Parenting after a history of childhood maltreatment: a scoping review and map of evidence in the perinatal period

Chamberlain, Catherine, Gee, Graham, Harfield, Stephen, Campbell, Sandra, Brennan, Sue, Clark, Yvonne, Mensah, Fiona, Arabena, Kerry, Herrman, Helen, and Brown, Stephanie (2019) Parenting after a history of childhood maltreatment: a scoping review and map of evidence in the perinatal period. PLoS ONE, 14 (3). e0213460.

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Abstract

Background and aims: Child maltreatment is a global health priority affecting up to half of all children worldwide, with profound and ongoing impacts on physical, social and emotional wellbeing. The perinatal period (pregnancy to two years postpartum) is critical for parents with a history of childhood maltreatment. Parents may experience 'triggering' of trauma responses during perinatal care or caring for their distressed infant. The long-lasting relational effects may impede the capacity of parents to nurture their children and lead to intergenerational cycles of trauma. Conversely, the perinatal period offers a unique life-course opportunity for parental healing and prevention of child maltreatment. This scoping review aims to map perinatal evidence regarding theories, intergenerational pathways, parents' views, interventions and measurement tools involving parents with a history of maltreatment in their own childhoods.

Methods and results: We searched Medline, Psychinfo, Cinahl and Embase to 30/11/2016. We screened 6701 articles and included 55 studies (74 articles) involving more than 20,000 parents. Most studies were conducted in the United States (42/55) and involved mothers only (43/55). Theoretical constructs include: attachment, social learning, relational-developmental systems, family-systems and anger theories; 'hidden trauma', resilience, post-traumatic growth; and 'Child Sexual Assault Healing' and socioecological models. Observational studies illustrate sociodemographic and mental health protective and risk factors that mediate/moderate intergenerational pathways to parental and child wellbeing. Qualitative studies provide rich descriptions of parental experiences and views about healing strategies and support. We found no specific perinatal interventions for parents with childhood maltreatment histories. However, several parenting interventions included elements which address parental history, and these reported positive effects on parent wellbeing. We found twenty-two assessment tools for identifying parental childhood maltreatment history or impact.

Conclusions: Perinatal evidence is available to inform development of strategies to support parents with a history of child maltreatment. However, there is a paucity of applied evidence and evidence involving fathers and Indigenous parents.

Item ID: 57822
Item Type: Article (Research - C1)
ISSN: 1932-6203
Copyright Information: © 2019 Chamberlain et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Additional Information:

Research conducted for the 'Healing the Past by Nurturing the Future' group, who developed the framework for this review: Judy Atkinson, Jan Nicholson, Deirdre Gartland, Karen Glover, Amanda Mitchell, Caroline Atkinson, Helen McLachlan, Shawana Andrews, Tanja Hirvoven, Naomi Ralph and Danielle Dyall.

Funders: Lowitja Institute Aboriginal and Torres Strait Islander Health Cooperative Research Centre (CRC), National Health and Medical Research Council (NHMRC)
Projects and Grants: NHMRC Early Career Fellowship 1088813, Australian Endeavour Award (2017)
Date Deposited: 03 Apr 2019 07:33
FoR Codes: 17 PSYCHOLOGY AND COGNITIVE SCIENCES > 1701 Psychology > 170199 Psychology not elsewhere classified @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111403 Paediatrics @ 50%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 50%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health @ 50%
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