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Parenting in a post-conflict region: Associations between observed maternal parenting practices and maternal, child, and contextual factors in northern Uganda

Published online by Cambridge University Press:  28 February 2024

Julia Möllerherm Open the ORCID record for Julia Möllerherm [Opens in a new window] ,
Regina Saile ,
Elizabeth Wieling ,
Frank Neuner  and
Claudia Catani
Julia Möllerherm*
Affiliation:
Department of Clinical Psychology and Psychotherapy, Bielefeld University, Bielefeld, Germany
Regina Saile
Affiliation:
Department of Clinical Psychology and Psychotherapy, Bielefeld University, Bielefeld, Germany
Elizabeth Wieling
Affiliation:
University of Georgia, College of Family and Consumer Sciences, Department of Human Development and Family Science, Athens, GA, USA
Frank Neuner
Affiliation:
Department of Clinical Psychology and Psychotherapy, Bielefeld University, Bielefeld, Germany
Claudia Catani
Affiliation:
Department of Clinical Psychology and Psychotherapy, Bielefeld University, Bielefeld, Germany
*
Corresponding author: Julia Möllerherm; Email: [email protected]
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Abstract

Studies show that war leads to an increase in harsh parenting and a decrease in parental warmth, which in turn has a devastating impact on children’s development. However, there is insufficient research on the factors that affect parenting in post-conflict regions. In addition, most previous studies on the role of parenting in the context of war rely on self-reports, which are subject to a number of limitations. To complement existing research, the present cross-sectional study used behavioral observations of 101 mothers and their 6–12 year old children to assess parenting in post-conflict northern Uganda. The aim of the current study was to explore associations between observed maternal warmth and coercion and self-reported socioeconomic status (e.g., mother’s educational level) as well as maternal (e.g., posttraumatic stress disorder), child (e.g., externalizing problems), and social contextual factors (e.g., family violence). Results show a link between observed parenting, child characteristics, and family violence. Higher levels of children’s externalizing problems were associated with more severe maternal coercion. In addition, a negative association was found between family violence and maternal warmth. Findings are discussed in terms of their implications for prevention and intervention programs and the use of behavioral observations in post-conflict environments.

Keywords

behavioral observationsexternalizing problemsfamily violencemother-child dyadsnorthern Ugandaparentingpost-conflict society
Type
Regular Article
Information
Development and Psychopathology , Volume 37 , Issue 2 , May 2025 , pp. 578 - 589
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Copyright
© The Author(s), 2024. Published by Cambridge University Press

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References

American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed.).Google Scholar
Aspland, H., & Gardner, F. (2003). Observational measures of parent-child interaction: An introductory review. Child and Adolescent Mental Health, 8(3), 136–143. https://doi.org/10.1111/1475-3588.00061 CrossRefGoogle ScholarPubMed
Belsky, J. (1980). Child maltreatment: An ecological integration. American Psychologist, 35(4), 320–335. https://doi.org/10.1037/0003-066X.35.4.320 CrossRefGoogle ScholarPubMed
Belsky, J. (1984). The determinants of parenting: A process model. Child Development, 55(1), 83–96. https://doi.org/10.2307/1129836 CrossRefGoogle ScholarPubMed
Belsky, J. (1993). Etiology of child maltreatment: A developmental-ecological analysis. Psychological Bulletin, 114(3), 413–434. https://doi.org/10.1037/0033-2909.114.3.413 CrossRefGoogle ScholarPubMed
Belsky, J., & Fearon, R. M. P. (2002). Early attachment security, subsequent maternal sensitivity, and later child development: Does continuity in development depend upon continuity of caregiving? Attachment & Human Development, 4(3), 361–387. https://doi.org/10.1080/14616730210167267 Google ScholarPubMed
Betancourt, T. S., McBain, R. K., & Brennan, R. T. (2014). Trajectories of externalizing problems among war-affected youth in Sierra Leone: Results from a longitudinal study. Aggression and Violent Behavior, 19(6), 708–714. https://doi.org/10.1016/j.avb.2014.09.003 CrossRefGoogle Scholar
Birt, L., Scott, S., Cavers, D., Campbell, C., & Walter, F. (2016). Member checking: A tool to enhance trustworthiness or merely a nod to validation? Qualitative Health Research, 26(13), 1802–1811. https://doi.org/10.1177/1049732316654870 Google ScholarPubMed
Boxer, P., Huesmann, L. R., Dubow, E. F., Landau, S. F., Gvirsman, S. D., Shikaki, K., & Ginges, J. (2013). Exposure to violence across the social ecosystem and the development of aggression: A test of ecological theory in the Israeli-Palestinian conflict. Child Development, 84(1), 163–177. https://doi.org/10.1111/j.1467-8624.2012.01848.x CrossRefGoogle ScholarPubMed
Campbell, S. B., Pierce, E. W., March, C. L., & Ewing, L. J. (1991). Noncompliant behavior, overactivity, and family stress as predictors of negative maternal control with preschool children. Development and Psychopathology, 3(2), 175–190. https://doi.org/10.1017/S0954579400000067 Google Scholar
Carreras, J., Carter, A. S., Heberle, A., Forbes, D., & Gray, S. A. O. (2019). Emotion regulation and parent distress: Getting at the heart of sensitive parenting among parents of preschool children experiencing high sociodemographic risk. Journal of Child and Family Studies, 28(11), 2953–2962. https://doi.org/10.1007/s10826-019-01471-z Google ScholarPubMed
Catani, C., Jacob, N., Schauer, E., Kohila, M., & Neuner, F. (2008). Family violence, war, and natural disasters: A study of the effect of extreme stress on children’s mental health in Sri Lanka. BMC Psychiatry, 8(1), 33. https://doi.org/10.1186/1471-244X-8-33 CrossRefGoogle ScholarPubMed
Catani, C., Schauer, E., Elbert, T., Missmahl, I., Bette, J.-P., & Neuner, F. (2009). War trauma, child labor, and family violence: Life adversities and PTSD in a sample of school children in Kabul. Journal of Traumatic Stress, 22(3), 163–171. https://doi.org/10.1002/jts.20415 CrossRefGoogle Scholar
Crombach, A., & Bambonyé, M. (2015). Intergenerational violence in Burundi: Experienced childhood maltreatment increases the risk of abusive child rearing and intimate partner violence. European Journal of Psychotraumatology, 6(1), 26995. https://doi.org/10.3402/ejpt.v6.26995 CrossRefGoogle ScholarPubMed
DeGarmo, D. S., & Forgatch, M. S. (2004). Putting problem solving to the test: Replicating experimental interventions for preventing youngsters’ problem behaviors. In Conger, R. D., Lorenz, F. O., & Wickrama, K. A. S. (Eds.), Continuity and change in family relations: Theory, methods, and empirical findings, Lawrence Erlbaum.Google Scholar
Dekel, R., & Solomon, D. (2016). The contribution of maternal care and control to adolescents' adjustment following war. The Journal of Early Adolescence, 36(2), 198–221. https://doi.org/10.1177/0272431614561263 Google Scholar
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974). The hopkins symptom checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19(1), 1–15. Retrieved from http://onlinelibrary.wiley.com/doi/10.1002/bs.3830190102/abstract Google ScholarPubMed
Dishion, T. J., Shaw, D., Connell, A., Gardner, F., Weaver, C., & Wilson, M. (2008). The family check-up with high-risk indigent families: Preventing problem behavior by increasing parents’ positive behavior support in early childhood. Child Development, 79(5), 1395–1414. https://doi.org/10.1111/j.1467-8624.2008.01195.x Google ScholarPubMed
Dubow, E. F., Huesmann, L. R., Boxer, P., Landau, S. F., Dvir, S., Shikaki, K., & Ginges, J. (2012). Exposure to political conflict and violence and posttraumatic stress in Middle East youth: Protective factors. Journal of Clinical Child & Adolescent Psychology, 41(4), 402–416. https://doi.org/10.1080/15374416.2012.684274 CrossRefGoogle ScholarPubMed
Dumas, J. E., LaFrenière, P. J., Beaudin, L., & Verlaan, P. (1992). Mother-child interactions in competent and aggressive dyads: Implications of relationship stress for behaviour therapy with families. New Zealand Journal of Psychology, 21(1), 3–13.Google Scholar
El-Khani, A., Ulph, F., Peters, S., & Calam, R. (2016). Syria: The challenges of parenting in refugee situations of immediate displacement. Intervention, 14(2), 99–113.Google Scholar
Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107–115. https://doi.org/10.1111/j.1365-2648.2007.04569.x CrossRefGoogle ScholarPubMed
Eltanamly, H., Leijten, P., Jak, S., & Overbeek, G. (2021). Parenting in times of war: A meta-analysis and qualitative synthesis of war exposure, parenting, and child adjustment. Trauma, Violence, & Abuse, 22(1), 147–160. https://doi.org/10.1177/1524838019833001 CrossRefGoogle Scholar
Ertl, V., Pfeiffer, A., Saile, R., Schauer, E., Elbert, T., & Neuner, F. (2010). Validation of a mental health assessment in an African conflict population. Psychological Assessment, 22(2), 318–324. https://doi.org/10.1037/a0018810 Google Scholar
Ertl, V., Pfeiffer, A., Schauer-Kaiser, E., Elbert, T., & Neuner, F. (2014). The challenge of living on: Psychopathology and its mediating influence on the readjustment of former child soldiers. PloS One, 9(7), e102786. https://doi.org/10.1371/journal.pone.0102786 CrossRefGoogle ScholarPubMed
Field, A. (2018). Discovering statistics using IBM SPSS statistics (5th ed.). Sage Publications Ltd.Google Scholar
Flaherty, J. A., Gaviria, F. M., Pathak, D., Mitchell, T., Wintrob, R., Richman, J. A., & Birz, S. (1988). Developing instruments for cross-cultural psychiatric research. The Journal of Nervous and Mental Disease, 176(5), 257–263.Google ScholarPubMed
Foa, E. B. (1995). Posttraumatic diagnostic scale manual. National Computer Systems.Google Scholar
Gardner, F. (2000). Methodological issues in the direct observation of parent-child interaction: Do observational findings reflect the natural behavior of participants? Clinical Child and Family Psychology Review, 3(3), 185–198.CrossRefGoogle ScholarPubMed
Gewirtz, A., Forgatch, M., & Wieling, E. (2008). Parenting practices as potential mechanisms for child adjustment following mass trauma. Journal of Marital and Family Therapy, 34(2), 177–192.CrossRefGoogle ScholarPubMed
Goodman, A., Lamping, D. L., & Ploubidis, G. B. (2010). When to use broader internalising and externalising subscales instead of the hypothesised five subscales on the strengths and difficulties questionnaire (SDQ): Data from British parents, teachers and children. Journal of Abnormal Child Psychology, 38(8), 1179–1191. https://doi.org/10.1007/s10802-010-9434-x CrossRefGoogle ScholarPubMed
Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38(5), 581–586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x Google ScholarPubMed
Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105–112. https://doi.org/10.1016/j.nedt.2003.10.001 CrossRefGoogle ScholarPubMed
Grolnick, W. S., Gurland, S. T., DeCourcey, W., & Jacob, K. (2002). Antecedents and consequences of mothers' autonomy support: An experimental investigation. Developmental Psychology, 38(1), 143–155. https://doi.org/10.1037//0012-1649.38.1.143 CrossRefGoogle ScholarPubMed
Gupta, J., Acevedo-Garcia, D., Hemenway, D., Decker, M. R., Raj, A., & Silverman, J. G. (2009). Premigration exposure to political violence and perpetration of intimate partner violence among immigrant men in Boston. American Journal of Public Health, 99(3), 462–469. https://doi.org/10.2105/AJPH.2007.120634 Google ScholarPubMed
Haj-Yahia, M. M., & Abdo-Kaloti, R. (2003). The rates and correlates of the exposure of Palestinian adolescents to family violence: Toward an integrative-holistic approach. Child Abuse & Neglect, 27(7), 781–806. https://doi.org/10.1016/S0145-2134(03)00119-4 Google ScholarPubMed
Hegarty, K. (2007). Composite abuse scale manual. Department of General Practice, University of Melbourne.Google Scholar
Hinterding, L. (2011). A validation study of the strengths and difficulties questionnaire (SDQ) in Ugandan school children (Diploma thesis). Bielefeld University.Google Scholar
Human Rights Watch. Uprooted and forgotten: Impunity and human rights abuses in northern Uganda (2005). Retrieved from https://www.hrw.org/report/2005/09/20/uprooted-and-forgotten/impunity-and-human-rights-abuses-northern-uganda Google Scholar
Hyland, P., Vallières, F., Shevlin, M., Karatzias, T., Ben-Ezra, M., McElroy, E., Vang, M. L., Lorberg, B., & Martsenkovskyi, D. (2023). Psychological consequences of war in Ukraine: Assessing changes in mental health among Ukrainian parents. Psychological Medicine, 53(15), 7466–7468. Retrieved from https://doi.org/10.1017/S0033291723000818 CrossRefGoogle ScholarPubMed
Jenkins, J. M., Rasbash, J., & O’Connor, T. G. (2003). The role of the shared family context in differential parenting. Developmental Psychology, 39(1), 99–113. https://doi.org/10.1037/0012-1649.39.1.99 Google ScholarPubMed
Johnston, C., & Ohan, J. L. (2005). The importance of parental attributions in families of children with attention-deficit/hyperactivity and disruptive behavior disorders. Clinical Child and Family Psychology Review, 8(3), 167–182. https://doi.org/10.1007/s10567-005-6663-6 CrossRefGoogle ScholarPubMed
Justino, P. (2006). On the links between violent conflict and chronic poverty: How much do we really know? Chronic Poverty Research Centre Working Paper 61.CrossRefGoogle Scholar
Kinyanda, E., Weiss, H. A., Mungherera, M., Onyango-Mangen, P., Ngabirano, E., Kajungu, R., Kagugube, J., Muhwezi, W., Muron, J., & Patel, V. (2016). Intimate partner violence as seen in post-conflict eastern Uganda: Prevalence, risk factors and mental health consequences. BMC International Health and Human Rights, 16(1), 5. https://doi.org/10.1186/s12914-016-0079-x CrossRefGoogle ScholarPubMed
Klasen, F., Oettingen, G., Daniels, J., Post, M., Hoyer, C., & Adam, H. (2010). Posttraumatic resilience in former Ugandan child soldiers. Child Development, 81(4), 1096–1113. https://doi.org/10.1111/j.1467-8624.2010.01456.x CrossRefGoogle ScholarPubMed
Klinger, L. (2005). Occupational adaptation: Perspectives of people with traumatic brain injury. Journal of Occupational Science, 12(1), 9–16. https://doi.org/10.1080/14427591.2005.9686543 CrossRefGoogle Scholar
Kohli, A., Perrin, N., Mpanano, R. M., Banywesize, L., Mirindi, A. B., Banywesize, J. H., Mitima, C. M., Binkurhorhwa, A. K., Bufole, N. M., & Glass, N. (2015). Family and community driven response to intimate partner violence in post-conflict settings. Social Science and Medicine, 146, 276–284. https://doi.org/10.1016/j.socscimed.2015.10.011 CrossRefGoogle ScholarPubMed
Lavi, I., & Slone, M. (2012). Parental practices and political violence: The protective role of parental warmth and authority-control in jewish and arab Israeli children. The American Journal of Orthopsychiatry, 82(4), 550–561. https://doi.org/10.1111/j.1939-0025.2012.01183.x Google ScholarPubMed
Leerkes, E. M., Blankson, A. N., & O’Brien, M. (2009). Differential effects of maternal sensitivity to infant distress and nondistress on social-emotional functioning. Child Development, 80(3), 762–775. https://doi.org/10.1111/j.1467-8624.2009.01296.x Google ScholarPubMed
Levendosky, A. A., & Graham-Bermann, S. A. (2000). Behavioral observations of parenting in battered women. Journal of Family Psychology, 14(1), 80–94. https://doi.org/10.1037/0893-3200.14.1.80 CrossRefGoogle ScholarPubMed
Lim, I. C. Z. Y., Tam, W. W. S., Chudzicka-Czupała, A., McIntyre, R. S., Teopiz, K. M., Ho, R. C., & Ho, C. S. H. (2022). Prevalence of depression, anxiety and post-traumatic stress in war- and conflict-afflicted areas: A meta-analysis. Frontiers in Psychiatry, 13, 978703. https://doi.org/10.3389/fpsyt.2022.978703 Google ScholarPubMed
Lovejoy, M. C., Graczyk, P. A., O'Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior. Clinical Psychology Review, 20(5), 561–592. https://doi.org/10.1016/S0272-7358(98)00100-7 CrossRefGoogle ScholarPubMed
Masten, A. S., Hubbard, J. J., Gest, S. D., Tellegen, A., Garmezy, N., & Ramirez, M. (1999). Competence in the context of adversity: Pathways to resilience and maladaptation from childhood to late adolescence. Development and Psychopathology, 11(1), 143–169. https://doi.org/10.1017/S0954579499001996 Google ScholarPubMed
Masten, A. S., & Narayan, A. J. (2012). Child development in the context of disaster, war, and terrorism: Pathways of risk and resilience. Annual Review of Psychology, 63(1), 227–257. https://doi.org/10.1146/annurev-psych-120710-100356 Google ScholarPubMed
Ministry of Gender, Labour and Social Development. Child protection recovery strategy for northern Uganda 2009-2011. 2009. Retrieved from http://cpwg.net/wp-content/uploads/sites/2/2012/09/Uganda-CP-Recovery-Strategy-2009-2011-ENG.pdf Google Scholar
Möllerherm, J., Wieling, E., Saile, R., Forgatch, M. S., Neuner, F., & Catani, C. (2019). Behavioral observations in northern UGANDA: Development of a coding system to assess mother-child interactions in a post-war society. Frontiers in Psychology, 10, 2519. https://doi.org/10.3389/fpsyg.2019.02519 Google Scholar
Montgomery, E., Just-Østergaard, E., & Jervelund, S. S. (2019). Transmitting trauma: A systematic review of the risk of child abuse perpetrated by parents exposed to traumatic events. International Journal of Public Health, 64(2), 241–251. https://doi.org/10.1007/s00038-018-1185-4 Google ScholarPubMed
Moore, P. S., Whaley, S. E., & Sigman, M. (2004). Interactions between mothers and children: Impacts of maternal and child anxiety. Journal of Abnormal Psychology, 113(3), 471–476. https://doi.org/10.1037/0021-843X.113.3.471 CrossRefGoogle ScholarPubMed
Murphy, K. M., Rodrigues, K., Costigan, J., & Annan, J. (2017). Raising children in conflict: An integrative model of parenting in war. Peace and Conflict: Journal of Peace Psychology, 23(1), 46–57. https://doi.org/10.1037/pac0000195 CrossRefGoogle Scholar
Niu, H., Liu, L., & Wang, M. (2018). Intergenerational transmission of harsh discipline: The moderating role of parenting stress and parent gender. Child Abuse & Neglect, 79, 1–10. https://doi.org/10.1016/j.chiabu.2018.01.017 CrossRefGoogle ScholarPubMed
Nkwake, A. (2009). Maternal employment and fatherhood: What influences paternal involvement in child-care work in Uganda? Gender & Development, 17(2), 255–267. https://doi.org/10.1080/13552070903009726 CrossRefGoogle Scholar
O’Connor, T. G., Dunn, J., Jenkins, J. M., & Rasbash, J. (2006). Predictors of between-family and within-family variation in parent-child relationships. Journal of Child Psychology and Psychiatry, 47(5), 498–510. https://doi.org/10.1111/j.1469-7610.2005.01527.x CrossRefGoogle ScholarPubMed
Panter-Brick, C., Eggerman, M., Gonzalez, V., & Safdar, S. (2009). Violence, suffering, and mental health in Afghanistan: A school-based survey. The Lancet, 374(9692), 807–816. https://doi.org/10.1016/S0140-6736(09)61080-1 Google ScholarPubMed
Parker, G. The parental bonding instrument. (1998). Black Dog Institute. Retrieved from http://www.blackdoginstitute.org.au/docs/PBI_AnnotatedBibliography.pdf Google Scholar
Parker, G., Tupling, H., & Brown, L. B. (1979). A parental bonding instrument. British Journal of Medical Psychology, 52(1), 1–10. https://doi.org/10.1111/j.2044-8341.1979.tb02487.x CrossRefGoogle Scholar
Patterson, G. R. (1982). Coercive family process. Castalia.Google Scholar
Patterson, G. R. (2005). The next generation of PMTO models. The Behavior Therapist, 28(2), 25–32.Google Scholar
Patterson, G. R., Forgatch, M. S., & DeGarmo, D. S. (2010). Cascading effects following intervention. Development and Psychopathology, 22(4), 949–970. https://doi.org/10.1017/S0954579410000568 CrossRefGoogle ScholarPubMed
Patterson, G. R., & Reid, J. B. (1984). Social interactional processes within the family: The study of the moment-by-moment family transactions in which human social development is imbedded. Journal of Applied Developmental Psychology, 5(3), 237–262.CrossRefGoogle Scholar
Qouta, S., Punamäki, R.-L., Miller, T., & El-Sarraj, E. (2008). Does war beget child aggression? Military violence, gender, age and aggressive behavior in two Palestinian samples. Aggressive Behavior, 34(3), 231–244. https://doi.org/10.1002/ab.20236 CrossRefGoogle ScholarPubMed
Rains, C., & Corrigan, A. Parent issues checklist - revised. (2004). Retrieved from http://www.fasttrackproject.org/techrept/p/pic/pic9tech.pdf Google Scholar
Rajan, V., Neuner, F., & Catani, C. (2022). Explaining the accumulation of victimization in vulnerable children: Interpersonal violence among children traumatized by war and disaster in a children’s home in Sri Lanka. Development and Psychopathology, 34(1), 147–156. https://doi.org/10.1017/S0954579420001078 Google Scholar
Roberts, B., Ocaka, K. F., Browne, J., Oyok, T., & Sondorp, E. (2008). Factors associated with post-traumatic stress disorder and depression amongst internally displaced persons in northern Uganda. BMC Psychiatry, 8(1), 38. https://doi.org/10.1186/1471-244X-8-38 Google ScholarPubMed
Saile, R. (2015). The transmission of violence in families living in a post-conflict context: An intergenerational study of the relationship between traumatic war exposure, family violence and psychopathology in northern Uganda. Universität Bielefeld.Google Scholar
Saile, R., Ertl, V., Neuner, F., & Catani, C. (2014). Does war contribute to family violence against children? Findings from a two-generational multi-informant study in Northern Uganda. Child Abuse & Neglect, 38(1), 135–146. https://doi.org/10.1016/j.chiabu.2013.10.007 CrossRefGoogle ScholarPubMed
Saile, R., Ertl, V., Neuner, F., & Catani, C. (2016). Children of the postwar years: A two-generational multilevel risk assessment of child psychopathology in northern Uganda. Development and Psychopathology, 28(2), 607–620. https://doi.org/10.1017/S0954579415001066 CrossRefGoogle Scholar
Saile, R., Neuner, F., Ertl, V., & Catani, C. (2013). Prevalence and predictors of partner violence against women in the aftermath of war: A survey among couples in northern Uganda. Social Science and Medicine, 86, 17–25. https://doi.org/10.1016/j.socscimed.2013.02.046 Google Scholar
Sim, A., Fazel, M., Bowes, L., & Gardner, F. (2018). Pathways linking war and displacement to parenting and child adjustment: A qualitative study with Syrian refugees in Lebanon. Social Science & Medicine, 200, 19–26. https://doi.org/10.1016/j.socscimed.2018.01.009 Google ScholarPubMed
Sriskandarajah, V., Neuner, F., & Catani, C. (2015a). Parental care protects traumatized Sri Lankan children from internalizing behavior problems. BMC Psychiatry, 15(1), 203. https://doi.org/10.1186/s12888-015-0583-x CrossRefGoogle ScholarPubMed
Sriskandarajah, V., Neuner, F., & Catani, C. (2015b). Predictors of violence against children in Tamil families in northern Sri Lanka. Social Science & Medicine, 146, 257–265. https://doi.org/10.1016/j.socscimed.2015.10.010 Google ScholarPubMed
Stacks, A. M., Muzik, M., Wong, K., Beeghly, M., Huth-Bocks, A., Irwin, J. L., & Rosenblum, K. L. (2014). Maternal reflective functioning among mothers with childhood maltreatment histories: Links to sensitive parenting and infant attachment security. Attachment & Human Development, 16(5), 515–533. https://doi.org/10.1080/14616734.2014.935452 CrossRefGoogle ScholarPubMed
Straus, M. A., Hamby, S. L., Finkelhor, D., Moore, D. W., & Runyan, D. (1998). Identification of child maltreatment with the parent-child conflict tactics scales: Development and psychometric data for a national sample of American parents. Child Abuse & Neglect, 22(4), 249–270. https://doi.org/10.1016/S0145-2134(97)00174-9 CrossRefGoogle ScholarPubMed
Stubbs, J., Crosby, L., Forgatch, M. S., & Capaldi, D. Family and peer process code: A synthesis of three Oregon social learning center behavior codes (Training manual). (2001). (Available from Oregon Social Learning Center, 160 East 4th Ave., Eugene, OR 97401).Google Scholar
Taraban, L., & Shaw, D. S. (2018). Parenting in context: Revisiting Belsky’s classic process of parenting model in early childhood. Developmental Review, 48, 55–81. https://doi.org/10.1016/j.dr.2018.03.006 CrossRefGoogle Scholar
Thabet, A. A., Ibraheem, A. N., Shivram, R., Winter, E. A., & Vostanis, P. (2009). Parenting support and PTSD in children of a war zone. The International Journal of Social Psychiatry, 55(3), 226–237. https://doi.org/10.1177/0020764008096100 CrossRefGoogle ScholarPubMed
Uganda Humanitarian Profile (2012). United nations office for the coordination of humanitarian affairs. Retrieved from http://reliefweb.int/sites/reliefweb.int/files/resources/uganda_humanitarian_profile__2012.pdf Google Scholar
Van Ee, E., Kleber, R. J., & Jongmans, M. J. (2016). Relational patterns between caregivers with PTSD and their nonexposed children: A review. Trauma, Violence & Abuse, 17(2), 186–203. https://doi.org/10.1177/1524838015584355 Google ScholarPubMed
Vears, D. F., & Gillam, L. (2022). Inductive content analysis: A guide for beginning qualitative researchers. Focus on Health Professional Education: A Multi-Disciplinary Journal, 23(1), 111–127.CrossRefGoogle Scholar
Vinck, P., Pham, P. N., Stover, E., & Weinstein, H. M. (2007). Exposure to war crimes and implications for peace building in northern Uganda. JAMA, 298(5), 543–554. https://doi.org/10.1001/jama.298.5.543 Google ScholarPubMed
Van Ommeren, M., Sharma, B., Thapa, S., Makaju, R., Prasain, D., Bhattarai, R., & de Jong, J. (1999). Preparing instruments for transcultural research: Use of the translation monitoring form with Nepali-speaking Bhutanese refugees. Transcultural Psychiatry, 36(3), 285–301. https://doi.org/10.1177/136346159903600304 Google Scholar
Wieling, E., Mehus, C., Yumbul, C., Möllerherm, J., Ertl, V., Laura, A., Forgatch, M., Neuner, F., & Catani, C. (2017). Preparing the field for feasibility testing of a parenting intervention for war-affected mothers in Northern Uganda. Family Process, 56(2), 376–392. https://doi.org/10.1111/famp.12189 Google ScholarPubMed
Woodward, L. J., & Fergusson, D. M. (2002). Parent, child, and contextual predictors of childhood physical punishment. Infant and Child Development, 11(3), 213–235. https://doi.org/10.1002/icd.252 CrossRefGoogle Scholar
Yan, N., Ansari, A., & Peng, P. (2021). Reconsidering the relation between parental functioning and child externalizing behaviors: A meta-analysis on child-driven effects. Journal of Family Psychology, 35(2), 225–235. https://doi.org/10.1037/fam0000805 CrossRefGoogle ScholarPubMed
Zamir, O., Gewirtz, A. H., Dekel, R., Lavi, T., & Tangir, G. (2020). Mothering under political violence: Post-traumatic symptoms, observed maternal parenting practices and child externalising behaviour. International Journal of Psychology, 55(1), 123–132. https://doi.org/10.1002/ijop.12557 CrossRefGoogle ScholarPubMed