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Journal of Pediatric Psychology Advance Access published online on August 10, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj057
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received January 5, 2004
Revised December 9, 2004
Accepted December 13, 2004

Article

Concerns and Coping of African-American Mothers After Youth Assault Requiring Emergency Medical Treatment

Lori F. Phelps MS1*, W. Hobart Davies PhD2, Michael R. McCart MS1, Bonita P. Klein-Tasman PhD1, Marlene D. Melzer-Lange MD3, and Wendi Heuermann MS4

1 University of Wisconsin-Milwaukee
2 University of Wisconsin-Milwaukee; Medical College of Wisconsin
3 Medical College of Wisconsin
4 Children’s Hospital of Wisconsin

* To whom correspondence should be addressed.
Lori F. Phelps, E-mail: lfphelps{at}uwm.edu


  Abstract

Objective To explore maternal experience following youth assault occurring in the community. Methods A semistructured interview was used to elicit concerns and coping strategies among 35 African-American mothers whose children received emergency department (ED) treatment for assault-related injuries. Mothers also completed measures of violence exposure, trauma symptoms, social support, and youth functioning. Results The most common concerns involved family safety, maternal mental health, and youth externalizing behavior. Faith and social support were the most common coping strategies. High levels of distress were found, which were directly related to maternal violence exposure, relationships that required mothers to nurture others, and youth functioning. Distress was inversely related to relationships that provided guidance from others. Conclusion Distress is common among low-income African-American mothers of youth assault victims. To bolster youth recovery and to reduce the risk of future injury, ED staff should be knowledgeable regarding culturally sensitive resources to address maternal distress.

Keywords: ecological--transactional approach; maternal distress; youth violence.
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