Impact and Mental Health Mediation of Intimate Partner Violence on Child Behavior in Trinidad and Tobago

Intimate partner violence (IPV) is known to have detrimental effects on persons who directly experience this form of abuse. Emerging research also indicates that a parent’s experience of IPV may influence their children’s well-being through various intermediary pathways. However, there is still no established model to explain these mechanisms. This study is among the few that assess maternal mental health symptoms as potential mediators of the association between maternal IPV and child behavior. Using secondary data from a population-based, cross-sectional survey, we performed logistic regression analyses to assess the impact of lifetime maternal IPV exposure on child behavioral problems (withdrawal or aggression). We then applied generalized structural equation modeling to examine the mediating effects of both maternal depression and anxiety symptoms on this association. Over half (55%; 95% CI [48.3, 60.8]) of mothers had experienced IPV at some point, and 12.5% (95% CI [8.0, 19.1]) of children exhibited behavioral problems. Mothers exposed to IPV were almost three times as likely to report behavioral problems in their children compared to mothers with no history of IPV ( OR = 2.81; 95% CI [1.08, 7.33]). Furthermore, we found that both maternal depressive and anxiety symptoms partially mediated the relationship between maternal IPV exposure and child behavioral problems. These findings suggest that the impact of maternal IPV on child behavioral problems is partially explained by maternal mental health. Reducing IPV and improving maternal mental health through enhanced screening and community-based mental health initiatives may contribute to lowering the prevalence of child behavior problems in Trinidad and Tobago.