title: The experiences of husbands of primiparas with depressive or anxiety disorders during the perinatal period.
abstract: OBJECTIVE
  During the perinatal period, husbands take the key role as essential supporter of wives with mental illness. The aim of this study was to explore the experiences of husbands of primiparas with depressive or anxiety disorders.
  
  
  METHODS
  A qualitative descriptive design was used in the study. In-depth interviews were held one to two months after childbirth and results were analyzed using a constant comparative method.
  
  
  RESULTS
  We approached ten couples and seven husbands agreed to be interviewed. From interviews, four categories emerged. They are "Husband is committed to decision making by exploring the impact of pregnancy", "The husband's burden depends on his wife's mental status and the relationship between her parents", "The preciousness of baby offsets the new burden," and "Continuous process of trial and error dealing with wife's mental status".
  
  
  CONCLUSIONS
  For many years prior to pregnancy, husbands had been alone in trying to help their wives through trial and error. After childbirth they accepted the new child-centered lifestyle and supported their wives' mental health. Healthcare providers are needed to become advisors not only to pregnant women but also to their husbands and build a stable support system with members such as psychiatrists, obstetricians and midwives.
authors.affiliation: Department of Family Nursing, Graduate School of Medicine, The University of Tokyo. 7-3-1 Hongo, Bunkyo-ku, Tokyo 1130033, Japan.
authors.forename: Mai
authors.initials: M
authors.lastname: Mizukoshi
authors.affiliation: Department of Nursing Administration and Advanced Clinical Nursing, Graduate School of Medicine, The University of Tokyo. 7-3-1 Hongo, Bunkyo-ku, Tokyo 1130033, Japan.
authors.forename: Mari
authors.initials: M
authors.lastname: Ikeda
authors.affiliation: Department of Family Nursing, Graduate School of Medicine, The University of Tokyo. 7-3-1 Hongo, Bunkyo-ku, Tokyo 1130033, Japan. Electronic address: kkamibeppu-tky@umin.ac.jp.
authors.forename: Kiyoko
authors.initials: K
authors.lastname: Kamibeppu
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety; D001008:Anxiety Disorders / Q000150:complications*; D003863:Depression; D003866:Depressive Disorder / Q000150:complications*; D005260:Female; D006801:Humans; D008603:Mental Health; D010298:Parity; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology*; D012944:Social Support; D018454:Spouses
keywords: Mental health; Parenting; Perinatal care; Pregnancy; Qualitative research; Spouses