Risk factors of paternal depression in the early postnatal period in Japan
Corresponding Author
Akiko Nishimura rn, cnm, msc
Department of Nursing, School of Nursing, Hyogo University of Health Sciences, Kobe and
Akiko Nishimura, Hyogo University of Health Sciences, 1-3-6 Minatojima, Chuo-ku, Kobe 650-8530, Japan. Email: [email protected]Search for more papers by this authorKazutomo Ohashi md, phd
Department of Children's and Women's Health, Area of Nursing Science, Division of Health Sciences, Osaka University Graduate School of Medicine, Osaka, Japan
Search for more papers by this authorCorresponding Author
Akiko Nishimura rn, cnm, msc
Department of Nursing, School of Nursing, Hyogo University of Health Sciences, Kobe and
Akiko Nishimura, Hyogo University of Health Sciences, 1-3-6 Minatojima, Chuo-ku, Kobe 650-8530, Japan. Email: [email protected]Search for more papers by this authorKazutomo Ohashi md, phd
Department of Children's and Women's Health, Area of Nursing Science, Division of Health Sciences, Osaka University Graduate School of Medicine, Osaka, Japan
Search for more papers by this authorAbstract
This study investigated risk factors of depression in fathers at 4 weeks post-partum using a cross-sectional design. Mothers were recruited at the 4 week postnatal health check between March and July 2007. A total of 510 mothers agreed to participate in the study. One-hundred-and-fifty-six fathers and 181 mothers returned the questionnaires. The Edinburgh Postnatal Depression Scale and the Center for Epidemiologic Studies Depression Scale were filled out to assess depressive symptoms. There was no association between paternal and maternal depression. According to the logistic regression analysis, paternal depression was associated with employment status, history of psychiatric treatment, and unintended pregnancy. Of eight fathers with unstable employment, seven were temporary employees and one was unemployed, suggesting that perinatal care-providers should independently screen for depression in fathers and mothers and focus attention on paternal employment status, especially temporary employment.
REFERENCES
- Areias MEG, Kumar R, Barros H, Figueiredo E. Comparative incidence of depression in women and men, during pregnancy and after childbirth. Validation of the Edinburgh Postnatal Depression Scale in Portuguese mothers. Br. J. Psychiatry 1996a; 169: 30–35.
- Areias MEG, Kumar R, Barros H, Figueiredo E. Correlates of postnatal depression in mothers and fathers. Br. J. Psychiatry 1996b; 169: 36–41.
- Artazcoz L, Benach J, Borrell C, Cortes I. Unemployment and mental health: understanding the interactions among gender, family roles, and social class. Am. J. Public Health 2004; 94: 82–88.
- Ballard CG, Davis R, Cullen PC, Mohan RN, Dean C. Prevalence of postnatal psychiatric morbidity in mothers and fathers. Br. J. Psychiatry 1994; 164: 782–788.
- Condon JT, Boyce P, Corkindale CJ. The First-Time Fathers Study: a prospective study of the mental health and wellbeing of men during the transition to parenthood. Aust. N. Z. J. Psychiatry 2004; 38: 56–64.
- Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br. J. Psychiatry 1987; 150: 782–786.
- Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Gilstrap LC, Wenstrom KD. Neurological and psychiatric disorders. In: F. Gary Cunningham, Kenneth J. Leveno, Steven L. Bloom, John C. Hauth, Larry Gilstrap, Katharine D. Wenstrom (eds). Williams Obstetrics ( 22nd edn). New York: McGraw-Hill, 2005; 1229–1248.
- Dietz LJ, Jennings KD, Kelley SA, Marshal M. Maternal depression, paternal psychopathology, and toddlers' behavior problems. J. Clin. Child Psychol. 2009; 38: 48–61.
- Dooley D, Fielding J, Levi L. Health and unemployment. Annu. Rev. Public Health 1996; 17: 449–465.
- Dudley M, Roy K, Kelk N, Bernard D. Psychological correlates of depression in fathers and mothers in the first postnatal year. J. Reprod. Infant Psychol. 2001; 19: 187–202.
- Ferrie JE, Westerlund H, Virtanen M, Vahtera J, Kivimäki M. Flexible labor markets and employee health. Scand. J. Work Environ. Health Suppl. 2008; 6: 98–110.
- Gao LL, Chan SW, Mao Q. Depression, perceived stress, and social support among first-time Chinese mothers and fathers in the postpartum period. Res. Nurs. Health 2009; 32: 50–58.
- Goodman JH. Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health. J. Adv. Nurs. 2004; 45: 26–35.
- Guedeney N, Fermanian J. Validation study of the French version of the Edinburgh Postnatal Depression Scale (EPDS): new results about use and psychometric properties. Eur. Psychiatry 1998; 13: 83–89.
- Holmes TH, Rahe RH. The Social Readjustment Rating Scale. J. Psychosom. Res. 1967; 11: 213–218.
- Kane P, Garber J. The relations among depression in fathers, children's psychopathology, and father–child conflict: a meta-analysis. Clin. Psychol. Rev. 2004; 24: 339–360.
- Lee DT, Yip SK, Chiu HF et al. Detecting postnatal depression in Chinese women. Validation of the Chinese version of the Edinburgh Postnatal Depression Scale. Br. J. Psychiatry 1998; 172: 433–437.
- Lovestone S, Kumar R. Postnatal psychiatric illness: the impact on partners. Br. J. Psychiatry 1993; 163: 210–216.
- Matthey S, Barnett B, Kavanagh DJ, Howie P. Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners. J. Affect. Disord. 2001; 64: 175–184.
- Matthey S, Barnett B, Ungerer J, Waters B. Paternal and maternal depressed mood during the transition to parenthood. J. Affect. Disord. 2000; 60: 75–85.
- Ministry of Internal Affairs and Communications. Labour Force Survey. 2008. [Cited 7 May 2009]. Available from URL: http://www.stat.go.jp/data/roudou/rireki/4hanki/dt/pdf/2008-1.pdf.
- Okano T, Murata M, Masuji F et al. Validation and reliability of a Japanese version of the EPDS. Arch. Psychiatr. Diagn. Clin. Eval. 1996; 7: 525–533 (in Japanese with English abstract).
- Orr ST, Miller CA. Unintended pregnancy and the psychosocial well-being of pregnant women. Women's Health Issues 1997; 7: 38–46.
- Paulson JF, Dauber S, Leiferman JA. Individual and combined effects of postpartum depression in mothers and fathers on parenting behavior. Pediatrics 2006; 118: 659–668.
- Radloff LS. The CES-D Scale: a self-report depression scale for research in the general population. Appl. Psychol. Meas. 1977; 1: 385–401.
- Ramchandani P, Stein A, Evans J, O'Connor TG. Paternal depression in the postnatal period and child development: a prospective population study. Lancet 2005; 365: 2201–2205.
- Ramchandani PG, Stein A, O'Connor TG, Heron J, Murray L, Evans J. Depression in men in the postnatal period and later child psychopathology: a population cohort study. J. Am. Acad. Child Adolesc. Psychiatry 2008; 47: 390–398.
- Shima S, Shikano T, Kitamura T, Asai M. New self-rating scale for depression. Clin. Psychiatry 1985; 27: 717–723 (in Japanese).
- Soliday E, McCluskey-Fawcett K, O'Brien M. Postpartum affect and depressive symptoms in mothers and fathers. Am. J. Orthopsychiatry 1999; 69: 30–38.
- Vilska S, Unkila-Kallio L, Punamaki RL et al. Mental health of mothers and fathers of twins conceived via assisted reproduction treatment: a 1-year prospective study. Hum. Reprod. 2009; 24: 367–377.
- Virtanen M, Kivimäki M, Ferrie JE et al. Temporary employment and antidepressant medication: a register linkage study. J. Psychiatr. Res. 2008; 42: 221–229.
- Virtanen M, Kivimäki M, Joensuu M, Virtanen P, Elovainio M, Vahtera J. Temporary employment and health: a review. Int. J. Epidemiol. 2005; 34: 610–622.
- Wang SY, Chen CH. Psychosocial health of Taiwanese postnatal husbands and wives. J. Psychosom. Res. 2006; 60: 303–307.
- Wickberg B, Hwang CP. The Edinburgh Postnatal Depression Scale: validation on a Swedish community sample. Acta Psychiatr. Scand. 1996; 94: 181–184.
- Zelkowitz P, Milet TH. The course of postpartum psychiatric disorders in women and their partners. J. Nerv. Ment. Dis. 2001; 189: 575–582.
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