Philpott Lloyd Frank, Corcoran Paul
School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork T12AK54, Ireland.
National Perinatal Epidemiology Centre in the Department of Obstetrics and Gynecology, University College Cork, Cork T12AK54, Ireland; Department of Epidemiology and Public Health, University College Cork, Cork T12AK54, Ireland.
Midwifery. 2018 Jan;56:121-127. doi: 10.1016/j.midw.2017.10.009. Epub 2017 Oct 20.
it is well established that fatherhood has a long term positive and protective effect on men's health. However, there is also evidence that the transition to fatherhood can be complex and demanding and can lead to distress, anxiety and increased risk of depression.
this study aimed to investigate the prevalence of paternal postnatal depression, and to examine associations with a range of demographic and clinical factors.
a cross-sectional study design was used to collect primary data from 100 fathers, whose partner gave birth to an infant in the previous 12 months. Data were collected using the Edinburgh Postnatal Depression Scale.
the prevalence of paternal postnatal depression was 12% using the Edinburgh Postnatal Depression Scale cut off score of 12 or above, when the cut off score was reduced to 9 or above the prevalence was 28%. The factors found to increase the risk of paternal postnatal depression included having an infant with sleep problems, a previous history of depression, a lack of social support, poor economic circumstances, not having paternity leave and not being married.
the results add to the growing body of evidence that paternal postnatal mental health is a significant public health issue, and indicates a need for assessment and support for fathers during this life stage.
众所周知，成为父亲对男性健康具有长期的积极和保护作用。然而，也有证据表明，向父亲角色的转变可能复杂且要求苛刻，会导致困扰、焦虑和抑郁风险增加。
本研究旨在调查产后父亲抑郁的患病率，并探讨其与一系列人口统计学和临床因素的关联。
采用横断面研究设计，从100名父亲那里收集原始数据，他们的伴侣在过去12个月内生育了婴儿。使用爱丁堡产后抑郁量表收集数据。
以爱丁堡产后抑郁量表12分及以上为临界值时，产后父亲抑郁的患病率为12%；当临界值降至9分及以上时，患病率为28%。发现增加产后父亲抑郁风险的因素包括婴儿有睡眠问题、既往有抑郁病史、缺乏社会支持、经济状况不佳、没有陪产假以及未婚。
这些结果进一步证明产后父亲心理健康是一个重大的公共卫生问题，表明在此生命阶段需要对父亲进行评估和给予支持。
