Several studies have used the Edinburgh Postnatal Depression Scale (EPDS),
developed to screen new mothers, also for new fathers. This study aimed to
further contribute to this knowledge by comparing assessment of possible
depression in fathers and associated demographic factors by the EPDS and the
Gotland Male Depression Scale (GMDS), developed for “male” depression screening.
The study compared EPDS score ≥10 and ≥12, corresponding to minor and major
depression, respectively, in relation to GMDS score ≥13. At 3–6 months after
child birth, a questionnaire was sent to 8,011 fathers of whom 3,656 (46%)
responded. The detection of possibly depressed fathers by EPDS was 8.1% at score
≥12, comparable to the 8.6% detected by the GMDS. At score ≥10, the proportion
detected by EPDS increased to 13.3%. Associations with possible risk factors
were analyzed for fathers detected by one or both scales. A low income was
associated with depression in all groups. Fathers detected by EPDS alone were at
higher risk if they had three or more children, or lower education. Fathers
detected by EPDS alone at score ≥10, or by both scales at EPDS score ≥12, more
often were born in a foreign country. Seemingly, the EPDS and the GMDS are
associated with different demographic risk factors. The EPDS score appears
critical since 5% of possibly depressed fathers are excluded at EPDS cutoff 12.
These results suggest that neither scale alone is sufficient for depression
screening in new fathers, and that the decision of EPDS cutoff is crucial.