The Cycle of Abuse: Emotional Availability in Resilient and Non-Resilient Mothers with Early Life Maltreatment

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Emilia Louisa Mielke - , Heidelberg University  (Author)
  • Corinne Neukel - , Heidelberg University  (Author)
  • Anna Fuchs - , Heidelberg University  (Author)
  • Karen Hillmann - , Heidelberg University  (Author)
  • Anna Lena Zietlow - , Heidelberg University , University Hospital Heidelberg (Author)
  • Katja Bertsch - , Heidelberg University , Ludwig Maximilian University of Munich (Author)
  • Corinna Reck - , Heidelberg University , Ludwig Maximilian University of Munich (Author)
  • Eva Möhler - , Heidelberg University , SHG Hospital (Author)
  • Sabine C. Herpertz - , Heidelberg University  (Author)

Abstract

Background: Early life maltreatment (ELM) has a high risk of transmission across generations, known as "the cycle of abuse."ELM is also an important risk factor for developing mental disorders, and having a mental disorder increases the risk of child abuse. Both the abuse potential in mothers with ELM and in mothers with a history of mental disorders might be associated with a disturbed mother-child interaction. Objective: The current study examined differences in emotional availability between mothers with a history of ELM and previous or current mental disorders (non-resilient), mothers with ELM without mental disorders (resilient), and control mothers without ELM and without mental disorders. Methods: Thirty-three non-resilient mothers, 18 resilient mothers, and 37 control mothers and their 5- to 12-year-old children participated in a standardized mother-child interaction task. Videotaped interactions were rated by three independent, trained raters based on the Emotional Availability Scales (EA Scales) and compared between the groups. Results: The non-resilient mothers and their children showed reduced maternal sensitivity, structuring, non-intrusiveness, non-hostility, responsiveness, and involvement compared to the resilient mothers and their children and the control mothers and their children (p = 0.006, η = 0.12). No differences on any of the EA Scales were found between resilient mothers and control mothers. Conclusions: These deficits in mother-child interaction in non-resilient mothers might contribute to mechanisms that could explain the cycle of abuse. Interestingly, resilient mothers, who did not develop a mental disorder despite having experienced ELM, did not show these deficits. Thus, prevention programs promoting resilience might be a key to break the cycle of abuse.

Details

Original languageEnglish
Pages (from-to)298-305
Number of pages8
JournalPsychopathology
Volume53
Issue number5
Publication statusPublished - 1 Dec 2020
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 32937629
ORCID /0000-0002-7278-5711/work/142233575

Keywords

Keywords

  • Early adversity, Intergenerational transmission of violence, Mother-child interaction, Physical and sexual abuse, Trauma

Library keywords