Nonabusive Mothers Research Articles

Non-abusing mothers’ formal support needs after child sexual abuse disclosure: the case of North Cyprus

ABSTRACT This article investigates the formal support needs of mothers whose child has been sexually abused. Previous research has focused mostly on the provision of support for abused children to the relative neglect of mothers’ support needs. Here, formal support refers to resources and services from organisations, professionals and authorities, with a specific focus on social welfare services. This article is based on a thematic analysis of semi-structured, in-depth interviews with 15 non-abusing mothers in North Cyprus. Analysis of the mothers’ experiences revealed needs of support in four important domains: financial support; child day-care services and social facilities for children and adults; therapeutic services; and improved public knowledge about and trust in social services. Mothers often lacked knowledge about social services and their most common encounter with the social welfare system concerned financial assistance. The results showed that the social welfare system in North Cyprus is highly bureaucratic, children's long-term needs are usually unmet, and mothers’ needs are often ignored by professionals. In sum, developing the quality of social welfare services is vital for sexually abused children and their non-abusing family members, especially mothers.

The Experience of Mothers from the Israeli Jewish Ultra-Orthodox Sector after Disclosure of Their Child’s Sexual Abuse as Manifested in Drawings and Narratives

ABSTRACT Child sexual abuse is present in all strata of Israeli society. However, there is scant research on the emotional experiences of non-abusing mothers after disclosure. In particular, no studies have examined the experiences of these mothers from the Jewish Ultra-Orthodox community in Israel. The current study analyzed the drawings and short narratives of 21 Israeli Ultra-Orthodox mothers to explore the effects of the disclosure of their child’s sexual abuse. A phenomenological approach was used to analyze the drawings and yielded four different phenomena: (1) squiggles that represented distress, (2) the mother-child relationship, (3) pseudo-sweet houses, and (4) split drawings. The drawings were either colorful, sweet or shallow, or alternatively were in black and white. As confirmed by the narratives, these drawings primarily expressed the negative emotions of shock, sadness, distress, guilt, and failure as mothers. While some mothers reported breaking down and that pain had permeated their daily lives others coped by dissociating the painful experience, putting up a façade of normalcy, or splitting their lives into two parts corresponding to before and after the disclosure.

Non-abusing mothers’ agency after disclosure of the child’s extra-familial sexual abuse

This qualitative study analysed the agency of eight non-abusing mothers in the Turkish Cypriot Community after disclosure that their child had been sexually abused by someone outside the family. The aim was to discover how, after disclosure, such mothers act to protect their children in the contexts of their family and community. The data were gathered via semi-structured in-depth interviews and analysed using Interpretative Phenomenological Analysis (IPA). In the nuclear family context, maternal agency emerged in the form of motherhood skills, including emotionally supporting the abused child, double-checking the child’s safety or limiting the child’s mobility, and controlling the actions of adult sons. In the community context, maternal agency was manifested in efforts to prevent men in the extended family or the abuser’s family from concealing the abuse and to obtain informal support from others such as birth or extended family members. The women were usually successful in hiding their reactions or making decisions in their children’s best interest despite frequently having to cope with the reality of living in a restrictive and patriarchal culture. The results emphasise the need for working with the general public and professionals to change the culture of silence and to improve the social support network for sexually abused children and non-abusing family members, especially mothers.

Non‐abusing mothers' support needs after child sexual abuse disclosure: A narrative review

AbstractThe role of maternal support has been perceived as vital throughout the recovery process of sexually abused children. However, it is important to look at the concept “support” from the perspective of non‐abusing mothers' personal needs. This narrative review of the literature aimed to find out how non‐abusing mothers' need for support in their responses to disclosure of child sexual abuse has been recognized. A comprehensive search on Jyväskylä University Library interface yielded 12 academic articles based on empirical research. These articles were selected from those considered to have sufficiently investigated support for non‐abusing mothers and included a mixture of qualitative, quantitative, and mixed‐method research. The data consisted of peer‐reviewed online articles published in English between 2000 and 2017. Four themes emerged from the thematic analysis: improving the quality of the whole social support network for non‐abusing mothers; being blamed, maternal guilt, and shame; anger; and coping strategies. The findings show that the support needs of non‐abusing mothers are usually explained based on their interaction with sexually abused children. However, it is necessary to listen to women's needs independently of their mothering role. If these mothers are better understood, not only they, but also their children, could be empowered.

The Effects of Intimate Partner Violence Exposure on the Maternal Bond and PTSD Symptoms of Children.

The quality of the maternal bond can be disrupted in women exposed to intimate partner violence (IPV), causing them to be less available to their children. The aim of this study was to examine difficulties in emotional regulation in women exposed to IPV and the impact of IPV on both the maternal bond and posttraumatic symptoms among children. A cross-sectional study was carried out with two groups: IPV dyads ( n = 36) comprising mothers who had been exposed to IPV and their children, and control dyads ( n = 27) comprising non-abused mothers and their children. Information was obtained via structured interviews including scales regarding IPV, posttraumatic stress disorder (PTSD) symptoms, maternal bond, and difficulties in emotional regulation. Correlation analyses showed a positive association between the severity of IPV, PTSD symptom severity in children, and difficulties of emotional regulation in mothers. They also showed a negative association between IPV and the quality of the maternal bond. Regression models demonstrated that exposure to sexual IPV, maternal difficulties in emotion regulation, and younger age of the mother are important predictors of lower quality of the maternal bond. Difficulties in emotional regulation and sexual IPV disrupted the quality of the maternal bond among women and their children. In addition, lower quality of maternal bond was associated with higher PSTD symptoms among children.

Correlation of maternal abuse during pregnancy with infant temperament and development

ObjectiveTo investigate the effects of domestic violence (DV) against pregnant women on their infant's development in China.Design247 mothers were interviewed using the Chinese version of the Abuse Assessment Screen, and...

Self-Control and Child Abuse Potential in Mothers with an Abuse History and Their Preschool Children

We examined whether physically and sexually abused mothers display lower levels of self-control, whether this explains their higher tendency to abuse their own children, and if this results in lower levels of self-control among their children. In a cross-sectional study, 40 abused and 47 matched, non-abused mothers completed validated self-control and child abuse potential questionnaires. Their preschool children (2.3–3.7 years) were tested for self-control with the effortful control battery and delay of gratification test. Relationships and mediations were tested using stepwise regression analyses and bootstrap mediation tests, while controlling for potential confounders. Mothers with a history of abuse had a significantly higher potential to abuse their children (p < .001) and lower levels of self-control (p < .05) compared to non-abused mothers. Maternal self-control predicted child abuse potential (p < .001) while controlling for maternal history of abuse, revealing that self-control partially mediated the relation between past abuse and current abuse potential. Next, child abuse potential was found to be a borderline significant predictor of child self-control (p = .05) on the delay of gratification task but not on the effortful control battery. We did not discover a correlation between child self-control and maternal self-control. These findings suggest that self-control may be a potentially important mechanism in the intergenerational cycle of child abuse. Further investigation on the topic is needed to confirm this hypothesis, for example through investigating the impact of parental self-control training on abusive parenting and children’s self-control development. Improved child self-control measures or focusing on older children is expected to address the key limitations of the current study.

Emotion expression among abusive mothers is associated with their children's emotion processing and problem behaviours

The current study evaluated the quality of facial and vocal emotional expressions in abusive and non-abusive mothers, and assessed whether mothers' emotional expression quality was related to their children's cognitive processing of emotion and behavioural problems. Relative to non-abusive mothers, abusive mothers produced less prototypical angry facial expressions, and less prototypical angry, happy, and sad vocal expressions. The intensity of mothers' facial and vocal expressions of anger was related to their children's externalising and internalising symptoms. Additionally, children's cognitive processing of their mothers' angry faces was related to the quality of mothers' facial expressions. Results are discussed with respect to the impact of early emotional learning environments on children's socioemotional development and risk for psychopathology.

Preventing violence to women and children in the home: an overview

It has been estimated that 4 to 16% of children are physically abused and 1 in 10 are neglected or psychologically abused, the vast majority of the time by their...

Childhood sexual abuse and attachment: An intergenerational perspective

Childhood sexual abuse (CSA) is a recognized risk factor for various negative outcomes in adult survivors and their offspring. We used the Dynamic-Maturational Model of attachment theory as a framework for exploring the impact of maternal CSA on children's attachment relationships in the context of a longitudinal sample of adult survivors of CSA and non-abused comparison mothers and their children. Results indicated that children of CSA survivors were more likely to have extreme strategies of attachment than the children of non-abused mothers. However, because both groups were at socioeconomic risk, both were typified by anxious attachment. Explanations for findings and implications for children's development are explored.

A Preliminary Evaluation of a Massage Program for Children Who Have Been Sexually Abused and their Nonabusing Mothers

The aim of this study was to conduct a pilot evaluation of the Mosac Massage Program, a novel program that uses massage to address some of the difficulties faced by children who have been sexually abused and their nonabusing parents. Interviews were conducted with four participating mothers immediately before and after the program. Benefits included improved bonding and communication between mother and child and a relaxing and enjoyable therapy for both mother and child. The program appeared to be a useful complement to talking therapies. Further evaluations are needed to confirm the potential benefits.

Early development of opioid‐exposed infants born to mothers in buprenorphine‐replacement therapy

The purpose of the study was to examine cognitive development (using the Bayley MDI) and mother–child interaction (using the Emotion Availability Scales, 3rd edition) among infants of opioid‐abusing mothers. Participants were 87 dyads (15 opioid‐exposed, 15 maternal depression and 57 unexposed mother–infant dyads). The study group included 15 infants (mean age=7.0 months, sd=2.8 months) of mothers who participated in buprenorphine‐replacement therapy. Study variables were evaluated during the second half of the first year and compared with the infants of depressed (mean age = 8.06 months, sd =2.4 months) and nonabusing mothers (mean age = 9.96 months, sd =2.9 months). The opioid‐exposed infants earned the lowest Bayley‐II MDI scores. Furthermore, they scored the lowest in infant involvement. The role of environmental risk factors, in turn, was highlighted in that the opioid‐abusing mothers scored the lowest in maternal sensitivity, structuring and nonintrusiveness. Maternal childhood foster care and criminal record were significantly related to lower sensitivity and higher intrusiveness. Finally, the environmental risk status of the opioid‐exposed infants was further underlined in that there were more separations from the mother in the end of the first year as well as an elevated risk for physical abuse.

Comparative analysis of physiological adaptation of neonates of abused and nonabused mothers

The investigators examined: (a) the relationships between the mother's abuse status and the newborn's stress responses, and (b) differences in newborn stress responses of abused and nonabused mothers before and after a phenylketonuria (PKU) heel stick. The t-tests show a trend toward statistical significance. Abuse had strong effect sizes on cortisol and oxygen levels at 25 minutes. Findings support further research on the impact that maternal stress resulting from abuse has on neonatal outcomes.

Comparative analysis of physiological adaptation of neonates of abused and nonabused mothers

Comparative analysis of physiological adaptation of neonates of abused and nonabused mothers

Predictors of Parenting Stress for Abusive and Nonabusive Mothers

We examined a model of parenting stress for abusive mothers (n = 80) and nonabusive mothers (n = 86) using linear regression analyses. Predictors in the model included (a) the degree to which mothers were bothered by child misbehavior, (b) mothers’ general psychological functioning, and (c) observed child behavior during parent–child interactions. Whether abuse status moderated the relations between each predictor and parenting stress was also explored. Results indicated that mothers’ psychological functioning significantly predicted parenting stress; however, neither mothers’ intolerance for their children’s misbehavior nor observed child behavior were significant predictors of parenting stress in the regression model. A test of moderation revealed a significant interaction between parental intolerance and abuse status such that intolerance predicted parenting stress level only for abusive mothers. A comparison of correlations indicated that abusive mothers’ level of parenting stress was more closely related to their intolerance for child conduct problems than to the child’s behavior during play with their mothers. Findings are discussed in terms of implications for interventions to reduce parenting stress experienced by nonabusive and abusive mothers.

Intimate Partner Violence and Health Care Costs and Utilization for Children Living in the Home

The goal was to determine whether differences in health care costs and utilization exist for children whose mothers experienced intimate partner violence versus those who did not. A longitudinal cohort study was performed in an integrated health care delivery organization with 760 children of mothers with no history of intimate partner violence and 631 children of mothers with a history of intimate partner violence since age 18. Health care utilization and costs for children before, during, and after intimate partner violence exposure were compared with utilization and costs for children with nonabused mothers. Health care utilization and health care costs were higher in most categories of care for children of mothers with a history of intimate partner violence, with significantly higher values for mental health services, primary care visits, primary care costs, and laboratory costs. Children of mothers with a history of intimate partner violence that ended before the child was born had significantly greater utilization of mental health, primary care, specialty care, and pharmacy services than did children of mothers who reported no intimate partner violence. Children exposed directly to intimate partner violence (after birth) had greater emergency department and primary care use during the intimate partner violence and were 3 times as likely to use mental health services after the intimate partner violence ended. Children whose mothers experienced intimate partner violence have higher health care utilization and costs, even if their mothers' abuse stopped before they were born. Screening of women for intimate partner violence should be a routine part of their health care, and interventions for both the women and their children are likely necessary to minimize the effects of intimate partner violence in the family.

The discovery process: What mothers see and do in gaining awareness of the sexual abuse of their children

Objective The aim of this study was to explore how mothers discovered that their children had been sexually abused. The exploration included learning from whom or in what ways mothers learned about the abuse, whether there were prior suspicions, if actions were taken to determine likelihood of abuse, and the barriers to recognizing abuse. Method An exploratory survey of 125 nonabusive mothers of sexually abused children in three clinical sites was used. The sample included primarily Caucasians and African-Americans in a Midwestern state. A focus group study was used to develop the instrument. The survey was analyzed using descriptive statistics. Results Mothers first came to learn of sexual abuse from a verbal report (42%) or behaviors (15%) of their victimized child. Almost half of the mothers had a sense that something was “not quite right” prior to knowing about the abuse. Mothers took many actions to try to clarify what was occurring including talking with their child (66%) or watching things more closely (39%). Evidence most convincing mothers of the abuse included child's disclosure (74%), child's behavior (66%), and child's emotions (60%). Factors increasing uncertainty included denial by the abuser (21%). Conclusions This exploratory study provides initial data on how mothers come to learn of and believe the sexual abuse of their children. Educating mothers about effective ways to explore suspicions and weigh the evidence for or against abuse may enhance maternal protection and expedite investigations.

Non-Abusive Mothers of Sexually Abused Children: The Role of Rumination in Maternal Outcomes

ABSTRACT This study of 125 mothers examined the role of rumination in maternal emotional and behavioral outcomes subsequent to discovery of the sexual abuse of their children. Abuse severity, a maternal history of child abuse experiences, and life hassles were examined as predictors of negative outcomes. The central finding was that these factors, many of which are not controllable, were less likely to predict poor maternal outcomes than was rumination, a cognitive process that may be alterable. Rumination was the strongest correlate with each outcome. Further, the effects of most predictors on outcomes in this study were mediated by a ruminative cognitive style. Abuse severity, income, ethnicity, and education lacked significant relationships with maternal outcomes. This study asserts that rumination is a central component for understanding maternal outcomes in the post-discovery phase of sexual abuse cases. It recommends that rumination be routinely assessed both for research and treatment purposes.

Early experience affects the intergenerational transmission of infant abuse in rhesus monkeys

Maternal abuse of offspring in macaque monkeys shares some similarities with child maltreatment in humans, including its transmission across generations. This study used a longitudinal design and a cross-fostering experiment to investigate whether abusive parenting in rhesus macaques is transmitted from mothers to daughters and whether transmission occurs through genetic or experiential factors. Nine of 16 females who were abused by their mothers in their first month of life, regardless of whether they were reared by their biological mothers or by foster mothers, exhibited abusive parenting with their firstborn offspring, whereas none of the females reared by nonabusive mothers did. These results suggest that the intergenerational transmission of infant abuse in rhesus monkeys is the result of early experience and not genetic inheritance. The extent to which the effects of early experience on the intergenerational transmission of abusive parenting are mediated by social learning or experience-induced physiological alterations remains to be established.

Perceptions of parenting versus parent-child interactions among incest survivors

Objectives: Although women with histories of child sexual abuse (CSA) perceive themselves as less competent mothers and report greater parenting difficulties than nonabused women, few investigators have actually observed the parenting behaviors of CSA survivors. The primary aim of this study was to examine whether incest history was related to maternal perceptions of parenting efficacy and interactional patterns with their children. The secondary aim of this study was to explore the constructs of internal working models of relationships and maternal psychological adjustment as potential mediators of the relation between incest history and parenting. Methods: A community sample of 17 incest survivors, 18 nonabused women and their 3–6 year-old children participated. Mothers completed self-report measures of parenting efficacy, parental bonding (i.e., internal working models of relationships), and psychological adjustment. In addition, mothers interacted with their children in a problem-solving task. Results: Although incest survivors reported less parenting self-efficacy than did nonabused mothers, their interactional styles with their children were positive overall and comparable to those of nonabused mothers. Specifically, survivors displayed moderate to high levels of support, assistance, and confidence, and their children showed high levels of affection towards their mothers. Incest survivors reported less bonding with their own mothers in childhood and poorer current psychological adjustment. Conclusions: Findings suggest that incest survivors’ perceptions of their parenting abilities may be more negative than their actual parenting behaviors.