Elsevier

Child Abuse & Neglect

Volume 25, Issue 9, September 2001, Pages 1219-1240
Child Abuse & Neglect

Intergenerational cycle of maltreatment: a popular concept obscured by methodological limitations

https://doi.org/10.1016/S0145-2134(01)00267-8Get rights and content

Abstract

Objective: The intergenerational transmission of child maltreatment is a controversial subject. Much of existing research is plagued with at least three fundamental weaknesses: (1) using case status to define subjects; (2) adopting a dichotomous perspective that does not consider the reality of maltreatment on various continua; and (3) using operational definitions that fail to differentiate between maltreatment subtypes. We controlled for these problems and examined the structure of child maltreatment and its influence on later parenting practices in an ethnically-diverse community sample.

Method: Data from a community sample of parents (N = 383) were analyzed with a Structural Equation Modeling methodology. Reliable and valid continuous measures of child maltreatment (Child Trauma Questionnaire) and parenting practices (Parental Acceptance and Rejection Questionnaire) were used.

Results: Results revealed a moderately strong effect from a general factor of Child Maltreatment to a general factor of Poor Parenting for both mothers and fathers, supporting a common dysfunction transmission process. For mothers, Family Neglect by itself also led to poor parenting, and sexual abuse as a child led to aggressive parenting. For fathers, Child Maltreatment had a different structure, as sexual abuse was distinct from the factors of Family Abuse and Family Neglect. Also, for fathers, sexual abuse led to rejecting parenting practices.

Conclusions: This study supports the intergenerational cycle of child maltreatment hypothesis in such a way that several weaknesses in much of existing research were controlled. Clinical implications and potential mechanisms of transmission are discussed.

Résumé

Objectif: La transmission des mauvais traitements d’une génération à l’autre est un sujet controversé. La plupart des recherches souffrent d’au moins trois faiblesses fondamentales: (1) elles utilisent le statut du cas pour définir le sujet; (2) elles adoptent une perspective dichotomique qui ne prend pas en considération la nature des mauvais traitements, lesquels s’échelonnent sur plusieurs continuums; et (3) elles utilisent des définitions opérationnelles qui ne savent pas différencier entre les différents sous-types de mauvais traitements. Dans un échantillon tiré d’une communauté multiethnique, les auteurs ont examiné la structure de la maltraitance et ses influences sur les habitudes parentales subséquentes, tout en contrôlant ces trois types de problèmes.

Méthode: Des données tirées d’un échantillon de 383 parents ont été analysées en se servant d’une méthode appelée Structural Equation Modeling (modélisation par équation structurelle). Des mesures fiables et valides de maltraitance (Child Trauma Questionnaire) et d’habitudes parentales (Parental Acceptance and Rejection Questionnaire) ont aussi servi à l’étude.

Résultats: Du facteur général de maltraitance au facteur général de mauvaises pratiques parentales, l’étude démontre un effet d’importance moyenne, tant pour la mère que pour le père. Ceci appuie la notion d’une transmission dysfonctionnelle commune. Pour les mères, la négligence familiale en soi a mené vers de mauvaises habitudes parentales tandis que les abus sexuels en enfance apporta un style parental agressif. Pour les pères, la maltraitance se dessine différemment en ce que les agressions sexuelles sont distinctes des facteurs de mauvais traitements familiaux et de négligence familiale. Aussi, pour les pères, les agressions sexuelles apportent des habitudes parentales de rejet.

Conclusions: Cette étude appuie l’hypothèse à savoir un cycle intergénérationnel de mauvais traitements, les auteurs ayant d’abord contrôlé les diverses faiblesses qu’on retrouve dans une grande partie des recherches. L’article considère les conséquences de ces constats pour les cliniciens et les mécanismes possibles de transmission.

Resumen

Objetivo: La transmisión intergeneracional del maltrato infantil es un tema controvertido. Gran parte de la investigación que existe hoy en dı́a, está plagada de al menos tres limitaciones fundamentales: (1) utilizan el estatus del caso para definir a los sujetos, (2) adoptan una perspectiva dicotómica que no tiene en cuenta la realidad del maltrato como un continuo, y (3) utilizan definiciones que no diferencian entre los subtipos de maltrato. En este estudio se han controlado estos problemas y se ha estudiado la estructura del maltrato y su influencia en las prácticas parentales posteriores en una muestra comunitaria de grupos étnicos diversos.

Método: Se analizaron los datos de una muestra comunitaria de padres/madres (N = 383) con una metodologı́a de Structural Equation Modeling. Se utilizaron medidas continuas fiables y válidas del maltrato infantil (Child Trauma Questionnaire) y de las prácticas parentales (Parental Acceptance and Rejection Questionnnaire).

Resultados: Los resultados muestran que hay un efecto moderadamente fuerte del factor general “Maltrato Infantil” sobre el factor general de “Limitaciones en el ejercicio de la parternidad/maternidad” tanto para los padres como para las madres, lo que apoya la idea de un proceso de transmisión de la disfunción. En el caso de las madres, la Historia de Negligencia por sı́ misma también derivaba en una pobre maternidad, y la Historia de Abuso Sexual derivaba en conductas parentales agresivas. En el caso de los padres, el Maltrato Infantil tenı́a una estructura diferente, ya que la Historia de Abuso Sexual era distinta de los factores de Historia de Abuso e Historia de Negligencia. También en el caso de los padres la historia de Abuso Sexual derivaba en prácticas parentales rechazantes.

Conclusiones: Este estudio, que controla algunas de las limitaciones de gran parte de la investigación que existe hasta la fecha, apoya la hipótesis del ciclo intergeneracional del maltrato infantil. Se comentan las implicaciones clı́nicas y los mecanismos potenciales de transmisión.

Introduction

The maltreatment of children by parents is a major social problem that has been an important focus of researchers. Clinical lore, anecdotal accounts, and research evidence have linked parents’ maltreatment of children to their own maltreatment experiences as children. Early investigators of the intergenerational transmission of child maltreatment set the stage for a violence breeds violence perspective (Curtis, 1963). This was reinforced and conceptually expanded in subsequent work (e.g., Kaufman and Zigler 1987, Steel and Pollack 1968), with contemporary data suggesting that about one-third of individuals who were maltreated as children will, as parents, abuse or neglect their own children Belsky 1993, Kaufman and Zigler 1987.

However, this intergenerational transmission hypothesis has also received a good deal of criticism, and concern has been raised about the adequacy of relevant data and research (Ertem, 2000). Widom (1989b) asserts that there is little evidence supporting the claim that abuse leads to abuse. And controversy remains surrounding whether causal pathways determining the perpetuation of child maltreatment by parents have been sufficiently explored. In fact, much of the existing research is plagued with at least three fundamental weaknesses that may account for some of the discrepancies and part of the resulting controversy. These weaknesses include: (1) identifying subjects by looking at case status only; (2) a lack of continuous measurement of maltreatment variables; and (3) insufficient operational definitions that fail to account for the unique and combined effects of both abuse and neglect.

One way to examine the intergenerational expression of child maltreatment is to study the influence of maltreatment experiences on later parenting practices. As the majority of maltreatment experiences occur within a family or parenting context, we can examine the most direct expression of transmission by studying the relationships between these two processes. While obvious, this approach is seldom used and upon reviewing the bodies of literature on maltreatment and parenting practices, it is apparent that these two domains have rarely been integrated or analyzed simultaneously.

We begin with a brief discussion of the three general limitations with the maltreatment literature, then discuss parenting practices. Following this we present our conceptual model and describe the current study.

A frequently cited problem in the salient literature surrounds the operational definitions of childhood abuse, neglect, and maltreatment. Most researchers define maltreatment in terms of cases adjudicated by Child Protective Service (CPS) agencies. For example, in her review of the neglect literature, Zuravin (1999) found that 18 of the 25 identified studies had used this means to operationalize neglect, using it either as the exclusive criterion (n = 14) or as one used in combination with the researchers’ own definition (n = 4). This method of classification is problematic as agencies differ across governmental jurisdictions with respect to their criteria for determining maltreatment or for interpreting their particular criteria. But even within the same jurisdiction, many factors affect the labeling of a particular case. Belsky (1993) has noted that classifications of maltreatment often “emerge after much negotiation and consultation with the family, judicial authorities, and others. Exactly how these formal labels map onto actual behavior is not always clear” (p. 413).

Clinical judgment, socio-cultural norms for expected behavior, and other factors also play a role (Garbarino, Guttmann, & Seeley, 1986). Miller-Perrin and Perrin (1999) state that “the definitional criteria… deemed important, vary from one audience to the next, as do the distinctions between illegitimate and legitimate aggression” (p. 49). Therefore “abuse, maltreatment, and neglect are merely labels used to describe an indeterminate range of negative behaviors” (Miller-Perrin & Perrin, 1999, p. 49). And, since both abuse and neglect tend to be heterogeneous and have comorbid presentation, arbitrarily defining a case as an abuse case may have the tendency to overlook other critical aspects, such as neglect. This definitional variability does not allow for an understanding of the multiple types of child maltreatment and replicable conclusions to be drawn. Further, definitional variable and the consequent ambiguity has delayed the implementation of effective interventions and solutions (Ohlin & Tonry, 1989).

When neglect is operationalized in terms of adjudicated cases, a dichotomized, either-or criterion is adopted, blindly avoiding the reality that childhood maltreatment exists to some degree, along various continua. Manly, Cicchetti, and Barnett (1994) state that most research is conducted in this manner, focusing on “maltreatment as a dichotomous variable” with “scant empirical attention being devoted to the multidimensional nature within the broad rubric of maltreatment” (p. 121). It is obvious that instances of child maltreatment range in severity and need to be conceptualized accordingly. When this range is not considered, the nuances and variance (both statistical and practical) of child maltreatment are lost.

A reasonable approach, that is seldom used, would be to incorporate psychometrically reliable and valid measures of child maltreatment that yield continuous scores for the different commonly accepted subtypes of maltreatment. This would capture more of the true expression or continua of child maltreatment, but is rarely used. Straus (1992) found that of 617 articles published in Child Abuse & Neglect, 86% used no instrument to measure any variable whatsoever. Concern about the lack of measurement is reinforced by the National Research Council Panel on Research on Child Abuse and Neglect’s (1993) call for the development of “reliable and valid clinical-diagnostic and research instruments for the measurement of child maltreatment… ” (p. 345).

Most studies fail to differentiate between children who have been abused and those who have been neglected (Widom, 1989a). Knutson (1995) states that “One of the major problems in the literature on maltreatment is… the aggregating of physical abuse, neglect, and sexual abuse into a single category of child maltreatment” (p. 401). While there are common aspects, there are important differences. There are six commonly accepted subtypes of child maltreatment—emotional neglect, physical neglect, educational neglect, emotional abuse, physical abuse, and sexual abuse (Miller-Perrin & Perrin, 1999). These categories were adopted in the National Incidence Studies (NIS; e.g., Sedlak & Broadhurst, 1996), and should be empirically studied as both related and unique maltreatment subtypes. Discerning the consequences of particular types of child maltreatment is an important advance needed in the contemporary literature.

If there is a cycle or intergenerational transmission of maltreatment, the conduit is parenting practices. These are the behavioral expressions that pass on maltreatment from one generation to another. This is a logical perspective, for childhood maltreatment almost inevitably is perpetrated by the child’s parent or caretaker (National Research Council Panel on Research on Child Abuse and Neglect, 1993, p. 65). In fact, many problems of children are known to arise from their early environment (Cicchetti & Toth, 1998) and family interactions (Cowan, Powell, & Cowan, 1998). The family’s influence on the child is often thought to exert itself through specific parenting practices Capaldi and Clark 1998, Darling and Steinberg 1993, Rohner 1991, Rutter 1995. Parenting style affects the quality of parent-child interactions as well as the “pervasive interactional climate” (Mize & Pettit, 1997, p. 291). For example, parents who experienced low levels of nurturance during their own childhood endorse the use of physical punishment (Ringwalt, Browne, Rosenbloom, Evans, & Kotch, 1989). And mothers who perceived more rejection during their own childhood display more negative affect toward their own children (Belsky, Youngblood, & Pensky, 1989). Conversely, mothers who had positive relationships with their mothers in childhood are more likely to be securely attached and responsive to their infants (Gara, Rosenberg, & Herzog, 1996). Given these patterns and findings, it is critical to integrate parenting practices in studies of the intergenerational cycle of child maltreatment.

When considering our conceptual and analytic framework several concepts are important to understand. First, all variables are conceptualized and operationalized using continuous measures, allowing for a more complete understanding of the continua of relationships, rather than using arbitrary cutoff points. To understand maltreatment and parenting practices as continuous variables not only respects what occurs in real-life, but also increases variance and therefore the sensitivity in statistical analyses employed.

The relationships between Family Abuse, Family Neglect, and Child Maltreatment will be expressed in terms of common or shared variance, and specific or nonshared variance. Child Maltreatment is statistically conceptualized as the shared variance between the latent factors representing Family Abuse and Family Neglect (see Fig. 1). The shared relationships are statistically captured as latent constructs, as are those which are unique to both Family Abuse and Family Neglect (see small circles). This structure allows us to separate the effects of abuse and neglect from the more general influence of Child Maltreatment, allowing for a more complete understanding of relationships, predictors, and outcomes (Newcomb, 1994).

Likewise, Poor Parenting is statistically conceptualized as the shared variance between the variables of warmth, aggression, undifferentiated rejection, and neglect (Myers, Newcomb, Richardson, & Alvy, 1997). This structure (see Fig. 1) allows us to separate the effects of specific forms of parenting from the more general concept of Poor Parenting practices.

To study the intergenerational transmission of Child Maltreatment, we are looking at how childhood maltreatment experiences predict or lead to aspects of parenting. The constructs utilized provide reliable and valid accounts of both processes and reasonably represent what we are investigating.

Therefore, our focus is not on the incidence of intergenerational transmission, but rather on a relatively neglected area of research, its structure and linkages. Specifically, we examine which childhood experiences predict later parenting behaviors in an ethnically diverse, longitudinal community sample from the Los Angeles area. We examine the structure of both fathers’ and mothers’ experiences independently, since we are hypothesizing different structures by gender.

To address definitional problems, we operationalize childhood maltreatment and parenting practices with two multiscale, empirically validated, and reliable psychometric instruments, the Childhood Trauma Questionnaire (CTQ; Bernstein et al., 1999) and the Parental Acceptance-Rejection Questionnaire (PARQ; Rohner, 1991). These instruments have scales that yield scores for multiple types of childhood maltreatment and parenting expressions along several continua. Structural Equation Modeling will be used to explore the complex relationships.

Section snippets

Participants

Participants in this study (N = 383) are parents from the UCLA Longitudinal Study of Growth and Development (Newcomb, 1997a). Beginning in 1976, data were collected from a community sample of 7th through 9th grade students from 11 Los Angeles County schools, with oversampling to appropriately include representative proportions of minority and lower socioeconomic groups. Data used in this study are cross-sectional from study Year 21 and include only those individuals who have children, and where

Variable characteristics

An examination of the univariate kurtosis and skewness estimates revealed that most of the variables were normally distributed (see Table 2). Therefore, we used standard maximum likelihood (ML) estimation for most of the models. However, three variables in the female data and two variables in the male data had moderate kurtosis. To account for this violation of normality, we retested our final path models using ML-robust, which adjusts for nonnormality of the data (Bentler, 1995).

Gender differences on means and correlations

One important

Discussion

This study supports the intergenerational cycle of child maltreatment in such a way that several weaknesses in much of existing research were controlled. Specifically, we used reliable and valid psychometric instruments to measure various continua of child maltreatment severity and subsequent parenting practices within an ethnically diverse community sample of mothers and fathers. We begin by summarizing our findings, suggesting some clinical implications, reviewing hypothesized mechanisms of

References (63)

  • P.M Bentler et al.

    Covariance structure analysisstatistical practice, theory and directions

    Annual Review of Psychology

    (1996)
  • D.P Bernstein et al.

    Initial reliability and validity of a new retrospective measure of child abuse and neglect

    American Journal of Psychiatry

    (1994)
  • Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., Stokes, J., Handelsman, L.,...
  • J Brier

    A self-trauma model for treating adult survivors of severe child abuse

  • B.M Byrne

    Structural equational modeling with EQS and EQS/Windows Basic Concepts, Applications, and Programming

    (1994)
  • D.M Capaldi et al.

    Prospective family predictors of aggression toward female partners for at-risk young men

    Developmental Psychology

    (1998)
  • D Cicchetti et al.

    Perspectives on research and practice in developmental psychopathology

  • P.A Cowan et al.

    Parenting interventionsa family systems perspective

  • G.C Curtis

    Violence breeds violence-perhaps?

    American Journal of Psychiatry

    (1963)
  • P.M Crittenden

    Social networks, quality of child rearing, and child development

    Child Development

    (1985)
  • N Darling et al.

    Parenting style as contextan integrative model

    Psychological Bulletin

    (1993)
  • L.O Ertem

    Intergenerational continuity of child physical abusehow good is the evidence?

    Lancet

    (2000)
  • J Garbarino et al.

    The psychologically battered childstrategies for identification, assessment and intervention

    (1986)
  • R.K Goodyear et al.

    Predictors of Latino men’s paternity in teen pregnancytest of a mediational model of childhood experiences, gender role attitudes, and behaviors

    Journal of Counseling Psychology

    (2000)
  • B Henry et al.

    On the “remembrance of things past” a longitudinal evaluation of the retrospective method

    Psychological Assessment

    (1994)
  • J Kaufman et al.

    Do abused children become abusive parents?

    American Journal of Orthopsychiatry

    (1987)
  • J.F Knutson

    Psychological characteristics of maltreated childrenputative risk factors and consequences

    Annual Review of Psychology

    (1995)
  • D Kolko

    Treatment and intervention for child victims of violence

  • W Langeland et al.

    Child sexual and physical abuse and alcoholisma review

    Journal of Studies on Alcohol

    (1998)
  • D.S Lipschitz et al.

    Perceived abuse and neglect as risk factors for suicidal behavior in adolescent inpatients

    Journal of Nervous and Mental Disease

    (1999)
  • J Manly et al.

    The impact of subtype, frequency, chronicity, and severity of child maltreatment on social competence and behavior problems

    Development and Psychopathology

    (1994)
  • Cited by (0)

    This study was supported by Grant No. DA01070 from the National Institute on Drug Abuse.

    Note: This article is being published without the benefit of the author’s review.

    View full text