The prevalence and risk factors for postpartum depression symptoms of fathers at one and 6 months postpartum: an adjunct study of the Japan Environment & Children's Study
The prevalence and risk factors for postpartum depression symptoms of fathers at one and 6 months postpartum: an adjunct study of the Japan Environment & Children's Study
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DOI：
10.1080/14767058.2018.1560415
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发表时间：
2020-08-17
影响因子：
1.8
通讯作者：
Yaegashi, Nobuo
中科院分区：
文献类型：
--
作者：
Nishigori, Hidekazu;Obara, Taku;Yaegashi, Nobuo
目的：调查日本产后1个月和产后6个月父亲产后抑郁症状的患病率及其危险因素。材料和方法：研究参与者参加了日本环境和儿童研究的一项附属研究的预期出生队列研究。产后抑郁症状采用日本版爱丁堡产后抑郁量表(EPDS-J)进行评定。父亲的EPDS-J总分为8分，母亲的EPDS-J总分为9分。多因素Logistic回归分析包括调整父亲年龄、母亲年龄、家庭子女数、家庭结构、父亲就业情况、父亲学历、家庭收入、父亲吸烟状况、父亲精神健康障碍史、Kessler 6项心理痛苦量表(K6)评分、不孕症治疗、孕期父亲精神亲密伴侣暴力(IPV)、孕期父亲身体IPV、新生儿性别、新生儿先天畸形、接受治疗的婴儿疾病、回到母亲家中分娩或照顾婴儿、父亲需要治疗的疾病或伤害史，陪产假和母亲的EPDS-J。结果：在产后1个月和6个月分别对1023名和1330名单胎父亲及其配偶进行了评估。产后1个月和6个月时，父亲的EPDS-J评分<8分的患病率分别为11.2%和12.0%。在多因素Logistic分析中，产后1个月父亲的EPDS-J评分=8与精神健康障碍史显著相关(调整后优势比2.825；95%可信区间：1.047-7.623)，孕期K6评分=13(调整后优势比4.116；95%可信区间：1.598-10.599)，产后6个月家庭收入=8与孕期K6评分=13显著相关(调整后优势比4.621；95%可信区间：2.113-10.107)，失业(AOR 3.751；95%可信区间：1.739~8.091)，母体抑郁自评量表评分=9(比值比2.460；95%可信区间：1.514~3.996)。结论：产后1个月和6个月父亲产后抑郁症状的发生率分别为11.2%和12.0%。产后1个月时父亲的产后抑郁症状与心理健康障碍史、孕期心理困扰、低收入和接受治疗的婴儿疾病相关。产后6个月的父亲产后抑郁症状与孕期心理困扰、失业和母亲产后抑郁有关。重要的是要考虑父亲的产后抑郁症状，建议在日本就这些问题提供进一步的启示。
Objective:To survey prevalence and risk factors for paternal postpartum depression symptoms at one and 6 months postpartum in Japan. Material and methods:The study participants enrolled in the prospective birth cohort study of an adjunct study of the Japan Environment and Children's Study. Postpartum depression symptoms were evaluated using the Japanese version of the Edinburgh Postnatal Depression Scale (EPDS-J). The cut-off scores on the paternal EPDS-J were eight and on maternal EPDS-J was nine, respectively. The multivariate logistic regression included an adjustment for paternal age, maternal age, the number of children in the family, family structure, paternal employment, paternal academic history, household income, paternal smoking status, paternal history of mental health disorders, the Kessler 6-item psychological distress scale (K6) score during pregnancy, infertility treatment, paternal mental intimate partner violence (IPV) during pregnancy, paternal physical IPV during pregnancy, the sex of the newborn, congenital anomalies of the newborn, infant disease under medical treatment, returning to the maternal parent's house to give birth or take care of infant, the father's history of disease or injury that required medical treatment, paternity leave, and the EPDS-J for mothers. Results:A total of 1023 and 1330 fathers and their spouse who had a single delivery were assessed at one and 6 months postpartum, respectively. The prevalence of paternal EPDS-J scores >= 8 was 11.2 and 12.0% at one and 6 months postpartum, respectively. In the multiple logistics analysis, paternal EPDS-J scores >= 8 at 1 month postpartum was significantly associated with history of mental health disorders (adjusted odds ratio (AOR) 2.825; 95% confidence interval (CI): 1.047-7.623), K6 score >= 13 during pregnancy (AOR 4.116; 95% CI: 1.598-10.599), household income = 8 at 6 months postpartum was significantly associated with K6 scores >= 13 during pregnancy (AOR 4.621; 95% CI: 2.113-10.107), unemployment (AOR 3.751; 95% CI: 1.739-8.091) and maternal EPDS-J scores >= 9 (AOR 2.460; 95% CI: 1.514-3.996). Conclusion:The prevalence of paternal postpartum depression symptoms were 11.2 and 12.0% at one and 6 months postpartum. Paternal postpartum depression symptoms at 1 month postpartum were associated with the history of mental health disorders, psychological distress during pregnancy, low income, and infant disease under medical treatment. Paternal postpartum depression symptoms at 6 months postpartum were associated with psychological distress during pregnancy, unemployment, and maternal postpartum depression. It is important to consider the paternal postpartum depression symptoms, and further enlightenment regarding these issues is recommended in Japan.