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Understanding How Intimate Partner Violence Impacts School Age Children's Internalizing and Externalizing Problem
Megan H Bair-Merritt1, Sharon R Ghazarian2, Lori Burrell3
1Boston University School of Medicine.
Insights
Intimate partner violence (IPV) is linked to child behavior problems. Maternal depression and parenting stress mediate this link, particularly for girls
Area of Science:
- Child Psychology
- Maternal Mental Health
- Domestic Violence Research
Background:
- Intimate partner violence (IPV) exposure is a significant risk factor for adverse child developmental outcomes.
- Maternal mental health and parenting stress are critical factors influencing child adjustment.
- Understanding the interplay between IPV, maternal factors, and child behavior is essential for targeted interventions.
Purpose of the Study:
- To investigate the mediating roles of maternal depression and parenting stress in the association between IPV and child internalizing/externalizing problems.
- To examine whether child gender moderates the relationship between IPV and child behavioral outcomes.
- To inform the development of effective interventions for families affected by IPV.
Main Methods:
- Secondary analysis of data from the Hawaii Healthy Start Program involving 214 mothers.
- Logistic regression models to assess associations between IPV and child behaviors (1st-3rd grade).
- Mediation analyses using bootstrapping and stratified models for effect modification by child gender.
Main Results:
- IPV was significantly associated with increased odds of child internalizing (aOR=2.62) and externalizing behaviors (aOR=4.16).
- Maternal depression mediated the IPV-internalizing behavior link; both depression and parenting stress mediated the IPV-externalizing behavior link.
- The association between IPV and externalizing behaviors was significant only for girls.
Conclusions:
- Maternal depression and parenting stress are key pathways through which IPV impacts child behavior.
- Child gender plays a moderating role, with girls being particularly vulnerable to externalizing behaviors following IPV exposure.
- Multicomponent interventions addressing maternal mental health and parenting are crucial for mitigating the effects of IPV on children.
Abstract:
We examined the role of maternal depression and parenting stress in the relationship between intimate partner violence (IPV) and child internalizing and externalizing problems, and explored whether child gender modified these pathways. This secondary analysis used data from the Hawaii Healthy Start Program. Logistic regression models examined the associations between IPV in 1st grade and child internalizing and externalizing behaviors in 1st, 2nd, and 3rd grades. Mediation models used bootstrapping methodology and stratified models examined effect modification. Adjusted models with 214 mothers demonstrated associations between IPV and internalizing (adjusted odds ratios (aOR)=2.62; 95% CI 1.11, 6.21) and externalizing (aOR=4.16; 95% CI 1.55, 11.19) behaviors. The association with externalizing behaviors was mediated by maternal depression and parenting stress, while internalizing behaviors was mediated by depression only. Stratified models found the association between IPV and externalizing behaviors was significant for girls only. Our results support the importance of multicomponent maternal IPV interventions.
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