Volume 33, Issue 127 (December 2020)                   IJN 2020, 33(127): 72-88 | Back to browse issues page


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Gharacheh M, Mazari Z, Hasanpoor Azghady S, Haghani S, Azadi S. Relationship between Domestic Violence and Mother-Infant Attachment in Mothers Referring to Comprehensive Health Centers affiliated to Iran University of Medical Sciences. IJN 2020; 33 (127) :72-88
URL: http://ijn.iums.ac.ir/article-1-3378-en.html
1- Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences Tehran, Iran
2- School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran (Corresponding Author) Tel: 09122763816 Email: zahramazari83@gmail.com
3- Department of Midwifery, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
4- Biostatistics, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
5- Department of Psychology, Islamic Azad University, Gachsaran Branch, Gachsaran, Iran
Abstract:   (1800 Views)
Background & Aims: Infancy is the most important time for the formation of emotions and emotional development, and mother-infant attachment is of special importance during this period. Domestic violence seems to be one of the factors relating to the mother- infant attachment. In fact, domestic violence is an attack on the mother-child relationship and the child care system. Violent fathers directly and indirectly weaken the emotional bond between mother and child. Those women who are the victims of domestic violence often live in fear and anxiety to protect their children's mental health and safety, and this fear may be inadvertently transmitted to children, forming undesirable attachment patterns; as some children perceive their mothers as a source of fear and anxiety, and eventually the child will suffer from unresolved trauma by perceiving a threat to its mother. Consequently, unresolved fear and trauma results in disorganized attachment. However, most studies have examined attachment at different stages of life from pregnancy to infancy, childhood, and adulthood, and the emotional relationship in infancy is neglected. Therefore, considering the role of mother-infant behavior and attachment and the effects of father's violence on the health of mother and child, the present study was conducted to determine the relationship between domestic violence and mother-infant attachment.
Materials & Methods: This was a cross-sectional study conducted on 320 mothers referring to the comprehensive health centers affiliated to Iran University of Medical Sciences in Tehran in 2019. Multistage sampling method was employed to select the subjects. First, the comprehensive health centers were divided into two groups (west and northwest). The comprehensive health centers located in the west covered four districts (9-18-21-22) and Northwest centers covered three districts (2-5-6). Then, two centers were selected from each district by simple random sampling method and 320 mothers, referring to the health centers, meeting inclusion criteria were selected continuously. Sampling lasted approximately 3.5 months (from November 29, 2019 to February 15, 2019). The inclusion criteria were the Iranian nationality, mothers aged 18 to 45 years, monogamy status, minimum literacy, having a seemingly healthy infant aged one month to one year, infant birth weight more than 2500 grams and wanted pregnancy, no history of severe stress during the last year (death of a first-degree relative, serious illness of mother or father, decision to separate, severe family conflicts), no drug addicted parents, no history of severe psychological disorders in the last year (history of referring to the doctor, medication, or hospitalization), no mother- child separation for more than 24 hours in the early hours following delivery, and no history of parental infertility. Demographic and Fertility Questionnaires, the Maternal Attachment Inventory (MAI), and revised Conflict Tactics Scales (CTS2) were used to collect data. The MAI was used to measure mother- infant attachment. The questionnaire has 26 items and each item has four options rated on the 4- point Likert scale, including almost always (4), usually (3), sometimes (2), and never (1). The scores of the questionnaire range from 26-104. The revised Conflict Tactics Scales used to measure domestic violence had 36 items including the areas of negotiation (6 items), physical violence (12 items), psychological violence (8 items), sexual violence (4 items), and injury (6 items). Each item has eight options rated on a 7- point scale. The scores of the different scales are not added up in this questionnaire, and finally the samples receive zero for the absence of violence and one for the existence of violence, thus the overall prevalence of domestic violence and the relative prevalence of each type of domestic violence or subscales are shown in frequency and percentage. Descriptive statistics were used to describe the data and Chi-square, independent t-test, and analysis of variance were calcualted in the SPSS software version 16 to examine the relationship between the variables. Significance level was considered at P <0.05.
Results: The results showed that the mean of mother- infant attachment was 97.78 ± 7.56. Overall domestic violence in the mothers participated in the study was 42.2%. Among the studied mothers, 53.8% experienced violence in domains of negotiation, 24.7% physical violence, 75.6% psychological violence, 12.5% ​sexual violence, and 31.6% injury. Thus, the areas of psychological violence and negotiation had the highest frequency and the areas of sexual violence and physical violence had the lowest frequency among the dimensions of domestic violence. Based on the overall results of the two groups; abused and non-abused women (P = 0.010), there was a statistically significant difference between the groups in terms of mother- infant attachment in all areas of negotiation (P = 0.014), physical violence (P = 0.043), psychological violence (P = 0.014), and injury (P = 0.010), except sexual violence (P =0/356). None of the demographic variables of mothers was significantly related to mother- infant attachment (P> 0.05) and also domestic violence (P> 0.05).
Conclusion: The findings of the study showed that overal domestic violence was significantly related to mother-infant attachment and mother-infant attachment was lower in mothers experiencing violence. Domestic violence was significantly related to mother-infant attachment in all areas except sexual violence. Therefore, the present study showed that domestic violence against mothers during infancy can undermine the mother-infant attachment. Since the formation of attachment during infancy is a good starting point for improving the role of fathers in building social and emotional relationships with their children and, consequently, the growth and health of emotional relationships and family members' attachment, it is necessary that officials and care systems pay more attention to mothers' mental health and family status by identifying, counseling, and adopting timely preventive and supportive strategies through active participation of fathers in physical and emotional wellbeing of their infants to improve mental health of family members and mother-infant attachment by reducing domestic violence. Midwives and healthcare providers can use special tools and perform psychological screening for early and timely referral during postpartum care to reduce all types of domestic violence and harms to families experiencing violence. Also, timely detection of parent-child attachment disorder and the factors affecting it and eliminating it through educational and counseling interventions and parental support in this area can help to prevent the loss of economic and human capital. Also, in terms of the quality of parental attachment, this research can provide the basis for interventional research or subsequent studies to identify other factors affecting attachment. This study suggests that more studies investigate the relationship between the violence of other people, other than the husband, and the mother- infant attachment. It is also recommended to study the relationship between mother's violence against the father and the mother-infant attachment. It is suggested to conduct a study that can examine the effect of parents' violence against each other on the mother- infant attachment. More studies are also needed to be performed on a larger sample size in order to generalize the results. Moreover, this study suggests that an extensive research project be conducted to investigate the relationship between other factors related to mother-infant attachment such as marital satisfaction, social support, and parental personality traits.
Full-Text [PDF 1166 kb]   (653 Downloads)    
Type of Study: Research | Subject: Midwifery
Received: 2020/09/16 | Accepted: 2020/12/16 | Published: 2020/12/16

References
1. Holmes J. John Bowlby and attachment theory. 2nd ed. London: Routledge; 2014. 272. [DOI:10.4324/9781315879772]
2. Humphreys C. Talking to my mum: Strengthening relationships between mothers and children in the aftermath of family violence. Developing Practice: The Child, Youth and Family Work Journal. 2007;(19):12.
3. Buchanan F. Mother and infant attachment theory and domestic violence: Crossing the divide. Australian Domestic & Family Violence Clearinghouse, University of New South Wales; 2008.
4. Violence against women [Internet]. 2017. Available from: https://www.who.int/news-room/fact-sheets/detail/violence-against-women. 2017
5. World Health Organization. WHO: Addressing violence against women: Key achievements and priorities. World Health Organization; 2018.. Available from: https://www.who.int/reproductivehealth/publications/violence/adressing-vaw-achievements-priorities/en/..2018
6. Ghazi Tabatabai M, Mohseni Tabrizi A, Marjai H. National Plan to Investigate the phenomenon of domestic violence against women in Iran: Tehran results.: with collaboration of the Research and Planning Institute of Higher Education Department, Social Affairs Office of Ministry of Interior, the Center for Women and Family Participation in Presidency department of Iran.; 2004.
7. Barzin P, Afshari P, Najar S, Haghighizadeh MH. Prevalence of Domestic Violence and its Associated Factors Among Middle-Aged Women Who Referred To Health Centers In Ahvaz, 2013. Indo Am J Pharmaceut Sci. 2017;4(11):3911-8.
8. Khabbazkar F, Dolatian M, Soleimani F, Majd HA. The survey of the correlation between domestic violence during pregnancy and after delivery with developmental status of 8-12 month's infant. Pajoohandeh Journal. 2015;19(6):320-7.
9. Akhbary P, Mohsenipouya H, Shojaeizadeh D, Naghibi A. Impact of Domestic Violence on Postpartum Depression among Women in Rey City, Iran, in 2016. Avicenna Journal of Clinical Medicine. 2018;24(4):299-306. [DOI:10.21859/ajcm.24.4.299]
10. Mohtashami J, Yaghmaei F, Jafari A, Alavi Majd H, Ahmadi A. Related factors to coping with domestic violence in women who refer to Forensic Medicine Centers in Tehran. Journal of Health Promotion Management. 2014;3(2):54-64.
11. Levendosky AA, Bogat GA, Huth-Bocks AC, Rosenblum K, von Eye A. The effects of domestic violence on the stability of attachment from infancy to preschool. J Clin Child Adoles Psychol. 2011;40(3):398-410. [DOI:10.1080/15374416.2011.563460] [PMID]
12. Jafarnezhad F, Moghadam HV, Soltanifar A, Ebrahimzadeh S. Study of the relationship between domestic violence intensity during pregnancy and mother-infant attachment. Journal of Sabzevar University of Medical Sciences. 2009;16(51):35-42.
13. Ghodrati F, Setodeh S, Akbarzadeh M. A study of the effect of domestic violence on maternal-neonatal attachment in prim gravida women referred to hospitals affiliated to Shiraz University of Medical Sciences. Biomedical Research. 2017;28(8):3794-7.
14. Sayahi Y, Javadifar N, Cheraghian B, Sayahi M, Afshari P. The relationship between unwanted pregnancy with mother and father attachment to infant. Shiraz E-Medical Journal. 2017 31;18(12). [DOI:10.5812/semj.14066]
15. Straus MA, Hamby SL, Boney-McCoy S, Sugarman DB. The revised conflict tactics scales (CTS2) development and preliminary psychometric data. J fam iss. 1996 May;17(3):283-316. [DOI:10.1177/019251396017003001]
16. Müller ME. A questionnaire to measure mother-to-infant attachment. J Nurs measur. 1994;2(2):129-41. [DOI:10.1891/1061-3749.2.2.129]
17. Moghadam Z, Ardabily H, Salsali M, Ramezanzadeh F, Nedjat S. Physical and psychological violence against infertile women. Journal of Family and Reproductive Health. 2010;4(2):65-7.
18. Vissenberg JE. Mother-Infant Attachment: The Relationship between Quality of Attachment and the Social-Emotional Development of the Infant at Six Months. Bachelor Thesis Developmental Psychology), Tilburg University, Tilburg, Netherlands. 2010 Dec 12.
19. Torshizi M, Sharifzadeh G. Maternal-fetal attachment and associated factors in pregnant women referred to Birjand health centers (2012). Journal of Birjand University of Medical Sciences. 2013;20(03).
20. Sharbatian MH, Danesh P, Tavafi P. Sociological analysis of domestic violence against women and its impact on the sense of security (Case study 18 women 54 years in miyaneh). Strategic Rssearch on Social Problems in Iran University of Isfahan. 2017;6(1):47-72.
21. Hasanpoor AB, Simbar M, Kermani M. Domestic violence against women: review of theories, prevalence and its effective factors. Advances in Nursing and Midwifery (Faculty of Nursing of Midwifery Quarterly). 2011;21(73):44-52.
22. Ahmadi B, Naseri S, Alimohammadian M, Shareeat M. Underlying Factors and Strategies for Preventing Domestic Violence Against Women: Focused Group Discussion Sessions with Tehranian Couples. Health Dawn (3rd National Congress on High-Risk Behaviors). 2009;8(3-4):6.
23. Ghaffari M, Nahidi F, Masjedi A, Nasiri M. Correlation between physical violence and mother-fetus attachment in pregnant mothers visiting the healthcare centers of mashhad. Nursing And Midwifery Journal. 2018;16(6):403-11
24. Kabir ZN, Nasreen HE, Edhborg M. Intimate partner violence and its association with maternal depressive symptoms 6-8 months after childbirth in rural Bangladesh. Global health action. 2014;7(1):24725. [DOI:10.3402/gha.v7.24725] [PMID] [PMCID]
25. Spangenberg K, Wobil P, Betts CL, Wiesner TF, Gold KJ. Intimate partner violence among mothers of sick newborns in Ghana. Health Care Women Int. 2016;37(5):583-94. [DOI:10.1080/07399332.2015.1037444] [PMID] [PMCID]
26. Amiri M, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Farshbaf-Khalili A, Ranjbar F. Intimate partner violence during the first year after childbirth in an urban area of Iran: prevalence and its predictors. Int J Womens Health Reprod Sci. 2018;6:491-8. [DOI:10.15296/ijwhr.2018.81]
27. Noori A, Sanago A, Jouybari L, Azimi M. Survey of types of domestic violence and its related factors in pregnant mothers in Kalaleh at 2014. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2017;19(39):54-62.
28. Atteraya MS, Gnawali S, Song IH. Factors associated with intimate partner violence against married women in Nepal. J Interpers Viol. 2015;30(7):1226-46. [DOI:10.1177/0886260514539845] [PMID]
29. Kelmendi K. Domestic violence against women in Kosovo: A qualitative study of women's experiences. J Interpers Viol. 2015;30(4):680-702. [DOI:10.1177/0886260514535255] [PMID]
30. Flood M, Pease B. Factors influencing attitudes to violence against women. Trauma, violence, & abuse. 2009;10(2):125-42. [DOI:10.1177/1524838009334131] [PMID]
31. Razaghi N, Parvizy S, Ramezani M, Tabatabaei Nejad SM. The consequences of violence against women in the family: a qualitative study. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2013;16(44):11-20.
32. Gartland D, Hemphill SA, Hegarty K, Brown SJ. Intimate partner violence during pregnancy and the first year postpartum in an Australian pregnancy cohort study. Mater Child Health J. 2011;15(5):570-8. [DOI:10.1007/s10995-010-0638-z] [PMID]
33. Silva EP, Valongueiro S, Araújo TV, Ludermir AB. Incidence and risk factors for intimate partner violence during the postpartum period. Revista de saude publica. 2015;49:46. [DOI:10.1590/S0034-8910.2015049005432] [PMID] [PMCID]
34. FitzPatrick KM, Brown S, Hegarty K, Mensah F, Gartland D. Physical and Emotional Intimate Partner Violence and Women's Health in the First Year After Childbirth: An Australian Pregnancy Cohort Study. J Interperl Viol. 2020:0886260520934426. [DOI:10.1177/0886260520934426] [PMID]
35. Salarifar MR. An Explanation of the Causes and Grounds of Domestic Violence. Stud Islam Psychol. 2009;3(4):7-41.
36. Rubin R. Maternal identity and the maternal experience. AJN The American Journal of Nursing. 1984;84(12):1480. [DOI:10.1097/00000446-198412000-00030]
37. Sancho-Rossignol A, Schilliger Z, Cordero MI, Rusconi Serpa S, Epiney M, Hüppi P, Ansermet F, Schechter DS. The association of maternal exposure to domestic violence during childhood with prenatal attachment, maternal-fetal heart rate, and infant behavioral regulation. Frontiers in psychiatry. 2018;9:358. [DOI:10.3389/fpsyt.2018.00358] [PMID] [PMCID]
38. Jamshidimanesh M, Astaraki L, Moghadam ZB, Taghizadeh Z, Haghani H. Maternal-Fetal Attachment and its Associated Factors. Hayat. 2012;18(5):33-45.
39. Motlagh ME, Torkestani F, Rabiee M, Ashrafian Amiri H, Radpooyan L, Nasrollahpour Shirvani D, Tahmasby B. The prevalence of violence against women during pregnancy and postpartum in Iran. Journal of Mazandaran University of Medical Sciences. 2017;27(150):78-88

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