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. 2018 Sep 17;6(1):47.
doi: 10.1186/s40359-018-0259-7.

Coming to terms with oneself: a mixed methods approach to perceived self-esteem of adult survivors of childhood maltreatment in foster care settings

Dina Weindl  1 , Brigitte Lueger-Schuster  2
Affiliations

Coming to terms with oneself: a mixed methods approach to perceived self-esteem of adult survivors of childhood maltreatment in foster care settings

Dina Weindl et al. BMC Psychol. .

Abstract

Background: A broad range of psychopathological sequelae was found in adult survivors of institutional childhood maltreatment (IM). Childhood maltreatment is also associated with lower self-esteem (SE). In previous qualitative research, adult survivors of IM reported feelings of worthlessness and self-doubts, but research on IM and its associations with SE is still scarce.

Method: To investigate the emotional facet of SE in 46 adult survivors of IM in foster care settings provided by the City of Vienna we used the Emotional SE subscale of the Multidimensional Self-Esteem Scale ('Multidimensionale Selbstwertskala', MSWS) and applied a semi-structured interview with open-ended questions. Qualitative data were analyzed with thematic analysis. Finally, qualitative and quantitative data were merged in a mixed method approach to detect similarities and differences between both assessment modalities.

Results: Findings showed a significantly lower emotional SE level (MSWS) in adult survivors compared to a norm sample. Qualitative findings revealed five main themes reporting positive and negative emotions and attitudes towards oneself. Merged data showed a tendency of more positive attitudes and emotions within participants with higher emotional SE levels and more negative attitudes within participants with lower levels. No gender differences were found in both data sets.

Conclusions: IM seems to predict lower emotional SE. Observed qualitative aspects of emotional SE seem to concur with symptoms of disturbances in self-organization (DSO) that are typically present in persons suffering from Complex PTSD. Considering emotional SE in future research could facilitate the understanding of the sequelae of complex trauma.

Keywords: Adult survivors; Emotional self-esteem; Foster care settings; Institutional maltreatment; Mixed methods approach; Thematic analysis.

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Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the Ethics Committee of the University of Vienna (No. 00071); all participants gave written informed consent in advance.

Consent for publication

Not applicable

Competing interests

The authors declare that they have no competing interests.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Flow chart of main and subthemes
See this image and copyright information in PMC

References

    1. Kessler RC, McLaughlin KA, Green JG, Gruber MJ, Sampson NA, Zaslavsky AM, et al. Childhood adversities and adult psychopathology in the WHO world mental health surveys. Br J Psychiatry. 2010;197:378–385. doi: 10.1192/bjp.bp.110.080499. - DOI - PMC - PubMed
    1. Springer KW, Sheridan J, Kuo D, Carnes M. Long-term physical and mental health consequences of childhood physical abuse: results from a large population-based sample of men and women. Child Abuse Negl. 2007;31:517–530. doi: 10.1016/j.chiabu.2007.01.003. - DOI - PMC - PubMed
    1. Fitzpatrick M, Carr A, Dooley B, Flanagan-Howard R, Flanagan E, Tierney K, et al. Profiles of adult survivors of severe sexual, physical and emotional institutional abuse in Ireland. Child Abuse Rev. 2010;19:387–404. doi: 10.1002/car.1083. - DOI
    1. Terry KJ. Stained glass: the nature and scope of child sexual abuse in the Catholic Church. Crim Justice Behav. 2008;35:549–569. doi: 10.1177/0093854808314339. - DOI
    1. Lueger-Schuster B, Kantor V, Weindl D, Knefel M, Moy Y, Butollo A, et al. Institutional abuse of children in the Austrian Catholic Church: types of abuse and impact on adult survivors’ current mental health. Child Abuse Negl. 2014;38:52–64. doi: 10.1016/j.chiabu.2013.07.013. - DOI - PubMed

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