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Mindfulness and trauma symptoms predict child abuse potential in risk-exposed,men and women during pregnancy
Institution:1. Women’s Mood Disorders Center, Departments of Psychiatry & Behavioral Sciences and Gynecology & Obstetrics, Johns Hopkins University School of Medicine, 550 N. Broadway, Suite 305C, Baltimore, MD 21205, United States;2. Johns Hopkins Biostatistics Center, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States;3. Icahn School of Medicine at Mt. Sinai, New York, NY, United States;4. Departments of Psychiatry and Obstetrics & Gynecology, Columbia University Medical Center, New York, NY, United States;5. New York State Psychiatric Institute, New York, NY, United States;1. University of California, Los Angeles, United States;2. Dickinson College, United States;3. Chapman University, United States;4. University of California, Irvine, United States;5. Cedars-Sinai Medical Center, United States;1. Cousins Center for Psychoneuroimmunology, Department of Psychiatry & Biobehavioral Sciences, Semel Institute for Neuroscience & Human Behavior, University of California, Los Angeles, USA;2. Department of Psychiatry & Behavioral Health and The Institute for Behavioral Medicine Research, The Ohio State University Wexner Medical Center, Columbus, OH, USA;3. College of Medicine, The Ohio State University, Columbus, OH, USA;1. Department of Psychiatry at the University of Pittsburgh School of Medicine and Department of Epidemiology in the Graduate School of Public Health, 3811 O’Hara St, Pittsburgh, PA 15213, USA;2. UPMC Western Psychiatric Hospital, 817 Bellefield Towers, 100 N. Bellefield Ave, Pittsburgh PA 15213, USA;1. Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, NC, 27599-7445, United States;2. Injury Prevention Research Center, University of North Carolina at Chapel Hill, 137 East Franlink St., Suite 500, Chapel Hill, NC, 27599-7505, United States;3. Maternal and Child Health Epidemiology Unit, Section of Women’s, Children’s, and Family Health, Division of Public Health, Alaska Department of Health and Social Services, 3601 C Street, Suite 322, Anchorage, AK 99503-5923, United States
Abstract:BackgroundNearly a third of adults report childhood trauma in their youth and approximately 700,000 cases of child maltreatment were reported in 2016. Both history of childhood trauma and current trauma symptoms in adults are linked to child maltreatment, although many trauma-exposed individuals are warm and nurturing parents. Identifying resiliency factors in adults with risk factors for harsh parenting may illuminate new pathways to sensitive parenting. Mindfulness is reported to improve trauma and mental health symptoms but the relationship between mindfulness, trauma, and child abuse potential is not yet understood.ObjectiveThis cross-sectional study investigated the relationship between mindfulness, childhood trauma experiences, trauma symptoms and child abuse potential.Participants and settingOur participants were 102 expectant parents recruiting from obstetric clinics and agencies Detroit, MI (58.8% African American, 27.5% Caucasian).MethodBivariate correlations were examined using validated, self-report questionnaires. Significant variables were included in a hierarchical linear regression to identify predicting factors that contribute to child abuse potential scores.ResultsSignificant correlations between child abuse potential with current trauma symptoms (r = .53, p < .01) and mindfulness (r = ?.32, p < .01) were found, but no link with past childhood trauma experiences and child abuse potential were identified. The model significantly predicts child abuse potential (ΔR2 = .10, F(5, 96), = 12.48, p < .001). Trauma symptoms (B = .09, p < .001, 95% confidence interval CI]?.40, ?.07]) and mindfulness nonreactivity (B = ?.24, p < .01, 95% CI.05, .14]) predicted higher potential for child abuse scores.ConclusionFindings suggest increased mindfulness, especially nonreactivity to one’s own thoughts, may be an important factor to protect against child abuse potential. Interventions to increase parental mindfulness may reduce child abuse potential and improve child well-being, but further mechanistic research is needed to determine this.
Keywords:Prenatal  Mindfulness  Child abuse  Trauma  Fathers  Antenatal
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