Partner support as a mediator of the relationship between prenatal concerns and psychological well-being in pregnant women
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Institute of Psychology, University of Silesia, Katowice, Poland
Submission date: 2016-07-08
Final revision date: 2016-09-26
Acceptance date: 2016-09-27
Online publication date: 2017-07-19
Publication date: 2017-06-23
Health Psychology Report 2017;5(4):285-295
Pregnant women’s psychological well-being affects their emotional state, which in turn has a significant impact on fetal development, the course of labor, and the mother’s adaptation in the postpartum period. Social support, especially partner support, is proven to have a protective effect against stress, worries, and concerns that occur in pregnancy. The main objective of this study was to investigate whether support received from the partner mediates the relationship between pregnant women’s prenatal concerns and psychological well-being.

Participants and procedure
The study involved 137 pregnant women aged 18-40 years. Received partner support was measured with a subscale (Actually Received Social Support) of the Polish version of the Berlin Social Support Scales (BSSS). Furthermore, the Concerns of Pregnant Women Scale (POC) and Ryff’s Psychological Well-Being Scales (PWB) were used. The demographic and pregnancy-related variables were controlled.

The obtained results reveal prenatal concerns, received partner support and psychological well-being to be correlated. Partner support was the strongest predictor of psychological well-being in five domains: environmental mastery, purpose in life, personal growth, positive relations with others and self-acceptance. What is more, statistical analyses confirmed the significance of partner support in mediating relationships between prenatal concerns and two dimensions of pregnant women’s well-being: environmental mastery and purpose in life.

Our analyses confirm the results obtained so far in studies on the meaning of social support, particularly that received from a partner, for the health and well-being of pregnant women. We found that received partner support fully mediated the relationship between the concerns of pregnant women and some areas of their psychological well-being. Due to the received partner support, pregnant women’s prenatal concerns cease to affect their beliefs about the meaning of life, feeling of fulfillment of important life tasks, and beliefs about their ability to cope with the world.
Accortt, E. E., Cheadle, A., & Dunkel-Schetter, C. (2015). Prenatal depression and adverse birth outcomes: An updated systematic review. Maternal and Child Health Journal, 19, 1306–1337.
Aktan, N. M. (2012). Social support and anxiety in pregnant and postpartum women: A secondary analysis. Clinical Nursing Research, 21, 183–194.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.
Bidzan, M., Bieleninik, Ł., Zadolska, A., & Salwach, D. (2009). Bond with a child in the prenatal period in case of prematurely born children. In K. Turowski (ed.), Wellness and success (pp. 35–54). Lublin: NeuroCentrum.
Biehle, S. N., & Mickelson, K. D. (2011). Worries in expectant parents: Its relation with perinatal well-being and relationship satisfaction. Personal Relationships, 18, 697–713.
Bielawska-Batorowicz, E., & Kossakowska-Petrycka, K. (2006). Depressive mood in men after the birth of their offspring in relation to a partner’s depression, social support, father’s personality and prenatal expectations. Journal of Reproductive and Infant Psychology, 24, 21–29.
Bieleninik, Ł., Preis, J., & Bidzan, M. (2010). Conditions of the emotional bond with a child in the prenatal period in case of multifetal and unifetal pregnancies. Perinatologia, Neonatologia i Ginekologia, 3, 223–231.
Cheng, C., & Pickler, R. H. (2010). Maternal psychological well-being and salivary cortisol in late pregnancy and early post-partum. Stress and Health, 26, 215–224.
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357.
Collins, N. L., Dunkel-Schetter, C., Lobel, M., & Scrimshaw, S. C. (1993). Social support in pregnancy: Psychosocial correlates of birth outcomes and postpartum depression. Journal of Personality and Social Psychology, 65, 1243–1258.
Cox, C. R., Eaton, S., Ekas, N. V., & Van Enkevort, E. A. (2015). Death concerns and psychological well-being in mothers of children with autism spectrum disorder. Research in Developmental Disabilities, 45-46, 229–238.
DaCosta, D., Larouche, J., Dritsa, M., & Brender, W. (1999). Variations in stress levels over the course of pregnancy: Factors associated with elevated hassles, state anxiety and pregnancy-specific stress. Journal of Psychosomatic Research, 47, 609–621.
Dibaba, Y., Fantahun, M., & Hindin, M. J. (2013). The association of unwanted pregnancy and social support with depressive symptoms in pregnancy: Evidence from rural Southwestern Ethiopia. BMC Pregnancy and Childbirth, 13, 135. doi: 10.1186/1471-2393-13-135.
Diener, E., Lucas, R. E., & Oishi S. (2012). Dobrostan psychiczny. Nauka o szczęściu i zadowoleniu z życia [Subjective well-being: The science of happiness and life satisfaction]. In J. Czapiński (ed.), Psychologia Pozytywna. Nauka o szczęściu, zdrowiu, sile i cnotach człowieka [Positive psychology. The science of happiness, health, power and human merits] (pp. 35–50). Warszawa: Wydawnictwo Naukowe PWN.
DiPietro, J. A. (2004). The role of prenatal maternal stress in child development. Current Directions in Psychological Science, 17, 71–74.
Dulude, D., Wright, J., & Belanger, C. (2000). The effects of pregnancy complications on the parental adaptation process. Journal of Reproductive and Infant Psychology, 18, 5–20.
Dunkel-Schetter, C., & Brooks, K. (2009). The nature of social support. In H. T. Reis & S. Sprecher (eds.), Encyclopedia of Human Relationships (pp. 1565–1570). Thousand Oaks, Ca: Sage.
Dunkel-Schetter, C., Sagrestano, L. M., Feldman, P., & Killingsworth, C. (1996). Social support and pregnancy. In G. R. Pierce, B. R. Sarason, & I. G. Sarason (eds.), Handbook of social support and the family (pp. 375–412). New York: Plenum Press.
Dunkel-Schetter, C., & Tanner, L. (2012). Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current Opinions of Psychiatry, 25, 141–148.
Dyrdal, G. M., Røysamb, E., Bang Nes, R., & Vittersø, J. (2010). Can a happy relationship predict a happy life? A population-based study of maternal well-being during the life transition of pregnancy, infancy, and toddlerhood. Journal of Happiness Studies, 12, 947–962.
Fava, G. A, Grandi, S., Michelacci, L., Saviotti, F., Conti, S., Bovicelli, L., Trombini, G., & Orlandi, C. (1990). Hypochondriacal fears and beliefs in pregnancy. Acta Psychiatrica Scandinavica, 82, 70–72.
Feldman, P. J., Dunkel-Schetter, C., Sandman, C. A., & Wadhwa, P. D. (2000). Maternal social support predicts birth weight and fetal growth in human pregnancy. Psychosomatic Medicine, 62, 715–725.
Ghosh, J. K., Wilhelm, M. H., Dunkel-Schetter, C., Lombardi, C. A., & Ritz, B. R. (2010). Paternal support and preterm birth, and the moderation of effects of chronic stress: a study in Los Angeles county mothers. Archives of Women’s Mental Health, 13, 327–338.
Gourounti, K., Anagnostopoulos, F., & Lykeridou, K. (2013). Coping strategies as psychological risk factor for antenatal anxiety, worries, and depression among Greek women. Archives of Women’s Mental Health, 16, 353–361. doi: 10.1007/s00737-013-0338-y.
Gourounti, K., Anagnostopoulos, F., & Sandall, J. (2014). Poor marital support associate with anxiety and worries during pregnancy in Greek pregnant women. Midwifery, 30, 628–635. doi: 10.1016/j.midw.2013.10.008.
Guardino, C. M., & Dunkel-Schetter, C. (2014). Coping during pregnancy: a systematic review and recommendations. Health Psychology Review, 8, 70–94.
Hobfoll, S. (2002). Social and psychological resources and adaptation. Review of General Psychology, 6, 307–324.
Ilska, M., Kołodziej-Zaleska, A., & Ilski, A. (2015). Prenatal concerns of high-risk and low-risk pregnant women: an analysis of the impact of risk factors and protective factors. Ginekologia i Położnictwo – Medical Project, 2, 61–70.
Ilska, M., & Przybyła-Basista, H. (2014). Measurement of women’s prenatal attitudes toward maternity and pregnancy and analysis of their predictors. Health Psychology Report, 2, 176–188.
Ilska, M., & Przybyła-Basista, H. (2015). Kultura wizualna a kształtowanie się rodzicielstwa w prenatalnym okresie rozwoju [Visual culture and parenting formation in the prenatal period]. Chowanna, 2, 161–181.
Jesse, D. E., Kim, H., & Herndon, C. (2014). Social support and self-esteem as mediators between stress and antepartum depressive symptoms in rural pregnant women. Reasearch in Nursing & Health, 37, 241–252.
Kaniasty, K., & Norris, F. H. (2012). „Wzlot i upadek utopii”: mobilizacja i deterioracja wsparcia społecznego w sytuacjach klęsk żywiołowych [The rise and fall of utopia: Mobilization and deterioration of social support in the aftermath natural disasters]. In H. Sęk & R. Cieślak (eds.), Wsparcie społeczne, stres i zdrowie [Social support, stress and health] (pp. 123–138). Warszawa: Wydawnictwo Naukowe PWN.
Kaźmierczak, M., Kiełbratowska, B., & Karasiewicz, K. (2015). The other side of the mirror – the role of partner’s empathy in transition to parenthood. Health Psychology Report, 3, 150–157.
Keyes, C. L. M., Shmotkin, D., & Ryff, C. D. (2002). Optimizing well-being: The empirical encounter of two traditions. Journal of Personality and Social Psychology, 82, 1007–1022.
Koss, J., Rudnik, A., & Bidzan, M. (2014). Experiencing stress and the obtained social support among women with high-risk pregnancies. Preliminary report. Family Forum. Problemy Współczesnej Rodziny, 4, 183–202.
Krok, D. (2009). Religijność a jakość życia w perspektywie mediatorów psychospołecznych [Religiousness and quality of life from the perspective of psychosocietal mediators]. Opole: WT UO.
Lee, S., Ayers, S., & Hlden, D. (2012). Risk perception of women during high risk pregnancy: A systematic review. Health, Risk & Society, 14, 511–531.
Li, Y., Zeng, Y., Zhu, W., Cui, Y., & Li, J. (2016). Path model of antenatal stress and depressive symptoms among Chinese primipara in late pregnancy. BMC Pregnancy and Childbirth, 16, 180.
Lobel, M., Cannella, D. L., Graham, J. E., DeVincent, C., Schneider, J., & Meyer, B. A. (2008). Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychology, 27, 604–615.
Łuszczyńska, A., Kowalska, M., Mazurkiewicz, M., & Schwarzem, R. (2006). Berlin Social Support Scales (BSSS): Polish version of BSSS and preliminary results on its psychometric properties. Studia Psychologiczne, 44, 17–27.
Mass, A., Vreeswijk, C., de Cock, E., Rijk, C., & van Bakel, H. (2012). “Expectant Parents”: Study protocol of a longitudinal study concerning prenatal (risk) factors and postnatal infant development, parenting, and parent-infant relationships. BMC Pregnancy and Childbirth, 12, 46. Retrieved from: http://www.biomedcentral.com/1....
Melender, H. L., & Lauri, S. (1999). Fears associated with pregnancy and childbirth – experiences of women who have recently given birth. Midwifery, 15, 177–182.
Nishimura, A., Fujita, Y., Katsuta, M., Ishihara, A., & Ohashi, K. (2015). Paternal postnatal depression in Japan. BMC Pregnancy and Childbirth, 15, 128. doi: 10.1186/s12884-015-0552-x.
Norris, F. H., & Kaniasty, K. (1996). Received and perceived social support in times of stress: A test of the social support deterioration deterrence model. Journal of Personality and Social Psychology, 71, 498–511.
Oakley, A. (1988). Is social support good for the health of mothers and babies? Journal of Reproductive and Infant Psychology, 6, 3–21.
Pawlicka, P., Chrzan-Dętkoś, M., & Lutkiewicz, K. (2013). Prężność psychiczna przyszłych matek oraz kolejność ciąży jako moderatory budowania więzi z nienarodzonym jeszcze dzieckiem [Resilience of future mothers and order of pregnancies as moderators of building reationship with the unborn child]. Family Forum, 3, 139–152.
Puente, C. P., Monge, F. J. C., Abella’n, I. C., & Morales, D. M. (2011). Effects of personality on psychiatric and somatic symptoms in pregnant women: The role of pregnancy worries. Psychology of Women Quarterly, 35, 293–302.
Reid, K. M., & Taylor, M. G. (2015). Social support, stress, and maternal postpartum depression: A comparison of supportive relationships. Social Science Research, 54, 246–262.
Rini, C., Dunkel-Schetter, C., Hobel, C. J., Glynn, L. M., & Sandman, C. A. (2006). Effective social support: Antecedents and consequences of partner support during pregnancy. Personal Relationships, 13, 207–229.
Rini, C., Killingsworth, C., Dunkel-Schetter, C., Wadhwa, P. D., & Sandman, C. A. (1999). Psychological adaptation and birth outcomes: The role of personal resources, stress, and sociocultural context in pregnancy. Health Psychology, 18, 333–345.
Ritter, C., Hobfoll, S. E., Stevan, E., Lavin, J., Cameron, R., & Hulsizer, M. R. (2000). Stress, psychosocial resources, and depressive symptomatology during pregnancy in low-income, inner-city women. Health Psychology, 19, 576–585.
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57, 1059–1081.
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69, 719–717.
Sęk, H., & Cieślak, R. (2012). Wsparcie społeczne – sposoby definiowania, rodzaje i źródła wpsarcia, wybrane koncepcje teoretyczne [Social support – ways of defining, the types and sources of support, selected theoretical concepts]. In H. Sęk & R. Cieślak (eds.), Wsparcie społeczne, stres i zdrowie [Social support, stress and health] (pp. 11–29). Warszawa: Wydawnictwo Naukowe PWN.
Sieber, S., Germann, N., Barbir, A., & Ehlert, U. (2006). Emotional well-being and predictors of birth-anxiety, self-efficacy, and psychosocial adaptation in healthy pregnant women. Acta Obstericia et Gynecologica, 85, 1200–1207.
Smoktunowicz, E., Cieślak, R., & Żukowska, K. (2013). Rola wsparcia społecznego w kontekście stresu organizacyjnego oraz zaangażowania w pracę. Studia Psychologiczne, 51, 25–37.
Stapleton, L. R. T., Westling, E., Rini C., Glynn, L. M., Hobel, C. J., & Sandman, C. A. (2012). Perceived partner support in pregnancy predicts lower maternal and infant distress. Journal of Family Psychology, 26, 454–463.
Yali, A. M., & Lobel, M. (2002). Stress-resistance resources and coping in pregnancy. Anxiety, Stress and Coping, 15, 289–309.
Yim, I. S., Tanner Stapleton, L. R., Guardino, C. M., Hahn-Holbrook, J., & Dunkel Schetter, C. (2015). Biological and psychosocial predictors of postpartum depression: Systematic review and call for integration. Annual Review of Clinical Psychology, 11, 99–137.
Zachariah, R. (1996). Predictors of psychological well-being of women during pregnancy: Replication and extension. Journal of Social Behavior & Personality, 11, 127–140.
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