The Relationship of Mother-Child Interaction and Spiritual Well-Being with Child Behavioral Disorders through the Moderating Role of Mental Health in Mothers of Children with Hearing Impairment

Background: Mother-child interaction and spiritual well-being can influence child behavioral disorders by affecting the motherchr('39')s mental health. The present study aimed to investigate the relationship of mother-child interaction and spiritual well-being with child behavioral disorders through the mediation o mental health in mothers of children with hearing impairment. Methods: The study was a descriptive correlation performed by path analysis. The statistical population included 1580 mothers of children with hearing impairment in Tehran city in 2019. The sample size was determined using Morgan’s sample size table. The sample was selected based on stratified random sampling. To collect the required data, 310 questionnaires based on the research variables were provided to the participants and a total of 284 questionnaires were analyzed following the elimination of incomplete questionnaires. The research instruments included the Behavior Disorders Questionnaire, the Child-Parent Interaction Questionnaire, the Spiritual Well-being Questionnaire, and the Mental Health Questionnaire. The proposed model was evaluated using path analysis with AMOS software. Results: The results showed that there was a significant relationship between spiritual well-being and child behavioral disorders (p<0.01), mental health and child behavioral disorders (p<0.01), child-mother interaction and mental health (p<0.01), spiritual well-being and mental health (p<0.01), but there was no a significant relationship between child-mother interaction and child behavioral disorders (p>0.05). Moreover, indirect paths of child-mother interaction and child behavioral disorders with mediating role of mental health (p<0.01) and spiritual well-being and child behavioral disorders with mediating role of mental health were significant (p<0.05). Conclusion: According to the results of the study, the proposed model had a good fit, and is an important step in identifying the factors affecting the child behavioral disorders of children with hearing impairment.