Elsevier

Child Abuse & Neglect

Volume 25, Issue 11, November 2001, Pages 1463-1480
Child Abuse & Neglect

Coping resources of maltreated children in the family: a salutogenic approach

https://doi.org/10.1016/S0145-2134(01)00285-XGet rights and content

Abstract

Objective: Most research in child maltreatment within family focuses mainly on the pathological damage caused to the battered child. This study, based on a salutogenic approach, focuses on the resources that may help maltreated children to cope with their state and stay well.

Method: Resilience was measured by two variables: perceived competence and psychological distress. The moderating or buffering variables that may contribute to better coping were: sense of family coherence, psychological sense of school membership, and social support. Two hundred and twenty-six 8th graders answered an anonymous self-report inventory. Based on the students’ answers, they were divided into two groups: those who reported that they had been maltreated (MC) (n = 81) and those who did not (NMC) (n = 145).

Results: The study revealed a significantly high percentage of adolescents (35.6%) who reported having been maltreated within their families. A significant difference was found between the MC and the NMC in levels of perceived competence (higher for the NMC) and psychological distress (higher for the MC group). The moderating variables were found to have a differential effect on the dependent variables within the two groups. Sense of family coherence was found to be the main contributor to variance explanation of perceived competence among the MC, while sense of school membership had the main effect among NMC.

Conclusions: The findings support a salutogenic approach in studying maltreated children. Implications on the possible detection of maltreated children in the community and on their coping resources that may contribute to resilience are discussed.

Résumé

Objectif: La plupart des recherches portant sur les mauvais traitements familiaux traitent principalement des dommages pathologiques que subit l’enfant. Cette étude se base sur une approche salutaire, c-à-d qui explore les ressources pouvant aider l’enfant maltraité à vivre les agressions et à maintenir un niveau de bien-être.

Méthode: On a mesuré la résilience des enfants au moyen de deux variables: la compétence perçue et la détresse psychologique. Les variables modératrices ou atténuantes qui peuvent contribuer à mieux vivre les mauvais traitements sont les suivantes: un sens de la cohérence familiale, un sens psychologique de l’appartenance à son milieu scolaire et les appuis sociaux. On a donné un questionnaire anonyme à 286 élèves de la dernière année de l’école primaire, et selon les réponses recueillies, on les a divisés en deux groupes: ceux qui ont dévoilé avoir été maltraités (MC, n = 80) et ceux qui ne l’ont pas été (NMC, n = 145).

Résultats: L’étude révèle un pourcentage considérablement élevé d’adolescents (35.6%) maltraités dans leur famille. On note une différence importante entre le groupe MC et le groupe NMC au niveau de la compétence perçue (plus élevée pour les NMC) et la détresse psychologique (plus élevée pour les MC). Les variables modératrices ont un effet différentiel sur les variables dépendantes pour les deux groupes. Pour le groupe MC, le sens de la cohérence familiale est un facteur important au niveau de la compétence perçue, tandis que le sens de l’appartenance scolaire est le facteur principal pour le groupe NMC.

Conclusions: Les constats confirment la valeur de l’approche salutaire pour l’étude des enfants maltraités. Cette approche peut avoir des conséquences importantes pour la détection des enfants maltraités et pour comprendre comment leurs ressources personnelles les aident à développer une résilience lorsque maltraités.

Resumen

Objetivo: La mayorı́a de las investigaciones sobre el maltrato infantil en la familia se concentran principalmente en el daño patológico que se le ocasiona al niño abusado. Este estudio basado en un enfoque salutogénico se concentra en los recursos que pueden ayudar al niño maltratado a superar su estado y mantenerse bien.

Método: La capacidad de recuperación se midió por dos variables: competencia percibida y malestar psicológico. Las variables moderadoras o compensadoras que pudieran contribuir a una mejor capacidad de respuesta fueron: sentido de coherencia familiar, sentido psicológico de pertenencer/ser miembro de la escuela y apoyo social. Doscientos veintiseis estudiantes de octavo grado completaron un inventario anónimo. En base a las respuests de los estudiantes, fueron divididos en 2 grupos: los que reportaron haber sido maltratados (MC) y los que no lo reportaron (NMC) (n = 145).

Resultados: El estudio reveló un porciento significativamente mayor de adolescentes (35.6%) que habı́an sido maltratados en sus familias. Se obtuvo una diferencia significativa entre los MC y los NMC en los niveles de competencia percibida (más alto para los NMC) y malestar psicológico (más alto para el grupo MC). Se encontró que las variables moderadoras tenı́an un efecto diferencial en las variables dependientes dentro de los dos grupos. El sentido de coherencia familiar fue el que más contribuyó a explicar la varianza de la competencia percibida entre los MC, mientras que el sentido de membresı́a escolar tuvo el mayor efecto entre los NMC.

Conclusiones: Los resultados apoyan un enfoque salutogénico al estudiar los niños maltratados. Se discutieron las implicaciones de la posible detección de niños maltratados en la comunidad y de sus recursos para manejar y superar el maltrato que puedan contribuir a su capacidad de recuperación.

Introduction

Research on family violence and maltreatment of children focuses mainly on pathogenic questions and, for this reason, on the harm caused to maltreated children (MC). In the past few decades, copious empirical data has accrued on these issues. MC in the family were found to suffer from behavioral problems and poor self-image (Kendall-Tackett, Williams, & Finkelhor, 1993); self-destructive tendencies, detriment to ego functions, and difficulty in controlling impulses (Allen & Tranowsky, 1989); and aggression and difficulties in interaction with others Green 1981, Kinard 1982, Sternberg et al 1993, Vissing and Straus 1991. MC perceive the world as a lethal place and regard themselves as exogenously controlled (Galambus, 1984). In the cognitive domain, these children were found to have lower scholastic achievements than others (Perez & Widom, 1994), and their cognitive and linguistic abilities were at high risk of damage (Green, 1981).

Notwithstanding the accumulation of research knowledge that stresses harm, many maltreated children manage to survive and function successfully despite maltreatment. However, pathogenic research questions, which concern the ravages of maltreatment, neither consider the children who survive nor probe their coping resources. Over the past decade, research questions in studies of children at risk have changed perceptibly—away from damage caused and toward detection of resilient children and exploration of the sources of their resiliency (Rak & Patterson, 1996). This direction of research corresponds with Antonovsky’s salutogenic model (Antonovsky, 1987), which seeks factors that contribute to health and well-being. Salutogenic research on family violence and maltreatment may lead, in the main, to an effort to identify the coping resources of children or teens maltreated by their families—factors that contribute to the MC’s resilience and effective adjustment notwithstanding maltreatment. Studies based on this approach found that battered children may function soundly in a range of motor and cognitive abilities (Kurtz, Gaudin, Howing, & Wodarsky, 1993) and achieve high scores in social-adjustment indicators (Gergory & Beveridge, 1984).

Studies that probe protective factors in states of maltreatment in the family indicate that such factors correspond most strongly to support systems. “Survivor” children are found to be adept in selecting and finding sources of support in the family and the community (Rutter, 1987). Zimrin (1986), attempting to draw up a “survivor profile,” found that the main factor in survivability, apart from personal variables such as strong cognitive skills, is the availability of outside support.

The present study attempts to apply the salutogenic approach to the field of family violence and maltreatment of children. It aims to assess resources in children’s surroundings that enable them to cope with the family maltreatment experiences and develop resiliency. It discusses family, school, and community resources that enable MC to cope with family violence and maltreatment experiences.

Section snippets

Definition of maltreatment

Research on maltreated children has had little success in phrasing a uniform definition of maltreatment. Maltreatment of a child is usually typified in one or more of four characteristics: physical maltreatment, neglect, psychological maltreatment, and sexual maltreatment. Most studies on abuse focus on one type only, even though actual child maltreatment is complex and intricate, the most common combination being physical abuse and neglect (Kinard, 1984). This study defines maltreatment in

Moderating variables: family, school, community

The purpose of this study, as stated, is to examine resources that may help children cope with the experience of maltreatment in their family. The regnant approach in stress studies today is that which examines the effect of moderating or buffering variables in coping with stress factors (Luthar & Zigler, 1991). These variables may distinguish between children who develop resiliency to risk and those who fail to survive. The moderating variables may have a decisive impact on a child’s ability

Resilience measurers: perceived competence and psychological distress

This study asks about the coping resources or moderating factors that help resilient children cope effectively with maltreatment in their families. However, who are the resilient children? What distinguishes them from others?

Resilience is defined in the literature as the ability to adjust successfully, to function positively, or to feel competent even though one is seriously at risk (Garmezy, 1993). However, research in this field often uses the absence of psychopathology as an indicator of

Sample

Two hundred twenty-six 8th graders in a junior high school in central Israel participated in the study. Of these, 81 pupils (35.6%) reported having experienced maltreatment in the family setting. These pupils made up the research group (MC); the other 145 pupils (64.4%) were the comparison group (NMC). Table 1 categorizes the reporting of children in the research group by the types of maltreatment they reported.

The demographic indicators of the two groups, as shown in Table 2 , indicate that

Results

Table 3 presents the means and standard deviations of the research variables and the results of the t-tests between the two research groups, MC and NMC. MC were found to have lower perceived competence and greater psychological distress than NMC. MC also scored lower than NMC in sense of family coherence level but not in the two additional variables examined: school membership and social support. Levene’s test for equality of variance was found insignificant (at p ≤ .01), meaning homogenity of

Discussion

The study was an exploratory attempt to examine the phenomenon of maltreated children from a salutogenic perspective, which differs both conceptually and methodologically from the convention in this field. First, MC were defined not in specific caregiving settings (hospital, welfare services, etc.), pursuant to the custom in this kind of research, but in a community setting (school) and on the basis of the children’s own reports. According to the salutogenic model (which addresses itself

References (50)

  • Cohen, F. (1977). The dimensions of social support scale. Unpublished manuscript. University of California,...
  • S. Cohen et al.

    Stress, social support, and the buffering hypothesis

    Psychological Bulletin

    (1985)
  • Eilon, A., & Zimrin, H. (1990). Painful childhood: a second look at battered children. Sifryat Poalim...
  • M.F. Erickson et al.

    The effects of maltreatment on the development of young children

  • D. Finkelhor et al.

    The dark side of families

    (1983)
  • N.L. Galambus

    Adolescent abuse and development of personal sense of control

    Child Abuse & Neglect

    (1984)
  • J. Garbarino et al.

    Characteristics of high risk familiespaternal and adolescent perspectives

  • J. Garbarino

    The human ecology of child maltreatmenta conceptual model for research

    Journal of Marriage and the Family

    (1977)
  • N. Garmezy

    Stress resistant childrenthe research for protective factors

  • N. Garmezy

    Vulnerability and resilience

  • R. Gelles

    Family violence

    (1990)
  • J. Giovannoni

    Definitional issues in child maltreatment

  • C. Goodenow

    The psychological sense of school membership among adolescentsscale development and educational correlates

    Psychology in the Schools

    (1993)
  • A.H. Green

    Core affective disturbance in abused children

    Journal of the American Academy of Psychoanalysis

    (1981)
  • D. Gurley

    The mixed roles of social support and social obstruction in recovery from child abuse

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