path analysis association between domestic violence, anxiety, depression and perceived stress in mothers and children’s development

how to cite this article: vameghi r, amir ali akbari s, sajedi f, sajjadi h, alavi majd h. path analysis association between domestic violence, anxiety, depression and perceived stress in mothers and children’s development. iran j child neurol. autumn 2016; 10(4):36-48. abstract objective given that several factors involved in the incidence or exacerbation of developmental disorders in children, the present study aimed to investigate the relationship between some of the risk factors affecting mothers’ health and development in children using path analysis.   materials & methods the present cross-sectional analytical study was conducted on 750 mothers and their children in health centers in tehran, iran in 2014 enrolled through multi-stage random sampling. data were collected using a demographic and personal information questionnaire, the perceived stress scale, beck’s depression inventory, spielberger’ anxiety inventory, the who domestic violence questionnaire and an ages & stages questionnaire for assessing children’s development. data were analyzed using spss.19 (chicago, il, usa) and lisrel 8.8.   results developmental delay was observed in 12.1% of the children. the mean stress score was 23.94±8.62 in the mothers, 50.7% of whom showed mild to severe depression, 84.2% moderate to severe anxiety and 35.3% had been subjected to domestic violence. the path analysis showed that children’s development was affected directly by perceived stress (β=-0.09) and depression (β=-0.17) and indirectly by domestic violence (β=-0.05278) and anxiety (β=-0.0357). of all the variables examined, depression had the biggest influence on development in the children (β=-0.17). the proposed model showed a good fit (gfi=1, rmsea=0.034).   conclusion children’s development was influenced indirectly by domestic violence and anxiety and directly by perceived stress and depression in mothers. it is thus suggested that more concern and attention be paid to women’s mental health and the domestic violence they experience.  references 1. r. de moura d, costa jc, santos is, d. barros aj, matijasevich a, halpern r, and et al. risk factors for suspected developmental delay at age 2 years in a brazilian birth cohort. paediatr perinat epidemiol 2010; 24(3): 211–221. 2. karimzadeh p, kuimarsi a, yousefi m. a survey of pediatrics resident knowledge of growth & development. iran j child neurol 2011; 5(2):11-16. 3. baker r. pediatric primary care well-child care. usa. lippincott williams and wilkins publish. 2001. 4. sachdeva s, amir a, alam s, khan z, khalique n, ansari ma. global developmental delay and its determinants among urban infants and toddlers: a cross sectional study. indian j pediatr 2010; 77(9):975-80. 5. natale je, joseph jg, bergen r, thulasiraj rd, rahmathullah l. prevalence of childhood disability in a southern indian city: independent effect of small differences in social status. int j epidemiol 1992; 21(2):367–72. 6. bello ai, quartey jn, appiah la. screening for developmental delay among children attending a rural community welfare clinic in ghana. bmc pediatr 2013; 13: 119. 7. pradilla ag, vesgaab, leon-sarmiento fe. 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