![]() ![]() Links have been made between traumatic distress, mental health disorders and disturbances in behavioural and emotional regulatory systems that may in context elevate the risk of offending. Purpose: Whilst most people who experience adversity recover, there is a cumulative body of evidence that illustrates that the effects can be long lasting, and can even become debilitating over time. Future studies should focus on whether relationships between HBT and parental SUD impact placement disruption and reunification success. Parental SUD strongly influences reunification, and successful outcomes are attenuated when betrayal trauma is combined with parental SUD, compared to when only parental SUD, BT-parent, or BT-non-parent abuse are present. 001) than those experiencing BT-parent abuse without parental SUD (48.61%), and also compared to those experiencing BT-non-parent abuse without parental SUD (22.90% HR = 0.72, p <. When combined, children experiencing BT-parent abuse and parental SUD (21.43%) had lower hazards of reunification (HR = 0.73, p <. Parental SUD strongly and more negatively influenced reunification than distinctions between BT-parent and BT-non-parent abuse. Survival analyses revealed relationships between BT-parent and BT-non-parent abuse with and without accompanying parental SUD, and reunification, while adjusting for additional relevant factors. ![]() Using data from the National Child Abuse and Neglect Dataset and the Adoption and Foster Care Analysis System, we analyzed reunification outcomes of 19,882 children in foster care between 20 who experienced physical or sexual abuse and had data listed on perpetrator identity. We compare effects of BT-parent versus BT-non-parent abuse on reunification outcomes, and how parental SUD influences these relationships. ![]() ![]() HBT abuse may have a particularly grievous impact on children when it is attributed to a parent (BT-parent) than to someone else (BT-non-parent). HBT is strongly linked to dissociative symptoms, and is also associated with a variety of other mental health challenges, including anxiety and depression, as well as to suicidal thoughts and behaviors, alexithymia, shame, impaired functioning, increased somatic symptoms, and non-adherence to treatment (Ford & Gómez, 2015 Freyd et al., 2005 Goldsmith et al., 2012 Klest et al., 2019 Lyssenko et al., 2019 Platt & Freyd, 2015).Ĭhildhood high betrayal trauma (HBT a high degree of closeness and dependency between a victim and perpetrator) and parental substance use disorder (SUD) are both associated with consequences negatively influencing reunification success among child welfare-involved families. While the unique, evolutionarily driven adaptive responses associated with HBT serve a primary role of ensuring a child's survival, if prolonged, they can have a detrimental impact on children's health and development (Freyd, 1994(Freyd,, 1996. In general, children experiencing HBT are more likely to experience difficulties with cognitive and memory processes and more post-traumatic symptoms driven by a freeze response and hypoarousal, such as dissociation, than non-abused children or children who are abused by someone less close (Anderson et al., 2001 Freyd, 1994 1996 Hulette et al., 2008, Platt & Freyd, 2015. ![]()
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