The first aim of this dissertation was to examine predictors of (change in) couple satisfaction during the transition to parenthood. We found that couple satisfaction on average decreased from... Show moreThe first aim of this dissertation was to examine predictors of (change in) couple satisfaction during the transition to parenthood. We found that couple satisfaction on average decreased from pregnancy until 4 months postpartum. The decrease in couple satisfaction in first time parents was found in both mothers and fathers and in multiple countries, including the Netherlands, the United Kingdom, the United States (Chapter 2), and also in China from 4 until 14 months postpartum (Chapter 4). The decrease was stronger for parents who had more postpartum mental health problems (Chapter 2). In Chapter 3 we examined the association between couple satisfaction, mental health problems, and parental sensitivity from pregnancy until 24 months postpartum. We found additional evidence for the interrelatedness of couple satisfaction and mental health problems. Specifically, couple satisfaction predicted later mental health problems for both mothers and fathers. We found no associations between mental health problems and parental sensitivity, and little evidence for the association between couple satisfaction and parental sensitivity (the latter only for mothers).The second aim was to examine attitudes about child maltreatment across caregivers and countries. We found that on average Chinese and Dutch mothers, fathers, and teachers did not differ in their ideas about the rank order of harmfulness of behaviors commonly labeled as child maltreatment. In addition, for both countries and for the three groups we found higher thresholds for labeling the behaviors as maltreatment and the perceived need for intervention by a professional than for the need for intervention by a non-professional. In both countries and across the three groups physical abuse was labeled as the most harmful form of child maltreatment and emotional neglect as the least harmful form. However, Chinese participants had higher thresholds than Dutch participants with regard to the need for interventionand labeling the behaviors as maltreatment. Show less
The aim of the current dissertation was to examine the psychological, neurological and behavioral impact of different types of traumatic (A1) and stressful (non-A1) life events, including a focus... Show moreThe aim of the current dissertation was to examine the psychological, neurological and behavioral impact of different types of traumatic (A1) and stressful (non-A1) life events, including a focus on the impact of childhood maltreatment. The role of brain structure (hippocampal volume) and function (neural correlates of emotional face processing and social rejection) in intergenerational transmission of child abuse versus neglect was investigated using a multi-generational family study design. Show less
This dissertation focused on the role of attachment-based interventions in child protection cases involving young children. The results confirmed that placement decisions are impacted by subjective... Show moreThis dissertation focused on the role of attachment-based interventions in child protection cases involving young children. The results confirmed that placement decisions are impacted by subjective factors, including professionals’ own attitudes and mind-set. Because we argue that the influence of subjective factors can be reduced by inserting relevant evidence into the decision-making process, we tested the effectiveness of one procedure that might produce such information. Evidence for the notion that implementing an attachment-based intervention in parenting capacity assessments can enhance the quality of placement decisions was partially found in this dissertation: We found initial evidence for improved reliability, but not for improved validity, of placement decisions. Taking these findings together with international evidence, we do tentatively conclude that attachment-based interventions can contribute to an improved quality of placement decisions. However, more research is needed to determine what implementation would be most fruitful in the Dutch child protection context. Finally, our finding that maltreating parents with more severe levels of childhood trauma benefited less from an attachment-based intervention implicates that we need to consider families’ individual needs when conducting interventions in this setting. This way, not only more parents will benefit from these interventions, their responses to these interventions might also be a more valid source of information to support placement decisions. Show less
Altered processing of emotional faces due to childhood maltreatment has repeatedly been reported, and may be a key process underlying the intergenerational transmission of maltreatment. The current... Show moreAltered processing of emotional faces due to childhood maltreatment has repeatedly been reported, and may be a key process underlying the intergenerational transmission of maltreatment. The current study is the first to examine the role of neural reactivity to emotional and neutral faces in the transmission of maltreatment, using a multi-generational family design including 171 participants of 51 families of two generations with a large age range (8–69 years). The impact of experienced and perpetrated maltreatment (abuse and neglect) on face processing was examined in association with activation in the amygdala, hippocampus, inferior frontal gyrus (IFG) and insula in response to angry, fearful, happy and neutral faces. Results showed enhanced bilateral amygdala activation in response to fearful faces in older neglected individuals, whereas reduced amygdala activation was found in response to these faces in younger neglected individuals. Furthermore, while experienced abuse was associated with lower IFG activation in younger individuals, experience of neglect was associated with higher IFG activation in this age group, pointing to potentially differential effects of abuse and neglect and significant age effects. Perpetrated abusive and neglectful behavior were not related to neural activation in any of these regions. Hence, no indications for a role of neural reactivity to emotional faces in the intergenerational transmission of maltreatment were found. Show less
This study investigated the prevalence of child maltreatment in a cross-cultural perspective, the changes in prevalence estimates in Vietnam over time, child and family risk factors of maltreatment... Show moreThis study investigated the prevalence of child maltreatment in a cross-cultural perspective, the changes in prevalence estimates in Vietnam over time, child and family risk factors of maltreatment, and possible consequences of child maltreatment. We administered questionnaires and a working memory test to 1,851 secondary and high school students (12-17 years old) in four Northern provinces of Vietnam. We compared current Vietnamese prevalence estimates with those from the Dutch prevalence study on child maltreatment (NPM-2010) and from a prevalence study in Vietnam 10 years ago to achieve a cross-cultural and chronological comparison. We found that although there was a decrease in emotional and physical abuse over time, all types of child maltreatment were still highly prevalent, ranging from 2.6% for sexual abuse to 31.8% for emotional abuse. Most types were more common in Vietnam than in the Netherlands. Only the past year sexual abuse prevalence in Vietnam was lower. Single parenthood, being a boy, and older age were risk factors for child maltreatment. Child maltreatment was related to negative child well-being aspects with the largest effect on emotional functioning. Our study draws a clearer picture on child maltreatment in Vietnam. It highlights the importance of prompt responses to child maltreatment. Show less
Knowledge of risk factors associated with child maltreatment is critical in assessing the risk for future child maltreatment, and for preventing child maltreatment. Using data from two... Show moreKnowledge of risk factors associated with child maltreatment is critical in assessing the risk for future child maltreatment, and for preventing child maltreatment. Using data from two empirical studies, this dissertation focuses on the risk associated with having experienced childhood maltreatment and on emotion processing deficits as a risk factor. Additionally, because accurately measuring maltreatment experiences is important, we explored the relation between parents’ and children’s perspectives on maltreatment. Results revealed that there was modest agreement between parents and children on parent-to-child maltreatment, especially on emotional neglect. On average, children reported more emotional neglect as victims than parents as perpetrators. Next, we found evidence for type-to-type intergenerational transmission of maltreatment: Abused parents were more likely to abuse their own children, while neglected parents were more likely to neglect. Moreover, neglecting parents showed difficulties identifying fear in others, but this could not explain the intergenerational transmission of maltreatment. Lastly, maltreating mothers used excessive force more often while listening to infant crying and laughter than non-maltreating mothers. Overall, maltreating parents –and neglectful parents in particular– seem less adept in emotion processing: They were less successful in regulating their behavior when exposed to child-related emotional stimuli and showed specific difficulties in emotion recognition. Show less
This dissertation comprises an empirical study and a meta-analytical study on autonomic nervous system (ANS) functioning and attachment representations in maltreating parents. For the empirical... Show moreThis dissertation comprises an empirical study and a meta-analytical study on autonomic nervous system (ANS) functioning and attachment representations in maltreating parents. For the empirical study we recruited a sample of 45 mothers with substantiated abuse and neglect and 45 non-maltreating control mothers. Mothers listened to infant cry sounds of varying pitches while their heart rate, vagal tone, pre-ejection period, skin conductance, and salivary α-amylase were measured. Maltreating mothers showed a blunted ANS response to the cry sounds, as well as a lack of coherence between ANS components, compared to the non-maltreating group. During a second appointment we conducted the Adult Attachment Interview. More maltreating mothers had an Unresolved/disoriented (U/d) attachment representation and maltreating mothers showed lower coherence of mind. In turn, U/d attachment was associated with a decrease in skin conductance during an attachment-related computer paradigm, while coherence of mind was associated with higher skin conductance during the paradigm. A meta-analysis of 11 studies (N = 524)showed that (risk for) child maltreatment was associated with higher levels of baseline ANS activity, while a second meta-analysis (k = 11, N = 503) showed no differences in ANS stress reactivity between maltreating parents/at-risk adults and non-maltreating/low-risk comparison groups. Show less
Child maltreatment is a serious social problem leading every year to the es timated deaths of approximately 155,000 children worldwide. Many more suffer lifelong consequences. It is notoriously... Show moreChild maltreatment is a serious social problem leading every year to the es timated deaths of approximately 155,000 children worldwide. Many more suffer lifelong consequences. It is notoriously difficult to detect vic tims of child maltreatment, despite its frequent occurrence. This becomes apparent if one compares the numbers of reported victims of child maltreatment with the known prevalence numbers. In the United States of America (USA), a total of 676,569 children are yearly reported to the Child Protecive Services (CPS) while prevalence studies indicate that an estimated 2,905,800 (or 39.5 per 1,000) children were victims of maltreatment in the study year 2005/2006. In the Netherlands, 19.254 children are yearly reported to the Reporting Center for Child Abuse and Neglect (RCCAN), while an estimated 119,000 (34 per 1,000) children are victims of child abuse every year. This disserta tion describes the development and validation of a protocol that seeks to contribute to reducing the gap between the prevalence and detec tion of child maltreatment. The __Hague protocol__, as this protocol was named, introduces parental characteris as a critical piece of informa tion that considerably increases the detec tion of child maltreatment at hospital emergency departments. Show less
Euser, S.; Alink, L.R.A.; Stoltenborgh, M.; Bakermans-Kranenburg, M.J.; Van IJzendoorn, M.H. 2015
How often does child maltreatment occur in the Netherlands and which factors increase the risk of child maltreatment? In this thesis we describe the findings of two epidemiological studies aimed at... Show moreHow often does child maltreatment occur in the Netherlands and which factors increase the risk of child maltreatment? In this thesis we describe the findings of two epidemiological studies aimed at answering these questions. First, in the Netherlands__ Prevalence study on Maltreatment of children and youth (NPM-2010) we examined the year prevalence of child maltreatment in the general Dutch population, using sentinel reports, substantiated CPS reports, and high school students__ self-report. Overall prevalence rates were 33.8 per 1,000 children based on combined sentinel and CPS reports and 99.4 per 1,000 based on self-report. Important risk factors for maltreatment were low SES, single parent families, large families, stepfamilies, and immigrant status. Second, we examined the year prevalence of child sexual and physical abuse in residential and foster care. Children without disabilities had an increased risk of sexual abuse in residential care, and an increased risk of physical abuse in both types of care compared to the general population. Children with a mild intellectual disability were at increased risk of sexual abuse in both residential and foster care compared to regular out-of-home care and compared to the general population. Findings presented in this thesis contribute to the prevention of future child maltreatment in different care settings. Show less
In this thesis we describe, combine and compare results of a series of meta-analyses on the prevalence of child sexual, physical, and emotional abuse and of physical and emotional neglect,... Show moreIn this thesis we describe, combine and compare results of a series of meta-analyses on the prevalence of child sexual, physical, and emotional abuse and of physical and emotional neglect, including 244 publications and 577 prevalence rates for the various types of maltreatment. Child maltreatment research seems to be dominated by research on sexual abuse, by studies in developed parts of the world, and by research using self-report measures. The overall estimated prevalence rates for self-report studies were 127/1,000 for sexual abuse (76/1,000 among boys and 180/1,000 among girls), 226/1,000 for physical abuse, 363/1,000 for emotional abuse, 163/1,000 for physical neglect, and 184/1,000 for emotional neglect. The overall estimated prevalence rates for studies using informants were 4/1,000 for sexual abuse and 3/1,000 for physical and for emotional abuse. Design and sample characteristics partly explained variation of self-reported prevalence rates. We conclude that child maltreatment is a widespread, global phenomenon affecting the lives of millions of children all over the world, which is in sharp contrast with the United Nation’s Convention on the Rights of the Child. Show less
Child maltreatment is a global phenomenon affecting a significant number of the world’s children. The purpose of this study was to compare the prevalence of self-reported childhood maltreatment... Show moreChild maltreatment is a global phenomenon affecting a significant number of the world’s children. The purpose of this study was to compare the prevalence of self-reported childhood maltreatment among university students in Kenya, Zambia, and The Netherlands. We also sought to compare the psychopathological sequelae of child maltreatment in the three samples. In addition, we sought to find out whether PTSS mediated the association between child maltreatment and the psychopathological symptoms. The results of our study showed that neglect in childhood was the most prevalent of all forms of child maltreatment across the three samples. Physical abuse and sexual abuse was most prevalent in Kenya and Zambia while witnessing interparental violence was the least prevalent in the two samples. Child maltreatment was differentially associated with psychopathological symptoms in the three samples of our study. Notably, neglect was the most predictive of psychopathology symptoms. The cross-validation results of our study showed that there were no significant differences in the predictive patterns of PTSS from child maltreatment in the three samples. PTSS mediated the association between child maltreatment and psychopathology symptoms albeit differentially. The results of our study show that there is need to mitigate the prevalence and sequelae of child maltreatment. Show less
Hoe hangt kindermishandeling met gehechtheid samen, en wat zijn de risicofactoren die de kans op kindermishandeling vergroten? Het proefschrift van Eveline Euser geeft antwoord op deze vragen, en... Show moreHoe hangt kindermishandeling met gehechtheid samen, en wat zijn de risicofactoren die de kans op kindermishandeling vergroten? Het proefschrift van Eveline Euser geeft antwoord op deze vragen, en presenteert de laatste stand van zaken met betrekking tot preventie van mishandeling. Kindermishandeling en gehechtheid Alle mishandelde kinderen zijn gehecht aan hun ouders, zelfs als die ouders de daders zijn. De meta-analyse in dit proefschrift laat echter zien dat mishandelde kinderen vaker onveilig en gedesorganiseerd gehecht zijn, in vergelijking tot kinderen die opgroeien in risicogezinnen (bv. in armoede of met een drugsverslaafde ouder) maar niet mishandeld worden. Kinderen met meer dan vier risicofactoren lopen echter wel evenveel gevaar gedesorganiseerde gehechtheid te ontwikkelen. Verrassend is dus dat de opeenstapeling van sociaal-economische risico’s en kindermishandeling beide een negatieve invloed hebben op de kwaliteit van de gehechtheidsrelatie. Preventie en interventie op het gebied van kindermishandeling. In Nederland zijn momenteel geen wetenschappelijk onderbouwde interventies beschikbaar die specifiek tot doel hebben om kindermishandeling te bestrijden. Evidence-based programma's zullen daarom ontwikkeld moeten worden en getoetst in gecontroleerde experimenten. De huidige praktijk in ons land is dat preventieve opvoedingsprogramma’s die eigenlijk ontworpen zijn voor andere problematiek of in andere landen zijn beproefd (bijv. Triple P, een programma gericht op gedragsproblemen) worden ingezet bij Nederlandse gezinnen met een hoog risico op mishandeling. Uit onderzoek zal nog moeten blijken of deze preventieprogramma’s ook effectief zijn in het voorkomen van kindermishandeling. Nu worden opvoedingsprogramma’s soms overhaast breed uitgerold zonder dat er grondige experimentele evaluaties van eigen bodem voorhanden zijn. De preventie van kindermishandeling is te belangrijk om aan het toeval te worden overgelaten. Show less
