The Before Baby Relationship Checkup: A Couples-Based Intervention to Reduce Relationship Risk Factors for Perinatal Mood and Anxiety Disorders
Abstract
Relationship conflict and lack of partner support are risk factors for perinatal mood and anxiety disorders. An intervention to strengthen couples' relationships before birth may reduce relationship risk factors for perinatal mood and anxiety disorders, though no research has explored this to date. The aims of this Stage 1 open-series non-experimental proof of concept study were to adapt the 'Marriage Checkup', an evidence-based intervention for relationship distress, as a preventative intervention for perinatal mood and anxiety disorders and to assess its feasibility and acceptability. Pregnant women receiving care at a university-based obstetric practice, and their partners, were recruited. Ten couples participated in the Before Baby Relationship Checkup, a personalized relationship health service offered in the obstetric clinic. Quantitative and qualitative data gathered suggests the intervention is feasible to implement in an obstetric setting, and acceptable to perinatal couples. Specific adaptations to the Marriage Checkup for perinatal couples are warranted and further testing is needed to evaluate efficacy.
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The Before Baby Relationship Checkup demonstrated feasibility and acceptability in a pilot with couples in an obstetric clinic.
“Further, the MC was recently adapted to prevent perinatal mood and anxiety and piloted as the Before Baby Relationship Checkup to couples in an obstetric clinic, with preliminary results demonstrating its feasibility and acceptability [102].”
From Trajectories of Maternal and Paternal Internalizing Symptoms from Pregnancy to 2 Years Postpartum: Identifying Modifiable Risk and Protective Factors (2024) · cites this paper as [102]
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Laifer, L. M., Ramsdell, E. L., Stasik-O’Brien, S. M., Martin, R. C. B., & Brock, R. L. (2024) · Depression and Anxiety · doi:10.1155/2024/5164261
- Authors
- Darling, E. V., Byatt, N., Maher, E. L., Gray, T. D., Simas, T. A. M., & Cordova, J. V.
- Affiliations
- Clark University (US)
- University of Massachusetts Chan Medical School (US)
- Corresponding author
- Darling, Ellen V.
- Venue
- Journal of Clinical Psychology in Medical Settings
- Published
- 2021-10-06
- Volume
- 29
- Issue
- 2
- Pages
- 295-309
- ISSN
- 1068-9583 (ISSN-L)
- 1573-3572
- OpenAlex
- W3204219875
- Cited by
- 17
- References
- 71
- Citations by year
- 2026: 6 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 4
- FWCI
- 2.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology in Medical Settings (publishedVersion)
- PubMed (publishedVersion)
- Clark Digital Commons (Clark University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- perinatal mood and anxiety disorders, couple-based interventions, relationship conflict, partner support, preventive interventions, pregnant women, obstetric care, feasibility and acceptability, relational health
- MeSH terms
- Affect, Anxiety Disorders, Female, Humans, Pregnancy, Surveys and Questionnaires, Risk Factors, Parturition
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