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The Impact of Trauma Exposure on Parenting Stress in Rural America

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Abstract

This study investigates trauma exposure as a risk factor for increased parenting stress, controlling for social support utilization and specific caregiver characteristics. Interviews were conducted with 190 caregivers of children ages 3 to 12 in rural Appalachia to determine the prevalence and type of trauma exposure using a trauma detail form, and parenting stress as measured by the Parenting Stress Inventory. Half of the participants reported lifetime exposure to trauma, and 44% reported 3 or more exposures. A similar trend was noted for children with 73% of caregivers reporting more than one child exposure. Logistic regression revealed trauma exposure alone, as compared to trauma related disorder, predicted greater parenting distress; parent’s perception of their child as difficult; and increased risk for dysfunctional parent-child relationships. Identifying individual trauma exposure as a family risk factor provides an opportunity for early intervention, and can help indicate relational models of care that are most appropriate for trauma-exposed parents and children.

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References

  • Abidin, R. R. (1995). Parenting Stress Index (3rd ed.: Professional Manual). Odessa, FL: Psychological Assessment Resources, Inc.

    Google Scholar 

  • Ainsworth, M. (1978). Patterns of attachment: A psychological study of the strange situation. Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

    Google Scholar 

  • Banyard, V. L., Williams, L. M., & Siegel, J. A. (2003). The impact of complex trauma and depression on parenting: An exploration of mediating risk and protective factors. Child Maltreatment, 8, 334–349.

    Article  PubMed  Google Scholar 

  • Bedi, G., & Goddard, C. (2007). Intimate partner violence: What are the impacts on children? Australian Psychologist, 42, 66–77. doi:10.1080/00050060600726296

    Article  Google Scholar 

  • Billings, D., & Blee, K. (2000). The road to poverty: The making of wealth and hardship in Appalachia. Cambridge, England: Cambridge University Press.

    Google Scholar 

  • Bowlby, J. (1969). Attachment. New York, NY: Basic Books.

    Google Scholar 

  • Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York, NY: Basic Books.

    Google Scholar 

  • Breiding, M. J., Ziembroski, J. S., & Black, M. S. (2009). Prevalence of rural intimate partner violence in 16 US states, 2005. Journal of Rural Health, 25, 240–246.

    Article  PubMed  Google Scholar 

  • Breslau, N. (2002). Gender differences in trauma and posttraumatic stress disorder (PTSD). Journal of Gender-Specific Medicine, 5, 34–40.

    PubMed  Google Scholar 

  • Breslau, N., Kessler, R. C., Chilcoat, H. D., Schultz, L. R., Davis, G. C., & Andreski, P. (1998). Posttraumatic stress disorder in the community: The 1996 Detroit area survey of trauma. Archives of General Psychiatry, 55, 626–632.

    Article  PubMed  Google Scholar 

  • Chen, Z., & Kaplan, H. (2001). Intergenerational transmission of constructive parenting. Journal of Marriage and Family Therapy, 63, 17–31.

    Article  Google Scholar 

  • Clark, J., Sprang, G., Freer, B., & Whitt-Woosley, A. (2010). “Better than nothing” is not good enough: Challenges to introducing evidence based approaches for traumatized populations. Journal of Evaluation in Clinical Practice, 18(2), 352–359.

    Article  PubMed  Google Scholar 

  • Clark, J., Walker, R., & Leukefeld, C. (2006). Mental health. In R. Abramson & J. Haskell (Eds.), Encyclopedia of Appalachia (pp. 1657–1658). Knoxville, TN: The University of Tennessee Press.

    Google Scholar 

  • DiLillo, D., & Damashek, A. (2003). Parenting characteristics of women reporting a history of childhood sexual abuse. Child Maltreatment, 8, 319–333.

    Article  PubMed  Google Scholar 

  • DiLillo, D., Giuffre, D., Tremblay, G. C., & Peterson, L. (2001). A closer look at the nature of intimate partner violence reported by women with a history of child sexual abuse. Journal of Interpersonal Violence, 16, 116–132.

    Article  Google Scholar 

  • DiLillo, D., & Long, P. J. (1999). Perceptions of couple functioning among female survivors of child sexual abuse. Journal of Child Sexual Abuse, 7, 59–76.

    Article  Google Scholar 

  • Dubowitz, H., Black, M. M., Kerr, M. A., Hussey, J. M., Morrel, T. M., Everson, M. D., … Starr, R. H. (2001). Type and timing of mothers’ victimization: Effects on mothers and children. Pediatrics, 107, 728–735.

    Article  PubMed  Google Scholar 

  • Ethier, L. S., Lacharite, C., & Couture, G. (1995). Childhood adversity, parental stress, and depression of negligent mothers. Child Abuse & Neglect, 19, 619–632.

    Article  Google Scholar 

  • Every Child Matters Education Fund. (2010). We can do better: Child abuse and neglect deaths in America (2nd ed.). Washington, DC: Author.

    Google Scholar 

  • Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., … Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258.

    Article  PubMed  Google Scholar 

  • Finkelhor, D., Hotaling, G. T., Lewis, I. A., & Smith, C. (1990). Sexual abuse in a national survey of adult men and women: Prevalence, characteristics and risk factors. Child Abuse & Neglect, 14, 19–28.

    Article  Google Scholar 

  • Gajdos, K. (2002). The intergenerational effects of trauma and grief. Illness, Crisis & Loss, 10, 304–317.

    Article  Google Scholar 

  • Golding, J. M., Wilsnack, S. C., & Cooper, M. L. (2002). Sexual assault history and social support: Six general population studies. Journal of Traumatic Stress, 15, 187–197.

    Article  PubMed  Google Scholar 

  • Harmer, A. L. M., Sanderson, J., & Mertin, P. (1999). Influence of negative childhood experiences on psychological functioning, social support, and parenting for mothers recovering from addiction. Child Abuse & Neglect, 23, 421–433. doi:10.1016/S0145-2134(99)00020-4

    Article  Google Scholar 

  • Haskett, M., Ahern, L., Ward, C., & Allaire, J. (2006). Factor structure and validity of the Parenting Stress Index: Short form. Journal of Clinical Child and Adolescent Psychology, 35, 302–312.

    Article  PubMed  Google Scholar 

  • Hendryx, M. (2008). Mental health professional shortage areas in rural Appalachia. The Journal of Rural Health, 24, 179–182.

    Article  PubMed  Google Scholar 

  • Levendosky, A. A., & Graham-Bermann, S. A. (1998). The moderating effects of parenting stress on children’s adjustment in woman-abusing families. Journal of Interpersonal Violence, 13,383–397. doi:10.1177/088626098013003005

    Article  Google Scholar 

  • Lieberman, A., & Van Horn, P. (2005). Don’t hit my mommy: A handbook for child-parent psychotherapy for child witnesses to domestic violence. Boston, MA: Zero to Three Press.

    Google Scholar 

  • Lloyd, B. H., & Abidin, R. R. (1985). Revision of the Parenting Stress Index. Journal of Pediatric Psychology, 22, 43–54.

    Google Scholar 

  • Logan, T. K., Evans, L., Stevenson, E., & Jordan, C. E. (2005). Barriers to services for rural and urban survivors of rape. Journal of Interpersonal Violence, 20(5), 591–596.

    Article  PubMed  Google Scholar 

  • Lyons-Ruth, K., & Block, D. (1996). The disturbed caregiving system: Relations among childhood trauma, maternal caregiving, and infant affect and attachment. Infant Mental Health Journal, 17, 257–275. doi:10.1002/(SICI)1097-0355(199623)17:3<257::AID-IMHJ5>3.0.C0;2-L

    Article  Google Scholar 

  • Magnuson, K. A., & Duncan, G. J. (2002). Parents in poverty. In M. H. Borenstein (Ed.), Handbook of parenting (Vol. 4; pp. 95–121). Mahwah, NJ: Earlbaum.

    Google Scholar 

  • Margolin, G., & Gordis, E. B. (2000). The effects of family and community violence on children. Annual Review of Psychology, 51, 445–479. doi:10.1146/annurev.psych.51.1.445

    Article  PubMed  Google Scholar 

  • Newman, C. F. (1976). Children of disaster: Clinical observations at Buffalo Creek. American Journal of Psychiatry, 133, 306–312.

    Google Scholar 

  • Ostburg, M., & Hagekull, B. (2000). A structural modeling approach to the understanding of parenting stress. Journal of Clinical Child Psychology, 29, 615–625.

    Article  Google Scholar 

  • Ostler, W., Haight, J., & Black, J. (2007). Mental health outcomes and perspectives of rural children raised by parents who abuse methamphetamine. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 500–507.

    Article  PubMed  Google Scholar 

  • Owens, J. S., Murphy, C. E., Richerson, L., Girio, E. L., & Himawan, L. K. (2008). Science to practice in underserved communities: The effectiveness of school mental health programming. Journal of Clinical Child & Adolescent Psychology, 37, 434–447. doi:10.1080/15374410801955912

    Article  Google Scholar 

  • Page, T. (1999). The attachment partnership as a conceptual base for exploring the impact of child maltreatment. Child and Adolescent Social Work Journal, 18, 419–437.

    Article  Google Scholar 

  • Plummer, C., & Eastin, J. (2007). The impact of child sexual abuse allegations/investigations on the mother/child relationship. Violence Against Women, 13, 1053–1072.

    Article  PubMed  Google Scholar 

  • Portney, L. G., & Watkins, M. P. (2000). Foundations of clinical research applications to practice. Upper Saddle River, NJ: Prentice Hall Inc.

    Google Scholar 

  • Renner, L. M. (2009). Intimate partner violence victimization and parenting stress: Assessing the mediating role of depressive symptoms. Violence Against Women, 15, 1380–1401. doi:10.1177/1077801209346712

    Article  PubMed  Google Scholar 

  • Schechter, D. S. (2007). Parenting in time of crisis. Psychiatric Annals, 37, 423–428.

    Google Scholar 

  • Slovak, K., & Singer, M. ( 2001). Gun violence exposure and trauma among rural youth. Violence and Victims, 16, 389–400.

    PubMed  Google Scholar 

  • Swick, K., & Williams, R. (2006). An analysis of Bronfenbrenner’s bio-ecological perspective for early childhood educators: Implications for working with families experiencing stress. Early Childhood Education Journal, 33(5), 371–378.

    Article  Google Scholar 

  • Theodorson, G. A., & Theodorson, A. G. (1969). Modern dictionary of sociology. New York, NY: Thomas Crowell Company.

    Google Scholar 

  • Titchener, J. L., & Kapp, P. T. (1976). Disaster at Buffalo Creek: Family and character change at Buffalo Creek. American Journal of Psychiatry, 133, 295–299.

    PubMed  Google Scholar 

  • Zerk, D. M., Mertin, P. G., & Proeve, M. (2009). Domestic violence and maternal reports of young children’s functioning. Journal of Family Violence, 24(7), 423–432.

    Article  Google Scholar 

Download references

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Correspondence to Ginny Sprang.

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Sprang, G., Staton-Tindall, M., Gustman, B. et al. The Impact of Trauma Exposure on Parenting Stress in Rural America. Journ Child Adol Trauma 6, 287–300 (2013). https://doi.org/10.1080/19361521.2013.836585

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  • DOI: https://doi.org/10.1080/19361521.2013.836585

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