Although the effects of witnessing domestic violence on young children were long believed to be non-existent, current research indicates that young children do suffer negative consequences as a result of witnessing violence (e.g., Zeanah, et al., 1999). From research with older children it is known that exposure to violence is associated with emotional dysregulation, behaviour problems, and difficulties in school (e.g., Wolfe et al., 2003). Risk factors (e.g., maternal depression) and protective factors (e.g., secure attachment relationship) have been implicated in both emotional regulatory abilities and the effects of exposure to domestic violence. <p>The present research endeavoured to use a developmental psychopathology perspective to understand the experiences of young children exposed to domestic violence, specifically their emotion regulation abilities and behaviour problems. Study 1 explored the application and reliability of an emotion regulation coding scheme for use with young children during the Face-to-Face Still Face scenario. Study 2 examined the relationship between previous exposure to domestic violence and behaviour problems and emotion regulation, while considering possible moderating variables. The coding system from Study 1 served as the measure of emotion regulation in Study 2. Findings indicated that young children in this study who had been exposed to increased levels of domestic violence also displayed increased internalizing behaviour problems. No relationship was found between exposure to domestic violence and emotion regulation or externalizing problems or sleep problems. Child temperament, attachment security and maternal psychological symptomology were associated with behaviour problems in these children. Maternal psychological symptomology was marginally related to emotion regulation, however temperament and attachment security were not. The relationship between exposure to physical aggression and externalizing behaviour problems was moderated by child temperament and attachment security. The relationship between physical aggression and internalizing behaviour problems was moderated by attachment security. The implications of these findings for future research and clinical practice are discussed. Taken together, these two studies expanded the existing literature on the adjustment outcomes associated with exposure to domestic violence in young children.

Although the effects of witnessing domestic violence on young children were long believed to be non-existent, current research indicates that young children do suffer negative consequences as a result of witnessing violence (e.g., Zeanah, et al., 1999). From research with older children it is known that exposure to violence is associated with emotional dysregulation, behaviour problems, and difficulties in school (e.g., Wolfe et al., 2003). Risk factors (e.g., maternal depression) and protective factors (e.g., secure attachment relationship) have been implicated in both emotional regulatory abilities and the effects of exposure to domestic violence. <p>The present research endeavoured to use a developmental psychopathology perspective to understand the experiences of young children exposed to domestic violence, specifically their emotion regulation abilities and behaviour problems. Study 1 explored the application and reliability of an emotion regulation coding scheme for use with young children during the Face-to-Face Still Face scenario. Study 2 examined the relationship between previous exposure to domestic violence and behaviour problems and emotion regulation, while considering possible moderating variables. The coding system from Study 1 served as the measure of emotion regulation in Study 2. Findings indicated that young children in this study who had been exposed to increased levels of domestic violence also displayed increased internalizing behaviour problems. No relationship was found between exposure to domestic violence and emotion regulation or externalizing problems or sleep problems. Child temperament, attachment security and maternal psychological symptomology were associated with behaviour problems in these children. Maternal psychological symptomology was marginally related to emotion regulation, however temperament and attachment security were not. The relationship between exposure to physical aggression and externalizing behaviour problems was moderated by child temperament and attachment security. The relationship between physical aggression and internalizing behaviour problems was moderated by attachment security. The implications of these findings for future research and clinical practice are discussed. Taken together, these two studies expanded the existing literature on the adjustment outcomes associated with exposure to domestic violence in young children.

Exposure to domestic violence in childhood has serious consequences for children’s health and well-being and is an important predictor of domestic abuse. However, as compared to other forms of domestic abuse, the effects of exposure to domestic violence on the quality of sibling interactions have been relatively underexplored. The major objective of the current study was to examine the impact of exposure to domestic violence on the quality of the sibling relationship, and to better understand the influence of age and gender on sibling aggression. Social learning theory and family systems theory were the guiding frameworks for this study. Participants consisted of 47 school-aged sibling dyads with a history of exposure to domestic violence recruited from the community. Aggressive behaviour was measured by standardized questionnaires completed by mothers and children and by observations of naturalistic sibling interactions. As predicted, analyses of observed aggression which controlled for exposure to domestic violence revealed brothers were significantly more aggressive than sisters or mixed gender dyads. Unexpectedly, analyses of observed aggression found that boys were significantly more aggressive with their siblings than their female counterparts when exposure to maternal violence was taken into account. Findings indicate that children exposed to domestic violence, especially boys, may be at greater risk for aggressive behaviour. Results are expected to be useful for practice and future research.

Exposure to domestic violence in childhood has serious consequences for children’s health and well-being and is an important predictor of domestic abuse. However, as compared to other forms of domestic abuse, the effects of exposure to domestic violence on the quality of sibling interactions have been relatively underexplored. The major objective of the current study was to examine the impact of exposure to domestic violence on the quality of the sibling relationship, and to better understand the influence of age and gender on sibling aggression. Social learning theory and family systems theory were the guiding frameworks for this study. Participants consisted of 47 school-aged sibling dyads with a history of exposure to domestic violence recruited from the community. Aggressive behaviour was measured by standardized questionnaires completed by mothers and children and by observations of naturalistic sibling interactions. As predicted, analyses of observed aggression which controlled for exposure to domestic violence revealed brothers were significantly more aggressive than sisters or mixed gender dyads. Unexpectedly, analyses of observed aggression found that boys were significantly more aggressive with their siblings than their female counterparts when exposure to maternal violence was taken into account. Findings indicate that children exposed to domestic violence, especially boys, may be at greater risk for aggressive behaviour. Results are expected to be useful for practice and future research.

No description available.

L’exposition à la violence conjugale est une forme répandue de mauvais traitement psychologique envers l’enfant dont les conséquences néfastes sont maintenant bien connues. Les enfants ne sont pas tous affectés de la même manière par la violence conjugale et peuvent présenter différents profils d’adaptation. Des recherches de plus en plus nombreuses suggèrent l’importance de variables médiatrices qui permettent d’établir le lien entre l’exposition à la violence conjugale et l’adaptation de l’enfant. Toutefois, peu d’études permettent encore de préciser les relations entre ces variables, ni de connaître la pertinence de ces variables pour un profil d’adaptation particulier. Cette thèse, comprenant deux études empiriques, visait deux objectifs principaux. La première étude avait pour objectif d’examiner les liens entre le point de vue de l’enfant sur la violence conjugale et sur ses relations familiales, deux facteurs reconnus comme des médiateurs entre la violence conjugale et l’adaptation de l’enfant. Il était prévu que le point de vue de l’enfant sur la violence, pouvant se refléter par le blâme que l’enfant s’attribue pour la violence, sa perception de menace et sa peur d’être abandonné par ses parents, prédit son point de vue sur ses relations familiales, étudié sous l’angle de la parentification et des conflits de loyauté de l’enfant. Cette étude a été menée auprès de 79 enfants âgés de 8 à 12 ans et vivant avec leur mère dans un refuge pour femmes violentées. Les résultats révèlent que le blâme et la peur d’abandon prédisent la parentification et que la peur d’abandon prédit aussi les conflits de loyauté. L’objectif de la deuxième étude était de dégager des profils d’adaptation parmi les enfants exposés à la violence conjugale et d’identifier les facteurs qui leur sont associés. Ces facteurs renvoient à l’expérience de violence de l’enfant, à son point de vue sur la violence, à la qualité de la relation mère-enfant et à la parentification. Cette étude a été menée auprès de 116 enfants âgés entre 8 et 12 ans vivant en maison d’hébergement pour femmes victimes de violence conjugale ou fréquentant d’autres organismes offrant des services aux familles confrontées à la violence conjugale. Les résultats révèlent la présence de quatre profils d’adaptation : troubles extériorisés seulement, troubles intériorisés seulement, troubles à la fois extériorisés et intériorisés et absence de problème apparent. Ces quatre profils se distinguent selon la présence d’abus physique envers l’enfant, la qualité de la relation mère-enfant, le point de vue de l’enfant sur la violence et le degré de parentification de l’enfant. Les résultats sont discutés en fonction de l’apport respectif des parents et de l’enfant dans le développement de la parentification et des conflits de loyauté chez l’enfant exposé à la violence conjugale. La discussion souligne également la variabilité des manifestations de la détresse des enfants exposés à la violence conjugale. Les facteurs associés aux différents profils d’adaptation laissent entrevoir les besoins des enfants appartenant à un profil particulier et permettent de suggérer des liens entre ces facteurs. / Exposure to domestic violence is a common form of psychological maltreatment that has well-known serious negative effects on children. But children are not all affected in the same way by domestic violence and may present different patterns of adjustment. An increasing number of studies suggest mediating variables play an important role in the association between domestic violence and children’s adjustment. However, few studies have yet identified the relations between these variables or investigated the potential of these variables to discriminate patterns of adjusment of children exposed to domestic violence. The purpose of the present thesis was twofold. The aim of the first study was to investigate the relation between children’s appraisals of domestic violence and of family relationships, two factors known as mediators between domestic violence and children’s adjustment. It was expected that children’s appraisals of domestic violence, measured by children’s self-blame, perception of threat and fear of abandonment would predict their appraisals of their family relationships as defined by parentification and loyalty conflicts. This first study was carried out with 79 8- to 12-years-old chidren recruited in shelter for battered women. Results revealed that children’s self-blame and fear of abandonment predicted their parentification. In addition, fear of abandonment predicted loyalty conflicts. The objective of the second study was to identify specific patterns of adjustment among children exposed to domestic violence and to identify factors associated with these profiles. These factors include children’s experience of violence, children’s appraisal of domestic violence, quality of the mother-child relationship and parentification. This second study was carried out with 116 8- to 12-years-old children and their mother recruited in shelter for battered women and other agencies providing services to families living in the context of domestic violence. Results revealed four patterns of adjustment : 1) Externalized problems only, 2) Internalized problems only, 3) Both externalized and internalized problems, and 4) No apparent problems. These four patterns are distinguishable on the basis of the presence of physical abuse toward the child, the quality of the mother-child relationship, the child’s appraisal of domestic violence and their level of parentification. These results are discussed in terms of the child’s and parents’ respective contribution to the development of parentification and loyalty conflicts among children exposed to domestic violence. The discussion also highlights the variability in the manifestations of children’s distress when exposed to domestic violence. The factors associated with the different patterns of adjustment suggest the existence of specific needs among children who exhibit a specific pattern and may suggest associations between these factors.

L’exposition à la violence conjugale est une forme répandue de mauvais traitement psychologique envers l’enfant dont les conséquences néfastes sont maintenant bien connues. Les enfants ne sont pas tous affectés de la même manière par la violence conjugale et peuvent présenter différents profils d’adaptation. Des recherches de plus en plus nombreuses suggèrent l’importance de variables médiatrices qui permettent d’établir le lien entre l’exposition à la violence conjugale et l’adaptation de l’enfant. Toutefois, peu d’études permettent encore de préciser les relations entre ces variables, ni de connaître la pertinence de ces variables pour un profil d’adaptation particulier. Cette thèse, comprenant deux études empiriques, visait deux objectifs principaux. La première étude avait pour objectif d’examiner les liens entre le point de vue de l’enfant sur la violence conjugale et sur ses relations familiales, deux facteurs reconnus comme des médiateurs entre la violence conjugale et l’adaptation de l’enfant. Il était prévu que le point de vue de l’enfant sur la violence, pouvant se refléter par le blâme que l’enfant s’attribue pour la violence, sa perception de menace et sa peur d’être abandonné par ses parents, prédit son point de vue sur ses relations familiales, étudié sous l’angle de la parentification et des conflits de loyauté de l’enfant. Cette étude a été menée auprès de 79 enfants âgés de 8 à 12 ans et vivant avec leur mère dans un refuge pour femmes violentées. Les résultats révèlent que le blâme et la peur d’abandon prédisent la parentification et que la peur d’abandon prédit aussi les conflits de loyauté. L’objectif de la deuxième étude était de dégager des profils d’adaptation parmi les enfants exposés à la violence conjugale et d’identifier les facteurs qui leur sont associés. Ces facteurs renvoient à l’expérience de violence de l’enfant, à son point de vue sur la violence, à la qualité de la relation mère-enfant et à la parentification. Cette étude a été menée auprès de 116 enfants âgés entre 8 et 12 ans vivant en maison d’hébergement pour femmes victimes de violence conjugale ou fréquentant d’autres organismes offrant des services aux familles confrontées à la violence conjugale. Les résultats révèlent la présence de quatre profils d’adaptation : troubles extériorisés seulement, troubles intériorisés seulement, troubles à la fois extériorisés et intériorisés et absence de problème apparent. Ces quatre profils se distinguent selon la présence d’abus physique envers l’enfant, la qualité de la relation mère-enfant, le point de vue de l’enfant sur la violence et le degré de parentification de l’enfant. Les résultats sont discutés en fonction de l’apport respectif des parents et de l’enfant dans le développement de la parentification et des conflits de loyauté chez l’enfant exposé à la violence conjugale. La discussion souligne également la variabilité des manifestations de la détresse des enfants exposés à la violence conjugale. Les facteurs associés aux différents profils d’adaptation laissent entrevoir les besoins des enfants appartenant à un profil particulier et permettent de suggérer des liens entre ces facteurs. / Exposure to domestic violence is a common form of psychological maltreatment that has well-known serious negative effects on children. But children are not all affected in the same way by domestic violence and may present different patterns of adjustment. An increasing number of studies suggest mediating variables play an important role in the association between domestic violence and children’s adjustment. However, few studies have yet identified the relations between these variables or investigated the potential of these variables to discriminate patterns of adjusment of children exposed to domestic violence. The purpose of the present thesis was twofold. The aim of the first study was to investigate the relation between children’s appraisals of domestic violence and of family relationships, two factors known as mediators between domestic violence and children’s adjustment. It was expected that children’s appraisals of domestic violence, measured by children’s self-blame, perception of threat and fear of abandonment would predict their appraisals of their family relationships as defined by parentification and loyalty conflicts. This first study was carried out with 79 8- to 12-years-old chidren recruited in shelter for battered women. Results revealed that children’s self-blame and fear of abandonment predicted their parentification. In addition, fear of abandonment predicted loyalty conflicts. The objective of the second study was to identify specific patterns of adjustment among children exposed to domestic violence and to identify factors associated with these profiles. These factors include children’s experience of violence, children’s appraisal of domestic violence, quality of the mother-child relationship and parentification. This second study was carried out with 116 8- to 12-years-old children and their mother recruited in shelter for battered women and other agencies providing services to families living in the context of domestic violence. Results revealed four patterns of adjustment : 1) Externalized problems only, 2) Internalized problems only, 3) Both externalized and internalized problems, and 4) No apparent problems. These four patterns are distinguishable on the basis of the presence of physical abuse toward the child, the quality of the mother-child relationship, the child’s appraisal of domestic violence and their level of parentification. These results are discussed in terms of the child’s and parents’ respective contribution to the development of parentification and loyalty conflicts among children exposed to domestic violence. The discussion also highlights the variability in the manifestations of children’s distress when exposed to domestic violence. The factors associated with the different patterns of adjustment suggest the existence of specific needs among children who exhibit a specific pattern and may suggest associations between these factors.

Bakgrund: Mäns våld mot kvinnor är en ständigt aktuell fråga. Våldet består av flera former såsom fysiskt, psykiskt, ekonomiskt, materiellt, sexuellt, digitalt och hedersrelaterat våld. Barnmorskan har ett ansvar i att ställa frågor om våld till gravida kvinnor för att identifiera de som lever under våldsutsatthet och kunna erbjuda stöd och förebygga fortsatt våldsutsatthet. Syfte: Syftet var att beskriva barnmorskors upplevelse av att ställa frågan om våldsutsatthet till gravida kvinnor på mödrahälsovården.  Metod: En kvalitativ design med enskilda intervjuer har genomförts med totalt tio barnmorskor från sex olika mödrahälsovårdscentraler i sydöstra Sverige. Analysen genomfördes via en induktiv tematisk innehållsanalys. Resultat: De främsta resultaten i studien presenteras i fyra tematiska kategorier; professionellt och etiskt förhållningssätt, barnmorskans behov av att definiera våld, barnmorskans upplevelse av barriärer och barnmorskans upplevelse av brister i vårdkedjan. Barnmorskorna beskrev att rutinen kring att ställa frågan om våld till gravida kvinnor på mödrahälsovården var angelägen och självklar, där rädsla för att möta ett medgivande på frågan inte hindrade barnmorskorna från att ställa den. Slutsats: Ett av studiens fynd är att gravida kvinnor med hög socioekonomisk status ansågs utgöra en barriär för att ställa frågor om våldsutsatthet. För att överkomma de barriärer som finns för att ställa frågan om våld är det viktigt att ständigt arbeta med de frågor som utgör en barriär för barnmorskorna. / Background: Men's violence against women is an ever-present issue. Violence consists in many forms, such as physical, psychological, economic, material, sexual, digital, and honor-related violence. The midwife has a responsibility to ask questions about violence to pregnant women to identify those who are exposed to domestic violence. Aim: This study aimed to describe midwives' experience of asking the question of exposure to violence to pregnant women in maternity care. Method: A qualitative design with individual interviews has been conducted with ten midwives from six different maternity health centers in southeastern Sweden. The analysis was conducted through an inductive thematic content analysis. Results: The study´s main results are presented in four thematic categories; professional and ethical approach, the midwife's need to define violence, the midwife's experience of barriers and the midwife's experience of shortcomings in the care chain. The midwives described that the routine around asking the question of violence to pregnant women at the maternal health care was urgent and self-evident, where fear of obtaining consent to the question did not prevent the midwives from asking it. Conclusion: One of the study's finding is that pregnant women with high socioeconomicstatus were considered a barrier to asking the question. To overcome the obstacles that exist to asking the question of violence, it is important to constantly work on the issues that constitute a barrier for the midwives.