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Gingras AS, Brassard A, Péloquin K, Lafontaine MF, Brault-Labbé A, Gosselin P. Anxiety and depressive symptoms in first-time parents: A dyadic longitudinal study based on attachment theory. J Affect Disord 2024; 355:122-130. [PMID: 38552919 DOI: 10.1016/j.jad.2024.01.275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 12/12/2023] [Accepted: 01/04/2024] [Indexed: 04/02/2024]
Abstract
BACKGROUND The aim of this study was to examine the temporal and dyadic associations between anxiety and depressive symptoms during the transition to parenthood (TTP), while exploring the antecedence of attachment insecurities in these associations. METHOD Couples of first-time parents (N = 211) completed the State-Trait Anxiety Inventory, the Edinburgh Postnatal Depression Scale, the Experiences in Close Relationships scale, and a sociodemographic questionnaire during the second trimester of pregnancy and at four and twelve months postpartum. RESULTS Both prenatal anxiety and depressive symptoms predicted postnatal depressive and anxiety symptoms. Prenatal attachment-related anxiety predicted higher postnatal anxiety and depressive symptoms whereas prenatal attachment-related avoidance predicted higher postnatal depressive symptoms only. Parents whose partners had a higher level of prenatal attachment-related anxiety experienced higher postnatal anxious and depressive symptoms via their own's prenatal depressive symptoms. Parents whose partners had a higher level of prenatal attachment-related avoidance experienced higher postnatal depressive symptoms via their own's prenatal anxious symptoms. No gender differences were found for these associations. LIMITATIONS The sample was predominantly composed of educated heterosexual French-Canadian Caucasian couples and all measures were self-reported. CONCLUSIONS Our original findings suggest that professionals should routinely screen for anxiety and depressive symptoms in both partners from pregnancy up to one year postpartum. Also, our findings suggest addressing attachment insecurities with both partners to prevent the development of future symptoms during pregnancy or after childbirth. Finally, our study supports the relevance of considering these symptoms at subclinical levels during the TTP.
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Affiliation(s)
| | - Audrey Brassard
- Department of Psychology, Université de Sherbrooke, Québec, Canada.
| | | | | | | | - Patrick Gosselin
- Department of Psychology, Université de Sherbrooke, Québec, Canada
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Jeong J, McCann JK, Joachim D, Ahun MN, Kabati M, Kaaya S. Fathers' mental health and coping strategies: a qualitative study in Mwanza, Tanzania. BMJ Open 2024; 14:e080933. [PMID: 38417960 PMCID: PMC10900361 DOI: 10.1136/bmjopen-2023-080933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2023] [Accepted: 02/02/2024] [Indexed: 03/01/2024] Open
Abstract
OBJECTIVES To investigate the nature of paternal mental health problems, their causes and the coping strategies used by fathers of young children under the age of 2 years. DESIGN AND SETTING We conducted in-depth interviews with fathers, mothers, community leaders and community health workers as well as focus group discussions with fathers-only, mothers-only and mixed groups of fathers and mothers. Respondents provided their perspectives on the psychosocial challenges affecting fathers and how fathers responded to their mental health problems. Data were triangulated across stakeholders and analysed using thematic content analysis. SETTING The study was conducted in four communities in Mwanza, Tanzania. PARTICIPANTS The total sample included 56 fathers, 56 mothers and 8 community stakeholders that were equally distributed across the four communities. RESULTS Respondents highlighted a spectrum of mental health concerns affecting fathers, including elevated parenting stress, depressive symptoms, and anxiety. Causes of paternal mental health problems included poverty, child-related concerns, marital problems and family illness. When asked about paternal coping strategies, both fathers and mothers shared that fathers mostly turned to negative coping strategies to manage their distress, such as paternal alcohol use and poor conflict resolution strategies. However, respondents also shared how some fathers used positive coping strategies, such as seeking out social support from their family and friends, engaging in exercise and leisure activities and relying on their faith. CONCLUSIONS Overall, this study highlights the importance of supporting positive mental health among fathers. Our findings can inform the design of psychosocial programme components that can be integrated within parenting interventions to promote the well-being of specifically fathers and ultimately improve the family caregiving environment.
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Affiliation(s)
- Joshua Jeong
- Hubert Department of Global Health and Population, Emory University, Atlanta, Georgia, USA
| | - Juliet K McCann
- Hubert Department of Global Health and Population, Emory University, Atlanta, Georgia, USA
| | - Damas Joachim
- Tanzania Home Economics Organization, Mwanza, Tanzania, United Republic of
| | - Marilyn N Ahun
- Department of Global Health and Population, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA
- Department of Medicine, McGill University, Montréal, Québec, Canada
| | - Mary Kabati
- Tanzania Home Economics Organization, Mwanza, Tanzania, United Republic of
| | - Sylvia Kaaya
- Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic of
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Garthus-Niegel S, Kittel-Schneider S. [Fathers and peripartum mental illness: the neglected parent?]. DER NERVENARZT 2023; 94:779-785. [PMID: 37389668 DOI: 10.1007/s00115-023-01508-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/11/2023] [Indexed: 07/01/2023]
Abstract
Fathers also play an important role during pregnancy and the postpartum period, both for the partner and for the child. With changes in society and increasing early involvement in the care of infants, the father-child relationship has become increasingly more important in recent years. There is growing evidence that fathers can also suffer from mental illnesses during their partner's pregnancy and especially after the birth of a child. As the transition to the role of a father is a major change in a man's life, the birth of a child can be a life event that contributes to a first time mental illness or triggers a new episode of an already existing illness. For example, birth complications can also traumatize the attendant fathers and result in trauma sequelae. Peripartum anxiety disorders and depression probably affect approximately 5% of all men and can among other things have a negative impact on the development of exposed children. Specific screening or even treatment services for affected men are still very rare and little research has been performed. Much less is known about the prevalence, risk factors, and treatment of other mental illnesses in fathers, and there is still a great need for research in this respect.
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Affiliation(s)
- Susan Garthus-Niegel
- Institut und Poliklinik für Arbeits- und Sozialmedizin, Technische Universität Dresden, Dresden, Deutschland
- Abteilung für Epidemiologie und Frauen- & Familiengesundheit, Medical School Hamburg, Hamburg, Deutschland
| | - Sarah Kittel-Schneider
- Department of Psychiatry and Neuobehavioural Science, Acute Mental Health Unit, Cork University Hospital, Wilton, University College Cork, Cork, Irland.
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Scarlett H, Moirangthem S, van der Waerden J. The impact of paternal mental illness on child development: an umbrella review of systematic reviews and meta-analyses. Eur Child Adolesc Psychiatry 2023:10.1007/s00787-023-02261-1. [PMID: 37540476 DOI: 10.1007/s00787-023-02261-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 07/07/2023] [Indexed: 08/05/2023]
Abstract
Whilst there is growing evidence highlighting the importance of paternal mental illness (PMI) on child development, this relationship still remains under-studied and often over-looked. Considering the increasingly active role of fathers in their children's upbringing, a comprehensive overview of the impact of PMI on child development is overdue. This study aimed to combine and synthesise currently available evidence on the relationship between PMI and multiple domains of child development. Narrative synthesis of systematic reviews and meta-analyses on the relationship between PMI and child development (mental health and social, emotional, language, cognitive or adaptive behaviour), published between 1980 to December 2021, was conducted in line with PRISMA 2020 guidelines. Review quality was assessed based on AMSTAR-2 criteria and respective study confidence was interpreted in line with GRADE scoring. All relevant meta-analytic effect sizes were converted to odds ratios (OR) and grouped using a random effects model. Grouped meta-analyses saw PMI to have a significant, detrimental effect on all studied domains of child development [OR: 1.54; 95% CI (1.36-1.74)]. Subgroup analyses saw PMI affecting both internalising [OR: 1.62; 95% CI (1.27-2.08)] and externalising [OR: 1.63; 95% CI (1.28-2.08)] child behaviours to a similar extent. However, included reviews were of poor methodological quality, demonstrating either low or critically low confidence. These results show a consistent and influential effect of PMI on child development. The relationship between fathers' mental illness and child development warrants further investigation, as current research is limited in scope, particularly regarding cognitive domains of child development and non-affective PMI diagnoses.
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Affiliation(s)
- Honor Scarlett
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie Et de Santé Publique, 75012, Paris, France.
| | - Simi Moirangthem
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie Et de Santé Publique, 75012, Paris, France
| | - Judith van der Waerden
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie Et de Santé Publique, 75012, Paris, France
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Baldy C, Piffault E, Chopin MC, Wendland J. Postpartum Blues in Fathers: Prevalence, Associated Factors, and Impact on Father-to-Infant Bond. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20105899. [PMID: 37239624 DOI: 10.3390/ijerph20105899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 05/09/2023] [Accepted: 05/18/2023] [Indexed: 05/28/2023]
Abstract
In this study we explored, in men, one of the most common postpartum syndromes in women: the postpartum blues. The aims of the study were (a) to evaluate the prevalence of postpartum blues in fathers, (b) to explore the sociodemographic and perinatal factors that may be associated with its intensity, and (c) to investigate the relationship between the intensity of blues symptoms and the quality of father-to-infant bonding. Three hundred and three French-speaking fathers living in France completed a sociodemographic and obstetrical questionnaire, the Maternity Blues Questionnaire, and the Postpartum Bonding Questionnaire. The fathers were recruited from two maternity hospitals and a Child and Maternal Health Centre within 10 days of their infant's birth, or from online forums devoted to parenting. At least 17.5% of fathers experienced postpartum blues. A high level of education was associated with a higher level of postpartum blues symptoms. Dissatisfaction with the maternity care and significant father involvement during pregnancy and delivery predicted more severe postpartum blues symptoms. Symptoms of postpartum blues were positively correlated with impairment in the father-to-infant bond. This study lends support to the existence of postpartum blues among fathers and highlights its possible consequences on early father-infant relationships.
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Affiliation(s)
- Claire Baldy
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, F-92100 Boulogne-Billancourt, France
| | - Eloi Piffault
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, F-92100 Boulogne-Billancourt, France
| | - Margaux Chabbert Chopin
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, F-92100 Boulogne-Billancourt, France
- Laboratory QualiPsy, University of Tours, F-37000 Tours, France
| | - Jaqueline Wendland
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, F-92100 Boulogne-Billancourt, France
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Chen J, Zhao J, Chen X, Zou Z, Ni Z. Paternal perinatal depression: A concept analysis. Nurs Open 2023. [PMID: 37147794 DOI: 10.1002/nop2.1797] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 02/18/2023] [Accepted: 04/20/2023] [Indexed: 05/07/2023] Open
Abstract
AIM Our aim is to clarify the concept of paternal perinatal depression including its definition, attributes, antecedents and consequences. DESIGN A concept analysis. METHODS To obtain relevant evidence, several databases were searched systematically including PubMed, EMBASE, Web of Science, CINAHL, PsycINFO and the Cochrane Library. Qualitative or quantitative articles published in English that focused on paternal perinatal depression were included. After the literature quality assessment, Walker and Avant's concept analysis strategy was used. RESULTS Five defining attributes (i.e. symptoms occur during the partner's pregnancy or 1-year postpartum and last at least 2 weeks, emotional symptoms, somatic symptoms, negative parenting behaviours and 'masked' symptoms), four antecedents (i.e. personal issues, pregnancy-related issues, infant-related issues, social issues) and three consequences (i.e. offspring outcomes, marital relationship, maternal negative emotions) were identified.
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Affiliation(s)
- Jianfei Chen
- School of Nursing, Wuhan University, Wuhan, China
| | - Jing Zhao
- School of Nursing, Wuhan University, Wuhan, China
| | - Xiaoli Chen
- School of Nursing, Wuhan University, Wuhan, China
| | - Zhijie Zou
- School of Nursing, Wuhan University, Wuhan, China
| | - Zhao Ni
- School of Nursing, Yale University, New Haven, Connecticut, USA
- Yale Institute for Global Health, Yale University, New Haven, Connecticut, USA
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Le J, Alhusen J, Dreisbach C. Screening for Partner Postpartum Depression: A Systematic Review. MCN Am J Matern Child Nurs 2023; 48:142-150. [PMID: 36744867 DOI: 10.1097/nmc.0000000000000907] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
BACKGROUND Postpartum depression is a significant mental health condition affecting an estimated 7% to 20% of women, with higher rates among individuals with increased risk factors. Most research on postpartum depression has focused on mothers, with less recognition of the mental health changes experienced by their partners. Research suggests almost 20% of partners may experience postpartum depression, yet our understanding is limited. An enhanced understanding of postpartum depression in a birthing person's partner is critical, given the mental and physical health sequelae associated with depression. PURPOSE The purpose of this review was to systematically examine the current tools available to assess partner postpartum depression. METHODS We conducted a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eligible studies were identified using selected key terms in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, and Ovid MEDLINE. Studies were included if they assessed partner depressive symptoms and identified the specified use of a tool or screening measure. RESULTS Seventeen studies met inclusion criteria. Seven different measures were used to assess postpartum depression. The Edinburgh Postnatal Depression Scale (EPDS) was used in 16 out of the 17 studies for depression assessment. CLINICAL IMPLICATIONS Routine screening of partners for postpartum depression should be recommended as part of standard care. Nurses are critical liaisons for assessing risk and connecting relevant and timely resources to birthing people and their partners. Identifying the available screening tools may help to avoid adverse clinical outcomes associated with increased symptom severity and burden.
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Yazdanpanahi Z, Mirmolaei ST, Taghizadeh Z, Jaafarpour M, Hajifoghaha M. Paternal postnatal depression: prevalence and the associated demographic and maternal reproductive factors among Iranian fathers. J Reprod Infant Psychol 2023:1-13. [PMID: 37096429 DOI: 10.1080/02646838.2023.2201844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
Abstract
BACKGROUND Paternal postnatal depression (PPND) is a critical mental health issue that may harm family members' health and relationships. The Edinburgh Postpartum Depression Scale (EPDS) is the most common self-reported questionnaire for postnatal depression screening among mothers and fathers worldwide. However, identifying fathers with postnatal depression and determining the related factors have been neglected in some countries. AIMS The present study aimed to determine the prevalence of PPND and then to identify its predictive demographic and reproductive factors. Two cut-off points (10 and 12) for the EPDS were used to detect PPND. METHODS This cross-sectional study was conducted on 400 eligible fathers selected via multistage sampling. Data were collected using a demographic checklist and the EPDS. RESULTS None of the participants had previously been screened for PPND. The mean age of the participants was 35.53 ± 5.47 years, and most of them were self-employed and had university degrees. The prevalence of PPND was 24.5% and 16.3% using the EPDS cut-off scores 10 and 12, respectively. An unwanted pregnancy and an abortion history were the predictors of PPND at both EPDS cut-off scores, with gravidity and the number of abortions also being associated with PPND at the cut-off score of 10. CONCLUSION In line with the related literature, our results revealed a fairly high prevalence of PPND and its related factors. This indicates the need for a screening program for fathers during the postnatal period to detect and adequately manage PPND and prevent its adverse effects.
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Affiliation(s)
- Zahra Yazdanpanahi
- Department of Reproductive Health, School of Nursing and Midwifery affiliated to Tehran university of Medical Sciences, Tehran, Iran
| | - Seyedeh Tahereh Mirmolaei
- Department of Reproductive Health, School of Nursing and Midwifery affiliated to Tehran university of Medical Sciences, Tehran, Iran
| | - Ziba Taghizadeh
- Department of Reproductive Health, School of Nursing and Midwifery affiliated to Tehran university of Medical Sciences, Tehran, Iran
| | - Molouk Jaafarpour
- Department of Midwifery, School of Nursing and Midwifery, Ilam University of Medical sciences, Ilam, Iran
| | - Mahboubeh Hajifoghaha
- Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
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Lucarelli L, Vismara L, Chatoor I, Sechi C. Parental Pre and Postnatal Depression: The Longitudinal Associations with Child Negative Affectivity and Dysfunctional Mother–Child Feeding Interactions. CHILDREN 2023; 10:children10030565. [PMID: 36980124 PMCID: PMC10047090 DOI: 10.3390/children10030565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 03/08/2023] [Accepted: 03/14/2023] [Indexed: 03/19/2023]
Abstract
Background: Many studies have shown the influence of maternal perinatal depression on a child’s emotional and behavioral regulation ability; yet there is scarce research on the impact of the father’s perinatal depression on the caregiver–infant relationship and the child’s development. Methods: Through a longitudinal study, we investigated maternal and paternal depression and its association with infants’ emotionality and mother–infant feeding interactions The sample was constituted of 136 first-time parents (68 couples, and their full-term babies at 3 and 6 months old). At T1 (28th week of pregnancy), T2 (three months old), and T3 (at six months age) parents responded to the Edinburgh Postpartum Depression Scale. At Times 2 and 3, mothers and fathers completed the Infant Behavior Questionnaire, and recorded mother–infant interactions were coded by means of the Feeding Scale. Results: Statistical analyses indicated stability of maternal and paternal depression over time. Correlations emerged between mother’s higher depression scores, negative affective state during interactions at three months age, infant food refusal and mother–infant interactional conflict at six months age. Paternal higher depressive scores were associated with the mother–child interactional conflict. To finish, higher parental depression scores were related with infant negative emotionality. Conclusion: The current study confirms the relevance of embracing a cumulative risk model to support the child’s development with early caregiver-child interventions.
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Affiliation(s)
- Loredana Lucarelli
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy
| | - Laura Vismara
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy
- Correspondence: ; Tel.: +39-333-5301106
| | - Irene Chatoor
- Department of Psychiatry and Behavioral Sciences, The George Washington University, Washington, DC 20052, USA
- Children’s National, Washington, DC 20010, USA
| | - Cristina Sechi
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy
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Challacombe FL, Pietikäinen JT, Kiviruusu O, Saarenpää-Heikkilä O, Paunio T, Paavonen EJ. Paternal perinatal stress is associated with children's emotional problems at 2 years. J Child Psychol Psychiatry 2023; 64:277-288. [PMID: 36215991 PMCID: PMC10092317 DOI: 10.1111/jcpp.13695] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/28/2022] [Indexed: 01/17/2023]
Abstract
BACKGROUND Paternal mental health in pregnancy and postpartum has been increasingly highlighted as important both in its own right, but also as crucial for the development of children. Rates of help-seeking among fathers is low, possibly due to conceptualising their own difficulties as stress rather than problems with mood. The relationship between paternal stress and child outcomes has not been investigated. METHODS This study used data from the Finnish CHILD-SLEEP birth cohort. Data were available for 901 fathers and 939 mothers who completed questionnaires on demographics, stress, anxiety and depression at 32 weeks gestation, 3 months, 8 months and 24 months postpartum. Parental report of child emotional and behavioural problems was collected at 24 months. RESULTS Around 7% of fathers experienced high stress (over 90% percentile) at each timepoint measured in the perinatal period, rising to 10% at 2 years postpartum. Paternal stress measured antenatally, at 3 and 24 months was associated with child total problems at 24 months, while paternal depression and anxiety were not related to child outcomes when in the same model. After adjusting for concurrent maternal depression, anxiety and stress, an association remained between paternal stress at each timepoint and child total problem scores at 24 months. The strongest association was with paternal stress at 3 months (OR 3.17; 95% CI 1.63-6.16). There were stronger relationships between paternal stress and boys' rather than girls' total problem scores, although the interactions were not statistically significant. CONCLUSIONS Paternal stress is an important manifestation of perinatal distress and is related to child mental health, particularly when present in the early postpartum months. Paternal stress should therefore be assessed in the perinatal period, which presents opportunities for early intervention and prevention of difficulties for both father and child.
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Affiliation(s)
| | - Johanna T Pietikäinen
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.,Department of Psychiatry, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland
| | - Olli Kiviruusu
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland
| | - Outi Saarenpää-Heikkilä
- Pediatric Clinics, Tampere University Hospital, Tampere, Finland.,Tampere Centre for Child Health Research, University of Tampere and Tampere University Hospital, Tampere, Finland
| | - Tiina Paunio
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.,Department of Psychiatry and SleepWell Research Program, Faculty of Medicine, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland
| | - E Juulia Paavonen
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.,Pediatric Research Center, Child Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
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11
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Barandon S, Castel L, Galera C, van der Waerden J, Sutter-Dallay AL. Women's quality of life and mental health in the first year after birth: Associated factors and effects of antenatal preventive measures among mothers in the ELFE cohort. J Affect Disord 2023; 321:16-27. [PMID: 36272461 DOI: 10.1016/j.jad.2022.10.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 10/11/2022] [Accepted: 10/16/2022] [Indexed: 11/17/2022]
Abstract
BACKGROUND During the perinatal period, women's perceived quality of life (QOL) may be altered due to physiological, psychological, and bodily changes, as well as changes in family functioning. OBJECTIVES to explore in a sample of women from the general population, the associations between physical and mental QOL at 1 year post-partum and i) pregnancy social support, demographic, socioeconomic, medical and child health-related factors, paternal and maternal psychological characteristics at 2 months and 1 year post-partum, ii) antenatal preventive measures (early prenatal interview/antenatal classes). METHODS We used data from the "French Longitudinal Study since Childhood" (ELFE), a representative cohort of children and their parents followed from birth to adulthood. Data were collected from mothers in the maternity ward, at 2 months and 1-year post-partum. QOL was assessed using the SF12 physical (PCS-12) and mental (MCS-12) subscales. RESULTS Women with both low PCS-12 and MCS-12 scores were more likely to have high maternal age and to experience psychological difficulties during pregnancy. They also had more frequent PNDS, quarrels with insults within the couple, low sleep time at 2 months postpartum, and more frequently received psychological, social and child caregiver support, and were more often housewives or students at 1-year post-partum. Others factors are specific for low PCS-12 or MCS-12. There was no association with antenatal preventive measure and QOL at 1-year post-partum. CONCLUSION Factors influencing maternal QOL are multiple and multidimensional and can mostly be identified during the ante or early postnatal period. A graduated and coordinated preventive and curative pathway would improve women's health. An ecosystemic approach to pregnancy and the perinatal period could help preventing the negative effects of environment on mothers and thus infants during the "1000-day period".
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Affiliation(s)
- S Barandon
- Bordeaux University, INSERM, Bordeaux Population Health Research Center, U 1219, F-33000 Bordeaux, France; Bordeaux Hospital University Center, Bordeaux School of Midwives, F-33076 Bordeaux, France.
| | - L Castel
- Bordeaux University, INSERM, Bordeaux Population Health Research Center, U 1219, F-33000 Bordeaux, France; Bordeaux University, F-33000 Bordeaux, France
| | - C Galera
- Bordeaux University, INSERM, Bordeaux Population Health Research Center, U 1219, F-33000 Bordeaux, France; Bordeaux University, F-33000 Bordeaux, France; University Department of Child and Adolescent Psychiatry, Charles-Perrens Hospital, F-33000 Bordeaux, France
| | - J van der Waerden
- INSERM, Sorbonne Université, Institut Pierre Louis d'Epidémiologie et de Santé Publique 5IPLESP, Department of Social Epidemiology, 27 rue Chaligny, 75012 Paris, France
| | - A-L Sutter-Dallay
- Bordeaux University, INSERM, Bordeaux Population Health Research Center, U 1219, F-33000 Bordeaux, France; Bordeaux University, F-33000 Bordeaux, France; University Department of Child and Adolescent Psychiatry, Charles-Perrens Hospital, F-33000 Bordeaux, France
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12
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Postpartum Depression Among Gay Fathers With Children Born Through Surrogacy: A Cross-sectional Study. J Psychiatr Pract 2023; 29:3-10. [PMID: 36649546 DOI: 10.1097/pra.0000000000000684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
BACKGROUND Studies on postpartum depression (PPD) in gay fathers are scarce. The goals of this study were to examine the prevalence of PPD among Israeli gay fathers with children born through surrogacy and to identify characteristics associated with PPD in this population. METHODS In this descriptive cross-sectional study, we sent surveys to gay fathers who had children who were 0 to 12 months of age and were born through surrogacy. Surveys were sent through 3 major surrogacy agencies in Israel and through the media. Data were collected concerning sociodemographic, medical, and lifestyle factors as well as concerning satisfaction with partners, family, and social support. Each respondent completed the Edinburgh Postnatal Depression Scale, which screens for PPD. Characteristics of fathers with and without probable PPD were compared. RESULTS Between July 2018 and December 2019, 66 men answered our questionnaire. The respondents, mean age of 37.5 years, were mostly first-time fathers (82%), with high rates of twin pregnancies (42%). Eight respondents (12%) were classified as having depressive symptoms (95% CI: 5.4%-22.5%), and 16 respondents (25%) reported current or past use of antidepressant medications. A negative association was observed between satisfaction with family support and report of depressive symptoms (χ22=6.53, P=0.038) and Spearman correlation test (rs=-0.34, P=0.005). CONCLUSIONS The incidence of probable PPD among gay fathers was 12% compared with 8.8% reported in fathers in the general population. High satisfaction with family support was associated with a lower incidence of probable PPD among gay fathers. Increased awareness of the potential for PPD in gay fathers can improve early diagnosis and treatment.
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Baldoni F, Giannotti M, Casu G, Agostini F, Mandolesi R, Peverieri S, Ambrogetti N, Spelzini F, Caretti V, Terrone G. The Perinatal Assessment of Paternal Affectivity (PAPA): Italian validation of a new tool for the screening of perinatal depression and affective disorders in fathers. J Affect Disord 2022; 317:123-130. [PMID: 36028014 DOI: 10.1016/j.jad.2022.08.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 08/05/2022] [Accepted: 08/20/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND Questionnaires for the screening of paternal perinatal psychological distress are based on clinical manifestations expressed by women, showing limitations in capturing the wide array of signs and symptoms exhibited by men. The current study aimed to validate the Perinatal Assessment of Paternal Affectivity, a new self-report tool for the screening of paternal depressive and affective disorder. METHOD This study used a cross-sectional design with a 3-month test-retest, involving respectively 385 (T1) and a sub-sample of 111(T2) fathers. Confirmatory factor analysis (CFA) was performed to test structural validity and concurrent validity was assessed by Spearman correlations. We assessed reliability using McDonald's ω and ordinal alpha. Group differences in PAPA scores based on sociodemographic were also tested. RESULTS The CFA reported a one factor structure as the optimal solution. The PAPA also showed adequate reliability and internal consistency as well as acceptable test-retest indices. Concurrent validity was confirmed by significant correlations between PAPA total score and standardized test scores. Non-Italian fathers and fathers who experienced recent stressful life events reported higher PAPA scores. LIMITATIONS Our sample was not homogeneous in terms of nationality and most of the participants, were from Northern Italy. Some risk factors associated with paternal parental psychological distress (e.g., unplanned pregnancy) have not been considered. CONCLUSION This study provides initial evidence of validity and reliability of the PAPA as a brief and sensitive screening tool to detect signs and symptoms of paternal affective disorder during both prenatal and postnatal period.
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Affiliation(s)
- F Baldoni
- Department of Psychology, University of Bologna, Italy
| | - M Giannotti
- Department of Psychology and Cognitive Sciences, University of Trento, Rovereto, Italy.
| | - G Casu
- Department of Psychology, University of Bologna, Italy
| | - F Agostini
- Department of Psychology, University of Bologna, Italy
| | - R Mandolesi
- Department of Psychology, University of Bologna, Italy
| | - S Peverieri
- Department of Psychology, University of Bologna, Italy
| | - N Ambrogetti
- Department of Psychology, University of Bologna, Italy
| | - F Spelzini
- Operative Unit of Obstetrics and Gynecology, Rimini Hospital, AUSL Romagna, Rimini, Italy
| | | | - G Terrone
- University of Rome Tor Vergata, Rome, Italy
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14
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Wendelboe KI, Nielsen JS, Stuart AC, Væver MS. The parental reflective functioning questionnaire: Infant version in fathers of infants and association with paternal postpartum mental health. Infant Ment Health J 2022; 43:921-937. [PMID: 36228620 PMCID: PMC9828265 DOI: 10.1002/imhj.22023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 06/27/2022] [Indexed: 01/12/2023]
Abstract
The parents' capacity to reflect upon the psychological processes in their child, termed parental reflective functioning (PRF) can be impaired by parental mental health problems. The present study aimed to investigate the factor structure of an infant version of the Parental Reflective Functioning Questionnaire (PRFQ-I) in a low-risk sample of 259 Danish fathers of 1-11-month-old infants to investigate measurement invariance of the PRFQ-I between fathers and mothers; and to examine the association between PRF and paternal depressive symptoms, psychological distress, and parenting stress. Confirmatory factor analysis supported a three-factor model of the PRFQ-I. Multi-group factor analysis indicated partial measurement invariance. Multiple linear regressions showed that paternal depressive symptoms were not associated with PRF. There was an interaction effect of paternal depressive symptoms and general psychological distress on paternal interest and curiosity in their infant's mental state and certainty of infant mental state. Increased parenting stress was associated with impaired PRF on all three subscales of the PRFQ-I. These results provide further evidence for a multidimensional, brief assessment of paternal reflective skills and insight into how variability in paternal psychological functioning relates to impaired PRF in the postpartum period.
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Affiliation(s)
- Katrine Isabella Wendelboe
- Center for Early Intervention and Family Studies, Department of PsychologyUniversity of CopenhagenCopenhagenDenmark
| | - Johanne Smith Nielsen
- Center for Early Intervention and Family Studies, Department of PsychologyUniversity of CopenhagenCopenhagenDenmark
| | - Anne Christine Stuart
- Center for Early Intervention and Family Studies, Department of PsychologyUniversity of CopenhagenCopenhagenDenmark
| | - Mette Skovgaard Væver
- Center for Early Intervention and Family Studies, Department of PsychologyUniversity of CopenhagenCopenhagenDenmark
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15
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Odd D, Okano S, Ingram J, Blair PS, Billietop A, Fleming PJ, Thoresen M, Chakkarapani E. Physiological responses to cuddling babies with hypoxic-ischaemic encephalopathy during therapeutic hypothermia: an observational study. BMJ Paediatr Open 2021; 5:10.1136/bmjpo-2021-001280. [PMID: 35510511 PMCID: PMC8679081 DOI: 10.1136/bmjpo-2021-001280] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 11/14/2021] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES To determine whether parents cuddling infants during therapeutic hypothermia (TH) would affect cooling therapy, cardiorespiratory or neurophysiological measures. The secondary aim was to explore parent-infant bonding, maternal postnatal depression and breastfeeding. DESIGN Prospective observational study. SETTING Two tertiary neonatal intensive care units (NICU). PARTICIPANTS Parents and their term-born infants (n=27) receiving TH and intensive care for neonatal hypoxic-ischaemic encephalopathy. INTERVENTIONS Cuddling up to 2 hours during TH using a standard operating procedure developed in the study (CoolCuddle). MAIN OUTCOME MEASURES Mean difference in temperature, cardiorespiratory and neurophysiological variables before, during and after the cuddle. Secondary outcomes were parental bonding, maternal postnatal depression and breastfeeding. RESULTS During 70 CoolCuddles (115 cumulative hours), there were measurable increases in rectal temperature (0.07°C (0.03 to 0.10)) and upper margin of amplitude-integrated electroencephalogram (1.80 µV (0.83 to 2.72)) and decreases in oxygen saturations (-0.57% (-1.08 to -0.05)) compared with the precuddle period. After the cuddle, there was an increase in end-tidal CO2 (0.25 kPa (95% CI 0.14 to 0.35)) and mean blood pressure (4.09 mm Hg (95% CI 0.96 to 7.21)) compared with the precuddle period. From discharge to 8 weeks postpartum, maternal postnatal depression declined (13 (56.5%) vs 5 (23.8%), p=0.007); breastfeeding rate differed (71% vs 50%, p=0.043), but was higher than national average at discharge (70% vs 54.6%) and mother-infant bonding (median (IQR): 3 (0-6) vs 3 (1-4)) remained stable. CONCLUSION In this small study, CoolCuddle was associated with clinically non-significant, but measurable, changes in temperature, cardiorespiration and neurophysiology. No infant met the criteria to stop the cuddles or had any predefined adverse events. CoolCuddle may improve breastfeeding and requires investigation in different NICU settings.
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Affiliation(s)
- David Odd
- Population Medicine, Cardiff University, School of Medicine, Cardiff, UK
| | - Satomi Okano
- Neonatology, St Michael's Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.,Translational Health Sciences, University of Bristol Medical School, Bristol, UK
| | - Jenny Ingram
- Centre for Academic Child Health, University of Bristol Medical School, Bristol, UK
| | - Peter S Blair
- Centre for Child and Adolescent Health, University of Bristol Medical School, Bristol, UK
| | - Amiel Billietop
- Neonatal Intensive Care Unit, North Bristol NHS Trust, Westbury on Trym, Bristol, UK
| | - Peter J Fleming
- Centre for Academic Child Health, University of Bristol Medical School, Bristol, UK
| | - Marianne Thoresen
- Translational Health Sciences, University of Bristol Medical School, Bristol, UK
| | - Ela Chakkarapani
- Neonatology, St Michael's Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK .,Translational Health Sciences, University of Bristol Medical School, Bristol, UK
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16
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Psouni E, Frisk C, Brocki K. Anxiety among fathers in the postnatal period: Links to depression, attachment insecurity and emotion regulation. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2021. [DOI: 10.1016/j.jadr.2021.100276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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17
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Mangialavori S, Cacioppo M, Terrone G, O'Hara MW. A dyadic approach to stress and prenatal depression in first-time parents: The mediating role of marital satisfaction. Stress Health 2021; 37:755-765. [PMID: 33620738 DOI: 10.1002/smi.3036] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 02/12/2021] [Accepted: 02/16/2021] [Indexed: 11/11/2022]
Abstract
In the field of perinatal clinical psychology, most studies focus on mothers' psychological states during pregnancy, neglecting the role of their partners. This study used an Actor-Partner Interdependence Mediation Model to evaluate the mediating role of dyadic satisfaction on the relationship between perceived stress and prenatal depressive symptomatology in both members of male-female-mixed-gender couples who were expecting their first child. One hundred thirty-eight couples in their third trimester of pregnancy were asked to complete questionnaires about perceived stress, dyadic adjustment, and depression. The model revealed that there was an intrapersonal indirect effect of fathers' perceived stress on prenatal paternal depression through their marital satisfaction. Moreover, an interpersonal indirect effect was found with mothers' perceived stress being associated with prenatal paternal depression through fathers' dyadic satisfaction. Maternal indirect effects were all non-significant, suggesting that their dyadic satisfaction and that of their partner did not mediate the relation between their perceived stress and that of their partner and their prenatal depression. Findings support the importance of assessing the dyadic satisfaction of couples during pregnancy, especially in expectant fathers, and targeting it in the psychological support offered to couples as a way of improving their prenatal distress, and consequently, their mental health.
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Affiliation(s)
| | - Marco Cacioppo
- Department of Human Sciences, LUMSA, University of Rome, Rome, Italy
| | - Grazia Terrone
- Department of History, Cultural Heritage, Education and Society, University of Rome Tor Vergata, Rome, Italy
| | - Michael W O'Hara
- Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, Iowa, USA
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18
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ÜNVER H, UÇAR T. İlk kez baba olanlarda doğum sonu depresyon ve psikososyal belirleyicileri. CUKUROVA MEDICAL JOURNAL 2021. [DOI: 10.17826/cumj.840392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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19
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Eiden RD, Livingston JA, Kelm MR, Sassaman JN. Risk and Protective Pathways to Peer Victimization from Infancy to Adolescence: Role of Fathers. ADVERSITY AND RESILIENCE SCIENCE 2021; 2:109-123. [PMID: 35419548 PMCID: PMC9000245 DOI: 10.1007/s42844-020-00028-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/23/2020] [Indexed: 06/14/2023]
Abstract
This study examined the developmental pathways from fathers' psychopathology in early childhood to child peer victimization (bullying and cyber victimization) in late adolescence via family relationships and early adolescent psychosocial functioning (anxiety, emotion regulation, social problems). A conceptual model with pathways through inter-parental aggression and fathers' parenting (harshness and sensitivity) was tested. Participants were 227 families (51% female children recruited as infants) who participated in a longitudinal study examining the role of parental alcohol problems and associated risks on developmental and family processes from infancy to late adolescence. Multi-method (observational, parent report, adolescent report) assessments of family processes and child outcomes were conducted across all time points. Fathers' alcohol problems and depressive symptoms in early childhood was prospectively associated with inter-parental aggression in middle childhood and social problems in early adolescence. For boys only, early adolescent social problems were predictive of bullying victimization. Fathers' antisocial behavior in early childhood was associated with less sensitive parenting in middle childhood. Fathers' sensitivity in middle childhood was protective, being associated with lower cyber victimization in late adolescence. Fathers' sensitivity was also associated with higher emotion regulation in early adolescence; however, counter to expectations, higher emotion regulation was associated with more bullying and cyber victimization. Findings shed light on differences in the etiological pathways to bullying and cyber victimization, as well as how distinct forms of paternal psychopathology in early childhood associate with family relationships, child adjustment, and vulnerability to peer victimization in late adolescence.
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Affiliation(s)
- Rina D. Eiden
- Department of Psychology, The Pennsylvania State University, State College, PA
| | | | - Madison R. Kelm
- Department of Psychology, The Pennsylvania State University, State College, PA
| | - Jenna N. Sassaman
- Department of Psychology, The Pennsylvania State University, State College, PA
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20
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Ansari NS, Shah J, Dennis CL, Shah PS. Risk factors for postpartum depressive symptoms among fathers: A systematic review and meta-analysis. Acta Obstet Gynecol Scand 2021; 100:1186-1199. [PMID: 33539548 DOI: 10.1111/aogs.14109] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Revised: 01/20/2021] [Accepted: 02/01/2021] [Indexed: 01/18/2023]
Abstract
INTRODUCTION The transition to parenthood is a major life change that may affect the mental well-being of both mothers and fathers and place them at an increased risk for depression. The objective of our study was to systematically review the literature and identify factors associated with postpartum depressive symptoms in fathers. MATERIAL AND METHODS Searches were conducted in PubMed, PsychInfo, Embase, and CINAHL to identify studies published until March 2020. Studies that reported factors associated with depression among fathers were included. The data from these studies were extracted independently by two authors with disagreements resolved by a third author and consensus. The odds ratio (OR) was used as a measure of association between the risk factor and the primary outcome: depression within the first 12 months following childbirth among fathers diagnosed using any method. Summary estimates were calculated using a random effects model. The associations between the risk factors and depressive symptoms were evaluated. RESULTS The search identified 1040 reports. After screening titles and abstracts, 62 full-text articles were assessed for eligibility and 25 studies involving 13 972 fathers were included in the systematic review. Fathers with a prior mental health illness episode had higher odds of developing depressive symptoms than those with no mental health history (eight studies, n = 3515, pooled OR 6.77, 95% CI 5.07-9.04; I2 = 0%). Other significant risk factors included relationship dissatisfaction (eight studies, n = 6924, pooled OR 1.53, 95% CI 1.29-1.81; I2 = 93%), maternal depression (seven studies, n = 6661, pooled OR 1.66, 95% CI 1.27-2.17; I2 = 88%), financial instability (five studies, n = 3052, pooled OR 2.24, 95% CI 1.44-3.48; I2 = 74%), paternal unemployment (three studies, n = 1505, pooled OR 6.61, 95% CI 1.94-22.54; I2 = 59%), low education level (two studies, n = 1697, pooled OR 3.56, 95% CI 1.06-11.97; I2 = 88%), and perceived stress (two studies, n = 692, pooled OR 1.06, 95% CI 1.02-1.11; I2 = 5%). Lack of support and low parenting self-efficacy were also associated with paternal postpartum depressive symptoms. CONCLUSIONS A history of paternal mental illness, maternal depression, and diverse psychosocial factors were associated with depressive symptoms among fathers postnatally. These findings can guide the development of family-level interventions for early identification and treatment and social media campaigns to promote help-seeking behaviors and engagement in preventive strategies.
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Affiliation(s)
- Najmus Sehr Ansari
- Department of Pediatrics, Mount Sinai Hospital, Toronto, ON, Canada.,Department of Pediatrics, University of Toronto, Toronto, ON, Canada
| | - Jyotsna Shah
- Department of Pediatrics, Mount Sinai Hospital, Toronto, ON, Canada.,Department of Pediatrics, University of Toronto, Toronto, ON, Canada
| | - Cindy-Lee Dennis
- Lawrence S Bloomberg Faculty of Nursing and Department of Psychiatry, University of Toronto, Toronto, ON, Canada.,Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada
| | - Prakesh S Shah
- Department of Pediatrics, Mount Sinai Hospital, Toronto, ON, Canada.,Department of Pediatrics, University of Toronto, Toronto, ON, Canada
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21
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The Experiences of First-Time Fathers in Perinatal Services: Present but Invisible. Healthcare (Basel) 2021; 9:healthcare9020161. [PMID: 33546202 PMCID: PMC7913323 DOI: 10.3390/healthcare9020161] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 01/16/2021] [Accepted: 01/21/2021] [Indexed: 11/21/2022] Open
Abstract
Fathers in the UK are becoming more involved in the care of their infants and children. A constructivist grounded theory approach was adopted to explore men’s transition to fatherhood. This paper reports on one of the sub-categories derived from the data. First-time fathers with a child under two were recruited predominantly via social media. Audio-recorded semi-structured interviews were undertaken with an opening question asking men to tell their story of becoming a father. Interviews were transcribed and analysed using constructivist grounded theory methods. This paper reports one core aspect of the research findings which has particular relevance for healthcare professionals. The men in this study were highly appreciative of the care their partner and baby received but consistently reported a lack of father-specific support throughout their journey to fatherhood. This ranged from generally poor communication with healthcare professionals to being ignored and side-lined in maternity settings where they continued to be treated as visitors before, during and after the birth of their baby. Despite similar findings being reported over the last 30 to 40 years and policy directives emphasising the importance of working with fathers, change within healthcare services remains slow. Currently, fathers’ needs are not being adequately met by perinatal services.
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22
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Baldoni F, Ancora G, Latour JM. Being the Father of a Preterm-Born Child: Contemporary Research and Recommendations for NICU Staff. Front Pediatr 2021; 9:724992. [PMID: 34552898 PMCID: PMC8450441 DOI: 10.3389/fped.2021.724992] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Accepted: 08/16/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Most studies on parental reactions to a preterm birth and to hospitalization of the newborn in Neonatal Intensive Care Units (NICUs) have involved mothers. However, emotional responses and behaviors of fathers are equally important. Usually, the father is the first to meet the preterm newborn, to find out information about baby's condition and to communicate to the mother and other family members. In this context he is often left alone and can show psychological difficulties including affective disorders such as depression or anxiety. This paper describes the role of fathers in the NICU, the best practices to support fathers, and to explain the role of a psychologist in the NICU staff. Considerations and suggestions are provided on the difficulties encountered to support parents, with a focus on the role of fathers during the COVID-19 pandemic. Methods and Discussion: Considering contemporary research data and following an attachment perspective, we analyze the role of the father of a preterm-born child in the relation with the partner and in newborn caring. Research has shown that involving fathers in newborn care in NICU and at home is essential not only because it promotes the father/son attachment relationship and has positive effects on the psychological and somatic development of the newborn, but also for the health of the mother and whole family. Conclusion: Recommendations are provided to enhance the functions of fathers in the NICU, promote their involvement in the care of their infant, and interventions to prevent the manifestation of psychological suffering and/or perinatal affective disorders. The commitments of a psychologist in a NICU team are presented and require not only clinical skills, but also the ability to manage the emotional and relational difficulties of fathers, family and NICU staff. Considerations and suggestions are provided on the difficulties encountered by parents in the NICU during the COVID-19 pandemic.
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Affiliation(s)
- Franco Baldoni
- Department of Psychology, University of Bologna, Bologna, Italy
| | - Gina Ancora
- Neonatal Intensive Care Unit, Infermi Hospital, Rimini, Italy
| | - Jos M Latour
- Faculty of Health, School of Nursing and Midwifery, University of Plymouth, Plymouth, United Kingdom.,Department of Nursing, Hunan Children's Hospital, Changsha, China
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23
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Screening for Early Signs of Paternal Perinatal Affective Disorder in Expectant Fathers: A Cluster Analysis Approach. J Pers Med 2020; 11:jpm11010010. [PMID: 33374704 PMCID: PMC7822454 DOI: 10.3390/jpm11010010] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 12/16/2020] [Accepted: 12/20/2020] [Indexed: 11/25/2022] Open
Abstract
Previous studies documented gender-related differences in the expression of Perinatal Affective Disorders. However, little attention has been paid to screening the male population during the perinatal period. This study was based on three aims: (1) to investigate the mental health of expectant fathers based on their levels of depression, anxiety, addiction, anger attacks/hostility, and somatization, identifying psychological profiles; (2) to analyze the association between these profiles and the individual variable of perceived stress; (3) and to examine the association between these profiles and the couple’s variable of marital adjustment. A total of 350 Italian expectant fathers in the last trimester of pregnancy were asked to fill in questionnaires concerning perceived stress, dyadic adjustment, psychiatric symptomatology, and depression. Three different clusters were found: “psychologically healthy men” (68%) with low levels of symptoms on all the scales; “men at risk of externalized behavioral problems” (17.1%), characterized by one or more addictive or risky behaviors and moderate levels of scales scores; and “men experiencing psychological distress” (14.9%), with the highest scores on all the scales. A significant association emerged among the perceived stress, marital adjustment, and cluster membership. These results highlight the importance of screening fathers in perinatal health services, which are still predominantly mother-centered, and underscore the necessity to create tailored and personalized interventions.
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24
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Pradeepkumar PC, Hamza A, Ragesh G, Ganjekar S, Thippeswamy H, Chandra PS, Desai G. Psychological Distress, Coping and Perceived Social Support Among Partners of Women with Postpartum Onset Severe Mental Illness (SMI) Admitted to a Mother-Baby Unit. Indian J Psychol Med 2020; 42:535-539. [PMID: 33354079 PMCID: PMC7735251 DOI: 10.1177/0253717620958162] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/23/2020] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND The presence of a severe mental illness in the mother during the postpartum period may impact the whole family and specifically have an effect on the health of the spouse. The current study aimed to assess psychological distress, coping, and perceived social support of spouses of women with postpartum onset severe mental illness. METHODOLOGY A cross-sectional descriptive research design was used, and 30 spouses of the women admitted to the mother-baby unit (MBU) for psychiatric inpatient care were included in the study. The assessments included sociodemographic details, Kessler psychological distress scale (K10), brief coping orientation to problems experienced scale (brief COPE), and Zimets' multidimensional scale of perceived social support. RESULTS Around 50% of the spouses experienced severe psychological distress. Nearly 40% of spouses reported poor coping and 56.7% of spouses had moderate social support from family and friends. CONCLUSION The findings indicate the need to address distress and coping in spouses of women with postpartum onset SMI.
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Affiliation(s)
- PC Pradeepkumar
- National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India
| | - Ameer Hamza
- National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India
| | - G Ragesh
- Institute of Mental Health and Neurosciences, Govt Medical College Campus, Kozhikode, Kerala, India
| | - Sundarnag Ganjekar
- National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India
| | - Harish Thippeswamy
- National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India
| | - Prabha S Chandra
- National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India
| | - Geetha Desai
- National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India
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25
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Abstract
OBJECTIVE A significant number of men suffer from paternal postpartum depression (PPPD). This is detrimental to family and personal well-being. This study aims to report rates of PPPD in first-time fathers in New Zealand. It also aims to find predictors of PPPD. METHODS Data from 116 men were analysed. Men completed questionnaires at 24 weeks gestation, 36 weeks gestation, post-birth and 6 months after the baby was born. The outcome of interest was scores on the Edinburgh Postnatal Depression Scale 6 months after the baby was born. RESULTS Twelve percent of the participants met criteria for PPPD. Factors that predicted PPPD were: earlier depression, family life satisfaction, expectations, birth interventions, pain management for their partner and pregnancy anxiety. CONCLUSIONS It is important that PPPD is recognised and treated. More research is needed on the mental health of fathers.
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Affiliation(s)
- Anne M Howarth
- Dunedin School of Medicine, University of Otago, New Zealand
| | - Nicola R Swain
- Dunedin School of Medicine, University of Otago, New Zealand
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26
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Birth experience from the perspective of the fathers. Arch Gynecol Obstet 2020; 302:1297-1303. [PMID: 32740868 PMCID: PMC7524830 DOI: 10.1007/s00404-020-05714-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 07/25/2020] [Indexed: 10/27/2022]
Abstract
PURPOSE As men nowadays often attend the delivery of their own child, they also have to go through the labor period. In this study, the condition of the expectant fathers attending labor was evaluated. METHODS In 2016, fathers who went through labor with their partners in the University medical center of Mainz were interviewed within the first days after delivery and 6 months later. They received a "Fathers questionnaire" concerning their motivation, the valuation of their attendance, their emotions during labor, and concerning the service in the labor ward. Six months later, they also received the validated Impact of Event Scale questionnaire (IES-R). In total, 318 participants answered the "Fathers' Questionnaire", 226 the IES-R. RESULTS Father's attendance during labor was considered to be beneficial for fathers themselves (254, 79.8%), for the mother (272, 85.5%), for the newborn child (187, 58.8%), for the relationship (234, 73.6%). Only four could not see a purpose in their attendance. 73 men (23%) felt helpless, 47 (14.8%) were overwhelmed by the situation, 116 (36.5%) felt fear, 299 (94%) were happy to be present at birth, 27 (8.5%) felt traumatized by experiencing their partners in labor. According to the IES-R, none of the 226 men surveyed showed all symptoms of post-traumatic stress disorder. CONCLUSION Childbirth is related to positive and negative emotions. Positive emotions are predominant, but come along with negative feelings. In this survey, posttraumatic stress disorder did not occur among men after delivery. Nevertheless, fathers' needs should be kept in view.
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27
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Terrone G, Mangialavori S, Lanza di Scalea G, Cantiano A, Temporin G, Ducci G, Gori A, Cacioppo M, Schimmenti A, Caretti V. The relationship between dyadic adjustment and psychiatric symptomatology in expectant couples: An actor-partner interdependency model approach. J Affect Disord 2020; 273:468-475. [PMID: 32560942 DOI: 10.1016/j.jad.2020.05.040] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 04/20/2020] [Accepted: 05/10/2020] [Indexed: 01/10/2023]
Abstract
BACKGROUND Many researchers who evaluated psychological distress during the transition to parenthood agree in identifying pregnancy as the most sensitive period for the onset of psychiatric symptomatology for both parents. Furthermore, research highlights a correlation between symptoms experienced by fathers in relation to those experienced by mothers. OBJECTIVE The aim of this study was to investigate whether dyadic functioning influences the level of psychiatric symptomatology in couples expecting their first child. Participants were 137 couples expecting their first child; they were recruited at the San Filippo Neri and the Santo Spirito hospitals in Rome (ASLROMA1). We used an Actor-Partner Interdependence Model (APIM) to test the interdependence of both partners and the effect of dyadic relationships on psychiatric symptoms in the couple. RESULTS The overall test of distinguishability yielded a chi square value of 122.167 (23 df; p < .001). The actor-partner interdependence model showed significant paths between couple coping and psychiatric symptomatology. Specifically, we found that the quality of couple coping perceived by the mother negatively predicted maternal psychiatric symptomatology, and the quality of couple coping perceived by the father negatively predicted paternal psychiatric symptomatology. Furthermore, the quality of couple coping perceived by the father negatively predicted maternal psychiatric symptomatology. CONCLUSIONS The results of this study confirm that dyadic adjustment is an important element for the development of effective interpersonal relationships. These data highlight the importance of promoting psycho-educational and clinical courses and programs for the development of social support with future parents.
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Affiliation(s)
- Grazia Terrone
- Department of Humanities, Literature, and Cultural Heritage, University of Foggia, Foggia, Italy.
| | | | | | - Arianna Cantiano
- Department of Human Sciences, LUMSA University of Rome, Rome, Italy
| | | | | | - Alessio Gori
- Department of Health Sciences, University of Florence, Firenze, Italy
| | - Marco Cacioppo
- Department of Human Sciences, LUMSA University of Rome, Rome, Italy
| | - Adriano Schimmenti
- Faculty of Human and Social Sciences, UKE - Kore University of Enna, Enna, Italy
| | - Vincenzo Caretti
- Department of Human Sciences, LUMSA University of Rome, Rome, Italy
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Sihota H, Oliffe J, Kelly MT, McCuaig F. Fathers' Experiences and Perspectives of Breastfeeding: A Scoping Review. Am J Mens Health 2020; 13:1557988319851616. [PMID: 31092114 PMCID: PMC6537273 DOI: 10.1177/1557988319851616] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
During the transition to parenthood, fathers may experience significant
challenges, including finding a place for themselves as important participants
in the context of infant breastfeeding by female partners. Although generally
viewed as a healthy process and the preferred method of infant feeding,
breastfeeding may result in some fathers feeling excluded, inadequate, and
helpless. Breastfeeding is known to adversely affect various aspects of a
father’s life, including parenting self-efficacy, quality of life (QOL), the
relationship with the partner, and the perception that breastfeeding limits time
available for father–infant bonding. The current scoping review explores the
experiences, roles, and needs of fathers of breastfed infants by synthesizing
and discussing the findings from relevant published research studies
(n = 18). Recommendations, drawn from the scoping review
findings, are offered to guide primary health providers and services.
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Affiliation(s)
| | - John Oliffe
- 1 University of British Columbia, Vancouver, Canada
| | - Mary T Kelly
- 1 University of British Columbia, Vancouver, Canada
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29
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Jia L, Ji F, Wu J, Wang Y, Wu C. Paternal depressive symptoms during the early postpartum period and the associated factors following the implementation of the two-child policy in China. Arch Psychiatr Nurs 2020; 34:43-49. [PMID: 32248933 DOI: 10.1016/j.apnu.2020.02.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Revised: 01/15/2020] [Accepted: 02/08/2020] [Indexed: 10/25/2022]
Abstract
AIM To evaluate the prevalence of paternal depressive symptoms during the first three days of childbirth, as well as the associated factors, following the implementation of the two-child policy in China in 2015, which allows couples to have two children in the Chinese mainland. METHODS A cross-sectional study was conducted among 318 fathers. Paternal depressive symptoms and self-efficacy of fathers were screened using the Edinburgh Postnatal Depression Scale and the General Self-Efficacy Scale, respectively. In addition, basic information of all parents and neonates was collected. Univariate analysis, binary logistic regression analysis, and principal component analysis (PCA) were used to identify the relationship between paternal depressive symptoms and its associated factors. RESULTS Twenty-two percentage of fathers had depressive symptoms during the first three days of childbirth. Binary logistic regression analysis revealed that older fathers, those who slept for more than 8 h per night, or were dissatisfied with their living conditions were more susceptible to developing the symptoms. On the contrary, protective factors such as the educational level of fathers, planned pregnancy, prenatal guidance, having the second-born child, and higher self-efficacy were found to reduce the development of paternal depressive symptoms. PCA showed that the main components that influenced the paternal depressive symptoms were parental age and parity. CONCLUSIONS The prevalence of paternal depressive symptoms during the postpartum period did not increase significantly after the implementation of the two-child policy in China. However, focusing on the associated factors is necessary in order to manage postpartum depression during the early postpartum period.
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Affiliation(s)
- Lei Jia
- School of Nursing, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Shanghai 201203, China
| | - Fangyuan Ji
- Shuguang Hospital Affiliated To Shanghai University of TCM, No. 528, Zhangheng Road, Shanghai 201203, China
| | - Jing Wu
- School of Nursing, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Shanghai 201203, China
| | - Yin Wang
- School of Nursing, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Shanghai 201203, China
| | - Caiqin Wu
- School of Nursing, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Shanghai 201203, China.
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30
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Bruno A, Celebre L, Mento C, Rizzo A, Silvestri MC, De Stefano R, Zoccali RA, Muscatello MRA. When Fathers Begin to Falter: A Comprehensive Review on Paternal Perinatal Depression. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041139. [PMID: 32053929 PMCID: PMC7068539 DOI: 10.3390/ijerph17041139] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 02/06/2020] [Indexed: 11/16/2022]
Abstract
The transition to parenthood is considered to be a major life transition that can increase the vulnerability to parental depressive disorders, including paternal perinatal depression (PPND). Although it is known that many fathers experience anxiety and depression during the perinatal period, PPND is a recent diagnostic entity and there are not enough published studies on it. Accordingly, its prevalence and epidemiology are still not well defined, although the majority of studies agree that PPND is less frequent than maternal perinatal depression and postpartum depression. Nevertheless, PPND is different from maternal perinatal mental health disorders, usually, fathers have less severe symptoms, and mood alterations are often in comorbidity with other affective disorders. Despite the absence of DSM-5 diagnostic criteria and the fluctuation of prevalence rates, clinical symptoms have been defined. The main symptoms are mood alterations and anxiety, followed by behavioral disturbances and concerns about the progress of pregnancy and the child’s health. Moreover, PPND negatively impacts on family functioning, on couples’ relationships, and on family members’ well-being. The aim of this paper is to present an overview of the current understandings on PPND and the potential screening, prevention, and treatment options.
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Affiliation(s)
- Antonio Bruno
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy
- Psychiatry Unit, Polyclinic Hospital University of Messina, 98125 Messina, Italy
| | - Laura Celebre
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy
- Psychiatry Unit, Polyclinic Hospital University of Messina, 98125 Messina, Italy
| | - Carmela Mento
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy
- Psychiatry Unit, Polyclinic Hospital University of Messina, 98125 Messina, Italy
| | - Amelia Rizzo
- Psychiatry Unit, Polyclinic Hospital University of Messina, 98125 Messina, Italy
| | | | - Rosa De Stefano
- Psychiatry Unit, Polyclinic Hospital University of Messina, 98125 Messina, Italy
| | - Rocco Antonio Zoccali
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy
- Psychiatry Unit, Polyclinic Hospital University of Messina, 98125 Messina, Italy
| | - Maria Rosaria Anna Muscatello
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy
- Psychiatry Unit, Polyclinic Hospital University of Messina, 98125 Messina, Italy
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31
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Maternal and paternal trajectories of depressive symptoms predict family risk and children's emotional and behavioral problems after the birth of a sibling. Dev Psychopathol 2020; 31:1307-1324. [PMID: 30394259 DOI: 10.1017/s0954579418000743] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
The current study examined trajectories of maternal and paternal depression in the year following the birth of an infant sibling, and relations with family risk factors and firstborn children's internalizing and externalizing behavior problems. Latent class growth analysis was conducted on 231 families in a longitudinal investigation (prebirth and 1, 4, 8, and 12 months postbirth) and revealed four classes of families: both mother and father low in depressive symptoms (40.7%); mother high-father low (25.1%); father high-mother low (24.7%), and both mother and father high (9.5%). Families with both mothers and fathers high on depressive symptoms were higher on marital negativity, parenting stress, and children's internalizing and externalizing problems, and lower on marital positivity and parental efficacy than other classes. Children, parents, and marital relationships were more problematic in families with fathers higher on depressive symptoms than in families in which mothers were higher, indicating the significant role of paternal support for firstborn children undergoing the transition to siblinghood. Maternal and paternal depression covaried with an accumulation of family risks over time, no doubt increasing the likelihood of children's problematic adjustment after the birth of their infant sibling.
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32
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Bamishigbin ON, Wilson DK, Abshire DA, Mejia-Lancheros C, Dunkel Schetter C. Father Involvement in Infant Parenting in an Ethnically Diverse Community Sample: Predicting Paternal Depressive Symptoms. Front Psychiatry 2020; 11:578688. [PMID: 33173524 PMCID: PMC7538507 DOI: 10.3389/fpsyt.2020.578688] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 08/25/2020] [Indexed: 11/13/2022] Open
Abstract
Early paternal involvement in infant care is beneficial to child and maternal health, and possibly for paternal mental health. The purpose of the present study was to examine the relationship between fathers' involvement in early infant parenting and their depressive symptoms during the infant's first year in a sample of 881 low-income Black, Hispanic, and White fathers recruited from five sites in the United States (urban, mixed urban/suburban, rural). Home interviews at 1 month after birth assessed three concepts based on prior research and community input: (1) time spent with the infant, (2) parenting self-efficacy, (3) material support for the baby. Paternal depressive symptoms at 1, 6, and 12 months after the birth of a child were assessed with the Edinburgh Postpartum Depression Scale. Generalized estimating equations tested whether the three indicators of father involvement at 1 month after birth predicted lower subsequent paternal depressive symptoms controlling for social and demographic variables. For fathers, greater time spent with the infant, parenting self-efficacy, and material support were all significantly associated with lower paternal depressive symptoms during the first year. When risk of depression (scores > 9) was examined, only parenting self-efficacy among fathers was associated with higher likelihood of clinical depression. Findings have implications for future research on mechanisms linking paternal involvement and paternal mental health, and for possible paid paternal leave policies in the future.
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Affiliation(s)
- Olajide N Bamishigbin
- Department of Psychology, California State University, Long Beach, Long Beach, CA, United States
| | - Dawn K Wilson
- Department of Psychology, University of South Carolina, Columbus, SC, United States
| | - Demetrius A Abshire
- College of Nursing, University of South Carolina, Columbus, SC, United States
| | - Cilia Mejia-Lancheros
- MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health, Toronto, ON, Canada
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33
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Markos M, Arba A. Prevalence and Predictors of Postpartum Depression Among Male Partners Who Came to Postnatal Follow-up Clinic with Their Partner in Selected Public Health Centers of Wolaita Zone, Ethiopia, 2019. Neuropsychiatr Dis Treat 2020; 16:2307-2316. [PMID: 33116529 PMCID: PMC7549131 DOI: 10.2147/ndt.s273045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 09/08/2020] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Paternal postpartum depression is a serious public health problem which has a significant effect on mortality and morbidity level. Its effect is not limited to the partner, but it also affects the family, the marital relationship and development of the child. Therefore, this study was planned to assess the prevalence and predictors of paternal postpartum depression among accompanying partners in selected public health centers of Wolaita Zone, Ethiopia. METHODOLOGY An institution-based cross-sectional study was conducted among 423 male partners. The study was conducted in 25 randomly selected health centers and samples proportionally allocated to each health center. Finally, the study participants were selected by systematic random sampling method. The collected data were entered into EpiData version 4.2.0 and exported to IBM SPSS for further analysis. The Edinburgh postnatal depression scale was considered at a cutoff point ≥10 to detect depression. Descriptive and binary logistic regression analyses were done. Adjusted odds ratio (AOR) and p-value results in multivariable logistic regression were used to declare strength and presence of association. RESULTS Four hundred and ten partners participated in this study making a response rate of 97%. Seventy (17%) of the participants had paternal postpartum depression. Family income (AOR=3.0; 95%CI: 1.1-8.2), substance use (AOR=4.5; 95%CI: 1.5-13.3), family support (AOR=3.9; 95%CI: 1.3-11.3), marital relation (AOR=4.1; 95%CI: 1.5-11.0), unplanned pregnancy (AOR=3.5; 95%CI: 1.4-8.7) and infant sleeping problems (AOR=10.0; 95%CI: 4.1-24.0) were variables significantly associated with paternal postnatal depression.
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Affiliation(s)
- Mesfin Markos
- Wolaita Sodo University College of Medicine and Health Sciences, Department of Midwifery, Wolaita Sodo, Ethiopia
| | - Aseb Arba
- Wolaita Sodo University College of Medicine and Health Sciences, School of Nursing, Wolaita Sodo, Ethiopia
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34
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Mangialavori S, Terrone G, Cantiano A, Chiara Franquillo A, Di Scalea GL, Ducci G, Cacioppo M. Dyadic Adjustment and Prenatal Parental Depression: A Study with Expectant Mothers and Fathers. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2019. [DOI: 10.1521/jscp.2019.38.10.860] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Introduction: This paper evaluated the relationships between the dyadic adjustment of expectant parents and prenatal maternal and paternal depression. Method: Participants were 98 couples who were expectant parents in the third trimester of pregnancy. Most couples (97%) were primiparous. Participants' prenatal depression, psychiatric symptomatology, perinatal affectivity, and dyadic adjustment were evaluated. Results: Hierarchical regression and relative weight analyses showed the importance of various marital adjustment dimensions in predicting prenatal maternal and paternal depression. In particular, the marital relationship variables of dyadic consensus and affective expression of both partners was related to prenatal depression in expectant mothers, with the relationship even stronger in expectant fathers. The results suggested that for both partners, perception of marital relationship quality contributes to the development of depressive symptoms in new mothers and fathers to a greater degree than the single perception of one partner. Discussion: Clinically, the results suggest that clinicians should focus on partner relationships in the perinatal period. The provision of psychological interventions to improve a couple's functioning may help to protect new parents against depressive symptomatology.
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35
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Fijałkowska D, Bielawska-Batorowicz E. A longitudinal study of parental attachment: pre- and postnatal study with couples. J Reprod Infant Psychol 2019; 38:509-522. [PMID: 31510767 DOI: 10.1080/02646838.2019.1665172] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Objective: To identify factors associated with parental pre- and postnatal attachment to a child. Background: Establishing a relationship with a child is one of the most important parental tasks during pregnancy. Studies examining the determinants of parental attachment have focused mostly on mothers and prenatal period. Methods: Couples awaiting their first child were recruited for a prospective study, with the first stage (3rd trimester of pregnancy) and the second (after delivery). Mothers and fathers completed questionnaires: MAAS/PAAS, MPAS/PPAS by Condon; KPR-Roc M/O by Plopa; EPDS by Cox et al. and the PRAM by Vreeswijk et al. Results: The most important factors for prenatal maternal attachment included depressiveness, an accepting mother's attitude and the partner's relationship; whereas postpartum depressiveness and prenatal maternal attachment were important for postnatal maternal attachment. For men, partner's depressiveness, an inconsistent and over-protecting mother's attitude and a declaration of attendance at birth predicted their relationship with the child during pregnancy, and prenatal paternal attachment for the period after childbirth. Conclusions: The determinants of parental attachment to a child differ for men and women. The most important prenatally are depressiveness, attitudes of their own parents recorded from childhood, while prenatal attachment to a child is most significant postnatally.
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36
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Pinto TM, Samorinha C, Tendais I, Figueiredo B. Depression and paternal adjustment and attitudes during the transition to parenthood. J Reprod Infant Psychol 2019; 38:281-296. [PMID: 31392897 DOI: 10.1080/02646838.2019.1652256] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
BACKGROUND Depression symptoms may negatively affect the achievement of developmental tasks within the transition to parenthood, increasing the risk of paternal adjustment problems and negative paternal attitudes. OBJECTIVE This study analysed the effect of men's depression symptoms on paternal adjustment and paternal attitudes trajectories from the second trimester of pregnancy to six months postpartum. METHODS A sample of 127 men completed measures of depression symptoms and paternal adjustment and paternal attitudes at the second trimester of pregnancy and at six months postpartum. RESULTS From the second trimester of pregnancy to six months postpartum, men with more depression symptoms revealed a decrease on positive attitudes towards sex (while men with fewer depression symptoms revealed an increase), a steeper decrease in the satisfaction with marital relationship (than men with fewer depression symptoms), and a decrease in positive attitudes towards pregnancy and the baby (while men with fewer depression symptoms revealed an increase). CONCLUSION Depression symptoms early in pregnancy may represent a risk factor to increased paternal adjustment problems and negative paternal attitudes during the transition to parenthood.
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Affiliation(s)
| | - Catarina Samorinha
- EPIUnit-Instituto de Saúde Pública, Universidade do Porto , Porto, Portugal
| | - Iva Tendais
- School of Psychology, University of Minho , Braga, Portugal.,EPIUnit-Instituto de Saúde Pública, Universidade do Porto , Porto, Portugal
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37
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Clément MÈ, Menand V, Piché G, Dubeau D. [Prevalence and associated factors of depression symptoms in fathers of children aged 6 months to 17 years in Québec]. CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2019; 64:550-560. [PMID: 30545249 PMCID: PMC6681513 DOI: 10.1177/0706743718815882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES In fathers, depression symptoms experienced during pregnancy and after childbirth represent a depression risk factor during the child first months. Since depression can have a huge impact on their subsequent involvement with the child, this issue is worrisome and requires consideration. Until now, however, few studies have dealt with paternal depression and its determinants beyond the perinatal period. METHOD This study uses data from a representative provincial survey conducted with 1342 fathers of children aged 6 months to 17 years. It documents the prevalence of moderate and severe depression symptoms with the CES-D scale as well as associated factors. RESULTS Findings show prevalence rates ranging from 3% to 10% depending on depression symptom severity and children age. Associated factors include problematic use of alcohol, no employment, stress related to balancing work and family, domestic violence environment, and low revenue and social support. CONCLUSION These results are interpreted in light of the role and involvement fathers keep in their child's life. They also stress the importance of identifying depression symptoms in this population beyond the perinatal period while monitoring the symptom intensity.
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Affiliation(s)
- Marie-Ève Clément
- 1 Chaire de recherche du Canada sur la violence faite aux enfants, Université du Québec en Outaouais, Quebec, Canada.,2 Département de psychoéducation et de psychologie, Université du Québec en Outaouais, Quebec, Canada
| | - Véronique Menand
- 1 Chaire de recherche du Canada sur la violence faite aux enfants, Université du Québec en Outaouais, Quebec, Canada
| | - Geneviève Piché
- 2 Département de psychoéducation et de psychologie, Université du Québec en Outaouais, Quebec, Canada
| | - Diane Dubeau
- 2 Département de psychoéducation et de psychologie, Université du Québec en Outaouais, Quebec, Canada
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38
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Albanese AM, Russo GR, Geller PA. The role of parental self-efficacy in parent and child well-being: A systematic review of associated outcomes. Child Care Health Dev 2019; 45:333-363. [PMID: 30870584 DOI: 10.1111/cch.12661] [Citation(s) in RCA: 126] [Impact Index Per Article: 25.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Revised: 03/09/2019] [Accepted: 03/09/2019] [Indexed: 01/08/2023]
Abstract
BACKGROUND For decades, parental self-efficacy (PSE), or parents' belief in their ability to influence their child in a healthy and success-promoting manner, has been understood as a key factor in promoting healthy functioning for parents and their children. In that time, an extensive collection of research examining the specific impact of PSE on parents and their children has developed. However, to the authors' knowledge, no comprehensive and systematic review of the outcomes linked to this factor exists, and the two most closely related non-systematic reviews were published over 10 years ago. METHODS Therefore, by utilizing an iteratively optimized set of search terms applied across four databases, the current review sought to systematically collect, synthesize, and present the extant literature concerning the role of PSE in parent and child well-being. RESULTS This search strategy yielded a total of 115 studies, the results of which were organized into three broad thematic categories relating to: the parent and child relationship, parental mental health, or child development. CONCLUSIONS These results recapitulate the clinical relevance of PSE, and provide an updated and comprehensive understanding of both the role PSE plays in the welfare of parents and children, as well as the gaps in the literature as it currently stands.
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Affiliation(s)
- Ariana M Albanese
- Department of Psychology, Drexel University, Philadelphia, Pennsylvania
| | - Gabrielle R Russo
- Department of Psychology, Drexel University, Philadelphia, Pennsylvania
| | - Pamela A Geller
- Department of Psychology, Drexel University, Philadelphia, Pennsylvania.,Department of Obstetrics and Gynecology, Drexel University College of Medicine
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39
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Da Costa D, Danieli C, Abrahamowicz M, Dasgupta K, Sewitch M, Lowensteyn I, Zelkowitz P. A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers. J Affect Disord 2019; 249:371-377. [PMID: 30818245 DOI: 10.1016/j.jad.2019.02.033] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Revised: 01/11/2019] [Accepted: 02/11/2019] [Indexed: 02/04/2023]
Abstract
BACKGROUND Recent studies show that paternal depression negatively impacts children's behavioral and emotional development. This study determined the prevalence of depressed mood in first-time fathers at 2 and 6 months postpartum and identified associated risk factors. METHODS A prospective cohort study with 622 men who completed sociodemographic and psychosocial questionnaires during their partner's third trimester of pregnancy. Fathers completed measures again at 2 and 6 months postpartum and partners completed the depressed mood measure at all three timepoints. A cutoff of ≥10 for the Edinburgh Postnatal Depression Scale identified depressed mood status. RESULTS The prevalence of depressive symptoms in fathers was 13.76% at 2 months and 13.60% at 6 months postpartum. Men who were depressed during their partner's pregnancy were 7 times more likely to be depressed at 2 months postpartum. Depressed mood status at both the antenatal and 2 month postpartum assessment was associated with increased risk of depressed mood at 6 months postpartum. Older age, poor sleep quality at study entry, worse couple adjustment, having a partner experiencing antenatal depressive symptoms and elevated parental stress were associated with depressive symptoms at 2 months postpartum. Poor sleep quality, financial stress and a decline in couple adjustment were independently associated to depressive symptoms at 6 months postpartum. LIMITATIONS This sample was fairly well-educated and predominately middle-class. Depressive symptoms were assessed using a self-report questionnaire. CONCLUSIONS The psychosocial risk factors identified provide opportunities for early screening and targeted prevention strategies for fathers at risk for depression during the transition to parenthood.
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Affiliation(s)
- Deborah Da Costa
- Department of Medicine, McGill University, Canada; Division of Clinical Epidemiology, McGill University Health Centre - Research Institute, Canada.
| | - Coraline Danieli
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Canada
| | - Michal Abrahamowicz
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Canada
| | - Kaberi Dasgupta
- Department of Medicine, McGill University, Canada; Division of Clinical Epidemiology, McGill University Health Centre - Research Institute, Canada
| | - Maida Sewitch
- Department of Medicine, McGill University, Canada; Division of Clinical Epidemiology, McGill University Health Centre - Research Institute, Canada
| | - Ilka Lowensteyn
- Division of Clinical Epidemiology, McGill University Health Centre - Research Institute, Canada
| | - Phyllis Zelkowitz
- Lady Davis Institute, Department of Psychiatry, Jewish General Hospital and McGill University, Canada
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40
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Isik Koc PhD G, Ergol PhD S. Postpartum Depression Risk in Husbands of Women Who Had Caesarean Section Deliveries in Turkey. Issues Ment Health Nurs 2018; 39:1017-1022. [PMID: 30207823 DOI: 10.1080/01612840.2018.1466941] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
This study was conducted to determine the risk of postpartum depression in husbands of women who had a caesarean section and the factors affecting this risk. The study sample included husbands of 298 women who gave birth for the first time and via caesarean in Zonguldak Maternity and Child Health Hospital in Turkey. Data were collected using a data collection form and the Edinburgh Postnatal Depression Scale. This study revealed that more than one-third of the fathers had a risk of postpartum depression. It also revealed that postpartum depression risk was high in fathers who had girl babies and whose wives had postpartum depression risk.
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Affiliation(s)
- Gulten Isik Koc PhD
- a Obstetric and Women's Health Nursing Department, Hacettepe University, Faculty of Nursing , Ankara , Turkey
| | - Sule Ergol PhD
- b Nursing Department , Kirikkale University Faculty of Health Sciences , Kirikkale , Turkey
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41
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Glasser S, Lerner-Geva L. Focus on fathers: paternal depression in the perinatal period. Perspect Public Health 2018; 139:195-198. [DOI: 10.1177/1757913918790597] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Aims: This report aims to present a concise overview and synthesis of current research findings regarding paternal depression in the perinatal period. Methods: A literature search was conducted, primarily via PubMed and PsychNET, for English-language research studies and meta-analyses using combinations of the terms ‘perinatal’, ‘pregnancy’, ‘postpartum’, ‘depression’ AND ‘fathers’ OR ‘paternal’. Peer-reviewed articles were considered, and a representative sample of literature, with an emphasis on recent publications from a broad range of populations was summarized for each of the following sub-sections: prevalence, risk factors, impact on the infant/child, and healthcare costs. Results: Reported prevalence has ranged from 2.3% to 8.4%, with a significant degree of heterogeneity in rates, due to differences in multiple aspects of the methodology (timing, instruments, etc.). Nevertheless, rates of maternal depression remain higher than paternal depression, and higher rates of one are associated with higher rates of the other. The primary risk factors for paternal depression are maternal depression and the father’s history of severe depression, or symptoms of depression or anxiety prenatally. Biological mechanisms may underlie paternal depression, with changes reported in testosterone, cortisol and prolactin levels during this period. Paternal depression has been related to children’s behavioral, emotional and social function at 36 months and psychiatric disorders at 7 years, adjusting for maternal depression. Healthcare costs may also be impacted by paternal postpartum depression, with higher father–child dyad costs found after controlling for potential confounders. Conclusions: Focusing on fathers’ emotional well-being in the perinatal period is important in itself, as well as for their wives and children. Programs recommending screening for maternal perinatal mood and anxiety disorders should include inquiry regarding the father’s emotional state, and if his distress is reported it should be clarified and followed-up by support and intervention as necessary.
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Affiliation(s)
- S Glasser
- Women and Children’s Health Research Unit, The Gertner Institute for Epidemiology and Health Policy Research, Ltd. Sheba Medical Center, Tel Hashomer, Ramat Gan 52621, Israel
| | - L Lerner-Geva
- Women and Children’s Health Research Unit, The Gertner Institute for Epidemiology and Health Policy Research Ltd., Ramat Gan, Israel
- School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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42
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Kumar SV, Oliffe JL, Kelly MT. Promoting Postpartum Mental Health in Fathers: Recommendations for Nurse Practitioners. Am J Mens Health 2018; 12:221-228. [PMID: 29183251 PMCID: PMC5818130 DOI: 10.1177/1557988317744712] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2017] [Revised: 10/18/2017] [Accepted: 11/02/2017] [Indexed: 11/28/2022] Open
Abstract
The transition to fatherhood can challenge the mental health of first-time fathers and heighten their risk for postpartum depression (PPD). Paternal PPD not only affects the individual, but relationships with partners and children as well. This scoping review explores paternal PPD, highlighting the factors for and impacts of paternal PPD, the experiences of first-time fathers during the postnatal period, including their knowledge gaps and learning preferences. Drawing on the scoping review findings, recommendations are made for postnatal programs to improve the inclusion of new fathers amid describing how nurse practitioners can promote men's mental health in the postpartum period.
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Affiliation(s)
- Sheena V. Kumar
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | - John L. Oliffe
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | - Mary T. Kelly
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
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43
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Kamalifard M, Bayati Payan S, Panahi S, Hasanpoor S, Babapour Kheiroddin J. Paternal Postpartum Depression and Its Relationship With Maternal Postpartum Depression. JOURNAL OF HOLISTIC NURSING AND MIDWIFERY 2018. [DOI: 10.29252/hnmj.28.2.115] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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Shi P, Ren H, Li H, Dai Q. Maternal depression and suicide at immediate prenatal and early postpartum periods and psychosocial risk factors. Psychiatry Res 2018; 261:298-306. [PMID: 29331710 DOI: 10.1016/j.psychres.2017.12.085] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2016] [Revised: 07/01/2017] [Accepted: 12/31/2017] [Indexed: 01/27/2023]
Abstract
Maternal depression has been intensively explored; however, less attention has been paid to maternal suicide. No studies to date have observed maternal depression and suicide at immediate prenatal and early postpartum stages. In total, 213 Chinese women were recruited in hospitals after they were admitted for childbirth. All completed a short-term longitudinal survey at perinatal stages. Women reported lower depression scores (6.65) and higher suicidal ideation incidence (11.74%) after childbirth. Prenatal depression raised the possibility of prenatal suicidal ideation, while prenatal depression and suicidal ideation increased postpartum depression and suicidal ideation. At immediate prenatal stage, marital satisfaction protected women from depression, while miscarriage experiences and self-esteem increased the risk. At early postpartum stage, in contrast, being first-time mother, marital satisfaction, and harmony with mother-in-law prevented them from depression. Our study is among the first to confirm that women have decreased depression but increased suicidal ideation at early postpartum, and a causal relationship between them, which are worthy of public attention. Potential protective (marital satisfaction, being first-time mother, and harmony with mother-in-law) or risk factors (miscarriage experiences and self-esteem) of maternal depression and suicidal ideation are identified at perinatal stages. This offers reliable guidance for clinical practice of health care.
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Affiliation(s)
- Peixia Shi
- Department of nursing psychology, the Third Military Medical University, Chong qing 400038, China
| | - Hui Ren
- Department of nursing, the Third Military Medical University, Chong qing 400038, China
| | - Hong Li
- Psychology & Social College, Shenzhen University, Shenzhen 518060, China
| | - Qin Dai
- Department of nursing psychology, the Third Military Medical University, Chong qing 400038, China; Psychology & Social College, Shenzhen University, Shenzhen 518060, China.
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45
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He H, Zhu L, Chan SWC, Chong YS, Jiao N, Chan YH, Luo N, Shorey S. The Effectiveness and Cost-Effectiveness of Web-Based and Home-Based Postnatal Psychoeducational Interventions for First-Time Mothers: Randomized Controlled Trial Protocol. JMIR Res Protoc 2018; 7:e35. [PMID: 29386175 PMCID: PMC5812979 DOI: 10.2196/resprot.9042] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2017] [Revised: 11/06/2017] [Accepted: 11/12/2017] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND In addition to recuperating from the physical and emotional demands of childbirth, first-time mothers are met with demands of adapting to their social roles while picking up new skills to take care of their newborn. Mothers may not feel adequately prepared for parenthood if they are situated in an unsupported environment. Postnatal psychoeducational interventions have been shown to be useful and can offer a cost-effective solution for improving maternal outcomes. OBJECTIVE The objective of this study was to examine the effectiveness and cost-effectiveness of Web-based and home-based postnatal psychoeducational programs for first-time mothers on maternal outcomes. METHODS A randomized controlled three-group pre- and posttests experimental design is proposed. This study plans to recruit 204 first-time mothers on their day of discharge from a public tertiary hospital in Singapore. Eligible first-time mothers will be randomly allocated to either a Web-based psychoeducation group, a home-based psychoeducation group, or a control group receiving standard care. The outcomes include maternal parental self-efficacy, social support, psychological well-being (anxiety and postnatal depression), and cost evaluation. Data will be collected at baseline, 1 month, 3 months, and 6 months post-delivery. RESULTS The recruitment (n=204) commenced in October 2016 and was completed in February 2017, with 68 mothers in each group. The 6-month follow-up data collection was completed in August 2017. CONCLUSIONS This study may identify an effective and cost-effective Web-based postnatal psychoeducational program to improve first-time mothers' health outcomes. The provision of a widely-accessed Web-based postnatal psychoeducational program will eventually lead to more positive postnatal experiences for first-time mothers and positively influence their future birth plans. TRIAL REGISTRATION International Standard Randomized Controlled Trial Number (ISRCTN): 45202278; http://www.isrctn.com/ISRCTN45202278 (Archived by WebCite at http://www.webcitation.org/6whx0pQ2F).
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Affiliation(s)
- Honggu He
- National University of Singapore, Singapore, Singapore
| | - Lixia Zhu
- National University of Singapore, Singapore, Singapore
| | | | | | - Nana Jiao
- National University of Singapore, Singapore, Singapore
| | | | - Nan Luo
- National University of Singapore, Singapore, Singapore
| | - Shefaly Shorey
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore
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46
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de Montigny F, Gervais C, Meunier S, Dubeau D. Professionals' positive perceptions of fathers are associated with more favourable attitudes towards including them in family interventions. Acta Paediatr 2017; 106:1945-1951. [PMID: 28667770 DOI: 10.1111/apa.13970] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Revised: 06/02/2017] [Accepted: 06/27/2017] [Indexed: 11/29/2022]
Abstract
AIM This Université du Québec en Outaouais study examined professionals' attitudes towards fathers, their perceived self-efficacy when working with them and their perceptions of the importance of including fathers in family interventions. METHODS Professionals in Québec, Canada, working in childcare fields such as education, social services, health, community services and management answered a self-report questionnaire between 2013 and 2015. The 296 respondents (90% females) had a mean age of 39 (20-65), were from urban, semi-urban and rural settings and provided services to families with children up to five years of age. RESULTS Social service professionals perceived fathers more negatively than did other professionals. Even though male professionals perceived fathers more negatively, they felt more confident working with them than did their female counterparts. Positive perceptions of fathers were associated with more favourable attitudes towards including them in family interventions, and this association was mediated by the professionals' perceptions of their own self-efficacy. CONCLUSION The most negative attitudes were reported by social service professionals. Male professionals viewed fathers more negatively but were more confident working with them than were female colleagues. Improving professionals' perceptions of fathers could help to promote their inclusion in family interventions.
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Affiliation(s)
| | - Christine Gervais
- Nursing Department; Université du Québec en Outaouais; Québec Canada
| | - Sophie Meunier
- Psychology Department; Université du Québec à Montréal; Québec Canada
| | - Diane Dubeau
- Psychoeducation and Psychology Department; Université du Québec en Outaouais; Québec Canada
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47
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Fletcher R, Dowse E, St George J, Payling T. Mental health screening of fathers attending early parenting services in Australia. J Child Health Care 2017; 21:498-508. [PMID: 29110526 DOI: 10.1177/1367493517732166] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Paternal perinatal depression and anxiety is a common, though under-recognized mental health condition experienced by men during their transition to fatherhood. An opportunity to screen for paternal mental health issues occurs when parents present for assistance with the care of their baby at early parenting services (EPSs). There are 10 EPSs located across Australia that provide specialist, multidisciplinary interventions to support parents experiencing complex parenting difficulties. Using structured telephone interviews, this qualitative study explored the views of 18 professional staff from nine EPSs regarding screening, referral processes and acceptability of screening fathers for mental health issues. A thematic analysis revealed that most EPSs screened fathers for depression. Participants agreed screening was important and that routine approaches to screening would help normalize the process for both men and services. Despite this, no uniform, comprehensive approach to identifying the mental health needs of fathers was found. EPSs provide a unique opportunity to address the mental health needs of fathers. Results from this study point to the need for a national approach to the development of father-specific screening guidelines for EPSs to improve family well-being, in parallel to those informing the Australian National Perinatal Mental Health Initiative for mothers.
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Affiliation(s)
- Richard Fletcher
- 1 Family Action Centre, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia
| | - Eileen Dowse
- 2 School of Nursing and Midwifery, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia
| | - Jennifer St George
- 3 Family Action Centre, School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia
| | - Tara Payling
- 4 Family Action Centre, School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia
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48
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Pinto TM, Samorinha C, Tendais I, Silva S, Figueiredo B. Antenatal paternal adjustment and paternal attitudes after infertility treatment. Hum Reprod 2017; 33:109-115. [DOI: 10.1093/humrep/dex349] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2017] [Accepted: 11/01/2017] [Indexed: 02/04/2023] Open
Affiliation(s)
- T M Pinto
- School of Psychology, University of Minho, Campus de Gualtar, 4710-057 Braga, Portugal
| | - C Samorinha
- I EPIUnit – Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas 135, 4050-600 Porto, Portugal, Portugal
| | - I Tendais
- School of Psychology, University of Minho, Campus de Gualtar, 4710-057 Braga, Portugal
- Research Centre on Child Studies, Institute of Education, University of Minho, Campus de Gualtar, 4710-057 Braga, Portugal
| | - S Silva
- I EPIUnit – Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas 135, 4050-600 Porto, Portugal, Portugal
| | - B Figueiredo
- School of Psychology, University of Minho, Campus de Gualtar, 4710-057 Braga, Portugal
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49
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Kurtz S, Levine J, Safyer M. Ask the Question: Screening for Postpartum Mood and Anxiety Disorders in Pediatric Primary Care. Curr Probl Pediatr Adolesc Health Care 2017; 47:241-253. [PMID: 28935390 DOI: 10.1016/j.cppeds.2017.08.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Postpartum mood and anxiety disorders (PMADs) are a significant source of toxic stress for young children and can disrupt developing brain architecture resulting in long-lasting deleterious effects. Thus, screening for PMADs must be considered as an essential task of a pediatric primary care provider (PCP) and the pediatric medical home. Problems in parenting capacity in mothers with PMADs can lead to disorders in attachment and a range of other emotional and developmental challenges for a young child. Therefore, all PCP office visits with mothers should include surveillance as well as formal screening at regular, pre-determined intervals. During surveillance, identification of psychosocial, maternal, infant, and maternal/infant risk factors is critical. There are a number of well researched, standardized, reliable, free and valid screening tools including the Patient Health Questionnaires (PHQ-2 and PHQ-9) and the Edinburgh Postnatal Depression Scale (EDPS). Office implementation includes availability of educational materials, resource information, and referrals so families can get appropriate treatment. Screening for PMADs is highly effective and helps to identify a common, underdiagnosed disorder in parents that without identification and appropriate treatment can lead to significant negative outcomes for a young child.
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Affiliation(s)
- Stacy Kurtz
- Institute for Parenting, Adelphi University, Garden City, NY.
| | - Jack Levine
- Hofstra University School of Medicine, Department of Pediatrics, Hempstead, NY
| | - Marcy Safyer
- Institute for Parenting, Adelphi University, Garden City, NY
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50
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Høifødt RS, Nordahl D, Pfuhl G, Landsem IP, Thimm JC, Ilstad LKK, Wang CEA. Protocol for the Northern babies longitudinal study: predicting postpartum depression and improving parent-infant interaction with The Newborn Behavioral Observation. BMJ Open 2017; 7:e016005. [PMID: 28963284 PMCID: PMC5623488 DOI: 10.1136/bmjopen-2017-016005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Revised: 06/29/2017] [Accepted: 06/29/2017] [Indexed: 12/22/2022] Open
Abstract
INTRODUCTION Postpartum depression (PPD) is a prevalent disorder. Studying the factors related to PPD will help to identify families at risk and provide preventive interventions. This can in turn improve the developmental trajectories for the children. Several previous studies have investigated risk factors for PPD. However, few studies have focused on cognitive vulnerability factors. The first aim of the present study is to explore a range of protective and risk factors, including cognitive factors, for PPD, parent-infant interactions and child development. The second aim of the study is to evaluate the effectiveness of The Newborn Behavioral Observation (NBO) as a universal preventive intervention delivered in routine practice. The NBO is a brief relationship-enhancing intervention that may reduce depressive symptomatology in mothers. METHODS The study is a longitudinal observational study with an intervention. The observational study uses a prospective cohort design, whereas the intervention study has a non-randomised cluster-controlled design comparing a group receiving NBO with a group receiving standard care. The intervention group will receive three NBO sessions within the first 4 weeks postdelivery. Between 2015 and 2018, approximately 200 families will be recruited in the municipality of Tromsø, Norway. Parents are recruited during pregnancy, and assessments will be performed during gestational weeks 16-22, 24-30 and 31, and at 6 weeks, 4 months and 6 months postdelivery. Predictor variables include several cognitive vulnerability factors including early maladaptive schemas, implicit attitudes and cognitive processing of emotionally valenced infant facial information. ETHICS AND DISSEMINATION The Regional Committee for Medical and Health Research Ethics in Northern Norway has approved the project. The research team has collaboration with local health services and can assist participants who need more extensive follow-up. Results from the project will be disseminated in international and national peer-reviewed journals, and at courses and conferences. TRIALS REGISTRATION NUMBER NCT02538497; Pre-results.
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Affiliation(s)
- Ragnhild Sørensen Høifødt
- Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
- Division of Mental Health and Addiction, University Hospital of North Norway, Tromsø, Norway
| | - Dag Nordahl
- Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
- Division of Child and Adolescent Health, University Hospital of Northern Norway, Tromsø, Norway
| | - Gerit Pfuhl
- Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
- Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
| | - Inger Pauline Landsem
- Division of Child and Adolescent Health, University Hospital of Northern Norway, Tromsø, Norway
- Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Jens C Thimm
- Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Linn Kathrin K Ilstad
- Division of Mental Health and Addiction, University Hospital of North Norway, Tromsø, Norway
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