Relational interventions for child maltreatment: Past, present and future perspectives

Toth, Sheree L.; Gravener-Davis, Julie A.; Guild, Danielle J.; Cicchetti, Dante

doi:10.1017/s0954579413000795

Cited by 124Child Abuse and TraumaChild Welfare and AdoptionPsychoanalysis and Psychopathology Research

Relational interventions for child maltreatment: Past, present and future perspectives

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Toth, Sheree L., Gravener-Davis, Julie A., Guild, Danielle J., Cicchetti, Dante·2013·Development and Psychopathology

DOI 10.1017/s0954579413000795PMC PMC4063316

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Abstract

It is well established that child maltreatment has significant deleterious effects for the individual as well as for society. We briefly review research regarding the impact of child maltreatment on the attachment relationship, highlighting the need for relational interventions for maltreated children and their families to effectively thwart negative developmental cascades that are so often observed in the context of child maltreatment. Next, historical and contemporaneous perspectives on relational interventions for individuals with histories of child maltreatment are discussed, with attention to the empirical evidence for and the current evidence-based status of several relationally based interventions for child maltreatment. Differential sensitivity to the environment is then discussed as a theoretical framework with important implications for interventions for individuals who have been reared in maltreating environments. Current research on neurobiology and maltreatment is then reviewed, with an emphasis on the need for future investigations on genetic variants, epigenetics, and the efficacy of relational interventions for maltreated children. We conclude with a discussion of the tenets of developmental psychopathology, their implications for relational interventions for child maltreatment, and recommendations for advancing the development, provision, and evaluation of relational interventions for individuals with histories of child maltreatment.

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Secure attachment aids later development in areas such as affect regulation, coping, emotional and behavioral functioning, peer relations, and physiological regulation.
“Attachment security has a critical role in supporting subsequent positive development including affect regulation, coping, emotional and behavioral functioning, peer relationships, and physiological regulation (see Shore, 2001; Toth et al., 2013 for review).”
From Relational Interventions for Maltreated Children (2017) · cites this paper as Toth et al., 2013
Biobehavioral regulation is another pathway by which maltreatment causes dysfunction, and restoring children's regulatory capacity is an important indicator of treatment success.
“Biobehavioral regulation is an additional mechanism through which child maltreatment leads to dysfunction, and the ability to restore children’s regulatory capacity is an important measure of effective treatments (Toth et al., 2013).”
From Relational Interventions for Maltreated Children (2017) · cites this paper as Toth et al., 2013
Interventions that improve maternal sensitivity and attachment security are essential for breaking negative developmental cascades and fostering resilience in maltreated children.
“Intervening to enhance components of the mother-child relationship, including maternal sensitivity and attachment security, is critical for interrupting negative developmental cascades and for promoting resilience among maltreated children (Toth et al. 2013).”
From Relational Interventions for Maltreated Children (2017) · cites this paper as Toth et al. 2013

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Foster Children’s Diurnal Production of Cortisol: An Exploratory Study
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Editorial: Multiple levels of analysis
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Gene × Environment interaction and resilience: Effects of child maltreatment and serotonin, corticotropin releasing hormone, dopamine, and oxytocin genes
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Emotion understanding and theory of mind among maltreated children in foster care: Evidence of deficits
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P3b reflects maltreated children's reactions to facial displays of emotion
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Clinical Studies in Infant Mental Health: The First Year of Life
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DRD4 7-repeat polymorphism moderates the association between maternal unresolved loss or trauma and infant disorganization
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What Works for Whom?
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A historical perspective on the discipline of developmental psychopathology
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Disorganized attachment behavior in infancy: Short-term stability, maternal and infant correlates, and risk-related subtypes
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Parent-child interaction therapy: application to maltreating parent-child dyads.
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Enhancing infant attachment security: An examination of treatment efficacy and differential susceptibility
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The hormonal costs of subtle forms of infant maltreatment
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Accumulating Evidence for Parent–Child Interaction Therapy in the Prevention of Child Maltreatment
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Salivary cortisol in maltreated children: Evidence of relations between neuroendocrine activity and social competence
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Narrative representations of caregivers and self in maltreated pre-schoolers
Toth, S. L., Cicchetti, D., Macfie, J., Maughan, A., & VanMeenen, K. M. (2000) · Attachment & Human Development · doi:10.1080/14616730010000849 · Cited by 176 · see citing works
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Efficacy of Prenatal and Postpartum Home Visits on Child Health and Development
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Identification of a polymorphism in the promoter region of DRD4associated with the human novelty seeking personality trait
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Emotion understanding in postinstitutionalized Eastern European children
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Normalizing the development of cortisol regulation in maltreated infants through preventive interventions
Cicchetti, D., Rogosch, F. A., Toth, S. L., & Sturge-Apple, M. L. (2011) · Development and Psychopathology · doi:10.1017/s0954579411000307 · Cited by 168 · see citing works
Self-citation
Dopamine D4 receptor (DRD4) gene polymorphism is associated with attachment disorganization in infants
Lakatos, K., Tóth, I., Nemoda, Z., Ney, K., Sasvári‐Székely, M., & Gervai, J. (2000) · Molecular Psychiatry · doi:10.1038/sj.mp.4000773 · Cited by 167 · see citing works
Child Maltreatment, Attachment Security, and Internal Representations of Mother and Mother-Child Relationships
Stronach, E. P., Toth, S. L., Rogosch, F. A., Oshri, A., Manly, J. T., & Cicchetti, D. (2011) · Child Maltreatment · doi:10.1177/1077559511398294 · Cited by 166 · see citing works
Self-citation
Chapter V. Maltreatment, Negative Expressivity, and the Development of Type D Attachments from 12 to 24 Months of Age
Barnett, D., Ganiban, J., & Cicchetti, D. (2003) · Monographs of the Society for Research in Child Development · doi:10.1111/1540-5834.00035 · Cited by 164 · see citing works
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Assessing and Treating Physically Abused Children and Their Families: A Cognitive-Behavioral Approach
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Young children and trauma: intervention and treatment
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Current Perspectives in Attachment Theory: Illustration from the Study of Maltreated Infants
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Effects of an attachment-based intervention on daily cortisol moderated by dopamine receptor D4: A randomized control trial on 1- to 3-year-olds screened for externalizing behavior
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Treating parent–infant relationship problems: Strategies for intervention
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Early intervention for low birth weight, preterm infants: The role of negative emotionality in the specification of effects
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The Incredible Years Training Series.
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The effects of child maltreatment on early signs of antisocial behavior: Genetic moderation by tryptophan hydroxylase, serotonin transporter, and monoamine oxidase A genes
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A Pilot Study of Interpersonal Psychotherapy for Posttraumatic Stress Disorder
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Differential susceptibility to discipline: The moderating effect of child temperament on the association between maternal discipline and early childhood externalizing problems.
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Maternal depressive symptoms in infancy: unique contribution to children's depressive symptoms in childhood and adolescence?
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Maternal stress and behavior modulate relationships between neonatal stress, attention, and basal cortisol at 8 months in preterm infants
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Interparental violence, maternal emotional unavailability and children's cortisol functioning in family contexts.
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Psychodynamic psychotherapies: evidence-based practice and clinical wisdom.
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The Socio-emotional Development of Maltreated Children
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Interaction between the serotonin transporter gene (5-HTTLPR), stressful life events, and risk of depression
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Further evidence for the role of the dopamine D4 receptor (DRD4) gene in attachment disorganization: interaction of the exon III 48-bp repeat and the −521 C/T promoter polymorphisms
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Approaches to Preventing Child Abuse
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Challenging foster caregiver–maltreated child relationships: The effectiveness of parent–child interaction therapy
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Childhood maltreatment and differential treatment response and recurrence in adult major depressive disorder.
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Preventive interventions and sustained attachment security in maltreated children
Stronach, E. P., Toth, S. L., Rogosch, F., & Cicchetti, D. (2013) · Development and Psychopathology · doi:10.1017/s0954579413000278 · Cited by 109 · cited 4× · see citing works
“Given the finding that sustained security of attachment was found only in individuals receiving an attachment– theory informed intervention (although the parenting model examined was not short term; Stronach et al., 2013), we believe that issues related to the ideal length of treatment are quite complex and require fu…”
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Infant genotype may moderate sensitivity to maternal affective communications: Attachment disorganization, quality of care, and the DRD4 polymorphism
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“…ABC intervention, PFR addresses the concern that children who have had multiple caregivers due to their involvement in the child welfare system may give confusing signals, preventing the child from eliciting the nurturing response that they are seeking from their caregiver (Spieker et al., 2012).”
Can prevention trials test theories of etiology?
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Emotion regulation predicts attention bias in maltreated children at‐risk for depression
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Attachment-based treatment for vulnerable children
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Promoting First Relationships
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The effects of child maltreatment and polymorphisms of the serotonin transporter and dopamine D4 receptor genes on infant attachment and intervention efficacy
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A Randomized Effectiveness Trial of Interpersonal Psychotherapy for Depressed Women With Sexual Abuse Histories
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The efficacy of interpersonal psychotherapy for depression among economically disadvantaged mothers
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Transmission disequilibrium tests confirm the link between DRD4 gene polymorphism and infant attachment
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SEROTONIN TRANSPORTER LENGTH POLYMORPHISM, CHILDHOOD MALTREATMENT, AND CHRONIC DEPRESSION: A SPECIFIC GENE-ENVIRONMENT INTERACTION
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Building bridges and crossing them: Translational research in developmental psychopathology
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A review of the literature on the prevention of child abuse and neglect
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No association of the dopamine D4 receptor (DRD4) and -521 C/T promoter polymorphisms with infant attachment disorganization
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Genetic Influences on Human Fertility and Sexuality
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Developmental Psychopathology and Child Psychotherapy
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Minnesota Symposia on Child Psychology
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Open Trial of Interpersonal Therapy in Adolescents With Moderate to Severe Major Depression: Effectiveness of Novice IPT Therapists
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Allostatic load
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Assessment and Treatment of Young Children Exposed to Traumatic Events.
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Research works printed but not linked: 6

Aber JL Cicchetti D Fitzgerald H Lester B Yogman M Socioemotional development in maltreated children: An empirical and theoretical analysis Theory and research in behavioral pediatrics 1984 Vol. 2 147 205 Plenum press New York
Cicchetti D Toth SL Lamb M Garcia Coll C A multilevel perspective on child maltreatment Handbook of Child Psychology and Developmental Science Socioemotional process Vol. 3 Wiley New York 7th ed (in press)
Crittenden PM Internal representational models of attachment relationships Infant Mental Health Journal 1990 11 259 277
Mufson L Moreau D Weissman MM Klerman GL Interpersonal therapy for depressed adolescents 1993 Guilford Press New York
Sroufe LA Perlmutter M Infant-caregiver attachment and patterns of adaptation in preschool: The roots of maladaptation and competence Minnesota symposium in child psychology 1983 Vol. 16 41 83 Lawrence Erlbaum Associates Hillsdale, NJ
Pickreign Stronach E Toth SL Rogosch F Cicchetti D Preventive interventions and sustained attachment security in maltreated children Development and Psychopathology 25 (in press) PMC3857699 24229539

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Annual Research Review: Childhood maltreatment, latent vulnerability and the shift to preventative psychiatry – the contribution of functional brain imaging
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Child maltreatment and the development of substance use and disorder
Cicchetti, D., & Handley, E. D. (2019) · Neurobiology of Stress · doi:10.1016/j.ynstr.2018.100144 · Cited by 210 · see citing works
Self-citation
Administration of Non-Absorbable Antibiotics to Pregnant Mice to Perturb the Maternal Gut Microbiota Is Associated with Alterations in Offspring Behavior
Tochitani, S., Ikeno, T., Ito, T., Sakurai, A., Yamauchi, T., & Matsuzaki, H. (2016) · PLOS ONE · doi:10.1371/journal.pone.0138293 · Cited by 157 · see citing works
Childhood maltreatment and methylation of FK506 binding protein 5 gene (<i>FKBP5</i>)
Tyrka, A. R., Ridout, K. K., Parade, S. H., Paquette, A., Marsit, C. J., & Seifer, R. (2015) · Development and Psychopathology · doi:10.1017/s0954579415000991 · Cited by 118 · see citing works
Relational Interventions for Maltreated Children
Valentino, K. (2017) · Child Development · doi:10.1111/cdev.12735 · Cited by 67 · see citing works
“Second, brief relational interventions for child maltreatment that are appropriate for delivery beyond infancy and toddlerhood are needed (Toth et al., 2013).”
BackgroundInfluential
Attachment based treatments for adolescents: the secure cycle as a framework for assessment, treatment and evaluation
Kobak, R., Zajac, K., Herres, J., & Krauthamer Ewing, E. S. (2015) · Attachment & Human Development · doi:10.1080/14616734.2015.1006388 · Cited by 65 · see citing works
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Risholm Mothander, P., Furmark, C., & Neander, K. (2018) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12419 · Cited by 49 · see citing works
Maternal elaborative reminiscing mediates the effect of child maltreatment on behavioral and physiological functioning
Valentino, K., Hibel, L. C., Cummings, E. M., Nuttall, A. K., Comas, M., & McDonnell, C. G. (2015) · Development and Psychopathology · doi:10.1017/s0954579415000917 · Cited by 48 · see citing works
Patterns of Mother, Father, and Peer Attachment Quality as Moderators of Child Maltreatment Risk for Depression and PTSD Symptoms in Adolescent Females
Russotti, J., Herd, T., Handley, E. D., Toth, S. L., & Noll, J. G. (2023) · Journal of Interpersonal Violence · doi:10.1177/08862605221138654 · Cited by 8 · see citing works
“These findings support the continued use of clinical interventions that promote healthy attachments and address interpersonal functioning to mitigate the impact of CM on depressive symptoms (Toth et al., 2010, 2013), with an emphasis on maternal-adolescent attachment quality.”
Background

Authors: Toth, S. L., Gravener-Davis, J. A., Guild, D. J., & Cicchetti, D.
Affiliations: University of Rochester (US)
University of Minnesota (US)
Corresponding author: Toth, Sheree L.
ORCID: Toth, Sheree L.
Cicchetti, Dante
Venue: Development and Psychopathology
Publisher: Cambridge University Press (CUP)
Published: 2013-11
Volume: 25
Issue: 4pt2
Pages: 1601-1617
ISSN: 0954-5794 (ISSN-L)
1469-2198
DOI: 10.1017/s0954579413000795
PMC: PMC4063316
OpenAlex: W2086195548
Cited by: 124
References: 190
Citations by year: 2026: 3 · 2025: 4 · 2024: 3 · 2023: 10 · 2022: 8 · 2021: 15 · 2020: 9 · 2019: 14 · 2018: 6 · 2017: 21 · 2016: 14 · 2015: 14 · 2014: 1 · 2013: 1 · 2012: 1
FWCI: 1.46
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.cambridge.org/core/terms (unspecified, 46 d)
Locations: Development and Psychopathology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (MH54643, R01MH054643)
National Institute on Drug Abuse (DA12903, DA17741, R01DA012903, R01DA017741)
Topics: Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Social Sciences › Safety Research › Child Welfare and Adoption
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords: child abuse, relationship interventions, attachment, developmental cascades, epigenetics, genetic variants, developmental psychopathology, maltreated children, family intervention
MeSH terms: Child, Child Abuse, Child Development, Family Therapy, Humans, Object Attachment, Psychological Theory

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Relational interventions for child maltreatment: Past, present and future perspectives

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