1 Department of Biostatistics and Bioinformatics, King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia.
2 King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
Am J Mens Health. 2019 Jan-Feb;13(1):1557988319831219. doi: 10.1177/1557988319831219.
Paternal postnatal depression (PPND) is not a commonly recognized phenomenon. The aim of the study was to identify the Edinburgh Postnatal Depression Scale (EPDS) cutoff for Saudi fathers, to estimate PPND prevalence and to determine the risk factors of PPND among fathers of newborn in Saudi Arabia. A cross-sectional study of fathers with babies born up to 6 months prior to the survey was conducted. Fathers were screened using EPDS and demographic questionnaire. The fathers were selected using systematic random sampling from visitors to the birth registration office. A subsample of participants from the postnatal wards in a tertiary care was invited for additional evaluation by a psychologist using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for major depressive disorders. Receiver operating characteristic curve was utilized to identify fathers with depression; a cutoff of 8/9 was optimal to achieve sensitivity 77.8% and specificity 81.3%. Adjusted prevalence of PPND was reported with corresponding Wilson 95% confidence interval. Two hundred and ninety fathers completed the EPDS and demographic questionnaire. Of 72 invited participants, 57 (79.16%) attended the diagnostic interview. The average age of fathers was 34.97 ± 8.56 years, the average maternal age was 29.18 ± 7.41 years, average age of the newborn was 43.13 ± 35.88 days. PPND adjusted prevalence was 16.6% (95% CI [8.5, 25.6]). Paternal mental health needs equal attention during and postdelivery of newborn. Fathers should receive perinatal and postnatal mental health assessment to prevent behavioral problems in their children and disruption of relationship with their spouse.
父亲产后抑郁（PPND）不是一个常见的现象。本研究的目的是确定沙特父亲的爱丁堡产后抑郁量表（EPDS）截断值，估计 PPND 的患病率，并确定沙特阿拉伯新生儿父亲的 PPND 危险因素。对在调查前 6 个月内分娩的父亲进行了横断面研究。父亲们使用 EPDS 和人口统计学问卷进行筛查。通过系统随机抽样从出生登记处的访客中选择父亲。从三级保健中心的产后病房邀请参与者的亚样本，由心理学家使用精神障碍诊断和统计手册，第五版（DSM-5）标准对主要抑郁障碍进行额外评估。接收者操作特征曲线用于识别患有抑郁症的父亲；8/9 的截断值是最佳的，可实现 77.8%的敏感性和 81.3%的特异性。报告了调整后的 PPND 患病率，并相应地给出了威尔逊 95%置信区间。290 位父亲完成了 EPDS 和人口统计学问卷。在受邀的 72 位参与者中，57 位（79.16%）参加了诊断访谈。父亲的平均年龄为 34.97 ± 8.56 岁，母亲的平均年龄为 29.18 ± 7.41 岁，新生儿的平均年龄为 43.13 ± 35.88 天。调整后的 PPND 患病率为 16.6%（95%CI[8.5，25.6]）。在新生儿出生期间和出生后，父亲的心理健康同样需要关注。应在围产期和产后对父亲进行心理健康评估，以预防其子女出现行为问题，并防止与配偶的关系破裂。
