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MATERNAL TRAUMA AFFECTS PRENATAL MENTAL HEALTH AND INFANT STRESS REGULATION AMONG PALESTINIAN DYADS
Authors:Sanna Isosävi  Safwat Y. Diab  Samuli Kangaslampi  Samir Qouta  Saija Kankaanpää  Kaija Puura  Raija‐Leena Punamäki
Affiliation:1. University of Tampere;2. Al‐Quds Open University;3. Islamic University of Gaza;4. University Hospital of Tampere
Abstract:We examined how diverse and cumulated traumatic experiences predicted maternal prenatal mental health and infant stress regulation in war conditions and whether maternal mental health mediated the association between trauma and infant stress regulation. Participants were 511 Palestinian mothers from the Gaza Strip who reported exposure to current war trauma (WT), past childhood emotional (CEA) and physical abuse, socioeconomic status (SES), prenatal mental health problems (posttraumatic stress disorder and depression symptoms), and perceived stress during their secondtrimester of pregnancy as well as infant stress regulation at 4 months. While all trauma types were associated with high levels of prenatal symptoms, CEA had the most wide‐ranging effects and was uniquely associated with depression symptoms. Concerning infant stress regulation, mothers’ CEA predicted negative affectivity, but only among mothers with low WT. Against hypothesis, the effects of maternal trauma on infant stress regulation were not mediated by mental health symptoms. Mothers’ higher SES was associated with better infant stress regulation whereas infant prematurity and male sex predisposed for difficulties. Our findings suggest that maternal childhood abuse, especially CEA, should be a central treatment target among war‐exposed families. Cumulated psychosocial stressors might increase the risk for transgenerational problems.
Keywords:childhood abuse  war trauma  prenatal mental health  infant stress regulation  Palestinian  abuso en la niñ  ez  trauma de guerra  salud mental prenatal  regulació  n de estré  s del infante  palestinas  maltraitance durant l'enfance  traumatisme de guerre  santé   mentale pré  natale    gulation du stress du bé      Palestinienne  Missbrauch im Kindesalter  Kriegstrauma  prä  natale psychische Gesundheit  Stressregulation des Sä  uglings  Palä  stinenser/in                                                                  調                                                              調                  ا  م  ت  ه  ا  ن   ا  ل  ط  ف  و  ل  ة    ص  د  م  ة   ا  ل  ح  ر  ب    ا  ل  ص  ح  ة   ا  ل  ن  ف  س  ي  ة   م  ا   ق  ب  ل   ا  ل  و  ل  ا  د  ة    ت  ن  ظ  ي  م   ض  غ  ط   ا  ل  ر  ض  ي  ع    ف  ل  س  ط  ي  ن  ي  
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