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了解父亲在寻求围产期抑郁症帮助时所面临的障碍:将父亲与围产期之外的男性进行比较。

Understanding the Barriers Fathers Face to Seeking Help for Paternal Perinatal Depression: Comparing Fathers to Men Outside the Perinatal Period.

作者信息

Reay Megan, Mayers Andrew, Knowles-Bevis Rebecca, Knight Matthew T D

机构信息

Oxford Health NHS Foundation Trust, The University of Oxford, Oxford OX4 4XN, UK.

Department of Psychology, Bournemouth University, Poole BH12 5BB, UK.

出版信息

Int J Environ Res Public Health. 2023 Dec 21;21(1):16. doi: 10.3390/ijerph21010016.

Abstract

Research has shown that men are less likely than women to seek help for depression at any time of life due to barriers, including stereotypical masculine norms and stigma. The evidence suggests that approximately 10% of fathers experience postnatal depression, yet new and expectant fathers are not routinely offered screening or support in the same way as mothers. Therefore, this research explored the barriers fathers face to seeking help for paternal perinatal depression (PPD). Data were collected using an online survey. Initially, fathers with postnatal depression were compared to men experiencing depression at another time of their life in terms of their attitudes to seeking psychological help, conformity to masculine norms, self-stigma, and awareness of services. Secondly, a proposed model of help-seeking amongst fathers with postnatal depression was evaluated. Finally, additional barriers to help-seeking for paternal postnatal depression were explored qualitatively. A total of 125 participants took part in the quantitative comparison, and 50 of the fathers also provided qualitative data. No between-group differences were found, suggesting that the existing literature on barriers to seeking help for male depression is applicable to fathers with postnatal depression. The qualitative results also highlighted the need for better awareness of paternal postnatal depression and better access to services for fathers. Limitations, implications for policy, and directions for future research are discussed.

摘要

研究表明,由于包括刻板的男性规范和污名化在内的障碍,男性在人生任何阶段因抑郁症寻求帮助的可能性都低于女性。有证据表明,约10%的父亲会经历产后抑郁症,但新爸爸和准爸爸并没有像妈妈们那样常规地接受筛查或获得支持。因此,本研究探讨了父亲们在为围产期父性抑郁症(PPD)寻求帮助时所面临的障碍。数据通过在线调查收集。首先,将产后抑郁症父亲与在人生其他阶段患抑郁症的男性在寻求心理帮助的态度、对男性规范的遵从、自我污名化以及对服务的认知方面进行比较。其次,对一个针对产后抑郁症父亲的求助模型进行评估。最后,定性探索了围产期父性抑郁症寻求帮助的其他障碍。共有125名参与者参与了定量比较,其中50名父亲还提供了定性数据。未发现组间差异,这表明现有关于男性抑郁症寻求帮助障碍的文献适用于产后抑郁症父亲。定性结果还凸显了提高对围产期父性抑郁症的认知以及改善父亲获得服务机会的必要性。讨论了研究的局限性、对政策的影响以及未来研究的方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86de/10815257/aa1fe2ab9102/ijerph-21-00016-g001.jpg

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