{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T09:38:20Z","timestamp":1776418700176,"version":"3.51.2"},"reference-count":63,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2019,1,27]],"date-time":"2019-01-27T00:00:00Z","timestamp":1548547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The aim of the study was to identify whether perceived stress and significant life changes are related with partnership relation quality in mothers of preterm-born children. The study group consisted of 260 women, who gave a preterm birth. In most cases the delivery took place in the 34\u201336th week of pregnancy. The research consisted of two phases. Phase 1 was carried out in the Department of Obstetrics at the Medical University of Gdansk in the neonatal period (2\u20133 days after birth). Phase 2 was carried out in the place of residence of the mother and child during early childhood (24\u201330th month of the child\u2019s life). The following research tools were used in the first phase of the research project: Analysis of nursing and medical reports, an interview questionnaire and psychological interview, The Perceived Stress Questionnaire (PSQ) (Lavenstein, the Polish version, after Plopa, 2008), The Recent Life Changes Questionnaire (RLCQ) (Rahe and Holmes, 1975), the Polish version, after Terelak 1995), and the Dyadic Adjustment Scale (DAS) (Spanier, 1976, the Polish version, after Cie\u015blak, 1989). In the second phase of the study the respondents were once again examined using the DAS. It was shown that stress is related to partnership relationship quality and of all its components, except cohesion. The findings demonstrated that important life events are associated with a couple\u2019s emotional expression in the neonatal period. Stressful life events do not correlate with relationship quality.<\/jats:p>","DOI":"10.3390\/ijerph16030355","type":"journal-article","created":{"date-parts":[[2019,1,29]],"date-time":"2019-01-29T03:40:55Z","timestamp":1548733255000},"page":"355","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Perceived Stress as a Predictor of Partnership Relation Quality in Polish Mothers of Preterm-Born Children"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0224-1994","authenticated-orcid":false,"given":"Mariola","family":"Bidzan","sequence":"first","affiliation":[{"name":"Institute of Psychology, University of Gdansk, Ba\u017cy\u0144skiego 4, 80-309 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karolina","family":"Lutkiewicz","sequence":"additional","affiliation":[{"name":"Institute of Psychology, University of Gdansk, Ba\u017cy\u0144skiego 4, 80-309 Gdansk, Poland"},{"name":"The Toronto Institute for Relational Psychotherapy, Toronto, ON M4T 1K2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2019,1,27]]},"reference":[{"key":"ref_1","unstructured":"(2015, November 01). World Health Organization (WHO). Available online: http:\/\/www.who.int\/mediacentre\/factsheets\/fs363\/en\/."},{"key":"ref_2","unstructured":"Bieleninik, \u0141. (2012). Dzieci Urodzone Przedwcze\u015bnie w Percepcji Matek [Mother\u2019s Perception of Their Preterm Born Children], Harmonia Universalis."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"18","DOI":"10.5114\/hpr.2013.40466","article-title":"Psychomotor development of preterm babies in the context of biomedical predictors in a Polish sample","volume":"1","author":"Bidzan","year":"2013","journal-title":"Health Psychol. Rep."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"208","DOI":"10.5114\/hpr.2014.44423","article-title":"The effects of kangaroo mother care in a sample of preterm, preschool aged children","volume":"2","author":"Pawlicka","year":"2014","journal-title":"Health Psychol. Rep."},{"key":"ref_5","first-page":"CD002771","article-title":"Kangaroo mother care to reduce morbidity and mortality in low birthweight infants","volume":"22","year":"2014","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_6","unstructured":"Gadzinowski, J., and K\u0119siak, M. (2008). Definicje, terminologia, zasady organizacji opieki nad noworodkiem. Podstawy Neonatologii (Basic Neonathology), PZWL."},{"key":"ref_7","unstructured":"Bielawska-Batorowicz, E. (2006). Psychologiczne Aspekty Prokreacji [Psychological Aspects of Procreation], Wydawnictwo Naukowe \u201c\u015al\u0105sk\u201d."},{"key":"ref_8","first-page":"223","article-title":"Uwarunkowania wi\u0119zi emocjonalnej z dzieckiem w okresie prenatalnym w ci\u0105\u017cy wielop\u0142odowej i pojedynczej Conditions of the emotional bond with a child in the prenatal period in case of multifetal and unifetal pregnancies","volume":"3","author":"Bieleninik","year":"2010","journal-title":"Perinatol. Neonatol. Ginekol."},{"key":"ref_9","unstructured":"S\u0119k, H., and Cie\u015blak, R. (2004). Wsparcie Spo\u0142eczne, Stres i Zdrowie [Social Support, Stress and Health], Wydawnictwo Naukowe PWN."},{"key":"ref_10","unstructured":"Kornas-Biela, D. (2009). Pedagogika Prenatalna [Prenatal Pedagogy], Redakcja Wydawnictw Naukowych KUL."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1348\/135910706X120627","article-title":"Childbirth-related post-traumatic stress disorder in couples: A qualitative study","volume":"12","author":"Nicholls","year":"2007","journal-title":"Br. J. Health Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.siny.2013.10.008","article-title":"Parent and family outcomes following very preterm or very low birth weight birth: A review","volume":"19","author":"Treyvaud","year":"2014","journal-title":"Semin. Fetal Neonatal Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1001\/archpediatrics.2010.83","article-title":"Long-term cognition, achievement, socioemotional, and behavioral development of healthy late-preterm infants","volume":"164","author":"Gurka","year":"2010","journal-title":"Arch. Pediatr. Adolesc. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"40","DOI":"10.5114\/hpr.2018.71436","article-title":"Hot and cool executive functions in very and extremely preterm preschool children","volume":"6","author":"Walczak","year":"2017","journal-title":"Health Psychol. Rep."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1186\/s13063-016-1387-0","article-title":"Is a woolen cap effective in maintaining normothermia in low-birth-weight infants during kangaroo mother care? Study protocol for a randomized controlled trial","volume":"17","author":"Trevisanuto","year":"2016","journal-title":"Trials"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e20173073","DOI":"10.1542\/peds.2017-3073","article-title":"Thermal Effect of a Woolen Cap in Low Birth Weight Infants During Kangaroo Care","volume":"141","author":"Cavalin","year":"2018","journal-title":"Pediatrics"},{"key":"ref_17","unstructured":"Bodenmann, G. (2000). Stress and Coping in Couples, Hogrefe."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1027\/1016-9040\/a000068","article-title":"Two conceptualizations of Dyadic Coping and their potential for predicting relationship quality and individual well-being","volume":"16","author":"Bodenmann","year":"2011","journal-title":"Eur. Psychol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1037\/0893-3200.18.4.639","article-title":"Job loss and depressive symptoms in couples: Common stressors, stress transmission, or relationship disruption?","volume":"18","author":"Howe","year":"2004","journal-title":"J. Fam. Psychol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1111\/j.1741-3737.2009.00638.x","article-title":"Positive marital quality, acculturative stress, and child outcomes among Mexican Americans","volume":"71","author":"Leidy","year":"2009","journal-title":"J. Marriage Fam."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1111\/j.1741-3737.2007.00394.x","article-title":"Stress cross over in newlywed marriage: A longitudinal and dyadic perspective","volume":"69","author":"Neff","year":"2007","journal-title":"J. Marriage Fam."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1111\/j.1741-3729.2010.00595.x","article-title":"Stress, Communication, and Marital Quality in Couples","volume":"59","author":"Ledermann","year":"2010","journal-title":"Fam. Realt."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"104","DOI":"10.2307\/2096348","article-title":"The epidemiology of social stress","volume":"60","author":"Turner","year":"1995","journal-title":"Am. Sociol. Rev."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2856","DOI":"10.1111\/j.1365-2702.2008.02307.x","article-title":"Effect of nursing interventions on stressors of parents of premature infants in neonatal intensive care unit","volume":"17","author":"Turan","year":"2008","journal-title":"J. Clin. Nurs."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1542\/peds.2004-0932","article-title":"Psychosocial and academic characteristics of extremely low birth weight (800 g) adolescents who are free of major impairment compared with term-born control subjects","volume":"114","author":"Grunau","year":"2004","journal-title":"Pediatrics"},{"key":"ref_26","unstructured":"Fogel, A., and Nelson, G. (1986). Nurturing under stress: The care of preterm infants and developmentally delayed preschoolers. Origins Ofnurturance: Developmental, Biological and Cultural Perspectives on Caregiving, Erlbaum."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1037\/0033-2909.118.1.3","article-title":"The longitudinal course of marital quality and stability: A review of theory, method, and research","volume":"118","author":"Karney","year":"1995","journal-title":"Psychol. Bull."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"526","DOI":"10.2307\/1131344","article-title":"A family process model of economic hardship and influences on adjustment of early adolescent boys","volume":"63","author":"Conger","year":"1992","journal-title":"Child Dev."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1037\/0022-3514.76.1.54","article-title":"Couple resilience to economic pressure","volume":"76","author":"Conger","year":"1999","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1111\/j.0022-2445.2004.00059.x","article-title":"Understanding and altering the longitudinal course of marriage","volume":"66","author":"Bradbury","year":"2004","journal-title":"J. Marriage Fam."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1111\/fare.12066","article-title":"Stressful Life Events, Marital Satisfaction, and Marital Management Skills of Taiwanese Couples","volume":"63","author":"Wickrama","year":"2014","journal-title":"Fam. Relat."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1177\/0265407508090868","article-title":"Objective ratings of relationship skills across multiple domains as predictors of marital satisfaction trajectories","volume":"25","author":"Lawrence","year":"2008","journal-title":"J. Soc. Pers. Relationship"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.earlhumdev.2015.10.016","article-title":"Relationship quality for mothers of very preterm infants","volume":"92","author":"Edwards","year":"2016","journal-title":"Early Hum. Dev."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1111\/j.1475-6811.2006.00115.x","article-title":"The role of marital attributions in the relationship between life stressors and marital quality","volume":"13","author":"Graham","year":"2006","journal-title":"Pers. Relationships"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.earlhumdev.2010.09.006","article-title":"Prematurity, maternal posttraumatic stress and consequences on the mother\u2013infant relationship","volume":"87","author":"Borghini","year":"2011","journal-title":"Early Hum. Dev."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1111\/j.1469-7610.1991.tb00342.x","article-title":"Factors related to stress and satisfaction with life in families of children with Down\u2019s syndrome","volume":"32","author":"Sloper","year":"1991","journal-title":"J. Child Psychol. Psychiatr."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Treyvaud, K., Lee, K.J., Doyle, L.W., and Anderson, P.J. (2013). Very Preterm Birth Influences Parental Mental Health and Family Outcomes Seven Years after Birth. J. Pediatr., 164.","DOI":"10.1016\/j.jpeds.2013.11.001"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"15","DOI":"10.2307\/350547","article-title":"Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads","volume":"38","author":"Spanier","year":"1976","journal-title":"J. Marriage Fam."},{"key":"ref_39","first-page":"1042","article-title":"Polska Wersja Skali G.B. Spaniera s\u0142u\u017c\u0105ca do pomiaru jako\u015bci zwi\u0105zku ma\u0142\u017ce\u0144skiego (DAS) [The Polish version of the Dydadic Adjustment Scale]","volume":"32","year":"1989","journal-title":"Przegl Psychol."},{"key":"ref_40","unstructured":"Plopa, M. (2008). Wi\u0119zi w Ma\u0142\u017ce\u0144stwie i Rodzinie. Metody Bada\u0144 [Family and Marriage Bonds. Research Methods], Oficyna Wydawnicza Impuls."},{"key":"ref_41","unstructured":"Terelak, J.F. (1995). Stres Psychologiczny [Psychological Stress], Branta."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1002\/(SICI)1098-240X(199612)19:6<451::AID-NUR1>3.0.CO;2-N","article-title":"Mother and father interactions over the first year with term and preterm infants","volume":"16","author":"Harrison","year":"1996","journal-title":"Res. Nurs. Health"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/0022-3999(93)90120-5","article-title":"Development of the Perceived Stress Questionnaire: A new tool for psychosomatic research","volume":"37","author":"Levenstein","year":"1993","journal-title":"J. Psychosom. Res."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1850","DOI":"10.3389\/fpsyg.2018.01850","article-title":"Psychometric Properties of the Perceived Stress Questionnaire (PSQ) in 15\u201316 Years Old Norwegian Adolescents","volume":"9","author":"Sigmundsson","year":"2018","journal-title":"Front. Psychol."},{"key":"ref_45","first-page":"27","article-title":"Kwestionariusz Zmian \u017byciowych (KZ\u017b): Polska adaptacja kwestionariusza \u201cRecent Life Changes Questionnaire\u201d (RLCQ) R. H. Rahe\u2019a [The Polish adaptation of The Recent Life Changes Questionnaire (RLCQ) R.H. Rahe\u2019a]","volume":"42","author":"Sobolewski","year":"1999","journal-title":"Przegl Psychol."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Shappin, R., Wijnroks, L., Uniken-Venema, M.M.A.T., and Jongmans, M.J. (2013). Rethinking Stress in Parents of Preterm Infants: A Meta-Analysis. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0054992"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"643","DOI":"10.2307\/352931","article-title":"Linking economic hardship to marital quality and instability","volume":"52","author":"Conger","year":"1990","journal-title":"J. Marriage Fam."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"235","DOI":"10.5964\/ejop.v10i2.724","article-title":"Is the Relationship Between Marital Adjustment and Parenting Stress Mediated or Moderated by Parenting Alliance?","volume":"10","author":"Camisasca","year":"2014","journal-title":"Eur. J. Psychol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1027\/1016-9040\/a000022","article-title":"Adjustment of Couples Following Childbirth. The Role of Generalized and Specific States of Mind in an Italian Sample","volume":"16","author":"Velotti","year":"2011","journal-title":"Eur. Psychol."},{"key":"ref_50","first-page":"59","article-title":"Couple Relationship Factors Predicting Marital Satisfaction and Divorce Intention Over Time","volume":"43","year":"2005","journal-title":"J. Korean Home Econ. Assoc."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1037\/0893-3200.15.3.355","article-title":"Children of divorce in the 1990s: An update of the Amato and Keith (1991) meta-analysis","volume":"15","author":"Amato","year":"2001","journal-title":"J. Fam. Psychol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1544","DOI":"10.1037\/0012-1649.43.6.1544","article-title":"Reciprocal Influences between Parents Marital Problems and Adolescent Internalizing and Externalizing Behavior","volume":"43","author":"Ciu","year":"2007","journal-title":"Dev. Psychol."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Uchino, B.N. (2004). Social Support and Physical Health: Understanding the Health Consequences of Relationships, Yale University Press.","DOI":"10.12987\/yale\/9780300102185.001.0001"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s12160-008-9018-y","article-title":"Is there something unique about marriage? The relative impact of marital status, relationship quality, and network social support on ambulatory blood pressure and mental health","volume":"35","author":"Birmingham","year":"2008","journal-title":"Behav. Med."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Henriksen, R.E., Torsheim, T., and Thuen, F. (2015). Relationship satisfaction reduces the risk of maternal infectious diseases in pregnancy: The Norwegian Mother and Child Cohort Study. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0116796"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1177\/0192513X12445561","article-title":"Associations among marital qualities, supportive and undermining coparenting, and parenting self-efficacy: Testing spillover and stress-buffering processes","volume":"34","author":"Merrifield","year":"2013","journal-title":"J. Fam. Issues"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1037\/0893-3200.20.2.227","article-title":"Hostility and withdrawal in marital conflict: Effects on parental emotional unavailability and inconsistent discipline","volume":"20","author":"Davies","year":"2006","journal-title":"J. Fam. Psychol."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Chan, C.W.H., Law, B.M.H., Liu, Y.-H., Ambrocio, A.R.B., Au, N., Jiang, M., and Chow, K.M. (2018). The Association between Maternal Stress and Childhood Eczema: A Systematic Review. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15030395"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.infbeh.2010.11.004","article-title":"Effect of early intervention on social interaction between mothers and preterm infants at 12 months of age: A randomized controlled trial","volume":"34","author":"Ravn","year":"2011","journal-title":"Infant Behav. Dev."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1111\/j.1469-8749.1983.tb13790.x","article-title":"The Effects of Premature Birth on Parents and their relationship","volume":"25","author":"Trause","year":"1983","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"e0023","DOI":"10.5041\/RMMJ.10344","article-title":"Less is More: Modern Neonatology","volume":"9","author":"Kugelman","year":"2018","journal-title":"Rambam Maimonides Med. J."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1037\/a0034652","article-title":"Predictors of Parenting Stress Trajectories in Premature Infant-Mother Dyads","volume":"27","author":"Spinelli","year":"2013","journal-title":"J. Fam. Psychol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.1542\/peds.2005-1491","article-title":"A randomized, controlled trial of the effectiveness of an early-intervention program in reducing parenting stress after preterm birth","volume":"118","author":"Kaaresen","year":"2006","journal-title":"Pediatrics"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/3\/355\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T12:28:54Z","timestamp":1760185734000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/3\/355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,27]]},"references-count":63,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,2]]}},"alternative-id":["ijerph16030355"],"URL":"https:\/\/doi.org\/10.3390\/ijerph16030355","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,27]]}}}