The paternal perinatal depression initiative (original) (raw)
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British Journal of Midwifery, 2013
This paper discusses what we know about paternal depression during the perinatal period and if there are any effective interventions for it. Available prevalence estimates suggest that depression experienced by men perinatally may be elevated and specific and/or related to this significant life stage. Currently, there is a paucity of research evaluating how depression during the perinatal period manifests differently in men than women and if men cope with their depression in ways different to women. There is also a lack of studies comparing the risk factors of paternal depression during the perinatal period and the risk factors for general depression in men. Studies showed that paternal perinatal depression not only affects the men, but their children as well. On reviewing the studies on interventions, it is clear that further randomised controlled trials (RCTs) of interventions are needed to establish efficacious and cost-effective treatment protocols for men.
Fathers’ perinatal mental health
Abstract: Fathers’ depression is an often under recognized disorder that can impair their children’s development and lead to relationship conflict. Identification of paternal perinatal mood disorders is desirable. However suitable screening tools for fathers are still emerging and male-specific expressions of depression and anxiety may need to be included. New models may need to be developed. Taking account of the time pressures on new fathers and their lack of contact with health services a scenario is presented offering a hypothetical model of perinatal mental health care for fathers.
When Fathers Begin to Falter: A Comprehensive Review on Paternal Perinatal Depression
International Journal of Environmental Research and Public Health
The transition to parenthood is considered to be a major life transition that can increase the vulnerability to parental depressive disorders, including paternal perinatal depression (PPND). Although it is known that many fathers experience anxiety and depression during the perinatal period, PPND is a recent diagnostic entity and there are not enough published studies on it. Accordingly, its prevalence and epidemiology are still not well defined, although the majority of studies agree that PPND is less frequent than maternal perinatal depression and postpartum depression. Nevertheless, PPND is different from maternal perinatal mental health disorders, usually, fathers have less severe symptoms, and mood alterations are often in comorbidity with other affective disorders. Despite the absence of DSM-5 diagnostic criteria and the fluctuation of prevalence rates, clinical symptoms have been defined. The main symptoms are mood alterations and anxiety, followed by behavioral disturbances ...
Interventions for Perinatal Depression and Anxiety in Fathers: A Mini-Review
Frontiers in Psychology, 2022
Background and ObjectivesUp to 10% of fathers experience perinatal depression, often accompanied by anxiety, with a detrimental impact on the emotional and behavioural development of infants. Yet, few evidence-based interventions specifically for paternal perinatal depression or anxiety exist, and few depressed or anxious fathers engage with support. This mini-review aims to build on the evidence base set by other recent systematic reviews by synthesising more recently available studies on interventions for paternal perinatal depression and anxiety. Secondarily, we also aimed to identify useful information on key implementation strategies, if any, that increase the engagement of men.MethodsWe drew upon three major previous systematic reviews and performed an updated search of PubMed/Medline; Psycinfo; Cochrane Database; Embase and Cinahl. The search was limited to trials, feasibility studies or pilot studies of interventions published between 2015 and 2020 that reported on fathers&#...
Paternal Perinatal Depression: A Narrative Review
International Journal of Mens Social and Community Health
The perinatal period, which covers the time when a man’s partner becomes pregnant through to the first year after birth can be a time of great excitement, happiness, and joy. However, it can also be a time of great disruption and change. Despite the positive and protective long-term effect that fatherhood has on men’s health, a significant proportion of fathers’ experience depressive symptoms during the perinatal period. This paper aims to review studies that assessed symptoms of depression in fathers during the perinatal period and to describe the prevalence estimates, identify the risk factors and impact of depression, and establish if there are interventions that effectively reduce depression among fathers. A systematic search of relevant electronic databases including Medline, CINAHL, Cochrane Library, PsycARTICLES, PsycINFO, and Psychology and Behavioural Sciences Collection were searched using keywords related to paternal perinatal depression. Prevalence estimates of paternal ...
Focus on fathers: paternal depression in the perinatal period
Perspectives in Public Health, 2018
Aims: This report aims to present a concise overview and synthesis of current research findings regarding paternal depression in the perinatal period. Methods: A literature search was conducted, primarily via PubMed and PsychNET, for English-language research studies and meta-analyses using combinations of the terms ‘perinatal’, ‘pregnancy’, ‘postpartum’, ‘depression’ AND ‘fathers’ OR ‘paternal’. Peer-reviewed articles were considered, and a representative sample of literature, with an emphasis on recent publications from a broad range of populations was summarized for each of the following sub-sections: prevalence, risk factors, impact on the infant/child, and healthcare costs. Results: Reported prevalence has ranged from 2.3% to 8.4%, with a significant degree of heterogeneity in rates, due to differences in multiple aspects of the methodology (timing, instruments, etc.). Nevertheless, rates of maternal depression remain higher than paternal depression, and higher rates of one are...
New Fathers' Perinatal Depression and Anxiety-Treatment Options: An Integrative Review
American journal of men's health, 2016
More than 10% of fathers experience depression and anxiety during the perinatal period, but paternal perinatal depression (PPND) and anxiety have received less attention than maternal perinatal mental health problems. Few mainstream treatment options are available for men with PPND and anxiety. The aim of this literature review was to summarize the current understanding of PPND and the treatment programs specifically designed for fathers with perinatal depression. Eight electronic databases were searched using a predefined strategy, and reference lists were also hand searched. PPND and anxiety were identified to have a negative impact on family relationships, as well as the health of mothers and children. Evidence suggests a lack of support and tailored treatment options for men having trouble adjusting to the transition to fatherhood. Of the limited options available, cognitive behavioral therapy, group work, and blended delivery programs, including e-support approaches appear to b...
Journal of Personalized Medicine
Background. Since the identification of Couvade syndrome in the late 1950s, little attention has been dedicated to the issue of depression in expecting fathers. Objective. To quantify the extent of depression in expecting fathers and find out if they match their pregnant partners’ depression. Methods. We conducted a PubMed and ClinicalTrials.gov search using paternal depression and all its variants as terms. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement to include eligible studies. Results. We identified a grand total of 1443 articles, of which 204 were eligible. The total number of fathers/expecting fathers involved was 849,913. Longitudinal studies represented more than half of the included studies; more than three-quarters of the studies used the Edinburgh Postnatal Depression Scale (EPDS). The average occurrence of paternal depression was around 5%, which confers the entity some clinical dignity. Depression tends to occur ...
Perinatal mental health: Fathers - the (mostly) forgotten parent
Asia-Pacific Psychiatry, 2015
Introduction: The importance of parental mental health as a determinant of infant and child outcomes is increasingly acknowledged. Yet, there is limited information regarding paternal mental health during the perinatal period. The aim of this review is to summarize existing clinical research regarding paternal mental health in the perinatal period in various contexts, and its possible impact on infant development. Method: An electronic literature search was conducted using MEDLINE and PubMed databases. Key texts were used to cross-check for any further articles of interest. Results: Men are at increased risk of mental health problems during the transition to fatherhood, as well as during the perinatal period. Paternal mental health during the perinatal period has been shown to impact on their child's emotional and behavioral development. However, research addressing the needs of fathers with mental illness and the impact of their illness on their infant and family has been limited. Conclusions: A paradigm shift is required, from a focus on women following childbirth and women with pre-existing psychiatric disorders, to a broader family perspective with the focus firmly on parent-infant relationships. This paradigm shift needs to involve greater research into the fathering role and paternal mental illness during the perinatal period, including further studies into risk factors, impact on the family system, and the most appropriate form of intervention and service provision.