Impact of domestic violence and drug abuse in pregnancy on maternal attachment and infant temperament in teenage mothers in the setting of best clinical practice
First Online: 31 May 2005 Received: 02 May 2004 Accepted: 08 December 2004 DOI:
Cite this article as: Quinlivan, J. & Evans, S. Arch Womens Ment Health (2005) 8: 191. doi:10.1007/s00737-005-0079-7 Summary
We examined whether the prenatal detection of family violence and initiation of a comprehensive prenatal individualised care program could ameliorate the impact of family violence on maternal attachment to her infant at 6-months of age. An assessment of domestic violence was established for each subject at the 1
st antenatal visit and women were classified as being exposed to domestic violence in pregnancy (EDV) or as being not exposed to domestic violence. Outcomes were determined 6 months postpartum. Of 173 consecutive women who met the eligibility criteria, consent was obtained from 150 (87% response). Women who had been subjected to domestic violence showed reduced overall attachment scores to their infants. Following multivariate analysis, drug use in pregnancy and domestic violence showed a significant independent effect on maternal attachment. Drug abuse and domestic violence were also associated with an increase in the easy-difficult scale of infant temperament. Thus, despite excellence in prenatal care, drug abuse and domestic violence were associated with poorer maternal attachment and assessment of infant temperament, suggesting that additional interventions are still required. Keywords: Domestic violence; drug abuse; mother to child attachment; toddler temperament; prospective study; pregnancy. References Asling-Monemi, K, Pena, R, Ellsberg, MC, Persson, LA 2003 Violence against women increases the risk of infant and child mortality: a case-referent study in Nicaragua. Bull WHO 81 10 16 PubMed Google Scholar Bensley, L, Van Eenwyk, J, Wynkoop Simmons, K 2003 Childhood family violence history and women’s risk for intimate partner violence and poor health. Am J Preven Med 25 38 44 CrossRef Google Scholar
Chalk R, King P (eds) (1998) Violence in families: assessing prevention and treatment programs. National Academy Press, Washington, DC.
Condon, JT, Corkindale, CJ 1998 The assessment of parent-to-infant attachment: Development of a self-report questionnaire instrument. J Reprod Infant Psych 16 57 76 Google Scholar Cox, JL, Holden, JM, Sagovsky, R 1987 Detection of postnatal depression. Br J Psychiatry 150 782 786 PubMed Google Scholar Ehrensaft, MK, Cohen, P, Brown, J, Smailes, E, Chen, H, Johnson, JG 2003 Intergenerational transmission of partner violence: a 20-year prospective study. J Consult Clin Psychol 71 741 753 CrossRef PubMed Google Scholar
Karen R (1998) Becoming attached: First relationships and how they shape our capacity to love. Oxford University Press, New York.
Kitzmann, KM, Gaylord, NK, Holt, AR, Kenny, ED 2003 Child witnesses to domestic violence: a meta-analytic review. J Consult Clin Psychol 71 339 352 CrossRef PubMed Google Scholar Mahony, DL, Campbell, JM 1998 Children witnessing domestic violence: a developmental approach. Clin Excel Nurse Pract 2 362 369 Google Scholar McKie, L 2003 Review article: gender, violence and health care: implications for research, policy and practice. Sociol Health Illness 25 120 131 CrossRef Google Scholar
McLennon W (1996) Women’s Safety Survey. Australian Bureau of Statistics, Canberra, Australia.
Moran, T 1995 ‘I fell down the stairs.’ Physicians can help by learning to recognize the signs of domestic violence. Texas Med 91 18 21 Google Scholar Murray, L, Fiori-Cowley, A, Hooper, R, Cooper, P 1996a The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome. Child Dev 67 2512 2526 Google Scholar Murray, L, Hipwell, A, Hooper, R, Stein, A, Cooper, P 1996b The cognitive development of 5-year-old children of postnatally depressed mothers. J Child Psychol Psych Allied Dis 37 927 935 Google Scholar Murray, L, Sinclair, D, Cooper, P, et al. 1999 The socioemotional development of 5 year-old children of postnatally depressed mothers. J Child Psychol Psychiat Allied Dis 40 1259 1271 CrossRef Google Scholar Oberklaid, F, Sanson, AV, et al. 1986 The development of Australian normative data for infant temperament. Aust Paediatr J 22 185 187 PubMed Google Scholar Oberklaid, F, Prior, M, Golvan, D, Clements, A, Williamson, A 1984 Temperament in Australian infants. Aust Paediatr 20 181 184 Google Scholar Pascoe, JM, Ialongo, NS, Horn, WF, Reinhart, MA, Perradatto, D 1988 The reliability and validity of the maternal social support index. Fam Med 20 271 276 PubMed Google Scholar
Prior MR, Sanson AV, Golvan D, Clements A, Williamson A (1989) The Australian temperament project. In: Kohnstamm GA, Bates JE (eds), Temperament in childhood. John Wiley & Sons, New York, pp 537–554.
Quinlivan, JA, Evans, SF 2001 A prospective cohort study of the impact of domestic violence on young teenage pregnancy outcomes. J Pediatr Adol Gynecol 14 17 23 CrossRef Google Scholar Quinlivan, JA, Evans, SF 2004 Teenage antenatal clinics may reduce the rate of preterm birth: a prospective study. BJOG 111 551 578 Google Scholar Quinlivan, JA, Box, H, Evans, SF 2003 Postnatal home visits in teenage mothers: A randomised controlled trial. Lancet 361 893 900 CrossRef PubMed Google Scholar
Rosenberg M, Fenley M (1991) Violence in America. A public health approach. Oxford University Press, New York.
Sinclair, D, Murray, L 1998 Effects of postnatal depression on children’s adjustment to school. Teacher’s reports. Br J Psychiatry 172 58 63 PubMed Google Scholar Taket, A, Nurse, J, Smith, K, Watson, J, Shakespeare, J, Lavis, V, Cosgrove, K, Mulley, K, Feder, G 2003 Routinely asking women about domestic violence in health settings. BMJ 327 673 676 CrossRef PubMed Google Scholar
Tjaden P, Thoennes N (2000) Full report of the prevalence, incidence and consequences of violence against women: Research Report. National Institute of Justice, Washington, DC, NCJ 183781.
U.S. Department of Health and Human Services (1995) Healthy people 2000: Midcourse review and 1995 revisions. U.S. Department of Health and Human Services Washington, DC.
Wathen, CN, MacMillan, HL 2003 Interventions for violence against women: scientific review. JAMA 289 589 600 CrossRef PubMed Google Scholar Copyright information
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