Le sentiment de compétence parentale des mères victimes d'abus sexuel(s) infantile(s): un modèle structural

Child abuse; Extra-familial sexual abuse; Intra-familial sexual abuse; Parental sense of competence; Psychological trauma; Pediatrics, Perinatology and Child Health; Developmental and Educational Psychology; Agression sexuelle; Sentiment de compétence parentale; Maltraitance infantile; Traumatisme psychique

Abstract :

[en] Objectives: The aim of this study was to investigate the impact of childhood sexual abuse on the parental sense of competence and to propose a structural model, taking into account the cumulative effect of the different types of abuse. Participants and method: The participants were 1904 mothers of children aged 3 to 8. They were asked to complete an online form that included a sociodemographic questionnaire, the Childhood Trauma Questionnaire - Short Form (CTQ-SF), and the Questionnaire d'Auto-Évaluation de la Compétence Éducative Parentale (QAECEP). Results: Our results confirm the link between sexual abuse and intrafamilial abuse. They suggest that the experience of childhood sexual abuse impacts mothers' parental sense of competence when it occurs in situations of multiple and severe abuses. Furthermore, our statistical analyses indicate that maternal psychological well-being and the presence of child disorders mediate the association between the mother's childhood experience and her parental sense of competence. Discussion: It seems that the parental sense of competence is impacted by sexual abuse when it is part of multiple traumas leading to symptoms of complex post-traumatic stress disorder. Psychological well-being of the mother and the absence of disorders in the child demonstrates a protective role in the parental sense of competence of mothers with histories of childhood abuse. These findings have implications for interventions for mothers experiencing parenting difficulties. Our results suggest that taking into account the parental sense of competence and the childhood experiences is essential for providing appropriate interventions. Conclusions: This study confirms the importance of integrating the mother's childhood experiences to better understand her parenting difficulties and to be able to intervene on her difficulties of traumatic origin.
[fr] Objectifs : Cette étude a pour but d’investiguer l’impact de l’abus sexuel infantile sur le sentiment de compétence parentale et d’en proposer un modèle structural, en prenant en compte l’effet cumulatif des différents types de maltraitance. Participants et Méthode : Notre échantillon était composé de 1904 mères d’enfants âgés entre 3 et 8 ans. Il leur était demandé de remplir un formulaire en ligne comprenant une fiche sociodémographique, le Childhood Trauma Questionnaire – Short Form (CTQ-SF) et le Questionnaire d'Auto-Évaluation de la Compétence Éducative Parentale (QAECEP). Résultats : Nos résultats confirment le lien entre la maltraitance sexuelle et la maltraitance intrafamiliale. Ils suggèrent que le vécu d’abus sexuel infantile impacte le sentiment de compétence parentale des mères quand il se produit dans des situations d’abus multiples et sévères. En outre, nos analyses statistiques indiquent que le bien-être psychologique maternel et la présence de troubles chez l’enfant médient la relation entre le vécu infantile de la mère et son sentiment de compétence parentale. Discussion : Il semble que le sentiment de compétence parentale est altéré par un vécu d’abus sexuel lorsque celui-ci s’inscrit dans un vécu de traumatismes multiples entraînant des symptômes d’un trouble du stress post-traumatique complexe. Le bien-être psychologique de la mère et l’absence de troubles chez l’enfant démontrent un rôle protecteur sur le sentiment de compétence parentale des mères victimes de maltraitance infantile. Ces constats ont des implications concernant les interventions à proposer aux mères en difficultés parentales. Nos résultats suggèrent que prendre en compte le sentiment de compétence parentale et le vécu infantile des mères est essentiel pour pouvoir proposer des interventions adaptées. Conclusions : Cette étude confirme l’importance d’intégrer le vécu infantile des mères dans les interventions de soutien à la parentalité, pour mieux comprendre leurs difficultés parentales et pour pouvoir intervenir sur leurs difficultés d’origine traumatique.

Disciplines :

Treatment & clinical psychology

Author, co-author :

Delhalle, Manon ; Université de Liège - ULiège > Département de Psychologie > Psycho-traumatisme

Blavier, Adelaïde ; Université de Liège - ULiège > Département de Psychologie > Psycho-traumatisme

Language :

French

Title :

Le sentiment de compétence parentale des mères victimes d'abus sexuel(s) infantile(s): un modèle structural

Alternative titles :

[en] Mothers' parental sense of competence after childhood sexual abuse: A structural equation modeling

Publication date :

2023

Journal title :

Neuropsychiatrie de l'Enfance et de l'Adolescence

ISSN :

0222-9617

eISSN :

1769-6615

Publisher :

Elsevier Masson s.r.l.

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://api.elsevier.com/content/article/PII:S022296172300079X?httpAccept=text/xml

Funders :

ULiège - Université de Liège [BE]

Funding text :

Ce travail a été financé par une bourse des Sciences Humaines de l'Université de Liège.

Available on ORBi :

since 12 July 2023

Statistics

Number of views

27 (5 by ULiège)

Number of downloads

0 (0 by ULiège)

More statistics

Scopus citations^®

Scopus citations^®
without self-citations

OpenCitations

Bibliography

Stoltenborgh, M., Bakermans-Kranenburg, M.J., Alink, L.R.A., van IJzendoorn, M.H., The prevalence of child maltreatment across the globe: review of a series of meta-analyses. Child Abuse Rev 24:1 (2015), 37–50.
D'Andrea, W., Ford, J., Stolbach, B., Spinazzola, J., van der Kolk, B.A., Understanding interpersonal trauma in children: why we need a developmentally appropriate trauma diagnosis. Am J Orthopsychiatry 82:2 (2012), 187–200.
Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., et al. Complex trauma in children and adolescents. Psychiatr Ann 35 (2005), 390–398.
Habetha, S., Bleich, S., Weidenhammer, J., Fegert, J.M., A prevalence-based approach to societal costs occurring in consequence of child abuse and neglect. Child Adolesc Psychiatry Ment Health, 6(1), 2012, 35.
Beague, M., Équipes SOS Enfants: le dispositif de prévention et de prise en charge de la maltraitance infantile en Fédération Wallonie-Bruxelles au regard de quelques normes internationales. J Droit Jeunes(347), 2015, 12–25.
Baril, K., Tourigny, M., Le cycle intergénérationnel de la victimisation sexuelle dans l'enfance: modèle explicatif base sur la théorie du trauma. Carnet Notes Maltraitances Infant 4:1 (2015), 28–63.
de Becker, E., Maertens, M.A., Le devenir de l'enfant victime de maltraitance sexuelle. Ann Med Psychol Rev Psychiatr 173:9 (2015), 805–814.
American Psychiatric Association, éditeur, Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed., 2013, American Psychiatric Association, Washington, DC 947 p.
Bioy, A., Conradi, S., Barfety-Servignat, V., Entendre, évaluer et répondre au traumatisme psychique. Douleur Analg 27:2 (2014), 75–81.
Herman JL. Complex PTSD: a syndrome in survivors of prolonged and repeated trauma. [cité 7 oct 2022]; Disponible sur: https://onlinelibrary.wiley.com/doi/abs/10.1002/jts.2490050305.
Briere, J., Scott, C., Complex trauma in adolescents and adults: effects and treatment. Psychiatr Clin North Am 38:3 (2015), 515–527.
World Health Organization, ICD-11 [Internet]. International statistical classification of diseases and related health problems. 2019 Disponible sur: https://icd.who.int/en.
Barrett, B., The impact of childhood sexual abuse and other forms of childhood adversity on adulthood parenting. J Child Sex Abuse 18:5 (2009), 489–512.
Cohen, L.R., Hien, D.A., Batchelder, S., The impact of cumulative maternal trauma and diagnosis on parenting behavior. Child Maltreat 13:1 (2008), 27–38.
DiLillo, D., Tremblay, G.C., Peterson, L., Linking childhood sexual abuse and abusive parenting: the mediating role of maternal anger. Child Abuse Negl 24:6 (2000), 767–779.
Dubowitz, H., Black, M.M., Kerr, M.A., Hussey, J.M., Morrel, T.M., Everson, M.D., et al. Type and timing of mothers’ victimization: effects on mothers and children. Pediatrics 107:4 (2001), 728–735.
Bert, S.C., Guner, B.M., Lanzi, R.G., The influence of maternal history of abuse on parenting knowledge and behavior. Fam Relat 58:2 (2009), 176–187.
Burkett, L.P., Parenting behaviors of women who were sexually abused as children in their families of origin. Fam Process 30:4 (1991), 421–434.
Ruscio, A.M., Predicting the child-rearing practices of mothers sexually abused in childhood. Child Abuse Negl 25:3 (2001), 369–387.
Lyons-Ruth, K., Block, D., The disturbed caregiving system: relations among childhood trauma, maternal caregiving, and infant affect and attachment. Infant Ment Health J 17 (1996), 257–275.
Banyard, V.L., The impact of childhood sexual abuse and family functioning on four dimensions of women's later parenting. Child Abuse Negl 21:11 (1997), 1095–1107.
Cohen, T., Motherhood among incest survivors. Child Abuse Negl 19:12 (1995), 1423–1429.
Cross, W., A personal history of childhood sexual abuse: parenting patterns and problems. Clin Child Psychol Psychiatry 6:4 (2001), 563–574.
Schuetze, P., Eiden, R.D., The relationship between sexual abuse during childhood and parenting outcomes: modeling direct and indirect pathways. Child Abuse Negl 29:6 (2005), 645–659.
Blavier, A., Fivet, M., Gallo, A., Wertz, C., L'influence de l'abus sexuel dans l'enfance sur le sentiment de compétence parentale des mères: analyse qualitative et quantitative. Neuropsychiatr Enfance Adolesc 68:5 (2020), 244–250.
Cole, P.M., Woolger, C., Power, T.G., Smith, K.D., Parenting difficulties among adult survivors of father-daughter incest. Child Abuse Negl 16:2 (1992), 239–249.
Sexton, T.L., Tuckman, B.W., Self-beliefs and behavior: the role of self-efficacy and outcome expectation over time. Personal Individ Differ 12:7 (1991), 725–736.
Bogenschneider, K., Small, S.A., Tsay, J.C., Child, parent, and contextual influences on perceived parenting competence among parents of adolescents. J Marriage Fam 59 (1997), 345–362.
Coleman, P.K., Karraker, K.H., Self-efficacy and parenting quality: findings and future applications. Dev Rev 18:1 (1998), 47–85.
Sanders, M.R., Woolley, M.L., The relationship between maternal self-efficacy and parenting practices: implications for parent training. Child Care Health Dev 31:1 (2005), 65–73.
Baiverlin, A., Gallo, A., Blavier, A., Impact of different kinds of child abuse on sense of parental competence in parents who were abused in childhood. Eur J Trauma Dissoc, 4(4), 2020, 100150.
Newcomb, M.D., Locke, T.F., Intergenerational cycle of maltreatment: a popular concept obscured by methodological limitations. Child Abuse Negl 25:9 (2001), 1219–1240.
Bernstein, D.P., Stein, J.A., Newcomb, M.D., Walker, E., Pogge, D., Ahluvalia, T., et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl 27:2 (2003), 169–190.
Lacharité, C., Desaulnier, R., St-Laurent, D., Le questionnaire des traumatismes vécus dans l'enfance. 2002, Université du Québec: Trois-Rivières: GREDEF.
Terrisse, B., Trudelle, D., Questionnaire d'auto-évaluation de la competence éducative parentale (QAECEP). Traduction, adaptation et validation de la Parenting Sense of Competence Scale. 1988, Montréal, Université du Québec.
Jones, T.L., Prinz, R.J., Potential roles of parental self-efficacy in parent and child adjustment: a review. Clin Psychol Rev 25:3 (2005), 341–363.
Dong, M., Anda, R.F., Dube, S.R., Giles, W.H., Felitti, V.J., The relationship of exposure to childhood sexual abuse to other forms of abuse, neglect, and household dysfunction during childhood. Child Abuse Negl 27:6 (2003), 625–639.
Higgins, D.J., McCabe, M.P., Multiple forms of child abuse and neglect: adult retrospective reports. Aggress Violent Behav 6 (2001), 547–578.
Arata, C.M., Langhinrichsen-Rohling, J., Bowers, D., O'Farrill-Swails, L., Single versus multi-type maltreatment. J Aggress Maltreatment Trauma 11:4 (2005), 29–52.
Felitti, V.J., Anda, R.F., Nordenberg, D., Williamson, D.F., Spitz, A.M., Edwards, V., et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) Study. Am J Prev Med 14:4 (1998), 245–258.
Wade, R., Cronholm, P.F., Fein, J.A., Forke, C.M., Davis, M.B., Harkins-Schwarz, M., et al. Household and community-level adverse childhood experiences and adult health outcomes in a diverse urban population. Child Abuse Negl 52 (2016), 135–145.
Cloitre, M., Stolbach, B.C., Herman, J.L., Kolk, B., van der, Pynoos, R., et al. A developmental approach to complex PTSD: childhood and adult cumulative trauma as predictors of symptom complexity. J Trauma Stress 22:5 (2009), 399–408.
Milot, T., Collin-Vézina, D., Godbout, N., Trauma complexe: comprendre, évaluer et intervenir. 2019, Presses de l'Université du Quebec [D'Enfance].
Silver, E.J., Heneghan, A.M., Bauman, L.J., Stein, R.E.K., The relationship of depressive symptoms to parenting competence and social support in inner-city mothers of young children. Matern Child Health J 10:1 (2006), 105–112.
Berthelot, N., Lemieux, R., Garon-Bissonnette, J., Muzik, M., Prenatal attachment, parental confidence, and mental health in expecting parents: the role of childhood trauma. J Midwifery Womens Health 65:1 (2020), 85–95.
Sun, J., Patel, F., Rose-Jacobs, R., Frank, D.A., Black, M.M., Chilton, M., Mothers’ adverse childhood experiences and their young children's development. Am J Prev Med 53:6 (2017), 882–891.
Racine, N., Plamondon, A., Madigan, S., McDonald, S., Tough, S., Maternal adverse childhood experiences and infant development. Pediatrics, 141(4), 2018, e20172495.
Dixon, L., Hamilton-Giachritsis, C., Browne, K., Attributions and behaviours of parents abused as children: a mediational analysis of the intergenerational continuity of child maltreatment (Part II). J Child Psychol Psychiatry 46:1 (2005), 58–68.
Teti, D.M., Gelfand, D.M., Behavioral competence among mothers of infants in the first year: the mediational role of maternal self-efficacy. Child Dev 62:5 (1991), 918–929.
Tarquinio, C., Houllé, W.A., Tarquinio, P., Discussion autour du traumatisme complexe: émergence du concept, étiologie et critères diagnostiques. Sexologies 26:2 (2017), 79–86.
Lyons, J.S., The child and adolescent needs and strengths. Lyons, J.S., (eds.) Communimetrics: a communication theory of measurement in human service settings [Internet], 2009, Springer US, New York, NY, 93–133 Disponible sur: https://doi.org/10.1007/978-0-387-92822-7_5.
Deković, M., Asscher, J.J., Hermanns, J., Reitz, E., Prinzie, P., van den Akker, A.L., Tracing changes in families who participated in the home-start parenting program: parental sense of competence as mechanism of change. Prev Sci 11:3 (2010), 263–274.
Linhares, M.B.M., Altafim, E.R.P., Gaspardo, C.M., Oliveira, R.C. de., A personalized remote video-feedback universal parenting program: a randomized controlled trial. Psychosoc Interv 31:1 (2021), 21–32.
Mouton, B., Loop, L., Stiévenart, M., Roskam, I., Confident parents for easier children: a parental self-efficacy program to improve young children's behavior. Educ Sci, 8(3), 2018, 134.
Kane, G.A., Wood, V.A., Barlow, J., Parenting programmes: a systematic review and synthesis of qualitative research. Child Care Health Dev 33:6 (2007), 784–793.
Moss, E., Tarabulsy, G.M., Dubois-Comtois, K., Cyr, C., Bernier, A., St-Laurent, D., The attachment video-feedback intervention program: development and validation. Handbook of attachment-based interventions, 2018, The Guilford Press, New York, NY, US, 318–338.
Moss, E., Dubois-Comtois, K., Cyr, C., Tarabulsy, G.M., St-Laurent, D., Bernier, A., Efficacy of a home-visiting intervention aimed at improving maternal sensitivity, child attachment, and behavioral outcomes for maltreated children: a randomized control trial. Dev Psychopathol 23:1 (2011), 195–210.
Wilson, S.R., Gettings, P.E., Guntzviller, L.M., Munz, E.A., Parental Self-efficacy and sensitivity during playtime interactions with young children: unpacking the curvilinear association. J Appl Commun Res 42:4 (2014), 409–431.
Loop L. Parentalité et troubles externalisés du comportement: intervenir sur les cognitions et les comportements parentaux pour améliorer le comportement de l'enfant [Internet]. Disponible sur: https://dial.uclouvain.be/pr/boreal/fr/object/boreal%3A176608/datastreams.
Ethier, L.S., Couture, G., Lacharité, C., Risk factors associated with the chronicity of high potential for child abuse and neglect. J Fam Violence 19:1 (2004), 13–24.
Bakermans-Kranenburg, M.J., van IJzendoorn, M.H., The first 10,000 adult attachment interviews: distributions of adult attachment representations in clinical and non-clinical groups. Attach Hum Dev 11:3 (2009), 223–263.
Anaut, M., Trauma, vulnérabilité et résilience en protection de l'enfance. Connexions 77:1 (2002), 101–118.
Slade, A., Parental reflective functioning: an introduction. Attach Hum Dev 7:3 (2005), 269–281.
Berthelot, N., Lemieux, R., Garon-Bissonnette, J., Lacharité, C., Muzik, M., The protective role of mentalizing: Reflective functioning as a mediator between child maltreatment, psychopathology and parental attitude in expecting parents. Child Abuse Negl, 95, 2019, 104065.
Ensink, K., Bégin, M., Normandin, L., Godbout, N., Fonagy, P., Mentalization and dissociation in the context of trauma: implications for child psychopathology. J Trauma Dissoc 18:1 (2017), 11–30.
Berthelot, N., Ensink, K., Bernazzani, O., Normandin, L., Luyten, P., Fonagy, P., Intergenerational transmission of attachment in abused and neglected mothers: the role of trauma-specific reflective functioning. Infant Ment Health J 36:2 (2015), 200–212.
Ensink, K., Berthelot, N., Bernazzani, O., Normandin, L., Fonagy, P., Another step closer to measuring the ghosts in the nursery: preliminary validation of the Trauma Reflective Functioning Scale. Front Psychol, 2014, 5.
Cicchetti, D., Rogosch, F.A., Toth, S.L., Fostering secure attachment in infants in maltreating families through preventive interventions. Dev Psychopathol 18:3 (2006), 623–649.
Stronach, E.P., Toth, S.L., Rogosch, F., Cicchetti, D., Preventive interventions and sustained attachment security in maltreated children. Dev Psychopathol 25:4 pt1 (2013), 919–930.