The moderating effect of risk exposure on an efficacious intervention for maltreated children
Open accessAbstract
The current study extends research on the impact of the Fostering Healthy Futures program (Taussig & Culhane, 2010), a 9-month mentoring and skills group preventive intervention for maltreated children, by examining whether the effect of Fostering Healthy Futures is moderated by children's baseline risk exposure (i.e., number of adverse childhood experiences). Participants included 156 racially and ethnically diverse children (ages 9-11, 50.7% female) recently placed in foster care due to maltreatment who were randomized to intervention or control conditions. Baseline and 6-month postintervention measures included a multi-informant index of mental health functioning and youth-reported symptoms of posttraumatic stress, dissociation, coping skills, social-acceptance, global self-worth, social support, and quality of life. A previously published, empirically derived risk index was used to assess level of exposure to 6 adverse childhood experiences (i.e., physical abuse, sexual abuse, removal from a single parent household, high level of exposure to community violence, and high numbers of caregiver and school transitions). Significant Intervention × Risk interactions were observed in regression models predicting 6-month postintervention symptoms of posttraumatic stress (β = .38, p < .001) and dissociation (β = .30, p < .01). Among children with low to moderate levels of risk, intervention participants evidenced fewer symptoms, whereas intervention participants with high levels of risk did not differ from the control group. The results of this study suggest that maltreated children exposed to high numbers of adverse childhood experiences may not experience the same reduction in trauma symptoms postintervention relative to children exposed to fewer adversities.
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- Authors
- Weiler, L. M., & Taussig, H. N.
- Affiliations
- University of Minnesota (US)
- University of Denver (US)
- Corresponding author
- Weiler, Lindsey M.
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2017-03-20
- Volume
- 48
- Issue
- sup1
- Pages
- S194-S201
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- PMC
- PMC6153079
- OpenAlex
- W2600050785
- Cited by
- 21
- References
- 31
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 1 · 2019: 2 · 2017: 1
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons - DU (University of Denver) (submittedVersion)
- Funders
- National Institute of Mental Health (1 K01 MH01972,1 R01 MH076919,1 R21 MH067618,T32 MH15442)
- Kempe Foundation
- Pioneer Fund
- Daniels Fund
- Childrenâs Hospital Research Institute
- U.S. Public Health Service (T32 MH15442)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Keywords
- child abuse, mentoring intervention, preventive interventions, adverse childhood experiences, risk exposure, moderation, post-traumatic stress, dissociation, foster care, trauma symptoms, coping strategies, social acceptance, self-worth, social support, quality of life
- MeSH terms
- Child, Child Abuse, Female, Humans, Male, Mental Health, Quality of Life, Risk Factors
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