Living With Postpartum Depression: The Father's Experience

Meighan, Molly; Davis, Mitzi; Thomas, Sandra P.; Droppleman, Patricia

doi:10.1097/00005721-199907000-00009

Cited by 75 publications

(84 citation statements)

References 5 publications

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“…Postpartum depressive disorder rates in Turkey are similar to other countries' data and varies between 14% -36% (6,21,28,29). Prevelance of postpartum depression is reported to be between 13%-34.7% (5,10,13,(30)(31)(32)(33).…”

Section: Discussionsupporting

confidence: 72%

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Antepartum and postpartum depression in a primary health care center area Birsağlık ocağı bölgesinde doğum öncesi ve doğum sonrası depresyonun değerlendirilmesi

Esin;ÇALIŞKAN¹

2006

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Depression is among the important reasons for disease related disabilities and more prevalent in women.Higher rates of depression in women is related to reproductive period (puberty, pregnancy, postpartum period and menopause) and the joint effects of biological and environmental provoking experiences (1,2).Most studies on women had focused on postpartum period and pointed out that in this period women are highly vulnerable to depression. Depression rates increase in the first year after delivery (3,4). Prevalence of postpartum depresAim: The aim of this community based study was to follow depression scores of pregnant women after delivery and to determine factors associated with depressive mood in a primary health care center area. Material and Method:In this study, all pregnant women (n=66) living in Park Health Center Region in Ankara, completed a questionnaire and Edinburgh Postnatal Depression Scale (EPDS) once in pregnancy and twice in postpartum period at 2 nd week and 6 th month. EPDS scores above cut off point (≥13) indicated possible depressive mood. Results: Mean EPDS score in pregnancy was higher than both postpartum measurements (p=0.054, p=0.003 respectively). Number of women with EPDS scores above cut-off declined in time as follows: 31.8% during pregnancy, 22.7% at postpartum 2 nd week, 19.7% at postpartum 6th month. Associated factors with postpartum depressive mood were type of delivery and working status (p<0.05). Discussion: This study points out that women are at risk for depressive disorders not only in postpartum period but also in pregnancy. Healthcare providers should consider possibility of depression in pregnant women.Key words: Antepartum depression, pospartum depression, depression prevalence, EPDS Amaç: Topluma dayalı bu çalışmada, Park Sağlık Ocağı bölgesinde yaşayan gebe kadınların gebelikte ve doğum sonrası depresyon skorlarını izlemek ve depresif duygu durum ile ilişkili faktörleri değerlendirmek amaçlanmıştır. Gereç ve Yöntem: Park Sağlık Ocağı bölgesinde araştırma sırasında tespit edilen tüm gebeler (n=66) Edinburgh Doğum Sonrası Depresyon Ölçeğini (EPDS) ve bir anket formunu gebelik sırasında bir kez, doğum sonrası iki kez (2.haftada ve 6. ayda) olmak üzere, toplam üç kez doldurmuşlardır. Depresif duygu durum tanısı için, EPDS kesme noktasına göre 13 ve üzeri puan olası depresif duygu duruma işaret etmiştir. Bulgular: Tüm grubun ortalama EPDS puanı gebelikte, postpartum her iki ölçümden de yük-sektir (ardışık olarak p=0.054, p=0.003). EPDS skoru kesme noktası üzerinde olan kadın oranı gebelik döneminde %31.8 iken, doğum sonrası 2. hafta %22.7'ye, doğum sonrası 6.ayda %19.7'ye azalmıştır. Doğum sonrası depresif duygu durum varlığı ile doğumun şekli ve annenin çalışma durumu ilişkili bulunmuştur. Tartışma: Bu çalışma ile, depresif bozukluk riskinin kadınlarda sadece doğum sonrası dönemde değil, gebelikte de ortaya çıkabileceğini ve sağlık personelinin doğum sonrası olduğu kadar gebelik döneminde ruhsal durum değişikliklerini gözden kaçırmaması gerektiği sonucuna varılmıştır.

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Section: Discussionsupporting

confidence: 72%

“…Maternal depression has a negative impact on the quality of the mother-infant relationship, cognitive and emotional development of child and their relationship with family (12,20,21). Children of depressed mothers are under increased risk for a variety of psychiatric problems, behavioral disturbances and social and achievement problems (22).…”

mentioning

confidence: 99%

Antepartum and postpartum depression in a primary health care center area Birsağlık ocağı bölgesinde doğum öncesi ve doğum sonrası depresyonun değerlendirilmesi

Esin;ÇALIŞKAN¹

2006

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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“…For instance, fathers have reported that their partner's postnatal depression had created a tense and hostile family environment, with unequal divisions of labour, wherein their contribution was unappreciated (e.g. Meighan, Davis, Thomas, & Droppleman, 1999;Webster, 2002) and their child care criticised or undermined (Morgan, Matthey, Barnett, & Richardson, 1997). Furthermore, Meighan et al (1999) found that men fathering in this context perceived their own lives as unpredictable and out of control, with irreparable damage to the partner relationship and a desire to avoid having more children in such a fragile context.…”

Section: Introductionmentioning

confidence: 99%

The impact of maternal postnatal depression on men and their ways of fathering: an interpretative phenomenological analysis

Beestin

Hugh‐Jones

Gough

2014

Psychology & Health

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Evidence indicates that maternal postnatal depression can exert substantial effects on mothers, fathers and their children. There are conflicting findings about the extent to which fathers can buffer against the negative effects of maternal depression on children, and we understand relatively little about what shapes the way men father in the context of maternal postnatal depression. The present study explored men's accounts of fathering when their partner(s) was postnatally depressed. Narrative interviews were conducted with 14 British fathers and data were subjected to interpretative phenomenological analysis. An overarching theme of absence appeared to shape men's experiences of fathering, this was primarily felt as a perceived physical and/or psychological absence of their partner and co-parent. As a result, fathering in this context was a lonely and unexpectedly burdensome experience for some men. Other men felt that their ideal way of fathering had been thwarted by the perceived absence of a cohesive family unit, or by their own psychological/emotional absence as they became preoccupied with trying to understand the effects of the depression, particularly on their marital relationship. Some men, however, adapted to the situation by eventually accepting the loss of a shared parenting experience and by focusing on the father-child dyad, which they felt enabled them to emerge from the experience as better, more confident fathers. It is argued that professionals should consider the impact of postnatal depression on fathers, as well as mothers and their children, and that support should be made available to such men.

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“…A convivência diária com uma mulher deprimida pode desencadear no homem o aparecimento de doenças do foro psiquiátrico, como perturbações da ansiedade, episódios de depressão generalizada ou ainda o desenvolvimento de humor depressivo (Meighan, Davis, Thomas & Droppelman, 1999). Quer o envolvimento excessivo, com o filho recém-nascido, que reduz substancialmente o tempo que dedica ao companheiro (Barnes, 2006), quer a hipercrítica constante da mãe relativa à falta de envolvimento paterno, fazem com que o pai se sinta excluído e abandonado, favorecendo o aparecimento de sintomatologia depressiva.…”

Section: El Comportamento Parental De Compañeros De Mujeres Con Depreunclassified

“…Quer o envolvimento excessivo, com o filho recém-nascido, que reduz substancialmente o tempo que dedica ao companheiro (Barnes, 2006), quer a hipercrítica constante da mãe relativa à falta de envolvimento paterno, fazem com que o pai se sinta excluído e abandonado, favorecendo o aparecimento de sintomatologia depressiva. Apesar dos homens serem menos propensos a desenvolver depressão pós-parto, ela também pode manifestar-se em figuras masculinas, apresentando sintomas físicos e psicológicos idênticos aos maternos (Bielawska-Batorowicz & Kossakowska-Petrycka 2006; Meighan, Davis, Thomas & Droppelman, 1999;Zelkowitz & Milet, 2001).…”

Section: El Comportamento Parental De Compañeros De Mujeres Con Depreunclassified

O Comportamento Parental de Companheiros de Mulheres com Depressão Pós-Parto

Martins¹,

Pires²

2008

Mudanças - Psicologia da Saúde

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ResumoOs últimos estudos acerca da Depressão Pós-Parto (DPP) parecem concluir que o apoio do companheiro, têm um impacto muito favorável na forma como a nova mãe se adapta à maternidade. Descobrir de que forma os pais vivem a DPP das suas companheiras e a influência que isso tem no comportamento do casal e na relação com o bebé foi o nosso objectivo. Utilizamos a Grounded Theory e investigámos 7 casos de Depressão Pós-parto. Participaram 5 pais e 6 mães e 2 pediatras. Concluímos que: os companheiros das mulheres com depressão pós-parto referem alguma "perplexidade", face a esta situação inesperada que parece vir "reactivar vivências e conflitos anteriores" nomeadamente a relação precoce com as próprias mães e outros significativos. A "expectativa face à companheira" determina nuns casos a emergência de "ressentimento" e noutros uma "compreensão" que os leva a ajudá-las neste período difícil das suas vidas. Independentemente dos diferentes comportamentos adoptados pelos pais todos eles acabam por "assumir o papel maternal" numa tentativa de compensar a indisponibilidade materna. Parental behavior of the partners of post-partum depressed women AbstractRecent research concerning post-partum depression (PPD) seems to conclude that the partner's support has a very favorable impact in the way the new mother adapts to mothering. Our objective was to investigate how fathers experience the PPD of their partners and its influence on the couple behavior and on the relationship with the baby. We used the Ground Theory to investigate seven (7) post-partum depressed cases. Five fathers, six mothers and two pediatricians participated in the study. We concluded that the partners of post-partum depressed women refer some "perplexity" when facing this unexpected situation, which seems to "reactivate previous experiences and conflicts", namely the precocious relationships with their own mothers and other significant ones. The "expectation towards the partner" determines in some cases the rising of "resenting feelings" and in other cases "comprehending feeling", which leads them to help their wives throughout this difficult period in their lives. Despite the different postures adopted by the fathers, all of them wind up "assuming a maternal role" in an attempt to compensate the internal indisposition of the mothers.

show abstract

Living With Postpartum Depression: The Father's Experience

Abstract: Health care professionals need to design interventions that are more supportive of men, for men also suffer when their spouses experience PPD.

Cited by 75 publications

References 5 publications

Antepartum and postpartum depression in a primary health care center area Birsağlık ocağı bölgesinde doğum öncesi ve doğum sonrası depresyonun değerlendirilmesi

Antepartum and postpartum depression in a primary health care center area Birsağlık ocağı bölgesinde doğum öncesi ve doğum sonrası depresyonun değerlendirilmesi

The impact of maternal postnatal depression on men and their ways of fathering: an interpretative phenomenological analysis

O Comportamento Parental de Companheiros de Mulheres com Depressão Pós-Parto

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