Childhood sexual abuse and attachment: An intergenerational perspective
Open accessAbstract
Childhood sexual abuse (CSA) is a recognized risk factor for various negative outcomes in adult survivors and their offspring. We used the Dynamic-Maturational Model of attachment theory as a framework for exploring the impact of maternal CSA on children’s attachment relationships in the context of a longitudinal sample of adult survivors of CSA and non-abused comparison mothers and their children. Results indicated that children of CSA survivors were more likely to have extreme strategies of attachment than the children of non-abused mothers. However, because both groups were at socioeconomic risk, both were typified by anxious attachment. Explanations for findings and implications for children’s development are explored.
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Disruptions in internal working models of attachment can extend into the next generation such that mothers with a CSA history generalize attachment insecurity to relationships formed with their own children.
“Disruptions in internal working models of attachment can extend into the next generation such that mothers with a CSA history generalize attachment insecurity to relationships formed with their own children (Kwako et al. 2010).”
From Child Sexual Abuse as a Unique Risk Factor for the Development of Psychopathology: The Compounded Convergence of Mechanisms (2021) · cites this paper as Kwako et al. 2010
The Introduction (Maternal CSA and child–mother attachment; page unavailable) discusses how mothers’ attachment difficulties may affect relationships with their children, and the Discussion (Summary of results; page unavailable) reports more extreme anxious attachment strategies among children of CSA survivors. But the study found no significant difference in children’s attachment security when classified simply as secure or insecure, and it did not establish that mothers generalize insecurity through disrupted internal working models. (LLM, conf=0.86)
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- Authors
- Kwako, L. E., Noll, J. G., Putnam, F. W., & Trickett, P. K.
- Affiliations
- National Institutes of Health (US)
- Cincinnati Children's Hospital Medical Center (US)
- University of Southern California (US)
- Corresponding author
- Kwako, Laura E.
- Venue
- Clinical Child Psychology and Psychiatry
- Publisher
- SAGE Publications
- Published
- 2010-07
- Volume
- 15
- Issue
- 3
- Pages
- 407-422
- ISSN
- 1359-1045 (ISSN-L)
- 1461-7021
- PMC
- PMC3161402
- OpenAlex
- W2159356121
- Cited by
- 119
- References
- 39
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 7 · 2023: 10 · 2022: 4 · 2021: 9 · 2020: 9 · 2019: 9 · 2018: 7 · 2017: 11 · 2016: 6 · 2015: 15 · 2014: 10 · 2013: 3 · 2012: 3
- FWCI
- 4.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K01HD041402, R01HD052533)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- child sexual abuse, intergenerational transmission, attachment, maternal abuse, attachment anxiety, socioeconomic risk, child development
- MeSH terms
- Adult, Child, Child Abuse, Sexual, Child, Preschool, Defense Mechanisms, Female, Humans, Infant, Longitudinal Studies, Male, Maternal Behavior, Mother-Child Relations, Object Attachment, Personality Assessment, Risk Factors, Social Environment, Parenting, Reactive Attachment Disorder, Young Adult
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