Center of Research and Studies in Family Intervention, Université du Québec en Outaouais, Gatineau, Québec, Canada.
J Affect Disord. 2013 Aug 15;150(1):44-9. doi: 10.1016/j.jad.2013.01.048. Epub 2013 Mar 13.
While maternal postpartum depression is a well-known phenomenon, paternal postnatal depression has been less studied. It is known that paternal postnatal depression impacts on children's and families' development, affects marital satisfaction and affects the economic health of industrialized countries. The aim of this study was to identify the psychosocial factors associated with paternal postnatal depression.
A descriptive-correlational study was conducted with a sample of fathers of infants (average age: 11 months) who were breastfed exclusively or predominantly for at least 6 months, comparing psychosocial factors in fathers with (n: 17, 8.2%) and without a positive score for depression on the EPDS scale (n: 188). Psychosocial factors were assessed through questionnaires.
Depression in fathers of breastfed infants is associated with the experience of perinatal loss in a previous pregnancy, parenting distress, infant temperament (difficult child), dysfunctional interactions with the child, decreased marital adjustment and perceived low parenting efficacy. Multivariate analysis suggests an independent effect of psychosocial factors such as parenting distress, quality of the marital relationship and perceived parenting efficacy on paternal depression.
The sample focused on fathers of breastfed infant, since breastfeeding has become the feeding norm, and this should be taken into account when considering the generalization of findings.
These findings emphasize the need to consider a set of psychosocial factors when examining fathers' mental health in the first year of a child's birth. Health professionals can enhance parenting efficacy and alleviate parenting distress by supporting fathers' unique experiences and addressing their needs.
虽然产后抑郁症是一种众所周知的现象，但父亲产后抑郁症的研究较少。已知父亲产后抑郁症会影响儿童和家庭的发展，影响婚姻满意度，并影响工业化国家的经济健康。本研究旨在确定与父亲产后抑郁症相关的社会心理因素。
本研究采用描述性相关性研究，对母乳喂养至少 6 个月的婴儿（平均年龄：11 个月）的父亲进行了样本调查，比较了 EPDS 量表上有（n：17，8.2%）和无抑郁阳性评分的父亲的社会心理因素（n：188）。社会心理因素通过问卷进行评估。
母乳喂养婴儿的父亲抑郁与前一次妊娠的围产期丧失经历、育儿困扰、婴儿气质（难养型）、与孩子的功能失调互动、婚姻调整下降和感知育儿效能低下有关。多变量分析表明，育儿困扰、婚姻关系质量和感知育儿效能等社会心理因素对父亲抑郁有独立影响。
该样本集中于母乳喂养婴儿的父亲，因为母乳喂养已经成为喂养的规范，在考虑研究结果的推广时应考虑到这一点。
这些发现强调，在检查孩子出生后第一年父亲的心理健康时，需要考虑一系列社会心理因素。卫生专业人员可以通过支持父亲的独特经历和满足他们的需求来提高育儿效能感并减轻育儿困扰。
