015). Latent classes of childhood trauma exposure predict the development of behavioral health outcomes in adolescence and young adulthood. Psychological Medicine, 45, 3305–3316. https://doi.org/10.1017/S0033291715001300.CrossRefPubMed

Banyard, V. L., Rozelle, D., & Englund, D. W. (2001). Parenting the traumatized child: Attending to the needs of non-offending caregivers of traumatized children. Psychotherapy: Theory, Research, Practice, Training, 38, 74–87. https://doi.org/10.1037/0033-3204.38.1.74.CrossRef

Barber, B., Stolz, H., Olsen, J., Collins, W., & Burchinal, M. (2005). Parental support, psychological control, and behavioral control: Assessing relevance across time, culture, and method. Monographs of the Society for Research in Child Development, 70.

*Becker, K. D., Mathis, G., Mueller, C. W., Issari, K., & Atta, S. S. (2008). Community-based treatment outcomes for parents and children exposed to domestic violence. Journal of Emotional Abuse, 8, 187–204. https://doi.org/10.1080/10926790801986122.CrossRef

Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to meta-analysis. Chichester: John Wiley & Sons.CrossRef

Broderick, C. B. (1993). Understanding family process: Basics of family systems theory. Thousand Oaks: Sage.

Chiesa, A. E., Kallechey, L., Harlaar, N., Ford, C. R., Garrido, E. F., Betts, W. R., & Maguire, S. (2018). Intimate partner violence victimization and parenting: A systematic review. Child Abuse & Neglect, 80, 285–300. https://doi.org/10.1016/j.chiabu.2018.03.028.CrossRef

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Mahwah: Lawrence Earlbaum Associates.

Cohen, J. A. (2003). Treating acute posttraumatic reactions in children and adolescents. Biological Psychiatry, 53, 827–833. https://doi.org/10.1016/S0006-3223(02)01868-1.CrossRefPubMed

Cohen, J. A. (2004). Early mental health interventions for trauma and traumatic loss in children and adolescents. In B. T. Litz (Ed.), Early interventions for trauma and traumatic loss (pp. 131–146). New York: Guilford Press.

Cohen, J. A. (2010). Practice parameter for the assessment and treatment of children and adolescents with posttraumatic stress disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 49, 414–430. https://doi.org/10.1002/jts.20565.CrossRef

Cohen, J. A., Berliner, L., & Mannarino, A. P. (2000a). Treating traumatized children: A research review and synthesis. Trauma, Violence & Abuse, 1, 29–46. https://doi.org/10.1177/1524838000001001003.CrossRef

Cohen, J. A., Mannarino, A. P., Berliner, L., & Deblinger, E. (2000b). Trauma-focused cognitive behavioral therapy for children and adolescents: An empirical update. Journal of Interpersonal Violence, 15, 1202–1223. https://doi.org/10.1177/088626000015011007.CrossRef

*Cohen, J. A., Deblinger, E., Mannarino, A. P., & Steer, R. A. (2004). A multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 393–402. doi:https://doi.org/10.1097/00004583-200404000-00005.CrossRef

Collins, L. M., Murphy, S. A., Nair, V. N., & Strecher, V. J. (2005). A strategy for optimizing and evaluating behavioral interventions. Annals of Behavioral Medicine, 30, 65–73. https://doi.org/10.1207/s15324796abm3001_8.CrossRefPubMed

Cooper, H. (2015). Research synthesis and meta-analysis: A step-by-step approach. Thousand Oaks: Sage.

*Costas, M., & Landreth, G. (1999). Filial therapy with nonoffending parents of children who have been sexually abused. International Journal of Play Therapy, 8, 43–66. https://doi.org/10.1037/h0089427.CrossRef

Cumming, G. (2013). Cohen’s d needs to be readily interpretable: Comment on Chieh (2013). Behavioral Research, 45, 968–971. https://doi.org/10.3758/s13428-013-0392-4.CrossRef

Dallaire, D. H., Pineda, A. Q., Cole, D. A., Ciesla, J. A., Jacquez, F., LaGrange, B., & Bruce, A. E. (2006). Relation of positive and negative parenting to children’s depressive symptoms. Journal of Clinical Child & Adolescent Psychology, 35, 313–322. https://doi.org/10.1207/s15374424jccp3502_15.CrossRef

*Deblinger, E., Lippmann, J., & Steer, R. (1996). Sexually abused children suffering posttraumatic stress symptoms: Initial treatment outcome findings. Child Maltreatment, 1, 310–321. https://doi.org/10.1177/1077559596001004003.CrossRef

*Deblinger, E., Steer, R. A., & Lippmann, J. (1999). Two-year follow-up study of cognitive behavioral therapy for sexually abused children suffering post-traumatic stress symptoms. Child Abuse & Neglect, 23, 1371–1378. https://doi.org/10.1016/S0145-2134(99)00091-5.CrossRef

*Deblinger, E., Stauffer, L. B., & Steer, R. A. (2001). Comparative efficacies of supportive and cognitive behavioral group therapies for young children who have been sexually abused and their nonoffending mothers. Child Maltreatment, 6, 332–343. https://doi.org/10.1177/1077559501006004006.CrossRefPubMed

Dretzke, J., Davenport, C., Frew, E., Barlow, J., Stewart-Brown, S., Bayliss, S., … & Hyde, C. (2009). The clinical effectiveness of different parenting programmes for children with conduct problems: A systematic review of randomised controlled trials. Child and Adolescent Psychiatry and Mental Health, 3, 7.CrossRefPubMedPubMedCentral

Dube, S. R., Anda, R. F., Whitfield, C. L., Brown, D. W., Felitti, V. J., Dong, M., & Giles, W. H. (2005). Long-term consequences of childhood sexual abuse by gender of victim. American Journal of Preventive Medicine, 28, 430–438. https://doi.org/10.1016/j.amepre.2005.01.015.CrossRefPubMed

Duval, S., & Tweedie, R. (2000). A nonparametric “trim and fill” method of accounting for publication bias in meta-analysis. Journal of American Statistical Association, 95, 89–98.

Evans, S., Davies, C., & DiLillo, D. (2008). Exposure to domestic violence: A meta-analysis of child and adolescent outcomes. Aggression and Violent Behavior, 13, 131–140. https://doi.org/10.1016/j.avb.2008.02.005.CrossRef

Feldner, M. T., & Zvolensky, M. J. (2004). Prevention of anxiety psychopathology: A critical review of the empirical literature. Clinical Psychology: Science and Practice, 11, 405–424. https://doi.org/10.1093/clipsy.bph098.CrossRef

Finkelhor, D. (1995). The victimization of children: A developmental perspective. American Journal of Orthopsychiatry, 65, 177. https://doi.org/10.1037/h0079618.CrossRefPubMed

Finkelhor, D., Turner, H. A., Shattuck, A., & Hamby, S. L. (2015). Prevalence of childhood exposure to violence, crime, and abuse: Results from the National Survey of Children’s Exposure to Violence. JAMA Pediatrics, 169, 746–754. https://doi.org/10.1001/jamapediatrics.2015.0676.CrossRefPubMed

Frans, Ö., Rimmö, P. A., Åberg, L., & Fredrikson, M. (2005). Trauma exposure and post-traumatic stress disorder in the general population. Acta Psychiatrica Scandinavica, 111, 291–290. https://doi.org/10.1111/j.1600-0447.2004.00463.x.CrossRefPubMed

*Friedrich, W. N., Luecke, W. J., Beilke, R. L., & Place, V. (1992). Psychotherapy outcome of sexually abused boys: An agency study. Journal of Interpersonal Violence, 7, 396–409. https://doi.org/10.1177/088626092007003008.CrossRef

Gewirtz, A. H., DeGarmo, D. S., & Medhanie, A. (2011). Effects of mother’s parenting practices on child internalizing trajectories following partner violence. Journal of Family Psychology, 25, 29–38. https://doi.org/10.1037/a0022195.CrossRefPubMed

*Graham-Bermann, S. A., & Miller-Graff, L. (2015). Community-based intervention for women exposed to intimate partner violence: A randomized control trial. Journal of Family Psychology, 29, 537–547. https://doi.org/10.1037/fam0000091.CrossRefPubMed

*Graham-Bermann, S. A., Lynch, S., Banyard, V., DeVoe, E. R., & Halabu, H. (2007). Community-based intervention for children exposed to intimate partner violence: An efficacy trial. Journal of Consulting and Clinical Psychology, 75, 199–209. https://doi.org/10.1037/0022-006X.75.2.199.CrossRefPubMed

Gušić, S., Cardeña, E., Bengtsson, H., & Søndergaard, H. P. (2016). Types of trauma in adolescence and their relation to dissociation: A mixed-methods study. Psychological Trauma: Theory, Research, Practice, and Policy, 8, 568–576. https://doi.org/10.1037/t06638-000.CrossRef

Hanisch, C., Hautmann, C., Plück, J., Eichelberger, I., & Döpfner, M. (2014). The prevention program for externalizing problem behavior (PEP) improves child behavior by reducing negative parenting: Analysis of mediating processes in a randomized controlled trial. Journal of Child Psychology and Psychiatry, 55, 473–484. https://doi.org/10.1111/jcpp.12177.CrossRef

Hoffman, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183. https://doi.org/10.1037/a0018555.CrossRef

Huth-Bocks, A. C., & Hughes, H. M. (2008). Parenting stress, parenting behavior, and children’s adjustment in families experiencing intimate partner violence. Journal of Family Violence, 23, 243–251. https://doi.org/10.1007/s10896-007-9148-1.CrossRef

*Jouriles, E. N., McDonald, R., Spiller, L., Norwood, W. D., Swank, P. R., Stephens, N., ... & Buzy, W. M. (2001). Reducing conduct problems among children of battered women. Journal of Consulting and Clinical Psychology, 69, 774–785. https://doi.org/10.1037/0022-006X.69.5.774.CrossRefPubMed

*Jouriles, E. N., McDonald, R., Rosenfield, D., Stephens, N., Corbitt-Shindler, D., & Miller, P. C. (2009). Reducing conduct problems among children exposed to intimate partner violence: A randomized clinical trial examining effects of Project Support. Journal of Consulting and Clinical Psychology, 77, 705–717. https://doi.org/10.1037/a0015994.CrossRefPubMed

Kim-Spoon, J., Haskett, M. E., Longo, G. S., & Nice, R. (2012). Longitudinal study of self-regulation, positive parenting, and adjustment problems among physically abused children. Child Abuse & Neglect, 36, 95–107. https://doi.org/10.1016/j.chiabu.2011.09.016.CrossRef

*Kiser, L. J., Backer, P. M., Winkles, J., & Medoff, D. (2015). Strengthening family coping resources (SFCR): Practice-based evidence for a promising trauma intervention. Couple and Family Psychology: Research and Practice, 4, 49–59. https://doi.org/10.1037/cfp0000034.CrossRef

Kitzmann, K. M., Gaylord, N. K., Holt, A. R., & Kenny, E. D. (2003). Child witnesses to domestic violence: A meta-analytic review. Journal of Consulting and Clinical Psychology, 71, 339–352.CrossRefPubMed

*Kjellgren, C., Svedin, C. G., & Nilsson, D. (2013). Child physical abuse—Experiences of combined treatment for children and their parents: A pilot study. Child Care in Practice, 19, 275–290. https://doi.org/10.1080/13575279.2013.785934.CrossRef

Kliewer, W., Lepore, S. J., Oskin, D., & Johnson, P. D. (1998). The role of social and cognitive processes in children’s adjustment to community violence. Journal of Consulting and Clinical Psychology, 66, 199. https://doi.org/10.1037/0022-006X.66.1.199.CrossRefPubMed

Levendosky, A. A., & Graham-Bermann, S. A. (1998). The moderating effects of parenting stress on children’s adjustment in woman-abusing families. Journal of Interpersonal Violence, 13, 383–397. https://doi.org/10.1177/088626098013003005.CrossRef

*Linares, L. O., Jimenez, J., Nesci, C., Pearson, E., Beller, S., Edwards, N., & Levin-Rector, A. (2015). Reducing sibling conflict in maltreated children placed in foster homes. Prevention Science, 16, 211–221. https://doi.org/10.1007/s11121-014-0476-0.CrossRef

Margolin, G., & Gordis, E. B. (2000). The effects of family and community violence on children. Annual Review of Psychology, 51, 445–479. https://doi.org/10.1146/annurev.psych.51.1.445.CrossRefPubMed

Morris, & DeShon. (2002). Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychological Methods, 7, 105–125. https://doi.org/10.1037//1082-989X.7.1.105.CrossRefPubMed

Moylan, C. A., Herrenkohl, T. I., Sousa, C., Tajima, E. A., Herrenkohl, R. C., & Russo, M. J. (2010). The effects of child abuse and exposure to domestic violence on adolescent internalizing and externalizing behavior problems. Journal of Family Violence, 25, 53–63. https://doi.org/10.1007/s10896-009-9269-9.CrossRefPubMedPubMedCentral

Mrug, S., & Windle, M. (2009). Mediators of neighborhood influences on externalizing behavior in preadolescent children. Journal of Abnormal Child Psychology, 37, 265–280. https://doi.org/10.1007/s10802-008-9274-0.CrossRefPubMed

*Overbeek, M. M., de Schipper, J. C., Lamers-Winkelman, F., & Schuengel, C. (2013). Effectiveness of specific factors in community-based intervention for child-witnesses of interparental violence: A randomized trial. Child Abuse & Neglect, 37, 1202–1214. https://doi.org/10.1016/j.chiabu.2013.07.007.CrossRef

Overbeek, M., de Schipper, C., Willemaen, A., Lamers-Winkelman, F., & Schuengel, C. (2017). Mediators and treatment factors in intervention for children exposed to interparental violence. Journal of Clinical Child and Adolescent Psychology, 46, 411–427.CrossRefPubMed

Padilla-Walker, L. M., & Christensen, K. J. (2011). Empathy and self-regulation as mediators between parenting and adolescents’ prosocial behavior toward strangers, friends, and family. Journal of Research on Adolescence, 21, 545–551. https://doi.org/10.1111/j.1532-7795.2010.00695.x.CrossRef

Rolfsnes, E. S., & Idsoe, T. (2011). School-based intervention programs for PTSD symptoms: A review and meta-analysis. Journal of Traumatic Stress, 24, 155–165. https://doi.org/10.1002/jts.20622.CrossRefPubMed

Rosenthal, R. (1993). Meta-analytic procedures for social research. Newbury Park: Sage.

Sandler, I., Wolchik, S., Winslow, E. B., Mahrer, N. E., Moran, J. A., & Weinstock, D. (2012). Quality of maternal and paternal parenting following separation and divorce. In K. Keuhnle & L. Drozd (Eds.), Parenting plan evaluations: Applied research for the family court (pp. 85–122). New York: Oxford University Press.CrossRef

Sandler, I., Wolchik, S. A., Cruden, G., Mahrer, N. E., Ahn, S., Brincks, A., & Brown, C. H. (2014). Overview of meta-analyses of the prevention of mental health, substance use, and conduct problems. Annual Review of Clinical Psychology, 10, 243–273.CrossRefPubMedPubMedCentral

*Santiago, C. D., Kataoka, S. H., Hu-Cordova, M., Alvarado-Goldberg, K., Maher, L. M., & Escudero, P. (2015). Preliminary evaluation of a family treatment component to augment a school-based intervention serving low-income families. Journal of Emotional and Behavioral Disorders, 23, 28–39. https://doi.org/10.1177/1063426613503497.CrossRef

Schneider, S. J., Grilli, S. F., & Schneider, J. R. (2013). Evidence-based treatments for traumatized children and adolescents. Current Psychiatry Reports, 15, 332. https://doi.org/10.1007/s11920-012-0332-5.CrossRefPubMed

*Smith, N., & Landreth, G. (2003). Intensive filial therapy with child witnesses of domestic violence: A comparison with individual and sibling group play therapy. International Journal of Play Therapy, 12, 67–88. https://doi.org/10.1037/h0088872.CrossRef

Substance Abuse and Mental Health Services Administration (SAMHSA). (2015, August 14). Trauma-informed approach and trauma-specific interventions. Retrieved June 23, 2017, from https://www.samhsa.gov/nctic/trauma-interventions.

*Sullivan, M., Egan, M., & Gooch, M. (2004). Conjoint interventions for adult victims and children of domestic violence: A program evaluation. Research on Social Work Practice, 14, 163–170. https://doi.org/10.1177/1049731503257881.CrossRef

Tarren-Sweeney, M. (2013). An investigation of complex attachment-and trauma-related symptomatology among children in foster and kinship care. Child Psychiatry and Human Development, 44, 727–741. https://doi.org/10.1007/s10578-013-0366-x.CrossRefPubMed

*Timmer, S. G., Ware, L. M., Urquiza, A. J., & Zebell, N. M. (2010). The effectiveness of parent–child interaction therapy for victims of interparental violence. Violence and Victims, 25, 486–503. https://doi.org/10.1891/0886-6708.25.4.486.CrossRefPubMed

Viechtbaur, W., & Cheung, M. W. L. (2010). Outlier and influence diagnostics for meta-analysis. Research Synthesis Methods, 1, 112–125. https://doi.org/10.1002/jrsm.11.CrossRef

*Winton, M. A. (1990). An evaluation of a support group for parents who have a sexually abused child. Child Abuse & Neglect, 14, 397–405. https://doi.org/10.1016/0145-2134(90)90011-H.CrossRef

Yap, M. B., Morgan, A. J., Cairns, K., Jorm, A. F., Hetrick, S. E., & Merry, S. (2016). Parents in prevention: A meta-analysis of randomized controlled trials of parenting interventions to prevent internalizing problems in children from birth to age 18. Clinical Psychology Review, 50, 138–158. https://doi.org/10.1016/j.cpr.2016.10.00.CrossRefPubMed

Title: A Meta-Analysis of Parenting Practices and Child Psychosocial Outcomes in Trauma-Informed Parenting Interventions after Violence Exposure
Authors: Sarah Lindstrom Johnson
Kit Elam
Adam A. Rogers
Chanler Hilley
Publication date: 01-10-2018
Publisher: Springer US
Published in: Prevention Science / Issue 7/2018
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-018-0943-0

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A Meta-Analysis of Parenting Practices and Child Psychosocial Outcomes in Trauma-Informed Parenting Interventions after Violence Exposure

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