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. 2022;31(2):392-408.
doi: 10.1007/s10826-021-02162-4. Epub 2021 Nov 17.

Maternal attachment representation, the risk of increased depressive symptoms and the influence on children's mental health during the SARS-CoV-2-pandemic

Franziska Köhler-Dauner  1 , Anna Buchheim  2 , Katherina Hildebrand  1 , Inka Mayer  1 , Vera Clemens  1 , Ute Ziegenhain  1 , Jörg M Fegert  1
Affiliations

Maternal attachment representation, the risk of increased depressive symptoms and the influence on children's mental health during the SARS-CoV-2-pandemic

Franziska Köhler-Dauner et al. J Child Fam Stud. 2022.

Abstract

The social distancing measures and the related closure of education institutions have confronted young families, in particular, with various challenges. Additional risk factors such as an insecure or even unresolved maternal attachment representation may affect mental health of mothers and their children in times of increased stress such as during the ongoing pandemic. We aimed to analyze the interplay between maternal attachment representation and mother's and children's mental health before and during the SARS-CoV-2-pandemic. 91 mothers completed a "SARS-CoV-2 pandemic survey" examining the pandemic-related stress of their families including their own depressive symptomology and their children's mental health. Our mediation analysis demonstrates that the mothers' depressive symptomology significantly and fully mediated the relationship between maternal attachment representations and children's mental health during the pandemic. In contrast, the indirect effect of the maternal attachment representation on children's mental health before the pandemic through the depressive symptoms experienced by the mothers before the pandemic did not reach significance alongside the total and direct effect. The quality of the maternal attachment representation, promoted by childhood maltreatment, seems to be one relevant risk factor for the mothers' and children's mental health during a stressful time like a pandemic. The risk for mothers to develop depressive symptoms in times of a pandemic is significantly influenced by their current representation of previous attachment experiences. In addition, the mental well-being of mothers showed a considerable influence on the children's mental health during a pandemic. The results underline the necessity to consider unique needs of family members and to offer specific support in the current crisis focusing on attachment issues.

Keywords: Depression symptoms; Maternal attachment representation; Parental childhood maltreatment (CM); SARS-CoV-2-pandemic.

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Conflict of interest statement

Conflict of InterestThe authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Model 1: Proposed mediation of maternal attachment representation and children’s mental health problems through the maternal severity of depression before the SARS-CoV-2 pandemic
Fig. 2
Fig. 2
Model 2: Proposed mediation of maternal attachment representation and children’s mental health problems through the maternal severity of depression during the SARS-CoV-2 pandemic
See this image and copyright information in PMC

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