Study protocol: development and randomized controlled trial of a preventive blended care parenting intervention for parents with PTSD DOI Creative Commons
Laurien Meijer, Catrin Finkenauer, Matthijs Blankers

et al.

BMC Psychiatry, Journal Year: 2023, Volume and Issue: 23(1)

Published: Feb. 10, 2023

Abstract Background Children of parents with post-traumatic stress disorder (PTSD) are at increased risk adverse psychological outcomes. An important mechanism is impaired parental functioning, including negative parenting behavior, perceived incompetence, and lack social support. Several interventions for trauma-exposed psychiatric disorders exist, but none have specifically targeted PTSD. Our objective to evaluate the effectiveness a blended care preventive intervention Methods The was adapted from an existing online intervention, KopOpOuders Self-Help. In co-creation PTSD partners, into KopOpOuders-PTSD, by adding PTSD-specific content three in-person-sessions mental health prevention professional. Effectiveness will be tested in randomized controlled trial among N = 142 being treated Arkin Mental Health Care (control condition: treatment as usual, n 71; usual + 71). Online questionnaires pretest, posttest, three-month follow-up ecological momentary assessment pretest posttest used. Intervention effects on primary (parenting behavior) secondary outcomes (perceived competence, support, stress, child overall problems symptoms) analyzed using generalized linear mixed modeling. We also analyze possible moderation symptoms Discussion This study protocol describes Findings can contribute understanding support clinical practice Trial registration (Version 1) registered 11-02-2022 ClinicalTrials.gov under identification number NCT05237999.

Language: Английский

Intergenerational effects of childhood maltreatment: A systematic review of the parenting practices of adult survivors of childhood abuse, neglect, and violence DOI
Carolyn A. Greene, Lauren D Haisley, Cara Wallace

et al.

Clinical Psychology Review, Journal Year: 2020, Volume and Issue: 80, P. 101891 - 101891

Published: July 23, 2020

Language: Английский

Citations

206
Psychological, addictive, and health behavior implications of the COVID-19 pandemic DOI Open Access
Michael J. Zvolensky, Lorra Garey, Andrew H. Rogers

et al.

Behaviour Research and Therapy, Journal Year: 2020, Volume and Issue: 134, P. 103715 - 103715

Published: Aug. 27, 2020

Language: Английский

Citations

147
Trauma exposure and stress-related disorders in a large, urban, predominantly African-American, female sample DOI
Rachel Gluck, Georgina Hartzell, H. Drew Dixon

et al.

Archives of Women s Mental Health, Journal Year: 2021, Volume and Issue: 24(6), P. 893 - 901

Published: May 14, 2021

Language: Английский

Citations

70
An upbringing with substance-abusing parents: Experiences of parentification and dysfunctional communication DOI Creative Commons
Eva Tedgård, Maria Råstam,

Ingegerd Wirtberg

et al.

Nordic Studies on Alcohol and Drugs, Journal Year: 2018, Volume and Issue: 36(3), P. 223 - 247

Published: Dec. 20, 2018

To increase understanding of the consequences growing up with substance-abusing parents, including how this can influence experience becoming a parent.In-depth interviews were conducted 19 parents who had participated in an Infant and Toddler Psychiatry Unit intervention programme experienced their family origin. Directed qualitative content analysis was used to analyse data.Analysis interview material revealed both high incidence parentification conspiracy silence concerning substance abuse that helped generate symptoms cognitive dissonance children. As they degree inadequacy, incompetence stress.A majority children grown responded by taking parenting role for themselves, siblings parents. These children, often well-behaved seemingly competent, need be identified offered support as risk developing significant psychological emotional difficulties extend into adulthood. They form extra sensitive group may special time when become themselves. This finding underlines importance further research on among those have abusive

Language: Английский

Citations

68
Parental Risk and Protective Factors in Child Maltreatment: A Systematic Review of the Evidence DOI
Fatima Younas, Leslie Morrison Gutman

Trauma Violence & Abuse, Journal Year: 2022, Volume and Issue: 24(5), P. 3697 - 3714

Published: Nov. 30, 2022

This study systematically reviews and synthesizes evidence on parental risk protective factors along with identifying differences in the presence of these based maltreatment type. In all, 68 quantitative, published, empirical studies were included from electronic databases for systematic review. Quality appraisal did not exclude any data extracted all. Results narratively synthesized using Risk Resilience Ecological framework. The findings revealed more micro (individual family) ecological level compared to mezzo macro levels. At level, mirror results prior such as substance abuse, history childhood maltreatment, intimate partner violence (IPV). Social support was most significant factor across all levels types except child sexual abuse but differed definition widely studies. Physical had unique this type followed by neglect, IPV a common types. Fewer emotional identified. review delineated key at various associations between distinct maltreatment. Interventions working parents reduce can use guide development targeted programs families For researchers, further investigation under-researched areas factors.

Language: Английский

Citations

31
Physical child abuse demands increased awareness during health and socioeconomic crises like COVID-19 DOI Creative Commons
Polina Martinkevich, Lise Langeland Larsen, Troels Græsholt‐Knudsen

et al.

Acta Orthopaedica, Journal Year: 2020, Volume and Issue: 91(5), P. 527 - 533

Published: June 23, 2020

Background and purpose - Physical abuse of children, i.e., nonaccidental injury (NAI) including abusive head trauma (AHT) is experienced by up to 20% children; however, only 0.1% are diagnosed. Healthcare professionals issue less than all reports suspecting NAI the responsible authorities. Insufficient knowledge concerning may partly explain this low percentage. The risk heightened during health socioeconomic crises such as COVID-19 thus demands increased awareness. This review provides an overview educational material on its clinical presentation.Methods We combined a literature with expert opinions senior authors into paper aiming help clinicians recognize act appropriately referral multidisciplinary child protection teams local authorities.Results Despite current crisis, number decreased 42% lockdown Danish society. filed 17% suspected in 2016.Interpretation key recognizing upon presentation be aware inconsistencies medical history suspicious findings physical paraclinical examination. During incidence likely peak. Recognition NAI, adequate handling teams, reporting authorities paramount importance prevent mortality mental morbidity.

Language: Английский

Citations

46
Increased activation of the fear neurocircuitry in children exposed to violence DOI Open Access
Sanne J.H. van Rooij, Ryan Smith, Anaïs F. Stenson

et al.

Depression and Anxiety, Journal Year: 2020, Volume and Issue: 37(4), P. 303 - 312

Published: Jan. 17, 2020

Most studies investigating the effect of childhood trauma on brain are retrospective and mainly focus maltreatment, whereas different types exposure such as growing up in a violent neighborhood, well developmental stage, could have differential effects structure function. The current magnetic resonance imaging study assessed broadly violence more specifically, stage fear neurocircuitry 8- to 14-year-old children adolescents (N = 69). We observed reduced hippocampal increased amygdala volume with increasing levels exposure. Second, higher were associated activation amygdala, hippocampus, ventromedial prefrontal cortex during emotional response inhibition. This association was specifically younger than 10 years. Finally, functional connectivity between brainstem Based findings, it be hypothesized that results structural changes later risk for psychiatric disorders. At same time, postulated an unsafe environment leads functionally adapt this situation way promotes survival, where long-term costs or consequences these adaptations largely unknown area future investigations.

Language: Английский

Citations

44
Physical child abuse demands increased awareness during health and socioeconomic crises like COVID-19 DOI Creative Commons
Polina Martinkevich, Lise Langeland Larsen, Troels Græsholt‐Knudsen

et al.

Acta Orthopaedica, Journal Year: 2021, Volume and Issue: 92(6), P. 763 - 764

Published: Sept. 10, 2021

Background and purpose - Physical abuse of children, i.e., nonaccidental injury (NAI) including abusive head trauma (AHT) is experienced by up to 20% children; however, only 0.1% are diagnosed. Healthcare professionals issue less than all reports suspecting NAI the responsible authorities. Insufficient knowledge concerning may partly explain this low percentage. The risk heightened during health socioeconomic crises such as COVID-19 thus demands increased awareness. This review provides an overview educational material on its clinical presentation.Methods We combined a literature with expert opinions senior authors into paper aiming help clinicians recognize act appropriately referral multidisciplinary child protection teams local authorities.Results Despite current crisis, number decreased 42% lockdown Danish society. filed 17% suspected in 2016.Interpretation key recognizing upon presentation be aware inconsistencies medical history suspicious findings physical paraclinical examination. During incidence likely peak. Recognition NAI, adequate handling teams, reporting authorities paramount importance prevent mortality mental morbidity.

Language: Английский

Citations

33
Mothering, Substance Use Disorders and Intergenerational Trauma Transmission: An Attachment-Based Perspective DOI Creative Commons
Florien Meulewaeter, Sarah De Pauw, Wouter Vanderplasschen

et al.

Frontiers in Psychiatry, Journal Year: 2019, Volume and Issue: 10

Published: Oct. 18, 2019

Background: A growing body of research underlines that interpersonal trauma in childhood can lead to heightened susceptibility for substance use disorders later life. However, little has been conducted on parenting experiences mothers recovery from use, taking into account their own upbringing as a child and the potential aftermath trauma. Methods: Through in-depth semi-structured qualitative interviews, 23 reflected parent-child bonding, related both children parents. Interviews were transcribed verbatim data analyzed adopting thematic analysis. Results: Throughout narratives, consequences sense self its subsequent impact arose salient theme. Five latent mechanisms/stages intergenerational transmission identified: 1) mothers; 2) precursor initiation; 3) (self-fooling) enabler parental functioning; 4) continued impacting 5) dysfunctional functioning relational upon offspring. Discussion: Findings suggest disruptive attachment be vulnerability addiction one hand, an expression underlying other, hence serving covert phenomenon by which transmitted across generations. Results indicate need preventive, attachment-based trauma-sensitive interventions targeted at disrupting harmful patterns.

Language: Английский

Citations

42
Trauma-Focused Cognitive-Behavioral Therapy: The role of caregivers DOI
Elissa J. Brown, Judith A. Cohen,

Anthony P. Mannarino

et al.

Journal of Affective Disorders, Journal Year: 2020, Volume and Issue: 277, P. 39 - 45

Published: Aug. 5, 2020

Language: Английский

Citations

38