Title:Predictor Role of Intimate Domestic Violence During Pregnancy and
Mental Health in Maternal Competency with Moderating Role of Motherinfant
Attachment: A Structural Equation Model
Volume: 20
Issue: 6
Author(s): Faeze Ansarifar, Mitra Rahimzadeh, Maryam Keshavarz, Touran Bahrami Babaheidari and Sara Esmaelzadeh Saeieh*
Affiliation:
- Social Determinants of Health Research
Center, Alborz University of Medical Sciences, Karaj, Iran
Keywords:
Domestic violence, attachment, mental health, competence, maternal competency, psychological consequences.
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.