TY - JOUR
T1 - Parents’ PTSD symptoms and child abuse potential during the perinatal period
T2 - Direct associations and mediation via relationship conflict
AU - Fredman, Steffany J.
AU - Le, Yunying
AU - Marshall, Amy D.
AU - Garcia Hernandez, Walter
AU - Feinberg, Mark E.
AU - Ammerman, Robert T.
N1 - Funding Information:
This research was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development grant R01HD069431 to Robert T. Ammerman, the Karl R. and Diane Wendle Fink Early Career Award for the Study of Families to Steffany J. Fredman, and the National Center for Advancing Translational Sciences grants KL2 TR000126 and TR002015 to the Pennsylvania State University Clinical and Translational Sciences Institute to support Steffany J. Fredman’s time. The authors acknowledge the participation of Every Child Succeeds and its participating agencies. Mark E. Feinberg created Family Foundations and is the owner of a private company that disseminates the program. Mark E. Feinberg’s company has been reviewed by the Institutional Review Board and the Conflict of Interest Committee at the Pennsylvania State University for potential financial gain.
Publisher Copyright:
© 2019 Elsevier Ltd
PY - 2019/4
Y1 - 2019/4
N2 - Background: Posttraumatic stress disorder (PTSD) symptoms are associated with parental aggression towards children, but little is known about the relation between parents’ PTSD symptoms and their risk for perpetrating child physical abuse during the early parenting years, when the potential for prevention of abuse may be highest. Objective: To examine direct associations between mothers’ and fathers’ PTSD symptoms and child abuse potential, as well as indirect effects through couple relationship adjustment (i.e., conflict and love) in a high-risk sample of parents during the perinatal period, most of whom were first-time parents. Participants and setting: From March 2013 to August 2016, data were collected from 150 expecting or new parental dyads in which the mother was participating in a home visiting program. Methods: Data were analyzed using the Actor-Partner Interdependence Mediation Model. Results: For mothers and fathers, there were direct associations between PTSD symptom severity and child abuse potential (βs =.51, ps <.001), and this association for fathers was stronger at higher levels of mothers’ PTSD symptoms (β =.15, p =.03). In addition, parents’ own and their partners’ PTSD symptoms were each indirectly associated with parents’ own child abuse potential through parents’ report of interparental conflict (standardized indirect effects =.052–.069, ps =.004) but not love. Conclusions: Addressing parents’ PTSD symptoms and relationship conflict during the perinatal period using both systemic and developmental perspectives may uniquely serve to decrease the risk of child physical abuse and its myriad adverse consequences.
AB - Background: Posttraumatic stress disorder (PTSD) symptoms are associated with parental aggression towards children, but little is known about the relation between parents’ PTSD symptoms and their risk for perpetrating child physical abuse during the early parenting years, when the potential for prevention of abuse may be highest. Objective: To examine direct associations between mothers’ and fathers’ PTSD symptoms and child abuse potential, as well as indirect effects through couple relationship adjustment (i.e., conflict and love) in a high-risk sample of parents during the perinatal period, most of whom were first-time parents. Participants and setting: From March 2013 to August 2016, data were collected from 150 expecting or new parental dyads in which the mother was participating in a home visiting program. Methods: Data were analyzed using the Actor-Partner Interdependence Mediation Model. Results: For mothers and fathers, there were direct associations between PTSD symptom severity and child abuse potential (βs =.51, ps <.001), and this association for fathers was stronger at higher levels of mothers’ PTSD symptoms (β =.15, p =.03). In addition, parents’ own and their partners’ PTSD symptoms were each indirectly associated with parents’ own child abuse potential through parents’ report of interparental conflict (standardized indirect effects =.052–.069, ps =.004) but not love. Conclusions: Addressing parents’ PTSD symptoms and relationship conflict during the perinatal period using both systemic and developmental perspectives may uniquely serve to decrease the risk of child physical abuse and its myriad adverse consequences.
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U2 - 10.1016/j.chiabu.2019.01.024
DO - 10.1016/j.chiabu.2019.01.024
M3 - Article
C2 - 30753996
AN - SCOPUS:85061207761
VL - 90
SP - 66
EP - 75
JO - Child Abuse and Neglect
JF - Child Abuse and Neglect
SN - 0145-2134
ER -