Maternal PTSD and Children's Adjustment: Parenting Stress and Emotional Availability as Proposed Mediators

Samuelson, Kristin W.; Wilson, Christina K.; Padrón, Elena; Lee, Suellen; Gavron, Lauren

doi:10.1002/jclp.22369

Cited by 67 publications

(53 citation statements)

References 70 publications

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“…This is particularly important given the bidirectional and interrelated nature of relationships between the spouse, service member, and children in the family system (Verdeli et al., ). Untreated maternal psychopathology, for example, is associated with worse child outcomes (Goodman et al., ; Samuelson, Wilson, Padrón, Lee, & Gavron, ) and, in our sample, half (49.96%) of all participants who screened positive for problematic drinking had children, and approximately two thirds of those who screened positive for PTSD, depression, and anxiety had children (67.85, 70.17, and 67.88%, respectively). Spouses may be more willing than service members to seek services for themselves and their families (Eaton et al., ), which may help redress the problem of low treatment utilization among symptomatic service members (Hoge et al., ).…”

Section: Discussionmentioning

confidence: 56%

Prevalence of psychiatric morbidity in United States military spouses: The Millennium Cohort Family Study

et al. 2018

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Section: Discussionmentioning

confidence: 56%

Prevalence of psychiatric morbidity in United States military spouses: The Millennium Cohort Family Study

et al. 2018

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“…Chronic PTSD could increase the risk of women's other mental and physical health problems but also could deteriorate social functioning and impact the nearby environment and the child. Some studies demonstrated that maternal PTSD may be associated with negative child behavior outcomes (externalizing, internalizing, and emotion regulation) [52,53]. This relation could be explained because parents' PTSD can impact the functioning of parenting (lower parenting satisfaction, less optimal parent-child relationships, and more frequent use of negative parenting practices, such as overt hostility and controlling behaviors [54]).…”

Section: Discussionmentioning

confidence: 99%

Post-Traumatic Stress Disorder in Homeless Migrant Mothers of the Paris Region Shelters

Roze

Melchior

Vuillermoz

et al. 2020

IJERPH

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Migrant women are disproportionately more likely to experience traumatic events in their country of origin, during migration and after arriving in the host country. Homeless women are more likely to be exposed to multiple victimizations in childhood (emotional or physical maltreatment) and in adulthood (sexual abuse, street victimization). This study’s objective was to describe the factors associated with the likelihood of post-traumatic stress disorder (PTSD) among homeless migrant mothers in the Paris region. Face-to-face interviews were conducted by bilingual psychologists and interviewers in a representative sample of homeless families in the Paris region. PTSD was ascertained using the Mini International Neuropsychiatric Interview (MINI) (n = 691 mothers). We studied PTSD in mothers using weighted Poisson regression. Homeless migrant mothers had high levels of PTSD (18.9%) in the 12 months preceding the study. In multivariate analysis, PTSD was associated with departure from the country of origin because of violence (PR = 1.45 95% CI 1.03; 2.04), depression in the preceding 12 months (PR = 1.82 95% CI 1.20; 2.76), and residential instability (PR = 1.93 95% CI 1.27; 2.93). Homeless migrant mothers have high levels of traumatic events and PTSD. Improvements in screening for depression and PTSD and access to appropriate medical care are essential for this vulnerable group.

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“…Additionally, a good alliance with the therapist motivates caregivers to improve their parenting behavior, as taught in TF-CBT. This treatment component seems especially important in PTSS, as the difficulties mentioned above often challenge caregivers’ skills, leading to vicious circles of negative communication and behavior [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Treatment expectancy, working alliance, and outcome of Trauma-Focused Cognitive Behavioral Therapy with children and adolescents

Kirsch

Keller

Tutus

et al. 2018

Child Adolesc Psychiatry Ment Health

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BackgroundIt has been shown that positive treatment expectancy (TE) and good working alliance increase psychotherapeutic success in adult patients, either directly or mediated by other common treatment factors like collaboration. However, the effects of TE in psychotherapy with children, adolescents and their caregivers are mostly unknown. Due to characteristics of the disorder such as avoidant behavior, common factors may be especially important in evidence-based treatment of posttraumatic stress symptoms (PTSS), e.g. for the initiation of exposure based techniques.MethodsTE, collaboration, working alliance and PTSS were assessed in 65 children and adolescents (age M = 12.5; SD = 2.9) and their caregivers. Patients’ and caregivers’ TE were assessed before initiation of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Patients’ and caregivers’ working alliance, as well as patients’ collaboration were assessed at mid-treatment, patients’ PTSS at pre- and post-treatment. Path analysis tested both direct and indirect effects (by collaboration and working alliance) of pre-treatment TE on post-treatment PTSS, and on PTSS difference scores.ResultsPatients’ or caregivers’ TE did not directly predict PTSS after TF-CBT. Post-treatment PTSS was not predicted by patients’ or caregivers’ TE via patients’ collaboration or patients’ or caregivers’ working alliance. Caregivers’ working alliance with therapists significantly contributed to the reduction of PTSS in children and adolescents (post-treatment PTSS: β = − 0.553; p < 0.001; PTSS difference score: β = 0.335; p = 0.031).ConclusionsTE seems less important than caregivers’ working alliance in TF-CBT for decreasing PTSS. Future studies should assess TE and working alliance repeatedly during treatment and from different perspectives to understand their effects on outcome. The inclusion of a supportive caregiver and the formation of a good relationship between therapists and caregivers can be regarded as essential for treatment success in children and adolescents with PTSS.

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Maternal PTSD and Children's Adjustment: Parenting Stress and Emotional Availability as Proposed Mediators

Abstract: Results highlight the need to target parenting stress in interventions with trauma-exposed families.

Cited by 67 publications

References 70 publications

Prevalence of psychiatric morbidity in United States military spouses: The Millennium Cohort Family Study

Prevalence of psychiatric morbidity in United States military spouses: The Millennium Cohort Family Study

Post-Traumatic Stress Disorder in Homeless Migrant Mothers of the Paris Region Shelters

Treatment expectancy, working alliance, and outcome of Trauma-Focused Cognitive Behavioral Therapy with children and adolescents

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