title: The prospective assessment of self-concept in neglectful and physically abusive low income mothers.
abstract: Maternal self-esteem has long been associated with the quality of maternal-child interactions and many assume that low self-esteem contributes to the cause of maltreatment. Assessments of the self-concepts of maltreating parents, however, have been done only after maltreatment has occurred. Prospective measurement of self-concept would help to clarify its role in the etiology of maltreatment. In this study, 471 pregnant women completed the Tennessee Self-Concept Scale (TSCS). State protective services' records were reviewed 3 years after these children were born. When records of the 459 women with a known live-born child were reviewed, 29 were found to have maltreated their children (neglect n = 22; physical abuse n = 11; four women found to have both neglected and abused their children). Neglectful mothers had lower scores on scales measuring overall self-esteem, moral self-worth, personal and social adequacy, and perception of self-worth in family relationships than matched nonreported mothers. They described their identity and behavior more negatively and had greater general maladjustment and neurotic symptoms. Physically abusive mothers had lower scores on self-worth in family relationships. When measured prospectively, low self-esteem appears to be a risk factor for child neglect, but is not a strong predictor for physical abuse. Implications for prevention programs are discussed.
authors.affiliation: Department of Pediatrics, Vanderbilt University, Nashville, TN.
authors.forename: M J
authors.initials: MJ
authors.lastname: Christensen
authors.forename: R M
authors.initials: RM
authors.lastname: Brayden
authors.forename: M S
authors.initials: MS
authors.lastname: Dietrich
authors.forename: F J
authors.initials: FJ
authors.lastname: McLaughlin
authors.forename: K B
authors.initials: KB
authors.lastname: Sherrod
authors.forename: W A
authors.initials: WA
authors.lastname: Altemeier
mesh_terms: D000328:Adult; D002649:Child Abuse / Q000517:prevention & control / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D009035:Mothers / Q000523:psychology*; D010555:Personality Inventory; D011203:Poverty / Q000523:psychology*; D011247:Pregnancy; D011446:Prospective Studies; D011613:Psychotherapy; D012307:Risk Factors; D012649:Self Concept