Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health
Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health
复制标题
DOI：
10.1046/j.1365-2648.2003.02857.x
复制
发表时间：
2004-01-01
影响因子：
3.8
通讯作者：
Goodman, JH
中科院分区：
文献类型：
--
作者：
Goodman, JH
背景妇女产后抑郁症问题已引起人们的广泛关注。然而，有一些迹象表明，男性在孩子出生后也会经历抑郁症，而且父亲的抑郁症与母亲的抑郁症有关。这篇综合性综述的目的是研究目前对父亲产后抑郁症的认识。具体目的是（1）检查孩子出生后第一年父亲抑郁症的发生率，（2）确定父亲产后抑郁症的特征和预测因素，（3）描述母亲和父亲产后抑郁症之间的关系，（4）讨论父亲抑郁症对家庭和婴儿的影响。使用CINAHL、PsychInfo和Medline电子数据库进行了1980年至2002年的文献检索。确定了20项研究，包括产后第一年父亲抑郁症的发病率。这些进一步检查和合成的发病，严重程度，持续时间，和父亲的抑郁症状的预测因素，并为母亲和父亲的抑郁症之间的关系的信息。在产后的第一年，社区样本中父亲抑郁症的发病率为1.2%至25.5%，其伴侣经历产后抑郁症的男性为24%至50%。母亲抑郁被认为是产后父亲抑郁的最强预测因子。父母抑郁对家庭健康的影响进行了讨论。男性产后抑郁症是一个严重的问题。父亲产后抑郁症与母亲产后抑郁症的强相关性对家庭健康和福祉具有重要意义。考虑产后抑郁症的父亲和母亲，并考虑抑郁症的共同发生在夫妇，是一个重要的下一步研究和实践涉及生育家庭。
Background. Much attention has been paid to the problem of postpartum depression in women. However, there is some indication that men also experience depression after the birth of a child, and that paternal depression is linked to maternal depression.Aims. The purpose of this integrative review was to examine current knowledge about postpartum depression in fathers. Specific aims were (1) to examine the incidence of paternal depression in the first year after the birth of a child, (2) to identify the characteristics and predictors of paternal postpartum depression, (3) to describe the relationship between maternal and paternal postpartum depression, and (4) to discuss the influence of paternal depression on the family and infant.Methods. A literature search from 1980 to 2002 was carried out using the CINAHL, PsychInfo, and Medline electronic databases. Twenty research studies were identified that included incidence rates of paternal depression during the first year postpartum. These were further examined and synthesized regarding onset, severity, duration, and predictors of paternal depressive symptoms, and for information about the relationship between maternal and paternal depression.Findings. During the first postpartum year, the incidence of paternal depression ranged from 1.2% to 25.5% in community samples, and from 24% to 50% among men whose partners were experiencing postpartum depression. Maternal depression was identified as the strongest predictor of paternal depression during the postpartum period. The implications of parental depression for family health were discussed.Conclusions. Postpartum depression in men is a significant problem. The strong correlation of paternal postpartum depression with maternal postpartum depression has important implications for family health and well-being. Consideration of postpartum depression in fathers as well as mothers, and consideration of co-occurrence of depression in couples, is an important next step in research and practice involving childbearing families.