Cameron Emily E, Hunter Dana, Sedov Ivan D, Tomfohr-Madsen Lianne M
Department of Psychology, University of Calgary, Calgary, AB, Canada.
Department of Psychology, University of Calgary, Calgary, AB, Canada.
J Affect Disord. 2017 Jun;215:62-70. doi: 10.1016/j.jad.2017.03.031. Epub 2017 Mar 9.
Postpartum depression (PPD) is prevalent, occurring in 8 to 13% of new fathers. Identifying effective and acceptable treatments for paternal PPD is important to prevent negative family outcomes. Participation in a patient preferred treatment for depression increases treatment adherence and effectiveness. Thus, developing and delivering interventions that are preferred by the target population is an important aspect of successful treatment. The current study investigated treatment preferences for paternal PPD.
Men (N=140) who were within the first year postpartum were recruited from low-risk maternity clinics, baby shows, and partner referrals. Participants completed a 20-minute online survey that included three expert validated treatment descriptions for depression and a series of questionnaires.
Participants reported preferring individual and couple psychotherapy to pharmacotherapy for treatment of PPD. Men perceived both individual and couple psychotherapy as being more credible and reported more favourable personal reactions towards them when compared to pharmacotherapy.
Participants were not required to meet diagnostic criteria for depression. The majority of participants were asked to respond to a hypothetical scenario of what they would do if faced with PPD.
These findings suggest that fathers prefer psychological interventions over pharmacotherapy for treatment of PPD. Future research should investigate efficacious treatment options for paternal PPD based on treatment preferences.
产后抑郁症（PPD）很常见，8%至13%的新爸爸会患上此病。确定针对父亲产后抑郁症的有效且可接受的治疗方法对于预防负面的家庭后果很重要。参与患者偏爱的抑郁症治疗方法可提高治疗依从性和有效性。因此，开发并提供目标人群偏爱的干预措施是成功治疗的一个重要方面。本研究调查了父亲产后抑郁症的治疗偏好。
从低风险产科诊所、婴儿展会和伴侣推荐中招募产后一年内的男性（N = 140）。参与者完成了一项20分钟的在线调查，其中包括三种经专家验证的抑郁症治疗描述以及一系列问卷。
参与者报告称，比起药物治疗，他们更倾向于个体心理治疗和夫妻心理治疗来治疗产后抑郁症。与药物治疗相比，男性认为个体心理治疗和夫妻心理治疗都更可信，并且对它们的个人反应更积极。
参与者无需符合抑郁症的诊断标准。大多数参与者被要求回答一个假设情景，即如果他们患有产后抑郁症会怎么做。
这些发现表明，父亲们在治疗产后抑郁症时更喜欢心理干预而非药物治疗。未来的研究应根据治疗偏好调查针对父亲产后抑郁症的有效治疗选择。
