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Based on Mercer's theory of becoming a mother, this study aimed to (1) examine the mediating effects of marital satisfaction and parenting competence in the relationship between postpartum depression and parent\u2013infant attachment using a serial mediation model in first\u2010time parent couples during the first 6\u2009months postpartum, and (2) compare the serial mediation models between parents who had experienced low\u2010risk and high\u2010risk pregnancies. In this cross\u2010sectional study, a total of 194 first\u2010time parent couples at 1 to 6\u2009months postpartum were included. Participants completed an online survey on postpartum depression, marital satisfaction, parenting competence, and parent\u2013infant attachment. In both low\u2010 and high\u2010risk groups, parenting competence was a common mediator of the impact of postpartum depression on parent\u2013infant attachment. A sequential mediation effect involving both marital satisfaction and parenting competence was observed in high\u2010risk mothers. Our findings suggest that the adverse impacts of postpartum depression on parent\u2013infant attachment can be mitigated by boosting parenting competence or improving the marital satisfaction in couples experiencing first high\u2010risk pregnancy.<\/jats:p>","DOI":"10.1111\/nhs.13173","type":"journal-article","created":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T23:33:40Z","timestamp":1729467220000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Serial Multiple Mediation of the Marital Satisfaction and Parenting Competence in the Relationship Between Postpartum Depression and Parent\u2013Infant Attachment in First\u2010Time Parents With Low\u2010 and High\u2010Risk Pregnancy Experiences: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3137-4529","authenticated-orcid":false,"given":"Jiwon","family":"Oh","sequence":"first","affiliation":[{"name":"College of Nursing Sungshin Women's University  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1694-0027","authenticated-orcid":false,"given":"Sukhee","family":"Ahn","sequence":"additional","affiliation":[{"name":"College of Nursing Chungnam National University  Daejeon South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010021\u201004016\u20109"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(99)00023-9"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2015.12.011"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.infbeh.2018.02.003"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/imhj.21812"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.10.110"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552\u20136909.2006.00094.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2020.100657"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.12.175"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10826\u2010020\u201001871\u20106"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.6.782"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2018.09.001"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsw028"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010020\u201003228\u20109"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2017.03.002"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/03004430.2022.2029429"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/fare.12322"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.01728"},{"key":"e_1_2_11_20_1","unstructured":"Gibaud\u2010Wallston J. andL. 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