Fathers' depressive symptoms in the postnatal period: Prevalence and correlates in a population-based Swedish study
Fathers' depressive symptoms in the postnatal period: Prevalence and correlates in a population-based Swedish study
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DOI：
10.1177/1403494816661652
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发表时间：
2016-11-01
影响因子：
3.4
通讯作者：
Wickberg, Birgitta
中科院分区：
文献类型：
--
作者：
Massoudi, Pamela;Hwang, C. Philip;Wickberg, Birgitta
目的：本研究的目的是调查新父亲抑郁症的患病率和相关因素。研究方法：885名瑞典父亲和他们的伴侣完成了一份问卷调查，包括产后三个月的爱丁堡产后抑郁量表。用单因素和多因素回归模型分析抑郁症状的相关因素。结果如下：6.3%的父亲和12.0%的母亲有抑郁症状，父亲抑郁的时点患病率为1.3%。与父亲抑郁症状相关性最强的是伴侣关系问题、教育水平低、既往抑郁症、压力性生活事件和伴侣支持度低。横截面设计可能会影响结果的大小，并且无法进行因果推断。结论：虽然产后三个月时父亲的抑郁症状发生率低于母亲，但相关因素与母亲研究中发现的相似。在儿童健康中心的第一次访问可以包括与父母双方讨论正常的过渡问题;平衡工作，个人和家庭需求;以及痛苦。当发现痛苦或伴侣关系困难的迹象时，应采取后续行动，并提供支助干预。
Aims: The aim of this study was to investigate the prevalence and correlates of depression in new fathers. Methods: A population-based sample of 885 Swedish fathers and their partners completed a questionnaire, including the Edinburgh Postnatal Depression Scale at three months postpartum. Correlates of depressive symptoms were analysed with univariate and multiple variable regression models. Results: Symptoms of depression were found in 6.3% of the fathers and 12.0% of the mothers, and the point prevalence of major depression in fathers was 1.3%. The strongest correlates of depressive symptoms in fathers were problems in the partner relationship, a low educational level, previous depression, stressful life events and low partner support. The cross-sectional design could affect the magnitude of the results, and causal inferences cannot be made. Conclusions: Although the rate of depressive symptoms is lower in fathers than in mothers at three months postpartum, the associated factors are similar to those found in studies of mothers. The first visits at the child health centre could include a discussion with both parents about normal transition problems; balancing work, personal and family needs; and distress. When signs of distress or partner relationship difficulties are picked up, this should be followed up and support interventions offered.