期刊
JOURNAL OF AFFECTIVE DISORDERS
卷 249, 期 -, 页码 371-377出版社
ELSEVIER
DOI: 10.1016/j.jad.2019.02.033
关键词
Postnatal paternal depression; Prevalence; Risk factors
资金
- Canadian Institutes of Health Research [247035]
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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