From attachment to well-being: An examination of father-infant attachment, parental mental health, and relationship satisfaction
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Original Article
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From attachment to well-being: An examination of father-infant attachment, parental mental health, and relationship satisfaction

1. Koç University School of Medicine, Department of Pediatrics, İstanbul, Türkiye
2. Koç University School of Medicine, İstanbul, Türkiye
3. Marmara University Institute of Health Sciences, Social Pediatrics PhD Program, İstanbul, Türkiye
4. Koç University School of Medicine, Department of Biostatistics, İstanbul, Türkiye
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Received Date: 31.10.2024
Accepted Date: 19.01.2025
Online Date: 31.01.2025
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ABSTRACT

Aims: Father-infant attachment impacts children’s cognitive, emotional, and social development in the early childhood. The present study examined the relationship between father-infant attachment and parental mental health, including depression and anxiety, along with relationship satisfaction and mother-infant attachment.

Methods: This cross-sectional study included parents of children aged 3 to 12 months. We administered the Edinburgh Postnatal Depression Scale (EPDS), Beck Anxiety Inventory (BAI), Couple Satisfaction Index-4, Postnatal Paternal-Infant Attachment Questionnaire (PPAQ), and Maternal Attachment Inventory (MAI) to the participants.

Results: A total of 66 father-mother dyads from İstanbul, Türkiye, participated in the study. The median age was 31.0 (25.0-39.0) years in mothers, 33.0 (26.0-47.0) years in fathers, and 8.0 (3.0-12.0) months in infants. Mothers showed significantly higher EPDS and BAI scores than fathers [9.0 (1.0 20.0) vs. 4.0 (1.0-16.0), p<0.001]. We observed a weak but significant positive correlation between the MAI score and the “affection and pride” subscale of the PPAQ score (r=0.260, p=0.035). Paternal EPDS scores positively correlated with paternal BAI (r=0.599, p<0.001), maternal EPDS (r=0.279, p=0.023), and maternal BAI (r=0.283, p=0.021) scores. Relationship satisfaction showed a negative correlation with maternal and paternal depression (r=-0.357, p=0.003, and r=-0.541, p<0.001, respectively) and anxiety (r=-0.310, p=0.011 and r=-0.374, p=0.002, respectively) scores.

Conclusions: Although we observed no direct association between father-infant attachment and parental mental health or relationship satisfaction, the weak association between mother-infant and father-infant attachment highlights the need for family-centered support. Future research is warranted to explore the complex relationships in the postpartum period to develop effective strategies.

Keywords:
Father-infant attachment, parental mental health, postpartum depression, relationship satisfaction, mother-infant attachment