Experiences of intergenerational co-parenting during the postpartum period in modern China: A qualitative exploratory study

How shared versus unshared parental contribution to child risk influences guilt responses

The extent to which parents experience guilt related to their child's health may depend on their perceptions of their contribution to these outcomes. The impact of the child's "other" biological parent's (OBP) contribution to child health on guilt responses is understudied. Some models posit a diffusion-of-responsibility process, while others favor a heightened-risk-heightened-guilt model. The present study examines how perceived OBP contribution to child risk affects guilt among a sample of parents with self-reported overweight. Parents who perceived their child's OBP to also have overweight experienced more guilt for passing down genetic and family environment-based obesity risk to their child, which suggests that perceptions of shared risk contribution promote guilt-related outcomes. Additionally, risk information endorsing a gene-environment interaction liability framing was the most responsive to OBP weight status. These results support a heightened-risk-heightened-guilt process. Future work should consider guilt when developing child health interventions to avoid undesirable emotional outcomes among parents.

Grandmother-grandchild physiological synchrony in Chinese three-generation families: Links with child emotion regulation

The current study examined the characteristics of physiological synchrony between grandmothers and grandchildren in Chinese three-generation families, and the associations between physiological synchrony and child emotion regulation. The participants included 92 children (age 8-10-year old) and their grandmothers. Respiratory sinus arrhythmia (RSA) was collected from both grandmothers and their grandchildren throughout a collaborative drawing task and a conflict discussion task. Child emotion regulation was measured using the Children's Emotional Management Scale. We found no evidence for an overall pattern of concordant or discordant synchrony within dyads. Instead, there was great variability in patterns of synchrony across dyads. During the collaborative drawing task, concordance in grandmother's RSA and grandchildren's subsequent RSA was linked with better emotion regulation. During the conflict discussion, concordance in grandmother's RSA and grandchildren's simultaneous RSA was linked with poorer emotion regulation. These results suggest that grandmother-grandchild synchrony in different directions, time lags, and contexts has different influences on children's emotion regulation. The findings of this study highlight the importance of contextual physiological co-regulation between Chinese children and their grandmothers for children's social-emotional development.

The Lived Experience of Postpartum Intergenerational Conflict of Vietnamese American Women with their Vietnamese Immigrant Parents: It's A Generational Thing!

PURPOSE

US-born Vietnamese women who are in their childbearing years are more likely to identify with "western" perspectives when compared to their immigrant mothers who were born in Vietnam. Still, a gap in knowledge exists of their intergenerational differences. The purpose of this study was to explore and better understand Vietnamese American women's experiences of postpartum intergenerational conflict.

STUDY DESIGN AND METHODS

van Manen's methodological approach (1997) was used. The purposive sample included 11 US-born Vietnamese women who experienced postpartum intergenerational conflict with their parents. Data were transcribed verbatim and analyzed using thematic analysis. The researcher transcended the themes through music. Songs and lyrics were arranged for guitar to bring the phenomenon to life.

RESULTS

Four themes were identified: (1) "It's a Generational Thing!" (Một điều thế hệ): Leaning both ways; (2) "To rebel or not" (Nổi loạn hay không): Weighing the evidence of postpartum cultural practices; (3) "Stand My Ground" (Giữ vững lập trường của tôi): Keeping my newborn safe and healthy; and (4) "See Me" (Nhìn con): My mental health overshadowed by my mother's thoughts. This study revealed that the intergenerational conflict was influenced by the family's understanding over the division of infant care tasks, disagreements over cultural practices, and generational differences such as age, consistent with previous research.

CLINICAL IMPLICATIONS

Tailored interventions for Vietnamese American women should consider the family as a whole. Nurses can assess proactively in prenatal care if there are cultural issues such as family hierarchy, gender, and history influencing one's choices or maternal autonomy.

Effects of an online family-focused parenting support intervention on preterm infants' physical development and parents' sense of competence and care ability: A randomized controlled trial

BACKGROUND

Parenting of preterm infants presents unique challenges, particularly during their transition from hospital to home. Early discharge programs can assist parents during this critical period. However, the feasibility of delivering a family-focused online discharge program remains understudied.

OBJECTIVES

This study was conducted to investigate the impact of a family-focused online parenting support intervention on parents' sense of competence, depression, caregiving, social support, family functioning, and the weight and length of preterm infants.

METHODS

We conducted a single-blind, two-arm randomized controlled trial with a repeated-measures design. Participants were recruited from a specialized tertiary hospital in China between May and December 2022. Forty-five families were randomly assigned to the intervention group and 44 to the control group. The intervention included three components: (1) two one-hour group sessions and three 30-minute individual sessions of online parenting support; (2) two follow-up telephone calls (15-30 min each) post-discharge; and (3) access to online parenting resources. Primary outcomes included parenting sense of competence, parental care ability, and preterm infants' weight and length. Secondary outcomes included depression, social support, and family functioning. Measurements were taken at baseline, preterm infant discharge, one month post-discharge, and three months post-discharge. A generalized estimating equation model was employed based on the intention-to-treat principle for outcome comparison.

RESULTS

Parents in the intervention group showed significant improvements in parenting sense of competence (P < 0.001), parental care ability (P < 0.001), depression (P < 0.001), and social support (P = 0.002). However, no statistically significant differences were observed in preterm infants' weight and length, or in family functioning (P > 0.05).

CONCLUSIONS

Although the intervention did not affect preterm infants' outcomes, the positive enhancements in parenting sense of competence, care ability, depression, and social support indicate that online family-focused parenting support can effectively prepare parents for hospital discharge and the early transition period.

Coparenting in English-Speaking and Chinese Families: A Cross-Cultural Comparison Using the Survey Tool CoPAFS

While coparenting-related conceptual frameworks and empirical studies have received considerable attention in Western countries, there is far less attention on this topic in other regions. This study seeks to fill this gap by comparing coparenting dynamics between English-speaking and Chinese parents. This study begins by reviewing coparenting relationships in both Western and Chinese contexts. Study participants comprised 399 English-speaking parents living in the US and Canada and 534 Chinese parents living in Mainland China. There were several waves of participant recruitment by sending out the flyers online or utilizing the professional networks to invite eligible parents. The measurement tool CoPAFS (Coparenting across Family Structures), which has been validated in English-speaking culture, was used to compare the differences in coparenting constructs in two cultures. First, the model fit of CoPAFS within Chinese culture was examined with Cronbach Alpha values and relevant model fit indices such as Comparative Fit Index and Root Mean square Residual. As most of the statistics fell below the expected level of excellence, there is a need to locally adjust the entire model in order to better interpret Chinese parenting. The intensity of connection between each factor included in the model and the coparenting relationship as a whole was then investigated. Although most factors were endorsed similarly by Chinese and English-speaking parents, there were notable differences in their opinions regarding communication and trust. While English-speaking parents highly valued these two elements within the coparenting process, Chinese parents showed almost no attentiveness to them. In order to understand factors that may contribute to such a sharp contrast, two main variables, culture and gender, were tested. Through a series of multigroup invariance analyses assessing equivalence across groups, it was discovered that culture emerged as the more dominant determinant among the groups of participants. The implications of cross-cultural use of the CoPAFS tool and future research directions are discussed.

Interplay between Tradition and Modernity: Stress and Coping Experiences among Parents of Children with Autism in Beijing, China

In traditional Chinese culture, specific beliefs and values can influence parents' experiences of stress and coping while raising children with autism. However, as China undergoes rapid social changes amid globalization, are these cultural influences still significant for today's parents of young children with autism? This study delves into this question through 12 in-depth interviews with parents of children with autism in Beijing. Content analysis indicated that while influences from traditional culture remain, modern parents often diverge from them. They adopt Western views on autism to mitigate stigma, establish boundaries with grandparents to ensure effective early interventions, address imbalanced professional dynamics, adjust authoritarian parenting styles, and broaden their social networks. A mix of traditional and contemporary parenting characterizes their experiences. The discussion elaborates on the findings, emphasizing the importance of family support.

Effect of family-centered interventions for perinatal depression: an overview of systematic reviews

Objective

This study aimed to evaluate and conclude the quality of critically systematic reviews (SRs) of the efficacy of family-centered interventions on perinatal depression.

Methods

SRs of the efficacy of family-centered interventions on perinatal depression were systematically searched in nine databases. The retrieval period was from the inception of the database to December 31, 2022. In addition, two reviewers conducted an independent evaluation of the quality of reporting, bias risk, methodologies, and evidence using ROBIS (an instrument for evaluating the bias risk of SRs), Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), AMSTAR 2 (an assessment tool for SRs), and grading of recommendations, assessment, development and evaluations (GRADE).

Results

A total of eight papers satisfied the inclusion criteria. In particular, AMSTAR 2 rated five SRs as extremely low quality and three SRs as low quality. ROBIS graded four out of eight SRs as "low risk." Regarding PRISMA, four of the eight SRs were rated over 50%. Based on the GRADE tool, two out of six SRs rated maternal depressive symptoms as "moderate;" one out of five SRs rated paternal depressive symptoms as "moderate;" one out of six SRs estimated family functioning as "moderate," and the other evidence was rated as "very low" or "low." Of the eight SRs, six (75%) reported that maternal depressive symptoms were significantly reduced, and two SRs (25%) were not reported.

Conclusion

Family-centered interventions may improve maternal depressive symptoms and family function, but not paternal depressive symptoms. However, the quality of methodologies, evidence, reporting, and bias of risk in the included SRs of family-centered interventions for perinatal depression was not satisfactory. The above-mentioned demerits may negatively affect SRs and then cause inconsistent outcomes. Therefore, SRs with a low risk of bias, high-quality evidence, standard reporting, and strict methodology are necessary to provide evidence of the efficacy of family-centered interventions for perinatal depression.

The effects of co-parenting/intergenerational co-parenting interventions during the postpartum period: A systematic review

BACKGROUND

Co-parenting interventions have been offered, particularly to enhance paternal involvement in infant care. However, little is known about whether such co-parenting interventions can be effective in improving the psychological health of families and co-parenting outcomes during the postpartum period.

OBJECTIVES

The aim of this review was to examine the effects of interventions on the co-parenting relationship of families, the psychological health of members involved, and on co-parenting outcomes during the postpartum period.

METHODS

This was a systematic review with a meta-analysis. Randomized controlled trials of co-parenting intervention studies were selected following the standardized methods recommended by the Cochrane Handbook for Systematic Reviews of Interventions Version 6. The Cochrane Risk of Bias Assessment tool was used to assess the risk of bias in the included studies.

RESULTS

Twelve co-parenting randomized controlled trials were included in this review. Most studies reported positive effects in promoting at least one domain of co-parenting in mothers and/or fathers, especially in co-parenting support, couple communication, parent-child interactions and reducing co-parenting undermining. Meta-analysis showed that mothers in the intervention group showed significantly lower depressive symptoms compared to those in the control group. The only online co-parenting intervention identified produced similar effects to that of face-to-face interventions on improving co-parenting support, and reducing co-parenting undermining. Only one study focused on parent-grandparent co-parenting, which reported positive effects on 'family management' and 'cooperation in childcare between mothers with depressive symptoms and their 'mother-in-law'. Another study found that significantly more mothers continue to breastfeed in the intervention group compared to the control group at 12 weeks postpartum as a positive outcome in co-parenting.

CONCLUSION

Co-parenting interventions have demonstrated some positive effects on co-parenting support, co-parenting undermining, couple communication, parent-child interactions of parents and the depressive symptoms of mothers. Limited evidence was found on the overall effects on co-parenting, division of labor, childrearing agreement, the psychological health of fathers, parenting self-efficacy and baby feeding practices. Further studies are recommended to examine the effects of interventions for intergenerational (parent-grandparent) families on co-parenting, the psychological health in parenting, parenting self-efficacy and baby feeding practices during the postpartum period by adopting online approaches.