MOTHERS' AND FATHERS' PRENATAL REPRESENTATIONS IN RELATION TO MARITAL DISTRESS AND DEPRESSIVE SYMPTOMS.

Marital distress, parental depression, and weak quality of parental representations are all known risk factors for parent-child relationships. However, the relation between marital distress, depressive symptoms, and parents' prenatal representation is uncertain, especially regarding fathers. The present study aimed to explore how mothers' and fathers' prenatal experience of marital distress and depressive symptoms affects the organization of their prenatal representations in late pregnancy. Participants were 153 pregnant couples from a Finnish follow-up study called "Steps to the Healthy Development and Well-being of Children" (H. Lagström et al., ). Marital distress (Revised Dyadic Adjustment Scale; D.M. Busby, C. Christensen, D. Crane, & J. Larson, 1995) and depressive symptoms (Edinburgh Postnatal Depression Scale) were assessed at 20 gestational weeks, and prenatal representations (Working Model of the Child Interview; D. Benoit, K.C.H. Parker, & C.H. Zeanah, 1997; C.H. Zeanah, D. Benoit, M. Barton, & L. Hirshberg, 1996) were assessed between 29 and 32 gestational weeks. The mothers' risks of distorted representations increased significantly when they had at least minor depressive symptoms. Marital distress was associated with the fathers' prenatal representations, although the association was weak; fathers within the marital distress group had less balanced representations. Coexisting marital distress and depressive symptoms were only associated with the mothers' representations; lack of marital distress and depressive symptoms increased the likelihood for mothers to have balanced representations. The results imply that marital distress and depressive symptoms are differently related to the organizations of mothers' and fathers' prenatal representations.

[1]  H. Barros,et al.  Comparative Incidence of Depression in Women and Men, During Pregnancy and after Childbirth , 1996, British Journal of Psychiatry.

[2]  C. Rijk,et al.  Fathers' experiences during pregnancy: Paternal prenatal attachment and representations of the fetus , 2014 .

[3]  O. Erel,et al.  Interrelatedness of marital relations and parent-child relations: a meta-analytic review. , 1995, Psychological bulletin.

[4]  G. Bogat,et al.  The child as held in the mind of the mother : The influence of prenatal maternal representations on parenting behaviors , 2015 .

[5]  P. Niemi,et al.  Cohort profile: Steps to the healthy development and well-being of children (the STEPS Study). , 2013, International journal of epidemiology.

[6]  R. Glazier,et al.  Stress, social support, and emotional distress in a community sample of pregnant women , 2004, Journal of psychosomatic obstetrics and gynaecology.

[7]  T. Juhl,et al.  Paternal depression in the postnatal period assessed with traditional and male depression scales , 2007 .

[8]  J. Vermunt,et al.  Latent class cluster analysis , 2002 .

[9]  Maria Anna Tallandini,et al.  Men's psychological transition to fatherhood: an analysis of the literature, 1989-2008. , 2009, Birth.

[10]  Geoffrey L. Brown,et al.  Maternal gatekeeping, coparenting quality, and fathering behavior in families with infants. , 2008, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[11]  M. Whisman,et al.  Marital dissatisfaction and incidence of major depressive episode in a community sample. , 1999, Journal of abnormal psychology.

[12]  P. Perucchini,et al.  Representations and narratives during pregnancy , 1992 .

[13]  C. Zeanah,et al.  Mothers' representations of their infants assessed prenatally: stability and association with infants' attachment classifications. , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[14]  R. Bean,et al.  Establishing Criterion Scores for the Kansas Marital Satisfaction Scale and the Revised Dyadic Adjustment Scale , 2000 .

[15]  T. Einarson,et al.  Prevalence of Depression During Pregnancy: Systematic Review , 2004, Obstetrics and gynecology.

[16]  M. Ammaniti,et al.  Exploring Maternal Representations During Pregnancy in Normal and At‐Risk Samples: The Use of the Interview of Maternal Representations During Pregnancy , 2013 .

[17]  A. Stein,et al.  Paternal depression in the postnatal period and child development: a prospective population study , 2005, The Lancet.

[18]  F. W. Vigilante Reassessing the developmental needs of children with learning disabilities: Programmatic implications , 1985 .

[19]  G. Bogat,et al.  The impact of domestic violence on mothers' prenatal representations of their infants , 2004 .

[20]  G. Bogat,et al.  A social-contextual understanding of concordance and discordance between maternal prenatal representations of the infant and infant-mother attachment. , 2011, Infant mental health journal.

[21]  S. Matthey,et al.  Variability in use of cut-off scores and formats on the Edinburgh Postnatal Depression Scale – implications for clinical and research practice , 2006, Archives of Women's Mental Health.

[22]  P. Boyce,et al.  The First-Time Fathers Study: a prospective study of the mental health and wellbeing of men during the transition to parenthood. , 2004, The Australian and New Zealand journal of psychiatry.

[23]  A. Bellack,et al.  Global marital satisfaction versus marital adjustment: An empirical comparison of three measures. , 1994 .

[24]  P. Boyce,et al.  First-Time Fathers’ Study: Psychological Distress in Expectant Fathers During Pregnancy , 2007, The Australian and New Zealand journal of psychiatry.

[25]  G. Spanier Measuring Dyadic Adjustment: new scales for assessing the quality of marriage and similar dyads , 1976 .

[26]  L. Lehtonen,et al.  Attachment representations in mothers of preterm infants. , 2009, Infant behavior & development.

[27]  G. Edman,et al.  Maternal foetal attachment and personality during first pregnancy , 2004 .

[28]  H. V. van Bakel,et al.  Parental representations: A systematic review of the working model of the child interview. , 2012, Infant mental health journal.

[29]  J. Cox,et al.  Detection of Postnatal Depression , 1987, British Journal of Psychiatry.

[30]  Changes in relationship satisfaction across the transition to parenthood: a meta-analysis. , 2009, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[31]  Clark Christensen,et al.  A REVISION OF THE DYADIC ADJUSTMENT SCALE FOR USE WITH DISTRESSED AND NONDISTRESSED COUPLES: CONSTRUCT HIERARCHY AND MULTIDIMENSIONAL SCALES , 1995 .

[32]  R. Banse Adult Attachment and Marital Satisfaction: Evidence for Dyadic Configuration Effects , 2004 .

[33]  A. Sourander,et al.  Antenatal depression, substance dependency and social support. , 2001, Journal of affective disorders.

[34]  U. Nicolini,et al.  Maternal/paternal antenatal attachment and fourth-dimensional ultrasound technique: a preliminary report. , 2005, British journal of psychology.

[35]  S. Hans,et al.  Mothers' representations of their infants and parenting behavior: Associations with personal and social-contextual variables in a high-risk sample. , 2007, Infant mental health journal.

[36]  D. Stewart,et al.  The effect of postpartum depression on child cognitive development and behavior: A review and critical analysis of the literature , 2003, Archives of Women’s Mental Health.

[37]  Sylia Wilson,et al.  Spillover to triadic and dyadic systems in families with young children. , 2011, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[38]  A. J. Hawkins,et al.  Learning Competent Fathering: A Longitudinal Analysis of Marital Intimacy and Fathering , 2006 .

[39]  Todd E. Bodner,et al.  Growth Mixture Modeling , 2007 .

[40]  C. Rubertsson,et al.  Depressive mood in early pregnancy: Prevalence and women at risk in a national Swedish sample , 2003 .

[41]  H. Akaike Factor analysis and AIC , 1987 .

[42]  J Heron,et al.  The impact of maternal depression in pregnancy on early child development , 2008, BJOG : an international journal of obstetrics and gynaecology.

[43]  G. Bogat,et al.  The impact of maternal characteristics and contextual variables on infant-mother attachment. , 2004, Child development.

[44]  J. Cox,et al.  Screening for depression during pregnancy with the edinburgh depression scale (EDDS) , 1990 .

[45]  L. Mayes,et al.  Prenatal views of baby and parenthood: Association with sociodemographic and pregnancy factors. , 2006, Infant mental health journal.

[46]  A. Huth-Bocks,et al.  Stability and change in mothers' internal representations of their infants over time , 2005, Attachment & human development.

[47]  M. Marks,et al.  Using the Working Model of the Child Interview to assess postnatally depressed mothers' internal representations of their infants: a brief report , 2004 .

[48]  D. Kavanagh,et al.  Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners. , 2001, Journal of affective disorders.

[49]  E. Røysamb,et al.  Reciprocal longitudinal associations between depressive symptoms and romantic partners’ synchronized view of relationship quality , 2012 .

[50]  E. Kluwer,et al.  Conflict frequency and relationship quality across the transition to parenthood , 2007 .

[51]  K. Salmela‐Aro,et al.  Couples share similar changes in depressive symptoms and marital satisfaction anticipating the birth of a child , 2006 .

[52]  S. West,et al.  The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. , 1996 .

[53]  Cherine Habib,et al.  Changes in identity and paternal–foetal attachment across a first pregnancy , 2010 .

[54]  S. Bazemore,et al.  Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis. , 2010, JAMA.

[55]  D. Benoit,et al.  Caregivers' disrupted representations of the unborn child predict later infant-caregiver disorganized attachment and disrupted interactions. , 2009, Infant mental health journal.

[56]  J. Belsky,et al.  Exploring marriage–parenting typologies and their contextual antecedents and developmental sequelae , 2004, Development and Psychopathology.

[57]  Sabine J. Roza,et al.  Heterogeneity of postpartum depression: a latent class analysis. , 2015, The lancet. Psychiatry.

[58]  A. Widström,et al.  Prenatal attachment in Swedish IVF fathers and controls , 2007 .