Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Department of Psychology, Old Dominion University, Norfolk, VA, USA.
J Psychosom Obstet Gynaecol. 2021 Jun;42(2):152-161. doi: 10.1080/0167482X.2021.1885025. Epub 2021 Feb 25.
The purpose of this review was to determine the prevalence of anxiety among fathers during the perinatal (pre- and post-natal) period.
A systematic search was conducted to identify studies published between 1995-2020. One hundred and seventy-two of the records met inclusion criteria and full texts were screened for eligibility. The authors followed PRISMA guidelines to extract the data.
A total of 23 studies, representing 40,124 participants, are included in this meta-analysis. The overall random effects estimate of paternal perinatal anxiety was 10.69% (95% confidence interval (CI): 8.14 - 13.91%). Rates of paternal perinatal anxiety demonstrated significant heterogeneity that was large in magnitude ( = 304,494, < .001, I = 99.93 and τ = .5381). Study quality rating did not appear to moderate rates of paternal perinatal anxiety (low: 10.74%; 95% CI: 6.56-17.11%; high: 10.65%; 95% CI: 6.02- 18.15%).
Paternal perinatal anxiety rates in this meta-analysis are considerably higher than the global WHO regional prevalence rates for anxiety among men suggesting the transition into parenthood may place men at greater risk for anxiety.
本综述的目的是确定围产期(产前和产后)期间父亲焦虑的发生率。
系统检索了 1995 年至 2020 年期间发表的研究。有 172 篇记录符合纳入标准,并对全文进行了筛选以确定其是否符合纳入标准。作者遵循 PRISMA 指南提取数据。
共有 23 项研究,代表 40124 名参与者,包含在这项荟萃分析中。父亲围产期焦虑的总体随机效应估计值为 10.69%(95%置信区间(CI):8.14-13.91%)。父亲围产期焦虑的发生率表现出显著的异质性,其大小很大( = 304494, <.001,I = 99.93 和 τ =.5381)。研究质量评分似乎并未调节父亲围产期焦虑的发生率(低:10.74%;95%CI:6.56-17.11%;高:10.65%;95%CI:6.02-18.15%)。
本荟萃分析中的父亲围产期焦虑发生率明显高于全球卫生组织男性焦虑的区域流行率,这表明成为父母可能会使男性面临更大的焦虑风险。