Despite the challenges associated with motherhood, studies have not consistently identified factors contributing to first-time mothers' dissatisfaction with motherhood in resource-limited regions. To fill this research gap, this study investigates how adverse childhood experiences (ACEs) result in first-time mothers' dissatisfaction with motherhood through emotional distress in Nigeria. Results from the partial least square structural equation model suggests that ACEs are associated with dissatisfaction with motherhood (β = 0.092; p < 0.01) and emotional distress (β = 0.367; p < 0.001). There is also a significant association between emotional distress and dissatisfaction with motherhood (β = 0.728; p < 0.001). Indirect path from first-time mothers' ACEs to dissatisfaction with motherhood through emotional distress shows significance (β = 0.267; 95% CI (0.213, 0.323); p < 0.001). In addition, the indirect path from first-time mothers' ACEs to dissatisfaction with motherhood through child emotional closeness showed significant dampening effects (β = 0.044; 95% CI (0.025, 0.066); p < 0.001). No serial impact of emotional distress and child emotional closeness was found in the study. The findings based on child gender indicated that only among first-time mothers of female children are ACEs predictors of dissatisfaction with motherhood. Trauma-informed interventions should be introduced in primary care settings to screen for ACEs and emotional dysfunctions among first-time mothers.
Impact statementTransitioning to motherhood can be stressful for first-time mothers, causing psychological problems such as emotional distress and dissatisfaction. Aside from being an abusive, neglectful and other traumatic experiences disrupting life outcomes, adverse childhood experiences (ACEs) are often a significant catalyst for emotional distress and dissatisfaction with motherhood. Providing support for first-time mothers in resource-limited populations requires understanding the intersection between ACEs and dissatisfaction with motherhood. This study provided empirically supported evidence that ACEs can cause emotional distress in first time mothers in low socioeconomic settings such as Nigeria. The effects of ACEs on dissatisfaction with motherhood are not independent but function through emotional distress. Moreover, early episodes of ACEs may affect mother-child emotional attachments (i.e., mothers' emotional closeness to their children) and, in turn, contribute to first-time mothers' dissatisfaction with motherhood. Therefore, traumainformed interventions are essential for first-time mothers to navigate motherhood in Nigeria. Furthermore, consideration should be given to the gender of children, as mothers may feel dissatisfaction with motherhood differently depending on their children's gender as a result of their ACEs. familiar, known world to an unfamiliar, unknown world, where a mother develops a new identity, which includes navigating pregnancy, assuming a new role, bonding with the new child and learning how to be a mothe...