Antecedents of fathers’ perception of child behavior at child age 12 months

Skjøthaug, Thomas; Smith, Lars; Wentzel‐Larsen, Tore; Stänicke, Erik; Moe, Vibeke

doi:10.1002/imhj.21862

Cited by 12 publications

(12 citation statements)

References 86 publications

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“…Furthermore, neuropsychological studies and genetic studies support the presence of shared background among these disorders. [1][2][3][4] All of these findings suggest shared pathophysiology of these disorders. NBEA encodes neurobeachin and has been strongly implicated in ASD risk by the identification of de novo loss-of-function variants of this gene in multiple unrelated cases.…”

Section: Supporting Informationmentioning

confidence: 90%

“…The association between paternal ACEs and postpartum depression and anxiety can be explained by three pathways. First, fathers with ACEs are more likely to show insecure attachment style in adulthood, 3 which causes poor relationships with not only their partner, but also their child. Second, those with paternal ACEs are associated with poor social connection and social support.…”

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confidence: 99%

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Association of adverse childhood experiences with postpartum depression and anxiety in fathers: A prospective study

Doi

Isumi

Fujiwara

2021

Psychiatry Clin Neurosci

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Paternal postpartum depression (the estimated prevalence in Japan is 8.8%) and anxiety (the prevalence rate ranged from 2.4% to 51.0% 1 ) are common problems. To prevent these issues, risk factors need to be identified. Besides known risk factors, 1 adverse childhood experience (ACE-) might be a significant risk factor. ACEs include all forms of physical, psychological, and sexual abuse, neglect, and household dysfunction such as parental death before the age of 18 years. Although paternal ACEs are associated with depression and anxiety during pregnancy, 2 little is known about whether the associations continue into the postpartum period. This study examines the association between paternal ACEs and paternal depression and anxiety at 1 week and 3 months post-delivery. Furthermore, we examine whether the impact of paternal ACEs on depression and anxiety varies with time.In this study, 548 fathers were recruited from two obstetrics hospitals in Tokyo, Japan. Participants gave written informed consent and completed and returned anonymous questionnaires measuring ACEs (eight questions), depression (Edinburgh Postnatal Depression Scale), and anxiety (State-Trait Anxiety Inventory) at 1 week and 3 months post-delivery. All confounders such as basic demographics were assessed at 1 week post-delivery. Four hundred and eighteen participants at 1 week (response rate = 76.1%) and 398 participants at 3 months post-delivery (follow-up rate = 93.3%) completed the questionnaire. There were no significant differences in exposure, outcome, and confounding variables at 1 week postdelivery between the participants who returned the questionnaire both at 1 week and 3 months post-delivery and those who did not return at 3 months post-delivery. Multiple linear regression analyses were performed (analytical sample: n = 417) with multiple imputations for missing data (at most, n = 37, 8.9%) (Appendix S1).Among all participants, 15.4% had one ACE, and 4.3% had two or more ACEs. As for depression, in the crude model, fathers with two or more ACEs showed a higher score of EPDS at 1 week after delivery compared to those without ACE. The coefficient remained significant in Model 2 which adjusted confounders. However, there was no significant association between paternal ACEs and depressive symptoms, 3 months after delivery, in the crude model, which was not changed in further adjustment (Model 1-3) (Table 1).

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Section: Supporting Informationmentioning

confidence: 90%

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confidence: 99%

Association of adverse childhood experiences with postpartum depression and anxiety in fathers: A prospective study

Doi

Isumi

Fujiwara

2021

Psychiatry Clin Neurosci

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“…In a German longitudinal investigation, prenatal birth concerns (assessed with a self-developed questionnaire) were identified as a distinct predictor for depressive symptoms within the first 6 weeks postpartum (67). Finally, in Norwegian fathers, pregnancy-related worries predicted the perception of the infant's behavior at 6 and 12 months as more difficult (68,69). These results and their potential indication for birth-related decisions, paternal involvement, and postnatal adjustment underline the relevance of better understanding and addressing paternal concerns in the perinatal period.…”

Section: Pregnancy-related Worriesmentioning

confidence: 99%

Manifestation and Associated Factors of Pregnancy-Related Worries in Expectant Fathers

et al. 2020

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Background: During the last decades, fathers have increasingly participated in prenatal care, birth preparation classes, and childbirth. However, comparably little is known about the prenatal emotional well-being of fathers, particularly content and extent of broader paternal concerns that may arise during pregnancy beyond those focusing on childbirth. Thus, the aims of this study were to investigate the manifestation of paternal pregnancy-related worries in a population-based sample and to identify relevant associated factors.Materials and Methods: As part of a longitudinal pregnancy cohort at the University Medical Center Hamburg-Eppendorf, Germany, N = 129 expectant fathers were assessed once during pregnancy. Pregnancy-related worries centering around medical procedures, childbirth, health of the baby, as well as socioeconomic aspects were assessed with the Cambridge Worry Scale (CWS). Additionally, paternal socioeconomic background and maternal obstetrical history, symptoms of generalized anxiety and depression, and level of hostility were investigated, as well as perceived social support. The cross-sectional data were analyzed based on multiple regression analyses.Results: The level of reported worries was overall low. Some fathers reported major worries for individual aspects like the health of a significant other (10.9%) and the baby (10.1%), as well as the current financial (6.2%) and employment situation (8.5%). Pregnancy-related worries were negatively associated with household income and positively associated with anxious and depressive symptoms and low perceived social support. Associations varied for specific pregnancy-related worries.Limitations: Due to the cross-sectional data examined in this study, a causal interpretation of the results is not possible. The sample was rather homogeneous regarding its socioeconomic background. More research needs to be done in larger, more heterogeneous samples.Conclusion: Though overall worries were rather low in this sample, specific major worries could be identified. Hence, addressing those fathers reporting major worries regarding specific aspects already in prenatal care might support their psychosocial adjustment. Fathers with little income, those with elevated levels of general anxious and depressive symptoms, and those with less social support reported higher pregnancy-related worries. Our results indicate the relevance of concerns beyond health- and birth-related aspects that could be relevant for fathers. Measurements developed specifically for expectant fathers are needed to properly capture their perspective already during pregnancy.

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“…Usually, there is an interplay of one factor leading to the deterioration of another [109]. For example, a homeless child whose days unfolds on the street can acquire behavioural problems such as drug addiction and exposure to blood-borne diseases, including HIV/AIDS [110].…”

Section: Lack Of Instrument Capacity To Assess Individual Risk Factor...mentioning

confidence: 99%

Instruments to identify risk factors associated with adverse childhood experiences for vulnerable children in primary care in low- and middle-income countries: A systematic review and narrative synthesis

Mwashala

Saikia

Chamberlain

2022

PLOS Glob Public Health

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Vulnerable children exposed to Adverse Childhood Experiences (ACEs) are lacking visibility in healthcare and social welfare support systems, particularly in countries where there are delays in integrating biopsychosocial care into traditional medical care. This review seeks to identify, evaluate, and summarise existing screening instruments used in measuring risks factors related to Adverse Childhood Experiences (ACEs) in vulnerable children in Primary Health Care (PHC) settings in low- and middle-income countries (LMICs). The target population in this research is children from age (05–18 years) living in poverty and extreme social disadvantage. First, a systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. A mixed-methods narrative synthesis analyzed the studies and instruments used to assess vulnerable children exposed to ACEs. Each instrument was scrutinized for quality, validity, and feasibility for use with vulnerable children in frontline clinical settings. There is a lack of suitable risk assessment instruments to identify biopsychosocial risk factors from exposure to ACEs in vulnerable children in LMIC primary healthcare settings. Among nine identified instruments from the reviewed studies, none were found suitable for rapidly identifying the effects of ACEs. This was due to issues on the reviewed instruments which could hinder their application in the rapid screening of ACEs in frontline clinical settings. This included the, retrospective nature of the instruments, decisional capacity of the rater, institutional capacity in implementation of the instruments and instruments capacity to assess individual risk factors in biopsychosocial dimensions. Therefore, currently, there is lack of instruments that can be used to identify biopsychosocial risk factors of ACEs in vulnerable children in primary care in limited-resource settings. Further development of an instrument for the rapid identification of ACEs in vulnerable children is required for an early recognition and referred for preventive care, treatment, and social support services.

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Antecedents of fathers’ perception of child behavior at child age 12 months

Cited by 12 publications

References 86 publications

Association of adverse childhood experiences with postpartum depression and anxiety in fathers: A prospective study

Association of adverse childhood experiences with postpartum depression and anxiety in fathers: A prospective study

Manifestation and Associated Factors of Pregnancy-Related Worries in Expectant Fathers

Instruments to identify risk factors associated with adverse childhood experiences for vulnerable children in primary care in low- and middle-income countries: A systematic review and narrative synthesis

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