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Han RR, Sun K, Zheng J, Gao LL. Perceived stress, marital satisfaction, and prenatal depression among couples with gestational diabetes mellitus. J Reprod Infant Psychol 2024; 42:606-619. [PMID: 36284371 DOI: 10.1080/02646838.2022.2135175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 10/06/2022] [Indexed: 10/31/2022]
Abstract
OBJECTIVE This study aimed to explore the prevalence of prenatal depression and to determine the dyadic relationship between perceived stress, marital satisfaction, and prenatal depression in pregnant women with gestational diabetes mellitus (GDM) and their partners. BACKGROUND GDM during pregnancy is a very stressful event for couples. However, previous studies have largely focused on pregnant women, with few including their partners. METHODS A cross-sectional study was conducted in Guangzhou, China, from 30 July to 2 December 2021. Three hundred fourteen couples with GDM completed the Perceived Stress Scale, Locke-Wallace Marital Adjustment Scale, and Edinburgh Postnatal Depression Scale. Dyadic analysis was conducted using the actor-partner interdependence mediation model. RESULTS The prevalence of depressive symptoms was 13.4% in pregnant women with GDM and 8.3% in their partners. Regarding the actor effects, perceived stress was positively associated with prenatal depression in pregnant women with GDM and their partners, respectively, and marital satisfaction acted as a mediating role. Regarding the partner effects, paternal perceived stress was negatively associated with maternal marital satisfaction, and maternal marital satisfaction mediated the association between paternal perceived stress and maternal prenatal depression. CONCLUSIONS Dyadic effects of perceived stress, marital satisfaction, and prenatal depression exist in couples with GDM.
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Affiliation(s)
- Rong-Rong Han
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Ke Sun
- Obstetrics & Gynecology Department, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Jie Zheng
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Ling-Ling Gao
- School of Nursing, Sun Yat-sen University, Guangzhou, China
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Dehshiri M, Ghorashi Z, Lotfipur SM. Effects of Husband Involvement in Prenatal Care on Couples' Intimacy and Postpartum Blues in Primiparous Women: A Quasi-Experimental Study. INTERNATIONAL JOURNAL OF COMMUNITY BASED NURSING AND MIDWIFERY 2023; 11:179-189. [PMID: 37489228 PMCID: PMC10363268 DOI: 10.30476/ijcbnm.2023.97739.2204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Revised: 06/21/2023] [Accepted: 06/25/2023] [Indexed: 07/26/2023]
Abstract
Background Husband involvement in prenatal care is a relatively new concept in Iran. This study aimed to determine the effects of husband involvement in prenatal care on couples' intimacy and postpartum blues in primiparous pregnant women. Methods This quasi-experimental study was performed on 72 primiparous pregnant women with a gestational age of 20-36 weeks in Rafsanjan in 2021 (January to September). After convenience sampling, the participants were assigned to control (N=36) and intervention groups (N=36). Participants in the intervention group were accompanied by their husbands and received routine prenatal care and virtual training. Participants in the control group received routine prenatal care without husband involvement. The Unidimensional Relationship Closeness Scale was completed before the intervention and two weeks after delivery, and the postpartum blues Stein questionnaire was completed one week after delivery. Data were analysed through SPSS V. 22 and using independent two-sample t-test, paired t-test, chi-square, Fisher's exact tests, and Pearson correlation coefficient with a significance level of P<0.05. Results The results showed that 5 women (15.20%) in the intervention group and 26 (72.20%) in the control group suffered from postpartum blues after intervention (P<0.001). There was no statistically significant difference in the mean of couples' intimacy between the two groups after the intervention (P=0.08), but the mean score of change in the couples' intimacy was significantly different across the two groups (P=0.01). Conclusion Husband involvement in prenatal care seems to be able to reduce the incidence of postpartum blues but may possibly increase the couples' intimacy. Therefore, it can be suggested that midwives consider husband involvement in prenatal care.
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Affiliation(s)
- Maryam Dehshiri
- Department of Midwifery, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Zohreh Ghorashi
- Department of Midwifery, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
- Geriatric Care Research Center, University of Medical Sciences, Rafsanjan, Iran
| | - Seyede Maryam Lotfipur
- Department of Midwifery, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
- Geriatric Care Research Center, University of Medical Sciences, Rafsanjan, Iran
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Cameron EE, Simpson KM, Pierce SK, Penner KE, Beyak A, Gomez I, Bowes JM, Reynolds KA, Tomfohr-Madsen LM, Roos LE. Paternal Perinatal Experiences during the COVID-19 Pandemic: A Framework Analysis of the Reddit Forum Predaddit. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4408. [PMID: 36901417 PMCID: PMC10001997 DOI: 10.3390/ijerph20054408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 02/15/2023] [Accepted: 02/18/2023] [Indexed: 06/18/2023]
Abstract
During the COVID-19 pandemic, new parents were disproportionately affected by public health restrictions changing service accessibility and increasing stressors. However, minimal research has examined pandemic-related stressors and experiences of perinatal fathers in naturalistic anonymous settings. An important and novel way parents seek connection and information is through online forums, which increased during COVID-19. The current study qualitatively analyzed the experiences of perinatal fathers from September to December 2020 through the Framework Analytic Approach to identify unmet support needs during COVID-19 using the online forum predaddit on reddit. Five main themes in the thematic framework included forum use, COVID-19, psychosocial distress, family functioning, and child health and development, each with related subthemes. Findings highlight the utility of predaddit as a source of information for, and interactions of, fathers to inform mental health services. Overall, fathers used the forum to engage with other fathers during a time of social isolation and for support during the transition to parenthood. This manuscript highlights the unmet support needs of fathers during the perinatal period and the importance of including fathers in perinatal care, implementing routine perinatal mood screening for both parents, and developing programs to support fathers during this transition to promote family wellbeing.
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Affiliation(s)
- Emily E. Cameron
- Department of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
| | - Kaeley M. Simpson
- Department of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
| | - Shayna K. Pierce
- Department of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
| | - Kailey E. Penner
- Department of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
| | - Alanna Beyak
- Department of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
| | - Irlanda Gomez
- Department of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
| | - John-Michael Bowes
- Department of Community Health Sciences, University of Manitoba, Winnipeg, MB R3E 0W2, Canada
| | - Kristin A. Reynolds
- Department of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
- Department of Psychiatry, University of Manitoba, Winnipeg, MB R3E 3N4, Canada
- Children’s Hospital Research Institute of Manitoba, Winnipeg, MB R3E 0Z3, Canada
| | - Lianne M. Tomfohr-Madsen
- Faculty of Education, Educational and Counselling Psychology, and Special Education, The University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Leslie E. Roos
- Department of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
- Children’s Hospital Research Institute of Manitoba, Winnipeg, MB R3E 0Z3, Canada
- Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB R3A 1S1, Canada
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Negussie A, Girma E, Kaba M. A phenomenological study of the lived experiences of partner relationship breakup during pregnancy: Psychosocial effects, coping mechanisms, and the healthcare providers' role. Front Glob Womens Health 2023; 4:1048366. [PMID: 37139172 PMCID: PMC10150961 DOI: 10.3389/fgwh.2023.1048366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 03/27/2023] [Indexed: 05/05/2023] Open
Abstract
Background Pregnancy is a state of continuous changes in feelings and emotions, and highly stressful experiences such as a relationship breakup during this period may result in additional stress for the woman, making pregnancy and motherhood challenging. This study aimed to investigate pregnant women's lived experiences of partner relationship breakup during pregnancy, their coping mechanisms, and the role of healthcare providers in breakup cases during their Antenatal care visits. Methods A phenomenological study approach was followed to seek an understanding of the lived experiences of pregnant women who encountered partner relationship breakup. The study was carried out in Hawassa, Ethiopia, and eight pregnant women were involved in in-depth interviews. The data meanings found from participants' experiences were described in a meaningful text and organized into themes. Key themes were developed in reference to the research objectives, and thematic analysis was used to analyze the data. Results Pregnant women in such situations faced serious psychological and emotional distress, feelings of shame/embarrassment, prejudice and discrimination, and severe economic struggles. To cope with this multifaceted situation, pregnant women sought social support from family/relatives or close friends, and if they had no other options, from supporting organizations. The participants also revealed that they received no counseling from healthcare providers during their Antenatal care visits, and there was no further discussion to address their psychosocial problems. Conclusions Community-level information, education, and communication should be initiated to aware communities about the psychosocial consequences of relationship breakup during pregnancy, address cultural norms and discrimination, and promote supportive environments. Women's empowerment activities and psychosocial support services should also be strengthened. In addition, the need for more comprehensive Antenatal care to address such unique risk conditions is indicated.
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Affiliation(s)
- Abel Negussie
- Department of Social and Population Health, Yirgalem Hospital Medical College, Yirgalem, Ethiopia
- School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
- Correspondence: Abel Negussie
| | - Eshetu Girma
- School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Mirgissa Kaba
- School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
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Guo Y, Du Y, Liu J, Bai J, Gao J, Wu L, Yang Y, Wang W, Chen J, Xu Z, Yan J, Lu N, Li C, Chongsuvivatwong V. Effects of HIV-related worries on fertility motivation moderated by living children among couples living with HIV: A dyadic analysis. Front Psychol 2022; 13:1000100. [PMID: 36438391 PMCID: PMC9685432 DOI: 10.3389/fpsyg.2022.1000100] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 10/28/2022] [Indexed: 08/31/2023] Open
Abstract
Introduction HIV-related worries are a major barrier to achieving fertility goals for couples living with HIV (CLWH). We examined the moderating role of living children in the association between HIV-related worries and fertility motivation in CLWH including happiness, well-being, identity, and continuity. Methods The data of 322 reproductive-aged CLWH were collected for this cross-sectional study from a referral antiretroviral therapy clinic in Kunming, China between October and December 2020. Intra- and interpersonal mechanisms of association between HIV-related worries and fertility motivation moderated by the number of living children in husband-wife dyads were analyzed by the actor-partner interdependence moderation model. Results The high-level HIV-related worries of the wives and husbands were associated with the spouses' fertility motivation. Having at least one child helped to ameliorate the negative association between one's own HIV-related worries and fertility motivation. However, there was no evidence of such moderation in the spouse. Conclusion Whether the CLWH has at least one living child should be taken into account in counseling. Childless families should be counseled on HIV-related worries as those worries have a greater negative effect on fertility motivation than couples who have a child.
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Affiliation(s)
- Yingwu Guo
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
- Department of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkla, Thailand
| | - Yingrong Du
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Jun Liu
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Jingsong Bai
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Jianpeng Gao
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Lei Wu
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Yongrui Yang
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Weibo Wang
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Jie Chen
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Zhaoyuan Xu
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Junfang Yan
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Nihong Lu
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Chongxi Li
- Department of Infectious Diseases, Third People’s Hospital of Kunming City, Kunming, China
| | - Virasakdi Chongsuvivatwong
- Department of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkla, Thailand
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Mangialavori S, Cacioppo M, Terrone G, O'Hara MW. A dyadic approach to stress and prenatal depression in first-time parents: The mediating role of marital satisfaction. Stress Health 2021; 37:755-765. [PMID: 33620738 DOI: 10.1002/smi.3036] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 02/12/2021] [Accepted: 02/16/2021] [Indexed: 11/11/2022]
Abstract
In the field of perinatal clinical psychology, most studies focus on mothers' psychological states during pregnancy, neglecting the role of their partners. This study used an Actor-Partner Interdependence Mediation Model to evaluate the mediating role of dyadic satisfaction on the relationship between perceived stress and prenatal depressive symptomatology in both members of male-female-mixed-gender couples who were expecting their first child. One hundred thirty-eight couples in their third trimester of pregnancy were asked to complete questionnaires about perceived stress, dyadic adjustment, and depression. The model revealed that there was an intrapersonal indirect effect of fathers' perceived stress on prenatal paternal depression through their marital satisfaction. Moreover, an interpersonal indirect effect was found with mothers' perceived stress being associated with prenatal paternal depression through fathers' dyadic satisfaction. Maternal indirect effects were all non-significant, suggesting that their dyadic satisfaction and that of their partner did not mediate the relation between their perceived stress and that of their partner and their prenatal depression. Findings support the importance of assessing the dyadic satisfaction of couples during pregnancy, especially in expectant fathers, and targeting it in the psychological support offered to couples as a way of improving their prenatal distress, and consequently, their mental health.
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Affiliation(s)
| | - Marco Cacioppo
- Department of Human Sciences, LUMSA, University of Rome, Rome, Italy
| | - Grazia Terrone
- Department of History, Cultural Heritage, Education and Society, University of Rome Tor Vergata, Rome, Italy
| | - Michael W O'Hara
- Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, Iowa, USA
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