Implications of coping repertoire as predictors of men's stress, anxiety and depression following pregnancy, childbirth and miscarriage: a longitudinal study
Abstract
The long-term implication of how men cope during a partner's pregnancy, at childbirth or following miscarriage has not received attention. This study aims to examine if men's coping response during pregnancy, at childbirth, or miscarriage predict psychological outcomes at the time of childbirth/miscarriage or 1 year later, and to establish whether there are any changes in men's coping repertoire. Utilizing a longitudinal design, 384 volunteer expectant fathers, participated by completing measures of stress, anxiety, depression and coping during their partner's pregnancy, following childbirth or miscarriage, and 1 year later. Findings indicated, at the time of childbirth/miscarriage, increases on all psychological outcomes compared to during the pregnancy, which then decreased at 1-year. During pregnancy, men relied more on approach-orientated coping, changing at pregnancy outcome to avoidant-orientated strategies. Regression revealed the best predictor of psychological outcome, in the long-term, was coping response at pregnancy outcome. However each psychological outcome had its own predictive path, varying depending on pregnancy outcome; supporting the concept that coping responses are situationally specific, changing depending on the event examined. How men cope with each aspect of their reproductive experiences may have implications for the provision of support they offer their partner, and the support they themselves need.
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Following pregnancy loss and neonatal death, studies suggest that men may engage in more instrumental grieving styles.
“Following pregnancy loss and neonatal death, studies suggest that men may engage in more instrumental grieving styles, which includes using activities, distraction or problem-solving approaches to grief, as opposed to intuitive styles which use emotion-focused approaches including outward displays of crying, talking about grief, or seeking social support [9, 16, 28–35].”
From Factors contributing to men’s grief following pregnancy loss and neonatal death: further development of an emerging model in an Australian sample (2021) · cites this paper as [35]
In studies of men whose partners were pregnant following a loss, anxiety and depressive symptoms tended to be high antenatally but were likely to subside postnatally.
“The studies which examined men whose partners were pregnant following a loss indicated similar results, in that anxiety and depressive symptoms tended to be high antenatally but these were likely to subside postnatally [31–33].”
From The impact of pregnancy loss on men’s health and wellbeing: a systematic review (2017) · cites this paper as [33]
Men were typically hesitant to disclose their feelings after pregnancy loss.
“men were typically hesitant to disclose their feelings”
From The impact of pregnancy loss on men’s health and wellbeing: a systematic review (2017) · cites this paper as [33]
Men utilised varying coping strategies, including focusing on work as a distraction, after pregnancy loss.
“utilised varying coping strategies, including focusing on work as a distraction [23–25, 33–36].”
From The impact of pregnancy loss on men’s health and wellbeing: a systematic review (2017) · cites this paper as [33]
Men had difficulty accessing support after pregnancy loss.
“had difficulty accessing support”
From The impact of pregnancy loss on men’s health and wellbeing: a systematic review (2017) · cites this paper as [33]
Men had elevated results on avoidance scales after pregnancy loss.
“had elevated results on avoidance scales”
From The impact of pregnancy loss on men’s health and wellbeing: a systematic review (2017) · cites this paper as [33]
Relatively few quantitative or qualitative studies recruited only fathers, or aimed specifically to explore men's experiences of loss.
“Relatively few quantitative [18, 25, 27, 32, 33, 35] or qualitative studies [10, 42–45, 47] recruited only fathers, or aimed specifically to explore men’s experiences of loss.”
From The impact of pregnancy loss on men’s health and wellbeing: a systematic review (2017) · cites this paper as [33]
The inference of men's behaviour and emotions from female partners' reports is due in part to a socio-cultural belief that men may be less willing to communicate and that pregnancy loss has a greater impact on women.
“due in part to a socio-cultural belief that men may be less willing to communicate and that pregnancy loss has a greater impact on women [33].”
From The impact of pregnancy loss on men’s health and wellbeing: a systematic review (2017) · cites this paper as [33]
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Obst, K. L., Oxlad, M., Due, C., & Middleton, P. (2021) · Figshare · doi:10.6084/m9.figshare.13545679
Pregnancy loss and posttraumatic stress symptoms: PTSD symptom clusters and sex differences
Wamser‐Nanney, R. A., & Ferro, R. (2026) · European Journal of Trauma & Dissociation · doi:10.1016/j.ejtd.2026.100725
- Authors
- Johnson, M. P., & Baker, S. R.
- Affiliations
- University of Newcastle Australia (AU)
- Keele University (GB)
- ORCID
- Baker, Sarah R.
- Venue
- Journal of Psychosomatic Obstetrics & Gynecology
- Publisher
- Informa UK Limited
- Published
- 2004-01
- Volume
- 25
- Issue
- 2
- Pages
- 87-98
- ISSN
- 0167-482X (ISSN-L)
- 1743-8942
- OpenAlex
- W2068661093
- Cited by
- 67
- References
- 39
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 6 · 2014: 2 · 2013: 5 · 2012: 3
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Obstetrics & Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Demography › Family Dynamics and Relationships
- Keywords
- expectant fathers, pregnancy, childbirth, miscarriage, paternal stress, paternal anxiety, paternal depression, approach-avoidance coping, coping repertoire, partner support, reproductive experience
- MeSH terms
- Abortion, Spontaneous, Adaptation, Psychological, Adolescent, Adult, Anxiety, Female, Follow-Up Studies, Humans, Interpersonal Relations, Labor, Obstetric, Life Change Events, Male, Middle Aged, Predictive Value of Tests, Pregnancy, Surveys and Questionnaires, Severity of Illness Index, Stress, Psychological, Time Factors, Reproducibility of Results, Depression, Postpartum
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