The Mediating Role of Automatic Thought and Cognitive Emotion Regulation Strategies on Relationships among Childhood Abuse/Neglect, Behavioral Problems and Resilience of Adolescents

Abstract

The purpose of this research is to examine the mediating role of automatic thoughts and cognitive emotion regulations strategies on the relationship among childhood maltreatment experiences, behavioral problems and resilience of adolescents. The sample of the study has consisted of 671 adolescents (338-girl, 322-boy). Childhood Trauma Questionnaire Short Form, Youth Self Report, Children’s Automatic Thoughts Scale, Resiliency Scale and Cognitive Emotion Regulation Questionnaire have been used. Research findings have shown that adaptive cognitive emotion regulation strategies and automatic thoughts have entire mediator role in relation between adolescents’ childhood abuse/neglect experience and resilience. However maladaptive cognitive emotion regulation strategies and automatic thoughts have partial mediating role in the relation between adolescents’ childhood abuse/neglect experience and behavioral problems. On the other hand maladaptive cognitive emotion regulation strategies have no mediating effect on relationship between adolescents’ childhood abuse/neglect experience and resilience levels and adaptive cognitive emotion regulation strategies have no mediating effect on relationship between adolescents’ childhood abuse/neglect experience and behavioral problems. In explaining the variance of behavioral problems, it has been found that the most effective variables are respectively the automatic thoughts, childhood abuse / neglect experiences and maladaptive cognitive emotion regulation strategies; adaptive cognitive emotion regulation strategies and automatic thoughts are respectively the most important variables to explain variance of resilience.

Keywords

• Childhood abuse / neglect,behavioral problems,resilience,automatic thoughts,cognitive emotion regulation strategies

References

1. Achenbach, T. M., & Edelbrock, C. S. (1989). Manual for the youth self-report and profile. Burlington: Department of Psychiatry, University of Vermont.
2. Afifi, T. O., Mather, A., Boman, J., Fleisher, W., Enns, M. W., MacMillan, H., & Sareen, J. (2011). Childhood adversity and personality disorders: results from a nationally representative population-based study. Journal of Psychiatric Research, 45(6), 814-822.
3. Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour Research and Therapy, 48(10), 974-983.
4. Amone-P’Olak, K., Garnefski, N. & Kraaij, V. (2007). Adolescents caught between fires: cognitive emotion regulation in response to war experiences in northern uganda. Journal of Adolescence 30, 655–669.
5. Barriga, A. Q., Landau, J. R., Stinson, B. L., Liau, A. K., & Gibbs, J. C. (2000). Cognitive distortion and problem behaviors in adolescents. Criminal Justice and Behavior, 27(1), 36-56.
6. Bayram, N. (2010). Yapısal eşitlik modellemesine giriş AMOS uygulamaları. İstanbul: Ezgi Kitabevi.
7. Beck, A. T. (2005). Bilişsel terapi ve duygusal bozukluklar. (A. Türkcan, Çev.). İstanbul: Litera Yayıncılık.
8. Beck, J. S. (2001). Bilişsel terapi: Temel ilkeler ve ötesi. (N.Hisli-Şahin, Çev.). Ankara: Türk Psikologlar Derneği Yayınları.

9. Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., & vd. (2003). Development and validation of a brief screening version of the childhood trauma questionnaire. Child Abuse & Neglect, 27(2), 169-190.
10. Bilir, S., Arı, M., Dönmez, N.B., Atik, B., & San, P. (1991). Türkiye’nin 16 ilinde 4-12 yaşları arasındaki 50.473 çocuğa fiziksel ceza verme sıklığı ve buna ilişkin problem durumlarının incelenmesi. Başbakanlık Aile ve Toplum Dergisi, 1(1) 57-70.
11. Büyüköztürk, Ş. (2010). Sosyal bilimler için veri analizi el kitabı: İstatistik, araştırma deseni, SPSS uygulamaları ve yorum (11. Bs.). Ankara: Pegem Yayıncılık.
12. Büyüköztürk, Ş., Çokluk, Ö., & Köklü, N. (2008). Sosyal bilimler için istatistik. Ankara: Pegem Yayıncılık.
13. Byrne, B. M. (2013). Structural equation modeling with AMOS: Basic concepts, applications, and programming. New York: Routledge.
14. Calam, R., Horne, L., Glasgow, D. & Cox, A. (1998). Psychologıcal disturbance and child sexual abuse: A follow-up study. Child Abuse & Neglect, 22 (9), 901–913.
15. Campbell-Sills, L., Cohan, S. L., & Stein, M. B. (2006). Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behaviour Research and Therapy, 44(4), 585-599.
16. Can-Özcan, M. (2010). İstismar ve ihmalin çocuklar üzerindeki fiziksel ve psikolojik etkilerinin incelenmesi. Yayınlanmamış yüksek lisans tezi, Atatürk Üniversitesi, Erzurum.
17. Chaffin, M., Wherry, J. N., & Dykman, R. (1997). School age children's coping with sexual abuse: Abuse stresses and symptoms associated with four coping strategies. Child Abuse & Neglect, 21(2), 227-240.
18. Chambers, E. & Belicki, K. (1998) Usıng sleep dysfunction to explore the nature of resilience in adult survivors of childhood abuse or trauma. Child Abuse & Neglect, 22 (8), 753–758.
19. Cicchetti, D. (2010). Aşırı stres altında dayanıklılık: çok katmanlı bir bakış açısı. World Psychiatry, 9, 145-154.
20. Cicchetti, D., & Valentino, K. (2006). An ecological-transactional perspective on child maltreatment: Failure of the average expectable environment and its influence on child development. In D. Cicchetti & D. J. Cohen (Eds) Developmental psychopathology, risk, disorder, and adaptation, (Second Edition: pp: 129-201). New Jersey: John Wiley & Sons, Inc.
21. Çeçen-Erogul, A. R. (2013). Psychometric properties of the children's automatic thoughts scale (CATS) in Turkish children with age and gender differences. Journal of Cognitive & Behavioral Psychotherapies, 13(2), 1-10.
22. Çelik, H. E., & Yılmaz, V. (2013) LİSREL 9.1 İle yapısal eşitlik modellemesi. Temel kavramlar-uygulamalar- programlama (göz.gez. 2. Bs.). Ankara: Anı Yayıncılık.
23. Çokluk, Ö., Şekercioğlu, G., & Büyüköztürk, Ş. (2010). Sosyal bilimler için çok değişkenli istatistik: SPSS ve LISREL uygulamaları. Ankara: Pegem Akademi.
24. Demir, M. (2008). Çocuk ve ergenlerin cinsel istismarı sonrası akut stres bozukluğu ve travma sonrası stres bozukluğu özelliklerinin incelenmesi. Yayımlanmamış uzmanlık tezi, Uludağ Üniversitesi, Bursa.
25. DeRubeis, R. J., Webb, C.A., Tang, T. Z., & Beck, A. T. (2009). Cognitive therapy. In K.S. Dobson (Ed.) Handbook of Cognitive-Behavioral Therapies (pp.277-316). USA: Guilford Press.
26. Didie, E. R., Tortolani, C. C., Pope, C. G., Menard, W., Fay, C., & Phillips, K. A. (2006). Childhood abuse and neglect in body dysmorphic disorder. Child Abuse & Neglect, 30(10), 1105-1115.
27. DiLillo, D., Lewis, T., & Loreto-Colgan, A. D. (2007). Child maltreatment history and subsequent romantic relationships: Exploring a psychological route to dyadic difficulties. Journal of Aggression, Maltreatment & Trauma, 15(1), 19-36.
28. Dobson, K. S. (2008). Depresyonun bilişsel terapisi. In M.A. Whisman (Eds) Depresyonun Uyarlamalı Bilişsel Terapisi. (M.Macit & M.Adal, Çev.). İstanbul: Litera Yayıncılık.
29. Dobson, K. S., & Dozois, D.J.A. (2009). Historical and philosophical bases of the cognitive-behavioral therapies. In K.S. Dobson (Ed.) Handbook of cognitive-behavioral therapies, (pp.94-132). USA: Guilford Press.
30. Eisenberg, M. E., Ackard, D. M., & Resnick, M. D. (2007). Protective factors and suicide risk in adolescents with a history of sexual abuse. The Journal of Pediatrics, 151(5), 482-487.
31. Epkins, C. C. (2000). Cognitive specificity in internalizing and externalizing problems in community and clinic-referred children. Journal of Clinical Child Psychology, 29(2), 199-208.
32. Er, T. (2010). Cinsel istismara maruz kalan ve kalmayan ergenlerin anksiyete, depresyon ve benlik algısı açısından karşılaştırılması. Yayımlanmamış yüksek lisans tezi, Maltepe Üniversitesi, İstanbul.
33. Erol-Öngen (2010). Cognitive emotion regulation in the prediction of depression and submissive behavior: Gender and grade level differences in Turkish adolescents. Procedia Social and Behavioral Sciences 9,1516–1523.
34. Erol, N., & Şimsek, Z. (2010) Okul çağı çocuk ve gençler için davranış değerlendirme el kitabı (ASEBA Temelli). Ankara: Mentis Yayıncılık.
35. Erol, A., Ersoy, B., ve Mete, L. (2013). Majör depresyonda özkıyım girişimi ile çocukluk çağı örselenmeleri arasındaki ilişki. Türk Psikiyatri Dergisi, 24(1), 1-6
36. Garnefski, N., Baan, N., & Kraaij, V. (2005). Psychological distress and cognitive emotion regulation strategies among farmers who fell victim to the foot-and-mouth crisis. Personality and Individual Differences, 38(6), 1317-1327.
37. Garnefski, N., Koopman, H., Kraaij, V., & ten Cate, R. (2009). Brief report: Cognitive emotion regulation strategies and psychological adjustment in adolescents with a chronic disease. Journal of Adolescence, 32(2), 449-454.
38. Garnefski, N., & Kraaij, V. (2006). Relationships between cognitive emotion regulation strategies and depressive symptoms: A comparative study of five specific samples. Personality and Individual differences, 40(8), 1659-1669.
39. Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual differences, 30(8), 1311-1327.
40. Garnefski, N., Kraaij, V., & van Etten, M. (2005). Specificity of relations between adolescents’ cognitive emotion regulation strategies and internalizing and externalizing psychopathology. Journal of Adolescence, 28(5), 619-631.
41. Garnefski, N., Teerds, J., Kraaij, V., Legerstee, J., & van den Kommer, T. (2004). Cognitive emotion regulation strategies and depressive symptoms: Differences between males and females. Personality and Individual Differences, 36(2), 267-276.
42. Glassman, L. H., Weierich, M. R., Hooley, J. M., Deliberto, T. L., & Nock, M. K. (2007). Child maltreatment, non-suicidal self-injury, and the mediating role of self-criticism. Behaviour Research and Therapy, 45(10), 2483-2490.
43. Ginzburg, K., Arnow, B., Hart, S., Gardner, W., Koopman, C., Classen, C. C., & Spiegel, D. (2006). The abuse-related beliefs questionnaire for survivors of childhood sexual abuse. Child Abuse & Neglect, 30(8), 929-943.
44. Goldstein, S., & Brooks, R. (2013). Why study resilience? In S. Goldstein, & R. Brooks (Eds.), Handbook of resilience in children (Second Edition, pp. 3–16). New York: Springer Science + Business Media.
45. Goldstein, A. L., Faulkner, B., & Wekerle, C. (2013). The relationship among internal resilience, smoking, alcohol use, and depression symptoms in emerging adults transitioning out of child welfare. Child Abuse & Neglect, 37(1), 22-32.
46. Gürgan, U. (2006). Grupla psikolojik danışmanın üniversite öğrencilerinin yılmazlık düzeylerine etkisi. Yayınlanmamış doktora tezi, Ankara Üniversitesi, Ankara.
47. Hartman, C. R., & Burgess, A. W. (1989). Sexual abuse of children: Causes and consequences. In D. Cicchetti & V. Carlson (Eds). Child Maltreatment: Theory And Research On The Causes and Consequences Of Child Abuse and Neglect, (pp. 95-128). Cambridge: Cambridge university press.
48. Hébert, M., Tremblay, C., Parent, N., Daignault, I. V., & Piché, C. (2006). Correlates of behavioral outcomes in sexually abused children. Journal of Family Violence, 21(5), 287-299.
49. Herrman, H., Stewart, D. E., Diaz-Granados, N., Berger, E. L., Jackson, B., & Yuen, T. (2011). What is resilience?. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 56(5), 258-265.
50. Karakuş, Ö. (2012). Relation between childhood abuse and self esteem in adolescence. International Journal of Human Sciences, 9 (2), 753-763.
51. Kaslow, N. J., & Thompson, M. P. (2008). Associations of child maltreatment and intimate partner violence with psychological adjustment among low SES, African American children. Child Abuse & Neglect, 32(9), 888-896
52. Kaya, S. (2014). Çocukluk dönemi örselenme yaşantıları ölçeği kısa formunun türkçe'ye uyarlanması. Yayımlanmamış yüksek lisans tezi, Muğla Sıtkı Koçman Üniversitesi, Muğla.
53. Kaysen, D., Scher, C. D., Mastnak, J., & Resick, P. (2005). Cognitive mediation of childhood maltreatment and adult depression in recent crime victims. Behavior Therapy, 36(3), 235-244
54. Kazdin, A. E. (1990). Evaluation of the Automatic thoughts questionnaire: Negative cognitive processes and depression among children. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 2(1), 73.
55. Kline, R. B. (2005). Principles and practice of structural equation modeling. (Second Edition), New york/London: Guilford Press.
56. Köroğlu, E. (2009). Bilişsel Davranışçı psikoterapiler. İstanbul. HYB Yayınları.
57. Lau, J. T., Kim, J. H., Tsui, H. Y., Cheung, A., Lau, M., & Yu, A. (2005). The relationship between physical maltreatment and substance use among adolescents: A survey of 95,788 adolescents in Hong Kong. Journal of Adolescent Health, 37(2), 110-119.
58. Leahy, R. L. (2007). Bilişsel terapi yöntemleri. (H. Türkçapar & E. Köroğlu, Çev. Ed.) Ankara: HYB Basım Yayın
59. Lei, H., Zhang, X., Cai, L., Wang, Y., Bai, M., & Zhu, X. (2014). Cognitive emotion regulation strategies in outpatients with major depressive disorder. Psychiatry research, (218), 87-92
60. Lumley, M.N., Harkness, K.L. (2007) Specificity in the Relations among Childhood Adversity, Early Maladaptive Schemas, and Symptom Profiles in Adolescent Depression. Cognitive Therapy and Research, 3(5), 639-657
61. Luthar, S. S. (2006). Resilience in development: A synthesis of research across five decades. In D. Cicchetti & D. J. Cohen (Eds), Developmental Psychopathology, Risk, Disorder, and Adaptation (Second Edition: pp: 739-795). New Jersey: John Wiley & Sons, Inc.
62. Maniglio, R. (2011). The role of childhood trauma, psychological problems, and coping in the development of deviant sexual fantasies in sexual offenders. Clinical Psychology Review, 31(5), 748-756.
63. Martin, R. C., & Dahlen, E. R. (2005). Cognitive emotion regulation in the prediction of depression, anxiety, stress, and anger. Personality and Individual Differences, 39 (7), 1249-1260.
64. Masten, A. S., Best, K. M., & Garmezy, N. (1990). Resilience and development: Contributions from the study of children who overcome adversity. Development and Psychopathology, 2(4), 425-444.
65. Mccow, R.M. (2010) An examination of relationship between resilince and symptoms of posttraumatic stress disorders amoung social work students at Florida State University. Unpublished Doctoral Thessis. Florida State University, USA.
66. McCoy, M. L., & Keen, S. M. (2009). Child abuse and neglect. New York: Psychology Press.
67. McGee, R., Wolfe, D., & Olson, J. (2001). Multiple Maltreatment, Attribution of Blame, and Adjustment Among Adolescents. Development and Psychopathology, 13, 827-846.
68. McGloin, J., & Widom, C. S. (2001). Resilience among abused and neglected children grown up. Development and Psychopathology, 13(04), 1021-1038.
69. Mersky, J. P., & Topitzes, J. (2010). Comparing early adult outcomes of maltreated and non-maltreated children: A prospective longitudinal investigation. Children and Youth Services Review, 32(8), 1086-1096.
70. Meydan, C. H., ve Şeşen, H. (2011). Yapısal eşitlik modellemesi AMOS uygulamaları. Ankara: Detay Yayıncılık.
71. Mihalca, A. M., & Tarnavska, Y. (2013). Cognitive emotion regulation strategies and social functioning in adolescents. Procedia-Social and Behavioral Sciences, 82, 574-579.
72. Mills, R., Scott, J., Alati, R., O’Callaghan, M., Najman, J. M., & Strathearn, L. (2013). Child maltreatment and adolescent mental health problems in a large birth cohort. Child Abuse & Neglect, 37(5), 292-302.
73. Min, J. A., Yu, J. J., Lee, C. U., & Chae, J. H. (2013). Cognitive emotion regulation strategies contributing to resilience in patients with depression and/or anxiety disorders. Comprehensive Psychiatry, 54(8), 1190-1197.
74. National Research Council (NRC) (2013). New directions in child abuse and neglect research. Washington: National Academies Press.
75. Neenan, M., & Dryden, W. (2004). Cognitive therapy: 100 key points and techniques. USA: Routledge.
76. Ney, P. (1994). The worst combinations of child abuse and neglect. Child Abuse & Neglect, 18, 707–714.
77. Olive, M. F. (2007). Child abuse and stress disorders. New York: Infobase Publishing.
78. Oshri, A., Sutton, T. E., Clay-Warner, J., & Miller, J. D. (2015). Child maltreatment types and risk behaviors: Associations with attachment style and emotion regulation dimensions. Personality and Individual Differences, 73, 127-133.
79. Özdamar, K. (1999). Paket programlar ile istatistiksel veri analizi (2. Bs.). Eskişehir: Kaan Kitabevi.
80. Perkins, D. F., & Jones, K. R. (2004). Risk behaviors and resiliency within physically abused adolescents. Child Abuse & Neglect, 28(5), 547-563.
81. Philippe, F. L., Laventure, S., Beaulieu-Pelletier, G., Lecours, S., & Lekes, N. (2011). Ego-resiliency as a mediator between childhood trauma and psychological symptoms. Journal of Social and Clinical Psychology, 30(6), 583-598.
82. Pietrek, C., Elbert, T., Weierstall, R., Müller, O., & Rockstroh, B. (2013). Childhood adversities in relation to psychiatric disorders. Psychiatry Research, 206(1), 103-110.
83. Polat, O. (2007). Tüm boyutlarıyla çocuk istismarı 1. Ankara: Seçkin Yayınevi.
84. Roy, A., Carli, V., & Sarchiapone, M. (2011). Resilience mitigates the suicide risk associated with childhood trauma. Journal of Affective Disorders, 133 (3), 591-594.
85. Runtz, M. G., & Schallow, J. R. (1997). Social support and coping strategies as mediators of adult adjustment following childhood maltreatment. Child Abuse & Neglect, 21(2), 211-226.
86. Runyan, D., Wattam, C., Ikeda, R., Hassan, F., & Ramiro, L. (2002). Child abuse and neglect by parents and other caregivers. In E.G. Krug, J. A. Mercy, L. L.Dahlberg, & A. B. Zwi. The world report on violence and health, ( pp: 57-86).
87. Safren, S. A., Gershuny, B. S., Marzol, P., Otto, M. W., & Pollack, M. H. (2002). History of childhood abuse in panic disorder, social phobia, and generalized anxiety disorder. The Journal of Nervous and Mental Disease, 190(7), 453-456.
88. Schultz, D., Tharp-Taylor, S., Haviland, A., & Jaycox, L. (2009). The relationship between protective factors and outcomes for children investigated for maltreatment. Child Abuse & Neglect, 33(10), 684-698.
89. Shin, S. H., Edwards, E. M., & Heeren, T. (2009). Child abuse and neglect: relations to adolescent binge drinking in the national longitudinal study of adolescent health (AddHealth) study. Addictive Behaviors, 34(3), 277-280.
90. Silverman, S., & DiGiuseppe, R. (2001). Cognitive-behavioral constructs and children's behavioral and emotional problems. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 19(2), 119-134.
91. Steinberg, L. (2007). Ergenlikte psikososyal sorunlar. (E.G. Kapçı, Çev.) Ergenlik içinde (F. Çok, Çev. Ed.). Ankara: İmge Kitapevi Yayınları.
92. Steinberg, L. D., Belsky, J., & Meyer, R. B. (1991). Infancy, childhood & adolescence: Development in context. USA: McGraw-Hill.
93. Şimşek, Ö. F. (2007). Yapısal eşitlik modellemesine giriş: Temel ilkeler ve LISREL uygulamaları. Ankara: Ekinoks Yayıncılık.
94. Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (Fourth Edition). Boston: Allyn and Bacon.
95. Thornberry, T. P., Matsuda, M., Greenman, S. J., Augustyn, M. B., Henry, K. L., Smith, C. A., & Ireland, T. O. (2014). Adolescent risk factors for child maltreatment. Child Abuse & Neglect, 38(4), 706-722.
96. Trickett, P.K., Negriff, S., Ji, J., ve Peckins, M. (2011). Child maltreatment and adolescent development. Journal of Research on Adolescence. 21 (1), 3-20
97. Türkçapar, M. H. (2007). Bilişsel terapi: Temel ilkeler ve uygulamalar. İstanbul: HYB Basım Yayın.
98. Ullman, J.B. (2001). Structural equation modeling (653-771). In Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (Fourth Edition, 653-771). Boston: Allyn and Bacon.
99. Van der Vegt, E.J.M., van der Ende, J., Ferdinand, R.F., Verhulst, F.C., & Tiemeier, H. (2009). Early childhood adversities and trajectories of psychiatric problems in adoptees: Evidence for long lasting effects. Journal of Abnormal Child Psychology, 37, 239-249.
100. Van Harmelen, A. L., de Jong, P. J., Glashouwer, K. A., Spinhoven, P., Penninx, B. W., & Elzinga, B. M. (2010). Child abuse and negative explicit and automatic self-associations: The cognitive scars of emotional maltreatment. Behaviour Research and Therapy, 48(6), 486-494.
101. World Health Organization (WHO). (2010). Child maltreatment.
102. http://www.who.int/mediacentre/factsheets/fs150/en/ Erişim tarihi: 24.02.2013
103. World Health Organization (WHO). (2009). Child and adolescent mental health. http://www.who.int/mental_health/maternal-child/child_adolescent/en/ Erişim tarihi: 26.01.2014
104. Williams, J., & Nelson-Gardell, D. (2012). Predicting resilience in sexually abused adolescents. Child Abuse & Neglect, 36(1), 53-63.
105. Wingo, A. P., Wrenn, G., Pelletier, T., Gutman, A. R., Bradley, B., & Ressler, K. J. (2010). Moderating effects of resilience on depression in individuals with a history of childhood abuse or trauma exposure. Journal of Affective Disorders,126(3), 411-414.
106. Wismar, T.C. (2010). Gender differences in symptom presentation of sexually abused african american children ages 8 through 12. Unpublished Doctoral Dissertatitions. PCOM Psychology Dissertations.
107. Yıldız-Arabacı, S. (2007). İlköğretim II. kademe çocuklara yönelik istismarın ve ihmalin çeşitli değişkenler yönünden incelenmesi. Yayınlanmamış yüksek lisans tezi, Sakarya Üniversitesi, Sakarya.
108. Zoroğlu, S. S., Tüzün, Ü., Şar, V., Öztürk, M., Kora, M., & Alyanak, B. (2001). Çocukluk dönemi istismar ve ihmalinin olası sonuçları. Anadolu Psikiyatri Dergisi, 2(2), 69-78.