An Integrative Review of Changes of Family Relationship and Mental Health that Chinese Men Experience during Transition to Fatherhood
Authors: Mo Zhou, Samantha Ashby, Lyn Ebert
Abstract:
In China, the changes that men experience in the perinatal period are not well researched. Men are also at risk of maladaptation to parenthood. The aim of this research is to review current studies regarding changes that Chinese men experience during transitioning to parenthood. 5 databases were employed to search relevant papers. The search found 128 articles. Based on the inclusion and exclusion criteria, 35 articles were included in this integrative review. Results showed the changes that Chinese fathers experienced during the transition to parenthood can be divided into two aspects: family relationships and mental problems. During transition to parenthood, fathers usually experienced an increase in their disappointment with marital conflict resolution and decreased sexual intimacy with their partner. Mental health declined, with fathers often feeling depressed and/or anxious during this time. Some men were diagnosed with clinical depression. The predictors of these changes included three domains: personal background (age and income), family background (gender of infant, relationship status and unplanned child) and cultural background (‘doing the month’, Confucianism, policy, social support).
Keywords: China, fathers, life change, prenatal, postpartum.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.2576946
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[1] Katz-Wise SL, Priess HA, Hyde JS. Gender-role attitudes and behavior across the transition to parenthood. Developmental psychology Vol 46, No. 1, pp 18, 2010.
[2] Goldberg, A. E., & Smith, J. Z. Stigma, social context, and mental health: lesbian and gay couples across the transition to adoptive parenthood. Journal of Counseling Psychology Vol 58, pp 139, 2011.
[3] Kings CA, Knight T, Ryan D, Macdonald JA. The “sensory deprivation tank”: An interpretative phenomenological analysis of men’s expectations of first-time fatherhood. Psychology of Men & Masculinity Vol 18, No. 2, pp 112, 2017.
[4] Tyano, Sam, Miri Keren, Helen Herrman, and John Cox. Parenthood and mental health: A bridge between infant and adult psychiatry Vol. 12. John Wiley & Sons, pp 171-9, 2010.
[5] Delmore-Ko P, Pancer SM, Hunsberger B, Pratt M. Becoming a parent: The relation between prenatal expectations and postnatal experience. Journal of Family Psychology Vol 14, No. 4, pp 625, 2000
[6] Pancer SM, Pratt M, Hunsberger B, Gallant M. Thinking ahead: Complexity of expectations and the transition to parenthood. Journal of personality Vol 68, No. 2, pp 253-79, 2000.
[7] Baxter J, Hewitt B, Haynes M. Life course transitions and housework: Marriage, parenthood, and time on housework. Journal of Marriage and Family Vol 70, No. 2 pp 259-72, 2008
[8] Johnston DD, Swanson DH. Constructing the “good mother”: The experience of mothering ideologies by work status. Sex roles Vol 54, No. 7-8 pp 509-19, 2006.
[9] Kanotra S, D’Angelo D, Phares TM, Morrow B, Barfield WD, Lansky A. Challenges faced by new mothers in the early postpartum period: an analysis of comment data from the 2000 Pregnancy Risk Assessment Monitoring System (PRAMS) survey. Maternal and Child Health Journal Vol 11, No. 6 pp 549-58, 2007.
[10] Christopher K. Extensive mothering: Employed mothers’ constructions of the good mother. Gender & Society Vol 26, No. 1 pp 73-96, 2012.
[11] Hildingsson I, Thomas J. Parental stress in mothers and fathers one year after birth. Journal of reproductive and infant psychology Vol 32, No. 1 pp 41-56, 2014.
[12] Gauthreaux C, Negron J, Castellanos D, Ward-Peterson M, Castro G, de la Vega PR, Acuña JM. The association between pregnancy intendedness and experiencing symptoms of postpartum depression among new mothers in the United States, 2009 to 2011: A secondary analysis of PRAMS data. Medicine Vol 96, No. (6), 2017.
[13] Belser AB, Agin-Liebes G, Swift TC, Terrana S, Devenot N, Friedman HL, Guss J, Bossis A, Ross S. Patient experiences of psilocybin-assisted psychotherapy: an interpretative phenomenological analysis. Journal of Humanistic Psychology Vol 57, No. 4 pp 354-88, 2017.
[14] Hung CH. Predictors of postpartum women's health status. Journal of nursing scholarship Vol 36, No. 4, pp 345-51, 2004.
[15] Henwood, Karen, Joanne Procter. "The ‘good father’: Reading men's accounts of paternal involvement during the transition to first‐time fatherhood." British Journal of Social Psychology Vol 42, No.3 pp 337-355, 2003.
[16] Habib C. The transition to fatherhood: A literature review exploring paternal involvement with identity theory. Journal of Family Studies Vol 18, No. 2-3 pp 103-20, 2012.
[17] Beestin L, Hugh-Jones S, Gough B. The impact of maternal postnatal depression on men and their ways of fathering: an interpretative phenomenological analysis. Psychology & health Vol 29, No. 6, pp 717-35, 2014.
[18] Gage JD, Kirk R. First-time fathers: perceptions of preparedness for fatherhood. Canadian Journal of Nursing Research Archive Vol 34, No. 4, pp 14, 2016.
[19] Etheridge J, Slade P. “Nothing’s actually happened to me.”: the experiences of fathers who found childbirth traumatic. BMC pregnancy and childbirth Vol 17, No. 1, pp 80, 2017.
[20] Hamilton A, De Jonge D. The impact of becoming a father on other roles: An ethnographic study. Journal of Occupational Science Vol 17, No. 1, pp 40-6, 2010.
[21] Höfner C, Schadler C, Richter R. When men become fathers: men's identity at the transition to parenthood. Journal of Comparative Family Studies pp 669-86, 2011.
[22] Pinheiro RT, Magalhães PV, Horta BL, Pinheiro KA, Da Silva RA, Pinto RH. Is paternal postpartum depression associated with maternal postpartum depression? Population‐based study in Brazil. Acta Psychiatrica Scandinavica Vol 113, No. 3, pp 230-2, 2006.
[23] Cabrera N, Tamis‐LeMonda CS, Bradley RH, Hofferth S, Lamb ME. Fatherhood in the twenty‐first century. Child development Vol 71, No. 1, pp 127-36, 2000.
[24] Killewald A. A reconsideration of the fatherhood premium: Marriage, coresidence, biology, and fathers’ wages. American Sociological Review Vol 78, No. 1, pp 96-116, 2013.
[25] Lamb ME, Lewis C. Father-child relationships. Handbook of father involvement: Multidisciplinary perspectives Vol 2, pp 119-35, 2013.
[26] West F, Sanders MR, Cleghorn GJ, Davies PS. Randomised clinical trial of a family-based lifestyle intervention for childhood obesity involving parents as the exclusive agents of change. Behaviour research and therapy Vol 48, No. 12, pp 1170-9, 2010.
[27] Edvardsson K, Ivarsson A, Eurenius E, Garvare R, Nyström ME, Small R, Mogren I. Giving offspring a healthy start: parents' experiences of health promotion and lifestyle change during pregnancy and early parenthood. BMC public health Vol 11, No. 1, pp 936, 2011.
[28] Natale RA, Messiah SE, Asfour L, Uhlhorn SB, Delamater A, Arheart KL. Role modeling as an early childhood obesity prevention strategy: effect of parents and teachers on preschool children's healthy lifestyle habits. Journal of Developmental & Behavioural Paediatrics Vol 35, No. 6, pp 378-87, 2014.
[29] Nelson SK, Kushlev K, Lyubomirsky S. The pains and pleasures of parenting: When, why, and how is parenthood associated with more or less well-being?. Psychological Bulletin Vol 140, No. 3, pp 846, 2014.
[30] Habib C, Lancaster S. Changes in identity and paternal–foetal attachment across a first pregnancy. Journal of reproductive and infant psychology Vol 28, No. 2, pp 128-42, 2010.
[31] Moraeus L, Lissner L, Yngve A, Poortvliet E, Al-Ansari U, Sjöberg A. Multi-level influences on childhood obesity in Sweden: societal factors, parental determinants and child’s lifestyle. International Journal of Obesity Vol 36, No. 7, pp 969, 2012.
[32] Umberson D, Pudrovska T, Reczek C. Parenthood, childlessness, and well‐being: A life course perspective. Journal of Marriage and Family Vol 72, No. 3, pp 612-29, 2010.
[33] Lemelin L, Gallagher F, Haggerty J. Supporting parents of preschool children in adopting a healthy lifestyle. BMC nursing Vol 11, No. 1, pp 12, 2012.
[34] Stenhammar, C., Wells, M., Åhman, A., Wettergren, B., Edlund, B., & Sarkadi, A. ‘Children are exposed to temptation all the time’–parents’ lifestyle‐related discussions in focus groups. Acta Paediatrica Vol 101, No. 2, pp 208-215, 2012.
[35] Perelli-Harris, B., Kreyenfeld, M., Sigle-Rushton, W., Keizer, R., Lappegård, T., Jasilioniene, A., & Di Giulio, P. Changes in union status during the transition to parenthood in eleven European countries, 1970s to early 2000s. Population studies Vol 66, No.2, pp 167-182, 2012.
[36] Pinquart, M., & Teubert, D. A meta‐analytic study of couple interventions during the transition to parenthood. Family Relations Vol 59, No. 3, pp 221-231, 2010.
[37] Roberts, S. L., Bushnell, J. A., Collings, S. C., & Purdie, G. L. Psychological health of men with partners who have post-partum depression. Australian & New Zealand Journal of Psychiatry Vol 40, No. 8, pp 704-711, 2006.
[38] Paulson J F, Bazemore S D. Paternal postpartum depression in fathers and its association with maternal depression. A meta-analysis
[J] JAMA Vol 303, No. 19, pp 1961-1969, 2010.
[39] Figueiredo, B., & Conde, A. Anxiety and depression symptoms in women and men from early pregnancy to 3-months postpartum: parity differences and effects. Journal of Affective Disorders Vol 132, No. 1-2, pp 146, 2011.
[40] Smith, J.K., 2013. The Lived Experiences of Male Partners of Women who have Previously Been Diagnosed with Postpartum Depression (Doctoral dissertation, Texas Woman s University). 2013.
[41] Thomas SG & Upton D. Expectant fathers’ attitude toward pregnancy. British Journal of Midwifery Vol 8, pp 218–221, 2000.
[42] Brennan P.A., Hammen C., Andersen M.J., Bor W., Najman J.M. & Williams G.M. Chronicity, severity, and timing of maternal depressive symptoms: relationships with child outcomes at age 5. Developmental and Psychology Vol 36, pp 759–766, 2000.
[43] Skari H, Skreden M, Malt UF, Dalholt M, Ostensen AB, Egeland T, Emblem R. Comparative levels of psychological distress, stress symptoms, depression and anxiety after childbirth. British journal of obstetrics and gynaecology Vol 109, pp 1154–63, 2002.
[44] Niaz S, Izhar N, Bhatti MR. Anxiety and depression in pregnant women presenting in the OPD of a teaching hospital. Pakistan Journal of Medical Sciences Vol 20, No.2, pp 117–119, 2004.
[45] Kim HG, Mandell M, Crandall C, Kuskowski MA, Dieperink B, Buchberger RL. Antenatal psychiatric illness and adequacy of prenatal care in an ethnically diverse inner-city obstetric population. Archives of Women’s Mental Health Vol 9, No.2, pp 103–07, 2006.
[46] Uguz, F., Gezginc, K., Kayhan, F, Sar S, Büyüköz, D. Is pregnancy associated with mood and anxiety disorders? A cross-sectional study. General Hospital Psychiatry Vol 32, No. 2, pp 213-215, 2010.
[47] Abdollahi, F., Rezai, A. F., & Zarghami, M. (2017). Post-partum depression effect on child health and development. Acta Medica Iranica Vol 55, No. 2, pp 109, 2017.
[48] Bronte-Tinkew,J., Moore,K.A., Matthews,G., Carrano,J. Symptoms of major depression in a sample of fathers of infants socio demographic correlates and links to father involvement. Journal of Family Issues Vol 28, pp 61–99, 2007.
[49] Anna deMagistris, M.C., Carta,M., Fanos,V. Postpartum depression and the male partner. Journal of Pediatric and Neonatal Individualized Medicine Vol 2, pp 15–27, 2013.
[50] Demontigny, F., Girard, M.E., Lacharite, C., Dubeau, D., Devault, A. Psycho-social factors associated with paternal postnatal depression. Journal of Affective Disorders Vol 150, pp 44–49, 2013.
[51] Edward, K. L., Castle, D., Mills, C., Davis, L., & Casey, J. An integrative review of paternal depression. American Journal of Mens Health Vol 9, No. 1, pp 26-34, 2015.
[52] Shek, D. T. L. Hong Kong parents’ attitudes about marital quality and children. Journal of Genetic Psychology Vol 157, No. 2, pp 125–135, 1996.
[53] Wong, S., & Goodwin, R. Experiencing marital satisfaction across three cultures: A qualitative study. Journal of Social and Personal Relationship Vol 26, No. 8, pp 1011–1028, 2009.
[54] Ngai, F. W., & Ngu, S. F. Family sense of coherence and family and marital functioning across the perinatal period. Sexual & reproductive healthcare. Official Journal of the Swedish Association of Midwives Vol 7, pp 33-37, 2016.
[55] Ngai FW, Ngu SF. Psychometric properties of a Chinese version of the medical outcomes study family and marital functioning measures in Hong Kong Chinese childbearing families. Community Ment Health
[J] Vol 48, No. 5, pp 634–42, 2012.
[56] Lau, Y. A longitudinal study of family conflicts, social support, and antenatal depressive symptoms among Chinese women. Arch. Psychiatr. Nurs Vol 25, pp 206–219, 2011.
[57] Huang, Y. W., Hung, C. H., Huang, M. C., & Yu, C. Y. First-time fathers' health status during the perinatal period. Applied Nursing Research Vol 40, pp 137-142, 2018.
[58] Fagerskiold A. A change in life as experienced by first-time fathers. Scandinavian. Journal of Caring Sciences Vol 22, pp 64–71, 2008.
[59] Gao, L. L., Chan, S. W., & Mao, Q. (2009). Depression, perceived stress, and social support among first-time Chinese mothers and fathers in the postpartum period. Research in Nursing & Health Vol 32, No. 1, pp 50-58, 2009.
[60] Mao, Q., Zhu, L. X., & Su, X. Y. A comparison of postnatal depression and related factors between Chinese new mothers and fathers. Journal of Clinical Nursing Vol 20, No. 5-6, pp 645-652, 2011.
[61] Zhang, Y. P., Zhang, L. L., Wei, H. H., Zhang, Y., Zhang, C. L., & Porr, C. Post partum depression and the psychosocial predictors in first-time fathers from north-western China. Midwifery Vol 35, pp 47-52, 2016.
[62] Ngai, F. W., & Ngu, S. F. Predictors of maternal and paternal depressive symptoms at postpartum. Journal of Psychosomatic Research Vol 78, No. 2, pp 156-161, 2015.
[63] He, H. G., Vehvilainen-Julkunen, K., Qian, X. F., Sapountzi-Krepia, D., Gong, Y., & Wang, W. Fathers' feelings related to their partners' childbirth and views on their presence during labour and childbirth: A descriptive quantitative study. International Journal of Nursing Practice Vol 21, No. 2, pp 71-79, 2015.
[64] Koh, Y. W., Lee, A. M., Chan, C. Y., Fong, D. Y., Lee, C. P., Leung, K. Y., & Tang, C. S. Survey on examining prevalence of paternal anxiety and its risk factors in perinatal period in Hong Kong: a longitudinal study. BMC public health Vol 15, pp 1131, 2015.
[65] Chung, T. K., Yip, A. S., Lok, I. H., & Lee, D. T. Postnatal depression among Hong Kong Chinese fathers. Hong Kong Medical Journal Vol 17, No. 2, pp 9-12, 2011.
[66] Yeh, K. H., & Bedford, O. A test of the Dual Filial Piety model. Asian Journal of Social Psychology Vol 6, pp 215–228, 2003.
[67] Yi, X., Ribbens, B., Fu, L., & Cheng, W. Variation in career and workplace attitudes by generation, gender, and culture differences in career perceptions in the United States and China. Employee Relations Vol 37, No.1, pp 66-82, 2015.
[68] Lu, L. Postnatal adjustment of Chinese parents: A two-wave panel study in Taiwan. International Journal of Psychology Vol 41, No. 5, pp 371-384, 2006.
[69] Wang, S. Y., & Chen, C. H. Psychosocial health of Taiwanese postnatal husbands and wives. Journal of Psychosomatic Research Vol 60, No. 3, pp 303-307, 2006.
[70] Wang, Y. Y., Li, H., Wang, Y. J., Wang, H., Zhang, Y. R., & Gong, L., et al. (2017). Living with parents or with parents-in-law and postpartum depression: a preliminary investigation in china. Journal of Affective Disorders Vol 218, pp 335-338, 2017.
[71] Ho, M., Li, T. C., Liao, C. H., Su, S. Y., & Su, S. Y. The Association between Behavior Restrictions in Doing-the-Month Practice and Mental Health Status Among Postpartum Women. The Journal of Alternative and Complementary Medicine Vol 21, No. 11, pp 725-731, 2015.
[72] Liu, Y. Q., Petrini, M., & Maloni, J. A. “Doing the month”: Postpartum practices in Chinese women. Nursing & health sciences Vol 17, No.1, pp 5-14, 2015.
[73] Wang X, Wang Y, Zhou SZ. A population-based survey of women’s traditional postpartum behaviours in northern China. Midwifery Vol 24, pp 238-245, 2008.
[74] Holroyd, E., Lopez, V., & Chan, S. W.-C. Negotiating "doing the month": An ethnographic study examining the postnatal practices of two generations of Chinese women. Nursing & health sciences Vol 13, No. 1, pp 47-52, 2011.
[75] Holroyd, E., Twinn, S., & Yim, I. W. Exploring Chinese Women's Cultural Beliefs and Behaviours Regarding the Practice of "Doing the Month". Women & Health Vol 40, No. 3, pp 109-123, 2004.
[76] Leung, S. K., Arthur, D., & Martinson, I. M. Perceived stress and support of the Chinese postpartum ritual "doing the month". Health Care for Women International Vol 26, No. 3, pp 212-224, 2005.
[77] Wong, J., & Fisher, J. The role of traditional confinement practices in determining postpartum depression in women in Chinese cultures: A systematic review of the English language evidence. Journal of affective disorders Vol 116, No. 3, pp 161-169, 2009.
[78] Tang, L., Zhu, R., & Zhang, X. Postpartum Depression and Social Support in China: A Cultural Perspective. Journal of Health Communication Vol 21, No. 9, pp 1055-1061, 2016.
[79] Lai, B. P., Tang, A. K., Lee, D. T., Yip, A. S., & Chung, T. K. Detecting postnatal depression in Chinese men: A comparison of three instruments. Psychiatry research Vol 180, No. 2-3, pp 80-85, 2010.
[80] Wong, W.C.W., Lee, W.K., Lau, B.S.T. Are Chinese men less susceptible to anxiety and depression? A community-based cross-sectional survey from Hong Kong. The Journal of Men's Health & Gender Vol 3, pp 152–159, 2006.
[81] Ngai V., Chan S. & Ip W.Y. The effects of a childbirth psychoeducation program on learned resourcefulness, maternal role competence, and perinatal depression. International Journal of Nursing Studies Vol 46, pp 1298–1306, 2009.
[82] Hesketh, T., Lu, L., & Xing, Z.W. The effects of China’s one-child family policy after 25 years. New England Journal of Medicine Vol 353, No. 11, pp 1171– 1176, 2005.
[83] Song Quan cheng, Wen Qing Ying. The significance, current situation and problems of the implementation of the policy of the second child population in China. Journal of Nantong University: Social Science Edition Vol 31, No. 1, pp 122-129, 2015.
[84] Lu, H., Zhu, X., Hou, R., Wang, D. H., Zhang, H. J., & While, A. Chinese family adaptation during the postpartum period and its influencing factors: A questionnaire survey. Midwifery Vol 28, No. 2, pp 222-227, 2012.
[85] Leathers, S.J., Kelly, M.A., & Richman, J.A. Postpartum depressive symptomatology in new mothers and fathers: Parenting, work, and support. Journal of Nervous and Mental Disorders Vol 185, No. 3, pp 129–139, 1997.
[86] Chen, C.H., Tseng,Y.F., Wang, S.Y.,& Lee, J.N. The prevalence and predictors of postpartum depression. Nursing Research (Taiwan) Vol 2, No. 3, pp 263–274, 1994.
[87] Heaney, C. A., & Israel, B. A. Social networks and social support. Health Behaviour and Health Education: Theory, Research, and Practice Vol 4, pp 189–210, 2008.
[88] Yu, C. Y., Hung, C. H., Chan, T. F., Yeh, C. H., & Lai, C. Y. Prenatal predictors for father–infant attachment after childbirth. Journal of clinical nursing Vol 21, No. 11‐12, pp 1577-1583, 2012.
[89] Wee, K. Y., Skouteris, H., Pier, C., Richardson, B., & Milgrom, J. Correlates of ante- and postnatal depression in fathers: A systematic review. Journal of Affective Disorders Vol 130, No. 3, pp 358–377, 2011.
[90] Zheng X, Morrell J, Watts K, Shen Q, Zhang H. Maternal and child health services in China. British Journal of Midwifery Vol 21, No. 9, pp 664-71, 2013.