Akintunde Tosin Yinka, Chen Shaojun, Isangha Stanley Oloji, Di Qi
Department of Sociology, School of Public Administration, Hohai University, Nanjing, China.
Department of Social and Behavioral Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong.
Glob Ment Health (Camb). 2024 Feb 8;11:e18. doi: 10.1017/gmh.2024.15. eCollection 2024.
Despite the challenges associated with motherhood, studies have not consistently identified factors contributing to first-time mothers' dissatisfaction with motherhood in resource-limited regions. To fill this research gap, this study investigates how adverse childhood experiences (ACEs) result in first-time mothers' dissatisfaction with motherhood through emotional distress in Nigeria. Results from the partial least square structural equation model suggests that ACEs are associated with dissatisfaction with motherhood ( = 0.092; < 0.01) and emotional distress ( = 0.367; < 0.001). There is also a significant association between emotional distress and dissatisfaction with motherhood ( = 0.728; < 0.001). Indirect path from first-time mothers' ACEs to dissatisfaction with motherhood through emotional distress shows significance ( = 0.267; 95% CI (0.213, 0.323); < 0.001). In addition, the indirect path from first-time mothers' ACEs to dissatisfaction with motherhood through child emotional closeness showed significant dampening effects ( = 0.044; 95% CI (0.025, 0.066); < 0.001). No serial impact of emotional distress and child emotional closeness was found in the study. The findings based on child gender indicated that only among first-time mothers of female children are ACEs predictors of dissatisfaction with motherhood. Trauma-informed interventions should be introduced in primary care settings to screen for ACEs and emotional dysfunctions among first-time mothers.
尽管为人母面临诸多挑战，但在资源有限的地区，研究并未始终如一地找出导致初为人母者对母亲角色不满的因素。为填补这一研究空白，本研究调查了在尼日利亚，童年不良经历（ACEs）如何通过情绪困扰导致初为人母者对母亲角色不满。偏最小二乘结构方程模型的结果表明，ACEs与对母亲角色的不满（β = 0.092；p < 0.01）以及情绪困扰（β = 0.367；p < 0.001）相关。情绪困扰与对母亲角色的不满之间也存在显著关联（β = 0.728；p < 0.001）。初为人母者的ACEs通过情绪困扰导致对母亲角色不满的间接路径具有显著性（β = 0.267；95%置信区间（0.213, 0.323）；p < 0.001）。此外，初为人母者的ACEs通过孩子情感亲密感导致对母亲角色不满的间接路径显示出显著的抑制作用（β = 0.044；95%置信区间（0.025, 0.066）；p < 0.001）。该研究未发现情绪困扰和孩子情感亲密感的序列影响。基于孩子性别的研究结果表明，只有在初生女婴的母亲中，ACEs才是对母亲角色不满的预测因素。应在初级保健机构引入创伤知情干预措施，以筛查初为人母者中的ACEs和情绪功能障碍。
