Profiles of Adjustment in Children and Adolescents Exposed to Intimate Partner Violence: A Scoping Review Investigating Resilience Processes

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Margherita Cameranesi
Caroline C. Piotrowski
Douglas A. Brownridge


Childhood exposure to intimate partner violence, profiles of adjustment, resilience, scoping review, children and adolescents


Even though the negative sequelae of childhood exposure to intimate partner violence (IPV) have been largely established empirically, recent person-centered investigations have shown that young people who experience IPV at home represent a heterogeneous population including different subgroups of individuals with distinct profiles of adjustment. This comprehensive scoping review synthesizes and critically analyzes research on profiles of adjustment in children and adolescents exposed to IPV, with an emphasis on resilience profiles and the factors that promoted more positive outcomes. We searched for relevant research studies across five major bibliographic citation electronic databases, as well as reference lists of included articles, key printed journals, and the grey literature. A total of 13 research studies met our inclusion criteria and therefore were included in this scoping review. At least one “resilient profile” of adjustment was consistently identified across studies, which included between 13% and 67% of participants. Resilient profiles were typically characterized by the absence of adjustment problems and high functioning (e.g., high self-esteem, self-efficacy, and constructive problem-solving abilities) among children and adolescents exposed to IPV. All included studies also identified a number of individual-level, family-level, and environmental-level factors that were significantly associated with resilient adjustment among study participants. Based on the results of our review, we offered recommendations for practice, policy, and research.


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Afifi, T. O. et al. (2014). Child abuse and mental disorders in Canada. Canadian Medical Association Journal, 186, E324-E332.
Allen, N. E., Wolf, A. M., Bybee, D. I., & Sullivan, C. M. (2003). Diversity of children's immediate coping responses to witnessing domestic violence. Journal of Emotional Abuse, 3(1-2), 123-147.
Arksey H., O’Malley L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32.
Bowen, H. P., & Wiersema, M. F. (1999). Matching method to paradigm in strategy research: limitations of cross?sectional analysis and some methodological alternatives. Strategic Management Journal, 20(7), 625-636.
Burford, G., & Hudson, J. (Eds.). (2000). Family group conferencing: New directions in community-centered child and family practice. New York, NY: Aldine de Gruyter.
Cameranesi, M., & Piotrowski, C. C. (2018). Self-Esteem in Children Exposed to Intimate Partner Violence: a Critical Review of the Role of Sibling Relationships and Agenda for Future Research. Journal of Child & Adolescent Trauma, 11, 339-351.
Campbell J. A., Walker R. J., Egede L. E. (2016). Associations between Adverse Childhood Experiences, High-Risk Behaviors, and Morbidity in Adulthood. American Journal of Preventive Medicine, 50(3), 344-352.
Center for Control Disease and Prevention – U.S. Department of Health and Human Services. (2018). Child Abuse and Neglect Prevention: Atlanta, GA. Accessed October 2018. Retrieved from
Chan Y. C., Yeung J. W. K. (2009). Children living with violence within the family and its sequel: A meta-analysis from 1995–2006. Aggression and Violent Behavior, 14(5), 313-322.
Cicchetti, D., Rogosch, F., Lynch, M., & Holt, K. (1993). Resilience in maltreated children: Processes leading to adaptive outcome. Development and Psychopathology, 5(4), 629-647. doi: 10.1017/S0954579400006209
Colquhoun H. L., Levac D., O'Brien K. K., Straus S., Tricco A. C. et al. (2014). Scoping reviews: time for clarity in definition, methods, and reporting. Journal of Clinical Epidemiology, 67(12), 1291-4.
Cowan, P. A., Cohen., D. A., Cowan., C. P., & Pearson, J. L. (1996). Parents’ attachment histories and children’s externalizing and internalizing behaviours: Exploring family systems models of linkage. Journal of Consulting and Clinical Psychology, 64, 53–63.
D’Andrea W., Graham-Bermann S. A. (2016). Social Context and Violence Exposure as Predictors of Internalizing Symptoms in Mothers and Children Exposed to Intimate Partner Violence. Journal of Family Violence, 1-11.
Davis K., Drey N., Gould D. (2009). What are scoping studies? A review of the nursing literature. International Journal of Nursing Studies, 46, 1386–400.
Doucet, M., & Fortin, A. (2014). Review of patterns of adaptation in children exposed to spousal violence. Canadian Journal of Behavioural Science, 46, 162-174. doi:10.1037/a0028368
Duque, L., Klevens, J., Ungar, M., & Lee, A. (2005). Violence prevention programming in Colombia; Challenges in project design and fidelity. In M. Ungar (Ed.), Handbook for working with children and youth: Pathways to resilience across cultures and contexts (pp. 455–472). Thousand Oaks, CA: Sage Publications.
Evans S. E., Davies C., DiLillo D. (2018). Exposure to domestic violence: A meta-analysis of child and adolescent outcomes. Aggression and Violent Behavior, 13(2), 131-140.
Gerlach, A. J. (2012). A critical reflection on the concept of cultural safety. Canadian Journal of Occupational Therapy, 79, 151-158. doi: 10.2182/cjot.2012.79.3.4
Graham-Bermann S. A., Cater A. K., Miller-Graff L. E. and Howell K. H. (2016). Adults' Explanations for Intimate Partner Violence During Childhood and Associated Effects. Journal of Clinical Psychology, 0(0), 1-17. doi: 10.1016/j.chiabu.2009.01.002
Graham-Bermann S. A., Gruber G., Howell K. H., Girz L. (2009). Factors discriminating among profiles of resilience and psychopathology in children exposed to intimate partner violence (IPV). Child Abuse and Neglect, 33(9), 648-60.
Grogan-Kaylor, A. C., Stein, S. F., Clark, H. M., Galano, M. M., & Graham-Bermann, S. A. (2017). Profiles of Children’s Thinking About Violence in Families Exposed to Intimate Partner Violence. Journal of Child and Family Studies, 26, 2824–2833. doi: 10.1007/s10826-017-0787-4
Grych J. H., Jouriles E. N., Swank P. R., McDonald R., Norwood W. D. (2000). Patterns of adjustment among children of battered women. Journal of Consulting and Clinical Psychology, 68(1), 84-94.
Hagan M. J., Hulette A. C., Lieberman A. F. (2015). Symptoms of Dissociation in a High-Risk Sample of Young Children Exposed to Interpersonal Trauma: Prevalence, Correlates, and Contributors. Journal of Traumatic Stress, 28(3), 258-61.
Hamby, S. L., Finkelhor, D., Turner, H. A., & Ormrod, R. (2011). Children's exposure to intimate partner violence and other family violence (pp. 1–12). Juvenile justice bulletin. Washington, DC: U.S. Government Printing Office.
Hanson R. F., Self-Brown S., Fricker-Elhai A. E., Kilpatrick D. G., Saunders B. E., Resnick H. S. (2006). The relations between family environment and violence exposure among youth: Findings from the national survey of adolescents. Child Maltreatment, 11(1), 3-5.
Holden G. (2003). Children exposed to domestic violence and child abuse: Terminology and taxonomy. Clinical Child and Family Psychology Review, 6(3), 151-160.
Holt S., Buckley H., Whelan S. (2008). The impact of exposure to domestic violence on children and young people: A review of the literature. Child Abuse and Neglect, 32(1), 797-810.
Howell, K. H., Barnes, S. E., Miller, L. E., & Graham-Bermann, S. A. (2016). Developmental variations in the impact of intimate partner violence exposure during childhood. Journal of Injury and Violence Research, 8(1), 43-57.
Hughes H. M., Luke D. A. (1998). Heterogeneity in Adjustment Among Children of Battered Women In: Holden G. W., Geffner R., Jouriles E. N., editors. Children Exposed to Marital Violence: Theory, Research, and Applied Issues. Washington, DC: American Psychological Association, p. 185-221.
Johnson M. P. (1995). Patriarchal Terrorism and Common Couple Violence: Two Forms of Violence against Women. Journal of Marriage and Family, 57(2), 283-294.
Johnson M. P. (2006). Conflict and Control: Gender Symmetry and Asymmetry in Domestic Violence. Violence against Women, 12(11), 1003-18.
Kimball E. (2016). Edleson Revisited: Reviewing Children’s Witnessing of Domestic Violence 15 Years Later. Journal of Family Violence, 31(5), 625-637.
Kitzmann K. M., Gaylord N. K., Holt A. R., Kenny E. D. (2003). Child Witnesses to Domestic Violence: A Meta-Analytic Review. Journal of Consulting and Clinical Psychology, 71(2), 339-352.
Landau, J., Mittal, M., & Wieling, E. (2008). Linking human systems: Strengthening individuals, families, and communities in the wake of mass trauma. Journal of Marital and Family Therapy, 34, 193–209.
Lang, J. M., & Stover, C. S. (2008). Symptom patterns among youth exposed to intimate partner violence. Journal of Family Violence, 23(7), 619-629.
Levac D., Colquhoun H., O’Brien K. K. (2010). Scoping studies: advancing the methodology. Implementation Science, 5(69), 1–9.
Levendosky A. A., Graham-Bermann S. A. (2001). Parenting in battered women: The effects of domestic violence on women and their children. Journal of Family Violence, 16(2), 171-192.
Luthar S. S., Cicchetti D., Becker B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543–562.
Masten A. S. (2011). Resilience in children threatened by extreme adversity: Frameworks for research, practice, and translational synergy. Development and Psychopathology, 23, 493–506.
McDonald, S. E., Corona, R., Maternick, A., Ascione, F. R., Williams, J. H., & Graham-Bermann, S. A. (2016). Children's exposure to intimate partner violence and their social, school, and activities competence: latent profiles and correlates. Journal of Family Violence, 31(7), 849-864. doi: 10.1007/s10896-016-9846-7
McDonald, S. E., Graham-Bermann, S. A., Maternick, A., Ascione, F. R., & Williams, J. H. (2016). Patterns of adjustment among children exposed to intimate partner violence: A person-centered approach. Journal of Child and Adolescent Trauma, 9, 137-152.
McDonald, S. E., Shin, S., Corona, R., Maternick, A., Graham-Bermann, S. A., Ascione, F. R., & Herbert Williams, J. (2016). Children exposed to intimate partner violence: Identifying differential effects of family environment on children's trauma and psychopathology symptoms through regression mixture models. Child Abuse & Neglect, 58, 1-11. doi: 10.1016/j.chiabu.2016.06.010
Miller, L., Howell, K., & Graham-Bermann, S. (2014). Developmental Changes in Threat and Self-Blame for Preschoolers Exposed to Intimate Partner Violence (IPV). Journal of Interpersonal Violence, 29, 1535-1553. doi: 10.1177/0886260513511533
Miller-Graff, L. E., Cater, Å. K., Howell, K. H., Graham-Bermann, S. A. (2016). Parent–child warmth as a potential mediator of childhood exposure to intimate partner violence and positive adulthood functioning. Anxiety Stress Coping, 29(3), 259-73.
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med, 6(7), e1000097. doi:10.1371/journal.pmed1000097
Namy, S., Carlson, C., O'Hara, K., Nakuti, J., Bukuluki, P., Lwanyaaga, J., ... & Michau, L. (2017). Towards a feminist understanding of intersecting violence against women and children in the family. Social Science & Medicine, 184, 40-48.
Nix, R. L., Pinderhughes, E. E., Bierman, K. L., & Maples, J. J. (2005). Decoupling the relation between risk factors for conduct problems and the receipt of intervention services: Participation across multiple components of a prevention program. American Journal of Community Psychology, 36, 307–325.
Peters, M. D. J., Godfrey C. M., Khalil H, McInerney P, Parker D et al. (2015). Guidance for conducting systematic scoping review. International Journal of Evidence-Based Healthcare, 13, 141-6.
Peters, M. D. J., Godfrey, C. M., McInerney, P., Soares, C. B., Khalil, H., Parker, D. (2015). The Joanna Briggs Institute Reviewers’ Manual 2015: Methodology for JBI Scoping Reviews. South Australia: The Joanna Briggs Institute.
Piotrowski C. C. (2011). Patterns of Adjustment Among Siblings Exposed to Intimate Partner Violence. Journal of Family Psychology, 25(1), 19-28.
Piotrowski, C. C., & Cameranesi, M. (2018). Aggression by children exposed to IPV: exploring the role of child depressive symptoms, trauma-related symptoms, & warmth in family relationships. Child Psychiatry & Human Development, 49, 360-371.
Rosenberg, J., & Wilcox, W. B. (2006). The importance of fathers in the healthy development of children. US Department Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children's Bureau, Office of Child Abuse and Neglect.
Rutter M. (2012). Resilience as a dynamic concept. Development and Psychopathology, 24, 335–344.
Sianko, N., Hedge, J. M., & McDonell, J. R. (2016). Differential Adjustment Among Rural Adolescents Exposed to Family Violence. Journal of Interpersonal Violence, 22. doi: 10.1177/0886260516645574
Slopen N., McLaughlin K. (2013). Exposure to intimate partner violence and parental depression increases risk of ADHD in preschool children. Evidence-Based Mental Health, 16(4), 102.
Spilsbury, J. C., Kahana, S., Drotar, D., Creeden, R., Flannery, D. J., & Friedman, S. (2008). Profiles of behavioral problems in children who witness domestic violence. Violence & Victims, 23(1), 3-17.
Sternberg K. J., Baradaran L. P., Abbott C. B., Lamb M. E., Guterman E. (2006). Type of violence, age, and gender differences in the effects of family violence on children’s behavior problems: A mega-analysis. Developmental Review, 26(1), 89-112.
Straus M. A. (2011). Gender symmetry and mutuality in perpetration of clinical-level partner violence: Empirical evidence and implications for prevention and treatment. Aggression and Violent Behavior, 16(4), 279-288.
Suglia, S. F., Duarte, C. S., Chambers, E. C., Boynton-Jarrett, R. (2012). Cumulative Social Risk and Obesity in Early Childhood. Pediatrics, 129, e1173-9.
Suglia S. F., Duarte C.S., Sandel M. T., Wright R. J. (2010). Social and environmental stressors in the home and childhood asthma. Journal of Epidemiology and Community Health, 64, 636-642.
Suglia SF, Sapra KJ, Koenen KC. (2015). Violence and cardiovascular health: A systematic review. American Journal of Preventive Medicine, 48(2), 205-212.
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1-18.
Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K., Colquhoun, H. et al. (2016). A scoping review on the conduct and reporting of scoping reviews. BMC Medical Research Methodology, 16(1), 15.
Ungar, M. (2008). Resilience across cultures. British Journal of Social Work, 38(2), 218-235.
Ungar, M. (2011). The social ecology of resilience. Addressing contextual and cultural ambiguity of a nascent construct. American Journal of Orthopsychiatry, 81, 1-17.
Ungar, M. (2012). Social Ecologies and Their Contribution to Resilience. In M. Ungar (Ed.), The Social Ecology of Resilience: A handbook of Theory and Practice (pp. 13-32). New York: Springer.
Ungar, M., Ghazinour, M., & Richter, J. (2013). Annual Research Review: What is resilience within the social ecology of human development? The Journal of Child Psychology and Psychiatry, 54, 348-366.
Vu, N. L., Jouriles, E. N., McDonald, R., Rosenfield, D. (2016). Children's exposure to intimate partner violence: A meta-analysis of longitudinal associations with child adjustment problems. Clinical Psychology Review, 46(1), 25-33.
Wathen, C. N., MacMillan, H. L. (2013). Children's exposure to intimate partner violence: Impacts and interventions. Paediatrics and Child Health (Canada), 18(8), 419-422.
Wolfe, D. A., Crooks, C. V., Lee, V., McIntyre-Smith, A., Jaffe, P. G. (2003). The effects of children's exposure to domestic violence: A meta-analysis and critique. Clinical child and family psychology review, 6(3), 171-187.