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Intergenerational trauma: Parental PTSD and parent-reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection / Christina G. MCDONNELL in Autism Research, 15-4 (April 2022)
[article]
Titre : Intergenerational trauma: Parental PTSD and parent-reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection Type de document : Texte imprimé et/ou numérique Auteurs : Christina G. MCDONNELL, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Janey DIKE, Auteur Article en page(s) : p.665-676 Langues : Anglais (eng) Mots-clés : Adolescent Autism Spectrum Disorder Autistic Disorder Child Child Abuse/psychology Female Historical Trauma Hospitalization Humans Inpatients Male Parents Stress Disorders, Post-Traumatic/epidemiology autism child abuse intergenerational trauma traumatic stress Index. décimale : PER Périodiques Résumé : Autistic youth experience high rates of maltreatment. Little research has considered how distinct abuse dimensions differentially relate to meaningful outcomes, nor taken an intergenerational approach to consider how caregiver trauma and child maltreatment are related. This study sought to identify how parent-reported child abuse subtypes and parent posttraumatic stress disorder (PTSD) relate to each other and to admission characteristics upon inpatient service entry. Autistic youth (N = 527; 79% White, 21.3% girls, mean age = 12.94?years) participated in the autism inpatient collection. Parents reported on child abuse subtypes (physical, sexual, emotional) and their own PTSD, child behavior and emergency services, and parenting stress. Youth of parents with PTSD were nearly three times more likely to have parent-reported physical and emotional abuse. Autistic girls were more likely to experience parent-reported sexual abuse and a higher number of subtypes. Lower income related to higher rates of parent-reported child emotional abuse and parent PTSD. Emotional abuse associated with child behavior whereas both child physical and emotional abuse related to emergency services. Reported parent PTSD associated with child behavior and parental distress. When considered jointly, parent PTSD and number of parent-reported child abuse subtypes differentially related to child behavior and interacted to predict psychiatric hospitalizations. Intergenerational continuity of trauma is important to consider among autistic youth, and both parent-reported child abuse and parent PTSD relate to admission characteristics. Critical limitations include reliance on binary parent reports of child abuse and parent PTSD and the low representation of youth of minoritized identities. Implications for trauma-informed care are discussed. LAY SUMMARY: Autistic youth whose parents had reported posttraumatic stress disorder (PTSD) were nearly three times more likely to have experienced parent-reported physical and emotional abuse. Parent-reported child emotional abuse uniquely related to child behavioral concerns whereas both physical and emotional abuse related to higher emergency services. Parent PTSD also related to admission characteristics, showing that intergenerational continuity of trauma is critical to consider for understanding child maltreatment among autistic youth. En ligne : https://dx.doi.org/10.1002/aur.2669 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473
in Autism Research > 15-4 (April 2022) . - p.665-676[article] Intergenerational trauma: Parental PTSD and parent-reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection [Texte imprimé et/ou numérique] / Christina G. MCDONNELL, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Janey DIKE, Auteur . - p.665-676.
Langues : Anglais (eng)
in Autism Research > 15-4 (April 2022) . - p.665-676
Mots-clés : Adolescent Autism Spectrum Disorder Autistic Disorder Child Child Abuse/psychology Female Historical Trauma Hospitalization Humans Inpatients Male Parents Stress Disorders, Post-Traumatic/epidemiology autism child abuse intergenerational trauma traumatic stress Index. décimale : PER Périodiques Résumé : Autistic youth experience high rates of maltreatment. Little research has considered how distinct abuse dimensions differentially relate to meaningful outcomes, nor taken an intergenerational approach to consider how caregiver trauma and child maltreatment are related. This study sought to identify how parent-reported child abuse subtypes and parent posttraumatic stress disorder (PTSD) relate to each other and to admission characteristics upon inpatient service entry. Autistic youth (N = 527; 79% White, 21.3% girls, mean age = 12.94?years) participated in the autism inpatient collection. Parents reported on child abuse subtypes (physical, sexual, emotional) and their own PTSD, child behavior and emergency services, and parenting stress. Youth of parents with PTSD were nearly three times more likely to have parent-reported physical and emotional abuse. Autistic girls were more likely to experience parent-reported sexual abuse and a higher number of subtypes. Lower income related to higher rates of parent-reported child emotional abuse and parent PTSD. Emotional abuse associated with child behavior whereas both child physical and emotional abuse related to emergency services. Reported parent PTSD associated with child behavior and parental distress. When considered jointly, parent PTSD and number of parent-reported child abuse subtypes differentially related to child behavior and interacted to predict psychiatric hospitalizations. Intergenerational continuity of trauma is important to consider among autistic youth, and both parent-reported child abuse and parent PTSD relate to admission characteristics. Critical limitations include reliance on binary parent reports of child abuse and parent PTSD and the low representation of youth of minoritized identities. Implications for trauma-informed care are discussed. LAY SUMMARY: Autistic youth whose parents had reported posttraumatic stress disorder (PTSD) were nearly three times more likely to have experienced parent-reported physical and emotional abuse. Parent-reported child emotional abuse uniquely related to child behavioral concerns whereas both physical and emotional abuse related to higher emergency services. Parent PTSD also related to admission characteristics, showing that intergenerational continuity of trauma is critical to consider for understanding child maltreatment among autistic youth. En ligne : https://dx.doi.org/10.1002/aur.2669 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473 Associations among maternal lifetime trauma, psychological symptoms in pregnancy, and infant stress reactivity and regulation / Carter R. PETTY ; Caroline HOWELL ; Juliana MENDONCA ; Abigail BOSSE ; Deborah P. WABER ; Rosalind J. WRIGHT ; Michelle BOSQUET ENLOW in Development and Psychopathology, 35-4 (October 2023)
[article]
Titre : Associations among maternal lifetime trauma, psychological symptoms in pregnancy, and infant stress reactivity and regulation Type de document : Texte imprimé et/ou numérique Auteurs : Carter R. PETTY, Auteur ; Caroline HOWELL, Auteur ; Juliana MENDONCA, Auteur ; Abigail BOSSE, Auteur ; Deborah P. WABER, Auteur ; Rosalind J. WRIGHT, Auteur ; Michelle BOSQUET ENLOW, Auteur Article en page(s) : p.1714-1731 Langues : Anglais (eng) Mots-clés : anxiety infant intergenerational trauma pregnancy regulation Index. décimale : PER Périodiques Résumé : Maternal trauma has intergenerational implications, including worse birth outcomes, altered brain morphology, and poorer mental health. Research investigating intergenerational effects of maternal trauma on infant stress reactivity and regulation is limited. Maternal mental health during pregnancy may be a contributor: psychopathology is a sequela of trauma exposure and predictor of altered self-regulatory capacity in offspring of affected mothers. We assessed associations among maternal lifetime trauma and infant stress responsivity, mediated by psychological symptoms in pregnancy. Mothers reported lifetime trauma history and anxiety, depressive, and posttraumatic stress symptoms during pregnancy. At infant age 6 months, stress reactivity and regulation were assessed via maternal behavior ratings (Infant Behavior Questionnaire-Revised, IBQ-R) and behavioral (negative mood) and physiological (respiratory sinus arrhythmia, RSA) markers during a laboratory stressor (Still-Face Paradigm). Maternal trauma was directly associated with lower infant physiological regulation and indirectly associated with lower levels of both infant behavioral and physiological regulation via higher maternal anxiety during pregnancy. Maternal trauma was also indirectly associated with higher infant reactivity via higher maternal anxiety during pregnancy. Post hoc analyses indicated differential contributions of maternal prenatal versus postnatal anxiety to infant outcomes. Findings highlight potential contributory mechanisms toward maladaptive child stress response, which has been associated with poor behavioral, cognitive, and academic outcomes. En ligne : https://dx.doi.org/10.1017/S0954579422000402 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=515
in Development and Psychopathology > 35-4 (October 2023) . - p.1714-1731[article] Associations among maternal lifetime trauma, psychological symptoms in pregnancy, and infant stress reactivity and regulation [Texte imprimé et/ou numérique] / Carter R. PETTY, Auteur ; Caroline HOWELL, Auteur ; Juliana MENDONCA, Auteur ; Abigail BOSSE, Auteur ; Deborah P. WABER, Auteur ; Rosalind J. WRIGHT, Auteur ; Michelle BOSQUET ENLOW, Auteur . - p.1714-1731.
Langues : Anglais (eng)
in Development and Psychopathology > 35-4 (October 2023) . - p.1714-1731
Mots-clés : anxiety infant intergenerational trauma pregnancy regulation Index. décimale : PER Périodiques Résumé : Maternal trauma has intergenerational implications, including worse birth outcomes, altered brain morphology, and poorer mental health. Research investigating intergenerational effects of maternal trauma on infant stress reactivity and regulation is limited. Maternal mental health during pregnancy may be a contributor: psychopathology is a sequela of trauma exposure and predictor of altered self-regulatory capacity in offspring of affected mothers. We assessed associations among maternal lifetime trauma and infant stress responsivity, mediated by psychological symptoms in pregnancy. Mothers reported lifetime trauma history and anxiety, depressive, and posttraumatic stress symptoms during pregnancy. At infant age 6 months, stress reactivity and regulation were assessed via maternal behavior ratings (Infant Behavior Questionnaire-Revised, IBQ-R) and behavioral (negative mood) and physiological (respiratory sinus arrhythmia, RSA) markers during a laboratory stressor (Still-Face Paradigm). Maternal trauma was directly associated with lower infant physiological regulation and indirectly associated with lower levels of both infant behavioral and physiological regulation via higher maternal anxiety during pregnancy. Maternal trauma was also indirectly associated with higher infant reactivity via higher maternal anxiety during pregnancy. Post hoc analyses indicated differential contributions of maternal prenatal versus postnatal anxiety to infant outcomes. Findings highlight potential contributory mechanisms toward maladaptive child stress response, which has been associated with poor behavioral, cognitive, and academic outcomes. En ligne : https://dx.doi.org/10.1017/S0954579422000402 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=515