Prevention Research Center, Pennsylvania State University, University Park, PA 16802, USA.
J Fam Psychol. 2010 Oct;24(5):532-42. doi: 10.1037/a0020837.
This study investigated the ability of a psychosocial prevention program implemented through childbirth education programs to enhance the coparental and couple relationship, parental mental health, the parent-child relationship, and child outcomes. A sample of 169 heterosexual, adult couples expecting their first child was randomized to intervention and control conditions. The intervention families participated in Family Foundations, a series of eight classes delivered before and after birth, which was designed as a universal prevention program (i.e., applicable to all couples, not just those at high risk). Intent-to-treat analyses utilizing data collected from child age 6 months through 3 years indicated significant program effects on parental stress and self-efficacy, coparenting, harsh parenting, and children's emotional adjustment among all families, and maternal depression among cohabiting couples. Among families of boys, program effects were found for child behavior problems and couple relationship quality. These results indicate that a universal prevention approach at the transition to parenthood focused on enhancing family relationships can have a significant and substantial positive impact on parent and child well-being.
本研究调查了通过生育教育计划实施的心理社会预防计划增强亲代和夫妻关系、父母心理健康、亲子关系和儿童结果的能力。 169 对异性恋成年夫妇预计他们的第一个孩子被随机分配到干预和对照组。干预组家庭参加了“家庭基础”（Family Foundations），这是一系列在分娩前后进行的 8 节课，旨在作为一种普遍预防计划（即适用于所有夫妇，而不仅仅是那些高风险的夫妇）。从孩子 6 个月到 3 岁收集的数据进行的意向治疗分析表明，所有家庭的父母压力和自我效能感、亲代关系、严厉育儿和儿童情绪适应方面以及同居夫妇的母亲抑郁方面都有显著的计划效果。对于男孩家庭，还发现了儿童行为问题和夫妻关系质量方面的计划效果。这些结果表明，以家庭关系为重点的向父母身份转变的普遍预防方法可以对父母和孩子的健康产生重大而实质性的积极影响。
