背景:青少年母亲暴露于围产期亲密伴侣暴力(IPV,8.3-67%)和孩子中的依恋障碍(AD)是全球关注的问题,特别是在撒哈拉以南非洲,少女怀孕率很高。这项研究,因此,旨在研究青少年IPV与后代AD之间的联系。我们还试图探索产后抑郁症状的中介作用,母性敏感性,育儿压力,围产期IPV与儿童AD关系中的感知社会支持。方法:这项横断面研究随机抽取了来自Nyanza地区的309名青少年母亲。这个样本量是用Yamane的公式确定的,随机抽样。各种仪器用于数据收集,包括关于亲密伴侣暴力的问卷,社会支持,母性敏感性,产后抑郁症状和育儿压力和早期创伤相关疾病。使用SPSS分析数据,使用过程宏(版本4.1)执行中介分析。结果:发现IPV与依恋障碍显着相关。简单的调解模型表明,育儿压力完全介导了这些关系,而产后抑郁症,感知到的社会支持,母亲敏感性部分介导了IPV与儿童AD的关系。在并行调解模型中,所有介质的综合作用完全介导了IPV和AD之间的关联。结论:这些发现为设计或加强适当的干预措施以预防和减轻围产期亲密伴侣暴力及其对儿童依恋障碍的不利影响提供了有价值的见解。在冲突后局势中打击亲密伴侣暴力在青少年母亲中具有挑战性,然而,我们的研究结果表明,解决孕产妇心理健康和育儿问题的努力可以保护儿童免受依恋障碍的影响.
育儿压力被认为是一个重要的中介,充分介导围产期IPV与儿童依恋障碍的关系。产后抑郁症,感知到的社会支持,母亲的敏感性部分介导了围产期IPV与儿童依恋障碍之间的联系。该研究强调,必须为青春期母亲提供多方面的支持方案,以解决IPV,减轻育儿压力,加强产妇心理健康和社会支持,为孩子促进更好的依恋结果。
Background: The alarming prevalence of teen mothers\' exposure to perinatal intimate partner violence (IPV, 8.3-67%) and attachment disorders (ADs) among their children is a global concern, especially in sub-Saharan Africa with high teenage pregnancy rates. This study, therefore, aimed to examine the link between teen IPV and AD in their offspring. We sought also to explore the mediating roles of postpartum depression symptoms, maternal sensitivity, parenting stress, and perceived social support in the relationship between perinatal IPV and children\'s ADs.Method: This cross-sectional study selected a random sample of 309 teen mothers from Nyanza district. This sample size was determined using Yamane\'s formula, with random sampling. Various instruments were used for data collection, including questionnaires on intimate partner violence, social support, maternal sensitivity, postpartum depression symptoms and parenting stress and early trauma-related disorders. The data was analysed using SPSS, with mediation analyses performed using the PROCESS macro (version 4.1).Results: IPV was found to be significantly associated with attachment disorders. Simple mediation models showed that parenting stress completely mediated these relationships, while postpartum depression, perceived social support, and maternal sensitivity partially mediated the relationship between IPV and children\'s ADs. In parallel mediation model, the combined roles of all mediators fully mediated the associations between IPV and ADs.Conclusion: These findings offer valuable insights in designing or strengthening the appropriate interventions to prevent and mitigate the perinatal intimate partner violence and its detrimental impact on children\'s attachment disorders. Combating intimate partner violence in post-conflict situations is challenging in teen mothers, however, our results suggest that efforts to address maternal mental health and parenting practices may protect children from attachment disorders.
Parenting stress was identified as a significant mediator, fully mediating the relationship between perinatal IPV and children\'s attachment disorders.Postpartum depression, perceived social support, and maternal sensitivity partially mediated the link between perinatal IPV and children\'s attachment disorders.The study underscores the necessity for multifaceted support programmes for adolescent mothers to address IPV, alleviate parenting stress, and enhance maternal mental health and social support, promoting better attachment outcomes for their children.