Abstract
Women’s postpartum depression is the most common mental illness following childbirth. In the present study, we aimed to examine the association between intimacy and postnatal depression and to explain it through the mediating role of maternal self-efficacy. We also aimed to explore if the partner’s job stress moderates the proposed mediation model. Between November 1 and December 31, 2019, a sample of 85 couples of first-time parents, having a child aged 1–12 months, participated in this non-experimental cross-sectional study. Mothers completed measures of intimacy, maternal self-efficacy, postpartum depression, and religiosity, while fathers completed scales of job stress and religiosity. The results indicated that: (1) intimacy is negatively associated with postpartum depression, the regression analyses confirming that greater intimacy predicts lower levels of postpartum depression; (2) maternal self-efficacy partially mediates the relationship between intimacy and postpartum depression, (3) partner’s job stress moderates the link between intimacy and maternal self-efficacy, and (4) maternal religiosity and partner’s religiosity represent significative covariates of the moderated mediation model. The findings suggest that therapists should pay close attention to intimacy and variables that mediate and moderate its relationship with postnatal depression, maternal self-efficacy and partner’s job stress, to improve first-time mothers’ mental health.
Highlights
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The prevalence of women’s postpartum depression has grown in the last decades.
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The relationship between intimacy and postpartum depression is understudied.
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Maternal self-efficacy mediates the relationship between intimacy and postpartum depression.
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Father’s job stress moderates the link between intimacy and maternal self-efficacy.
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References
American Psychiatric Association, & American Psychiatric Association (Ed.) (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed). Washington, DC: American Psychiatric Association.
Banaei, M., Alidost, F., Ghasemi, E., & Dashti, S. (2020). A comparison of sexual function in primiparous and multiparous women. Journal of Obstetrics and Gynaecology, 40(3), 411–418. https://doi.org/10.1080/01443615.2019.1640191.
Barnes, C. R., & Adamson-Macedo, E. N. (2007). Perceived Maternal Parenting Self-Efficacy (PMP S-E) tool: Development and validation with mothers of hospitalized preterm neonates. Journal of Advanced Nursing, 60(5), 550–560. https://doi.org/10.1111/j.1365-2648.2007.04445.x.
Beck, C. T. (2008). State of the Science on Postpartum Depression: What Nurse Researchers Have Contributed Part 1. MCN, The American Journal of Maternal/Child Nursing, 33(2), 121–126. https://doi.org/10.1097/01.NMC.0000313421.97236.cf.
Bender, S. S., Sveinsdóttir, E., & Fridfinnsdóttir, H. (2018). “You stop thinking about yourself as a woman.” An interpretive phenomenological study of the meaning of sexuality for Icelandic women during pregnancy and after birth. Midwifery, 62, 14–19. https://doi.org/10.1016/j.midw.2018.03.009.
Bloch, M., Schmidt, P. J., Danaceau, M., Murphy, J., Nieman, L., & Rubinow, D. R. (2000). Effects of gonadal steroids in women with a history of postpartum depression. The American Journal of Psychiatry, 157(6), 924–930. https://doi.org/10.1176/appi.ajp.157.6.924.
Bolger, N., DeLongis, A., Kessler, R. C., & Wethington, E. (1989). The Contagion of Stress across Multiple Roles. Journal of Marriage and the Family, 51(1), 175 https://doi.org/10.2307/352378.
Brown, G. W., & Harris, T. (1978). Social origins of depression: a reply. Psychological Medicine, 8(4), 577–588. https://doi.org/10.1017/S0033291700018791.
Cheadle, A. C. D., & Dunkel Schetter, C. (2017). Untangling the mechanisms underlying the links between religiousness, spirituality, and better health. Social and Personality Psychology Compass, 11(2), e12299 https://doi.org/10.1111/spc3.12299.
Cheadle, A. C. D., & Dunkel Schetter, C., The Community Child Health Network (CCHN). (2018). Mastery, self-esteem, and optimism mediate the link between religiousness and spirituality and postpartum depression. Journal of Behavioral Medicine, 41(5), 711–721. https://doi.org/10.1007/s10865-018-9941-8.
Clements, A. D., Fletcher, T. R., Childress, L. D., Montgomery, R. A., & Bailey, B. A. (2016). Social support, religious commitment, and depressive symptoms in pregnant and postpartum women. Journal of Reproductive and Infant Psychology, 34(3), 247–259. https://doi.org/10.1080/02646838.2016.1152626.
Constant, E., Vallet, F., Nandrino, J. L., & Christophe, V. (2016). Personal assessment of intimacy in relationships: Validity and measurement invariance across gender. European Review of Applied Psychology, 66(3), 109–116. https://doi.org/10.1016/j.erap.2016.04.008.
Cooklin, A. R., Giallo, R., Strazdins, L., Martin, A., Leach, L. S., & Nicholson, J. M. (2015). What matters for working fathers? Job characteristics, work-family conflict and enrichment, and fathers’ postpartum mental health in an Australian cohort. Social Science & Medicine, 146, 214–222. https://doi.org/10.1016/j.socscimed.2015.09.028.
Costa, E. C. V., Castanheira, E., Moreira, L., Correia, P., Ribeiro, D., & Graça Pereira, M. (2020). Predictors of emotional distress in pregnant women: The mediating role of relationship intimacy. Journal of Mental Health, 29(2), 152–160. https://doi.org/10.1080/09638237.2017.1417545.
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of Postnatal Depression: development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150(6), 782–786. https://doi.org/10.1192/bjp.150.6.782.
Cox, J. L., & Holden, J. M. (2003). Perinatal mental health: A guide to the Edinburgh Postnatal Depression Scale (EPDS). London: Royal College of Psychiatrists.
Cutrona, C. E., & Troutman, B. R. (1986). Social Support, Infant Temperament, and Parenting Self-Efficacy: A Mediational Model of Postpartum Depression. Child Development, 57(6), 1507 https://doi.org/10.2307/1130428.
Dankner, R., Goldberg, R. P., Fisch, R. Z., & Crum, R. M. (2000). Cultural elements of postpartum depression. A study of 327 Jewish Jerusalem women. Journal of Reproductive Medicine for the Obstetrician and Gynecologist, 45(2), 97–104.
Dennis, C. L., & Letourneau, N. (2007). Global and relationship-specific perceptions of support and the development of postpartum depressive symptomatology. Social Psychiatry and Psychiatric Epidemiology, 42(5), 389–395. https://doi.org/10.1007/s00127-007-0172-5.
Dinh, H., Martin, A., Leach, L., Strazdins, L., Nicholson, J., Allen, T., & Cooklin, A. (2021). Is self-employment a good option? Gender, parents and the work-family interface. Sex Roles, 84(11), 731–746. https://doi.org/10.1007/s11199-020-01195-1.
Duan, Z., Wang, Y., Jiang, P., Wilson, A., Guo, Y., Lv, Y., Yang, X., Yu, R., Wang, S., Wu, Z., Xia, M., Wang, G., Tao, Y., Xiaohong, L., Ma, L., Shen, H., Sun, J., Deng, W., Yang, Y., & Chen, R. (2020). Postpartum depression in mothers and fathers: a structural equation model. BMC Pregnancy and Childbirth, 20(1), 537 https://doi.org/10.1186/s12884-020-03228-9.
Easterbrooks, M. A., Cummings, E. M., & Emde, R. N. (1994). Young children’s responses to constructive marital disputes. Journal of Family Psychology, 8(2), 160–169. https://doi.org/10.1037/0893-3200.8.2.160.
Fathi, F., Mohammad-Alizadeh-Charandabi, S., & Mirghafourvand, M. (2018). Maternal self-efficacy, postpartum depression, and their relationship with functional status in Iranian mothers. Women & Health, 58(2), 188–203. https://doi.org/10.1080/03630242.2017.1292340.
Galea, L. A. M., & Frokjaer, V. G. (2019). Perinatal Depression: Embracing Variability toward Better Treatment and Outcomes. Neuron, 102(1), 13–16. https://doi.org/10.1016/j.neuron.2019.02.023.
Gao, L., Luo, S., & Chan, S. W. (2012). Interpersonal psychotherapy-oriented program for Chinese pregnant women: Delivery, content, and personal impact: Interpersonal psychotherapy-oriented program. Nursing & Health Sciences, 14(3), 318–324. https://doi.org/10.1111/j.1442-2018.2012.00722.x.
Gao, L., Sun, K., & Chan, S. W. (2014). Social support and parenting self-efficacy among Chinese women in the perinatal period. Midwifery, 30(5), 532–538. https://doi.org/10.1016/j.midw.2013.06.007.
Gelaye, B., Rondon, M. B., Araya, R., & Williams, M. A. (2016). Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. The Lancet Psychiatry, 3(10), 973–982. https://doi.org/10.1016/S2215-0366(16)30284-X.
Giallo, R., D’Esposito, F., Christensen, D., Mensah, F., Cooklin, A., Wade, C., Lucas, N., Canterford, L., & Nicholson, J. M. (2012). Father mental health during the early parenting period: Results of an Australian population based longitudinal study. Social Psychiatry and Psychiatric Epidemiology, 47(12), 1907–1916. https://doi.org/10.1007/s00127-012-0510-0.
Goldberg, W. A., Clarke-Stewart, K. A., Rice, J. A., & Dellis, E. (2002). Emotional Energy as an Explanatory Construct for Fathers’ Engagement with Their Infants. Parenting, 2(4), 379–408. https://doi.org/10.1207/S15327922PAR0204_03.
Goodman, W. B., Crouter, A. C., Lanza, S. T., Cox, M. J., & Vernon-Feagans, L., The Family Life Project Key Investigators. (2011). Paternal Work Stress and Latent Profiles of Father-Infant Parenting Quality. Journal of Marriage and Family, 73(3), 588–604. https://doi.org/10.1111/j.1741-3737.2011.00826.x.
Hahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018). Economic and Health Predictors of National Postpartum Depression Prevalence: A Systematic Review, Meta-analysis, and Meta-Regression of 291 Studies from 56 Countries. Frontiers in Psychiatry, 8, 248 https://doi.org/10.3389/fpsyt.2017.00248.
Harwood, K., McLean, N., & Durkin, K. (2007). First-time mothers’ expectations of parenthood: What happens when optimistic expectations are not matched by later experiences. Developmental Psychology, 43(1), 1–12. https://doi.org/10.1037/0012-1649.43.1.1.
Hayes, A. F. (2015). An Index and Test of Linear Moderated Mediation. Multivariate Behavioral Research, 50(1), 1–22. https://doi.org/10.1080/00273171.2014.962683.
Hayes, A.F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York, NY: The Guilford Press.
Hill, P. C., & Pargament, K. I. (2003). Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. American Psychologist, 58(1), 64–74. https://doi.org/10.1037/0003-066X.58.1.64.
Jones, T. L., & Prinz, R. J. (2005). Potential roles of parental self-efficacy in parent and child adjustment: a review. Clinical Psychology Review, 25(3), 341–363. https://doi.org/10.1016/j.cpr.2004.12.004.
Karl, M., Schaber, R., Kress, V., Kopp, M., Martini, J., Weidner, K., & Garthus-Niegel, S. (2020). Precarious working conditions and psychosocial work stress act as a risk factor for symptoms of postpartum depression during maternity leave: results from a longitudinal cohort study. BMC Public Health, 20(1), 1505 https://doi.org/10.1186/s12889-020-09573-w.
Koury, A. J., Dynia, J., Dore, R., Logan, J. A. R., Purtell, K. M., Joy, E., & Salsberry, P. (2020). Food Insecurity and Depression among Economically Disadvantaged Mothers: Does Maternal Efficacy Matter. Applied Psychology: Health and Well-Being, 12(2), 432–448. https://doi.org/10.1111/aphw.12191.
Langan, R. C., & Goodbred, A. J. (2016). Identification and Management of PeripartumDepression. American Family Physician, 93(10), 852–858.
Laurenceau, J.-P., Barrett, L. F., & Rovine, M. J. (2005). The Interpersonal Process Model of Intimacy in Marriage: A Daily-Diary and Multilevel Modeling Approach. Journal of Family Psychology, 19(2), 314–323. https://doi.org/10.1037/0893-3200.19.2.314.
Lee, S., Rhie, S., & Chae, K. Y. (2013). Depression and marital intimacy level in parents of infants with sleep onset association disorder: a preliminary study on the effect of sleep education. Korean Journal of Pediatrics, 56(5), 211 https://doi.org/10.3345/kjp.2013.56.5.211.
Levinger, G., & Huston, T. L. (1990). The social psychology of marriage. In F. D. Fincham & T. N. Bradbury (Eds.), The psychology of marriage: Basic issues and applications, 19–58, New York: Guilford Press.
Małus, A., Szyluk, J., Galińska-Skok, B., & Konarzewska, B. (2016). Incidence of postpartum depression and couple relationship quality. Psychiatria Polska, 50(6), 1135–1146. https://doi.org/10.12740/PP/61569.
Mamun, A. A., Clavarino, A. M., Najman, J. M., Williams, G. M., O’Callaghan, M. J., & Bor, W. (2009). Maternal Depression and the Quality of Marital Relationship: A 14-Year Prospective Study. Journal of Women’s Health, 18(12), 2023–2031. https://doi.org/10.1089/jwh.2008.1050.
Mann, J. R., McKeown, R. E., Bacon, J., Vesselinov, R., & Bush, F. (2007). Religiosity, Spirituality, and Depressive Symptoms in Pregnant Women. The International Journal of Psychiatry in Medicine, 37(3), 301–313. https://doi.org/10.2190/PM.37.3.g.
McDonald, E., Woolhouse, H., & Brown, S. J. (2017). Sexual pleasure and emotional satisfaction in the first 18 months after childbirth. Midwifery, 55, 60–66. https://doi.org/10.1016/j.midw.2017.09.002.
Meijer, A. M., & van den Wittenboer, G. L. H. (2007). Contribution of infants’ sleep and crying to marital relationship of first-time parent couples in the 1st year after childbirth. Journal of Family Psychology, 21(1), 49–57. https://doi.org/10.1037/0893-3200.21.1.49.
Merrifield, K. A., & Gamble, W. C. (2013). Associations Among Marital Qualities, Supportive and Undermining Coparenting, and Parenting Self-Efficacy: Testing Spillover and Stress-Buffering Processes. Journal of Family Issues, 34(4), 510–533. https://doi.org/10.1177/0192513X12445561.
Minnotte, K. L. (2014). Extending the job demands-resources model: predicting perceived parental success among dual-earners. Journal of Family Issues, 37(3), 416–440. https://doi.org/10.1177/0192513X13518777.
Moore, M. J. C., & Buehler, C. (2011). Parents’ divorce proneness: the influence of adolescent problem behaviors and parental efficacy. Journal of Social and Personal Relationships, 28(5), 634–652. https://doi.org/10.1177/0265407510386991.
Mulsow, M., Caldera, Y. M., Pursley, M., Reifman, A., & Huston, A. C. (2002). Multilevel Factors Influencing Maternal Stress During the First Three Years. Journal of Marriage and Family, 64(4), 944–956. https://doi.org/10.1111/j.1741-3737.2002.00944.x.
Neff, L. A., & Karney, B. R. (2007). Stress Crossover in Newlywed Marriage: a Longitudinal and Dyadic Perspective. Journal of Marriage and Family, 69(3), 594–607. https://doi.org/10.1111/j.1741-3737.2007.00394.x.
Nezhad, M. Z., & Goodarzi, A. M. (2011). Sexuality, Intimacy, and Marital Satisfaction in Iranian First-Time Parents. Journal of Sex & Marital Therapy, 37(2), 77–88. https://doi.org/10.1080/0092623X.2011.547336.
Ngai, F.-W., Chan, S. W., & Holroyd, E. (2011). Chinese primiparous women’s experiences of early motherhood: Factors affecting maternal role competence: Chinese primiparous women’s experiences of early motherhood. Journal of Clinical Nursing, 20(9–10), 1481–1489. https://doi.org/10.1111/j.1365-2702.2010.03415.x.
Nomaguchi, K., & Johnson, W. (2016). Parenting stress among low-income and working-class fathers: the role of employment. Journal of family issues, 37(11), 1535–1557. https://doi.org/10.1177/0192513X14560642.
Odinka, J. I., Nwoke, M., Chukwuorji, J. C., Egbuagu, K., Mefoh, P., Odinka, P. C., Amadi, K. U., & Muomah, R. C. (2018). Post-partum depression, anxiety and marital satisfaction: a perspective from Southeastern Nigeria. South African Journal of Psychiatry, 24. https://doi.org/10.4102/sajpsychiatry.v24i0.1109.
Pedrini, L., Ferrari, C., & Ghilardi, A. (2019). Psychometric properties of the Italian perceived maternal parenting self-efficacy (PMP SE). Journal of Clinical Psychology in Medical Settings, 26(2), 173–182. https://doi.org/10.1007/s10880-018-9578-3.
Perlman, D., & Fehr, B. (1987). The development of intimate relationships. In D. Perlman & S. Duck (Eds.), Intimate relationships: Development, dynamics, and deterioration (13–42). Newbury Park, CA: Sage Publications, Inc.
Perry-Jenkins, M., Goldberg, A. E., Pierce, C. P., & Sayer, A. G. (2007). Shift Work, Role Overload, and the Transition to Parenthood. Journal of Marriage and Family, 69(1), 123–138. https://doi.org/10.1111/j.1741-3737.2006.00349.x.
Perry-Jenkins, M., Smith, J. Z., Goldberg, A. E., & Logan, J. (2011). Working-Class Jobs and New Parents’ Mental Health. Journal of Marriage and Family, 73(5), 1117–1132. https://doi.org/10.1111/j.1741-3737.2011.00871.x.
Pitt, B. (1968). “Atypical” Depression Following Childbirth. British Journal of Psychiatry, 114(516), 1325–1335. https://doi.org/10.1192/bjp.114.516.1325.
Planalp, E. M., Braungart-Rieker, J. M., Lickenbrock, D. M., & Zentall, S. R. (2013). Trajectories of Parenting During Infancy: The Role of Infant Temperament and Marital Adjustment for Mothers and Fathers. Infancy, 18, E16–E45. https://doi.org/10.1111/infa.12021.
Pollock, M. A., Amankwaa, L. C., & Amankwaa, A. A. (2005). First-Time Fathers and Stressors in the Postpartum Period. Journal of Perinatal Education, 14(2), 19–25. https://doi.org/10.1624/105812405X44682.
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717–731. https://doi.org/10.3758/BF03206553.
Rauch-Anderegg, V., Kuhn, R., Milek, A., Halford, W. K., & Bodenmann, G. (2020). Relationship Behaviors across the Transition to Parenthood. Journal of Family Issues, 41(4), 483–506. https://doi.org/10.1177/0192513X19878864.
Repetti, R., & Wang, S. W. (2017). Effects of job stress on family relationships. Current Opinion in Psychology, 13, 15–18. https://doi.org/10.1016/j.copsyc.2016.03.010.
Rhoades, K. A., Leve, L. D., Harold, G. T., Neiderhiser, J. M., Shaw, D. S., & Reiss, D. (2011). Longitudinal pathways from marital hostility to child anger during toddlerhood: Genetic susceptibility and indirect effects via harsh parenting. Journal of Family Psychology, 25(2), 282–291. https://doi.org/10.1037/a0022886.
Rusu, P. P. (2018). Religiozitatea în relaţiile de cuplu şi de familie. Cluj Napoca: Editura ASCR.
Rusu, P. P., Hilpert, P., Beach, S. R., Turliuc, M. N., & Bodenmann, G. (2015). Dyadic coping mediates the association of sanctification with marital satisfaction and well-being. Journal of Family Psychology, 29(6), 843 https://doi.org/10.1037/fam0000108.
Sacher, J., Chechko, N., Dannlowski, U., Walter, M., & Derntl, B. (2020). The peripartum human brain: current understanding and future perspectives. Frontiers in Neuroendocrinology, 59, 100859 https://doi.org/10.1016/j.yfrne.2020.100859.
Sandor, S., & Popescu, M. (2008). Religiosity and Values in Romania. Transylvanian Review Of Administrative Sciences, 4(22), 171–180. https://rtsa.ro/tras/index.php/tras/article/viewFile/387/377
Schaefer, M. T., & Olson, D. H. (1981). Assessing intimacy: the pair inventory. Journal of Marital and Family Therapy, 7(1), 47–60. https://doi.org/10.1111/j.1752-0606.1981.tb01351.x.
Scheinkman, M. (2019). Intimacies: An Integrative Multicultural Framework for Couple Therapy. Family Process, 58(3), 550–568. https://doi.org/10.1111/famp.12444.
Schweitzer, R. D., Logan, G. P., & Strassber, D. (1992). The Relationship Between Marital Intimacy and Postnatal Depression. Australian Journal of Marriage and Family, 13(1), 19–23. https://doi.org/10.1080/1034652X.1992.11004441.
Shorey, S., Chan, S. W.-C., Chong, Y. S., & He, H.-G. (2014). Maternal parental self-efficacy in newborn care and social support needs in Singapore: a correlational study. Journal of Clinical Nursing, 23(15–16), 2272–2283. https://doi.org/10.1111/jocn.12507.
Shorey, S., Chan, S. W.-C., Chong, Y. S., & He, H.-G. (2015). Predictors of Maternal Parental Self-Efficacy Among Primiparas in the Early Postnatal Period. Western Journal of Nursing Research, 37(12), 1604–1622. https://doi.org/10.1177/0193945914537724.
Shukla, A., Srivastava, R., & Eldridge, D. (2016). Development of short questionnaire to measure an extended set of role expectation conflict, coworker support and work-life balance: the new job stress scale. Cogent Business & Management, 3(1), 1 https://doi.org/10.1080/23311975.2015.1134034.
Simionescu, A. A., & Marin, E. (2019). Postpartum depression and thyroid dysfunction–should pregnant women be screenedfor thyroid disorders?. Journal of Mind and Medical Sciences, 6(1), 103–109.
Slomian, J., Honvo, G., Emonts, P., Reginster, J.-Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: a systematic review of maternal and infant outcomes. Women’s Health, 15, 174550651984404 https://doi.org/10.1177/1745506519844044.
Smith-Nielsen, J., Matthey, S., Lange, T., & Væver, M. S. (2018). Validation of the Edinburgh Postnatal Depression Scale against both DSM-5 and ICD-10 diagnostic criteria for depression. BMC Psychiatry, 18(1), 1–12. https://doi.org/10.1186/s2888-018-1965-7.
Solomon, Z., & Bromet, E. (1982). The role of social factors in affective disorder: an assessment of the vulnerability model of Brown and his colleagues. Psychological Medicine, 12(1), 123–130. https://doi.org/10.1017/S0033291700043361.
Stavdal, M. N., Skjævestad, M. L. L., & Dahl, B. (2019). First-time parents’ experiences of proximity and intimacy after childbirth – A qualitative study. Sexual & Reproductive Healthcare, 20, 66–71. https://doi.org/10.1016/j.srhc.2019.03.003.
Stemp, P. S., Turner, R. J., & Noh, S. (1986). Psychological Distress in the Postpartum Period: the Significance of Social Support. Journal of Marriage and the Family, 48(2), 271 https://doi.org/10.2307/352394.
Stickel, S., Wagels, L., Wudarczyk, O., Jaffee, S., Habel, U., Schneider, F., & Chechko, N. (2019). Neural correlates of depression in women across the reproductive lifespan – An fMRI review. Journal of Affective Disorders, 246, 556–570. https://doi.org/10.1016/j.jad.2018.12.133.
Swami, V., Vintila, M., Goian, C., Tudorel, O., & Bucur, V. (2020). Mental health literacy of maternal and paternal postnatal depression in a community sample of Romanian adults. International Perspectives in Psychology, 9(no.3), 147–158. https://doi.org/10.1037/ipp0000130.
Teti, D. M., & Gelfand, D. M. (1991). Behavioral Competence among Mothers of Infants in the First Year: The Mediational Role of Maternal Self-Efficacy. Child Development, 62(5), 918 https://doi.org/10.2307/1131143.
Thibaut, J. W., & Kelley, H. H. (1959). The social psychology of groups. New York: John Wiley.
Tokumitsu, K., Sugawara, N., Maruo, K., Suzuki, T., Shimoda, K., & Yasui-Furukori, N. (2020). Prevalence of perinatal depression among Japanese women: a meta-analysis. Annals of General Psychiatry, 19(1), 41 https://doi.org/10.1186/s12991-020-00290-7.
Vargas-Porras, C., Roa-Díaz, Z. M., Barnes, C., Adamson-Macedo, E. N., Ferré-Grau, C., & De Molina-Fernández, M. I. (2020). Psychometric Properties of the Spanish Version of the Perceived Maternal Parenting Self-efficacy (PMP S-E) Tool for Primiparous Women. Maternal and Child Health Journal, 24(5), 537–545. https://doi.org/10.1007/s10995-019-02860-y.
Vázquez, M. B., & Míguez, M. C. (2019). Validation of the Edinburgh postnatal depression scale as a screening tool for depression in Spanish pregnant women. Journal of Affective Disorders, 246, 515–521. https://doi.org/10.1016/j.jad.2018.12.075.
Williamson, V., & McCutcheon, H. (2004). Postnatal depression: a review of current literature. Australian Midwifery, 17(4), 11–16. https://doi.org/10.1016/S1448-8272(04)80030-0.
Wisner, K. L., Moses-Kolko, E. L., & Sit, D. K. Y. (2010). Postpartum depression: a disorder in search of a definition. Archives of Women’s Mental Health, 13(1), 37–40. https://doi.org/10.1007/s00737-009-0119-9.
Wynter, K., Rowe, H., & Fisher, J. (2014). Interactions between perceptions of relationship quality and postnatal depressive symptoms in Australian, primiparous women and their partners. Australian Journal of Primary Health, 20(2), 174 https://doi.org/10.1071/PY12066.
Zhang, Y., & Jin, S. (2016). The impact of social support on postpartum depression: the mediator role of self-efficacy. Journal of Health Psychology, 21(5), 720–726. https://doi.org/10.1177/1359105314536454.
Zheng, X., Morrell, J., & Watts, K. (2018). A quantitative longitudinal study to explore factors which influence maternal self-efficacy among Chinese primiparous women during the initial postpartum period. Midwifery, 59, 39–46. https://doi.org/10.1016/j.midw.2017.12.022.
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Bogdan, I., Turliuc, M.N. Intimacy and Postpartum Depression: A Moderated Mediation Model. J Child Fam Stud 32, 3338–3349 (2023). https://doi.org/10.1007/s10826-022-02461-4
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DOI: https://doi.org/10.1007/s10826-022-02461-4