D.Cur. (Psychiatric Nursing Science) / The overall goal of this research study was to explore and describe strategies in order to promote the mental health of married couples throughout the ante- and postnatal period. The majority of research on the transition to parenthood has found that as couples become parents, there is a dramatic decrease in positive marital interchanges, a dramatic increase in marital conflict and a precipitous decline in marital satisfaction (Belsky & Kelly, 1994; Belsky & Pensky, 1988: 133-156; Belsky, Spanier & Rovine, 1983: 567-577). The transition to parenthood is viewed as instigating a shift in the marriage whereby most couples are expected to experience a qualitative change in their relationship that is relatively abrupt (Pancer, Pratt, Hunsberger & Gallant, 2000: 253-280). Becoming a new parent poses challenges for nearly every married couple (Curran, Hazen, Jacobvitz & Feldman, 2005: 189). Becoming a parent is a major developmental transition of adulthood (Harwood, McLean & Durkin, 2007: 1). Individuals often have optimistic expectations about parenthood, yet this transition also presents a number of challenges (Harwood et al, 2007: 1). The questions that arose was what are the stories of married couples throughout the ante- and postnatal period of their first child, and what can be done by an advanced psychiatric nursing practitioner to promote the mental health of married couples based on their story. The researcher utilised a qualitative, explorative, descriptive and contextual study design as described in Babbie (2010: 92). This research study was carried out in four phases. During the first phase of this research study, the researcher explored and described the stories of married couples throughout the ante- and postnatal period of their first child according to the quest narrative method described by Frank (1997: 115). The results were discussed within relevant literature. iv In the second phase of this research study the researcher developed a conceptual framework on the basis of the empirical data. The conceptual framework was developed according to the concepts as proposed by Dickoff, James and Wiedenbach (1968: 435). The researcher described strategies, to promote the mental health of married couples throughout the ante- and postnatal period of their first child, in the third phase of this research study. These strategies were described according to a relationship phase, a working phase and a termination phase as part of the facilitation process. These three phases were discussed as part of a proposed facilitation process that forms part of the developed conceptual framework. In the fourth phase of this research study, the developed strategies were subjected to expert assessment according to the criteria stated by Chinn and Kramer (2011: 196-205). The findings of the research study are applicable to psychiatric nursing practice, research and psychiatric nursing education.

The current study examines interrelations among family factors in a sample of married couples with children in middle childhood. Specifically, this study tested the associations between parents' mental health, marital satisfaction, and provision of a secure base through emotional sensitivity to the child. We further explored bidirectional and moderation effects between spouses. Participants included 86 heterosexual couples residing in the North Texas community. Using the actor-partner interdependence model, multilevel modeling results indicated that both spouse's mental health symptomology and relationship satisfaction are linked to parent's self-perceived ability to provide a secure base; several gender effects were also found. Additionally, actor relationship satisfaction significantly moderated the association between actor mental health symptomology and secure-base provision. In the context of low actor satisfaction, as the actor's mental health symptomology increases, secure-base provision also increases; however, in the context of high actor satisfaction, as actor's mental health symptomology increases, secure-base provision decreases. Additionally, partner relationship satisfaction significantly moderated the association between partner mental health symptomology and actor secure-base provision. In the context of low partner satisfaction, as partner mental health symptomology increases, actor secure-base provision increases; however, in the context of high partner satisfaction, as partner mental health symptomology increases, actor secure-base provision decreases. Spill-over, compensatory, and cross-over hypotheses, strengths, limitations, implications, and future directions are discussed.