Original Research - Quantitative| Volume 31, ISSUE 3, e197-e203, June 2018

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Level of parenting stress in mothers of singletons and mothers of twins until one year postpartum: A cross-sectional study

Published:September 20, 2017DOI:



      To date, it is unclear which factors are associated with parenting stress.


      There are no studies investigating the association between parenting stress and coping strategies such as coparenting and social support, while simultaneously considering demographic and obstetric factors, in mothers of singletons and twins.


      To investigate if parenting stress is associated with personal, and obstetric characteristics, the level of coparenting, and the availability of and satisfaction with social support in mothers of singletons and twins until one year postpartum.


      A cross-sectional study was conducted. A total of 151 singleton mothers and 101 twin mothers were included.


      Both singleton and twin mothers experiencing lower parenting stress levels indicated a better coparenting relationship quality (β = −0.253, p < 0.01; β = −0.341, p = 0.001). Elevated parenting stress levels positively influenced the level of satisfaction with social support in only mothers of twins (β = 0.273, p < 0.01). The availability of social support, personal, and obstetric characteristics were not associated with the level of parenting stress in neither singleton nor twin mothers.


      Coparenting seems to be a significant coping strategy reducing the level of parenting stress in singleton and twin mothers, irrespective of their personal and obstetric characteristics. Large-scale longitudinal research is needed to identify predictors of parenting stress, which may help to develop parenting stress reducing interventions. The acknowledgement and support of an adequate coparenting relationship quality by health care professionals might be an important factor to include in such interventions.


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        • Venkatesh K.K.
        The relationship between parental stress and postpartum depression among adolescent mothers enrolled in a randomized controlled prevention trial.
        Matern Child Health J. 2014; 18: 1532-1539
        • Fink G.
        Fink G. Stress consequences: mental, neuropsychological and socioeconomic. Elsevier, 2010
        • Kehoe A.
        • Dempster M.
        • McManus J.
        • Lewis S.
        Stress and coping in parents of newly born twins.
        J Psychosom Obstet Gynaecol. 2016; 37: 110-118
        • Noy A.
        • Taubman-Ben-Ari O.
        • Kuint J.
        Well-being and personal growth in mothers of full-term and pre-term singletons and twins.
        Stress Health. 2015; 31: 365-372
        • Feinberg M.E.
        • Brown L.D.
        • Kan M.L.
        A multi-domain self-report measure of coparenting.
        Parent Sci Pract. 2012; 12: 1-21
        • Lutz K.
        • Burnson C.
        • Hane A.
        • Samuelson A.
        • Maleck S.
        • Poehlman J.
        Parenting stress, social support, and mother-child interactions in families of multiple and singleton preterm toddlers.
        Fam Relat. 2012; 61: 642-656
        • Hung C.
        • Lin C.J.
        • Stocker J.
        • Yu C.Y.
        Predictors of postpartum stress.
        J Clin Nurs. 2011; 20: 666-674
        • Dennis C.
        • Dowswell T.
        Psychosocial and psychological interventions for preventing postpartum depression.
        Cochrane Database Syst Rev. 2013;
        • Feinberg M.E.
        • Jones D.E.
        • Hostetler M.L.
        • Roettger M.E.
        • Paul I.M.
        • Ehrenthal D.B.
        Couple-focused prevention at the transition to parenthood, a randomized trial: effects on coparenting, parenting, family violence, and parent and child adjustment.
        Prev Sci. 2016; 17: 751-764
        • Van Egeren L.
        • Hawkins D.
        Coming to terms with coparenting: implications of definition and measurement.
        J Adult Dev. 2004; 11: 165-178
        • Solmeyer A.R.
        • Feinberg M.E.
        Mother and father adjustment during early parenthood: the roles of infant temperament and coparenting relationship quality.
        Infant Behav Dev. 2011; 34: 504-514
        • Feinberg M.E.
        • Jones D.E.
        • Goslin M.C.
        Effects of family foundations on parents and children: 3.5 years after baseline.
        J Fam Psychol. 2010; 24: 532-542
        • Matvienko-Sikar K.
        • Murphy G.
        • Murphy M.
        The role of prenatal, obstetric, and post-partum factors in the parenting stress of mothers and fathers of 9-month old infants.
        J Psychosom Obstet Gynecol. 2017; : 1-9
        • Berry J.
        • Jones W.H.
        The parental stress scale: initial psychometric evidence.
        J Soc Pers Relat. 1995; 12: 463-472
        • Lessenberry B.M.
        • Rehfeldt R.A.
        Evaluating stress levels of parents of children with disabilities.
        J Except Child. 2004; 70: 231-244
        • Sarason I.G.
        • Sarason B.R.
        • Shearin E.N.
        • Pierce G.R.
        A brief measure of social support: practical and theoretical implications.
        J Soc Pers Relationsh. 1987; 4: 497-510
        • Culum I.
        BioPsychoSocial assessment tools for the elderly — assessment summary sheet.
        • Sarason I.G.
        • Levine H.M.
        • Basham R.B.
        • Sarason B.R.
        Assessing social support: the social support questionnaire.
        J Pers Soc Psychol. 1983; 44: 127-139
        • Chan Y.H.
        Biostatistics 201: linear regression analysis.
        Singapore Med J. 2004; 45: 55-61
        • Saisto T.
        • Salmela-Aro K.
        • Nurmi J.E.
        • Halmesmaki E.
        Longitudinal study on the predictors of parental stress in mothers and fathers of toddlers.
        J Psychosom Obstet Gynecol. 2008; 29: 213-222
        • Zaidman-Zait A.
        • Mirenda P.
        • Duku E.
        • Vaillancourt T.
        • Smith I.M.
        • Szatmari P.
        • Bryson S.
        • Fombonne E.
        • Volden J.
        • Waddell C.
        • Zwaigenbaum L.
        • Georgiades S.
        • Bennett T.
        • Elsabaggh M.
        • Thompson A.
        Impact of personal and social resources on parenting stress in mothers of children with autism spectrum disorder.
        Autism. 2017; 21: 155-166
        • Solem M.B.
        • Christophersen K.A.
        • Martinussen M.
        Predicting parenting stress: children’s behavioural problems and parents’ coping.
        Inf Child Dev. 2010; 20: 162-180
        • NICE Clinical Guidelines, No. 192
        Antenatal and postnatal mental health: clinical management and service guidance: updated edition.
        British Psychological Society, Leicester (UK)2014
        • The Royal College of Midwives
        • Maternal Mental Health Alliance
        Specialist mental health midwives.
        • Committee on Obstetric Practice
        The American College of Obstetricians and Gynecologists Committee Opinion no. 630. Screening for perinatal depression.
        Obstet Gynaecol. 2015; 125: 1268-1271
        • Armed Forces Health Surveillance Center
        Incident rates rising for post-partum depression among women, risk factor for suicide.
        ScienceDaily. 2013;
        • Bowers J.
        • Cheyne H.
        Reducing the length of postnatal hospital stay: implications for cost and quality of care.
        BMC Health Serv Res. 2016; 16: 1-12
        • Renfrew M.J.
        • McFadden A.
        • Bastos M.H.
        • Campbell J.
        • Channon A.A.
        • Fen Cheung N.
        • Delage Silva D.R.A.
        • Downe S.
        • Powell Kennedy H.
        • Malata A.
        • McCormick F.
        • Wick L.
        • Declercq E.
        Midwifery and quality care: findings form a new evidence-informed framework for maternal and newborn care.
        Lancet. 2014; 384: 1129-1145
        • Song J.E.
        • Kim T.
        • Ahn J.A.
        A systematic review of psychosocial interventions for women with postpartum stress.
        J Obstet Gynecol Neonatal Nurs. 2015; 44: 183-192
        • Viana A.G.
        • Welsh J.A.
        Correlates and predictors of parenting stress among internationally adopting mothers: a longitudinal investigation.
        Int J Behav Dev. 2010; 34: 363-373