The relationship between dyadic adjustment and psychiatric symptomatology in expectant couples: An actor–partner interdependency model approach

Terrone, Grazia; Mangialavori, Sonia; Scalea, Giulia Lanza di; Cantiano, Arianna; Temporin, Gianmaria; Ducci, Giuseppe; Gori, Alessio; Cacioppo, Marco; Schimmenti, Adriano; Caretti, Vincenzo

doi:10.1016/j.jad.2020.05.040

Cited by 16 publications

(12 citation statements)

References 62 publications

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“…The lack of differences on dyadic adjustment between men at risk of externalized behavioral problems and psychologically distressed men, suggests that a poor intimate relationship is a common thread among men experiencing perinatal affective symptomatology. This result highlights the relationship between individual and couple's functioning during pregnancy [11,25,85,86] and confirms the importance to consider dyadic and relational aspects as potential risk for men's health both in case of externalizing and internalizing symptoms. Indeed, other authors have focused on the negative impact that perinatal affective disorders had on marital quality, especially on marital and sexual satisfaction [87][88][89].…”

Section: Discussionsupporting

confidence: 67%

“…Several studies identified significant associations between PPND and some individual variables such as high levels of perceived stress [16,17], multiparity [2,18,19], having a previous history of psychiatric disorders [20], and experiencing stressful life events (e.g., job loss, divorce, mourning) [21,22]. Other studies have highlighted the positive correlation between PPND and risk of perinatal depression in their partners [23,24] and the negative association between PPND and marital adjustment [11,25,26].…”

Section: Introductionmentioning

confidence: 99%

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Screening for Early Signs of Paternal Perinatal Affective Disorder in Expectant Fathers: A Cluster Analysis Approach

Mangialavori

Giannotti

Cacioppo

et al. 2020

JPM

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Previous studies documented gender-related differences in the expression of Perinatal Affective Disorders. However, little attention has been paid to screening the male population during the perinatal period. This study was based on three aims: (1) to investigate the mental health of expectant fathers based on their levels of depression, anxiety, addiction, anger attacks/hostility, and somatization, identifying psychological profiles; (2) to analyze the association between these profiles and the individual variable of perceived stress; (3) and to examine the association between these profiles and the couple’s variable of marital adjustment. A total of 350 Italian expectant fathers in the last trimester of pregnancy were asked to fill in questionnaires concerning perceived stress, dyadic adjustment, psychiatric symptomatology, and depression. Three different clusters were found: “psychologically healthy men” (68%) with low levels of symptoms on all the scales; “men at risk of externalized behavioral problems” (17.1%), characterized by one or more addictive or risky behaviors and moderate levels of scales scores; and “men experiencing psychological distress” (14.9%), with the highest scores on all the scales. A significant association emerged among the perceived stress, marital adjustment, and cluster membership. These results highlight the importance of screening fathers in perinatal health services, which are still predominantly mother-centered, and underscore the necessity to create tailored and personalized interventions.

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Section: Discussionsupporting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Screening for Early Signs of Paternal Perinatal Affective Disorder in Expectant Fathers: A Cluster Analysis Approach

Mangialavori

Giannotti

Cacioppo

et al. 2020

JPM

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Section: Introductionmentioning

confidence: 99%

“…Terrone et al. (2020) underlined how poor marital adjustment was associated with high levels of psychiatric symptomatology in both expectant parents and how fathers' positive dyadic adjustment decreased clinical symptoms of depression and anxiety in expectant mothers.…”

Section: Introductionmentioning

confidence: 99%

“…In particular, the latter is characterized by the level of happiness/unhappiness resulting from the relationship with the partner, including marital discord assessed by the frequency of disputes and by the consideration of separation or divorce. Moreover, previous research clearly highlighted how poor marital adjustment, especially poor dyadic satisfaction, is associated with depressive symptoms in both partners during the perinatal period (Demontigny et al, 2013;Mangialavori et al, 2019;Terrone et al, 2020). Terrone et al (2020) underlined how poor marital adjustment was associated with high levels of psychiatric symptomatology in both expectant parents and how fathers' positive dyadic adjustment decreased clinical symptoms of depression and anxiety in expectant mothers.…”

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confidence: 99%

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A dyadic approach to stress and prenatal depression in first‐time parents: The mediating role of marital satisfaction

et al. 2021

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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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Affective Transition to Parenthood

Mickelson

Marcussen

2023

Gender and the Transition to Parenthood

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The relationship between dyadic adjustment and psychiatric symptomatology in expectant couples: An actor–partner interdependency model approach

Cited by 16 publications

References 62 publications

Screening for Early Signs of Paternal Perinatal Affective Disorder in Expectant Fathers: A Cluster Analysis Approach

Screening for Early Signs of Paternal Perinatal Affective Disorder in Expectant Fathers: A Cluster Analysis Approach

A dyadic approach to stress and prenatal depression in first‐time parents: The mediating role of marital satisfaction

Affective Transition to Parenthood

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