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

Healing the Past by Nurturing the Future’ group, Catherine Chamberlain, Graham Gee, Stephen Harfield, Sandra Campbell, Sue Brennan, Yvonne Clark, Fiona Mensah, Kerry Arabena, Helen Herrman, Stephanie Brown, Stephen Harfield, Jan Nicholson, Deirdre Gartland, Yvonne Clark, Amanda Mitchell, Caroline Atkinson, Helen McLachlan, Shawana Andrews, Tanja Hirvoven & 2 others Naomi Ralph, Karen Glover

Research output: Contribution to journalReview article

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.

LanguageEnglish
Article numbere0213460
JournalPLoS ONE
Volume14
Issue number3
DOIs
Publication statusPublished - 1 Mar 2019

Keywords

  • Child maltreatment
  • Parenting
  • perinatal period
  • scoping review

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Healing the Past by Nurturing the Future’ group. / Parenting after a history of childhood maltreatment : A scoping review and map of evidence in the perinatal period. In: PLoS ONE. 2019 ; Vol. 14, No. 3.
@article{092c87c006e1438eae8f19c8ea6805eb,
title = "Parenting after a history of childhood maltreatment: A scoping review and map of evidence in the perinatal period",
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.",
keywords = "Child maltreatment, Parenting, perinatal period, scoping review",
author = "{Healing the Past by Nurturing the Future’ group} and Catherine Chamberlain and Graham Gee and Stephen Harfield and Sandra Campbell and Sue Brennan and Yvonne Clark and Fiona Mensah and Kerry Arabena and Helen Herrman and Stephanie Brown and Stephen Harfield and Jan Nicholson and Deirdre Gartland and Yvonne Clark and Amanda Mitchell and Caroline Atkinson and Helen McLachlan and Shawana Andrews and Tanja Hirvoven and Naomi Ralph and Karen Glover",
year = "2019",
month = "3",
day = "1",
doi = "10.1371/journal.pone.0213460",
language = "English",
volume = "14",
journal = "PLoS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "3",

}

Parenting after a history of childhood maltreatment : A scoping review and map of evidence in the perinatal period. / Healing the Past by Nurturing the Future’ group.

In: PLoS ONE, Vol. 14, No. 3, e0213460, 01.03.2019.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Parenting after a history of childhood maltreatment

T2 - PLoS ONE

AU - Healing the Past by Nurturing the Future’ group

AU - Chamberlain, Catherine

AU - Gee, Graham

AU - Harfield, Stephen

AU - Campbell, Sandra

AU - Brennan, Sue

AU - Clark, Yvonne

AU - Mensah, Fiona

AU - Arabena, Kerry

AU - Herrman, Helen

AU - Brown, Stephanie

AU - Harfield, Stephen

AU - Nicholson, Jan

AU - Gartland, Deirdre

AU - Clark, Yvonne

AU - Mitchell, Amanda

AU - Atkinson, Caroline

AU - McLachlan, Helen

AU - Andrews, Shawana

AU - Hirvoven, Tanja

AU - Ralph, Naomi

AU - Glover, Karen

PY - 2019/3/1

Y1 - 2019/3/1

N2 - 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.

AB - 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.

KW - Child maltreatment

KW - Parenting

KW - perinatal period

KW - scoping review

UR - http://www.scopus.com/inward/record.url?scp=85062841914&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0213460

DO - 10.1371/journal.pone.0213460

M3 - Review article

VL - 14

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 3

M1 - e0213460

ER -