Adolescent mothers' relationship with their children's biological fathers: Social support, social strain and relationship continuity.

Two-hundred and eighteen low-income, minority, adolescent mothers were interviewed during the perinatal period and 3 years later about their social networks, including their relationships with their children's fathers. Few adolescents were involved with fathers at both time points. Relationships with fathers were, in general, less supportive and less problematic over time. Moreover, although father support was not associated with adolescent mothers' psychological adjustment, father absence and father strain had negative associations with psychological adjustment. Maternal grandmother support buffered the negative effects of strain in the adolescents' relationships with biological fathers. Perceptions of less social support from maternal grandmothers and more social support from fathers during the perinatal period as well as less social support from a new male partner at 3 years postpartum predicted relationship continuity between adolescent mothers and fathers at 3 years postpartum. Implications for intervention and policy are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social support network evolution after the birth of their first baby: comparison between lower and middle class mothers

The social support networks of a group of low socio-economic status (S.E.S.) mothers (n = 87) and a group of higher S.E.S. mothers (n = 44) are described and compared at the 30th week of pregnancy and at the third week after the birth of their first baby. The evolution of the support networks for these two groups of mothers during this period is also examined. A modified form of the ASSIS from Barrera has been used to measure the social support network. Results show that, during pregnancy, the social support network of low-S.E.S. mothers is more restricted than that of higher S.E.S. mothers. Although the actual number of people around them after the birth of the baby did not increase, low-S.E.S. mothers said they felt a slight increase in the number of people available to give support in some way. They also reported that conflicts were more frequent with some of them. For higher S.E.S. mothers, all social network variables remained stable from pregnancy through the first postpartum month.     

Satisfaction with social support during crisis: Intimacy and self-esteem as critical determinants.

Satisfaction with social support was studied longitudinally in 113 17–40 yr old Israeli women following the outcome of both normal and medically complicated pregnancies (delivery by cesarean section, delivery of an infant weighing under 2 kg, or spontaneous abortion before the 3rd trimester). Ss were interviewed concerning the size of their social networks, the number of friends and family members in their networks, perceived intimacy with spouse, and perceived intimacy with at least 1 friend and 1 family member. Included in the interviews were measures of self-esteem, intimacy, social network structure, and satisfaction with support. Findings show that greater intimacy with spouse and with friends was related to greater satisfaction with support received during the crisis period. Intimate ties contributed to satisfaction with support independent of self-esteem, social network parameters, and type of pregnancy outcome. Social network parameters and pregnancy outcome were not related to satisfaction with support. Among Ss low in self-esteem, greater intimacy with family was related to lower satisfaction with support if the Ss lacked intimate ties with spouse or a friend. Clinical and social psychological theories regarding reaction to aid are discussed. (37 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexuality and happiness ratings of husbands and wives in relation to first and second pregnancies.

200 spouses (aged 23–43 yrs) rated their sexuality and marital happiness in relation to 2 pregnancies. Wives showed significantly higher scores than husbands in both sexuality and happiness prior to the 1st-time pregnancy only. Intracomparisons were also made on each spousal group, based on sexuality and happiness scores. In relation to the 1st-time pregnancy, husbands and wives showed a similar pattern of high sexuality happiness ratings before pregnancy and low ratings during and after pregnancy. In the realm of happiness, mean scores were highest during pregnancy for both spouses and, for husbands only, during postpartum. For the 2nd-time pregnancy, sexuality scores were high before and after the pregnancy for both spouses. Only wives show high happiness ratings prior to and after the pregnancy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological changes accompanying pregnancy and motherhood

This study was an attempt to investigate some of the psychological changes that occur during first pregnancy and the early postpartum months. The major theoretical assumption was that pregnancy and early motherhood may be viewed as a series of developmental tasks, and that the way in which these are coped with will be predictive of adaptation to the maternal role. The aims of the study were (a) to identify the affective changes that occur in women during first pregnancy and to assess the extent to which pregnancy and motherhood are experienced as a period of psychological crisis; (b) to trace the development of maternal feeling; and (c) to assess the extent to which characteristics measured early in pregnancy are predictive of attitudes and adjustment to later stages of pregnancy and the degree to which these factors are themselves predictive of adaptation to parenthood. The sample consisted of 19 white, middle class primigravidas, with an age range of 22-33 years. Only women who had no previous gynecological or psychiatric difficulties and who were currently living with their husbands were accepted as Ss. Each woman was interviewed at each trimester of pregnancy, on the third postpartum day, and at 2 months postpartum. A follow up questionnaire was mailed at 7 months postpartum, The data obtained were derived from ratings of extensive interview schedules and a number of personality measures. Results indicated that although emotional upheaval and rapid change were characteristic of pregnancy, for some women a growing sense of adulthood, of fulfillment, and integration of a new maturational stage clearly co-existed with the emotional disequilibrium. Analysis of the interrelationship among characteristics shown in early pregnancy, adjustment to the pregnancy overall, and adaptation to parenthood indicated that the degree of personality integration achieved by early pregnancy was predictive of the extent to which psychological growth was experienced throughout pregnancy and early parenthood.     

Maternal characteristics and social support across the transition to motherhood: Associations with maternal behavior.

This study examined associations among personality, mood, stress, and social support during the transition to motherhood and quality of maternal behavior at 3 months postpartum. Seventy primiparous, married women completed questionnaires during pregnancy and at 3 months postpartum. Mother-infant interactions were observed in the home. Maternal sensitivity and expressivity were differentially predicted by social support and mood. Women reported more life stress and less satisfaction with spousal support postpartum than prenatally. Women who reported feeling more anxious and worried prenatally were rated as less expressive in interactions with their infants. Surprisingly, prenatal satisfaction with support from the new mothers' parents was negatively associated with maternal sensitivity. Results highlight the importance of examining prenatal as well as postpartum experiences as possible antecedents of the quality of maternal behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social support and stress in the transition to parenthood.

Investigated specific components of social support and stress as predictors of postpartum depressive symptoms by assessing 71 18–35 yr old primiparous females during pregnancy and 2-wks, 8-wks, and 1-yr postpartum. A social provisions scale, the Beck Depression Inventory, and the Hamilton Rating Scale for Depression were administered during pregnancy. The latter 2 measures and an inventory of childcare stress were administered at 2- and 8-wks postpartum. The social provisions scale was readministered at 1-yr postpartum. Results show that overall social support predicted depression only in later weeks of the postpartum period. Specific components of social support that were most strongly predictive of postpartum depression were deficiencies in social integration and reliable alliance. Support appeared most strongly linked to depression at lower levels of stress. Findings highlight the complexity of the relationship between social support and mental health. (62 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interpersonal conflict and physical violence during the childbearing year

Reducing physical abuse directed at women by male partners is one of the nation's Year 2000 health objectives. An important target group for achieving this health objective is pregnant women. The present study examines the frequency, severity, perpetrators and psychosocial correlates of violence during the childbearing year. A panel of 275 women were interviewed 3 times during pregnancy and at 6 months postpartum. Moderate or severe violence was somewhat more common during the postpartum period than during the prenatal period--19% of women reported experiencing moderate or severe violence prenatally, compared to 25% in the postpartum period. For partner-perpetrated violence, being better educated was associated with increased risk of violence as was having had a sex partner who ever shot drugs; being older, having a confidant and having social support from friends were significant protective factors. For violence perpetrated by someone other than a male partner, having a confidant was a significant protective factor. Obstetric care providers who routinely come in contact with pregnant women, as well as emergency department staff, need to be systematically screening for violence against women. Efforts to enhance women's social support networks should be included in primary and secondary prevention programs.     

Relationship adjustment, depression, and anxiety during pregnancy and the postpartum period.

The associations between relationship adjustment and symptoms of depression and anxiety were evaluated in a sample of pregnant married or cohabiting women (N = 113) who were at risk for perinatal depression because of a prior history of major depression. Women completed self-report measures of relationship adjustment, depressive symptoms, and anxiety symptoms monthly during pregnancy and for the first six months following the birth of their child. Multilevel modeling was used to examine concurrent and time-lagged within-subjects effects for relationship adjustment and depressive and anxiety symptoms. Results revealed that (a) relationship adjustment was associated with both depressive symptoms and anxiety symptoms in concurrent analyses; (b) relationship adjustment was predictive of subsequent anxiety symptoms but not subsequent depressive symptoms in lagged analyses; and (c) depressive symptoms were predictive of subsequent relationship adjustment in lagged analyses with symptoms of depression and anxiety examined simultaneously. These results support the continued investigation into the cross-sectional and longitudinal associations between relationship functioning and depressive and anxiety symptoms in women during pregnancy and the postpartum period. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Stress, psychosocial resources, and depressive symptomatology during pregnancy in low-income, inner-city women.

The authors examined the prospective influence of stress, self-esteem, and social support on the postpartum depressive symptoms of 191 inner-city women (139 European Americans and 52 African Americans) over 3 waves of data collection. Depressive symptomatology was measured by multiple indicators, including self-report and clinical scales. Women became less depressed as they move from prenatal to postpartum stages and adjusted to their pregnancy and its consequences. LISREL and regression analyses indicated that stress was related to increased depression, whereas greater income and social support were related to decreased depression. Self-esteem was related to lower depression at the prenatal and postpartum periods but not to change in depression from the prenatal to the postpartum period. The results also indicated that self-esteem and social support did not have additional stress-buffering effects over and above their direct effects on depression. Finally, African American women did not differ from European American women terms of depression or in terms of how they were impacted by stress or psychosocial resources. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social influences on drinking during pregnancy.

The influence of social networks on the drinking practices of pregnant women was examined. Pregnant women (n?=?153) were classified according lo whether they were heavy or light drinkers just before pregnancy and whether they reduced their alcohol risk status after pregnancy recognition. Failure to reduce alcohol risk status following pregnancy recognition among initially heavy drinkers was associated with reporting drinking as a social activity and difficulty in resisting social pressure to drink. There was also evidence that failure to reduce drinking was associated with greater approval for drinking during pregnancy and more frequent serving of alcohol among the social network. Findings suggest that interventions designed to reduce drinking among pregnant women help them to find alternative social activities and to develop strategies for resisting pressure to drink (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social nesting: Changes in social network and support across the transition to parenthood in couples that conceived spontaneously or through assisted reproductive technologies.

Research showed that following the birth of a first child, parents increase contact with family members and diminish contact with friends, however, these changes may differ when conception is achieved through assisted reproductive technologies (ART). Based on the convoy model (Kahn & Antonucci, 1980) perspective of close relationships, we examined changes across the transition to parenthood in the social networks and support of men and women that conceived spontaneously or through ART. Thirty one women and 22 men (22 couples) that conceived through ART and 28 women and 24 men (24 couples) with a spontaneous conception provided data on social network and support from nuclear family, extended family, and friends twice: at 24-weeks pregnancy and 4-months postpartum. Results demonstrated that, regardless of method of conception, during the transition to parenthood new parents showed a strong nesting movement towards their nuclear family, perceiving increasing levels of nuclear family support across time. Extended family seemed to have only a secondary role on the social nesting movement and a withdrawal from friends was also observed. Considering the primary role nuclear family members seem to have on providing effective support to child-rearing, a greater emphasis on the importance of parents’ relationship with their own parents and siblings could be made and social and working policies that prevent the displacement of families geographically also should be considered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Controlled prospective study of postpartum mood disorders: Psychological, environmental, and hormonal variables.

Demographic, psychiatric, social, cognitive, and life stress variables were used to determine the etiology of depression in childbearing (CB; n?=?182) and nonchildbearing (NCB; n?=?179) women. Hormonal variables in postpartum depression were also evaluated. In the CB group predictors of depression diagnosis were previous depression, depression during pregnancy, and a Vulnerability (V)?×?Life Stress (LS) interaction; predictors of depressive symptomatology were previous depression, depressive symptoms during pregnancy, life events, and V?×?LS. Only estradiol was associated with postpartum depression diagnosis. In the NCB group V?×?LS was the only predictor of depression diagnosis; depressive symptoms during pregnancy and life events were predictors of depressive symptomatology. Previous findings about depression vulnerability were replicated. The significant V?×?LS interactions support the vulnerability-stress model of postpartum depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Controlled prospective study of postpartum mood disorders: Comparison of childbearing and nonchildbearing women.

A controlled prospective study was undertaken to determine the extent to which pregnancy and the puerperium are associated with increased risk for minor and major depression, depressive symptomatology, and poor social adjustment. A large sample of childbearing (CB) women were recruited during the second trimester of pregnancy along with an equal sized, matched sample of nonchildbearing (NCB) women. Ss were assessed multiple times during pregnancy and after delivery by questionnaire and through personal interview on measures of depression and other mood states and marital and social adjustment. There were no differences between CB and NCB Ss with respect to rates of minor and major depression during pregnancy or after delivery. However, CB women experienced significantly higher levels of depressive symptomatology and poor social adjustment than NCB women during late pregnancy and the early puerperium. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Networks' support and interference with regard to marriage: Disclosures of marital problems to confidants.

Videotapes of 15 maritally adjusted and 13 unadjusted wives' interactions with confidants were coded by means of an observation system that assesses outsiders' support and interference with regard to wives' marriages. Adjusted wives' conversations were more supportive of marriage than were unadjusted wives' conversations, but the groups did not differ on sequences involving interference behaviors. The proportion of happily married confidants in wives' networks was associated with the likelihood of confidants reciprocating wives' support of their own marriages, but confidants' characteristics did not predict interference. Regardless of marital adjustment, confidants' interference behaviors predicted wives' level of distress and distance from husbands after the conversations. The results, which have implications regarding social construction of cognitions in marriages, are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Vulnerability to postpartum depression: A prospective multivariate study.

A sample of 115 primiparous women was assessed during pregnancy and the postpartum to identify the predictors and correlates of postpartum depression. The variables considered were marital adjustment, attributional style, life stress, maternal expectations for and perceptions of infant behavior, and blues symptoms. The data obtained at each assessment were submitted to principal-components analyses to identify variable clusters or constructs, which were used to predict both depressive symptom levels and a diagnosis of depression. Concurrently, symptoms and diagnosis were related to mothers' perceptions of their infants as temperamentally difficult. Prospectively, depressive symptomatology was predicted by low marital adjustment and depressed mood during pregnancy, optimistic expectations for infants, prepartum life stress, and early postpartum symptoms of anxiety and cognitive impairment. Although diagnostic status was related to a subset of these variables, results indicate that depressive symptom levels and diagnosis are not synonymous measures of the construct "postpartum depression." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social networks and developmental psychopathology: A comparison of adolescent children of a depressed, arthritic, or normal parent.

Investigated how social networks were linked to symptomatology and self-esteem among 3 groups of high-risk and normal adolescents (aged 12–28 yrs). 16 Ss with a depressed parent, 16 Ss with a parent with rheumatoid arthritis, and 16 Ss with parents free from psychological or physical disorder were administered the Hopkins Symptom Checklist and measures of self-esteem and social networks. Additional social network, friendship, and parent–friend boundary density variables were assessed during a semistructured interview. Although there were few between-group differences in mean levels of network variables, there were striking between-group differences in the pattern of associations between network variables and mental health. For Ss with a depressed or arthritic parent, more social support for problematic situations, stronger friendships, and more parent–peer linkages were related to much poorer adjustment. For Ss with disorder-free parents, these same network variables were related to much healthier adjustment. The discussion considers how developmental, psychodynamic, and social-structural factors may interact to affect well-being. (36 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rated helpfulness and partner-reported smoking cessation support across the pregnancy-postpartum continuum.

Support interventions have not changed smoking cessation rates significantly. The pregnancy-postpartum continuum presents a unique opportunity to examine patterns of support. Expectant couples (N = 477) were surveyed twice during pregnancy and 3 times postpartum. Partners reported positive and negative smoking-specific support; women reported the helpfulness of partner support. Linear trends suggest that women viewed support as more helpful during pregnancy than during postpartum. Partners' provision of positive support across the continuum depended on their smoking; provision of negative support depended on women's smoking. Partners who smoked provided lower levels of both positive and negative support, especially postpartum. Women who smoked throughout the pregnancy perceived their partner's negative support as helpful. Implications are that partners who smoke may need help staying engaged in the support process. Partners may provide negative support in response to women's smoking cues. Women who are struggling with cessation may not view negative support as negative. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prevalence rates and demographic characteristics associated with depression in pregnancy and the postpartum.

Examined the prevalence of depression in a heterogeneous sample of 360 pregnant women. Subjects were assessed with respect to both depressive symptomatology and diagnostic status during pregnancy and after delivery. At both assessments, approximately 25% of the sample reported elevated levels of depressive symptomatology. In contrast, 10% of the women met diagnostic criteria for depression during pregnancy, and 6.8% were depressed postpartum. However, only half of the cases of postpartum depression were new onset (3.4%); the remaining women receiving a diagnosis in the postpartum had also been depressed during pregnancy. Finally, depression during pregnancy was related to different sociodemographic variables than was postpartum depression, suggesting that depression at these two times may be associated with different psychological or etiological factors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)