{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T04:21:50Z","timestamp":1760242910275,"version":"build-2065373602"},"reference-count":63,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2016,10,9]],"date-time":"2016-10-09T00:00:00Z","timestamp":1475971200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"NHMRC","doi-asserted-by":"publisher","award":["ACTRN12607000057482"],"award-info":[{"award-number":["ACTRN12607000057482"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>This study explores the relationship between reported parental emotional neglect when a child, assault type experienced, posttraumatic stress symptoms (PTSS), depression, and alcohol consumption in treatment seekers for comorbid depressive symptoms and alcohol misuse. Participants (n = 220) with concurrent depression and alcohol misuse were recruited from the DAISI (Depression and Alcohol Integrated and Single-focussed Interventions) project. Assault type and PTSS were retrospectively assessed by the Posttraumatic Stress Diagnostic Scale. The Measure of Parenting Style is a self-report measure that retrospectively assessed emotional neglect experienced as a child. An exploratory factor analysis using the tetrachoric correlation matrix (applying principal factor extraction with a varimax rotation) identified the two assault factors of sexual assault (SA) and physical assault (PA). A path analysis revealed that Maternal Emotional Neglect increased the impact of PTSS and depression. Paternal Emotional Neglect increased the impact of PA on PTSS and alcohol dependence symptoms. There appears to be differential effects of assault type and Maternal\/Paternal emotional neglect on depression and alcohol misuse, suggesting that parenting roles serve distinct protective functions.<\/jats:p>","DOI":"10.3390\/jcm5100088","type":"journal-article","created":{"date-parts":[[2016,10,10]],"date-time":"2016-10-10T10:35:19Z","timestamp":1476095719000},"page":"88","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The Influence of Parental Emotional Neglect on Assault Victims Seeking Treatment for Depressed Mood and Alcohol Misuse: A Pilot Study"],"prefix":"10.3390","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8109-7662","authenticated-orcid":false,"given":"Kylie","family":"Bailey","sequence":"first","affiliation":[{"name":"Centre for Brain and Mental Health, School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan 2308, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Baker","sequence":"additional","affiliation":[{"name":"Centre for Brain and Mental Health, School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan 2308, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"McElduff","sequence":"additional","affiliation":[{"name":"Centre for Brain and Mental Health, School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan 2308, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9072-8828","authenticated-orcid":false,"given":"David","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"Centre for Children\u2019s Health Research, Institute of Health &amp; Biomedical Innovation and School of Psychology &amp; Counselling, Queensland University of Technology, GPO Box 2434, Brisbane 4001, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2016,10,9]]},"reference":[{"key":"ref_1","unstructured":"Australian Centre for Posttraumatic Mental Health (ACPMH) Australian Guidelines for the Treatment of Adults with Stress Disorder and Posttraumatic Stress Disorder: Practitioner Guide. Available online: www.acpmh.unimelb.edu.au."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1176\/appi.ajp.158.8.1231","article-title":"Prediction of psychological outcomes one year after a motor vehicle accident","volume":"158","author":"Mayou","year":"2001","journal-title":"Am. J. Psychiatry"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1016\/S0006-3223(02)01335-5","article-title":"Acute stress reactions in adults","volume":"51","author":"Shalev","year":"2002","journal-title":"Biol. Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1037\/a0012591","article-title":"The structure of distress following trauma: Posttraumatic stress disorder, major depressive disorder, and generalised anxiety disorder","volume":"117","author":"Grant","year":"2008","journal-title":"J. Abnorm. Psychol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1390","DOI":"10.1176\/appi.ajp.161.8.1390","article-title":"Posttraumatic stress disorder and depression following trauma: Understanding comorbidity","volume":"161","author":"Creamer","year":"2004","journal-title":"Am. J. Psychiatry"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1111\/1471-6402.00093","article-title":"Depression and ptsd in survivors of male violence: Research and training initiatives to facilitate recovery","volume":"27","author":"Koss","year":"2003","journal-title":"Psychol. Women Q."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1176\/ajp.155.5.630","article-title":"Prospective study of posttraumatic stress disorder and depression following trauma","volume":"155","author":"Shalev","year":"1998","journal-title":"Am. J. Psychiatry"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"231","DOI":"10.3109\/10673229709030550","article-title":"The self-medication hypothesis of substance use disorders: A reconsideration and recent applications","volume":"4","author":"Khantzian","year":"1997","journal-title":"Harv. Rev. Psychiatry"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1002\/jts.20578","article-title":"Traumatic stress, affect dysregulation, and dysfunctional avoidance: A structural equation model","volume":"23","author":"Briere","year":"2010","journal-title":"J. Trauma. Stress"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1023\/B:JOTS.0000029263.11104.23","article-title":"Adult sexual assault: Prevalence, symptomalogy, and sex differences in the general population","volume":"17","author":"Elliot","year":"2004","journal-title":"J. Trauma. Stress"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1891\/0886-6708.24.1.98","article-title":"Sexual assault in men: A population-based study of virginia","volume":"24","author":"Masho","year":"2009","journal-title":"Violence Vict."},{"key":"ref_12","unstructured":"Australian Bureau of Statistics (ABS) (2006). Personal Safety Survey."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1097\/01.nmd.0000188987.07734.22","article-title":"Interpersonal psychotherapy for depressed women with sexual abuse histories: A pilot study in a community mental health centre","volume":"193","author":"Talbot","year":"2005","journal-title":"J. Nerv. Ment. Disord."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1111\/1471-6402.t01-2-00006","article-title":"Sexual assault history and health-related outcomes in a national sample of women","volume":"27","author":"Ullman","year":"2003","journal-title":"Psychol. Women Q."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1016\/S0306-4603(98)00098-7","article-title":"Epidemiological evidence about the relationship between ptsd and alcohol abuse: The nature of the association","volume":"23","author":"McFarlane","year":"1998","journal-title":"Addict. Behav."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"22","DOI":"10.3149\/jmh.0601.22","article-title":"Effects of sexual assaults on men: Physical, mental and sexual consequences","volume":"6","author":"Tewksbury","year":"2007","journal-title":"Int. J. Men\u2019s Health"},{"key":"ref_17","first-page":"412","article-title":"Gender differences in individuals with comorbid alcohol dependence and posttraumatic stress disorder","volume":"12","author":"Sonne","year":"2003","journal-title":"Am. J. Addict."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1007\/s00127-011-0397-1","article-title":"Prevalence and risk of psychiatric disorders as a function of variant rape histories: Results from a national survey of women","volume":"47","author":"Zinzow","year":"2012","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1037\/0022-006X.76.4.633","article-title":"A longitudindal investigation of interpersonal violence in relation to mental health and substance use","volume":"76","author":"Hedtke","year":"2008","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1037\/0033-2909.120.1.83","article-title":"Alcohol abuse in individuals exposed to trauma: A critical review","volume":"120","author":"Stewart","year":"1996","journal-title":"Psychol. Bull."},{"key":"ref_21","first-page":"8","article-title":"The serious impact and consequences of physical assault","volume":"Volume 496","author":"Fuller","year":"2015","journal-title":"Trends and Issues in Crime and Criminal Justice"},{"key":"ref_22","unstructured":"Center on the Developing Child at Harvard University The Science of Neglect: The Persistent Absence of Responsive Care Disrupts the Developing Brain (Working Paper 12). Available online: http:\/\/developingchild.harvard.edu\/resources\/reports_and_working_papers\/working_papers\/wp12\/."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1007\/s00127-012-0549-y","article-title":"The neglect of child neglect: A metanalytic review of prevalence of neglect","volume":"48","author":"Stoltenborg","year":"2013","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_24","unstructured":"National Society for the Prevention of Cruelty to Children (NSPCC) (2012). Core Info: Emotional Neglect and Emotional Abuse in Preschool Children, NSPCC."},{"key":"ref_25","first-page":"269","article-title":"Cognitive-behavioural therapy for depression","volume":"46","author":"Nilly","year":"2009","journal-title":"Isr. J. Psychiatry Relat. Sci."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/j.chiabu.2004.01.008","article-title":"The interrelatedness of multiple forms of childhood abuse, neglect and childhood dysfunction","volume":"28","author":"Dong","year":"2004","journal-title":"Child Abuse Negl."},{"key":"ref_27","unstructured":"Perry, B.D. Bonding and Attachment in Maltreated Children: Consequences of Emotional Neglect in Childhood. Available online: http:\/\/aia.berkeley.edu\/strengthening_connections\/handouts\/perry\/Bonding%20and%20Attachment.pdf."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1080\/17523281.2011.598462","article-title":"Childhood trauma among individual with co-morbid substance use and posttraumatic stress disorder","volume":"4","author":"Farrugia","year":"2011","journal-title":"Ment. Health Subst. Use"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1016\/j.chiabu.2008.05.008","article-title":"Childhood maltreatment associated with ptsd and emotional distress in low-income adults: The burden of neglect","volume":"32","year":"2008","journal-title":"Child Abuse Negl."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1037\/0735-7028.28.4.348","article-title":"The impact of childhood abuse on treatment outcomes of substance users","volume":"28","author":"Gutierres","year":"1997","journal-title":"Prof. Psychol. Res. Pract."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/00001504-200301000-00002","article-title":"Childhood trauma and depression","volume":"16","author":"Hill","year":"2003","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_32","first-page":"55","article-title":"Consensus statement update on posttraumatic stress disorder from the international consensus group on anxiety and depression","volume":"65","author":"Ballenger","year":"2004","journal-title":"J. Clin. Psychiatry"},{"key":"ref_33","unstructured":"Bronfenbrenner, U. (1994). Ecological Models of Human Development, Elsevier. [2nd ed.]."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"83","DOI":"10.2307\/1129836","article-title":"The determinants of parenting: A process model","volume":"55","author":"Belsky","year":"1984","journal-title":"Child Dev."},{"key":"ref_35","unstructured":"Myers, J.E.B., Berliner, L., Briere, J., Hendrix, C.T., and Jenny, C. (2002). The Apsac Handbook on Childhood Maltreatment, Sage Publications. [2nd ed.]."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1177\/1077559505275116","article-title":"The psychobiology of neglect","volume":"10","year":"2005","journal-title":"Child Maltreat."},{"key":"ref_37","unstructured":"Perry, B.D., and Pollard, D. (1997, January 25\u201329). Altered brain development following global neglect in early childhood. Society for Neuroscience: Proceedings from annual meeting, New Orleans, LA, USA."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1111\/j.1465-3362.2011.00401.x","article-title":"Posttraumatic stress profiles among a treatment sample with comorbid depression and alcohol use problems","volume":"31","author":"Bailey","year":"2012","journal-title":"Drug Alcohol Rev."},{"key":"ref_39","unstructured":"Tull, M. Rates of PTSD from Rape and Other Forms of Sexual Assault. Available online: http:\/\/ptsd.about.com\/od\/prevalence\/a\/sexassault.htm."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/S0005-7967(98)00181-8","article-title":"Cognitive factors involved in the onset and maintenance of posttraumatic stress disorder (PTSD) after physical or sexual assault","volume":"37","author":"Dunmore","year":"1999","journal-title":"Behav. Res. Ther."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1037\/0893-164X.21.3.297","article-title":"College drinking behaviours: Mediational links between parenting styles, parental bonds, depression and alcohol problems","volume":"21","year":"2007","journal-title":"Psychol. Addict. Behav."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1111\/j.1360-0443.2009.02757.x","article-title":"A randomised controlled trial of CBT for co-existing depression and alcohol problems: Short-term outcome","volume":"105","author":"Baker","year":"2010","journal-title":"Addiction"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.jsat.2013.10.001","article-title":"Randomised controlled trial of MICBT for co-existing alcohol misuse and depression: Outcomes to 36-months","volume":"46","author":"Baker","year":"2014","journal-title":"J. Subst. Abuse Treat."},{"key":"ref_44","unstructured":"National Health and Medical Research Centre (NHMRC) (2001). Australian Alcohol Guidelines: Health Risks and Benefits."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1037\/1040-3590.9.4.445","article-title":"The validation of a self-report measure of posttraumatic stress disorder: The posttraumatic diagnostic scale","volume":"9","author":"Foa","year":"1997","journal-title":"Psychol. Assess."},{"key":"ref_46","unstructured":"American Psychiatric Association (APA) (1994). Diagnostic and Statistical Manual, APA. [4th ed.]."},{"key":"ref_47","first-page":"1193","article-title":"The development of a refined measure of dysfunctional parenting and assessment of its relevance in patients with affective disorders","volume":"27","author":"Parker","year":"1997","journal-title":"Psychol. Assess."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Beck, A.T., Steer, R.A., and Brown, G.K. (1996). The Beck Depression Inventory, The Psychological Corporation. [2nd ed.].","DOI":"10.1037\/t00742-000"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1111\/j.1360-0443.1993.tb02093.x","article-title":"Development of the alcohol use disorders identification test (AUDIT). Who collaborative project on early detection of persons with harmful alcohol consumption","volume":"88","author":"Saunders","year":"1993","journal-title":"Addiction"},{"key":"ref_50","unstructured":"Babor, T.F., Higgins-Biddle, J.C., Saunders, J.B., and Monteiro, M.G. (2001). The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care, World Health Organisation. [2nd ed.]."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1111\/j.1360-0443.1994.tb00875.x","article-title":"The measurement of alcohol dependence and impaired control in community samples","volume":"89","author":"Stockwell","year":"1994","journal-title":"Addiction"},{"key":"ref_52","first-page":"145","article-title":"The severity of alcohol dependence questionnaire: Its use, reliability and validity","volume":"78","author":"Stockwell","year":"1983","journal-title":"Addiction"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Dawe, S., Loxton, N.J., Hides, L., Kavanagh, D.J., and Mattick, R.P. (2002). Timeline followback: A technique for assessing self-reported alcohol consumption, Review of Diagnostic and Screeing Instruments for Alcohol and Other Drug Use and Other Psychiatric Disorders.","DOI":"10.1037\/e674282010-001"},{"key":"ref_54","unstructured":"Allen, J.P., and Wilson, V.B. (2003). Assessing Alcohol Problems: A Guide for Clinicians and Researchers."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","article-title":"Controlling the false discovery rate: A practical and powerful approach to multiple testing","volume":"57","author":"Benjamini","year":"1995","journal-title":"J. R. Stat. Soc. Ser. B (Methodol.)"},{"key":"ref_56","unstructured":"(2010). Spss for Window, SPSS Inc.. Internationational Business Machines."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1176\/ajp.156.3.431","article-title":"Characteristics of depressed patients who report childhood sexual abuse","volume":"156","author":"Gladstone","year":"1999","journal-title":"Am. J. Psychiatry"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.chiabu.2006.04.010","article-title":"Child multi-type maltreatment and associated depression and ptsd symptoms: The role of social support and stress","volume":"31","author":"Vranceanu","year":"2007","journal-title":"Child Abuse Negl."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Morgan, A., and McAtamney, A. (2009). Key Issues in Alcohol-Related Violence.","DOI":"10.1037\/e619192012-001"},{"key":"ref_60","first-page":"1","article-title":"Longitudinal cohort study of depression, post-traumatic stress, and alcohol use in south african women who attend alcohol serving venues","volume":"14","author":"Abler","year":"2014","journal-title":"BioMed Cent. Psychiatry"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1037\/a0034918","article-title":"Reciprocal associations between ptsd and alcohol involvement in college: A three year trait-state-error analysis","volume":"122","author":"Read","year":"2013","journal-title":"J. Abnorm. Psychol."},{"key":"ref_62","first-page":"268","article-title":"A randomised controlled trial of cognitive-behavioural treatment for depression versus relaxation training for alcohol-dependent individuals with elevated depressive symptoms","volume":"72","author":"Brown","year":"2011","journal-title":"J. Stud. Alcohol"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1037\/0021-843X.112.1.159","article-title":"Drinking to cope and alcohol use in unipolar depression: A 10-year model","volume":"112","author":"Holahan","year":"2003","journal-title":"J. Abnorm. Psychol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/5\/10\/88\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T19:32:34Z","timestamp":1760211154000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/5\/10\/88"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10,9]]},"references-count":63,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2016,10]]}},"alternative-id":["jcm5100088"],"URL":"https:\/\/doi.org\/10.3390\/jcm5100088","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2016,10,9]]}}}