A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers.
Adult
Depression
/ psychology
Depression, Postpartum
/ psychology
Emotions
Father-Child Relations
Fathers
/ psychology
Female
Humans
Male
Parenting
/ psychology
Postpartum Period
/ psychology
Pregnancy
Prevalence
Prospective Studies
Psychiatric Status Rating Scales
Risk Factors
Self Report
Surveys and Questionnaires
Postnatal paternal depression
Prevalence
Risk factors
Journal
Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073
Informations de publication
Date de publication:
15 Apr 2019
15 Apr 2019
Historique:
received:
25
09
2018
revised:
11
01
2019
accepted:
11
02
2019
pubmed:
1
3
2019
medline:
14
6
2019
entrez:
1
3
2019
Statut:
ppublish
Résumé
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. 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. 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. This sample was fairly well-educated and predominately middle-class. Depressive symptoms were assessed using a self-report questionnaire. 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.
Sections du résumé
BACKGROUND
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
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
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
CONCLUSIONS
This sample was fairly well-educated and predominately middle-class. Depressive symptoms were assessed using a self-report questionnaire.
CONCLUSIONS
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.
Identifiants
pubmed: 30818245
pii: S0165-0327(18)32169-4
doi: 10.1016/j.jad.2019.02.033
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
371-377Subventions
Organisme : CIHR
ID : 247035
Pays : Canada
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2019. Published by Elsevier B.V.