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Child Psychiatry & Human Development

, Volume 49, Issue 1, pp 33–41 | Cite as

Does Parenting Influence the Enduring Impact of Severe Childhood Sexual Abuse on Psychiatric Resilience in Adulthood?

  • Mackenzie J. Lind
  • Ruth C. Brown
  • Christina M. Sheerin
  • Timothy P. York
  • John M. Myers
  • Kenneth S. Kendler
  • Ananda B. Amstadter
Original Article

Abstract

This study examined the effect of parenting on the association between childhood sexual abuse (CSA) and psychiatric resilience in adulthood in a large female twin sample (n = 1423) assessed for severe CSA (i.e., attempted or completed intercourse before age 16). Severe CSA was associated with lower resilience to recent stressors in adulthood (defined as the difference between their internalizing symptoms and their predicted level of symptoms based on cumulative exposure to stressful life events). Subscales of the Parental Bonding Instrument were significantly associated with resilience. Specifically, parental warmth was associated with increased resilience while parental protectiveness was associated with decreased resilience. The interaction between severe CSA and parental authoritarianism was significant, such that individuals with CSA history and higher authoritarianism scores had lower resilience. Results suggest that CSA assessment remains important for therapeutic work in adulthood and that addressing parenting may be useful for interventions in children with a CSA history.

Keywords

Childhood sexual abuse Parenting Resilience Parental authoritarianism 

Notes

Acknowledgements

Ms. Lind and Dr. Sheerin are supported by T32 MH020030. The Mid-Atlantic Twin Registry is supported by NIH grant UL1RR031990. Dr. York is supported by R01 AG037986. Dr. Amstadter’s time is partially funded by K02 AA023239.

Compliance with Ethical Standards

Conflict of interest

The authors have no conflicts of interest.

References

  1. 1.
    Copeland WE, Keeler G, Angold A, Costello EJ (2007) Traumatic events and posttraumatic stress in childhood. Arch Gen Psychiatry 64:577–584CrossRefPubMedGoogle Scholar
  2. 2.
    Fergusson DM, Horwood LJ, Lynskey MT (1996) Childhood sexual abuse and psychiatric disorder in young adulthood: II. Psychiatric outcomes of childhood sexual abuse. J Am Acad Child Adolesc Psychiatry 35:1365–1374CrossRefPubMedGoogle Scholar
  3. 3.
    Maniglio R (2009) The impact of child sexual abuse on health: a systematic review of reviews. Clin Psychol Rev 29:647–657CrossRefPubMedGoogle Scholar
  4. 4.
    Wegman HL, Stetler C (2009) A meta-analytic review of the effects of childhood abuse on medical outcomes in adulthood. Psychosom Med 71:805–812CrossRefPubMedGoogle Scholar
  5. 5.
    Kendler KS et al (2000) Childhood sexual abuse and adult psychiatric and substance use disorders in women: an epidemiological and cotwin control analysis. Arch Gen Psychiatry 57:953–959CrossRefPubMedGoogle Scholar
  6. 6.
    Bulik CM, Prescott CA, Kendler KS (2001) Features of childhood sexual abuse and the development of psychiatric and substance use disorders. Br J Psychiatry 179:444–449CrossRefPubMedGoogle Scholar
  7. 7.
    Fergusson DM, Mullen PE (1999) Childhood sexual abuse: an evidence based perspective. Sage Publications, Thousand OaksGoogle Scholar
  8. 8.
    Pereda N, Guilera G, Forns M, Gomez-Benito J (2009) The prevalence of child sexual abuse in community and student samples: a meta-analysis. Clin Psychol Rev 29:328–338CrossRefPubMedGoogle Scholar
  9. 9.
    Stoltenborgh M, van Ijzendoorn MH, Euser EM, Bakermans-Kranenburg MJ (2011) A global perspective on child sexual abuse: meta-analysis of prevalence around the world. Child Maltreat 16:79–101CrossRefPubMedGoogle Scholar
  10. 10.
    Gorey KM, Leslie DR (1997) The prevalence of child sexual abuse: integrative review adjustment for potential response and measurement biases. Child Abuse Negl 21:391–398CrossRefPubMedGoogle Scholar
  11. 11.
    Centers for Disease Control and Prevention, Kaiser Permanente (2016) The ACE Study survey data [unpublished data]. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta, Georgia. Retrieved from http://www.cdc.gov/violenceprevention/acestudy/prevalence.html
  12. 12.
    Luthar SS, Cicchetti D, Becker B (2000) The construct of resilience: a critical evaluation and guidelines for future work. Child Dev 71:543–562CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Amstadter AB, Myers JM, Kendler KS (2014) Psychiatric resilience: longitudinal twin study. Br J Psychiatry 205:275–280CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Amstadter AB, Maes HH, Sheerin CM, Myers JM, Kendler KS (2016) The relationship between genetic and environmental influences on resilience and on common internalizing and externalizing psychiatric disorders. Soc Psychiatry Psychiatr Epidemiol 51:669–678CrossRefPubMedGoogle Scholar
  15. 15.
    Parker G, Tupling H, Brown LB (1979) A parental bonding instrument. Br J Med Psychol 52:1–10CrossRefGoogle Scholar
  16. 16.
    Morgan Z, Brugha T, Fryers T, Stewart-Brown S (2012) The effects of parent-child relationships on later life mental health status in two national birth cohorts. Soc Psychiatry Psychiatr Epidemiol 47:1707–1715CrossRefPubMedGoogle Scholar
  17. 17.
    Janssens KA, Oldehinkel AJ, Rosmalen JG (2009) Parental overprotection predicts the development of functional somatic symptoms in young adolescents. J Pediatr 154:918–923CrossRefPubMedGoogle Scholar
  18. 18.
    Overbeek G, ten Have M, Vollebergh W, de Graaf R (2007) Parental lack of care and overprotection. Longitudinal associations with DSM-III-R disorders. Soc Psychiatry Psychiatr Epidemiol 42:87–93CrossRefPubMedGoogle Scholar
  19. 19.
    Brennan PA, Le Brocque R, Hammen C (2003) Maternal depression, parent-child relationships, and resilient outcomes in adolescence. J Am Acad Child Adolesc Psychiatry 42:1469–1477CrossRefPubMedGoogle Scholar
  20. 20.
    Kendler KS, Myers J, Prescott CA (2000) Parenting and adult mood, anxiety and substance use disorders in female twins: an epidemiological, multi-informant, retrospective study. Psychol Med 30:281–294CrossRefPubMedGoogle Scholar
  21. 21.
    Otowa T, Gardner CO, Kendler KS, Hettema JM (2013) Parenting and risk for mood, anxiety and substance use disorders: a study in population-based male twins. Soc Psychiatry Psychiatr Epidemiol 48:1841–1849CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Long EC, Aggen SH, Gardner C, Kendler KS (2015) Differential parenting and risk for psychopathology: a monozygotic twin difference approach. Soc Psychiatry Psychiatr Epidemiol 50:1569–1576CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Jaffee SR, Caspi A, Moffitt TE, Polo-Tomas M, Taylor A (2007) Individual, family, and neighborhood factors distinguish resilient from non-resilient maltreated children: a cumulative stressors model. Child Abuse Negl 31:231–253CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Collishaw S et al (2007) Resilience to adult psychopathology following childhood maltreatment: evidence from a community sample. Child Abuse Negl 31:211–229CrossRefPubMedGoogle Scholar
  25. 25.
    Bick J, Zajac K, Ralston ME, Smith D (2014) Convergence and divergence in reports of maternal support following childhood sexual abuse: prevalence and associations with youth psychosocial adjustment. Child Abuse Negl 38:479–487CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Lynskey MT, Fergusson DM (1997) Factors protecting against the development of adjustment difficulties in young adults exposed to childhood sexual abuse. Child Abuse Negl 21:1177–1190CrossRefPubMedGoogle Scholar
  27. 27.
    Campbell-Sills L, Forde DR, Stein MB (2009) Demographic and childhood environmental predictors of resilience in a community sample. J Psychiatr Res 43:1007–1012CrossRefPubMedGoogle Scholar
  28. 28.
    Kendler KS, Prescott CA (2006) Genes, environment, and psychopathology: understanding the causes of pyschiatric and substance use disorders. Guilford Press, New YorkGoogle Scholar
  29. 29.
    Lind MJ, Aggen SH, Kendler KS, York TP, Amstadter AB (2016) An epidemiologic study of childhood sexual abuse and adult sleep disturbances. Psychol Trauma 8:198–205CrossRefPubMedGoogle Scholar
  30. 30.
    Parker G (1989) The parental bonding instrument: psychometric properties reviewed. Psychiatr Dev 7:317–335PubMedGoogle Scholar
  31. 31.
    Parker G (1990) The parental bonding instrument. A decade of research. Soc Psychiatry Psychiatr Epidemiol 25:281–282CrossRefPubMedGoogle Scholar
  32. 32.
    Kendler KS (1996) Parenting: a genetic-epidemiologic perspective. Am J Psychiatry 153:11–20CrossRefPubMedGoogle Scholar
  33. 33.
    Derogatis LR, Lipman RS, Covi L (1973) SCL-90: an outpatient psychiatric rating scale–preliminary report. Psychopharmacol Bull 9:13–28PubMedGoogle Scholar
  34. 34.
    Kendler KS et al (1995) Stressful life events, genetic liability, and onset of an episode of major depression in women. Am J Psychiatry 152:833–842CrossRefPubMedGoogle Scholar
  35. 35.
    SAS Institute Inc (2013) Base SAS® 9.4 procedures guide: statistical procedures, 2nd edn. SAS Institute Inc, Cary, NCGoogle Scholar
  36. 36.
    Cutajar MC et al (2010) Psychopathology in a large cohort of sexually abused children followed up to 43 years. Child Abuse Negl 34:813–822CrossRefPubMedGoogle Scholar
  37. 37.
    Mullen PE, Martin JL, Anderson JC, Romans SE, Herbison GP (1993) Childhood sexual abuse and mental health in adult life. Br J Psychiatry 163:721–732CrossRefPubMedGoogle Scholar
  38. 38.
    Li M, D’Arcy C, Meng X (2016) Maltreatment in childhood substantially increases the risk of adult depression and anxiety in prospective cohort studies: systematic review, meta-analysis, and proportional attributable fractions. Psychol Med 46:717–730CrossRefPubMedGoogle Scholar
  39. 39.
    Molnar BE, Buka SL, Kessler RC (2001) Child sexual abuse and subsequent psychopathology: results from the national comorbidity survey. Am J Public Health 91:753–760CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Ibarra P et al (2014) The BDNF-Val66Met polymorphism modulates parental rearing effects on adult psychiatric symptoms: a community twin-based study. Eur Psychiatry 29:293–300CrossRefPubMedGoogle Scholar
  41. 41.
    Oldehinkel AJ, Veenstra R, Ormel J, de Winter AF, Verhulst FC (2006) Temperament, parenting, and depressive symptoms in a population sample of preadolescents. J Child Psychol Psychiatry 47:684–695CrossRefPubMedGoogle Scholar
  42. 42.
    Caron A, Weiss B, Harris V, Catron T (2006) Parenting behavior dimensions and child psychopathology: specificity, task dependency, and interactive relations. J Clin Child Adolesc Psychol 35:34–45CrossRefPubMedPubMedCentralGoogle Scholar
  43. 43.
    Brodski SK, Hutz CS (2012) The repercussions of emotional abuse and parenting styles on self-esteem, subjective well-being: a retrospective study with university students in Brazil. J Aggress Maltreat Trauma 21:256–276CrossRefGoogle Scholar
  44. 44.
    Williams LR et al (2009) Impact of behavioral inhibition and parenting style on internalizing and externalizing problems from early childhood through adolescence. J Abnorm Child Psychol 37:1063–1075CrossRefPubMedPubMedCentralGoogle Scholar
  45. 45.
    Erkman F, Rohner RP (2006) Youths’ perceptions of corporal punishment, parental acceptance, and psychological adjustment in a Turkish metropolis. Cross-Cultural Res 40:250–267CrossRefGoogle Scholar
  46. 46.
    Kiff CJ, Lengua LJ, Zalewski M (2011) Nature and nurturing: parenting in the context of child temperament. Clin Child Fam Psychol Rev 14:251–301CrossRefPubMedPubMedCentralGoogle Scholar
  47. 47.
    Sameroff AJ (2009) The transactional model of development: how children and contexts shape each other. American Psychological Association, Washington DCCrossRefGoogle Scholar
  48. 48.
    Overbeek G, Stattin H, Vermulst A, Ha T, Engels RC (2007) Parent-child relationships, partner relationships, and emotional adjustment: a birth-to-maturity prospective study. Dev Psychol 43:429–437CrossRefPubMedGoogle Scholar
  49. 49.
    Vaillancourt-Morel MP et al (2016) Adult sexual outcomes of child sexual abuse vary according to relationship status. J Marital Fam Ther 42:341–356CrossRefPubMedGoogle Scholar
  50. 50.
    McDonagh A et al (2005) Randomized trial of cognitive-behavioral therapy for chronic posttraumatic stress disorder in adult female survivors of childhood sexual abuse. J Consult Clin Psychol 73:515–524CrossRefPubMedGoogle Scholar
  51. 51.
    Kessler MRH, White MB, Nelson BS (2003) Group treatments for women sexually abused as children: a review of the literature and recommendations for future outcome research. Child Abuse Negl 27:1045–1061CrossRefPubMedGoogle Scholar
  52. 52.
    Kaye-Tzadok A, Davidson-Arad B (2016) Posttraumatic growth among women survivors of childhood sexual abuse: Its relation to cognitive strategies, posttraumatic symptoms, and resilience. Psychol Trauma 8:550–558CrossRefPubMedGoogle Scholar
  53. 53.
    Marriott C, Hamilton-Giachritsis C, Harrop C (2014) Factors promoting resilience following childhood sexual abuse: a structured, narrative review of the literature. Child Abuse Rev 23:17–34CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Mackenzie J. Lind
    • 1
  • Ruth C. Brown
    • 1
  • Christina M. Sheerin
    • 1
  • Timothy P. York
    • 2
  • John M. Myers
    • 1
  • Kenneth S. Kendler
    • 1
    • 2
  • Ananda B. Amstadter
    • 1
    • 2
  1. 1.Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral GeneticsVirginia Commonwealth UniversityRichmondUSA
  2. 2.Department of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral GeneticsVirginia Commonwealth UniversityRichmondUSA

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