Paternal postnatal depression in Japan: an investigation of correlated factors including relationship with a partner.
Paternal postnatal depression in Japan: an investigation of correlated factors including relationship with a partner.
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DOI：
10.1186/s12884-015-0552-x
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发表时间：
2015-05-31
影响因子：
3.1
通讯作者：
Ohashi K
中科院分区：
文献类型：
--
作者：
Nishimura A;Fujita Y;Katsuta M;Ishihara A;Ohashi K
父亲抑郁对儿童发展的负面影响已经在以前的几项研究中揭示。本研究的目的是探讨产后四个月父亲产后抑郁症的患病率和相关因素，包括年龄，兼职工作或失业，由于心理健康问题访问医疗机构的经验，经济焦虑，意外怀孕，怀孕不孕治疗，第一个孩子，伴侣的抑郁症，婚姻关系满意度较低。我们在2013年1月至4月期间向有4个月大婴儿的夫妇（一位母亲和一位父亲）分发了2032份自我报告问卷。对807对夫妇（39.7%）的数据进行了分析。采用爱丁堡产后抑郁量表（EPDS）测量抑郁症状。为明确父亲抑郁的相关因素，采用Logistic回归分析。父亲抑郁110例（13.6%），母亲抑郁83例（10.3%）. Logistic回归分析显示，父亲抑郁与伴侣抑郁呈正相关（校正比值比（AOR）1.91，95%CI 1.05-3.47），与婚姻关系满意度呈负相关（AOR 0.83，95%CI 0.77-0.89）。不育治疗史（AOR 2.37，95%CI 1.32-4.24）、因心理健康问题就诊医疗机构的经历（AOR 4.56，95%CI 2.06-10.08）和经济焦虑（AOR 2.15，95%CI 1.34-3.45）也与父亲抑郁相关。这项研究表明，在日本，分娩后4个月时父亲抑郁症的患病率为13. 6%。伴侣抑郁和婚姻关系满意度低的存在与父亲产后抑郁症显着相关，这表明卫生专业人员需要关注父亲和母亲的精神状态，以及他们的关系。
A negative effect of paternal depression on child development has been revealed in several previous studies. The aims of this study were to examine the prevalence and relevant factors associated with paternal postnatal depression at four months postpartum, including age, part-time work or unemployment, experience of visiting a medical institution due to a mental health problem, economic anxiety, unexpected pregnancy, pregnancy with infertility treatment, first child, partner’s depression, and lower marital relationship satisfaction. We distributed 2032 self-report questionnaires to couples (one mother and one father) with a 4-month old infant between January and April 2013. Data from 807 couples (39.7 %) were analyzed. Depressive symptoms were measured with the Edinburgh Postnatal Depression Scale (EPDS). In order to clarify the factors related with paternal depression, a logistic regression analysis was conducted. One hundred and ten fathers (13.6 %) and 83 mothers (10.3 %) were depressed. According to the logistic regression analysis, paternal depression was positively associated with partner’s depression (adjusted odds ratio (AOR) 1.91, 95 % confidence interval (CI) 1.05–3.47), and negatively with marital relationship satisfaction (AOR 0.83, 95 % CI 0.77–0.89). History of infertility treatment (AOR 2.37, 95 % CI 1.32–4.24), experience of visiting a medical institution due to a mental health problem (AOR 4.56, 95 % CI 2.06–10.08), and economic anxiety (AOR 2.15, 95 % CI 1.34–3.45) were also correlated with paternal depression. This study showed that the prevalence of paternal depression at four months after childbirth was 13.6 % in Japan. The presence of partner’s depression and low marital relationship satisfaction were significantly correlated with paternal postpartum depression, suggesting that health professionals need to pay attention to the mental status of both fathers and mothers, and to their relationship.
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影响因子：
3.8
作者：
Goodman, JH
通讯作者：
Goodman, JH
DOI：
10.2307/351302
发表时间：
1983-01-01
期刊：
JOURNAL OF MARRIAGE AND THE FAMILY
影响因子：
--
作者：
NORTON, R
通讯作者：
NORTON, R
影响因子：
2.5
作者：
Bielawska-Batorowicz, E;Kossakowska-Petrycka, K
通讯作者：
Kossakowska-Petrycka, K
影响因子：
120.7
作者：
Feldhaus, KM;KoziolMcLain, J;Abott, JT
通讯作者：
Abott, JT
影响因子：
4.4
作者：
Giallo, Rebecca;D'Esposito, Fabrizio;Nicholson, Jan M.
通讯作者：
Nicholson, Jan M.