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Post-traumatic stress symptom development as a function of changing witnessing in-home violence and changing peer relationship quality: Evaluating protective effects of peer relationship quality
Institution:1. Department of Human Development and Family Studies, Purdue University, West Lafayette, IN, USA;2. Department of Statistics, Purdue University, West Lafayette, IN, USA;3. Department of Health & Kinesiology, Purdue University, West Lafayette, IN, USA;4. Public Health Graduate Program, Purdue University, West Lafayette, IN, USA;1. University of Deusto, Spain;2. Universidad Autónoma de Madrid, Spain;1. The Methodology Center, The Pennsylvania State University, University Park, Pennsylvania;2. Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania;1. Psychoeducation and Psychology Department, University of Quebec in Outaouais, 5 Saint-Joseph, Saint-Jerome, Québec, J7Z 0B7, Canada;2. Research Institute on Youth in Diffculty, 1001, Maisonneuve Est, Montréal, Québec, H2L 4R5, Canada;3. Research Laboratory in Child Maltreatment Epidemiology, 5 Saint-Joseph, Saint-Jerome, Québec, J7Z 0B7, Canada;4. Canada Research Chair in Violence Against Children, 5 Saint-Joseph, Saint-Jerome, Québec, J7Z 0B7, Canada
Abstract:In the present study, witnessing in-home violence and peer relationship quality are evaluated as to their relative impact on Post Traumatic Stress (PTS) symptoms among children aged 8 to 17 investigated by child protective services (CPS) for maltreatment exposure. The sample included 2151 children from the National Survey of Child and Adolescent Well-Being II (NSCAW II). Linear growth models were estimated to assess associations between changes in PTS symptoms, witnessing in-home violence, and peer relationship quality over time. Greater frequency of witnessing in-home violence at baseline (i.e. wave 1) was associated with higher baseline PTS symptoms (β = 0.44). Increases in witnessing in-home violence frequency over time (average annual change across three years) had a strong association with increases in PTS symptoms over time (β = 0.88). Baseline peer relationship quality was associated with fewer PTS symptoms at baseline (β = −0.45). Increases in peer relationship quality over time were strongly associated with declines in PTS symptoms over time (β = −0.68). Peer relationship quality at baseline did not moderate baseline or over time associations between witnessing in-home violence and PTS symptoms. The average decline in PTS symptoms due to decreases in witnessing in-home violence and increases in peer relationship quality was 0.51 and 0.65 standard deviations respectively, over the three-year study period. Reducing chronic witnessing in-home violence and promoting the development of healthy social relationships with peers are critical for PTS symptom recovery.
Keywords:Post-Traumatic stress  Witnessing violence  Peer relationships  Longitudinal
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