Does Maternal Support Mediate or Moderate the Relationship between Sexual Abuse Severity and Children’s PTSD Symptoms?

Wamser‐Nanney, Rachel; Sager, Julia C.; Campbell, Claudia L.

doi:10.1080/10538712.2020.1733160

Cited by 9 publications

(11 citation statements)

References 56 publications

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“…Given that these girls all resided in a local detention center at the time data were collected, they may have felt isolated, in the absence of support from caregivers, while they have access to both prosocial and deviant peers who are detained with them. In addition, nearly a quarter of the sample reported histories of sexual abuse, so they may feel increased PTSD symptoms in the absence of their caregivers, which is noteworthy as youth who have supportive caregivers may show decreased levels of symptoms (Wamser-Nanney et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…In a study of girls from a national sample of adolescents and their parents, Black girls were less likely to display externalizing behavior if they also reported high rates of parental attachment (Kalu et al, 2020). Children and youth with histories of abuse—especially sexual abuse—who have supportive caregivers may show decreased levels of symptoms despite the abuse severity compared with those who have less supportive caregivers (Wamser-Nanney et al, 2020). However, support is not always positive; caregivers’ reactions to trauma (especially those who have histories of high trauma exposure) may be most important to youth symptom presentation (Lieberman et al, 2005).…”

Section: Caregiver Support and Ptsdmentioning

confidence: 99%

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The Influence of Familial and Peer Social Support on Post-Traumatic Stress Disorder Among Black Girls in Juvenile Correctional Facilities

Quinn

Boyd

Kim

et al. 2020

Criminal Justice and Behavior

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Black girls bear a higher burden of juvenile justice involvement in the United States, relative to other racial/ethnic female groups. Emerging evidence suggests that system involvement is related to trauma histories and post-traumatic stress disorder (PTSD). This study investigated the associations between individual, family, and peer factors, and their relationship to PTSD among Black girls with juvenile justice involvement. Cross-sectional data were collected from 188 Black girls in detention. Measures assessed were history of abuse, negative peer norms, future orientation, caregiver support, self-esteem, age, and PTSD symptoms. Major regression findings indicated that higher rates of caregiver support, higher negative peer norms, lower self-esteem rates, and lower future orientation rates were correlated with greater PTSD symptoms. Treatment programs for this population warrant a multisystemic approach, which includes caregivers and peers, and bolstering important constructs such as self-esteem and hopefulness.

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Section: Discussionmentioning

confidence: 99%

Section: Caregiver Support and Ptsdmentioning

confidence: 99%

The Influence of Familial and Peer Social Support on Post-Traumatic Stress Disorder Among Black Girls in Juvenile Correctional Facilities

Quinn

Boyd

Kim

et al. 2020

Criminal Justice and Behavior

View full text Add to dashboard Cite

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“…In addition, modest but significant correlations were found between the MSSQ factors and each of the Child Behavior Checklist scales (Achenbach & Edelbrock, 1991). However, recent studies using the MSSQ have indicated that it is less sensitive in assessing gradation in levels of support, resulting in most 'It is unclear which specific aspects of non-offending parent support are related to PTSD symptomatology' mothers reporting high levels of support, which likely impacts results (Wamser-Nanney, 2018;Wamser-Nanney et al, 2020).…”

mentioning

confidence: 99%

“…A more recent study including treatment-seeking children ages three to 16 similarly found that caregiver-rated maternal support did not mediate or moderate the association between CSA severity and PTSD symptoms (Wamser-Nanney et al, 2020). Wamser-Nanney et al (2020) noted that the sample type (i.e. a treatmentseeking sample) may have influenced results such that treatment-seeking children have restricted levels of PTSD symptoms and less variance in maternal support, which limits the ability to detect significant relationship associations.…”

mentioning

confidence: 99%

“…However, the authors of this meta‐analysis concluded that it is impossible to determine whether this weak association is accurate, or whether it is due to methodological problems in the measurement of parent support. A more recent study including treatment‐seeking children ages three to 16 similarly found that caregiver‐rated maternal support did not mediate or moderate the association between CSA severity and PTSD symptoms (Wamser‐Nanney et al ., 2020). Wamser‐Nanney et al .…”

mentioning

confidence: 99%

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Dyadic Reports Using the Parental Support after Child Sexual Abuse Measure: Psychometrics and Associations with Post‐Traumatic Stress Disorder Symptoms

et al. 2021

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This study assessed the psychometric properties of a new measure, the Parental Support after Child Sexual Abuse (PSCSA) survey, and tested the association between parents' and children's parental support reports and children's post-traumatic stress disorder (PTSD) symptoms. A total of 99 Icelandic children (86.5% girls, 6-18 years old, M = 13.9 years) starting therapy for child sexual abuse (CSA) and 98 non-offending parents (90.6% mothers, 23-58 years old, M = 41.2 years) participated in the study. Participants completed questionnaires on parental support (PSCSA) and children's PTSD symptom severity (University of California at Los Angeles Post-Traumatic Stress Disorder Reaction Index for the Diagnostic and Statistical Manual of Mental Disorders, fourth edition). A total of 18 items were considered for the PSCSA parent version and nine for the PSCSA child version. Five reliable factors emerged for the parent version (Emotional support, Instrumental support, Self-blame, Child blame and Disbelief) using 16 items and one factor (combined Emotional and instrumental support) emerged for the child's version using eight items. On average, ratings for both Emotional and Instrumental support were higher for parents than their children. Emotional support reported by both parents and children was negatively associated with PTSD symptom severity. The PSCSA survey is a promising dyadic measure for future research and clinical use in children's advocacy centres.

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Mediators between sexual abuse and eating disorder severity: A comparative case‐control study in treatment‐naïve patients

Ventura

Barrio

Miras-Aguilar

et al. 2023

Euro Eating Disorders Rev

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Objective: Sexual abuse is associated with eating disorders (EDs) severity. However, the psychological mediators of this association have received scant attention in the literature. Method:The present study aimed to evaluate the mediating role of psychological maladjustment, alexithymia, and self-esteem in the relationship between sexual abuse and EDs severity in a sample of 134 treatment-naïve patients with an EDs and 129 paired healthy controls. Results:In the EDs group, EDs severity among participants who had been sexually abused was mediated by greater psychological maladjustment and alexithymia (indirect effects: β = 12.55, 95% ] p < 0.001; β = 3.22, 95% CI [0.235-7.97] p < 0.05, respectively). By contrast, these variables had no significant mediating effect on EDs severity in the control group.Discussion: These findings support the hypothesis of a disorder-related relationship between sexual abuse and alexithymia and psychological maladjustment, which, in turn, influences EDs severity. Alexithymia and psychological maladjustment appear to be promising therapeutic targets for patients with EDs who have a history of sexual abuse.

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Does Maternal Support Mediate or Moderate the Relationship between Sexual Abuse Severity and Children’s PTSD Symptoms?

Cited by 9 publications

References 56 publications

The Influence of Familial and Peer Social Support on Post-Traumatic Stress Disorder Among Black Girls in Juvenile Correctional Facilities

The Influence of Familial and Peer Social Support on Post-Traumatic Stress Disorder Among Black Girls in Juvenile Correctional Facilities

Dyadic Reports Using the Parental Support after Child Sexual Abuse Measure: Psychometrics and Associations with Post‐Traumatic Stress Disorder Symptoms

Mediators between sexual abuse and eating disorder severity: A comparative case‐control study in treatment‐naïve patients

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