A systematic review and meta-analysis of studies validating Edinburgh Postnatal Depression Scale in fathers

Shafian, Ainul Khamisah; Mohamed, Salina; Raduan, Nor Jannah Nasution; Yee, Anne

doi:10.1016/j.heliyon.2022.e09441

Cited by 25 publications

(25 citation statements)

References 32 publications

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“…Indeed, the male version of the questionnaire was originally developed as a specific tool for screening fathers’ perinatal symptomatology. Theoretical and clinical framework for the PAPA was based on and supported by recent scientific literature [ 4 , 9 , 62 , 63 ] emphasizing the need to assess the presence and intensity of different psychopathological dimensions. For this reason, its eight items reflect several affective symptoms (not just depressive and anxiety symptoms but also addictive and risky behaviors, etc.)…”

Section: Discussionmentioning

confidence: 99%

“…The questionnaire proved to be a valuable screening tool for the detection of at-risk fathers, but, in these cases, a cut-off score > 10 was recommended for the assessment of depression and >8 for generalized anxiety disorder symptomatology. A recent systematic review and meta-analysis [ 9 ], including seven studies and a total of 2393 fathers, confirmed that the EPDS has acceptable properties for detecting paternal postpartum depressive symptomatology with cut-off scores ranging from seven to ten to optimize the balance between sensitivity and specificity, therefore decreasing the risk of false positives. However, as highlighted by Matthey [ 10 ], only a small number of studies on fathers followed these guidelines and the respective cut-off scores.…”

Section: Introductionmentioning

confidence: 99%

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A Psychometric Study of the Perinatal Assessment of Maternal Affectivity (PAMA) for the Screening of Perinatal Affective Disorders in Mothers

et al. 2023

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Recently, empirical evidence from perinatal studies has led researchers to pay more attention to fathers. The need to evaluate male suffering led at first to using the same screening tools developed for mothers. However, these instruments present validity concerns with fathers, and today the need to assume a gender-based perspective is clear. The Perinatal Assessment of Paternal Affectivity (PAPA) is a self-reported questionnaire for the screening of a variety of psychological and behavioral dimensions related to affectivity as experienced by fathers during the perinatal period. In the present study, the psychometric properties of the maternal version of the scale (Perinatal Assessment of Maternal Affectivity; PAMA) were examined. The study, based on 225 mothers and their partners (n = 215), used a cross-sectional design with a single assessment at the third trimester of pregnancy. Results indicated a one-factor structure for a seven-item version of the PAMA, which showed adequate internal consistency reliability and was associated in the expected direction with other clinically relevant variables (depression, psychological distress, perceived stress and dyadic adjustment). The findings suggest the usefulness of developing gender sensitive screening tools for the detection of perinatal affective disorders.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Psychometric Study of the Perinatal Assessment of Maternal Affectivity (PAMA) for the Screening of Perinatal Affective Disorders in Mothers

et al. 2023

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“…Whereas fathers with scores of 8 or higher are considered to have depressive symptoms 17 . Since it is generally believed that men may be less expressive about their feelings, a lower cutoff score is applied than the cutoff score used for mothers 32 . The Cronbach's α of the EPDS for each period in the current sample was 0.71–0.82 and 0.75–0.83 for fathers and mothers, respectively.…”

Section: Methodsmentioning

confidence: 97%

Factors influencing postpartum depression among Japanese parents: A prospective longitudinal study

Yamakawa

Maruta

Higuchi

et al. 2023

Neuropsychopharm Rep

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Postpartum depression (PPD) refers to a depressive episode that occurs during pregnancy and the first year after delivery. 1 PPD has been described primarily in mothers; however, in the past two decades, several studies have focused on PPD among fathers as well.A recent meta-analysis reported the prevalence of maternal PPD to be 5.0%-26.3%, depending on the country. 2 Another meta-analysis reported an 8.8% prevalence of PPD in fathers during the first-year postpartum. 3 The prevalence of PPD during the first year postpartum in Japan ranged from 8.2%-13.2% to 11.5%-15.1% for fathers and mothers, respectively. 4,5 The presence of PPD affects marital disharmony and family functioning 6 and may also lead to impaired cognitive, socio-emotional, and behavioral development and mental health in their children. 7,8 Children of mothers with subclinical depressive symptoms may also experience their negative effects, as

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“…Validated in Brazil, EPDS is often used in telephone interviews with postpartum women to measure depression 27 . However, systematic review of studies on postpartum paternal depression that used the EPDS shows that the scale has acceptable accuracy for detecting symptoms of depression 35 .…”

Section: Methodsmentioning

confidence: 99%

Birth in Brazil II: a postpartum maternal, paternal and child health research protocol

Miranda Theme Filha,

Baldisserotto,

Leite

et al. 2024

Cad. Saúde Pública

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Pregnancy, parturition and birth bring major changes to the lives of mothers and fathers. This article presents a research protocol for estimating the prevalence of postpartum mental health outcomes in mothers and fathers, abuse and satisfaction in delivery/abortion care, and the correlations between them and socioeconomic, obstetric, and child health factors. As a 2-component research, it consists of a prospective cohort study with all postpartum women interviewed in the 465 maternity hospitals included at the Birth in Brazil II baseline survey conducted from 2021 to 2023, and a cross-sectional study with the newborns’ fathers/partners. Interviews will be conducted via telephone or self-completion link sent by WhatsApp with the mother at 2 and 4 months after delivery/abortion. Partners will be approached three months after birth (excluding abortions, stillbirths and newborn death) using the telephone number informed by the mother at the maternity ward. Postpartum women will be inquired about symptoms of depression, anxiety and post-traumatic stress disorder, abuse during maternity care and quality of the mother-newborn bond. Maternal and neonatal morbidity, use of postnatal services, and satisfaction with maternity care are also investigated. Fathers will be asked to report on symptoms of depression and anxiety, and the quality of the relationship with the partner and the newborn. The information collected in this research stage may help to plan and improve care aimed at the postpartum health of the mother-father-child triad.

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A systematic review and meta-analysis of studies validating Edinburgh Postnatal Depression Scale in fathers

Cited by 25 publications

References 32 publications

A Psychometric Study of the Perinatal Assessment of Maternal Affectivity (PAMA) for the Screening of Perinatal Affective Disorders in Mothers

A Psychometric Study of the Perinatal Assessment of Maternal Affectivity (PAMA) for the Screening of Perinatal Affective Disorders in Mothers

Factors influencing postpartum depression among Japanese parents: A prospective longitudinal study

Birth in Brazil II: a postpartum maternal, paternal and child health research protocol

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