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Updated: Aug 14, 2025

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
How does stress affect maternal and paternal perceptions of relationship strain after a preterm birth? Results of a
Alinda Reimer1, Laura Mause1, Jan Hoffmann1
1Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Faculty of Human Sciences and Faculty of Medicine, University of Cologne and University Hospital Cologne, Cologne, Germany.
Insights
Parental relationship strain impacts well-being. This study found mothers experienced more strain than fathers during infant neonatal intensive care unit stays, yet fathers showed a stronger link between stress and relationship strain.
Area of Science:
- Neonatal Intensive Care Unit (NICU) care
- Parental mental health
- Relationship psychology
Background:
- Couple relationship strain is linked to reduced well-being.
- Premature birth and neonatal intensive care unit (NICU) stays are significant stressors for parents.
- Understanding interparental relationship dynamics during infant hospitalization is crucial.
Purpose of the Study:
- To investigate interparental relationship strain experienced by mothers and fathers of infants in the neonatal intensive care unit (NICU).
- To explore the association between parental stress and relationship strain during infant NICU stays.
Main Methods:
- A retrospective cross-sectional survey was conducted with parents of preterm infants.
- Data were collected from parents experiencing infant stays in the neonatal intensive care unit (NICU) between September and December 2020.
- Linear regression analysis was employed to examine associations between stress and relationship strain.
Main Results:
- Mothers reported higher relationship strain (M=3.37) compared to fathers (M=2.49).
- Significant associations between relationship strain and infant-related stress were found for both mothers and fathers.
- Fathers exhibited a significantly stronger association between relationship strain and infant-related stress (β=0.27) than mothers (β=0.16).
- Mothers uniquely showed a significant association between relationship strain and parental role alterations (β=0.21).
Conclusions:
- While mothers reported higher relationship strain and stress, fathers are also significantly impacted.
- Interparental relationship strain and stress during neonatal intensive care unit (NICU) stays require attention for both mothers and fathers.
- Future research should prioritize stress prevention strategies addressing the needs of both maternal and paternal figures.
Aim:
Strain on couple relationships is associated with a lower well-being. As premature birth is known to pose stress to parents, this study explores whether interparental relationship strain comes to pass within mothers and fathers during their infant's stay in a neonatal intensive care unit.
Methods:
A retrospective cross-sectional survey was conducted with parents who experienced a preterm birth (September to December 2020). Linear regression was used to analyse associations between stress and relationship strain.
Results:
The study included 437 mothers and 301 fathers. Fathers experienced lower relationship strain (M = 2.49, SD = 1.00) than mothers (M = 3.37, SD = 1.04). Overall, a significant association between relationship strain and stress due to the infant's behaviour and appearance was found for mothers (β = 0.16, p = 0.02) and fathers, with a significantly higher association for fathers (β = 0.27, p ≤ 0.002). With regard to parental role alterations, only mothers showed a significant association (β = 0.21, p ≤ 0.001).
Conclusion:
Although mothers showed higher levels of stress and relationship strain, stress may also have an impact on fathers. Therefore, research should focus on stress prevention measures to meet both maternal and paternal needs.
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