Department of Health Policy, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo 157-8535, Japan.
Department of Health Policy, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo 157-8535, Japan; Graduate School of International and Cultural Studies, Tsuda College, 2-1-1 Tsuda-machi, Kodaira-shi, Tokyo 187-8577, Japan.
Child Abuse Negl. 2017 Aug;70:231-239. doi: 10.1016/j.chiabu.2017.06.011. Epub 2017 Jul 3.
We investigated the association of paternal depression in the prenatal and early postnatal period with child maltreatment tendency at two months postpartum among Japanese fathers. This population-based longitudinal study recruited Japanese perinatal women and their partners living in Nishio City, Aichi, Japan. Of the 270 fathers who participated, 196 were included in the analysis. All data were collected via self-administrated questionnaires at four time points: 20 weeks' gestation and in the first few days, one month, and two months postpartum. Paternal depression was assessed using the Edinburgh Postnatal Depression Scale. Three definitions of paternal depression were coded based on participants' scores on this measure: prenatal, prior, and current. Child maltreatment tendency was evaluated using the Child Maltreatment Scale at two months postpartum. The associations of the three definitions of paternal depression and child maltreatment tendency were separately analyzed using logistic regression analysis. The prevalence of prenatal, prior, and current paternal depression was 9.7%, 10.2%, and 8.8%, respectively. According to the multivariate analysis, current paternal depression was significantly associated with child maltreatment tendency at two months postpartum (adjusted odds ratio: 7.77, 95% CI: 1.83-33.02). The other two types of depression, however, were not related to child maltreatment tendency. Thus, current paternal depression increased the risk of child maltreatment tendency in the postnatal period, suggesting that early detection and treatment of paternal depression might be useful for the prevention of child maltreatment.
我们调查了父亲在产前和产后早期的抑郁与日本父亲在产后两个月的儿童虐待倾向之间的关系。这项基于人群的纵向研究招募了日本围产期妇女及其居住在爱知县西尾市的伴侣。在 270 名参与的父亲中，有 196 名被纳入分析。所有数据都是通过四个时间点的自我管理问卷收集的：20 周妊娠和产后头几天、一个月和两个月。父亲的抑郁用爱丁堡产后抑郁量表评估。根据参与者在该量表上的得分，对父亲抑郁的三种定义进行了编码：产前、之前和当前。产后两个月使用儿童虐待量表评估儿童虐待倾向。使用逻辑回归分析分别分析了三种定义的父亲抑郁与儿童虐待倾向之间的关联。产前、之前和当前父亲抑郁的患病率分别为 9.7%、10.2%和 8.8%。根据多变量分析，当前父亲抑郁与产后两个月的儿童虐待倾向显著相关（调整后的优势比：7.77，95%置信区间：1.83-33.02）。然而，其他两种类型的抑郁与儿童虐待倾向无关。因此，当前父亲的抑郁增加了产后儿童虐待倾向的风险，这表明早期发现和治疗父亲的抑郁可能有助于预防儿童虐待。
