The impact of exclusion due to COVID-19 restrictions on partners' satisfaction with Swedish hospital postnatal ward care: A multi-methods approach.

BACKGROUND: To prevent the spread of SARS-CoV-2, hospitals around the world adopted protocols that, in varying ways, resulted in the exclusion of partners from hospital postnatal care wards. The objective of this study was to examine the effect this exclusion had on partners' satisfaction with postnatal care. METHODS: An online survey (the Swedish Pregnancy Panel) including free-text comments was conducted before and during the first wave of the COVID-19 pandemic; partners of pregnant women were recruited at an early ultrasound appointment and followed until 2 months after childbirth. Data were linked to the Swedish Pregnancy Register. RESULTS: The survey was completed by 524 partners of women who gave birth during the pandemic and 203 partners of women who gave birth before. Partners' satisfaction with hospital postnatal care dropped 29.8 percent (-0.94 OLS, 95% CI = -1.17 to -0.72). The drop was largest for partners of first-time mothers (-1.40 OLS, 95% CI = -1.69 to -1.11), but unrelated to clinical outcomes such as mode of birth and most social backgrounds, except higher income. The qualitative analysis showed that partners (1) felt excluded as partners and parents, (2) thought the strain on staff led to deficiencies in the care provided, and (3) perceived the decision about partner restrictions as illogical. CONCLUSIONS: The exclusion of partners from the hospital postnatal wards clearly impaired satisfaction with care, and partners of first-time mothers were particularly affected. Planning for future restrictions on partners from hospital wards should factor in these consequences.

A Longitudinal Dyadic Study of Six Leisure Activities in Swedish Couples During the Transition to Parenthood.

Parents are not only caregivers to their children; they also have leisure routines that can impact their own well-being. However, little is known about how leisure activities change within the context of a couple during the transition to parenthood. This study uses latent growth curve models and data from the Swedish Pregnancy Panel to examine how often 918 first-time, heterosexual couples participated in six leisure activities from around pregnancy week 19 to one year postpartum. Compared to fathers, mothers less frequently exercised and listened to news, and more frequently read newspapers, spent time for themselves, and spent time with friends. Over time, mothers increased their frequency of praying to God and decreased spending time for themselves and with friends. Fathers decreased frequency of exercise. Within couples, there was a positive correlation between mothers' and fathers' frequency of engaging in leisure activities, although most changes over time were not associated. Our finding that two individuals within a couple may change their leisure activities independently of each other during the transition to parenthood can help healthcare professionals and researchers prepare expectant couples for upcoming changes (or lack thereof) and promote parent well-being. Our findings also highlight the possibility that in contexts with more state support for families, parenthood may not exacerbate gender gaps in leisure.

Expectant parents' emotions evoked by pregnancy: A longitudinal dyadic analysis of couples in the Swedish Pregnancy Panel.

RATIONALE: Holistic antenatal care requires knowledge of individuals' emotional response to pregnancy. Little is known about how a pregnant woman and her partner influence each other emotionally during a pregnancy. OBJECTIVE: This study examines six discrete emotions that expectant couples experience during pregnancy, how these emotions change mid-to late-pregnancy, and whether the partners' emotional responses influence each other. METHODS: A longitudinal dyadic study where pregnant women and their partners (1432 couples) rated the extent to which the pregnancy evoked joy, strength, security, worry, shame, and anger at pregnancy week 12-19, 22-24, and 36. Latent curve models with structured residuals identify levels of and change in these emotions over time, while accounting for between- and within-couple variance. RESULTS: Pregnancy evoked mainly joy, strength, security, and worry, and lower levels of anger and shame. Pregnant women and partners felt similar levels of joy, strength, and security, but pregnant women felt more worry, shame, and anger. There was little to no mean-level change in all six measured emotions evoked by pregnancy (between-couple change), and no reciprocal effects between the partners (within-couple change). CONCLUSIONS: Emotions in mid-pregnancy were also felt in late pregnancy. Furthermore, the pregnant woman and her partner have individual emotional trajectories. The results can assist healthcare professionals and researchers target interventions to expectant mothers and partners, specifically by understanding emotional response to pregnancy as a stable confound and by not approaching the couple as one emotional unit.

Examining correlates of feeding practices among parents of preschoolers.

Background: Parent feeding practices play a critical role in children's eating behaviors. Limited research has explored child-level correlates of parent feeding practices. Aim: To identify correlates of feeding practices (responsive and controlling) among parents of preschoolers US. Methods: Participants included parents (n = 273) of preschoolers (3-5 years), recruited from Early Care and Education settings (n = 24) located in a metropolitan city in the US. Analysis included descriptives, correlations, and multiple regression. Results: For responsive feeding practices, positive associations included child's weight with unintentional modeling (ß = .17, 95% CI [0.12, 0.53]), child vegetable consumption with behavioral role modeling (ß = 0.22, 95% CI [0.17, 0.44]), and parent monitoring with verbal modeling (ß = 0.21, 95% CI [0.12, 0.34]). For controlling feeding practices, parent restriction was positively associated with child weight concern (ß = 0.22, 95% CI [0.13, 0.39]) and parent monitoring (ß = 0.13, 95% CI [0.01, 0.19]), whereas child vegetable consumption was negatively associated (ß = -0.16, 95% CI [-0.27, -0.05]). Pressure to eat was negatively associated with child weight concern (ß = -0.18, 95% CI [-0.45, -0.09]), child fruit consumption (ß = -0.12, 95% CI [-0.37, -0.01]), household income (ß = -0.13, 95% CI [-0.30, -0.02]), and parent weight (ß = -0.14, 95% CI [-0.60, -0.05]), Conclusions: Findings highlight the importance of child characteristics when examining correlates of parent feeding practices, demonstrating bidirectional interactions between parent feeding practices and children's eating behaviors. Considering child-level correlates may improve the implementation of responsive feeding practices and reduce controlling feeding practices.

Mothers' Perceptions of the Climate of Their Children's Schools: Covariations With Children's Academic Adjustment in Families of Mexican Origin.

Although Latinx parents' perceptions of the climate of their children's schools may play a role in their children's academic adjustment, research examining this idea is sparse. Every 2 years beginning when children were in fifth grade (Mage  = 10.86 years) until they were in 11th grade, Mexican-origin mothers (N = 674) reported on their perceptions of the climate of their children's schools; information on children's academic adjustment was collected from children and mothers. Multilevel modeling indicated that when mothers had more positive school climate perceptions, their children valued school more and performed better in school, but did not necessarily hold higher educational expectations. The findings suggest the importance of schools in creating welcoming environments for Mexican-origin parents.

Are self-esteem and academic achievement reciprocally related? Findings from a longitudinal study of Mexican-origin youth.

OBJECTIVE: Previous research has shown that self-esteem is associated with academic achievement. However, few studies have used longitudinal data to examine how self-esteem and achievement co-develop over a long time span, and even fewer have focused on ethnic minority youth. METHOD: We used data from a longitudinal study of Mexican-origin youth (N = 674) to examine the bidirectional associations between self-esteem and academic achievement from 5th to 11th grade. Global and domain-specific self-esteem (academic, honesty, peer relationships, appearance) were assessed at ages 10, 12, 14, and 16 using Marsh et al.'s (2005) Self-Description Questionnaire. Academic achievement was assessed at the same ages using self-reported grades and standardized test scores from school records. RESULTS: Youth with high global and academic self-esteem showed relative improvements in their grades (but not test scores), and youth who received higher grades and test scores showed relative increases in global and academic self-esteem. Youth with high honesty self-esteem showed relative increases in grades and test scores, and youth with higher grades showed relative increases in peer relationship self-esteem. CONCLUSION: Students who feel better about themselves tend to show improvements in their grades, and getting better grades and test scores promotes more positive self-views.

The codevelopment of effortful control and school behavioral problems.

Effortful control refers to the propensity to regulate one's impulses and behaviors, to focus and shift attention easily, and to motivate the self toward a goal when there are competing desires. Although it seems likely that these capacities are relevant to successful functioning in the school context, there has been surprisingly little longitudinal research examining whether youth with poor effortful control are more likely to act out in the classroom, get suspended, and skip school. Conversely, there is even less research on whether youth who exhibit these school behavioral problems are more likely to decline over time in effortful control. We used multimethod data from a longitudinal study of Mexican-origin youth (N = 674), assessed biennially from 5th to 11th grade, to examine the codevelopment of effortful control and school behavioral problems. Bivariate latent growth curve models revealed a negative association between the trajectories of effortful control and school behavioral problems, indicating that steeper decreases in effortful control were related to steeper increases in school behavioral problems. Furthermore, this codevelopmental pattern was bidirectional; cross-lagged regression analyses showed that low effortful control was associated with relative increases in school behavioral problems, and school behavioral problems were associated with relative decreases in effortful control. Gender, nativity status, Mexican cultural values, and school-level antisocial behavior had concurrent associations with effortful control and school behavioral problems, but they did not moderate the codevelopmental pathways. We discuss the theoretical implications for personality development, as well as the practical implications for reducing school behavioral problems during adolescence. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Developmental Precursors of Relational Aggression From Late Childhood Through Adolescence.

Relational aggression-a psychological form of aggression-has numerous negative consequences for physical and emotional health. However, little is known about the risk factors that lead youth to engage in relational aggression. Using multimethod data from a longitudinal research of 674 Mexican-origin youth, this study examined the influence of parents, siblings, and peers on the development of relational aggression. Increases in relational aggression from age 10 to 16 were associated with: (a) low levels of parental monitoring and (b) increased association with deviant peers and siblings. These results held across gender and nativity status. The findings suggest that multiple socialization agents contribute to the development of relational aggression. We discuss the practical implications for reducing relational aggression during adolescence.