@article{ref1,
title="Childhood maltreatment and decision-making autonomy in adulthood: the mediating roles of self-esteem and social support",
journal="Child abuse and neglect",
year="2022",
author="Islam, Md Jahirul and Broidy, Lisa and Eriksson, Li and Rahman, Mosiur and Mazumder, Nurunnahar",
volume="129",
number="",
pages="e105665-e105665",
abstract="BACKGROUND: Childhood maltreatment (CM) is connected with a large number of maladaptive long-term outcomes. Effective prevention and intervention hinges partly on our understanding of the key mediating mechanisms that help account for the relationship between child maltreatment and its long-term consequences. We know the consequences of CM can extend into adulthood, including the intergenerational transmission of violence, re-victimization, high-risk behavior, and persisting mental health problems. We argue that CM also likely affects decision-making autonomy in adulthood, limiting their independence and exaggerating their risk for other poor outcomes. We suggest that the effects of CM on self-esteem and access to social support mediate this relationship, helping to explain how and why CM impacts autonomy in the long term. <br><br>OBJECTIVE: This study aimed to examine these relationships using a cross-sectional sample of currently married women of Bangladesh aged 15-49 years (N = 426). <br><br>METHOD: A multi-stage random sampling technique was employed for data collection and a multivariate logistic regression technique was applied for data analysis. <br><br>RESULTS: Results from the multivariate logistic regression model revealed a direct effect of a history of CM on limited decision-making autonomy in adulthood and a full mediating effect of self-esteem and social support on the associations between CM and decision-making autonomy in women, even after adjusting for theoretically and empirically relevant covariates. <br><br>CONCLUSIONS: The study findings provide insight into the mechanisms by which early childhood experiences impact autonomous decision-making. However, causality cannot be determined because of the cross-sectional design. Finally, our findings suggest that the influence of CM on autonomy could be augmented by self-esteem recovery through social support from family, friends, and peers.<p /> <p>Language: en</p>",
language="en",
issn="0145-2134",
doi="10.1016/j.chiabu.2022.105665",
url="http://dx.doi.org/10.1016/j.chiabu.2022.105665"
}