Literature DB >> 24011871

Child maltreatment and adult health in a national sample: heterogeneous relational contexts, divergent effects?

Markus H Schafer1, Patricia M Morton2, Kenneth F Ferraro2.   

Abstract

OBJECTIVE: This study considers the long-term health consequences of child maltreatment. Distinct from previous research, we examine the effects of maltreatment in the context of more general parental evaluations.
METHOD: Analyses used retrospective and current data from the Midlife Development in the United States (MIDUS) study.
RESULTS: A considerable proportion of middle- and older-age adults who experienced frequent maltreatment nevertheless evaluated the relationship with their offending parent as "excellent", "very good", or "good" (e.g., 47% for physical and emotional maltreatment by mothers). Maltreated respondents generally evaluated their maltreating parents less favorably than non-maltreating parents, but there was considerable variation in these recollected relationships. Adults who experienced child maltreatment reported a greater number of chronic medical conditions and physical symptoms and lower self-rated health, but effects were smaller when they had positive relationships with their parents than when one or more of the relationships was perceived as negative.
CONCLUSIONS: These findings highlight a common and seemingly paradoxical pattern among MIDUS participants: the co-presence of harsh parental behavior and positive recollections of parental relationships during childhood. Moreover, these surprising patterns of retrospective interpretation predict very different experiences of adult health - health problems are most pronounced among maltreatment in cases where the respondent had a generally negative relationship with one or more of his or her parents.
Copyright © 2013 Elsevier Ltd. All rights reserved.

Entities:  

Keywords:  Attachment theory; Course; Emotional maltreatment; Health; Life; Parent/child relationship; Physical maltreatment; Retrospective reports

Mesh:

Year:  2013        PMID: 24011871      PMCID: PMC3942366          DOI: 10.1016/j.chiabu.2013.08.003

Source DB:  PubMed          Journal:  Child Abuse Negl        ISSN: 0145-2134


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