Do Child Abuse and Maternal Care Interact to Predict Military Sexual Trauma?

Authors
Wilson, L. C. Kimbrel, N. A. Meyer, E. C. Young, K. A. Morissette, S. B.
Publication year
2014
Citation Title
Do child abuse and maternal care interact to predict military sexual trauma?
Journal Name
Journal of Clinical Psychology
Journal Volume
71
Issue Number
4
Page Numbers
1-9
DOI
10.1002/jclp.22143
Summary
Based upon research indicating that Veterans who had experienced child sexual abuse were at higher risk for military sexual trauma (MST), this study seeks to discover whether maternal care serves as a protective factor in that association. It was discovered that of individuals who had experienced childhood sexual abuse, those who had low levels of perceived maternal care were more likely to have experienced MST.

Key Findings
Low maternal care was a risk factor in the relationship between child sexual abuse and MST.
Child sexual abuse was related to MST but only within the context of low maternal care.
Age was another significant predictor of MST, but gender was not.
Implications for Program Leaders
Provide educational content in parenting classes to help mothers understand how their support, affection, and nurturing impacts child outcomes
Develop workshops to assist parents of children who have been abused understand how to best help their children
Provide peer support groups for mothers to share strategies for strengthening parent-child attachment in order to increase the protection created by high levels of maternal care
Implications for Policy Makers
Encourage Service members and their partners to participate in parental education focused on enhancing the quality their relationships with their children
Continue to support programs that provide services for parents of children who have experienced sexual abuse
Recommend training for practitioners about the experience of Service members who may have experienced child sexual abuse
Methods
Participants were gathered from advertisements at Veteran service organizations, presentations to Veteran’s Affairs (VA) hospital staff, and via mail to those enrolled in the Central Texas Veterans’ Health Care System.
Data were gathered through four different self-reporting questionnaires about demographics, risk and resilience of relationships within the military unit, childhood trauma, and parental bonding.
The presence or absence of child sexual abuse and military sexual trauma were statistically analyzed in relationship to measures of perceived parental care. The relationship between childhood sexual abuse and MST was analyzed to determine if it differed between those with high and low maternal care.
Participants
Participants were 197 Veterans who had been previously deployed to Iraq or Afghanistan.
The majority were male (92%) and Caucasian (66%), numbers that are consistent with the demographics found in the U.S. Military.
The sample was 39.9 years of age on average (SD = 10.4) and had an average of 15.7 years of military service (SD = 9.4).
Most of the participants served in the Army (86%). Information about other branches was not provided.
Limitations
The Veterans’ responses may be skewed based on recall bias or on the willingness of the participant to report sexual abuse.
This sample is pulled from Veterans enrolled at the VA, so results may not be able to be extended to individuals who are not enrolled in VA.
Low maternal care and child sexual abuse may indicate other environmental risk factors, and therefore there may be other untested variables that may be influencing the results.
Avenues for Future Research
Include more diverse samples in the research, such as including participants from different branches of the military
Explore other constructs that may be risk factors for low maternal care and MST
Conduct research including Active Duty Service members in samples
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
Multiple Branches
Population Focus
Military Component
Abstract
Objective: The present research tested the hypothesis that maternal care moderates the relationship between childhood sexual abuse and subsequent military sexual trauma (MST). Method: Measures of childhood sexual abuse, maternal care, and MSTwere administered to 197 Iraq and Afghanistan war Veterans. Results: After accounting for gender, age, and the main effects of maternal care and childhood sexual abuse, thematernal care x childhood sexual abuse interaction was a significant predictor of MST (odds ratio = .28, ? = ?1.26, 95% confidence intervals of .10, .80). As hypothesized, rates of MST were higher among Veterans who reported childhood sexual abuse and low levels of maternal care (43%) compared with Veterans who reported childhood sexual abuse and high levels of maternal care (11%). Conclusion: These findings suggest that high levels of maternal care may act as a protective factor against future revictimization among military Service members. These findings have the potential to inform both prevention and intervention efforts.
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