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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

Longrobucco and Freston 1989; Raphael-Leff, 1991). Others<br />

propose a relationship with anxiety (Trethowan and Conlon 1965;<br />

Lukesch 1977; Bogren 1983; Strickland 1987; Brown, 1988).<br />

To date only one study by Storey et al (2000) support a biological<br />

basis for the syndrome. There is a dearth <strong>of</strong> studies for many <strong>of</strong><br />

these theories except those examining the syndrome’s relationship<br />

with pregnancy involvement, role preparation and anxiety. Those<br />

which have been done demonstrate disparate findings arising<br />

mainly from some <strong>of</strong> the methodological problems mentioned<br />

earlier.<br />

Study Aim<br />

The aim <strong>of</strong> the study is to investigate the type, severity and distress<br />

and time frame <strong>of</strong> physical and psychological symptoms <strong>of</strong> the<br />

Couvade syndrome in an experimental group <strong>of</strong> men with pregnant<br />

partners during the first and third trimesters <strong>of</strong> pregnancy and four<br />

weeks into the postpartum period. This group is compared with a<br />

control group <strong>of</strong> men whose partners are not pregnant measured<br />

over a 3 and 6-month comparative time periods.<br />

Study Objectives<br />

� To compare differences in the type and incidence <strong>of</strong> physical<br />

and psychological symptoms experienced by men with pregnant<br />

partners compared to those with non-expectant partners.<br />

� To assess the severity and distress <strong>of</strong> physical and<br />

psychological symptoms experienced by men with pregnant<br />

partners compared to those with non-expectant partners.<br />

� To compare the impact <strong>of</strong> time upon symptom severity and<br />

distress for both study groups.<br />

� To assess the relationship between socio-demographic variables<br />

with symptom severity and distress.<br />

Design<br />

This is the second phase <strong>of</strong> the study deploying a prospective<br />

design (Figure I). The study whilst observing control <strong>of</strong> variables<br />

could not randomly allocate the participants to experimental and<br />

control groups for obvious reasons. A number <strong>of</strong> strengths justify<br />

the selection <strong>of</strong> the design for this phase <strong>of</strong> the investigation. It is<br />

ideally suited to the time requirements <strong>of</strong> the study spanning over<br />

the course <strong>of</strong> pregnancy and four weeks into the postpartum period.<br />

It enables symptoms to be monitored in terms <strong>of</strong> their<br />

presence/absence, levels <strong>of</strong> severity and distress, and duration and<br />

variability over time as opposed to a snapshot view as with a crosssectional<br />

design. Hoskins and Mariano (2004) argue that<br />

longitudinal designs enable more realistic variations <strong>of</strong> the<br />

phenomenon being studied across time unlike cross-sectional<br />

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