Trauma and Maternal Wellbeing

A special issue of Behavioral Sciences (ISSN 2076-328X). This special issue belongs to the section "Psychiatric, Emotional and Behavioral Disorders".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 5166

Special Issue Editors


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Guest Editor
Anne and Henry Zarrow School of Social Work, University of Oklahoma, Norman, OK 73019, USA
Interests: becoming a mother; maternal mental health; impacts of birthing environment on maternal mental health; trauma-informed perinatal care and maternal mental health care; culturally informed perinatal care interventions and postpartum care; qualitative community engaged research

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Guest Editor
Jillian Michelle Smith Professor in Family Violence Research, School of Social Work, University of Texas at Arlington, Arlington, TX 73019, USA
Interests: trauma; suicide; maternal well-being; suicide bereavement; qualitative interpretive meta-synthesis (QIMS); social work education

Special Issue Information

Dear Colleagues,

This Special Issue addresses the role of trauma on maternal wellbeing.

The transition to motherhood, known as matrescence, is a dynamic process wherein psychological and sociological changes align with a maternal identity shift. Matrescence expands into the act of birth being a rite of passage, a cultural event, and even considers the historical position of the mother. This definition also includes the postpartum period of maternal adjustment over a year after birth and also includes the maternal role transition that can happen for those who are adoptive mothers and stepmothers. Furthermore, the deeper functions of the maternal role transition include a new term: paturescence. Paturescence emphasizes that this transformation is a more significant life experience and one that accounts for generational motherhood, cultural expectations, and the transformations that happen during birth, which can allude to positive or negative maternal wellbeing. In previous research, the three concepts of becoming a mother, matrescence, and paturescence have all been primarily measured to better understand maternal confidence, self-esteem, commitment to motherhood, flexibility in the maternal role, maternal identity, and grief from the loss of a previous identity, attitudes towards child rearing, birthing experience (to include control over birthing), cultural birthing expectations, maternal transformation, and maternal role strain.

That said, trauma can impact maternal wellbeing as it disrupts these transitional and critical growth points for those who hold maternal identities.

Trauma is the emotional response to a terrible event such as a car accident, natural disaster, or rape. There are acute traumas which result from a single incident, chronic traumas from repeated and prolonged traumatic events such as abuse, and complex traumas when a person is exposed to multiple, varied events. Trauma comes in various forms: physical, psychological, racial, all types of violence, natural disasters and pandemics, historical and/or genocidal, through neglect, and can be generated within various systems (healthcare, carceral, education, etc.).

Trauma experienced by mothers can influence mental and physical health outcomes, maternal morbidity, impact the birth experience, create parenting challenges, delay birth recovery, increase the risk of substance abuse, heighten stress and anxiety, increase suicidal thinking and risk for death by suicide, and can have an intergenerational impact when unaddressed. Maternal morbidity rates in many countries are also of concern and are related to traumatic experiences. As such, research on the complex intersections of traumas in many forms and at many levels and maternal wellbeing are needed to better understand how to intervene during pivotal points of maternal identity growth.

This Special Issue welcomes original research articles (quantitative and qualitative), reflective accounts, and reviews on the role of trauma in maternal wellbeing outcomes.

We welcome contributions from a broad array of disciplines, including psychology, social work, public health, medicine and obstetrics, nursing, and anthropology (among others).

Potential authors are kindly asked to send titles and abstract to December Maxwell, ([email protected]).

Dr. December R. Maxwell
Dr. Regina T. Praetorius
Guest Editors

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Keywords

  • maternal mental health
  • maternal wellbeing
  • trauma
  • matrescence
  • paturescence

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Published Papers (4 papers)

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Research

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25 pages, 2261 KiB  
Article
Parental Stress and Mental Health Outcomes Following the October 7th Events: Insights from Israeli Families of Children with Special Needs
by Yitshak Alfasi, Ruth Maytles and Avi Besser
Behav. Sci. 2025, 15(2), 148; https://doi.org/10.3390/bs15020148 - 29 Jan 2025
Viewed by 549
Abstract
The October 7th events precipitated an unprecedented psychological crisis for Israeli families, particularly affecting parents of children with special needs. This empirical study aimed to investigate the psychological factors contributing to parental stress and mental health outcomes in a community sample of 2097 [...] Read more.
The October 7th events precipitated an unprecedented psychological crisis for Israeli families, particularly affecting parents of children with special needs. This empirical study aimed to investigate the psychological factors contributing to parental stress and mental health outcomes in a community sample of 2097 parents, comparing those with children with special needs (n = 540) to those with typically developing children (n = 1557). Findings revealed that parents of children with special needs exhibited significantly higher levels of attachment anxiety and avoidance, parental stress, and intolerance of uncertainty, while reporting lower levels of parental competence, perceived social support, and mental health. Notably, meaning in life did not significantly differ between the groups. Correlational analyses indicated that attachment anxiety and avoidance were negatively correlated with parental competence, social support, meaning in life, and mental health while positively correlating with parental stress and intolerance of uncertainty. Mediation analyses showed that attachment anxiety and avoidance significantly predicted increased parental stress and reduced mental health, with these effects mediated by lower parental competence and diminished meaning in life. Moreover, intolerance of uncertainty mediated the effect of attachment anxiety on mental health. However, the mediating role of perceived social support on parental stress was absent among parents of children with special needs. These findings underscore the need for targeted interventions that bolster parental resilience, particularly for families of children with special needs during times of crisis. Full article
(This article belongs to the Special Issue Trauma and Maternal Wellbeing)
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12 pages, 222 KiB  
Article
Addressing the Triple Trauma of Factors Leading to Perinatal Health and Mental Health Consequences in Two Upstate New York Communities
by Robert H. Keefe, Robert A. Rubinstein, Kiara Van Brackle, Sanid Music, Zikora Nnam and Sandra D. Lane
Behav. Sci. 2025, 15(1), 20; https://doi.org/10.3390/bs15010020 - 29 Dec 2024
Viewed by 714
Abstract
This article focuses on the impact of trauma experienced by individuals, families and groups, and neighborhoods in Rochester and Syracuse, New York. Using the levels of analysis put forward in Bronfenbrenner’s ecological systems theory (i.e., individual, family, and community), we argue that trauma [...] Read more.
This article focuses on the impact of trauma experienced by individuals, families and groups, and neighborhoods in Rochester and Syracuse, New York. Using the levels of analysis put forward in Bronfenbrenner’s ecological systems theory (i.e., individual, family, and community), we argue that trauma operates at each of those levels. This mixed-methods study reviews the findings of seven previously published studies (with data collection ranging from 2000 to 2019), each of which addresses trauma among low-income residents. Specific methods include secondary analyses of births, qualitative interviews of persons who delivered a baby within the past two years, a community survey of residents living in high-crime areas, and secondary birth data to document the impact of socio-ecological risk factors on the trauma of birthing persons, their children, and their partners. Individuals and families living in high-risk neighborhoods (e.g., where residents experience frequent gun shots, racially disproportionate incarceration, and poverty) had more negative health outcomes including posttraumatic stress disorder, intrauterine growth restriction, and depression. Interventions focused on community-based practices that address individual, family, and community-level trauma must also address the multiple risk factors for trauma located in the environmental and social stressors. Full article
(This article belongs to the Special Issue Trauma and Maternal Wellbeing)
18 pages, 498 KiB  
Article
Factors Associated with Birth-Related Post-Traumatic Stress Disorder Symptoms and the Subsequent Impact of Traumatic Birth on Mother–Infant Relationship Quality
by Lucy J. Frankham, Einar B. Thorsteinsson and Warren Bartik
Behav. Sci. 2024, 14(9), 808; https://doi.org/10.3390/bs14090808 - 12 Sep 2024
Cited by 1 | Viewed by 1529
Abstract
This study aimed to investigate factors associated with birth-related PTSD symptoms and the subsequent impact on mother–infant relationship quality, exploring what women felt they needed to be different about their birth process to further understand the problem. Participants were recruited using social media [...] Read more.
This study aimed to investigate factors associated with birth-related PTSD symptoms and the subsequent impact on mother–infant relationship quality, exploring what women felt they needed to be different about their birth process to further understand the problem. Participants were recruited using social media advertising. A multi-method approach, using qualitative and quantitative analyses, was employed. The study included 142 pregnant women residing in Australia aged between 19 and 42 years (M = 31.24; SD = 4.70). High extraversion significantly predicted greater birth-related PTSD symptoms. There was a significant relationship between birth-related PTSD symptoms and poorer mother–infant relationship quality. The content analysis of the responses from women who reported a desire for a different or improved birth experience generated four themes: (1) less intrusive intervention, (2) better communication, (3) access to more supportive intervention, and (4) better post-birth care. The findings highlight the importance of supporting women’s choices during birth by promoting informed and respectful woman-centred care. Postnatally, the screening and assessment of women should go beyond mood screening and include an assessment of the woman’s response to her birth experience. Full article
(This article belongs to the Special Issue Trauma and Maternal Wellbeing)
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24 pages, 783 KiB  
Systematic Review
Natural Disasters as a Maternal Prenatal Stressor and Children’s Neurodevelopment: A Systematic Review
by Gül Ünsel-Bolat, Sema Yıldırım, Fethiye Kılıçaslan and Rafael A. Caparros-Gonzalez
Behav. Sci. 2024, 14(11), 1054; https://doi.org/10.3390/bs14111054 - 6 Nov 2024
Cited by 1 | Viewed by 1796
Abstract
The intrauterine period is a time of high sensitivity in the development of the embryo and the fetus. Therefore, low levels of maternal stress are closely associated with healthy brain development in the neonatal and early childhood periods. There is increasing evidence linking [...] Read more.
The intrauterine period is a time of high sensitivity in the development of the embryo and the fetus. Therefore, low levels of maternal stress are closely associated with healthy brain development in the neonatal and early childhood periods. There is increasing evidence linking natural disasters as prenatal maternal stress (PNMS) to neurodevelopmental disorders (including subclinical manifestations). Natural disasters involve many factors in addition to the trauma they cause, including loss and the physical and psychosocial difficulties that result from that trauma. This review article aims to bring together research findings on the neurodevelopmental effects of natural disasters on children as PNMS. It also looks at how factors such as gestational age and gender contribute to these effects. We conducted a systematic review on PubMed, Web of Science, and Scopus, with 30 studies meting the inclusion criteria. This systematic review was conducted in accordance with the PRISMA guidelines. A total of 1,327,886 mother–child dyads participated in the included studies. The results of the studies indicate that natural disasters have a negative impact on children’s outcomes in terms of cognitive development, language development, autism/autism-like features, motor skills, performance in mathematics, mental development, sleep, attention, behavioral and emotional problems, and various psychiatric comorbidities. Full article
(This article belongs to the Special Issue Trauma and Maternal Wellbeing)
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