Social Support, Perceived Stress, Socio-Demographic Factors and Relationship Quality among Polish Mothers of Prematurely Born Children
Abstract
1. Introduction
2. Research Materials and Methods
3. Results
3.1. Neonatal Period
3.2. Regression
3.3. Early Childhood Period
3.4. Social Support and Perceived Stress
3.5. Coexistence of Socio-Demographic Factors, Social Support and Perceived Stress
4. Discussion
4.1. Social Support and Perceived Stress
4.2. Socio-Demographical Factors, Social Support and Stress
5. Limitations
6. Conclusions
Funding
Acknowledgments
Conflicts of Interest
References
- Wadhwa, P.D.; Entringer, S.; Buss, C.; Lu, M.C. The contribution of maternal stress to preterm birth: Issues and considerations. Clin. Perinatol. 2011, 38, 351–384. [Google Scholar] [CrossRef]
- World Health Organization (WHO). Available online: http://www.who.int/mediacentre/factsheets/fs363/en/ (accessed on 2 May 2020).
- Treyvaud, K.; Doyle, L.W.; Lee, K.J.; Roberts, G.; Cheong, J.L.Y.; Inder, T.E. Family functioning, burden and stress 2 years after very preterm birth. Early Hum. Dev. 2011, 87, 427–431. [Google Scholar] [CrossRef]
- Bielawska-Batorowicz, E. Psychologiczne Aspekty Prokreacji; “Śląsk” Wydawnictwo Naukowe: Katowice, Poland, 2006. [Google Scholar]
- Bieleninik, Ł.; Prais, J.; Bidzan, M. Uwarunkowania więzi emocjonalnej z dzieckiem w okresie prenatalnym w ciąży wielopłodowej i pojedynczej. Perinatol. Neonatol. Ginekol. 2010, 3, 223–231. [Google Scholar]
- Bieleninik, Ł. Dzieci Urodzone Przedwcześnie w Percepcji Matek; Harmonia Universalis: Gdańsk, Poland, 2012. [Google Scholar]
- Bieleninik, Ł.; Bidzan, I.; Bidzan, M. Wcześniactwo a trudne rodzicielstwo w okresie pre- i perinatalnym. Roczniki Pedagogiczn 2013, 3, 39–70. [Google Scholar]
- Müller-Nix, C.; Ansermet, F. Prematurity, risk and protective factors. In Handbook of Infant Mental Health, 3rd ed.; Zeanah, C.H., Jr., Ed.; The Guilford Press: New York, NY, USA, 2009. [Google Scholar]
- Dunkel-Schetter, C. Psychological science on pregnancy: Stress processes, biopsychosocial models, and emerging research issues. Ann. Rev. Psychol. 2011, 62, 531–558. [Google Scholar] [CrossRef] [PubMed]
- Stelter, Ż. Satysfakcja małżeńska rodziców dziecka z niepełnosprawnością intelektualną. Psychol. Rozwojowa 2014, 19, 117–132. [Google Scholar] [CrossRef]
- MacElveen-Hoehn, P.; Eyres, S. Social support and vulnerability: State of the art in relation to families and children. In Social Support and Families of Vulnerable Infants; Barnard, K., Brandt, P., Raff, B., Carroll, P., Eds.; March of Dimes Birth Defects Foundation: White Plains, NY, USA, 1984; pp. 11–29. [Google Scholar]
- Kornas-Biela, D. Pedagogika prenatalna. Nowy obszar nauk o wychowaniu; Redakcja Wydawnictw Naukowych KUL: Lublin, Poland, 2009. [Google Scholar]
- Juczyński, Z. Zmaganie się z nieuleczalną chorobą—Mobilizacja osobistych potencjałów zdrowia. Sztuka Leczenia 2016, 1, 19–29. [Google Scholar]
- Orr, S.T. Social support and pregnancy outcome: A review of the literature. Clin. Obstet. Gynecol. 2004, 47, 842–855. [Google Scholar] [CrossRef]
- Schappin, R.; Wijnroks, L.; Uniken-Venema, M.M.A.T.; Jongmans, M.J. Rethinking Stress in Parents of Preterm Infants: A Meta-Analysis. PLoS ONE 2013, 8, e54992. [Google Scholar] [CrossRef]
- Ghorbani, M.; Dolatian, M.; Shams, J.; Alavi-Majd, H. Anxiety, post-traumatic stress disorder and social supports among parents of premature and full-terminfants. Iran. Red Crescent Med. J. 2014, 16, e13461. [Google Scholar] [CrossRef]
- Zwicker, J.G.; Harris, S.R. Quality of life of formerly preterm and very low birth weight infants from preschool age to adulthood: A systematic review. Pediatrics 2008, 121, e366–e376. [Google Scholar] [CrossRef] [PubMed]
- Boyle, E.M.; Poulsen, G.; Field, D.J.; Kurinczuk, J.J.; Wolke, D.; Alfirevic, Z. Effects of gestational age at birth on health outcomes at 3 and 5 years of age: Population based cohort study. BMJ 2012, 344, e896. [Google Scholar] [CrossRef] [PubMed]
- Zelkowitz, P.; Saucier, J.; Wang, T.; Katofsky, L.; Valenzuela, M.; Westreich, R. Stability and change in depressive symptoms from pregnancy to two months postpartum in childbearing immigrant women. Arch. Women’s Ment. Health 2008, 11, 1–11. [Google Scholar] [CrossRef] [PubMed]
- Chi, P.L.; Tsang, S.K.M.; Chan, K.S.; Xiang, X.P.; Yip PS, F.; Cheung, Y.T.; Zhang, X.L. Marital satisfaction of Chinese under stress: Moderating effects of personal control and social support. Asian J. Soc. Psychol. 2011, 14, 15–25. [Google Scholar] [CrossRef]
- Cutrona, C.E. Social Support in Couples: Marriage as a Resource in Times of Stress; Sage: Thousand Oaks, CA, USA, 1996. [Google Scholar]
- Khan, F.; Aftab, S. Marital satisfaction and perceived social support as vulnerability factors to depression. Am. Int. J. Soc. Sci. 2013, 2, 99–109. [Google Scholar]
- Lawrence, E.; Pederson, A.; Bunde, M.; Barry, R.A.; Brock, R.L.; Fazio, E.; Mulryan, L.; Hunt, S.; Madsen, L.; Dzankovic, S. Objective ratings of relationship skills across multiple domains as predictors of marital satisfaction trajectories. J. Soc. Person. Relatsh. 2008, 25, 445–466. [Google Scholar] [CrossRef]
- Mercer, R.T.; Ferketich, S.L. Predictors of parental attachment during early parenthood. J. Adv. Nurs. 1990, 15, 268–280. [Google Scholar] [CrossRef]
- Priel, B.; Besser, A. Vulnerability to postpartum depressive symptomatology: Dependency, self-criticism and the moderating role of antenatal attachment. J. Soc. Clin. Psychol. 1999, 18, 240–253. [Google Scholar] [CrossRef]
- Priel, B.; Besser, A. Dependency and self-criticism among first-time mothers: The roles of global and specific support. J. Soc. Clin. Psychol. 2000, 19, 437–450. [Google Scholar] [CrossRef]
- Rostami, A.; Ghazinour, M.; Richter, J. Marital Satisfaction: The Differential Impact of Social Support Dependent on Support Situation and Gender in Medical staff in Iran. Glob. J. Health Sci. 2013, 78. [Google Scholar] [CrossRef]
- Rostowski, J.; Rostowska, T. Małżeństwo i miłość. Kontekst psychologiczny i neuropsychologiczny; Diffin: Warszawa, Poland, 2014. [Google Scholar]
- Muraca, G.M.; Joseph, K.S. The association between maternal age and depression. J. Obstet. Gynaecol. Can. 2014, 36, 803–810. [Google Scholar] [CrossRef]
- Mayberry, L.J.; Horowitz, J.A.; Declercq, E. Depression symptom prevalence and demographic risk factors among US. Women during the first 2 years postpartum. J. Obstet. Gynecol. Neonatal Nurs. 2007, 36, 542–549. [Google Scholar] [CrossRef] [PubMed]
- Karney, B.R.; Bradbury, T.N. The longitudinal course of marital quality and stability: A review of theory, method, and research. Psychol. Bull. 1995, 118, 3–34. [Google Scholar] [CrossRef] [PubMed]
- Hatton, H.; Conger, R.D.; Larsen-Rife, D.; Ontai, L. An integrative and developmental perspective for understanding romantic relationship quality during the transition to parenthood. Underst. Romant. Relatsh. Qual. 2010, 115–129. [Google Scholar] [CrossRef]
- Bielawska-Batorowicz, E. Determinanty Spostrzegania Dziecka Przez Rodziców w Okresie Poporodowym; Wydawnictwo Uniwersytetu Łódzkiego: Łodź, Poland, 1995. [Google Scholar]
- Spanier, G.B. Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. J. Marriage Fam. 1976, 38, 15–28. [Google Scholar] [CrossRef]
- Cieślak, K. Polska Wersja Skali G.B. Spaniera służąca do pomiaru jakości związku małżeńskiego (DAS). Przegląd Psychologiczny 1989, 32, 1042–1049. [Google Scholar]
- Plopa, M.; Makarowski, R. Kwestionariusz poczucia stresu; Vizja Press & IT: Warszawa, Poland, 2010. [Google Scholar]
- Bielawska-Batorowicz, E.; Kossakowska-Petrycka, K. Depressive mood in men after the birth of their offspring in relation to a partner’s depression, social support, fathers’ personality and prenatal expectations. J. Reprod. Infant Psychol. 2006, 24, 21–29. [Google Scholar] [CrossRef]
- Edwards, D.M.; Gibbons, K.; Gray, P.H. Relationship quality for mothers of very preterm infants. Early Hum. Dev. 2016, 92, 13–18. [Google Scholar] [CrossRef]
- Østerås, B.; Sigmundsson, H.; Haga, M. Psychometric Properties of the Perceived Stress Questionnaire (PSQ) in 15–16 Years Old Norwegian Adolescents. Front. Psychol. 2018, 9, 1850. [Google Scholar] [CrossRef]
- Levenstein, S.; Prantera, C.; Varvo, V.; Scribano, M.L.; Berto, E.; Luzi, C.; Andreoli, A. Development of the Perceived Stress Questionnaire: A new tool for psychosomatic research. J. Psychosom. Res. 1993, 37, 19–32. [Google Scholar] [CrossRef]
- Feinberg, M.E.; Roettger, M.E.; Jones, D.E.; Paul, I.M.; Kan, M.L. Effects of a Psychosocial Couple-Based Prevention Program on Adverse Birth Outcomes. Matern. Child Health J. 2015, 19, 102–111. [Google Scholar] [CrossRef] [PubMed]
- Gottlieb, B.H. Social support. In Perspectives on Close Relationships; Weber, A.L., Harvey, J.H., Eds.; Allyn & Bacon: Boston, MA, USA, 1994; pp. 307–324. [Google Scholar]
- Shapiro, A.F.; Gottman, J. The baby and the marriage: Identifying factors that buffer against declines in marital satisfaction after the first baby arrives. J. Fam. Psychol. 2000, 14, 59–70. [Google Scholar] [CrossRef] [PubMed]
- Dunkel-Schetter, C.; Brooks, K. The Nature of Social Support. Encyclopedia of Human Relationships; Reis, H.T., Sprecher, S., Eds.; Sage Publications: Thousand Oaks, CA, USA, 2009; pp. 1565–1570. [Google Scholar]
- Plopa, M. Więzi w Małżeństwie i Rodzinie: Metody Badań; Oficyna Wydawnicza, Impuls: Kraków, Poland, 2006. [Google Scholar]
- Reid, K.M.; Taylor, M.G. Social support, stress, and maternal postpartum depression: A comparison of supportive relationships. Soc. Sci. Res. 2015, 54, 246–262. [Google Scholar] [CrossRef] [PubMed]
- Brock, R.L.; Lawrence, E. A longitudinal investigation of stress spill over marriage: Does spousal suport adequacy buffer the effects? J. Fam. Psychol. 2008, 22, 11–20. [Google Scholar] [CrossRef]
- Ilska, M.; Przybyła-Basista, H. Partner support as a mediator of the relationship between prenatal concerns and psychological well-being in pregnant women. Health Psychol. Rep. 2017, 5, 285–295. [Google Scholar] [CrossRef]
- Cohen, S. Social relationships and health. Am. Psychol. 2004, 59, 676–684. [Google Scholar] [CrossRef]
- Bidzan, M.; Lutkiewicz, K. Perceived Stress as a Predictor of Partnership Relation Quality in Polish Mothers of Preterm-Born Children. Int. J. Environ. Res. Public Health 2019, 16, 355. [Google Scholar] [CrossRef]
- Spinelli, M.; Bolt, D.M.; Poehlmann, J. Predictors of Parenting Stress Trajectories in Premature Infant-Mother Dyads. J. Fam. Psychol. 2013, 27, 873–883. [Google Scholar] [CrossRef]
- Howard, K.S.; Brooks-Gunn, J. Relationship supportiveness during the transition to parenting among married and unmarried parents. Parent. Sci. Pract. 2009, 9, 123–142. [Google Scholar] [CrossRef][Green Version]
- Kurdek, L. Nature and prediction of changes in marital quality for first-time parent and nonparent husbands and wives. J. Fam. Psychol. 1993, 3, 255–265. [Google Scholar] [CrossRef]
- Twenge, J.M.; Campbell, W.K.; Foster, C.A. Parenthood and marital satisfaction: A meta-analytic review. J. Fam. Marriage 2003, 65, 574–583. [Google Scholar] [CrossRef]
- Bidzan, M. Nastoletnie rodzicielstwo. Perspektywa psychologiczna [Teenage parenting. A psychological perspective]; Harmonia Universalis: Gdańsk, Poland, 2013. [Google Scholar]
- Kugelman, A.; Borenstein-Levin, L.; Jubran, H.; Dinur, G.; Ben-David, S.; Segal, E.; Haddad, J.; Timstut, F.; Stein, I.; Makhoul, I.R.; et al. Less is More: Modern Neonatology. Rambam Maimonides Med. J. 2018, 9, e0023. [Google Scholar] [CrossRef] [PubMed]
- Chan, C.W.; Law, B.M.; Liu, Y.H.; Ambrocio, A.R.; Au, N.; Jiang, M.; Chow, K.M. The Association between Maternal Stress and Childhood Eczema: A Systematic Review. Int. J. Environ. Res. Public Health 2018, 15, 395. [Google Scholar] [CrossRef] [PubMed]
Variable | M (SD)/Med | % | Minimum | Maximum |
---|---|---|---|---|
Maternal age | 30.00 (5.22) | – | 18.0 | 45.0 |
Maternal education | – | 60.3% post-secondary | – | – |
Place of living | – | 75.9% city | – | – |
Number of children | – | 62.8% no children | 0 | 4 |
Financial status | – | 49.6% good | – | – |
Paternal age | 32.07 (5.78) | – | 17.0 | 51.0 |
Paternal education | – | 48.3% higher education | – | – |
Gestational age | 34.0 | – | 24 | 36 |
Variable | M (SD) | Desired Support | Received Support | Quality of Received Support |
---|---|---|---|---|
Consensus | 52.78 (7.24) | 0.03 | 0.16 * | 0.16 * |
Cohesion | 19.53 (3.68) | 0.04 | 0.06 | 0.04 |
Satisfaction | 41.32 (5.25) | 0.04 | 0.14 * | 0.14 * |
Affectional expression | 10.42 (1.74) | −0.06 | 0.06 | 0.04 |
General satisfaction | 124.05 (15.09) | 0.03 | 0.15 * | 0.14 * |
Consensus | Cohesion | Satisfaction | Affectional Expression | General Satisfaction | ||||||
---|---|---|---|---|---|---|---|---|---|---|
β | ΔR2 | β | ΔR2 | β | ΔR2 | β | ΔR2 | β | ΔR2 | |
Desired support | −0.07 | 0.001 | −0.11 | −0.15 | −0.09 | |||||
Received support | 0.17 * | −0.02 | −0.17 * | 0.14 | −0.15 * | |||||
TotalR2 | 0.563 ** | 0.312 ** | 0.487 ** | 0.336 ** | 0.595 ** |
Variable | M (SD) | Desired Support | Received Support | Quality of Received Support |
---|---|---|---|---|
Consensus-2 | 49.73 (7.69) | 0.27 | 0.23 | 0.09 |
Cohesion-2 | 18.11 (5.14) | 0.02 | 0.09 | 0.04 |
Satisfaction-2 | 36.54 (5.91) | 0.03 | 0.17 | 0.10 |
Affection expression-2 | 9.14 (1.83) | 0.26 | −0.13 | −0.23 |
General satisfacion-2 | 113.51 (17.64) | 0.16 | 0.17 | 0.06 |
Variable | M (SD) | RS | QRS | DS | PS | I | W | MT | L | FP | O |
---|---|---|---|---|---|---|---|---|---|---|---|
Desired Support | 37.61 (7.04) | 0.61 ** | 0.49 ** | 0.06 | −0.02 | −0.14 * | 0.08 | 0.00 | −0.001 | 0.03 | 0.07 |
Received Support | 33.62 (5.41) | 0.87 ** | −0.09 | −0.07 | −0.20 ** | −0.06 | −0.10 | −0.15 * | −0.15 * | −0.01 | |
Quality of Received Support | 34.26 (6.01) | −0.10 | −0.08 | −0.21 ** | −0.11 | −0.14 * | −0.17 * | −0.17 * | −0.03 | ||
Perceived Stress | 56.47 (17.1) | 0.84 ** | 0.56 ** | 0.86 ** | 0.79 ** | 0.90 ** | 0.71 ** | 0.75 ** | |||
Sense of Exhaustion | 9.23 (2.24) | 0.61 ** | 0.75 ** | 0.71 ** | 0.72 ** | 0.55 ** | 0.58 ** | ||||
Irritability | 4.37 (1.25) | 0.56 ** | 0.63 ** | 0.56 ** | 0.51 ** | 0.42 ** | |||||
Worrying | 9.19 (2.92) | 0.79 ** | 0.73 ** | 0.65 ** | 0.67 ** | ||||||
Mental Tension | 6.91 (2.36) | 0.70 ** | 0.64 ** | 0.60 ** | |||||||
Lack of joy | 13.85 (3.78) | 0.64 ** | 0.62 ** | ||||||||
Feeling of Pressure | 6.04 (2.08) | 0.66 ** | |||||||||
Overload | 7.97 (2.63) |
Variable | M (SD) | Maternal Age a | Paternal Age a | Maternal Education b | Paternal Education b | Marital Status b | Financial Status b |
---|---|---|---|---|---|---|---|
Desired Support | 37.61 (7.04) | −0.03 | −0.09 | 0.10 | 0.11 | 0.07 | 0.01 |
Received Support | 33.62 (5.41) | −0.02 | −0.04 | 0.08 | 0.18 * | 0.09 | 0.08 |
Quality of Received Support | 34.26 (6.01) | 0.02 | 0.01 | 0.14 | 0.22 ** | 0.12 | 0.07 |
Perceived Stress | 56.47 (17.1) | 0.12 | 0.09 | −0.24 ** | −0.27 ** | −0.04 | −0.08 |
Sense of Exhaustion | 9.23 (2.24) | 0.12 | 0.07 | −0.15 * | −0.18 * | −0.07 | −0.03 |
Irritability | 4.37 (1.25) | −0.11 | −0.08 | −0.23 ** | −0.27 ** | −0.13 | −0.12 |
Worrying | 9.19 (2.92) | 0.05 | 0.01 | −0.26 ** | −0.29 ** | −0.07 | −0.17 * |
Mental Tension | 6.91 (2.36) | 0.01 | −0.05 | −0.19 * | −0.24 ** | −0.04 | −0.07 |
Lack of joy | 13.85 (3.78) | 0.15 * | 0.15 * | −0.27 ** | −0.29 ** | −0.02 | −0.12 |
Feeling Pressure | 6.04 (2.08) | 0.10 | 0.05 | −0.22 ** | −0.28 ** | −0.11 | −0.24 ** |
Overload | 7.97 (2.63) | 0.08 | 0.06 | −0.13 | −0.12 | −0.001 | −0.10 |
© 2020 by the author. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Share and Cite
Lutkiewicz, K. Social Support, Perceived Stress, Socio-Demographic Factors and Relationship Quality among Polish Mothers of Prematurely Born Children. Int. J. Environ. Res. Public Health 2020, 17, 3876. https://doi.org/10.3390/ijerph17113876
Lutkiewicz K. Social Support, Perceived Stress, Socio-Demographic Factors and Relationship Quality among Polish Mothers of Prematurely Born Children. International Journal of Environmental Research and Public Health. 2020; 17(11):3876. https://doi.org/10.3390/ijerph17113876
Chicago/Turabian StyleLutkiewicz, Karolina. 2020. "Social Support, Perceived Stress, Socio-Demographic Factors and Relationship Quality among Polish Mothers of Prematurely Born Children" International Journal of Environmental Research and Public Health 17, no. 11: 3876. https://doi.org/10.3390/ijerph17113876
APA StyleLutkiewicz, K. (2020). Social Support, Perceived Stress, Socio-Demographic Factors and Relationship Quality among Polish Mothers of Prematurely Born Children. International Journal of Environmental Research and Public Health, 17(11), 3876. https://doi.org/10.3390/ijerph17113876