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When So-Called Cozy Home and Mother's Womb Are Not Safe: Intimate Partner Violence and Prenatal Maternal Stress

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dc.contributor.advisor Lobel, Marci en_US
dc.contributor.author Cizmeli, Ceylan en_US
dc.contributor.other Department of Social/Health Psychology. en_US
dc.date.accessioned 2017-09-20T16:51:12Z
dc.date.available 2017-09-20T16:51:12Z
dc.date.issued 2015-08-01
dc.identifier.uri http://hdl.handle.net/11401/76801 en_US
dc.description 160 pg. en_US
dc.description.abstract Prenatal maternal stress (PNMS) and intimate partner violence (IPV) are both associated with negative maternal and neonatal health outcomes. However, operationalization of these constructs has proved challenging due to the heterogeneity of stress and violence experiences. Little is known about the stability and change in occurrences of different types of IPV across time, and evidence for deleterious effects of PNMS and IPV on maternal and neonatal health is inconclusive. This dissertation aims to build and expand on prior research by addressing these limitations in three studies. Study 1 examined the validity of a multivariate model of PNMS across diverse women (N = 2,709) using multigroup confirmatory factor analysis. Study 2 examined the stability and change in occurrence of various types of IPV across pre-pregnancy, pregnancy, and postpartum periods using latent transition analysis. Finally, Study 3 used structural equation modeling to examine whether PNMS and prenatal IPV were associated with fetal distress during childbirth and unplanned cesarean delivery. Study 1 results confirmed the validity of the multivariate PNMS model, and revealed significant group differences in PNMS. Findings suggest that pregnancy is more stressful for younger, single, unemployed, less educated women with less income, women with an unintended pregnancy, and those with more pregnancy and birth experiences relative to their comparison groups. Study 2 identified three classes of women: those who experienced no IPV, predominantly sexual IPV, or physical IPV only. Presence of violence in one period increased the likelihood of violence in subsequent periods for all women. Physical violence prior to conception was more likely to continue during pregnancy among women with an unintended pregnancy than among those with an intended pregnancy. Women whose partners did not want their pregnancy were at a greater risk for initiation of physical violence during pregnancy than those with partners who wanted their pregnancy. Finally, findings from Study 3 showed that pregnancy specific stress independently contributed to fetal distress, and significantly predicted unplanned cesarean delivery controlling for medical risk. Implications of these findings for effective screening, intervention, and prevention programs are discussed. en_US
dc.description.sponsorship This work is sponsored by the Stony Brook University Graduate School in compliance with the requirements for completion of degree. en_US
dc.format Monograph en_US
dc.format.medium Electronic Resource en_US
dc.language.iso en_US en_US
dc.publisher The Graduate School, Stony Brook University: Stony Brook, NY. en_US
dc.subject.lcsh Psychology en_US
dc.subject.other adverse birth outcomes, intimate partner violence, latent transition analysis, pregnancy, prenatal maternal stress, structural equation modeling en_US
dc.title When So-Called Cozy Home and Mother's Womb Are Not Safe: Intimate Partner Violence and Prenatal Maternal Stress en_US
dc.type Dissertation en_US
dc.mimetype Application/PDF en_US
dc.contributor.committeemember London, Bonita en_US
dc.contributor.committeemember Palermo, Tia en_US
dc.contributor.committeemember Smith Slep, Amy. en_US

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