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Examine associations between caregivers’ difficulties
with emotion regulation and trauma symptoms of youth
with newly discovered cases of sexual abuse.
• f
• Childhood sexual abuse is a risk factor for various
internalizing and externalizing problems, e.g.,
symptoms of PTSD, depression, and anger.
• Although non-offending caregivers also experience
distress, research shows inconsistent relations with
youth adjustment.
• Variations in caregivers’ psychological resources
(e.g., coping) are associated with caregiver support
of abused youth (Cry, McDuff & Hébert, 2013).
• Less is known about how caregivers’ psychological
resources for managing their distress are related to
youth outcomes.
Parental Levels of Emotion Regulation and Negative Affect as Predictors of Child Symptoms Following Sexual Abuse
Kiren A. Chaudhry, Erin Smith, Felicia Ghrist , Nicole M. Fava , Douglas Barnett , Valerie A. Simon
Wayne State University
Introduction
Conclusions and Implications
This pilot project included 49 families with children
(6-15 years, M = 11) and their non-offending
caregivers who were seen at a Child Advocacy Center
for newly discovered cases of CSA.
• Child self-reported symptoms:
• Children’s Depression Inventory (CDI)
• PTSD and Anger subscales of the Trauma
Symptom Checklist for Children (TSCC)
• Caregiver report of child symptoms:
• Child Behavior Checklist (CBCL)
• UCLA PTSD Reaction Index (UCLA)
• Caregiver self-report of distress and emotion
regulation:
• Negative Affect Scale of the Positive and
Negative Affect Schedule (PANAS)
• Non-Acceptance of Emotional Responses
Scale of the Difficulty in Emotion
Regulation (DERS)
Participant Demographics
Results
4%
78%
6%
12%
Child Race
Caucasian
Af.American
Hispanic
Biracial
0
2
4
6
8
10
12
14
6-7 8-9 10-11 12-13 14-15
Child Age and Gender
Boys Girls
Methods and Procedures
12%
76%
6%
6%
Caregiver Race
Caucasian
Af. American
Hispanic
Biracial
Aim
23%
18%
50%
9%
Caregiver Education
9-11th Grade
GED
High School
Diploma
Technical
School
33%
67%
Caregiver Employment
Yes
No
Results (Continued)
Table 2. Hierarchical Regressions Predicting Youth
Symptoms from Caregiver Affect and Regulation
Internalizing
(GC report)
Externalizing
(CG report)
PTSD
(CG report)
Anger
(C report)
Depression
(C report)
PTSD
(C report)
Variable Δ R2 β Δ R2 β Δ R2 β Δ R2 β Δ R2 β Δ R2 β
Step 1 .06 .100 .115† .011 .015 .004
Child
Age -.080 -.156 0.127 .131 -.055 .092
Gender -.176 -.273† -.149 -.127 -.023 .038
Step 2 .206* .092 .217* .160† .108 .129
Negative
Affect -.123 -.126 .045 .294 .384† .476*
DERS .537** .352† .419* -.539* .351* -.257
• Caregivers’ negative affect and difficulties with
emotion regulation are each related to child
symptoms; but specific relations depend on the
reporter of youth symptoms.
• Caregivers’ tolerance for their own and their children’s
distress about the sexual abuse may be an important
target of intervention for facilitating caregiver support
of their sexually abused children.
• Additional longitudinal research is needed to assess
(1) whether caregiver emotion regulation mediates
associations between caregiver distress and youth
outcomes and (2) other ways caregivers manage their
distress at abuse discovery.
Note: a 0 = male, 1 = female.; CG = non-offending caregiver; C = child *p <
.05; ** p < .01. For gender, 0 = male, 1 = female.
Table 1. Correlations among Key Variables
1. Child Age --
2. Child Gender -.01 --
3.Negative Affect .04 -.09 --
4. DERS .18 -.17 .67** --
5. Internalizing:
CG .07 -.25 .23 .47** --
6. Externalizing:
CG -.02 -.31* .11 .29 .76** --
7. UCLA-CG .28 -.23 .32* .52** .717** .53** --
8. Anger – C .06 -.06 -.04 -.31* -.03 .01 .14 --
9. Depression – C -.12 .00 .16 -11 .18 .12 .24 .66** --
10. PTSD - C .04 .03 .31* .05 .01 .06 .21 .58** .51 --
Notes: CG = non-offending caregiver; C = child; + = p < .10; * = p < .05; ** = p < .01
Summary of Findings
• Higher levels of caregiver negative affect:
• Related to higher levels of child-reported
depression and PTSD
• Unrelated to caregiver report of child
symptoms
• Higher levels of caregiver non-acceptance of negative
emotion was associated with
• Lower levels of youth-reported anger
• Higher levels of parent-reported youth
internalizing, externalizing, and PTSD
Primary Analyses
• A series of hierarchical regression analyses tested the
additive and unique relations of caregiver distress and
emotion regulation difficulties with youths’ trauma
symptoms.
• All analyses controlled for youth age, and youth gender

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Parental Levels of Emotion Regulation and Negative Affect as Predictors of Child Symptoms Following Abuse

  • 1. Examine associations between caregivers’ difficulties with emotion regulation and trauma symptoms of youth with newly discovered cases of sexual abuse. • f • Childhood sexual abuse is a risk factor for various internalizing and externalizing problems, e.g., symptoms of PTSD, depression, and anger. • Although non-offending caregivers also experience distress, research shows inconsistent relations with youth adjustment. • Variations in caregivers’ psychological resources (e.g., coping) are associated with caregiver support of abused youth (Cry, McDuff & Hébert, 2013). • Less is known about how caregivers’ psychological resources for managing their distress are related to youth outcomes. Parental Levels of Emotion Regulation and Negative Affect as Predictors of Child Symptoms Following Sexual Abuse Kiren A. Chaudhry, Erin Smith, Felicia Ghrist , Nicole M. Fava , Douglas Barnett , Valerie A. Simon Wayne State University Introduction Conclusions and Implications This pilot project included 49 families with children (6-15 years, M = 11) and their non-offending caregivers who were seen at a Child Advocacy Center for newly discovered cases of CSA. • Child self-reported symptoms: • Children’s Depression Inventory (CDI) • PTSD and Anger subscales of the Trauma Symptom Checklist for Children (TSCC) • Caregiver report of child symptoms: • Child Behavior Checklist (CBCL) • UCLA PTSD Reaction Index (UCLA) • Caregiver self-report of distress and emotion regulation: • Negative Affect Scale of the Positive and Negative Affect Schedule (PANAS) • Non-Acceptance of Emotional Responses Scale of the Difficulty in Emotion Regulation (DERS) Participant Demographics Results 4% 78% 6% 12% Child Race Caucasian Af.American Hispanic Biracial 0 2 4 6 8 10 12 14 6-7 8-9 10-11 12-13 14-15 Child Age and Gender Boys Girls Methods and Procedures 12% 76% 6% 6% Caregiver Race Caucasian Af. American Hispanic Biracial Aim 23% 18% 50% 9% Caregiver Education 9-11th Grade GED High School Diploma Technical School 33% 67% Caregiver Employment Yes No Results (Continued) Table 2. Hierarchical Regressions Predicting Youth Symptoms from Caregiver Affect and Regulation Internalizing (GC report) Externalizing (CG report) PTSD (CG report) Anger (C report) Depression (C report) PTSD (C report) Variable Δ R2 β Δ R2 β Δ R2 β Δ R2 β Δ R2 β Δ R2 β Step 1 .06 .100 .115† .011 .015 .004 Child Age -.080 -.156 0.127 .131 -.055 .092 Gender -.176 -.273† -.149 -.127 -.023 .038 Step 2 .206* .092 .217* .160† .108 .129 Negative Affect -.123 -.126 .045 .294 .384† .476* DERS .537** .352† .419* -.539* .351* -.257 • Caregivers’ negative affect and difficulties with emotion regulation are each related to child symptoms; but specific relations depend on the reporter of youth symptoms. • Caregivers’ tolerance for their own and their children’s distress about the sexual abuse may be an important target of intervention for facilitating caregiver support of their sexually abused children. • Additional longitudinal research is needed to assess (1) whether caregiver emotion regulation mediates associations between caregiver distress and youth outcomes and (2) other ways caregivers manage their distress at abuse discovery. Note: a 0 = male, 1 = female.; CG = non-offending caregiver; C = child *p < .05; ** p < .01. For gender, 0 = male, 1 = female. Table 1. Correlations among Key Variables 1. Child Age -- 2. Child Gender -.01 -- 3.Negative Affect .04 -.09 -- 4. DERS .18 -.17 .67** -- 5. Internalizing: CG .07 -.25 .23 .47** -- 6. Externalizing: CG -.02 -.31* .11 .29 .76** -- 7. UCLA-CG .28 -.23 .32* .52** .717** .53** -- 8. Anger – C .06 -.06 -.04 -.31* -.03 .01 .14 -- 9. Depression – C -.12 .00 .16 -11 .18 .12 .24 .66** -- 10. PTSD - C .04 .03 .31* .05 .01 .06 .21 .58** .51 -- Notes: CG = non-offending caregiver; C = child; + = p < .10; * = p < .05; ** = p < .01 Summary of Findings • Higher levels of caregiver negative affect: • Related to higher levels of child-reported depression and PTSD • Unrelated to caregiver report of child symptoms • Higher levels of caregiver non-acceptance of negative emotion was associated with • Lower levels of youth-reported anger • Higher levels of parent-reported youth internalizing, externalizing, and PTSD Primary Analyses • A series of hierarchical regression analyses tested the additive and unique relations of caregiver distress and emotion regulation difficulties with youths’ trauma symptoms. • All analyses controlled for youth age, and youth gender