Couple Psychoeducation for New Parents: Observed and Potential Effects on Parenting

The transition to parenthood is a substantial challenge for many couples, and the extent to which the partners can support each other and their relationship is strongly related to the sensitivity and responsiveness of their parenting of their infant. This paper critically analyses the links between the couple relationship and parenting of infants and reviews the research evaluating couple psychoeducation (CP) to assist couples’ parenting of their infant. It is concluded that CP has considerable potential to enhance couples’ adaptation to parenthood and enhance the sensitivity and responsiveness of parenting of new infants.     

Examining congruence between partners' perceived infertility-related stress and its relationship to marital adjustment and depression in infertile couples

Because studies examining the emotional impact of infertility-related stress generally focus on individuals, there has been little research examining how relationship and individual variables are linked. The purpose of this study was to explore the impact of congruence (e.g., agreement) between partner's perceived infertility-related stress and its effects on depression and marital adjustment in infertile men and women. Couples referred for infertility treatments at a University-affiliated teaching hospital completed the Fertility Problem Inventory (FPI), the Beck Depression Inventory (BDI), and the Dyadic Adjustment Scale (DAS) 3 months prior to their first treatment cycle. Study findings show that men and women in couples who perceived equal levels of social infertility stress reported higher levels of marital adjustment when compared to men and women in couples who perceived the stress differently. In addition, women in couples who felt a similar need for parenthood reported significantly higher levels of marital satisfaction when compared to women in couples where the males reported a greater need for parenthood. While couple incongruence was unrelated to depression in males, incongruence over relationship concerns and the need for parenthood was related to female depression. These findings provide initial support for the theory that high levels of agreement between partners related to the stresses they experience help them successfully manage the impact of these stressful life events. Possibilities for future research examining the construct of couple congruence are discussed.     

Attachment insecurity,depression, and the transition to parenthood

In a longitudinal study of adult attachment and depression during the transition to parenthood, 76 couples completed questionnaires on three occasions: during the second trimester of pregnancy, and six weeks and six months postbirth. On the first and second occasions, the couples were also interviewed about their experiences of pregnancy and parenthood, respectively. Measures were also completed at similar time intervals by a comparison group of 74 childless couples. Attachment security was assessed in terms of the dimensions of discomfort with closeness and relationship anxiety. Relationship anxiety was less stable for transition wives than for other participants. Relationship anxiety also predicted increases in new mothers’ depressive symptoms, after controlling for a broad range of other risk factors. However, the association between relationship anxiety and maternal depression was moderated by husbands’ caregiving style. Maternal depression was linked to increases in husbands’ and wives’ attachment insecurity and marital dissatisfaction. Results are discussed in terms of the impact of depression and negative working models of attachment on couple interaction.     

Amniocentesis Due to Advanced Maternal Age: The Role of Marital Intimacy in Couples’ Decision-Making Process

Due to the risk of fetal anomaly, pregnant women of advanced maternal age are given the option to undergo amniocentesis. In our study we aimed to describe couples’ decision-making process regarding amniocentesis, and assess whether it is influenced by marital intimacy and men’s participation in genetic counseling. During pregnancy, 112 couples answered the Personal Assessment of Intimacy in Relationships questionnaire and scales regarding the decision to undergo amniocentesis. Most couples shared and reached an agreement regarding this decision. Higher levels of marital engagement and communication, but not men’s participation, were associated with higher agreement, influence, and decision-sharing. Clinical implications are discussed.     

Stress resilience in early marriage: can practice make perfect?

As all couples experience stressful life events, addressing how couples adapt to stress is imperative for understanding marital development. Drawing from theories of stress inoculation, which suggest that the successful adaptation to moderately stressful events may help individuals develop a resilience to future stress, the current studies examined whether experiences with manageable stressors early in the marriage may serve to make the relationship more resilient to future stress. In Study 1, 61 newlywed couples provided data regarding their stressful life events, relationship resources (i.e., observed problem-solving behaviors), and marital satisfaction at multiple points over 2? years. Results revealed that among spouses displaying more effective problem-solving behaviors, those who experienced moderate stress during the early months of marriage exhibited fewer future stress spillover effects and reported greater increases in felt efficacy than did spouses who had less experience with early stress. Study 2 examined stress resilience following the transition to parenthood in a new sample of 50 newlywed couples. Again, spouses who experienced moderate stress during the early months of marriage and had good initial relationship resources (i.e., observed support behaviors) reported greater marital adjustment following the transition to parenthood than did spouses who had good initial resources but less prior experience coping with stress. Together, results indicate that entering marriage with better relationship resources may not be sufficient to shield marital satisfaction from the detrimental effects of stress; rather, couples may also need practice in using those resources to navigate manageable stressful events.     

Uncovering Dynamical Properties in the Emotional System of Married Couples

This study explored dyadic patterns in 23 married couples’ affect during communication. Spouses discussed a recent offense in their relationship and then were unexpectedly prompted to transition to a positive topic. Spouses then engaged in a video recall procedure, providing a continuous rating of their affect via computer. Couples’ affect data were plotted on 5-by-5 state space grids. Cluster analyses revealed five distinct affect patterns that exhibited dynamic properties, but were unrelated to marital satisfaction.     

Perceptions of marital interaction and change during pregnancy: A typological approach

Much of the literature on the transition to parenthood suggests that pregnancy and childbirth arc associated with decreases in marital satisfaction. Recent developments, however, demonstrate that this decrease in couples' satisfaction may be complicated by a number of factors. Among other things, the way couples interact may play a central role in their adjustment to the changes typically associated with pregnancy and childbirth. The purpose of this study was to examine whether couples who espouse varying patterns of interaction also have differing experiences of changes in marital needs and concerns during pregnancy. Couples (N= 190) enrolled in childbirth classes completed a series of questionnaires including Fitzpatrick's Relational Dimensions Instrument and a measure assessing perceived changes in their marital needs and concerns. Results indicated that husbands and wives differed in terms of the amount of nurturance they felt they gave and received, their tendency to worry since pregnancy, and their views concerning their sexual relationship. When changes in needs and concerns were compared across the various couple types, a number of patterns emerged. Wives in Traditional, Separate/Traditional, and Separate/Independent marriages felt they received significantly more nurturance since pregnancy than did wives in Independent marriages. Husbands in Separate/Traditional relationships noted greater increases in worrying than did other husbands. Finally, although couples varied in the frequency of conflict reported, they did not differ with regard to changes in conflict or the influence of such changes on their marriages.     

Intergenerational transmission of marital quality across the transition to parenthood

One of the most frequently reported changes across the transition to parenthood is a decline in marital quality after the birth of a first baby. Experiences in the family of origin may influence the trajectory of marital quality. Our study aimed to investigate the impact of recollections of family-of-origin marriage on marital quality (self-reports and clinical evaluation) from pregnancy to 1 year after the birth of a first child. A total of 62 first-time parents completed questionnaires (self-reported marital satisfaction) and clinical interviews (clinical evaluation of couples' dialogue quality). Although self-reported marital satisfaction and observed dialogue quality were highly associated, only self-reported marital satisfaction declined from pregnancy to 1 year after birth. This decrease was partly due to very high marital satisfaction during pregnancy. Different trajectories for self-reported marital satisfaction and observed dialogue quality were found for participants with recollections of low-, average-, and high-quality family-of-origin marriage. A structural equation model showed that participants who recollected a negative quality in their parents' relationship reported more negative changes in the quality of their own marriages. There seems to be an intergenerational transmission of marital quality that comes to light when couples are challenged by the birth and rearing of a baby.     

Promoting resilience to depression among couples during pregnancy: The protective functions of intimate relationship satisfaction and self-compassion

Pregnancy, while often marked by joy, may pose considerable risk for depression among parents. Against a backdrop of adverse life events, expectant parents may be even more vulnerable to developing symptoms of depression during the prenatal period. Thus, it is critical to identify sources of resilience that might facilitate a successful transition to parenthood among couples who have a history of adversity. Prior work suggests that interpersonal and intrapersonal factors associated with resilience, such as intimate relationship satisfaction and self-compassion (i.e., self-kindness, common humanity, and mindfulness), have the potential to attenuate prenatal depression among couples with a history of stressful life experiences. We tested this possibility in a sample of 159 couples navigating pregnancy. As predicted, a greater number of prior stressful life experiences was associated with increased depression symptom severity for both mothers and fathers. However, moderation analyses revealed the positive link between cumulative stressful life experiences and depression symptom severity was attenuated among mothers who reported greater self-compassion in the form of feelings of common humanity, and fathers who reported higher levels of intimate relationship satisfaction and self-compassion in the form of mindfulness. Findings suggest enhancing intimate relationship satisfaction and self-compassion among expectant couples may be valuable in attenuating prenatal depression among those with a greater history of adversity.     

Marital satisfaction across the transition to parenthood.

The purpose of the present study was to discriminate between the 2 dominant perspectives governing research on the nature of marital change over the transition to parenthood. Progress can be made in understanding this transition by recognizing the role of uncontrolled sources of variability in research designs, defining and using control groups, and timing of data collection around the child's arrival, and the authors conducted a study incorporating these methodological refinements. Growth curve analyses were conducted on marital satisfaction data collected twice before and twice after the birth of the 1st child and at corresponding points for voluntarily childless couples (N = 156 couples). Spouses who were more satisfied prior to pregnancy had children relatively early in marriage, and parents experienced greater declines in marital satisfaction compared to nonparents. Couples with planned pregnancies had higher prepregnancy satisfaction scores, and planning slowed husbands' (but not wives') postpartum declines. In sum, parenthood hastens marital decline--even among relatively satisfied couples who select themselves into this transition--but planning status and prepregnancy marital satisfaction generally protect marriages from these declines.     

Strengthening Connections in Interracial Marriages Through Pre-Marital Inventories: A Critical Literature Review

The importance of preparing for marriage is apparent when one considers the consequences of marital distress and the high rate of divorce. Pre-marital inventories help couples’ prepare for marriage by identifying their personal risks and resilience profiles as well as other factors that may influence their marriage. Research demonstrates the benefits of pre-marital inventories; however, there is little research on their effectiveness for interracial couples. In this review challenges facing interracial couples are identified, the benefits of using eco-systems theory in the creation of pre-marital inventories are discussed, and suggestions on how pre-marital inventories can become more applicable to interracial couples are offered.     

Dyadic coping and marital adjustment during pregnancy: A cross‐sectional study of Italian couples expecting their first child

Although the transition to parenthood is currently defined as a normative event, it can be potentially stressful for the couple relationship as it may contribute to psychological distress and reduced marital satisfaction. Using the systemic‐transactional conceptualisation of stress and coping as a theoretical framework, we claimed that the ability of the parents‐to‐be to adjust to their new roles and identity is influenced by dyadic coping strategies. This study examined the effects of dyadic coping on marital adjustment in a sample of 78 primiparous couples. Women and partners completed the Dyadic Adjustment Scale and the Dyadic Coping Questionnaire during late pregnancy. Data were analysed using the Actor‐Partner Interdependence Model. Results revealed that both women and partners' scores on positive dyadic coping behaviours contributed to higher marital adjustment, suggesting that risks for marital dissatisfaction may exist for couples not able to implement adaptive dyadic coping strategies, or for those unsatisfied with the implemented coping behaviours.     

Stigma, social context, and mental health: lesbian and gay couples across the transition to adoptive parenthood

This is the first study to examine change in depression and anxiety across the first year of adoptive parenthood in same-sex couples (90 couples: 52 lesbian, 38 gay male). Given that sexual minorities uniquely contend with sexual orientation-related stigma, this study examined how both internalized and enacted forms of stigma affect the mental health of lesbians and gay men during the transition to parenthood. In addition, the role of contextual support was examined. Higher perceived workplace support, family support, and relationship quality were related to lower depressive and anxious symptoms at the time of the adoption, and higher perceived friend support was related to lower anxiety symptoms. Lower internalized homophobia and higher perceived neighborhood gay-friendliness were related to lower depressive symptoms. Finally, individuals with high internalized homophobia who lived in states with unfavorable legal climates regarding gay adoption experienced the steepest increases in depressive and anxious symptoms. Findings have important implications for counselors working with sexual minorities, especially those experiencing the transition to parenthood.     

Sex typing and division of labor as determinants of marital change across the transition to parenthood

This investigation examines the proposition that wives who describe their personality in ways that deviate from sex stereotypes will become less positive and more negative about their marriage from before to after they become mothers, particularly when the transition to parenthood is accompanied by an increase in the traditionalism of marital roles. Sixty-one couples were studied longitudinally from the last trimester of pregnancy through the third postpartum month. The wives completed the Personal Attributes Questionnaire (Spence & Helmreich, 1978), which measures the extent to which they ascribe personality attributes stereotyped as "masculine" (i.e., instrumental, agentic) and "feminine" (expressive, affectional) to themselves, and several questionnaires assessing the marital relationship at both times of measurement. Results revealed that the more division of labor changed toward traditionalism, the greater the decline in wives' evaluations of the positive aspects of marriage and that changes in wives' evaluations of both positive and negative aspects of marriage can be significantly predicted by the interaction of the wives' expressivity and changes toward increased traditionalism in division of labor. Additional analyses showed that wives who do not ascribe female sex-typed attributes to themselves (relative to those who see themselves in sex-stereotyped ways) are more apt to evaluate their marriage less favorably from before to after parenthood when roles shift toward greater traditionalism.     

“Broken Together”: Spirituality and Religion as Coping Strategies for Couples Dealing with the Death of a Child: A Literature Review with Clinical Implications

The death of a child is an event that can fall into the category of uncontrollable life events, testing the limits of the ability to control of bereaved parents. The literature reviewed showed that religious/spiritual coping is a unique way of coping and may be particularly important for couples who have lost a child. When assessing the couples’ coping strategies, marital therapists would be wise to look for religious/spiritual mechanisms that can be employed in the therapeutic process. Furthermore, the reviewers propose Emotionally Focused Couple Therapy (Johnson, 2004, The practice of emotionally focused couple therapy: Creating connection, Routledge, New York) as well suited for helping couples grieving the death of their child.     

Actor–partner interdependence of humility and relationship quality among couples transitioning to parenthood

The transition to parenthood is a challenging experience that often strains relationships, but perceiving one’s partner as humble (actor relational humility) and being perceived by one’s partner as humble (partner relational humility) were hypothesized to benefit couples during this transition. Married couples (N = 69) were tracked from the third trimester of pregnancy through 21 months postpartum. Husbands and wives provided ratings of relational humility and dyadic adjustment. Actor–partner interdependence models tested actor and partner effects of relational humility on dyadic adjustment across the transition. Although couples declined in dyadic adjustment over the transition at the same rate regardless of relational humility (counter to Hypothesis 2), those higher in relational humility reported greater dyadic adjustment at each time point during the transition (consistent with Hypothesis 1). These findings support the benefits of relational humility to relationship quality, and we call for further research into humility’s benefits during times of relationship transition.     

First-time mothers' expectations of parenthood: What happens when optimistic expectations are not matched by later experiences?

Becoming a parent is a major developmental transition of adulthood. Individuals often have optimistic expectations about parenthood, yet this transition also presents a number of challenges. The authors investigated whether new parents have overly optimistic expectations about parenthood and, if they do, how this influences their adjustment to this role. The sample consisted of 71 first-time mothers who completed questionnaires during pregnancy and at 4 months postpartum. The study assessed women's expectations of caring for their infant and the influence parenthood would have on their well-being and their relationships with others. Most women's expectations were matched or exceeded by their parenting experiences. However, where experiences were negative relative to expectations, there was greater depression symptomatology and poorer relationship adjustment.     

Cross-lagged Models of Marital Relationships and Intergenerational Conflicts during Transition to Parenthood: Effect of Patrilineal Coresidence

The transition to parenthood is one of the most stressful intra- and interpersonal adjustment periods for new parents. Bidirectional associations among intergenerational relationships during the transition to parenthood have received limited attention, and the complexity of reciprocal relationships varies in accordance with living arrangements. The objectives of this study were to explore (1) the bidirectional associations between marital relationships and conflicts with in-laws during the transition to parenthood and (2) the moderation of patrilineal coresidence on the aforementioned relationships. A three-wave prospective longitudinal design was adopted for 359 married mothers. The Dyadic Adjustment Scale and Stryker Adjustment Checklist were used to assess marital relationships and conflicts with parents-in-law. Cross-lagged panel analysis was applied to examine reciprocal relationships, and multigroup analyses were employed to determine whether these relationships exhibited different patterns in accordance with the individuals’ living arrangements. The two cross-lagged models revealed the presence of a bidirectional relationship between marital distress and conflicts with parents-in-law during the mid- to late pregnancy stages. Meanwhile, the multigroup analyses suggested that conflicts with parents-in-law triggered marital distress during pregnancy in the coresidence group, whereas conflicts with fathers-in-law could intensify marital distress during late pregnancy to the postpartum period in the noncoresidence group. These findings shed light on cross-lagged associations with intergenerational conflicts. Healthcare professionals need to ensure that intergenerational relationships are positive during the transition to parenthood. This study enriches our understanding of the effect of patrilineal coresidence and can guide the future development of interventions based on culturally specific multidimensional approaches.     

The Role of Reflective Functioning in Predicting Marital and Coparenting Quality

Reflective functioning (RF) is a measure of mentalization—the capacity to think about one’s own and others’ thoughts and feelings and to understand the connections between mental states and behaviors. Previous research indicates a decline in marital quality across the transition to parenthood, and some studies have found that parents are less happy than non-parents. Thus, researchers have called for research into possible moderators of these patterns. RF may help couples navigate this transition by more easily taking each other’s (and the infant’s) perspective and understanding each other’s behaviors. Much of the research on RF has focused on mothering behavior; research has not yet examined associations between RF and other family interactions. We examined associations between RF and marital and coparenting quality for both wives and husbands. Reflective functioning was coded from Adult Attachment Interviews conducted during pregnancy. We assessed marital quality at 3.5 months, and coparenting quality at 13 months, after the birth of the target child. Wives’ higher RF was associated with higher levels of positive—and lower levels of negative—marital and coparenting interactions. Wives who were better able to reflect on their early experiences with their parents were involved in marital interactions that were more positive and supportive and less conflicted and undermining. Husbands’ RF did not predict marital or coparenting quality. These findings highlight the importance of reflective functioning in understanding family functioning.     

An Ecological Approach to Explaining Women’s Adjustment in the Initial Stage of Marriage

In this study, we focused on marital adjustment among a sample of 101 Israeli women who had been married up to 3 years and did not have children. We examined the contribution of variables from three ecological systems to marital adjustment: the ontogenic system (attachment dimensions, and women’s perceptions of differentiation in the family of origin); the microsystem (strategies for resolving marital conflicts); and the exosystem (characteristics of the husband’s employment). The findings revealed that the higher the women’s levels in the two dimensions of attachment, the lower their levels of marital adjustment. By contrast, the more the women used conflict resolution strategies of integration, concession, and compromise, the higher their levels of marital adjustment. Conflict resolution strategies mediated the effects of attachment avoidance and family differentiation on marital adjustment. To conclude, we offer practical recommendations for identifying couples at risk in the first stage of marital life, and for professional interventions to improve marital adjustment at that stage.