Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-19T22:40:06.772Z Has data issue: false hasContentIssue false

Protective factors that buffer against the intergenerational transmission of trauma from mothers to young children: A replication study of angels in the nursery

Published online by Cambridge University Press:  13 February 2019

Angela J. Narayan*
Affiliation:
Department of Psychology, University of Denver Department of Psychiatry and Child Trauma Research Program, University of California, San Francisco
Chandra Ghosh Ippen
Affiliation:
Department of Psychiatry and Child Trauma Research Program, University of California, San Francisco
William W. Harris
Affiliation:
Children's Research and Education Institute, New York City
Alicia F. Lieberman
Affiliation:
Department of Psychiatry and Child Trauma Research Program, University of California, San Francisco
*
Address correspondence and reprint requests to: Angela Narayan, University of Denver, Department of Psychology, 2155 S. Race St., Denver, CO 80208; E-mail: [email protected].

Abstract

This replication study examined protective effects of positive childhood memories with caregivers (“angels in the nursery”) against lifespan and intergenerational transmission of trauma. More positive, elaborated angel memories were hypothesized to buffer associations between mothers’ childhood maltreatment and their adulthood posttraumatic stress disorder (PTSD) and depression symptoms, comorbid psychopathology, and children's trauma exposure. Participants were 185 mothers (M age = 30.67 years, SD = 6.44, range = 17–46 years, 54.6% Latina, 17.8% White, 10.3% African American, 17.3% other; 24% Spanish speaking) and children (M age = 42.51 months; SD = 15.95, range = 3–72 months; 51.4% male). Mothers completed the Angels in the Nursery Interview (Van Horn, Lieberman, & Harris, 2008), and assessments of childhood maltreatment, adulthood psychopathology, children's trauma exposure, and demographics. Angel memories significantly moderated associations between maltreatment and PTSD (but not depression) symptoms, comorbid psychopathology, and children's trauma exposure. For mothers with less positive, elaborated angel memories, higher levels of maltreatment predicted higher levels of psychopathology and children's trauma exposure. For mothers with more positive, elaborated memories, however, predictive associations were not significant, reflecting protective effects. Furthermore, protective effects against children's trauma exposure were significant only for female children, suggesting that angel memories may specifically buffer against intergenerational trauma from mothers to daughters.

Type
Special Section Articles
Copyright
Copyright © Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

This study honors the memory of Patricia Van Horn, who was an original developer of the Angels in the Nursery Interview. We also thank the participating mothers who shared their angel memories with us, and their children who took part in this study.

References

Abidin, R. R. (1990). Parenting Stress Index (Short Form). Charlottesville, VA: Pediatric Psychology Press.Google Scholar
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory—II. San Antonio, TX: Psychological Corporation.Google Scholar
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77100. doi:10.1016/0272-7358(88)90050-5Google Scholar
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., … Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse & Neglect, 27, 169190. doi:10.1016/S0145-2134(02)00541-0Google Scholar
Bowlby, J. (1980). Attachment and loss: Vol. 3. Loss: Sadness and depression. London: Hogarth Press and the Institute of Psycho-Analysis.Google Scholar
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York: Basic Books.Google Scholar
Briere, J., Elliott, D. M., Harris, K., & Cottman, A. (1995). Trauma Symptom Inventory: Psychometrics and association with childhood and adult victimization in clinical samples. Journal of Interpersonal Violence, 10, 387401. doi:10.1177/088626095010004001Google Scholar
Cicchetti, D., & Rogosch, F. A. (1996). Equifinality and multifinality in developmental psychopathology. Development and Psychopathology, 8, 597600.Google Scholar
Cohodes, E., Hagan, M., Narayan, A. J., & Lieberman, A. F. (2015). Matched trauma: The role of parents' and children's matched experiences of childhood trauma in parents' report of children's trauma-related symptomatology. Journal of Trauma and Dissociation, 17, 8196. doi:10.1080/15299732.2015.1058878Google Scholar
Cook, D. R., & Weisberg, S. (1982). Residuals and influence in regression. London: Chapman & Hall.Google Scholar
Davidson, J. R. T., Book, S. W., Colket, J. T., Tupler, L. A., Roth, S., David, D., … Feldman, M. (1997). Assessment of a new self-rating scale for post-traumatic stress disorder. Psychological Medicine, 27, 153160. doi:10.1017/S0033291796004229Google Scholar
Egeland, B., & Erickson, M. F. (2004). Lessons from STEEP: Linking theory, research, and practice on the well-being of infants and parents. In Sameroff, A., McDonough, S., & Rosenblum, K. (Eds.), Treating parent–infant relationship problems (pp. 213242). New York: Guilford Press.Google Scholar
Egeland, B., Jacobvitz, D., & Sroufe, L. A. (1988). Breaking the cycle of abuse. Child Development, 59, 10801088. doi:10.2307/1130274Google Scholar
Ertem, I. O., Leventhal, J. M., & Dobbs, S. (2000). Intergenerational continuity of child physical abuse: How good is the evidence? Lancet, 356, 814819. doi:10.1016/S0140-6736(00)02656-8Google Scholar
Fonagy, P., Gergely, G., & Target, M. (2008). Psychoanalytic constructs and attachment theory and research. In Cassidy, J. & Shaver, P. (Eds.), Handbook of attachment (2nd ed., pp. 783810). New York: Guilford Press.Google Scholar
Fraiberg, S. (1980). Clinical studies in infant mental health: The first year of life. New York: Basic Books.Google Scholar
Fraiberg, S., Adelson, E., & Shapiro, V. (1975). Ghosts in the nursery: A psychoanalytic approach to the problem of impaired infant-mother relationships. Journal of the American Academy of Child & Adolescent Psychiatry, 14, 387421. doi:10.1016/S0002-7138(09)61442-4Google Scholar
Geeraert, L., van den Noortgate, W., Grietens, H., & Onghena, P. (2004). The effects of early prevention programs for families with young children at risk for physical child abuse and neglect: A meta-analysis. Child Maltreatment, 9, 277291. doi:10.1177/1077559504264265Google Scholar
Ghosh Ippen, C., Ford, J., Racusin, R., Acker, M., Bosquet, M., Rogers, K., … Edwards, J. (2002). Traumatic Events Screening Inventory—Parent Report Revised. Hanover, NH: US Department of Veteran's Affairs, National Center for PTSD.Google Scholar
Ghosh Ippen, G., Narayan, A. J., Van Horn, P., & Lieberman, A. F. (2015). Manual for coding angels and ghosts in the nursery. University of California, San Francisco, Child Trauma Research Program.Google Scholar
Harrington, R., Rutter, M., & Fombonne, E. (1996). Developmental pathways in depression: Multiple meanings, antecedents, and endpoints. Development and Psychopathology, 8, 601616. doi:10.1017/S095457940000732XGoogle Scholar
Hayes, A. F., & Matthes, J. (2009). Computational procedures for probing interactions in OLS and logistic regression: SPSS and SAS implementations. Behavior Research Methods, 41, 924936. doi:10.3758=BRM.41.3.924Google Scholar
Holt, S., Buckley, H., & Whelan, S. (2008). The impact of exposure to domestic violence on children and young people: A review of the literature. Child Abuse & Neglect, 32, 797810. doi:10.1016/j.chiabu.2008.02.004Google Scholar
Lieberman, A. F. (1997). Toddlers' internalization of maternal attributions as a factor in quality of attachment. In Atkinson, L. & Zucker, K. J. (Eds.), Attachment and psychopathology (pp. 277291). New York: Guilford Press.Google Scholar
Lieberman, A. F. (1999). Negative maternal attributions: Effects on toddlers' sense of self. Psychoanalytic Inquiry, 19, 737756. doi:10.1080/07351699909534274Google Scholar
Lieberman, A. F., Padrón, E., Van Horn, P., & Harris, W. W. (2005). Angels in the nursery: The intergenerational transmission of benevolent parental influences. Infant Mental Health Journal, 26, 504520. doi:10.1002/imhj.20071Google Scholar
Lieberman, A. F., & Van Horn, P. (2008). Psychotherapy with infants and young children. New York: Guilford Press.Google Scholar
Main, M., & Goldwyn, R. (1984a). Adult attachment scoring and classification systems (2nd ed.). Unpublished manuscript, University of California, Berkeley.Google Scholar
Main, M., & Goldwyn, R. (1984b). Predicting rejection of her infant from mothers’ representation of her own experience: Implications for the abused-abusing intergenerational cycle. Child Abuse & Neglect, 8, 203217.Google Scholar
McCloskey, L. A., & Bailey, J. A. (2000). The intergenerational transmission of risk for child sexual abuse. Journal of Interpersonal Violence, 15, 10191035. doi:10.1177/088626000015010001Google Scholar
Narayan, A. J., Ghosh Ippen, C., Harris, W. W., & Lieberman, A. F. (2017). Assessing angels in the nursery: A pilot study of childhood memories of benevolent caregiving as protective influences. Infant Mental Health Journal, 38, 461474. doi:10.1002/imhj.21653Google Scholar
Narayan, A. J., Oliver Bucio, G., Rivera, L. M., & Lieberman, A. F. (2016). Making sense of the past creates space for the baby: Perinatal child-parent psychotherapy for pregnant women with childhood trauma. Zero to Three Journal, 36, 2228.Google Scholar
Narayan, A. J., Rivera, L. M., Bernstein, R. E., Harris, W. W., & Lieberman, A. F. (2018). Positive childhood experiences predict less psychopathology and stress in pregnant women with childhood adversity: A pilot study of the benevolent childhood experiences (BCEs) scale. Child Abuse & Neglect. Advance online publication. doi:10.1016/j.chiabu.2017.09.022Google Scholar
Putnam, K. T., Harris, W. W., & Putnam, F. W. (2013). Synergistic childhood adversities and complex adult psychopathology. Journal of Traumatic Stress, 26, 435442. doi:10.1002/jts.21833Google Scholar
Pynoos, R. S., Steinberg, A. M., & Piacentini, J. C. (1999). Developmental psychopathology of childhood traumatic stress and implications for associated anxiety disorders. Biological Psychiatry, 46, 15421554. doi:10.1016/S0006-3223(99)00262-0Google Scholar
Raby, K. L., Steele, R. D., Carlson, E. A., & Sroufe, L. A. (2015). Continuities and changes in infant attachment patterns across two generations. Attachment and Human Development, 17, 414428. doi:10.1080/14616734.2015.1067824Google Scholar
Rawlings, J. O. (1988). Applied regression analysis: A research tool. Pacific Grove, CA: Wadsworth & Brooks-Cole.Google Scholar
Roisman, G. I., Padrón, E., Sroufe, L. A., & Egeland, B. (2002). Earned–secure attachment status in retrospect and prospect. Child Development, 73, 12041219. doi:10.1111/1467-8624.00467Google Scholar
Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: Wiley.Google Scholar
Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147177. doi:10.1177/0049124102030003008Google Scholar
Shaffer, A., & Sroufe, L. A. (2005). The developmental and adaptational implications of generational boundary dissolution: Findings from a prospective, longitudinal study. Journal of Emotional Abuse, 5, 6784. doi:10.1300/J135v05n02_04Google Scholar
Slade, A., Grienenberger, J., Bernbach, E., Levy, D., & Locker, A. (2005). Maternal reflective functioning, attachment, and the transmission gap: A preliminary study. Attachment and Human Development, 7, 283298. doi:10.1080/14616730500245880Google Scholar
Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1990). Structured Clinical Interview for DSM-III-R (SCID). New York: New York State Psychiatric Institute, Biometrics Research Department.Google Scholar
Sroufe, L. A., Egeland, B., Carlson, E. A., & Collins, W. A. (2005). The development of the person. New York: Guilford Press.Google Scholar
Van Horn, P., Lieberman, A. F., & Harris, W. W. (2008). The Angels in the Nursery Interview. San Francisco, CA: University of California, San Francisco, Department of Psychiatry.Google Scholar
Widom, C. S., & Wilson, H. W. (2015). Intergenerational transmission of violence. In Lindert, J. & Levav, I. (Eds.), Violence and mental health (pp. 2745). Dordrecht, Netherlands: Springer.Google Scholar
Wolfe, J. W., Kimerling, R., Brown, P. J., Chrestman, K. R., & Levin, K. (1996). Psychometric review of the Life Stressor Checklist—Revised. In Stamm, B. H. (Ed.), Measurement of stress, trauma, and adaptation (pp. 198201). Lutherville, MD: Sidran Press.Google Scholar