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Intimate partner violence affects one in three U.S. women. Children often witness the violence. Methods: A 4-year cohort analysis of 300 mother-child dyads used latent growth curve techniques to examine the impact of partner violence on mothers' and children's mental health and function over time. The dyads entered the study when the mother sought safe shelter or justice services. Data was collected every four months, 13 times. Results: Four models were derived, each with good fit. Maternal age, Adverse Childhood Events, and ethnicity determined the level of maternal PTSD, depression, and anxiety at baseline. Mothers' self-efficacy and marginalization determined if maternal mental health symptoms decreased or increased over 4-years. Maternal symptom levels determined if child dysfunctions persisted over time. Conclusion: This analysis provides longitudinal evidence that maternal mental health determines children's recovery from or persistence of behavioral dysfunctions. Primary prevention and informed referral has the potential to improve child outcomes., Author(s): Judith McFarlane [sup.1] , Nina M. Fredland [sup.1] , Lene Symes [sup.1] , Weidan Zhou [sup.2] , Ernest N. Jouriles [sup.3] , Mary Ann Dutton [sup.4] , Christopher S. [...]

Violence against women, a global epidemic, frequently begins in childhood. Many abused women are mothers and many children witness the abuse of their mothers. To better understand the intergenerational impact and associated health outcomes, we tested 300 mother-child pairs using structural equation modeling. Mother's history of abuse during childhood directly impacted the level of adult abuse, which predicted her child's witness to the abuse. Maternal pain predicted maternal symptoms of depression, anxiety, and PTSD. Mother's mental health predicted the degree of child dysfunction, such as aggression and depression. These findings offer evidence for the urgent need to provide mental health interventions to improve maternal functioning of abused mothers as a conduit intervention to prevent child dysfunction and promote mother-child health., Author(s): Nina Fredland[sup.1] , Lene Symes[sup.1] , Heidi Gilroy[sup.1] , Rene Paulson[sup.1] , Angeles Nava[sup.1] , Judith McFarlane[sup.1] , Jacquelyn Pennings[sup.2] Author Affiliations: (1) Nelda C. Stark College of Nursing, [...]

Violence against women is a global epidemic with potential consequences of injury, illness, and death. Children exposed to the violence may also be impacted with functional impairments. Little is known of the intergenerational impact of violence experienced by the mother from an intimate partner on functioning of her children. No dyad analysis was found in the literature. To examine the inter-generational impact of violence against women on the behavioral functioning of children, 300 mothers reporting intimate partner abuse and one randomly chosen child, age 18 months to 16 years of age; were evaluated for borderline and clinical diagnostic levels of problem behaviors. Linear, Logistic, and Ordinal regression models were applied. Mothers' problem behavior scores were significantly related to children's problem behavior scores (internalizing r = 0.611, externalizing r = 0.494, total problems r = 0.662, all ps < 0.001). Mothers who reported clinical and borderline clinical internalized problems (i.e., depression, anxiety) were 7 times more likely to have children with the same problems and mothers with borderline clinical and clinical external problems (i.e., aggression, hostility) were 4.5 times more likely to have children with the same external problems. These dyadic analyses provide evidence of a direct relationship of maternal functioning on child behavioral functioning. Intervention strategies to decrease internalizing maternal behavioral problems, such as depression, anxiety, and post traumatic stress disorder, and/or externalizing problems, such as hostility and aggression, can be expected to have a pass through, secondary impact on the behavioral functioning of children. Awareness of the relationship between intimate partner violence against mothers and child behavioral function can support interventions that decrease the distress experienced by mothers and their children, interrupt intergenerational transmission of abusive behaviors, and promote better maternal child functioning. Keywords Intimate partner violence * Mother-child dyads * Intergenerational, Introduction In the United States (US) and worldwide, it is estimated that 30%, or more, of women have experienced intimate partner violence [8, 33]. Children of abused women often witness [...]

Abstract Nursing students from disadvantaged backgrounds must overcome many barriers in order to succeed. This article will focus on how a multidisciplinary team helped 76 percent of these high-risk students [...]

There is a particular need for valid scales to screen for posttraumatic stress disorder (PTSD) among women who seek safe shelter from intimate partner violence. Screening to identify women who are at risk for PTSD can lead to early intervention that reduces the risk for PTSD-related outcomes such as poor decision making, inconsistent parenting, and behavior dysfunction among their children. The gold standard for diagnosing PTSD is the Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) (CAPS-5). A seven-item PTSD screen has been used for in this population and has a well-established cutoff score but has not been validated against the DSM-5 diagnostic criteria for PTSD. The study purpose was to establish concurrent validity for a seven-item screen for PTSD with the CAPS-5. Participants were 75 women, 18 years or older, who were residents of a 120-bed shelter in the southern United States. They spoke English or Spanish. They reported intimate partner physical or sexual violence within 4 months of their entry into the study. Following informed consent, data were collected in individual interviews, conducted in either English or Spanish. In addition to demographic data, the seven-item PTSD screen and the CAPS-5 were administered. A receiver operating characteristic (ROC) curve analysis was conducted to assess the concurrent validity of the seven-item PTSD screen with the CAPS-5. The seven-item PTSD screen results were significantly correlated with the CAPS-5 results in this sample (area under the curve [AUC] =.640, z = 2.670, p =.008). Sensitivity was 96.2, and observed specificity was 31.8. The seven-item PTSD screen demonstrates excellent sensitivity (e.g., 96% of true PTSD cases) and acceptable specificity (32% of non-PTSD cases) and can be used to quickly and accurately identify individuals for diagnostic assessment and intervention. [ABSTRACT FROM AUTHOR]

An intergenerational model to explain the long-term effect of partner violence against mothers on child behavior was evaluated 48 months after 278 mothers first sought safe shelter or justice services. Twelve percent reported recent abuse, and six mothers reported severe or extreme danger. Self-efficacy (−.58, p <.05), social support (−28, p <.05), and financial support (−.25) were inversely associated with mental health concerns. Higher maternal mental health concerns (.55, p <.05) and child witnessing abuse (.70, p <.05) were associated with child behavioral problems. Child behavioral problems were inversely associated with child academic functioning (−.22, p <.05). To improve child outcomes, interventions that establish safety for mothers and children and promote maternal mental health are needed. [ABSTRACT FROM AUTHOR]