Depression and post-traumatic stress disorder after perinatal loss in fathers: A systematic review.


Journal

European psychiatry : the journal of the Association of European Psychiatrists
ISSN: 1778-3585
Titre abrégé: Eur Psychiatry
Pays: England
ID NLM: 9111820

Informations de publication

Date de publication:
28 10 2022
Historique:
pubmed: 29 10 2022
medline: 16 11 2022
entrez: 28 10 2022
Statut: epublish

Résumé

Research indicates that perinatal loss can cause profound psychological consequences in parents. However, a comprehensive summary of existing quantitative literature describing the association between perinatal loss and the development of depression/depressive symptoms or post-traumatic stress disorder (PTSD)/post-traumatic stress (PTS) symptoms in fathers has not been published. A systematic literature search (from inception to December 2021), using the PubMed, EMBASE, and Web of Science databases to articles assessing depressive or PTS symptoms, was conducted following the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Only studies investigating the period of intrauterine death from 20 weeks of gestation, stillbirth, or neonatal death within the first month after birth were included. A final sample of 13 articles were eligible for inclusion. Some studies showed an increased risk of depressive and PTS symptoms in fathers after perinatal loss. However, many study results did not show significant differences, symptoms generally decreased over time, and the majority of studies showed higher levels of depressive and PTS symptoms in mothers, compared with fathers. Although the majority of the included studies showed elevated levels of depressive and/or PTSD symptoms after perinatal loss in fathers, no clear firm conclusion can be drawn, as the included studies were very heterogeneous. More homogeneous research measuring depressive and PTS symptoms in fathers is needed at the time of the loss, as the current literature available shows several limitations and gaps.

Sections du résumé

BACKGROUND
Research indicates that perinatal loss can cause profound psychological consequences in parents. However, a comprehensive summary of existing quantitative literature describing the association between perinatal loss and the development of depression/depressive symptoms or post-traumatic stress disorder (PTSD)/post-traumatic stress (PTS) symptoms in fathers has not been published.
METHODS
A systematic literature search (from inception to December 2021), using the PubMed, EMBASE, and Web of Science databases to articles assessing depressive or PTS symptoms, was conducted following the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Only studies investigating the period of intrauterine death from 20 weeks of gestation, stillbirth, or neonatal death within the first month after birth were included.
RESULTS
A final sample of 13 articles were eligible for inclusion. Some studies showed an increased risk of depressive and PTS symptoms in fathers after perinatal loss. However, many study results did not show significant differences, symptoms generally decreased over time, and the majority of studies showed higher levels of depressive and PTS symptoms in mothers, compared with fathers.
CONCLUSIONS
Although the majority of the included studies showed elevated levels of depressive and/or PTSD symptoms after perinatal loss in fathers, no clear firm conclusion can be drawn, as the included studies were very heterogeneous. More homogeneous research measuring depressive and PTS symptoms in fathers is needed at the time of the loss, as the current literature available shows several limitations and gaps.

Identifiants

pubmed: 36305031
doi: 10.1192/j.eurpsy.2022.2326
pii: S0924933822023264
pmc: PMC9677450
doi:

Types de publication

Systematic Review Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e72

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Auteurs

Lieselotte Lamon (L)

University Psychiatric Centre, Katholieke Universiteit Leuven, Leuven, Belgium.

Marc De Hert (M)

University Psychiatric Centre, Katholieke Universiteit Leuven, Leuven, Belgium.
Department of Neurosciences, Centre for Clinical Psychiatry, Katholieke Universiteit Leuven, Leuven, Belgium.
Leuven Brain Institute, Katholieke Universiteit Leuven, Leuven, Belgium.
Antwerp Health Law and Ethics Chair, University of Antwerp, Antwerp, Belgium.

Johan Detraux (J)

University Psychiatric Centre, Katholieke Universiteit Leuven, Leuven, Belgium.
Department of Neurosciences, Public Health Psychiatry, Katholieke Universiteit Leuven, Leuven, Belgium.

Titia Hompes (T)

University Psychiatric Centre, Katholieke Universiteit Leuven, Leuven, Belgium.
Department of Neurosciences, Mind-Body Research, Katholieke Universiteit Leuven, Leuven, Belgium.

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Classifications MeSH