Work-Life Conflict and Mental Health Among Japanese American Working Mothers: A Qualitative Study of Paid Maternity Leave in the U.S.
Abstract
Mother-infant interactions substantially impact the infant's neurocognitive, linguistic, social, and motor skills, which, in turn, support the infant’s growing abilities to explore, think, and make sense of their surroundings (Centers for Disease Control and Prevention, 2021; Hofer, 2006; Rocha et al., 2020). Early studies on the growth of mother-infant interactions (e.g., Ainsworth et al., 1974; Ainsworth et al., 1979; Potharst et al., 2021; Tessier et al., 1998) during the formative months of infanthood place a strong emphasis on attachment, an intimate bond formed between a newborn to their mother figure. Countless studies have found that a robust attachment stems from an active, affectionate, and secure interaction between mother and infant (Ainsworth, 1979; Bögels et al., 2014; Mountain et al., 2017; Potharst et al., 2021). Active bonding, defined as a form of uninterrupted and open attachment, is one of the most crucial foundations of attentive parenting (Ainsworth, 1979). Studies show that attentive parenting strongly predicts decreased distress symptoms in children (Tessier et al., 1998). As reciprocal attachment caregivers, those who share the responsibility of raising children with others (i.e., family members), active mother-infant bonding also increases positive parenting experiences for new mothers by decreasing symptoms of distress post-birth (Anderson, 1989). Thus, paid maternity leave predicts positive parenting, because it facilitates positive mother-infant interactions (Brito et al., 2022; Tessier et al., 1998).
Introduction
Mother-infant interactions substantially impact the infant’s neurocognitive, linguistic, social, and motor skills, which, in turn, support the infant’s growing abilities to explore, think, and make sense of their surroundings [1-3]. Early studies on the growth of mother-infant interactions [4-7] during the formative months of infanthood place a strong emphasis on attachment, an intimate bond formed between a newborn to their mother figure. Countless studies have found that a robust attachment stems from an active, affectionate, and secure interaction between mother and infant [7, 8, 9, 5]. Active bonding, defined as a form of uninterrupted and open attachment, is one of the most crucial foundations of attentive parenting [7]. Studies show that attentive parenting strongly predicts decreased distress symptoms in children [6]. As reciprocal attachment caregivers, those who share the responsibility of raising children with others (i.e., family members), active mother-infant bonding also increases positive parenting experiences for new mothers by decreasing symptoms of distress post-birth [10]. Thus, paid maternity leave predicts positive parenting, because it facilitates positive mother-infant interactions [11, 6]. Studies on active bonding between the mother and infant and maternal affection have also highlighted increased maternal activity as a critical time for infant language growth [12]. According to longitudinal research studying the relation between maternal responsiveness and other aspects of attachment, children whose mothers were more vocally receptive during infancy had larger vocabulary sizes through childhood [13]. This is important in recognizing the social-interactive foundation of early language acquisition and the significance of maternal participation in accomplishing language milestones for infants’ cognitive development [12]. Infants’ cognitive abilities place a great deal of focus on mothers to support learning, according to studies on formative stages in newborn language development [13]. As a result, maternal speech that is semantically similar to children’s speech is more sensitive to and attentive to their children’s exploring efforts [13, 12]. In summation, rich mother-infant interactions are essential in fostering children’s development as they provide increased benefits in formative language acquisition and social-interactive behavior that couples positive mother-child dyads, in return [4, 7, 8, 14].
Japanese mothers’ behavior in childcare: cultural aspects
Asian mothers’ child-bonding behaviors are influenced by traditional gender ideations and customs, such as women taking on the major caregiver role and offering maternal affection support to their children [15]. In addition, Asian countries’ hierarchical structures, which place a strong focus on social position and power, have an impact on Asian mothers’ caregiving styles [16]. Due to its impact on their social standing and reputation in the community, Asian mothers may feel a stronger sense of responsibility for their children’s upbringing and development [16]. Moreover, filial piety, a Confucian principle that emphasizes respect for elders and the value of family ties, is one cultural component that affects Asian mothers’ mother-infant caregiving practices [17]. As a result of this cultural value, Asian mothers tend to place greater priority on their children’s wants and well-being than on their own [17]. There are distinct cultural elements that play an essential role in shaping the caregiving practices of Japanese mothers [18, 19, 20, 21]. Similar to that of other Asian mothers, another cultural element that influences how Japanese mothers care for their children is the collectivistic nature of Japanese culture [20]. As a result, Japanese mothers are inclined to prioritize the needs of their family members’ needs over their own and, thus, perform more caregiving tasks that benefit the family, such as cooking for the entire family or organizing family activities [20]. In addition, like other Asian cultures, the fact that women are frequently expected to assume the role of primary caregiver and to provide emotional support to their children in Japanese society, traditional gender norms and expectations have an impact on how Japanese mothers provide for their children [18, 19]. Moreover, the concept of amae, which denotes the dependence and attachment that children have for their mothers, is one cultural element that influences how Japanese mothers provide for their children [21]. Japanese mothers are encouraged by this cultural value to give their children more nourishing and protective care [21]. Furthermore, the Japanese culture’s emphasis on learning development may have an effect on how mother-child interaction is catered for [19]. As a result, Japanese mothers may use more disciplined and purposeful parenting techniques, such as aiding with homework and extracurricular activities, to encourage their children’s learning development [19]. In terms of returning to work, most Japanese mothers still believe that having children is more important than having a successful career [22, 26]. Most Japanese mothers are qualified for and take about 36 weeks of paid maternity leave (Organisation for Economic Co-operation and Development [OECD], n.d.). Japanese mothers commonly leave their occupations after getting pregnant to allow time for mother-child bonding following delivery, upholding cultural traditions [23]. For this reason, Japanese women have been socialized to believe that working mothers are unsuited to be mothers [24]. As a result, the belief that Japanese women would stop working after getting married and having children served to offset the labor excess in Japan [24, 25]. However, compared to their less educated counterparts, highly educated Japanese mothers are more likely to continue working [26]. This is because highly educated Japanese mothers often receive additional support from their extended relatives and are more likely to keep their full-time jobs [26].
Returning to work for Japanese American mothers: culture in context
The U.S. Bureau of Labor Statistics (2013) predicts that Asian workers will continue to have the second-highest labor force participation rates among all racial or ethnic groups in 2022 [27]. Asian American mothers were found to value and uphold their cultural practices and customs decades after relocating to a new environment [28]. As a result, working Japanese American mothers frequently encounter tough circumstances while attempting to balance the cultural expectations of being both a great caregiver and a great employee at the same time [29]. Cultural stigma in the workforce associated with both pregnancy and burnout has the propensity to affect Asian American mothers’ attitudes at work [29]. As a result, Asian American working mothers in the United States are more likely than their White counterparts to experience postpartum burnout due to the demands of both their employment and family life [30, 29]. In a 2020 study where a quarter of the sample consisted of Asian working mothers, 32% of working mothers reportedly resisted taking time off considering they were not granted paid leave [31, 29]. Due to the fact that less educated Asian mothers frequently hold occupations where they are ineligible for paid leave benefits, not all new Asian American women take advantage of maternity leave [32, 26]. Instead, they often choose to continue working while relying heavily on their partners, parents, or in-laws to take care of their children [27]. There is no study investigating how Japanese American mothers navigate motherhood under the lack of paid maternity leave in the U.S.; however, it is a fact that there is no nationwide paid maternity leave in the country as of today (Organisation for Economic Co-operation and Development [OECD], n.d.). Due to societal attitudes and rigid work conditions, it is therefore important to understand the experiences of upper-middle-class Japanese American mothers who do take advantage of and have access to paid maternal leave in the United States [27, 26]. Additionally, by looking at Japanese American mothers’ experiences with paid leave, this study strives to contrast both Asian and American cultural values that drive the decline and/or use of paid leave options.
Current study
Mother-infant interactions and bonding are essential for infants to develop healthily [1, 2]. However, the majority of the existing study on this subject has been limited to Western cultures. Certain values, such as the collectivistic structure of the nation, conventional gender norms, the idea of amae, and the nation’s emphasis on learning and development, have a substantial impact on mother-infant relationships and bonding in Japan [19, 20, 21]. While some of these cultural values may overlap with those in the United States, there are some significant discrepancies, which is seen in both countries’ policies regarding the nationwide paid maternity leave policy, with approximately 36 weeks in Japan and 0 weeks in the United States, respectively (Organisation for Economic Co-operation and Development [OECD], n.d.). Given that there is a significant disconnect between the emphasis placed on maternity leave in Japan and the United States on the importance of mothers spending time with infants during their early months, understanding the cultural values underlying these differences is crucial for developing policies that support healthy mother-infant interactions across different cultural contexts. Therefore, the current study sought to address the gap by asking two questions: 1) What are Japanese mothers’ experiences and beliefs about childcare and 2) How do Japanese American mothers view maternity leave in the United States?
Method
Participants: The study included four Japanese American heterosexual women who had given birth during the previous three years. Two participants identified as Japanese American, one as Japanese and Caucasian American, and one as Japanese and African American. Mothers’ ages ranged from 31 to 35 years old. All mothers were married in standard upper-middle-class nuclear families, and all had been employed full-time at the time their children were entering infancy.
Procedure: Participants completed an online survey administered through Google Forms in 2022. The survey was written in English and required 30–40 minutes to complete. The survey consisted of six open-ended questions (see Appendix A) regarding participants’ racial and ethnic demographics, parenting practices, child behavior, as well as their views on their paid maternity leave policy and the implementation of a nationwide paid maternity leave policy.
Transcription and coding: After submission, surveys were reviewed by two researchers, sentence by sentence. The researchers utilized a grounded theory approach (see Glaser & Strauss, 1967) to code the open-ended surveys by selecting commonly occurring themes across different mothers that are appropriate for the research question. To establish inter-rater reliability, the researchers coded the same survey independently, contrasted codes, discussed disagreements, and defined each emergent theme briefly. After inter-rater reliability was achieved, the rest of each survey was coded for the emergent themes at a sentence level. In constructing the coding theme of parenting experiences, the researchers sought to understand what mothers saw as necessary in fostering positive or negative mother-infant relationships.
Results
The findings demonstrate variability among participants’ experiences. The color codes that were generated based on the emergent themes included the following:
- positive mother-infant experiences and increased awareness of infant milestones
- bonding and social support
- difficulty balancing work and home life
- positive parenting experiences and the paid maternity leave
Theme 1: Positive mother-infant experiences and increased awareness of infant milestones
Three out of four mothers indicated that they were more aware of their infants’ development milestones as a result of spending increased time with their infants during the first few months. For example, in terms of infant language development, one participant mentioned that she “noticed that [her infant] was more attentive to Japanese conversations than English television. [Her infant] was attached to [her] mother but [she] think[s] [her child] was happy to see [her] too.” Another participant emphasized that she noticed that her child “started to become aware of his surroundings and would constantly be taking them in when he started figuring out facial expressions and experimenting with language by babbling and cooing.” Nevertheless, an increase in awareness of infants’ developmental needs and attentiveness to specific children’s learning cues was mentioned by all four participants. It is worth noting that all participants reported experiencing increased attachment, and more opportunities to focus on their infants’ growth when given the financial support and time that paid maternity leave provides.
Theme 2: Bonding and social support
Positive experiences were most prevalently linked to a theme of increased social support. Throughout experiencing a life shift post-birth, all four participants indicated that the presence of families, relatives, friends, or community in the first few months following the birth of their child was a protective factor in balancing work and life. For example, one mother reported that it was “a fortunate situation where [her] mother comes to take care of [her] baby while [she is] at work, so getting access to childcare was not a worry that [she] had.” Additionally, another mother reported that she “would not be able to go to work knowing [her] baby is safe without [her] mother.” Some specific examples of social support from families that participants noted included decreased anxious feelings from infant separation. Of the four total responses, three participants revealed that they experienced reduced anxiety despite a lack of mother-infant bonding time, knowing their infant was being taken care of by trusted family members.
Theme 3: Difficulty balancing work and home life
At the same time, all four parents indicated they were distressed while simultaneously working and nurturing their infants. Potential sources for burnout symptoms were shown as anxiety about being both a great mother and a great worker, appearing 20 times across all the surveys. Cultural stigmas surrounding parenting expectations interfered heavily with the work responsibilities of these mothers. Two out of four participants worked in the labor-intensive food industry, and another mother juggled multiple professional jobs in academia. Mothers mentioned frustration, guilt, and worry when separated from their infants due to work-related responsibilities, causing conflict in traditional caregiving. Knowing that Japanese mothers are inclined to prioritize the needs of their family members’ needs over their own, the results from one mother stated that she, upon returning to work, wished she “was able to spend more time with [her infant]. [She is] often thinking about and missing [her infant] during the work days, and [she] often feel[s] guilty that [she is] not spending all of [her] time with [her infant]. While mothers in the sample who took advantage of the paid maternity leave specified the privilege they had to remain in their careers, themes of discontent also emerged in all participant survey transcripts. All participants mentioned that the paid maternity leave policy brought additional stressors to the quality of their caregiving dynamics. Within this central theme, there was a noticeable trend in adverse outcomes in Japanese mothers conflicted with pressures exerted by American workplace stress. One mother reported feeling stressed and uncomfortable as she “did not feel completely back to normal after 3 months and did not want to go back to work, but felt that [she] had no choice.” Participants commonly reported struggling with one or more stress combinations, inflexible workplace standards, and worse, a feeling that they are judged for being a ‘working mother,’ all within months of the physical demands of childbirth. They also stated that they have had to significantly adjust their daily routines to allow for increased time alone and sleep to mediate in times of emotional and physical stress.
Theme 4: Positive parenting experiences with the paid maternity leave
Thematic analysis indicated that all four participants reported that taking advantage of the paid maternal leave allowed them to spend more time with their children than they would otherwise. This included mothers detailing that they felt accomplished and content to be able to spend time with [their] child during the first few months. Additionally, three out of four participants mentioned that they felt grateful, generally satisfied, and eager to interact with their children when they were given options to remain in the work field post-birth. All four participants indicated at least once that their paid maternity leave policy provided less rigidity when returning back to work, including three to four hours on weekdays and all day on weekends. These positive responses reflected a general satisfaction with their current paid leave policy. Moreover, most mothers were very explicit when reporting the conditions of their paid leave policy, with statements such as “I appreciate that they do provide us with at least a few months of paid leave that are very much encouraged, and the option to take a few more months if needed even though these are unpaid.” Building on, there was a noticeable trend in participants’ quantity of paid leave time; out of four participants who chose to disclose their paid leave term, three identified having more than six weeks.
Discussion
This qualitative analysis aimed to fill the gaps in the literature with regard to the experiences of Japanese American mothers and their respective paid maternity leave policies. Existing literature indicates a lack of paid maternity leave policy increases maternal psychological stress [34, 35]. In line with these findings, the current study supports past research by highlighting the negative parenting experiences faced by Japanese American mothers [36]. One of the most common shared experiences from the participants was related to heightened stressors in the absence of mother-infant interactions due to conflicts with work. Specifically, feeling guilty for working instead of spending time with their infants and feeling emotionally and physically burnt out from having work and household responsibilities, though it is not clear if this experience is unique to Japanese American mothers. At the same time, although existing literature examining paid leave policy-related factors in mother-infant interactions tends to focus on the negative implications of the current paid maternity leave policy [11, 37] this study found positive mother-infant interactions associated with the existence of social support. Social support from the significant other, immediate family members, friends, and babysitters within the mother’s network was a protective factor in preventing maternal psychological stress (e.g., burnout), which is in line with existing literature [38, 39]. This might be because reciprocal giving and receiving of support within small communities is valued in many Japanese American cultures [40, 41]. Lastly, the findings on mothers’ improved awareness of infant milestones throughout their paid maternity leave supported the previous literature that a responsive mother’s presence is advantageous to the infants’ growth in language abilities and attachment to caregivers [14, 12, 13]. To conclude, one of the study’s implications include understanding the advantages of enacting a nationwide paid leave policy to support caregivers and their infants. Another implication is the necessity of early interventions for the mother to reduce the psychological stress that new mothers might experience as they experience cultural pressures around work and childrearing. For instance, community centers and hospitals offer educational workshops on how to cope with psychological stress during and after pregnancy and dispense diapers and baby formula powder for participating. Additionally, policymakers must establish laws requiring nationwide paid maternity leave policies across the United States in addition to other supportive measures for working mothers. For instance, a policy allowing men to take a break from work upon the birth of their children would increase the social support working mothers can receive and encourage fathers to foster father-infant interactions [42, 43]. Lastly and most importantly, given that positive experiences were most prevalently linked to a theme of increased social support, the federal government must develop a strategy to provide affordable and accessible childcare facilities so that all working women can get through challenging times. Despite an improvement in support services over time, single mothers still face various obstacles to finding employment since it is challenging for them to raise their children while working without the assistance of their spouses. Given that there were only four participants in this qualitative analysis, the results of the current study should be evaluated with care. Future research should investigate this topic using a qualitative methodology with a larger sample size or a quantitative approach (e.g., Generalized Anxiety Disorder (GAD-7) questionnaire) to evaluate the mother-infant interactions and mothers’ stress as more states in the United States start creating more accommodating parental leave policies. Moreover, since convenience sampling was utilized, the participants were homogeneous, primarily consisting of mothers of financially secure Japanese descent mothers from New York, New York. As a result, the study could not provide data on various employed Japanese American mothers with different paid maternity leave policies, meaning the results are not generalizable across the United States. Additionally, even though the findings were beneficial in understanding the protective factors in preserving satisfying mother-infant interactions, the study could not represent challenges that lower socioeconomic families could be encountering in this economically uncertain COVID-19 pandemic age. Notwithstanding these limitations, the current study offers relevant insight through a preliminary analysis of the influences of various paid maternity leave policies on Japanese American mothers’ parenting experiences.
Appendix A
- Tell us about your experiences with your child the first couple of months after they were born. Elaborate on specific language milestones, attachment, and overall development, as well as how you felt personally.
- How much time do you spend each day interacting with your infants and are you satisfied with the time spent building this mother-infant relationship?
- How has your experience been working while being a mother?
- Describe your employer’s maternity leave
- What do you like and not like about your employer’s maternity leave policy?
- What can your employer’s maternity leave policy do better to improve your experience with raising children?
Acknowledgement
This study was conducted as part of the New York University Applied Psychology Senior Seminar sequence under the supervision of faculty members in the department.
Conflict of Interest
None
References
- Hofer MA (2006) . Current Directions in Psychological Science 15: 84–88.
- Rocha N, Dos Santos MM, Dusing SC (2020) . J Child Health Care 24: 365–385.
- Ainsworth MS, Bell SM, Stayton DJ (1974. The Integration of a Child into a Social World 1: 9–135.
- Ainsworth MS (1979) . American Psychologist 34: 932–937.
- Potharst ES, Leyland A, Colonnesi C, Veringa IK, Salvadori EA, et al. (2021) ? Mindfulness 12: 344–356.
- Tessier R, Cristo M, Velez S, Giron M, de Calume ZF, et al. (1998) . Pediatrics 102: 1–8.
- Ainsworth MS, Rosenblatt JS, Hinde BA, Beer C, Busnel M, et al. (1979) . Advances in the Study of Behavior 9: 1–51.
- Bögels SM, Hellemans J, Deursen S, Römer M, Meulen R, et al. (2014) . Mindfulness 5: 536–551.
- Mountain G, Cahill J, Thorpe H (2017) . Infant Behavior and Development 46: 14–32.
- Anderson GC (1989) . Image--the journal of nursing scholarship 21: 196–199.
- Brito NH, Werchan D, Brandes-Aitken A, Yoshikawa H, Greaves A, (2022) . Child Development 93: 1030–1043.
- Tamis鈥怢eMonda CS, Bornstein MH, Baumwell L (2001) . Child Development 72: 748–767.
- Tamis鈥怢eMonda CS, Bornstein MH (2002) . Advances in Child Development and Behavior 29: 89–127.
- Leclère C, Viaux S, Avril M, Achard C, Chetouani M, (2014) . PloS One 9: 1–34.
- Li X (2013) (M. E. Lamb, Ed.). In D. W. Shwalb, B. J. Shwalb, & M. E. Lamb (Eds.), Fathers in Cultural Context (pp. 15–41). Routledge/Taylor & Francis Group.
- Yim EP (2022) . Frontiers in Psychology 13: 1–19.
- Yunus SM (2005) . International Journal of Early Childhood 37: 39–56.
- Bornstein MH (2012) . Parenting 12: 212–221.
- Bornstein MH, Cote LR, HaynesOM, Suwalsky JT, Bakeman R, (2012) . Child Development 83: 2073–2088.
- Takegata M, Ohashi Y, Lazarus A, Kitamura T (2017) . Healthcare 5: 1–21.
- Umemura T, Traphagan JW (2015) . Integrative Psychological & Behavioral Science 49: 714–736.
- Leung A (2011) . International Journal of Gender and Entrepreneurship 3: 254–264.
- Yoshida K, Yamashita H, Ueda M, Tashiro N (2001) . Pediatrics International :Oofficial Journal of the Japan Pediatric Society 43: 189–193.
- Koide TA (2015) . International Journal of Gender & Women's Studies 3: 1–15.
- Yu W (2009) . Gendered Trajectories 1–20.
- Nagase N (2004) Standard and nonstandard work arrangements, pay differences, and choice of work by Japanese mothers. Nonstandard Work in Developed Economies: Causes and Consequences 267–306.
- Buzzanell PM, Waymer D, Tagle MP, Liu M (2007) . Journal of Family Communication 7: 195–220.
- Tsai TI, Morisky DE, Kagawa-Singer M, Ashing-Giwa KT (2011) . Journal of Clinical Nursing 20: 3383–3393.
- Zhang T, Rodrigue C (2023) . Merits 3: 186–205.
- Leonhardt M (2020) . CNBC.
- Hawkins, Devan (2020) . American Journal of Industrial Medicine 63: 1134–1144.
- Heymann J (2006) . Forgotten Families Ending the Growing Crisis Confronting Children and Working Parents in the Global Economy 71–112.
- Glaser B, Strauss A (1967) . Mill Valley CA: Sociology Press.
- Avendano M, Berkman LF, Brugiavini A, Pasini G (2015) . Social science & Medicine 132: 45–53.
- Burtle, A., & Bezruchka, S. (2016). . Healthcare (Basel, Switzerland) 4: 30.
- Reck C, Tietz A, Müller M, Seibold K, Tronick E, et al. (2018) . PLOS ONE 13: 1–22.
- Feldman R, Eidelman AI (2004) . Developmental Psychology 40: 1133–1147.
- MacMillan KK, Lewis AJ, Watson SJ, Bourke D, Galbally M, et al. (2021) . Journal of Affective Disorders 292: 757–765.
- McNamara J, Townsend ML, Herbert JS (2019) . PloS One 14: 1–28.
- Morey BN, Valencia C, Park HW, Lee S (2021) . Social Science & Medicine 284: 1–10.
- Yang F, Jiang Y (2020) . International Journal of Environmental Research and Public Health 17: 1–17.
- Petts RJ, Knoester C, Waldfogel J (2020) . Sex Roles 82: 173–188.
- Yogman M, Eppel A (2021) . Engaged Fatherhood for Men, Families and Gender Equality 15–30.
Citation: Kokaze H, Zhou RZ (2026) Work-Life Conflict and Mental Health Among Japanese American Working Mothers: A Qualitative Study of Paid Maternity Leave in the U.S. J Child Adolesc Behav 14: 744.
Copyright: © 2026 Kokaze H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Select your language of interest to view the total content in your interested language
Share This Article
Open Access Journals
Article Usage
- Total views: 196
- [From(publication date): 0-0 - Apr 26, 2026]
- Breakdown by view type
- HTML page views: 142
- PDF downloads: 54
