Prenatal and early postnatal depression and child maltreatment among Japanese fathers
Prenatal and early postnatal depression and child maltreatment among Japanese fathers
复制标题
DOI：
10.1016/j.chiabu.2017.06.011
复制
发表时间：
2017-08-01
影响因子：
4.8
通讯作者：
Mori, Rintaro
中科院分区：
文献类型：
--
作者：
Takehara, Kenji;Suto, Maiko;Mori, Rintaro
我们调查了日本父亲产前和产后早期的父亲抑郁症与产后两个月虐待儿童倾向的关系。这项基于人群的纵向研究招募了居住在日本爱知县西尾市的日本围产期妇女及其伴侣。在参与的 270 名父亲中，有 196 名被纳入分析。所有数据均通过自填问卷在四个时间点收集：妊娠 20 周、产后最初几天、一个月和两个月。使用爱丁堡产后抑郁量表评估父亲抑郁症。根据参与者在这项措施上的得分，对父亲抑郁症进行了三种定义：产前、之前和当前。产后两个月使用儿童虐待量表评估儿童虐待倾向。使用逻辑回归分析分别分析父亲抑郁症和儿童虐待倾向的三种定义的关联。产前、产前和当前父亲抑郁症的患病率分别为 9.7%、10.2% 和 8.8%。根据多变量分析，当前父亲抑郁症与产后两个月虐待儿童倾向显着相关（调整后优势比：7.77，95% CI：1.83-33.02）。然而，其他两种类型的抑郁症与虐待儿童的倾向无关。因此，当前父亲抑郁症增加了产后虐待儿童倾向的风险，这表明父亲抑郁症的早期发现和治疗可能有助于预防虐待儿童。
We investigated the association of paternal depression in the prenatal and early postnatal period with child maltreatment tendency at two months postpartum among Japanese fathers. This population-based longitudinal study recruited Japanese perinatal women and their partners living in Nishio City, Aichi, Japan. Of the 270 fathers who participated, 196 were included in the analysis. All data were collected via self-administrated questionnaires at four time points: 20 weeks' gestation and in the first few days, one month, and two months postpartum. Paternal depression was assessed using the Edinburgh Postnatal Depression Scale. Three definitions of paternal depression were coded based on participants' scores on this measure: prenatal, prior, and current. Child maltreatment tendency was evaluated using the Child Maltreatment Scale at two months postpartum. The associations of the three definitions of paternal depression and child maltreatment tendency were separately analyzed using logistic regression analysis. The prevalence of prenatal, prior, and current paternal depression was 9.7%, 10.2%, and 8.8%, respectively. According to the multivariate analysis, current paternal depression was significantly associated with child maltreatment tendency at two months postpartum (adjusted odds ratio: 7.77, 95% CI: 1.83-33.02). The other two types of depression, however, were not related to child maltreatment tendency. Thus, current paternal depression increased the risk of child maltreatment tendency in the postnatal period, suggesting that early detection and treatment of paternal depression might be useful for the prevention of child maltreatment.