Philipp Anna C, Lee Jin-Kyung, Stamm Tanja A, Wininger Michael, Datler Wilfried, Kapusta Nestor D
Department for Psychoanalysis and Psychotherapy, Medical University of Vienna.
Edna Bennett Pierce Prevention Research Center, Pennsylvania State University.
Tohoku J Exp Med. 2020 Sep;252(1):33-43. doi: 10.1620/tjem.252.33.
Research has shown that the transition to parenthood is a particularly challenging period of life which is often associated with a decline in relationship quality and an increase in mental health problems. Emerging parents often experience difficulties in coping with new tasks and challenges in the relationship, resulting in inadequate mutual support, stress, conflicts and even depressive symptoms. To support expectant parents in establishing an effective and strong coparenting alliance, we have employed an educational coparenting intervention to teach important coparenting skills. The intervention was a non-randomized case-control study with 126 expectant parents. The intervention group participated in a five-session intervention, whereas the control group received an information booklet and had an optional meeting postpartum. The purpose of this study was to ease the transition to parenthood in order to prevent postpartum conflict and depression. Parents in the intervention group (n = 34 couples) showed significantly fewer conflicts postpartum than before (Z = -3.28, p = 0.00), and scored better in postnatal delegated dyadic coping (β = 0.25, p = 0.00, R = 0.32), a form of mutual support. Neither the intervention group (Z = -0.83, p = 0.40) nor the control group (Z = -0.86, p = 0.38) showed a significant increase in depression scores after childbirth. Although conflicts during the transition to parenthood declined and postnatal delegated dyadic coping strengthened, the study design does not allow to draw conclusion on group effects. Nevertheless, the promising results of this pilot intervention are a base for future studies.
研究表明,为人父母的转变是人生中一个特别具有挑战性的时期,这一时期往往与关系质量下降和心理健康问题增多有关。初为父母者在应对关系中的新任务和挑战时常常遇到困难,导致相互支持不足、压力、冲突甚至抑郁症状。为了帮助准父母建立有效且稳固的共同养育联盟,我们采用了一种教育性共同养育干预措施来教授重要的共同养育技能。该干预是一项针对126对准父母的非随机病例对照研究。干预组参加了为期五节的干预课程,而对照组收到一本信息手册,并可选择产后会面。本研究的目的是缓解向父母角色的转变,以预防产后冲突和抑郁。干预组的父母(n = 34对夫妻)产后冲突明显少于产前(Z = -3.28,p = 0.00),并且在产后委托二元应对(β = 0.25,p = 0.00,R = 0.32)方面得分更高,这是一种相互支持的形式。产后,干预组(Z = -0.83,p = 0.40)和对照组(Z = -0.86,p = 0.38)的抑郁得分均未显著增加。尽管向父母角色转变期间的冲突减少,产后委托二元应对增强,但该研究设计不允许得出关于组间效应的结论。尽管如此,这项试点干预取得的有前景的结果是未来研究的基础。