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Partner relationship satisfaction and maternal emotional distress in early pregnancy

Gun-Mette B Røsand1*, Kari Slinning12, Malin Eberhard-Gran13, Espen Røysamb14 and Kristian Tambs1

  • * Corresponding author: Gun-Mette B Røsand

Author affiliations

1 Norwegian Institute of Public Health, Division of Mental Health, PO Box 4404 Nydalen, N-0403 Oslo, Norway

2 National Network for Infant Mental Health, Centre for Child and Adolescent Mental Health, Eastern and Southern Norway

3 Health Services Research Centre, Akershus University Hospital, Norway

4 University of Oslo, Department of Psychology, Norway

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Citation and License

BMC Public Health 2011, 11:161  doi:10.1186/1471-2458-11-161

Published: 14 March 2011



Recognition of maternal emotional distress during pregnancy and the identification of risk factors for this distress are of considerable clinical- and public health importance. The mental health of the mother is important both for herself, and for the physical and psychological health of her children and the welfare of the family. The first aim of the present study was to identify risk factors for maternal emotional distress during pregnancy with special focus on partner relationship satisfaction. The second aim was to assess interaction effects between relationship satisfaction and the main predictors.


Pregnant women enrolled in the Norwegian Mother and Child Cohort Study (n = 51,558) completed a questionnaire with questions about maternal emotional distress, relationship satisfaction, and other risk factors. Associations between 37 predictor variables and emotional distress were estimated by multiple linear regression analysis.


Relationship dissatisfaction was the strongest predictor of maternal emotional distress (β = 0.25). Other predictors were dissatisfaction at work (β = 0.11), somatic disease (β = 0.11), work related stress (β = 0.10) and maternal alcohol problems in the preceding year (β = 0.09). Relationship satisfaction appeared to buffer the effects of frequent moving, somatic disease, maternal smoking, family income, irregular working hours, dissatisfaction at work, work stress, and mother's sick leave (P < 0.05).


Dissatisfaction with the partner relationship is a significant predictor of maternal emotional distress in pregnancy. A good partner relationship can have a protective effect against some stressors.