Understanding How Intimate Partner Violence Impacts School Age Children's Internalizing and Externalizing Problem Behaviors: A Secondary Analysis of Hawaii Healthy Start Program Evaluation Data

Journal of Child & Adolescent Trauma
Megan H Bair-MerrittAnne K Duggan

Abstract

We examined the role of maternal depression and parenting stress in the relationship between intimate partner violence (IPV) and child internalizing and externalizing problems, and explored whether child gender modified these pathways. This secondary analysis used data from the Hawaii Healthy Start Program. Logistic regression models examined the associations between IPV in 1st grade and child internalizing and externalizing behaviors in 1st, 2nd, and 3rd grades. Mediation models used bootstrapping methodology and stratified models examined effect modification. Adjusted models with 214 mothers demonstrated associations between IPV and internalizing (adjusted odds ratios (aOR)=2.62; 95% CI 1.11, 6.21) and externalizing (aOR=4.16; 95% CI 1.55, 11.19) behaviors. The association with externalizing behaviors was mediated by maternal depression and parenting stress, while internalizing behaviors was mediated by depression only. Stratified models found the association between IPV and externalizing behaviors was significant for girls only. Our results support the importance of multicomponent maternal IPV interventions.

References

Nov 25, 2003·Child Abuse & Neglect·Anna C Baldry
Nov 26, 2003·Child Abuse & Neglect·Mary A KernicFrederick P Rivara
Dec 25, 2004·Journal of Interpersonal Violence·Gayla Margolin
Aug 30, 2006·Journal of Family Psychology : JFP : Journal of the Division of Family Psychology of the American Psychological Association (Division 43)·Ashley E OwenNadine J Kaslow
Sep 8, 2007·Child Abuse & Neglect·Anne DugganSarah Shea Crowne
Jul 1, 2010·Journal of Interpersonal Violence·Sandra A Graham-BermannEllen Devoe
Dec 26, 2013·Journal of Interpersonal Violence·Laura E MillerSandra A Graham-Bermann
Dec 2, 2014·Journal of Environmental and Public Health·John MaddouxNina Fredland

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