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Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Research Article

Predictor Role of Intimate Domestic Violence During Pregnancy and Mental Health in Maternal Competency with Moderating Role of Motherinfant Attachment: A Structural Equation Model

Author(s): Faeze Ansarifar, Mitra Rahimzadeh, Maryam Keshavarz, Touran Bahrami Babaheidari and Sara Esmaelzadeh Saeieh*

Volume 20, Issue 6, 2024

Published on: 09 October, 2023

Article ID: e091023221898 Pages: 10

DOI: 10.2174/0115734048259773230920104420

Price: $65

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Abstract

Introduction: Intimate domestic violence causes psychological consequences in pregnancy and maternal competency. We aimed to assess the effect of domestic violence on mental health and maternal competency with the moderating role of mother-infant attachment behavior.

Methods: This prospective longitudinal study was conducted on 254 primiparous mothers in the third trimester of pregnancy referring to selected health centers in Qazvin province, Iran. Data collection tools were questionnaires. Data were analyzed by SPSS and Smart Partial Lease Square3 software.

Results: The results of the structural equations model showed that domestic violence has a positive and significant effect on mental health disorders (β = 0.87). Mental health disorder has a negative and significant effect on parental acceptance (β = -0.55). Domestic violence has a negative and significant effect on mother-infant attachment behavior (β = -0.83), also mother-infant attachment behavior is a moderator of the relationship between pregnancy violence and maternal competency (T-value = 3.17).

Conclusion: The results revealed that domestic violence during pregnancy affects the mental health of pregnant mothers and maternal competency and mother-infant attachment behavior moderates this relationship. Therefore, it is recommended that mothers facing domestic violence be identified and receive psychological support and counseling, and also improve maternal competence and mother-infant attachment behavior in mothers exposed to violence.

Keywords: Domestic violence, attachment, mental health, competence, maternal competency, psychological consequences.

Graphical Abstract
[1]
Shrestha, S. Maternal role: A concept analysis. J. Midwifery Reproductive Health, 2019, 7(3)
[2]
Liu, C.C.; Chen, Y.C.; Yeh, Y.P.; Hsieh, Y.S. Effects of maternal confidence and competence on maternal parenting stress in newborn care. J. Adv. Nurs., 2012, 68(4), 908-918.
[http://dx.doi.org/10.1111/j.1365-2648.2011.05796.x] [PMID: 21790741]
[3]
Ramiro-Cortijo, D.; de la Calle, M.; Gila-Díaz, A.; Moreno-Jiménez, B.; Martin-Cabrejas, M.A.; Arribas, S.M.; Garrosa, E. Maternal resources, pregnancy concerns, and biological factors associated to birth weight and psychological health. J. Clin. Med., 2021, 10(4), 695.
[http://dx.doi.org/10.3390/jcm10040695] [PMID: 33578963]
[4]
Zdolska-Wawrzkiewicz, A; Bidzan, M; Chrzan-Dętkoś, M The dynamics of becoming a mother during pregnancy and after childbirth. Int J Environ Res Public Health., 2020, 17(1), 57.
[5]
Mercer, R.T. Becoming a mother versus maternal role attainment. J. Nurs. Scholarsh., 2004, 36(3), 226-232.
[http://dx.doi.org/10.1111/j.1547-5069.2004.04042.x] [PMID: 15495491]
[6]
Don, B.P.; Chong, A.; Biehle, S.N.; Gordon, A.; Mickelson, K.D. Anxiety across the transition to parenthood: Change trajectories among low-risk parents. Anxiety Stress Coping, 2014, 27(6), 633-649.
[http://dx.doi.org/10.1080/10615806.2014.903473] [PMID: 24628469]
[7]
Nijssens, L.; Bleys, D.; Casalin, S.; Vliegen, N.; Luyten, P. Parental attachment dimensions and parenting stress: The mediating role of parental reflective functioning. J. Child Fam. Stud., 2018, 27(6), 2025-2036.
[http://dx.doi.org/10.1007/s10826-018-1029-0]
[8]
Nath, S.; Pearson, R.M.; Moran, P.; Pawlby, S.; Molyneaux, E.; Challacombe, F.L.; Howard, L.M. The association between prenatal maternal anxiety disorders and postpartum perceived and observed mother-infant relationship quality. J. Anxiety Disord., 2019, 68, 102148.
[http://dx.doi.org/10.1016/j.janxdis.2019.102148] [PMID: 31604204]
[9]
Osório, C.; Probert, T.; Jones, E.; Young, A.H.; Robbins, I. Adapting to stress: Understanding the neurobiology of resilience. Behav. Med., 2017, 43(4), 307-322.
[http://dx.doi.org/10.1080/08964289.2016.1170661] [PMID: 27100966]
[10]
Ayre, J; On, ML; Webster, K; Gourley, M; Moon, L Examination of the burden of disease of intimate partner violence against women in 2011: Australia's National Research Organisation for Women's Safety; (ANROWS)., 2011.
[11]
McIntosh, J.E.; Tan, E.S.; Levendosky, A.A.; Holtzworth-Munroe, A. Mothers’ experience of intimate partner violence and subsequent offspring attachment security ages 1–5 years: A meta-analysis. Trauma Violence Abuse, 2021, 22(4), 885-899.
[http://dx.doi.org/10.1177/1524838019888560] [PMID: 31750785]
[12]
Razaghi, N. Domestic violence against women, Mashhad, Islamic Republic of Iran: A grounded theory study. East. Mediterr. Health J., 2021, 28, 4.
[13]
Soleimani, A.; Delpisheh, A.; Ahmadi, A.; Khademi, N.; Jafarinia, B.; Sayehmiri, K. Prevalence of violence against women during pregnancyin in Iran: A systematic review and meta-analysis. Nurs Midwifery Res. J., 2016, 13(11), 973-986.
[14]
Hill, A.; Pallitto, C.; McCleary-Sills, J.; Garcia-Moreno, C. A systematic review and meta-analysis of intimate partner violence during pregnancy and selected birth outcomes. Int. J. Gynaecol. Obstet., 2016, 133(3), 269-276.
[http://dx.doi.org/10.1016/j.ijgo.2015.10.023] [PMID: 27039053]
[15]
Gureje, O.; Abdulmalik, J.; Kola, L.; Musa, E.; Yasamy, M.T.; Adebayo, K. Integrating mental health into primary care in Nigeria: Report of a demonstration project using the mental health gap action programme intervention guide. BMC Health Serv. Res., 2015, 15(1), 242.
[http://dx.doi.org/10.1186/s12913-015-0911-3] [PMID: 26094025]
[16]
Alipour, Z.; Kheirabadi, G.R.; Kazemi, A.; Fooladi, M. The most important risk factors affecting mental health during pregnancy: A systematic review. East. Mediterr. Health J., 2018, 24(6), 549-559.
[http://dx.doi.org/10.26719/2018.24.6.549] [PMID: 30079950]
[17]
Samuel, S.; Hayton, B.; Gold, I.; Feeley, N.; Carter, C.S.; Zelkowitz, P. Attachment security and recent stressful life events predict oxytocin levels: A pilot study of pregnant women with high levels of cumulative psychosocial adversity. Attach. Hum. Dev., 2015, 17(3), 272-287.
[http://dx.doi.org/10.1080/14616734.2015.1029951] [PMID: 25862151]
[18]
Halim, N.; Beard, J.; Mesic, A.; Patel, A.; Henderson, D.; Hibberd, P. Intimate partner violence during pregnancy and perinatal mental disorders in low and lower middle income countries: A systematic review of literature, 1990–2017. Clin. Psychol. Rev., 2018, 66, 117-135.
[http://dx.doi.org/10.1016/j.cpr.2017.11.004] [PMID: 29198412]
[19]
Aktar, E.; Qu, J.; Lawrence, P.J.; Tollenaar, M.S.; Elzinga, B.M.; Bögels, S.M. Fetal and infant outcomes in the offspring of parents with perinatal mental disorders: Earliest influences. Front. Psychiatry, 2019, 10, 391.
[http://dx.doi.org/10.3389/fpsyt.2019.00391] [PMID: 31316398]
[20]
Malka, T.; Hasson-Ohayon, I.; Goldzweig, G.; Roe, D. Coping style is associated with parental distress beyond having a mental illness: A study among mothers with and without mental illness. Psychiatr. Rehabil. J., 2020, 43(2), 170-173.
[http://dx.doi.org/10.1037/prj0000381] [PMID: 31259580]
[21]
Gharacheh, M.; Mazari, Z.; Hasanpoor, A.S.; Haghani, S. Relationship between domestic violence and mother-infant attachment in mothers referring to comprehensive health centers affiliated to Iran university of medical sciences. Iran J. Nurs., 2020, 33(127), 72-88.
[22]
Joas, J.; Möhler, E. Maternal bonding in early infancy predicts childrens’ social competences in preschool age. Front. Psychiatry, 2021, 12, 687535.
[http://dx.doi.org/10.3389/fpsyt.2021.687535] [PMID: 34489753]
[23]
Feldman, R. The neurobiology of human attachments. Trends Cogn. Sci., 2017, 21(2), 80-99.
[http://dx.doi.org/10.1016/j.tics.2016.11.007] [PMID: 28041836]
[24]
Groh, A.M.; Fearon, R.M.P.; van IJzendoorn, M.H.; Bakermans-Kranenburg, M.J.; Roisman, G.I. Attachment in the early life course: Meta‐analytic evidence for its role in socioemotional development. Child Dev. Perspect., 2017, 11(1), 70-76.
[http://dx.doi.org/10.1111/cdep.12213]
[25]
Rogathi, J.J.; Manongi, R.; Mushi, D.; Rasch, V.; Sigalla, G.N.; Gammeltoft, T.; Meyrowitsch, D.W. Postpartum depression among women who have experienced intimate partner violence: A prospective cohort study at Moshi, Tanzania. J. Affect. Disord., 2017, 218, 238-245.
[http://dx.doi.org/10.1016/j.jad.2017.04.063] [PMID: 28477502]
[26]
Ononokpono, D.N.; Azfredrick, E.C. Intimate partner violence and the utilization of maternal health care services in Nigeria. Health Care Women Int., 2014, 35(7-9), 973-989.
[http://dx.doi.org/10.1080/07399332.2014.924939] [PMID: 24902004]
[27]
Louise, M. Maternal experiences of domestic abuse and their effect on the mother’s approach to parenting. Nurs. Child. Young People, 2021, 33(3)
[28]
Straus, M.A.; Hamby, S.L.; BONEY-McCOY, S.U.E.; Sugarman, D.B. The revised conflict tactics scales (CTS2) development and preliminary psychometric data. J. Fam. Issues, 1996, 17(3), 283-316.
[http://dx.doi.org/10.1177/019251396017003001]
[29]
Panaghi, L. Investigating reliability, validity and factor structure of the revised conflict tactics scale. ZtF Z. Famforsch., 2011, 7(1), 103-107.
[30]
Gibaud-Wallston, J; Wandersmann, LP Development and utility of the Parenting Sense of Competence Scale; Kennedy Center for Research on Education and Human Development, 1978.
[31]
Abdollahpour, N.; Seyedfatemi, N.; HakimShooshtari, M.; Mehran, A. The effect of education on sense of competence of mothers of children with hyperactivity disorder. Iran J Psychiatry Behav., 2017, 5(4), 19-26.
[http://dx.doi.org/10.21859/ijpn-05043]
[32]
Muller, M.E.; Mercer, R.T. Development of the prenatal attachment inventory. West. J. Nurs. Res., 1993, 15(2), 199-215.
[http://dx.doi.org/10.1177/019394599301500205] [PMID: 8470375]
[33]
Omani Samani, R.; Maroufizadeh, S.; Ezabadi, Z.; Alizadeh, L.; Vesali, S. Psychometric properties of the persian version of the prenatal attachment inventory in pregnant Iranian women. Int. J. Fertil. Steril., 2016, 10(2), 184-189.
[PMID: 27441051]
[34]
Lovibond, SH; Lovibond, PF Manual for the depression anxiety stress scales: Sydney psychology foundation; Psychology Foundation of Australia: Sydney, N.S.W., 1995.
[35]
Asghari, A.; Saed, F. Psychometric properties of the Depression Anxiety Stress Scales-21 (DASS-21) in a non-clinical Iranian sample. Int. J. Psychol., 2008, 2(2), 82-102.
[36]
Hair, J.F., Jr; Sarstedt, M.; Hopkins, L. Partial least squares structural equation modeling (PLS-SEM): An emerging tool in business research. Eur. Bus. Rev., 2014, 26(2), 106-121.
[http://dx.doi.org/10.1108/EBR-10-2013-0128]
[37]
Hair, J.F., Jr; Ringle, C.M.; Sarstedt, M. Partial least squares structural equation modeling: Rigorous applications, better results and higher acceptance. Long Range Plann., 2013, 46(1-2), 1-12.
[http://dx.doi.org/10.1016/j.lrp.2013.01.001]
[38]
Sarstedt, M; Ringle, CM Partial least squares structural equation modeling. In: Handbook of market research; Springer International Publishing: Cham, 2021; pp. 587-632.
[39]
Henseler, J.; Ringle, C.M.; Sarstedt, M. A new criterion for assessing discriminant validity in variance-based structural equation modeling. J. Acad. Mark. Sci., 2015, 43(1), 115-135.
[http://dx.doi.org/10.1007/s11747-014-0403-8]
[40]
Henseler, J.; Ringle, C.M.; Sinkovics, R.R. The use of partial least squares path modeling in international marketing. In: New challenges to international marketing; Emerald Group Publishing Limited, 2009; 20, pp. 277-319.
[http://dx.doi.org/10.1108/S1474-7979(2009)0000020014]
[41]
Karimi, A.; Daliri, S. The prevalence of physical and psychological violence during pregnancy in Iran and the world: A systematic review and meta-analysis. J. Clin. Nurs., 2016, 5(3)
[42]
Finnbogadóttir, H.; Baird, K.; Thies-Lagergren, L. Birth outcomes in a Swedish population of women reporting a history of violence including domestic violence during pregnancy: A longitudinal cohort study. BMC Pregnancy Childbirth, 2020, 20(1), 183.
[http://dx.doi.org/10.1186/s12884-020-02864-5] [PMID: 32216780]
[43]
Auger, N.; Low, N.; Lee, G.E.; Ayoub, A.; Luu, T.M. Pregnancy outcomes of women hospitalized for physical assault, sexual assault, and intimate partner violence. J. Interpers. Violence, 2022, 37(13-14), NP11135.
[http://dx.doi.org/10.1177/0886260520985496] [PMID: 33535860]
[44]
de Mendonça, M.F.S.; Ana, B.L. Intimate partner violence and incidence of common mental disorder. Rev. Saude Publica, 2017, 51, 32.
[45]
Mahenge, B.; Likindikoki, S.; Stöckl, H. Intimate partner violence during pregnancy and associated mental health symptoms among pregnant women in T anzania: A cross-sectional study. BJOG., 2013, 120(8), 940-947.
[http://dx.doi.org/10.1111/1471-0528.12185] [PMID: 23464524]
[46]
Tan, E.S.; McIntosh, J.E.; Kothe, E.J.; Opie, J.E.; Olsson, C.A.; Development, H. Couple relationship quality and offspring attachment security: A systematic review with meta-analysis. Attach. Hum. Dev., 2018, 20(4), 349-377.
[http://dx.doi.org/10.1080/14616734.2017.1401651] [PMID: 29143567]
[47]
Park, S.; Greene, M.C.; Melby, M.K.; Fujiwara, T.; Surkan, P.J. Postpartum depressive symptoms as a mediator between intimate partner violence during pregnancy and maternal-infant bonding in Japan. J. Interpers. Violence, 2021, 36(19-20), NP10545-NP10571.
[http://dx.doi.org/10.1177/0886260519875561] [PMID: 31530064]
[48]
Vameghi, R.; Amir Aliakbari, S.; Sajjad, H.; Sajedi, F.; Alavimajd, H. Correlation between mothers’ depression and developmental delay in infants aged 6-18 months. Glob. J. Health Sci., 2015, 8(5), 11-18.
[http://dx.doi.org/10.5539/gjhs.v8n5p11] [PMID: 26652078]
[49]
Chang, Y.T.; Feng, J.Y.; Chang, H.Y.; Chang, Y.C.; Lee, C.K. The impacts of maternal childhood adversity, stress, and mental health on child development at 6 months in Taiwan: A follow-up study. Dev. Psychopathol., 2021, 33(3), 970-979.
[http://dx.doi.org/10.1017/S0954579420000267] [PMID: 32684201]
[50]
Davies, S.M.; Silverio, S.A.; Christiansen, P.; Fallon, V. Maternal-infant bonding and perceptions of infant temperament: The mediating role of maternal mental health. J. Affect. Disord., 2021, 282, 1323-1329.
[http://dx.doi.org/10.1016/j.jad.2021.01.023] [PMID: 33601711]
[51]
Lau, Y.; Fang, L.; Kwong, H.K.D. Cross-lagged models of marital relationships and intergenerational conflicts during transition to parenthood: Effect of patrilineal coresidence. Fam. Process, 2020, 59(4), 1569-1587.
[http://dx.doi.org/10.1111/famp.12524] [PMID: 32023353]
[52]
Maher, J.; Fitz-Gibbon, K.; Meyer, S.; Roberts, S.; Pfitzner, N. Mothering through and in Violence: Discourses of the ‘Good Mother’. Sociology, 2021, 55(4), 659-676.
[http://dx.doi.org/10.1177/0038038520967262]
[53]
Alipour, S.M.; Rahimzadeh, M.; Tourzani, Z.M.; Mahmoodi, Z.; Esmaelzadeh, S.S. Predictor role of marital conflict on maternal competency with mediating role of perceived stress and concerns during pregnancy: A structural equation model. Neuropsychopharmacol. Rep., 2023, 43(1), 95-102.
[http://dx.doi.org/10.1002/npr2.12309] [PMID: 36692423]

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