Randall Waechter

Preliminary Evaluation of the Childhood Experiences of Violence Questionnaire Short Form

Despite advances in child maltreatment research, accurate measurement of exposure remains a key issue. In this study, we evaluated a short form (CEVQ-SF) of the Childhood Experiences of Violence Questionnaire (CEVQ) in a sample of adolescents involved with child protection services in an urban city in Ontario, Canada. Focusing on the two most readily defined maltreatment types, physical and sexual abuse, we evaluated the short form’s comparability with the full version of the CEVQ. Both versions had good internal consistency and moderate-to-good 2-week test-retest reliability. The criterion validity of the two CEVQ versions in comparison with the Childhood Trauma Questionnaire was satisfactory. Construct validity for both versions was demonstrated: physically and sexually abused youth had higher odds of reporting clinical traumatic symptoms compared with either type alone. The CEVQ-SF is as reliable and valid as its full version. Implications for its use in large population-based surveys are discussed.

The Relationship between Post-Traumatic Stress Symptoms and Substance Use among Adolescents Involved with Child Welfare: Implications for Emerging Adulthood.

The purpose of the present study was to examine the role of posttraumatic stress symptoms (PTSS) in predicting substance use and substance-related problems in a sample of older youth and emerging adults involved with child welfare. The sample was drawn from the Maltreatment and Adolescent Pathways (MAP) longitudinal study (Wekerle et al. 2009). Participants were 253 youth and emerging adults (ages 15–20; M = 16.87, SD = 1.04; 61.4% female and 38.6% male) who were involved with child welfare. Multiple regression analyses were conducted to examine the impact of PTSS using subscales from the Trauma Symptom Checklist for Children (TSCC; Briere 1996). Outcome variables were past year alcohol, marijuana and illicit drug use; as well as alcohol and drug problems. Controlling for gender, age, child welfare status and child maltreatment, both dissociation and anger emerged as significant predictors of substance use and related problems. The implications of these findings for older youth and emerging adults exiting the child welfare system are discussed.

Contexts of Vulnerability and Resilience: Childhood Maltreatment, Cognitive Functioning and Close Relationships

In this chapter, the authors examine the problem of childhood maltreatment and its relationship to resilience. Specifically, they discuss two elements of resilience, those external to the child like close/romantic relationships and the care received from child welfare caseworkers, and internal ones such as neurocognitive processes. They argue that following disclosure of abuse, there is much that can be done to improve individual development. They propose several strategies that may be helpful creating a coherent sense of self that buffers the impact of maltreatment. These include strategies like cognitive reappraisal, contextualizing the maltreatment event, dealing with shame and guilt, and authoring an accurate and self-compassionate narrative.

Child Maltreatment, Adolescent Attachment Style, and Dating Violence: Considerations in Youths with Borderline-to-Mild Intellectual Disability

One of the most salient developmental tasks of adolescence is the entry into romantic relationship, which often involves developing attachments to partners. Adolescents with a history of maltreatment have been found to be at greater risk of insecure attachments to romantic partners than non-maltreated adolescents, and the interaction of maltreatment and insecure attachment style has been linked to dating violence. The current study examined attachment styles and dating violence in child welfare-involved adolescents with borderline-to-mild intellectual disability (n = 40) and with average IQ (n = 116). Despite reporting similar experiences of childhood maltreatment, IQ was found to interact with avoidant attachment style to predict the degree of dating violence victimization and perpetration experienced by youth. It is suggested that an avoidant attachment style is a risk factor for all maltreated youth, and holds a particularly strong effect on youth with lower IQ levels. These findings highlight the need for developmentally appropriate attachment and dating violence interventions for maltreated youth.

The Impact of Emotional Abuse on Psychological Distress among Child Protective Services-Involved Adolescents with Borderline-to-Mild Intellectual Disability

Childhood maltreatment is a robust contributing factor to mental health problems in adolescents. The current study examines the impact of childhood emotional abuse on adolescent psychological distress in 48 youths with borderline-to-mild intellectual disability, as compared to 117 peers with average intellectual functioning. Both emotional abuse and intellectual functioning predicted the severity of youth psychological distress. Childhood emotional abuse has an impact on adolescent distress, and maltreated child welfare-involved youth with lower IQ levels may be more vulnerable to distress than youth with average IQ. This raises a question regarding the detection of subtle manifestations of intellectual disability and the need to attend to mental health within this subpopulation receiving child welfare services.

Absence of Adolescent Obesity in Grenada: Is This a Generational Effect?

Background: Low- and middle-income countries are affected disproportionately by the ongoing global obesity pandemic. Representing a middle income country, the high prevalence of obesity among Grenadian adults as compared to US adults is expected as part of global obesity trends. The objective of this study was to determine if Grenadian adolescents have a higher prevalence of overweight compared to their US counterparts, and if a disparity exists between urban and rural adolescents. Methods: Using a subcohort of participants in the Grenadian Nutrition Student Survey, diet quality and anthropometric measures were collected from 55% of the classrooms of first year secondary students in Grenada (n = 639). Rural or urban designations were given to each school. Body Mass Index (BMI) was calculated and categorized as overweight or obese for each student following CDC classification cutoffs. A standardized BMI (BMIz) was calculated for each school. Sex-specific BMI and overall BMIz were compared to a 1980s US cohort. Multilevel models, overall and stratified by sex, of students nested within schools were conducted to determine if BMIz differed by rural or urban locality, gender, and diet quality. Results: The mean age of this cohort was 12.7 (SD = 0.8) years with 83.8% of the cohort identifying as Afro-Caribbean. Females had nearly twice the prevalence of overweight when compared to males (22.7 vs. 12.2%) but a similar prevalence of obesity (8.2 vs. 6.8%). Grenadian adolescents had lower prevalence of overweight (females: 22.7 vs. 44.7%; males: 12.2 vs. 38.8%, respectively) as compared to US counterparts. Eating a traditional diet was negatively associated with BMIz score among females (β^ = −0.395; SE = 0.123) in a stratified, multilevel analysis. BMIz scores did not differ significantly by rural or urban school designation. Conclusions: Among Grenadian adolescents, this study identified a lower overweight prevalence compared to US counterparts and no difference in overweight prevalence by urban or rural location. We hypothesize that the late introduction of processed foods to Grenada protected this cohort from obesogenic promoters due to a lack of fetal overnutrition. However, further research in subsequent birth cohorts is needed to determine if adolescent obesity will increase due to a generational effect.