UiT The Arctic University of Norway, Tromsø, Norway.
Norwegian Institute of Public Health, Oslo, Norway.
Am J Mens Health. 2022 Sep-Oct;16(5):15579883221114984. doi: 10.1177/15579883221114984.
Men often experience depressive symptoms during the transition to parenthood, but there is a lack of synthesized knowledge of instruments used to identify such symptoms. The aim of this scoping review was to identify instruments used to measure symptoms of depressive symptoms among fathers in pregnancy and the postpartum period, and to describe the instruments' characteristics and measurement properties. We identified studies published since 1990 through searches in databases such as MEDLINE, EMBASE, and PsycINFO and in gray literature. Pairs of reviewers selected relevant studies based on predetermined inclusion criteria. For each included study, we collected information relevant to the review question, guided by the COnsensus based Standards for the selection of health status Measurement INstruments (COSMIN). We included 13 instruments, described in 59 studies with about 29,000 participants across 25 countries. There were 12 validation studies. None of the instruments were uniquely developed for assessing paternal depressive symptoms related to fatherhood. The three most extensively examined instruments were the Edinburgh Postnatal Depression Scale (EPDS), Center for Epidemiologic Studies Depression Scale, and Beck Depression Inventory. For seven of the 13 instruments, there was no information reported about the instruments' properties beyond internal consistency, but for the other six instruments the 12 validation studies reported on both reliability and validity. No studies reported on measurement error or responsiveness. EPDS was both the most extensively assessed instrument and reported to be the most reliable and valid. Further research on instruments for identifying men with depression in pregnancy and the postpartum period is warranted.
男性在成为父母的过程中经常会经历抑郁症状，但缺乏综合了解用于识别这些症状的工具的知识。本综述的目的是确定用于测量妊娠和产后期间父亲抑郁症状的工具，并描述这些工具的特征和测量特性。我们通过在 MEDLINE、EMBASE 和 PsycINFO 等数据库以及灰色文献中搜索，确定了自 1990 年以来发表的研究。由两名审稿人根据预定的纳入标准选择相关研究。对于每一项纳入的研究，我们根据共识标准选择健康状况测量工具（COSMIN）收集与综述问题相关的信息。我们共纳入了 13 种工具，这些工具在 59 项研究中进行了描述，涉及来自 25 个国家的约 29000 名参与者。有 12 项验证研究。没有一种工具是专门为评估与父亲身份相关的父亲抑郁症状而开发的。最广泛研究的三种工具是爱丁堡产后抑郁量表（EPDS）、流行病学研究中心抑郁量表和贝克抑郁量表。对于 13 种工具中的 7 种，除了内部一致性之外，没有报告关于这些工具特性的信息，但对于其他 6 种工具，12 项验证研究报告了可靠性和有效性。没有研究报告测量误差或反应性。EPDS 是评估最广泛的工具，并且被报告为最可靠和有效的。进一步研究用于识别妊娠和产后期间男性抑郁的工具是必要的。
