Susanne N. Biehle

Anxiety across the transition to parenthood: change trajectories among low-risk parents

Background and Objectives: A number of sources suggest changes in anxiety across the transition to parenthood may be experienced by parents in different ways, yet no studies have examined whether new parents experience changes in anxiety in distinct subgroups. Design: We conducted a longitudinal study of 208 first-time parents (104 couples) from a low-risk population. Parents were interviewed from the third trimester of pregnancy to nine-months postpartum. Methods: The current study utilized latent class growth analysis to explore subgroups of change in symptoms of anxiety. Based on stress and coping theory, we also examined a number of personal and social prenatal predictors of subgroup membership. Results: We identified two distinct change trajectories: (1) moderate and stable and (2) low and declining. We also found prenatal depression, expected parenting efficacy, and relationship satisfaction were significantly associated with subgroup membership. Conclusions: Our results suggest a majority of new parents adjust well to parenthood in terms of anxiety, while a smaller subgroup of parents experience continually higher levels of anxiety months after the baby is born.

Preparing for parenthood: How feelings of responsibility and efficacy impact expectant parents

Relatively little is known about what impacts perinatal outcomes in expectant mothers and fathers. In the current study, we examined the association between expected parenting efficacy and feelings of pregnancy responsibility on mental health and relationship satisfaction in 104 primiparous couples during their third trimester. Parenting efficacy was related to better perinatal mental health and relationship satisfaction for both mothers and fathers, while communal pregnancy responsibility was more important for mothers. At the couple level, being concordant on feelings of pregnancy responsibility was related to better mental health and relationship satisfaction for expectant mothers only. These results suggest the importance of examining predictors of perinatal outcomes, as well as the dynamic interplay between mothers’ and fathers’ feelings of pregnancy responsibility.

Feeling like part of a team Perceived parenting agreement among first-time parents

Prior research has established the importance of co-parenting for child outcomes, yet little is known about how co-parenting influences parents themselves. The current study expands on the prior literature by examining an important aspect of co-parenting, perceived parenting agreement, and exploring the longitudinal association of perceived parenting agreement with new parents’ depression, positive affect, and relationship satisfaction during the transition to parenthood. Using a dyadic approach, results indicated there were significant actor effects of parenting agreement on both mothers’ and fathers’ mental health outcomes, such that greater agreement predicted better subsequent mental health. Perceived parenting agreement was also significantly associated with subsequent relationship satisfaction for mothers only, such that greater perceived agreement by both the mother (actor effect) and the father (partner effect) predicted greater subsequent maternal relationship satisfaction. Our results suggest perceptions of parenting agreement are important for new parents’ mental health and maternal relationship satisfaction during the transition to parenthood.

Postnatal Depression: The Role of Breastfeeding Efficacy, Breastfeeding Duration, and Family–Work Conflict

Although breastfeeding has multiple benefits for baby and mother, including maternal mental well-being, many mothers terminate breastfeeding earlier than they desire. We examined two key factors in breastfeeding duration and maternal mental health––breastfeeding efficacy and family–work conflict. Specifically, we examined the moderating role of family–work conflict in the process of breastfeeding efficacy as a predictor of maternal depression by way of duration. In a sample of 61 first-time mothers, we found that breastfeeding duration mediated the relation between prenatal breastfeeding efficacy and depression at 9 months postpartum for working mothers who experienced low levels of family-to-work conflict. That is, for mothers with low family-to-work conflict, higher expected breastfeeding efficacy during pregnancy predicted a longer duration of breastfeeding, which in turn was associated with lower depression at 9 months postpartum. However, for working mothers with high family-to-work conflict, breastfeeding duration did not emerge as an indirect effect on the relation between efficacy and depression. These findings have important implications for a healthy family–work balance to help new mothers adjust when they return to the workforce and as they transition to parenthood.