Åsa Cater

Youth victimization in Sweden : prevalence, characteristics and relation to mental health and behavioral problems in young adulthood

The present study examines multiple types of victimization simultaneously, their prevalence and characteristics in childhood and adolescence, and it examines the associations between victimization and poly-victimization on the one hand and single and multiple mental health and behavioral problems on the other. The sample consisted of 2,500 Swedish young adults (20-24 years) who provided detailed report of multiple types of lifetime victimization and current health and behaviors via an interview and a questionnaire. Results showed that it was more common to be victimized in adolescence than in childhood and more common to be victimized repeatedly rather than a single time, among both males and females. Males and females were victimized in noticeably different ways and partially at different places and by different perpetrators. With regard to mental health and behavioral problems, anxiety, post-traumatic stress, self-harm, and criminality were clearly overrepresented among both males and females who had experienced any type of victimization. Poly-victimization was related to single and multiple mental health and behavioral problems among both males and females. We conclude that professionals need to conduct thorough evaluations of victimization when completing mental health assessments among troubled youths, and that youth might benefit from the development of interventions for poly-victimized youth.

Children exposed to domestic violence: a discussion about research ethics and researchers’ responsibilities

Children’s exposure to domestic violence has attracted increased interest from researchers. This greater interest necessitates discussion about the methods by which children’s exposure to and descriptions of violence are studied. This article (1) discusses ethical dilemmas in research involving interviewing children exposed to domestic violence in relation to constructions of children as competent and as vulnerable, and (2) suggests a conceptual framework to aid in the design of such studies. The ethical dilemmas discussed concern: (1) research being ethically justified, (2) consent and (3) confidentiality and unsought disclosures. We suggest that combining children’s rights to agency and protection in ethical research that involves interviewing children exposed to violence can be facilitated by using the concepts of closeness and distance.

Childhood Exposure to Intimate Partner Violence and Adult Mental Health Problems: Relationships with Gender and Age of Exposure

Relatively little is known about the associations between childhood exposure to intimate partner violence (IPV) and adulthood mental health problems. This study used 2,500 Swedish young adults’ retrospective self-reports to determine the prevalence of childhood exposure to IPV and examine the relationships between such exposure and gender, age of exposure and adult mental health problems. Twenty-eight percent of participants reported any childhood exposure to IPV. Exposure was more common among women, who were also younger at first exposure and exposed to more severe violence than men. Both exposure and severity of IPV were related to all mental health problems examined. The interaction of IPV exposure and gender, while significant, explained relatively little of the variance in mental health problems.

Parent–child warmth as a potential mediator of childhood exposure to intimate partner violence and positive adulthood functioning

Background and Objectives: Links between childhood exposure to intimate partner violence (IPV) and adult functioning are clear, but less research has examined the potential underpinnings of this association, especially the long-term effects of the parent–child relationship on adult well-being. We hypothesized that (i) childhood exposure to IPV would be negatively related to parent–child warmth and positively related to symptoms of psychopathology during adulthood and (ii) the relationship between IPV exposure and positive outcomes in adulthood (i.e., high life satisfaction and low psychopathology) would be mediated by parent–child warmth. Design: Participants included 703 Swedish adults (20–24). Methods: Participants responded to a self-report survey assessing violence exposure, parental warmth in childhood, and current mental health and well-being. Using multivariate regression and path analysis, models of the relationships between IPV exposure, parent–child warmth, symptoms of psychopathology during adulthood, and life satisfaction were examined. Mediation models were considered exploratory. Results: IPV exposure was related to lower levels of parent–child warmth, higher levels of psychopathology symptoms, and lower life satisfaction. The relationship between IPV exposure and positive outcomes in adulthood was mediated by parent–child warmth. Conclusions: Warm parent–child interactions may play a key role in long-term positive functioning for those exposed to IPV during childhood.

Victimization in childhood: General and specific associations with physical health problems in young adulthood

OBJECTIVE The goal of the current study was to examine the direct relationship between diverse types of childhood victimization and physical health problems in early adulthood, controlling for other common factors that contribute to physical health problems, including psychopathology and health risk behaviors. The associations between types of victimization (e.g., physical assault) and specific health problems (e.g., pain) were also examined. METHODS 2500 Swedish young adults reported on their exposure to victimization in childhood and their current mental and physical health as adults. RESULTS Using multiple regression, results indicated that the amount of childhood victimization was a significant predictor of health problems in adulthood, controlling for the significant negative effects of health risk behaviors and mental health problems on physical health. Logistic regressions indicated that physical assaults and sexual abuse were associated with all types of health problems assessed. Sleep problems were associated with almost all types of victimization history. CONCLUSIONS The long-term effects of childhood victimization on physical health in adulthood are serious and warrant significant attention. Primary care providers should include assessments of past victimization as one way of screening for health risk. Health providers should also consider multiple points of intervention that may help to reduce physical illness. For example, providing a mental health intervention or social service support related to victimization experiences may not only address these difficulties, but also more broadly impact physical health as well.

Victimized as a child or youth To whom is victimization reported and from whom do victims receive professional support

Being victimized as a child or youth increases the risk of emotional and behavioural problems, and may call for a report to authorities and professional support. This study investigates how often young adult males and females in a randomly selected general population in Sweden (n = 2,500) reported different types of victimization as a child or youth and to whom, from whom they received professional support, whether it was more common to receive professional support among those victimized multiple times by different types of crime, and whether there was a connection between report and support. Analyses reveal that the participants more often responded that they had not reported their victimization, than that they had reported it. For those who had, the police was the most common institution to which the victimization was reported. It was significantly more common for victimized females to both report and receive professional support than for males. There was a trend towards a greater likelihood of receiving professional support after higher levels of victimization. In all however, of those whose victimization had been reported to the authorities, only 22.4% had received professional support to deal with their experiences of victimization. We conclude that the relatively low prevalence of reporting victimization and receiving support documented in this study calls for reflection upon how well society meets the needs of victims.

The Process of Reporting and Receiving Support Following Exposure to Intimate Partner Violence During Childhood

While a significant body of research suggests that exposure to intimate partner violence (IPV) during childhood has severe and long-lasting consequences, little is known about how children cope with witnessing IPV, including who they tell about the violence, whether they receive support after disclosing, and the association between childhood disclosure and adulthood mental health. The current study examines these issues in 703 Swedish young adults who endorsed witnessing IPV during childhood. In this sample, 57% reported that they had ever confided in someone about the witnessed violence. The primary reason given for not disclosing was the belief that no one could do anything about it, which was endorsed by 41% of the young adults who kept the violence concealed. Individuals who disclosed the violence were most likely to tell a friend and least likely to use an anonymous hotline. Young adults with higher levels of depression were less likely to have disclosed IPV during their childhood. Individuals’ use of formal reporting outlets was endorsed infrequently, with only 5.2% recalling that they had personally reported the violence or someone else had reported it on their behalf. If such reports were filed, it was most likely to the police. These formal reports typically resulted in participants feeling that the problem continued anyway or that they were believed, but no changes were made. Given the infrequent use of formal reporting services, results suggest that for this sample, reporting outlets for IPV exposure may be underutilized and may not be perceived as beneficial.

The relationship between types of childhood victimisation and young adulthood criminality

BACKGROUND Previous research suggests that some types of childhood abuse and neglect are related to an increased likelihood of perpetrating criminal behaviour in adulthood. Little research, however, has examined associations between multiple different types of childhood victimisation and adult criminal behaviour. AIMS We sought to examine the contribution of multiple and diverse childhood victimisations on adult criminal behaviour. Our central hypothesis was that, after controlling for gender, substance use and psychopathy, each type of childhood victimisation - specifically experience of property offences, physical violence, verbal abuse, sexual abuse, neglect and witnessed violence - would be positively and independently related to criminal behaviour in young adults. METHODS We examined data from a large, nationally representative sample of 2244 young Swedish adults who reported at least one form of victimisation, using hierarchical regression analysis to also account for gender, substance use and psychopathy. RESULTS Experiences of physical assaults, neglect and witnessing violence as a child were significantly associated with adult criminal behaviour, but not experiences of property, verbal or sexual victimizations. CONCLUSIONS Our findings help to identify those forms of harm to children that are most likely to be associated with later criminality. Even after accounting for gender, substance misuse and psychopathology, childhood experience of violence - directly or as a witness - carries risk for adulthood criminal behaviour, so such children need targeted support and treatment. Copyright

Child witnesses to intimate partner violence: their descriptions of talking to people about the violence

Witnessing intimate partner violence (IPV) may have damaging effects on children’s well-being and development. How children understand IPV affects the risk of their developing negative outcomes. Talking with children about the violent episodes they have experienced can change their beliefs regarding their parents’ IPV, and therefore may also be a way to help them deal with these adverse experiences. The purpose of the current study was to use the children’s narratives to explore the relationship between how IPV was perceived by the children and their experience of talking about it. Interviews with 31 children between 9 and 13 years of age were analyzed using a thematic method. Two main groups of children were identified: children who described the violence as a horrifying experience and children who preferred not to think about the violence. The findings showed that children who described the violence as a horrifying experience perceived talking about the violence as a positive, yet sometimes distressing, experience that made a real difference in their lives; whereas, children who preferred not to think about the violence did not see much need to talk about it and benefit from talking about it. The study confirms previous research indicating that talking about IPV experiences sometimes leads to feelings of relief in children. Thereby, professionals play an important role by providing an appropriate setting to help children reduce their distressing feelings.