Who do we ask when we report on childhood maltreatment?
Retrospective research
Looking backward on what happend.
Advantages:
- Practical in the case of long-term consequences.
Disadvantages:
- Memory can have errors
- Potential recall bias
- Cause and effect can be hard to disentangle
Prospective research
Looking ahead in time, following people over time.
Advantages:
- Temporal order of abuse and it’s consequences (you know which followed which)
- Objective identification of abuse
- No recall bias
Disadvantages:
- Selective drop-out over time
- Unethical without intervening
- Duration, costs
Video feedback intervention
Objective measure of parenting where parents get assignments to do with their child and psychologists observe the parents reactions to the child’s behaviour. To study the impact of parenting styles.
Study about the effects of parental childhood maltreatment on their behaviour towards their own child and their autonomic responses.
Parents who experienced ABUSE as a child showed:
- Less warmth and more negativity towards their child during interactions –> more behavioural reaction.
Parents who experienced NEGLECT as a child showed:
- More arousal within the sympathetic system (parasympathetic system was repressed) –> more autonomic reaction.
How do we establish causality?
This can be done with experimental studies. 2 different types of experimental studies:
1. Analogue ‘acute stress’ studies: like the TRIER social stress test (maltreatment = related to stress).
2. Animal research: eliciting stress in animals.
Acute stress studies
With these tests you can measure: mood, performance, questioning etc.
Animal (stress) research
In translational research (form animals to humans) we can measures the consequences of stress in animals with a stress paradigm, but this should bi-directionally informed: can we see the same in animals as in humans.
The choice of the animal also matters:
- Rats = smartest
- Mouse = fastest
- Primate = closer to humans
Studies of maternal care in rats
HPA axis
This is a system that is seen in humans and in mice. Mice also show a heightened stress response after maltreatment.
Hippocampus
Morris water maze
Throwing rats in water and looking at how long it takes them to figure out how to get to the platform. This time became less and less with every try. But rats with hippocampal problems (due to maltreatment) showed much slower learning behaviour.
Studies about ELS and emotions in rats, showed:
Studies about ELS and SUD in non-human primates, showed:
Also showed that different types of early life stressors can cause higher or lower proneness to substance use disorder.
What we can’t study with animal studies:
Ethics: the scientific purpose of the research should be of sufficient potential significance to justify the use of nonhuman primates.
Possible underlying mechanisms of the effect of ELS