RESUMO
Maternal self-efficacy (MSE) is associated with healthy functioning in mothers and children globally. Maternal exposure to adverse childhood experiences (ACEs) and intimate partner violence (IPV) is known to negatively impact MSE in high-income countries; however, the association has not been examined in low-and-middle-income countries, such as India, which face socioeconomic risks including poverty, illiteracy, and discrimination based on caste membership. The present study examines the mediating role of IPV in the association between ACEs (specifically-emotional, physical, and sexual abuse, neglect, household dysfunction, and discrimination) and MSE and tests caste membership as a moderator. A community-based, cross-sectional survey was performed with 316 mothers with at least one child between 0 and 24 months in a rural area in the North Indian state of Uttar Pradesh. A structural equation framework was used to test the moderated-mediation model. Results from the moderated-mediation model indicate that greater ACEs exposure was associated with lower MSE and this association was mediated by IPV exposure for low-caste but not high-caste mothers, even after controlling for wealth and literacy. These findings add to existing evidence on ACEs exposure as a significant burden for rural Indian mothers, negatively impacting parenting outcomes such as MSE. The critical role of caste membership is also highlighted, providing implications for future research.
La autoeficacia materna (MSE) se asocia con el saludable funcionamiento en las madres y niños globalmente. Se conoce que el hecho de que la madre haya estado expuesta a experiencias adversas en la niñez (ACE) y a la violencia de la pareja íntima (IPV) tiene un negativo impacto en MSE en países de altas entradas económicas; sin embargo, esta asociación no se ha examinado en países donde las entradas económicas son bajas o medias, como India, que enfrenta riesgos socioeconómicos entre los que se incluyen la pobreza, el analfabetismo, así como la discriminación basada en la pertenencia a una casta. El presente estudio examina el papel mediador de IPV en la asociación entre ACE (específicamente - el abuso emocional, físico y sexual, negligencia, disfuncionalidad en el hogar y discriminación) y MSE, y pone a prueba la pertenencia a una casta como aspecto moderador. Se llevó a cabo una encuesta de base comunitaria e inter-seccional con 316 madres con por lo menos un niño entre 0 y 24 meses de edad en un área rural en el estado de Uttar Pradesh en el norte de India. Se usó un marco de trabajo de ecuación estructural para examinar el modelo de moderación y mediación. Los resultados del modelo de moderación y mediación indican que una mayor exposición a ACE estaba asociada con una más baja MSE y que la exposición a IPV mediaba esa asociación para madres de castas bajas, pero no para madres de castas altas, aun después del factor control de recursos económicos y alfabetismo. Estos resultados contribuyen a la existente evidencia de que el haber estado expuesta a ACE es una carga significativa para las madres en la India rural, la cual tiene un impacto negativo en los resultados de crianza tales como MSE. También se subraya el papel esencial de la pertenencia a una casta, lo cual aporta implicaciones para la investigación futura.
L'auto-efficacité maternelle (MSE en anglais) est globalement liée à un fonctionnement sain chez les mères et les enfants. L'exposition maternelle à des expériences de l'enfance adverses (ACE en anglais) et à la violence intime ou conjugale (IPV) est connue comme impactant de manière négative l'auto-efficacité maternelle dans les pays à revenus élevés. Cependant ce lien n'a pas toujours été examiné dans les pays à faibles ou moyens revenus, tels que l'Inde qui fait face à des risques socioéconomiques qui comportent la pauvreté, l'illettrisme, la discrimination en fonction de l'appartenance à une caste. Cette étude examine le rôle médiateur de la violence conjugale (ou violence entre partenaires intimes) dans le lien entre les ACE (plus spécifiquement l'abus émotionnel, physiques, sexuel, la négligence, la dysfonction au sein du foyer et la discrimination) et l'auto-efficacité maternelle et les tests d'appartenance à une caste en tant que modérateurs. Un questionnaire communautaire, en coupe transversale, a été présenté à 116 mères ayant au moins un enfant entre l'âge de 0-24 mois dans une région rurale de l'état du nord de l'Inde, Uttar Pradesh. Un cadre d'équation structurelle a été utilisé pour tester le modèle de modération-médiation. Les résultats de ce modèle de modération-médiation indiquent que plus l'exposition aux ACE est grande, plus l'auto-efficacité maternelle est basse et cette association est affectée par l'exposition à la violence conjugale pour les castes moins élevées mais pas pour les mères des castes plus élevées, même en effectuant un contrôle pour la richesse et l'alphabétisation. Ces résultats s'ajoutent aux preuves existantes sur l'exposition aux ACE en tant que poids important pour les mères indienne de milieux ruraux, ce qui impacte de manière négative les résultats de parentage telles que l'auto-efficacité maternelle. Le rôle critique de l'appartenance à une caste est également mis en lumière, offrant des implications pour les recherches à venir.
Assuntos
Experiências Adversas da Infância , Violência por Parceiro Íntimo , Criança , Estudos Transversais , Feminino , Humanos , Índia , Violência por Parceiro Íntimo/psicologia , Mães/psicologia , Classe SocialRESUMO
Maternal self-efficacy predicts sensitive and responsive caregiving. Low maternal self-efficacy is associated with a higher incidence of postpartum depression. Maternal self-efficacy and postpartum depression can both be buffered by social support. Maternal self-efficacy and postpartum depression have both been linked independently, albeit in separate studies, to the experience of violent trauma, childhood maltreatment, and spousal abuse. This study proposed a model in which postpartum depression mediates the relation between attachment trauma and maternal self-efficacy, with emotional support as a moderator. Participants were 278 first-time mothers of infants under 14 months. Cross-sectional data were collected online. Mothers completed questionnaires on attachment trauma, maternal self-efficacy, postpartum depression, and emotional support. A moderated mediation model was tested in a structural equation modeling framework using Mplus' estimate of indirect effects. Postpartum depression fully mediated the relation between trauma and maternal self-efficacy. Emotional support moderated only the pathway between postpartum depression and maternal self-efficacy. Attachment trauma's implications for maternal self-efficacy should be understood in the context of overall mental health. Mothers at the greatest risk for low maternal self-efficacy related to attachment trauma also are those suffering from postpartum depression. Emotional support buffered mothers from postpartum depression, though, which has implications for intervention and future research.
Assuntos
Depressão Pós-Parto/psicologia , Mães/psicologia , Autoeficácia , Adulto , Estudos Transversais , Feminino , Humanos , Lactente , Recém-Nascido , Saúde Mental , Pessoa de Meia-Idade , Relações Mãe-Filho/psicologia , Apego ao Objeto , Trauma Psicológico/psicologia , Apoio Social , Inquéritos e Questionários , Adulto JovemRESUMO
INTRODUCTION: The mothers of newborns who are discharged from a neonatal intensive care unit (NICU) experience stress and anxiety due to the specialized care their child requires at home, affecting their perception of maternal self-efficacy. OBJECTIVE: To evaluate the effect of the nursing intervention called Hospital Discharge Plan (HDP) on the promotion of self-efficacy in mothers of newborns discharged from the NICU. METHOD: Quantitative study, quasi-experimental design with pre-test/post-test in a single group, using the Parental Evaluation Scale applied to a convenience sample of 72 mothers of high-risk newborns from a NICU located in the city of Villavicencio (Colombia). The first measurement was taken between days 3 and 4 before discharge and at 15 days' post-discharge. Data processing was carried out using the statistical program SPSS, version 21. The intervention was based on the four concepts of self-efficacy by Barbara Resnick. RESULTS: The perception of maternal self-efficacy before the intervention showed a median of 8.9 points (RI 7.6-9.5); after the intervention it showed a median of 9.6 points (RI of 10-8.7); a statistically significant p-value<0.001 was obtained before and after the intervention with the Wilcoxon rank test. CONCLUSIONS: Education and follow-up promoted the development of knowledge and skills in mothers for the care of high-risk newborns. This contributed to the experience of mastery and vicarious experience from the teaching-learning process and contact with the experience of other mothers, which contributes to the effective development of motherhood.
RESUMO
La inmigración a los Estados Unidos conlleva para las familias latinoamericanas una serie de desafíos y adversidades así como múltiples oportunidades y beneficios. Desde esta perspectiva, el objetivo de la investigación que se informa fue analizar el impacto que tiene este proceso de adaptación en el involucramiento parental y la autoeficacia materna de las mujeres inmigrantes latinoamericanas que residen en los Estados Unidos. En este estudio participaron 14 mujeres provenientes de cinco países latinoamericanos. Los principales hallazgos muestran que las participantes tuvieron que adaptarse a las tradiciones, leyes y normas de convivencia imperantes en los Estados Unidos. Con respecto a sus expectativas, las participantes describieron el deseo de obtener un trabajo bien remunerado para poder satisfacer las necesidades básicas de su familia así como proveer a sus hijos de una buena educación. Entre las principales adversidades se encuentran el idioma, el estatus migratorio y la separación de sus familiares. En contraste, diversos beneficios tales como la educación de los hijos y la información profesional que recibieron han sido determinantes en su involucramiento parental. De la misma manera, las participantes enfatizaron la importancia de diversos recursos que han encontrado en el país de residencia entre los que se encuentran el apoyo recibido del gobierno norteamericano, los cursos en los que han participado y el apoyo social brindado por otras familias latinoamericanas. Los resultados de la investigación permiten concluir que a pesar de los muchos obstáculos a los que se enfrentan, todas las participantes mencionaron contundentemente que el haber inmigrado a los Estados Unidos ha enriquecido su experiencia como madres.
The process of immigration involves multiple challenges and barriers as well as benefits and opportunities. Each year, innumerable Latin American families immigrate to the United States of America seeking employment, medical care, or education for their children. The purpose of this qualitative research was to explore the effects of the process of acculturation in the parental involvement and maternal self-efficacy among Latin American immigrant mothers living in the United States. In order to achieve this objective, four research questions were formulated: (1) Whatis the description that Latin American immigrant women express about their own process of acculturation? (2) What are the changes these women have experienced during their acculturation process to the United States of America? (3) How Latin American immigrant mothers are involved in the academic, emotional, social, and behavioral development of their children (4) What are the perceptions that Latin American immigrant women have about their abilities and resources as mothers? In the present study, 14 women from five different Latin American countries participated in qualitative interviews. Participants' narratives were analyzed using the Consensual Qualitative Research method proposed by Hill, Thompson and Williams. After having analyzed all transcripts, five main themes were identified: (1) Adaptation, (2) Expectations, (3) Challenges, (4) Benefits, and (5) Resources. Results shows that participants had to adapt their behavior and ideas to the current American traditions, laws, and norms. Regarding participants' expectations, they talked about how one of their main expectations was to obtain an employment with which they could satisfy their basic needs and provide a good educational level to their children. Immigrants experience multiple obstacles; for instance, lack of employment and health services, legal status, changes in family functioning, separation from family, discrimination, fear of deportation, intergenerational conflicts, and language proficiency. Besides these external barriers and challenges, Latin American immigrants are affected by internal challenges with possible negative consequences, such as intimate partner violence, despondent moods, loneliness, feeling of inadequacy, gender inequality, stress, anxiety, and alcoholism. In this study, the main barriers these participants had to cope were their immigration status, separation from their families, and language proficiency. In contrast, these participants had several benefits as a result of their decision to immigrate to the United States of America such as economic resources, their children's education, and professional information they received that helped them improve their maternal skills. In consequence, they have been able to develop their maternal skills and spend quality time with their children. All participants in this research emphasized that these benefits have been determinant for their parental involvement. The last factor related to their maternal experience was the resources they have found in the United States of American. Participants talked about the support they have received from the American government, formal and informal knowledge about how to become a better mother, and the social support provided by other Latin American families. In general terms, immigrants experience better life conditions when they have a network of relatives and friends previously established in the receiving country. Consequently, they have more opportunities for a successful relocation in the new region. The importance of social support is related to the presence of these networks which provide any kind of support when necessary. In particular, due to this support, these participants have had a better adaptation to their new life. In conclusion, this research reveals that in spite of multiple challenges Latin American immigrants have to cope, all participants concluded that after immigrating to the United States of America their competence and involvement as mothers have increased.
RESUMO
La Escala de Evaluación Parental (EEP) es una medición autoadministrada para evaluar la satisfacción y sentimientos de autoeficacia respecto a la maternidad en mujeres con niños entre 0 y 2 años de edad. La EEP se compuso inicialmente de 20 ítems, los cuales fueron chequeados en 100 madres chilenas con hijos menores a 2 años. Se realizaron análisis de la validez de contenido de la escala y análisis discriminativo de los ítems. Los análisis demostraron una adecuada consistencia interna y el análisis factorial arrojó dos factores, que explican el 635 de la varianza. La versión final de la EEP considera 10 ítems y entrega un puntaje global de la autoeficacia materna en madres de infantes. Las evaluaciones preliminares de las propiedades psicométricas de la escala resultaron satisfactorias, pero requiere de posteriores análisis.
The Parental Evaluation Scale is a self-administered measure to assess satisfaction and self-efficacy feelings about motherhood in women with children aged 0-2 years. The EEP was initially composed of 20 items and was tested on 100 Chilean mothers with infants less that 12 months old. Contentvalidity analysis and discriminative analysis of the items was performed.The test demonstrated adequate internal consistency and factor analysisshowed two factors that explain the 63% of variance. The final version ofthe EEP has 10 items and gives a global score of the maternal self-efficacyin infants mothers. This preliminary test for the psychometric properties was acceptable; however, further analysis is suggested.