Influence of self-differentiation, psychological discomfort, and marital dyadic adjustment on maternal-fetal attachment in primigravida

Abstract

Purpose: The purpose of this study was to identify the effects of self-differentiation, psychological discomfort, and dyadic adjustment on maternal-fetal attachment in primigravidae. Methods: In total, 108 primigravidae participated in this correlational study. The participants answered self-report questionnaires. Data were collected from January 14, 2020 to May 4, 2020, and were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression with SPSS for Windows ver. 23.0. Results: The mean age of the primigravidae was 31.66 years. The mean score for the degree of maternal-fetal attachment was 76.81 out of 96 points. Participants’ scores for maternal-fetal attachment differed significantly based on age (t=2.08 p=.039) and marital status (t=2.05, p=.043). Maternal-fetal attachment was significantly negatively correlated with psychological discomfort (r=–.39, p<.001), and significantly positively correlated with self-differentiation (r=.36, p<.001) and dyadic adjustment (r=.36, p<.001). Self-differentiation explained 24.1% of variance in participants’ maternal-fetal attachment, and its effect was statistically significant (F=7.79, p<.001). Conclusion: In primigravidae, more self-differentiation was associated with stronger maternal-fetal attachment. To strengthen maternal-fetal attachment in primigravidae, it is necessary to develop an educational program that increases their level of self-differentiation and minimizes their psychological discomfort. Additionally, it is recommended to provide nursing interventions to encourage couples to work together throughout the gestational period.

Predictor role of marital conflict on maternal competency with mediating role of perceived stress and concerns during pregnancy: A structural equation model

“…Marital relationship improves motherhood transition directly and recovers relationships with relatives, so organizing marital relationships during pregnancy and investigating the quality of the relationship of which are essential. 13…”

“…Marital conflicts can be an essential factor affecting the degree of competency of primiparous mothers to the fetus. Marital relationship improves motherhood transition directly and recovers relationships with relatives, so organizing marital relationships during pregnancy and investigating the quality of the relationship of which are essential 13 …”

The Effectiveness of Metacognitive Therapy on Relational Beliefs and Self-Differentiation in Couples with Marital Conflict

“…Self-differentiation from the family of origin maintains an individual's ability to take responsibility for thoughts, actions, and emotions at a high level (14). Selfdifferentiation is one of the most important personality traits that play a special role in individuals' mental health and future life (15). Self-differentiation refers to the extent to which individuals can separate their cognitive processes from the emotional and affective processes they experience (16).…”

Influence of Fetal Attachment and Pregnancy Stress on Health Promotion Behavior in Primigravida

“…애착은 태아가 생명체로서 존중받고, 상호관 계가 증진되기 위하여 필요한 정서적인 요소로써 (Brandon et al, 2009), 임신 여성은 태아와의 애착을 통해 임신을 긍정적으 로 인식하게 되고, 건강증진행위를 적극적으로 실천하는데 영 향을 미친다 (Wee & Park, 2012). 특히 초임부는 처음으로 부모 됨을 준비하는 단계로써 (Kim & Sung, 2020), 태아애착이 제대 로 형성되지 못하면 임신 중 건강관리에 소홀해질 수 있기 때문 에 (Lee, 2018) 초임부의 안정적인 태아애착 형성은 임부와 태아 에게 매우 중요하다 (Kang et al, 2017).…”