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Journal of Family Violence

, Volume 28, Issue 8, pp 763–770 | Cite as

Adolescent Girls’ Use of Avoidant and Approach Coping as Moderators Between Trauma Exposure and Trauma Symptoms

  • Meredith Elzy
  • Colleen Clark
  • Norín Dollard
  • Victoria Hummer
GENDER ISSUES IN VIOLENCE AND TRAUMA

Abstract

High rates of child maltreatment demand attention, as exposure to child maltreatment substantially increases the risk of developing PTSD. Some evidence exists that the presence of coping skills may reduce the likelihood that victims of childhood maltreatment will develop PTSD (Agaibi & Wilson, Trauma Violence Abuse 6:195–216, 2005). This study examined whether avoidant and/or approach coping skills moderated the relationship between childhood trauma exposure and trauma symptoms among adolescent females with a history of complex trauma. Results suggest that the use of avoidant coping moderates the relationship between trauma exposure and trauma symptoms. More specifically, girls with higher levels of trauma exposure demonstrated lower levels of trauma symptoms if they reported using higher levels of avoidant coping. Clinical implications for these results are discussed.

Keywords

Trauma PTSD Complex trauma Coping skills Child maltreatment 

References

  1. Agaibi, C., & Wilson, J. (2005). Trauma, PTSD, and resilience: a review of the literature. Trauma Violence Abuse, 6, 195–216. doi: 10.1177/1524838005277438.PubMedCrossRefGoogle Scholar
  2. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed. Text revision). Washington, DC: Author.Google Scholar
  3. Bal, S., Van Oost, P., De Bourdeaudhuij, I., & Crombez, G. (2003). Avoidant coping as a mediator between self-reported sexual abuse and stress-related symptoms in adolescents. Child Abuse & Neglect, 27, 883–897. doi: 10.1016/S0145-2134(03)00137-6.CrossRefGoogle Scholar
  4. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRefGoogle Scholar
  5. Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59(1), 20–28. doi: 10.1037/0003-066X.59.1.20.PubMedCrossRefGoogle Scholar
  6. Brezo, E., Paris, J., Vitaro, F., Hébert, M., Tremblay, R., & Turecki, G. (2008). Predicting suicide attempts in young adults with histories of childhood abuse. British Journal of Psychiatry, 193, 134–139. doi: 10.1192/bjp.bp.107.037994.PubMedCrossRefGoogle Scholar
  7. Briere, J. (in press). Trauma Symptom Review for Adolescents. Psychological Assessment Resources.Google Scholar
  8. Briere, J., Elliott, D. M., Harris, K., & Cotman, A. (1995). Trauma Symptom Inventory: psychometrics and association with childhood and adult trauma in clinical samples. Journal of Interpersonal Violence, 10, 387–401.CrossRefGoogle Scholar
  9. Chaffin, M., Wherry, J. N., & Dykman, R. (1997). School age children’s coping with sexual abuse: abuse stresses and symptoms associated with four coping strategies. Child Abuse & Neglect, 21, 227–240.CrossRefGoogle Scholar
  10. Clarke, A. T. (2006). Coping with interpersonal stress and psychosocial health among children and adolescents: a meta-analysis. Journal of Youth and Adolescence, 35(1), 11–24. doi: 10.1007/s10964-005-9001-x.CrossRefGoogle Scholar
  11. Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: problems, progress and potential in theory and research. Psychological Bulletin, 127, 87–127.PubMedCrossRefGoogle Scholar
  12. Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., et al. (2005). Complex trauma in children and adolescents. Psychiatric Annals, 35, 390–398.Google Scholar
  13. Copeland, W. E., Keeler, G., Angold, A., & Costello, E. J. (2007). Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry, 64(5), 577–584.PubMedCrossRefGoogle Scholar
  14. Dashora, P., Erdem, G., & Slesnick, N. (2011). Better to bend than to break: coping strategies utilized by substance-abusing homeless youth. Journal of Health Psychology, 16(1), 158–168. doi: 10.1177/1359105310378385.PubMedCrossRefGoogle Scholar
  15. Ebata, A. T., & Moos, R. H. (1991). Coping and adjustment in distressed and healthy adolescents. Journal of Applied Developmental Psychology, 12, 33–54.CrossRefGoogle Scholar
  16. Ebata, A. T., & Moos, R. H. (1994). Personal, situational, and contextual correlates of coping in adolescence. Journal of Research on Adolescence, 4, 99–125.CrossRefGoogle Scholar
  17. Feather, J., & Ronan, K. (2009). Trauma-focused CBT with maltreated children: a clinic-based evaluation of a new treatment manual. Australian Psychologist, 44(3), 174–194.CrossRefGoogle Scholar
  18. Felitti, M., Vincent, J., Anda, M., Robert, F., Nordenberg, D., Williamson, D. F., et al. (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, 245–258.PubMedCrossRefGoogle Scholar
  19. Filipas, H., & Ullman, S. (2006). Child sexual abuse, coping responses, self-blame, posttraumatic stress disorder, and adult sexual revictimization. Journal of Interpersonal Violence, 21(5), 652–672.PubMedCrossRefGoogle Scholar
  20. Finkelhor, D., Turner, H. A., Ormrod, R. K., Hamby, S. L., & Kracke, K. (2009). Children’s exposure to violence: A comprehensive national survey. Juvenile Justice Bulletin – NCJ 227744. Washington, DC: US Government Printing Office.Google Scholar
  21. Flannery, D., Singer, M., Williams, L., & Castro, P. (1998). Adolescent violence exposure and victimization at home: coping and psychological trauma symptoms. International Review of Victimology, 6(1), 29–48.CrossRefGoogle Scholar
  22. Gonzales, N. A., Tein, J. Y., Sandler, I. N., & Friedman, R. J. (2001). On the limits of coping : interaction between stress and coping for inner-city adolescents. Journal of Adolescent Research, 16, 372–395. doi: 10.1177/0743558401164005.CrossRefGoogle Scholar
  23. Greeson, J., Briggs, E., Kisiel, C., Layne, C., Ake, G., Ko, S., et al. (2011). Complex trauma and mental health in children and adolescents placed in foster care: findings from the national child traumatic stress network. Child Welfare, 90(6), 91–108.PubMedGoogle Scholar
  24. Griffith, M., Dubow, E., & Ippolito, M. (2000). Developmental and cross-situational differences in adolescents’ coping strategies. Journal of Youth and Adolescence, 29(2), 183–204.CrossRefGoogle Scholar
  25. Hampel, P., & Petermann, F. (2005). Age and gender effects on coping in children and adolescents. Journal of Youth and Adolescence, 34(2), 73–83.CrossRefGoogle Scholar
  26. Herrenkohl, E., Herrenkohl, R., & Egolf, B. (2003). The psychosocial consequences of living environment instability on maltreated children. American Journal of Orthopsychiatry, 73, 367–380.PubMedCrossRefGoogle Scholar
  27. Hyde, J., & Kammerer, N. (2009). Adolescents’ perspectives on placement moves and congregate settings: complex and cumulative instabilities in out-of-home care. Children and Youth Services Review, 31(2), 265–273.CrossRefGoogle Scholar
  28. Kilpatrick, D. G., Ruggiero, K. J., Acierno, R., Saunders, B. E., Resnick, H. S., & Best, C. L. (2003). Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: results from the national survey of adolescents. Journal of Consulting and Clinical Psychology, 71(4), 692–700.PubMedCrossRefGoogle Scholar
  29. Kurtz, P., Guadin, J., Howing, P., & Wodarski, J. (1993). The consequences of physical abuse and neglect on the school aged child: mediating factors. Children and Youth Services Review, 15, 85–104.CrossRefGoogle Scholar
  30. Lilly, M. M., & Valdez, C. E. (2012). Interpersonal trauma and PTSD: The roles of gender and a lifespan perspective in predicting risk. Psychological Trauma: Theory Research Practice and Policy, 4(1), 140–144.CrossRefGoogle Scholar
  31. Littleton, H., Horsley, S., John, S., & Nelson, D. (2007). Trauma coping strategies and psychological distress: a meta-analysis. Journal of Traumatic Stress, 20(6), 977–988. doi: 10.1002/jts.20276.PubMedCrossRefGoogle Scholar
  32. Masho, S. W., & Ahmed, G. (2007). Age at sexual assault and posttraumatic stress disorder among women: prevalence, correlates, and implications for prevention. Journal of Women's Health, 16(2), 262–271.PubMedCrossRefGoogle Scholar
  33. Merrill, L. L., Thomsen, C. J., Sinclair, B. B., Gold, S. R., & Milner, J. S. (2001). Predicting the impact of child sexual abuse on women: the role of abuse severity, parental support, and coping strategies. Journal of Consulting and Clinical Psychology, 69, 992–1006.PubMedCrossRefGoogle Scholar
  34. Moos, R. (1993). Coping responses inventory: Professional manual. Odessa: Psychological Assessment Resources, Inc.Google Scholar
  35. Moos, R. (2004). Coping responses inventory: An update on research application and validity manual supplement. Odessa: Psychological Assessment Resources, Inc.Google Scholar
  36. Pearlman, L., & Courtois, C. (2005). Clinical applications of the attachment framework: relational treatment of complex trauma. Journal of Traumatic Stress, 18, 449–459.PubMedCrossRefGoogle Scholar
  37. Pecora, P., Kessler, R., Williams, J., O’Brien, K., Downs, A., English, D., et al. (2005). Improving family foster care: Findings from the northwest foster care alumni study. Seattle: Casey Family Programs.Google Scholar
  38. Perrin, S., Smith, P., & Yule, W. (2000). Practitioner review: the assessment of post-traumatic stress disorder in children and adolescents. Journal of Child Psychology and Psychiatry, 41(3), 277–289.PubMedCrossRefGoogle Scholar
  39. Raviv, T., Taussig, H., Culhane, S., & Garrido, E. (2010). Cumulative risk exposure and mental health symptoms among maltreated youth place in out-of-home care. Child Abuse & Neglect, 34(10), 742–751.CrossRefGoogle Scholar
  40. Seiffge-Krenke, I. (2006). Coping with relationship stressors: the impact of different working models of attachment and links to adaptation. Journal of Youth and Adolescence, 35, 25–39.CrossRefGoogle Scholar
  41. Seiffge–Krenke, I., Aunola, K., & Nurmi, J. E. (2009). Changes in stress perception and coping during adolescence: the role of situational and personal factors. Child Development, 80(1), 259–279.PubMedCrossRefGoogle Scholar
  42. Silverman, A., Reinherz, H., & Giaconia, R. (1996). The long-term sequelae of child and adolescent abuse: a longitudinal community study. Child Abuse & Neglect, 20(8), 709–723.CrossRefGoogle Scholar
  43. Spencer, J. W., & Knudsen, D. D. (1992). Out-of- home maltreatment: an analysis of risk in various settings for children. Children and Youth Services Review, 14, 485–492.CrossRefGoogle Scholar
  44. Tiet, Q., Rosen, C., Cavella, S., Moos, R., Finney, J., & Yesavage, J. (2006). Coping, symptoms, and functioning outcomes of patients with posttraumatic stress disorder. Journal of Traumatic Stress, 19(6), 799–811.PubMedCrossRefGoogle Scholar
  45. Tishelman, A., & Geffner, R. (2011). Child and adolescent trauma across the spectrum of experience: research and clinical interventions. Journal of Child & Adolescent Trauma, 4, 1–7.CrossRefGoogle Scholar
  46. Widom, C., DuMont, K., & Czaja, S. (2007). A prospective investigation of major depressive disorder and comorbidity in abused and neglected children grown up. Archives of General Psychiatry, 64(1), 49–56.PubMedCrossRefGoogle Scholar
  47. Wolfe, J., & Kimerling, R. (1997). Gender issues in the assessment of posttraumatic stress disorder. In J. Wilson & T. Keane (Eds.), Assessing Psychological Trauma and PTSD (pp. 192–238). New York: Guilford Press.Google Scholar
  48. Yehuda, R. (2002). Post-traumatic stress disorder. New England Journal of Medicine, 346(2), 108–114.PubMedCrossRefGoogle Scholar
  49. Yen, S., Shea, T., Battle, C., Johnson, D., Zlotnick, C., Dolan-Sewell, R., et al. (2002). Traumatic exposure and posttraumatic stress disorder in borderline, schizotypal, avoidant, and obsessive-compulsive personality disorders: findings from the collaborative longitudinal personality disorders study. The Journal of Nervous and Mental Disease, 190(3), 510–518.PubMedCrossRefGoogle Scholar
  50. Zahn-Waxler, C., Shirtcliff, E. A., & Marceau, K. (2008). Disorders of childhood and adolescence: gender and psychopathology. Annual Review of Clinical Psychology, 4, 275–303.PubMedCrossRefGoogle Scholar
  51. Zona, K., & Milan, S. (2011). Gender differences in the longitudinal impact of exposure to violence on mental health in urban youth. Journal of Adolescence, 40, 1674–1690.Google Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Meredith Elzy
    • 1
    • 4
  • Colleen Clark
    • 2
  • Norín Dollard
    • 3
  • Victoria Hummer
    • 3
  1. 1.Department of PsychologyUniversity of South FloridaTampaUSA
  2. 2.Department of Mental Health Law, & PolicyUniversity of South FloridaTampaUSA
  3. 3.Department of Child & Family StudiesUniversity of South FloridaTampaUSA
  4. 4.Department of PsychologyUniversity of South Carolina-AikenAikenUSA

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