Akdağ Berhan, Erdem Dilek, İpekten Funda, Alpay Emre Han, Yardımcı Figen, Bektaş Murat
Child and Adolescent Psychiatry, Silifke State Hospital, Mersin, TUR.
Department of Gynecology and Obstetrics, Alaaddin Keykubat University Alanya Training and Research Hospital, Antalya, TUR.
Cureus. 2023 Sep 6;15(9):e44806. doi: 10.7759/cureus.44806. eCollection 2023 Sep.
Background The COVID-19 pandemic has posed significant threats to global physical and mental health, notably impacting the psychological management of pregnancy. The mental health of parents plays a critical role in fostering the emotional bond with their unborn child, referred to as prenatal attachment. Despite the significance of this bond, research has primarily concentrated on maternal outcomes, often neglecting the paternal aspect during the pandemic. This study investigates the correlation between coronavirus disease 2019 (COVID-19) risk perception and paternal prenatal attachment, further exploring the mediating role of well-being within this association. Methods A total of 141 expectant fathers attending the gynecology and obstetrics outpatient clinic with their partners were recruited. Participants completed measures including the Paternal Antenatal Attachment Scale (PAAS), the World Health Organization Well-being Index (WHO-5), and the COVID-19 Perceived Risk Scale (CPRS). Results Data analysis revealed a significant negative correlation between COVID-19 risk perception and well-being (ß = -.34, < .001). There was a positive correlation between well-being and prenatal attachment (ß = .37, = .002). The prenatal attachment was also positively linked to COVID-19 risk perception (ß = .20, = .047). Furthermore, well-being mediated the relationship between COVID-19 risk perception and prenatal attachment. Conclusion The findings underscore the potential of the COVID-19 risk perception to disrupt the prenatal attachment process for expectant fathers by interfering with psychological well-being. However, it can also promote prenatal attachment through various mechanisms. Consequently, acknowledging and understanding the experiences of fathers during pregnancy is of paramount importance. Future longitudinal studies are necessitated to examine the parent-child relationship dynamics that have evolved under the influence of the pandemic.
2019年冠状病毒病（COVID-19）大流行对全球身心健康构成了重大威胁，尤其对孕期的心理管理产生了影响。父母的心理健康在促进与未出生孩子的情感纽带（即产前依恋）方面起着关键作用。尽管这种纽带很重要，但研究主要集中在母亲的结果上，在大流行期间往往忽视了父亲方面。本研究调查了2019年冠状病毒病（COVID-19）风险认知与父亲产前依恋之间的相关性，并进一步探讨了幸福感在这种关联中的中介作用。方法：共招募了141名与伴侣一同前往妇产科门诊的准父亲。参与者完成了包括父亲产前依恋量表（PAAS）、世界卫生组织幸福感指数（WHO-5）和COVID-19感知风险量表（CPRS）在内的测量。结果：数据分析显示，COVID-19风险认知与幸福感之间存在显著负相关（β = -.34，p <.001）。幸福感与产前依恋之间存在正相关（β =.37，p =.002）。产前依恋也与COVID-19风险认知呈正相关（β =.20，p =.047）。此外，幸福感在COVID-19风险认知与产前依恋之间起中介作用。结论：研究结果强调了COVID-19风险认知通过干扰心理健康可能破坏准父亲产前依恋过程的可能性。然而，它也可以通过各种机制促进产前依恋。因此，认识和理解父亲在孕期的经历至关重要。未来有必要进行纵向研究，以考察在大流行影响下演变的亲子关系动态。
