Cesarean section and parenting stress: Results from the Japan Environment and Children’s Study
Abstract Background Accumulating evidence suggests a long-term health risk of cesarean section for the mother and child, but few studies have examined the link between cesarean section and parenting stress. Here, we examined this association by exploiting a large dataset. Methods Participants we...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933823000056/type/journal_article |
| _version_ | 1827995045385469952 |
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| author | Kenta Matsumura Takehiro Hatakeyama Taketoshi Yoshida Akiko Tsuchida Hidekuni Inadera |
| author_facet | Kenta Matsumura Takehiro Hatakeyama Taketoshi Yoshida Akiko Tsuchida Hidekuni Inadera |
| author_sort | Kenta Matsumura |
| collection | DOAJ |
| description |
Abstract
Background
Accumulating evidence suggests a long-term health risk of cesarean section for the mother and child, but few studies have examined the link between cesarean section and parenting stress. Here, we examined this association by exploiting a large dataset.
Methods
Participants were 65,235 mothers participating in the Japan Environment and Children’s Study, an ongoing nationwide birth cohort. Outcome variables were parenting stress assessed as total score and subscale scores (representing the difficult child, parental distress, and spouse factors) on the Japanese 19-item version of the Parenting Stress Index Short Form (J-PSI-SF). Exposures were the mode of delivery, the timing of the J-PSI-SF assessment (1.5, 2.5, and 3.5 years postpartum), and the interaction between them. Multivariate regression analysis was used to calculate adjusted β coefficients and standard error of the means (SEMs).
Results
The J-PSI-SF total score was higher in the cesarean section group than in the vaginal delivery group (adjusted β = 0.24, SEM = 0.09). This increase was primarily due to higher scores for the difficult child factor (adjusted β = 0.18, SEM = 0.05) and not to higher scores for the parental distress or spouse factor.
Conclusions
Cesarean section was associated with higher parenting stress, especially in relation to the difficult child factor. Our results highlight the importance of paying particular attention to the mental health of both mother and child in the case of cesarean section.
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| first_indexed | 2024-04-10T04:50:29Z |
| format | Article |
| id | doaj.art-6d8a230c9367435792d37a554c20c644 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-04-10T04:50:29Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-6d8a230c9367435792d37a554c20c6442023-03-09T12:33:49ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-01-016610.1192/j.eurpsy.2023.5Cesarean section and parenting stress: Results from the Japan Environment and Children’s StudyKenta Matsumura0https://orcid.org/0000-0002-4271-1543Takehiro Hatakeyama1Taketoshi Yoshida2https://orcid.org/0000-0002-9937-1703Akiko Tsuchida3https://orcid.org/0000-0003-1209-3104Hidekuni Inadera4https://orcid.org/0000-0002-3548-221XDepartment of Public Health, Faculty of Medicine, University of Toyama, Toyama, Japan Toyama Regional Center for JECS, University of Toyama, Toyama, JapanToyama Regional Center for JECS, University of Toyama, Toyama, JapanDivision of Neonatology, Maternal and Perinatal Center, Toyama University Hospital, Toyama, JapanDepartment of Public Health, Faculty of Medicine, University of Toyama, Toyama, Japan Toyama Regional Center for JECS, University of Toyama, Toyama, JapanDepartment of Public Health, Faculty of Medicine, University of Toyama, Toyama, Japan Toyama Regional Center for JECS, University of Toyama, Toyama, Japan Abstract Background Accumulating evidence suggests a long-term health risk of cesarean section for the mother and child, but few studies have examined the link between cesarean section and parenting stress. Here, we examined this association by exploiting a large dataset. Methods Participants were 65,235 mothers participating in the Japan Environment and Children’s Study, an ongoing nationwide birth cohort. Outcome variables were parenting stress assessed as total score and subscale scores (representing the difficult child, parental distress, and spouse factors) on the Japanese 19-item version of the Parenting Stress Index Short Form (J-PSI-SF). Exposures were the mode of delivery, the timing of the J-PSI-SF assessment (1.5, 2.5, and 3.5 years postpartum), and the interaction between them. Multivariate regression analysis was used to calculate adjusted β coefficients and standard error of the means (SEMs). Results The J-PSI-SF total score was higher in the cesarean section group than in the vaginal delivery group (adjusted β = 0.24, SEM = 0.09). This increase was primarily due to higher scores for the difficult child factor (adjusted β = 0.18, SEM = 0.05) and not to higher scores for the parental distress or spouse factor. Conclusions Cesarean section was associated with higher parenting stress, especially in relation to the difficult child factor. Our results highlight the importance of paying particular attention to the mental health of both mother and child in the case of cesarean section. https://www.cambridge.org/core/product/identifier/S0924933823000056/type/journal_articleEpidemiologylongitudinal studymode of deliverypainstress |
| spellingShingle | Kenta Matsumura Takehiro Hatakeyama Taketoshi Yoshida Akiko Tsuchida Hidekuni Inadera Cesarean section and parenting stress: Results from the Japan Environment and Children’s Study European Psychiatry Epidemiology longitudinal study mode of delivery pain stress |
| title | Cesarean section and parenting stress: Results from the Japan Environment and Children’s Study |
| title_full | Cesarean section and parenting stress: Results from the Japan Environment and Children’s Study |
| title_fullStr | Cesarean section and parenting stress: Results from the Japan Environment and Children’s Study |
| title_full_unstemmed | Cesarean section and parenting stress: Results from the Japan Environment and Children’s Study |
| title_short | Cesarean section and parenting stress: Results from the Japan Environment and Children’s Study |
| title_sort | cesarean section and parenting stress results from the japan environment and children s study |
| topic | Epidemiology longitudinal study mode of delivery pain stress |
| url | https://www.cambridge.org/core/product/identifier/S0924933823000056/type/journal_article |
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