A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers
A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers
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DOI：
10.1016/j.jad.2019.02.033
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发表时间：
2019-04-15
影响因子：
6.6
通讯作者：
Zelkowitz, Phyllis
中科院分区：
文献类型：
--
作者：
Da Costa, Deborah;Danieli, Coraline;Zelkowitz, Phyllis
背景：最近的研究表明，父亲的抑郁会对儿童的行为和情感发展产生负面影响。这项研究确定了初为人父的人在产后 2 个月和 6 个月时抑郁情绪的患病率，并确定了相关的危险因素。方法：一项前瞻性队列研究，对象为 622 名男性，他们在伴侣妊娠晚期完成了社会人口学和社会心理调查问卷。父亲在产后 2 个月和 6 个月再次完成测量，伴侣在所有三个时间点完成抑郁情绪测量。爱丁堡产后抑郁量表>= 10 的分界点确定了抑郁情绪状态。结果：产后 2 个月时父亲抑郁症状的患病率为 13.76%，产后 6 个月时父亲抑郁症状的患病率为 13.60%。在伴侣怀孕期间感到抑郁的男性在产后 2 个月时感到抑郁的可能性是其他人的 7 倍。产前和产后 2 个月评估的抑郁情绪状态与产后 6 个月抑郁情绪的风险增加相关。年龄较大、研究开始时睡眠质量差、夫妻适应能力差、伴侣出现产前抑郁症状以及父母压力增加与产后 2 个月的抑郁症状相关。睡眠质量差、经济压力和夫妻适应能力下降与产后 6 个月的抑郁症状独立相关。 局限性：该样本受过良好教育，主要是中产阶级。使用自我报告问卷对抑郁症状进行评估。结论：所确定的社会心理风险因素为在为人父母的过渡期间面临抑郁风险的父亲提供了早期筛查和有针对性的预防策略的机会。
Background: Recent studies show that paternal depression negatively impacts children's behavioral and emotional development. This study determined the prevalence of depressed mood in first-time fathers at 2 and 6 months postpartum and identified associated risk factors.Methods: A prospective cohort study with 622 men who completed sociodemographic and psychosocial questionnaires during their partner's third trimester of pregnancy. Fathers completed measures again at 2 and 6 months postpartum and partners completed the depressed mood measure at all three timepoints. A cutoff of >= 10 for the Edinburgh Postnatal Depression Scale identified depressed mood status.Results: The prevalence of depressive symptoms in fathers was 13.76% at 2 months and 13.60% at 6 months postpartum. Men who were depressed during their partner's pregnancy were 7 times more likely to be depressed at 2 months postpartum. Depressed mood status at both the antenatal and 2 month postpartum assessment was associated with increased risk of depressed mood at 6 months postpartum. Older age, poor sleep quality at study entry, worse couple adjustment, having a partner experiencing antenatal depressive symptoms and elevated parental stress were associated with depressive symptoms at 2 months postpartum. Poor sleep quality, financial stress and a decline in couple adjustment were independently associated to depressive symptoms at 6 months postpartum.Limitations: This sample was fairly well-educated and predominately middle-class. Depressive symptoms were assessed using a self-report questionnaire.Conclusions: The psychosocial risk factors identified provide opportunities for early screening and targeted prevention strategies for fathers at risk for depression during the transition to parenthood.