{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T06:16:56Z","timestamp":1783664216713,"version":"3.55.0"},"reference-count":9,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007397","name":"Univerzita Karlova v Praze","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007397","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"\n Background<\/jats:title>\n Maternal adaptation after childbirth represents a complex psychological process that significantly influences maternal well-being, mother\u2013infant interaction, and long-term child development. While postpartum depression and post-traumatic stress disorder have been extensively studied, less attention has been given to early stress-coping patterns and interpersonal characteristics associated with adjustment difficulties.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This pilot case\u2013control study included 104 women within the first postpartum year. Fifty seven women diagnosed with adjustment disorder (ICD-10: F43.2) formed the ineffective adaptation group, while 47 women without adaptation difficulties served as controls. Stresscoping strategies were assessed using the SVF 78 questionnaire, and interpersonal behavior was evaluated using the Interpersonal Checklist (ICL). Group differences were analyzed using non-parametric and categorical statistical tests.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Women with ineffective postpartum adaptation demonstrated significantly higher use of negative stress-coping strategies and lower use of positive strategies (all\n p<\/jats:italic>\n &lt; 0.001). Resignation, escape tendency, perseveration, and low positive self-instruction were significantly associated with ineffective adaptation. The accumulation of multiple maladaptive coping strategies was related to a substantially higher proportion of women experiencing adaptation difficulties. Interpersonal analysis indicated that a rebellious\u2013distrustful personality pattern was significantly more frequent in the ineffective adaptation group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Ineffective postpartum adaptation, operationalized as adjustment disorder, is associated with specific maladaptive stress-coping strategies and interpersonal characteristics. These findings may contribute to improved clinical awareness and support the development of preventive psychosocial interventions in postpartum care.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1775660","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T05:38:22Z","timestamp":1783661902000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Stress-coping strategies and interpersonal characteristics in ineffective maternal adaptation after childbirth: a pilot case\u2013control study"],"prefix":"10.3389","volume":"17","author":[{"given":"Jana","family":"\u010cern\u00e1","sequence":"first","affiliation":[{"name":"Faculty of Medicine in Pilsen, Charles University","place":["Pilsen, Czechia"]},{"name":"Department of Clinical Psychology, University Hospital Pilsen","place":["Pilsen, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji\u0159\u00ed","family":"Lenz","sequence":"additional","affiliation":[{"name":"Department of Pathology, Znojmo Hospital","place":["Znojmo, Czechia"]},{"name":"Department of Anatomy, Faculty of Veterinary Medicine, Veterinary University","place":["Brno, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludek","family":"Fiala","sequence":"additional","affiliation":[{"name":"Faculty of Medicine in Pilsen, Charles University","place":["Pilsen, Czechia"]},{"name":"Department of Clinical Psychology, University Hospital Pilsen","place":["Pilsen, Czechia"]},{"name":"Department of Sexology, University Hospital Pilsen","place":["Pilsen, Czechia"]},{"name":"Institute of Sexology, First Faculty of Medicine, Charles University","place":["Prague, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/j.pediatrneurol.2018.11.001","article-title":"Formation and growth of the child neurology society.","volume":"92","author":"Ashwal","year":"2019","journal-title":"Pediatr. 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