Postpartum depression in mothers and fathers: a structural equation model

Duan, Zhizhou; Wang, Yuanyuan; Jiang, Ping; Wilson, Amanda; Guo, Yan; Lv, Yongliang; Yang, Xiaonan; Yu, Renjie; Wang, Shuilan; Wu, Zhengyan; Xia, Mengqing; Wang, Guosheng; Tao, Ye; Xiao-hong, Liang; Ma, Liang; Shen, Hong; Sun, Jue; Deng, Wei; Yong, Yang; Chen, Runsen

doi:10.1186/s12884-020-03228-9

Cited by 25 publications

(11 citation statements)

References 35 publications

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“…Both direct and indirect effects are expressed as the standardized regression coe cient (β) and 95%CI, and bivariate analysis was employed to assess the associations between all variables (13). Relative chi-square (χ 2 /df), goodness-of-t index (GFI), comparative t index (CFI), Tucker-Lewis t index (TLI) and the root mean-square error of approximation (RMSEA) were used to assess model t (31).…”

Section: Discussionmentioning

confidence: 99%

Stigma associated with mental stress and reduced quality of life among HIV-infected women in western China:a cross-sectional study

Feng

Xia

Guo

et al. 2023

Preprint

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Background: Stigma has been identified as a crucial risk factor for mental stress and quality of life among HIV-infected patients. However, little attention has been paid to these factors among Asian populations and women rendered vulnerable by their psychological characteristics. In addition, the relationships between stigma, social capital, mental stress and quality of life remain to be elucidated. Methods: A total of 553 HIV-infected women were recruited in Xijiang, China from September 2021 to August 2022. Stigma was assessed using the 12-item Short HIV Stigma scale; mental stress (anxiety, depression) was assessed using the 20-item Self-Rating Anxiety scale (SAS) and 10-item Center for Epidemiological Studies Depression (CESD) scale; social capital was assessed using the Personal Social Capital Scale (PSCS-8);quality of lifewas assessed using the WHO QOL-HIV-BREF scale. A generalized linear model (GLM) and structural equation model (SEM) were used to examine the associations between stigma, social capital, mental stress and quality of life. Results: The HIV-related stigma scale showed actual discrimination score 6.57±2.56, fear of publicity score 7.31±2.34, public attitude score 6.56±2.52, and negative self-image score 6.74±2.55. Quality of life scores were 11.87±2.33 (physiological domain), 9.91±2.42 (psychological domain), 13.31±3.17 (social relation domain) and 11.19±2.84 (environmental domain). SAS-20 and CESD-10 scores were 81.25±50.11 and 9.02±5.55, respectively. After adjusting for age, education, marital status, employment status, residence and monthly income, each 10-point increase in stigma score was associated with 49.3% (OR=1.493, 95%CI:1.218, 1.840) and 51.5% (OR=1.515, 95%CI:1.235, 1.868) increases in anxiety symptoms and depression risk, respectively. In the SEM, stigma was associated with mental stress (β=0.25, p=0.014), which decreased the quality of life of HIV-positive women (β=0.17, p=0.032). The direct effect of social capital on mental stress was significant (β=0.18, p=0.033). Conclusion: Stigma and depression play important roles in quality of life among HIV-infected women. Immediate measures should be taken to reduce stigma and provide psychological guidance, which might contribute to decreasing mental stress and improving quality of life among HIV-infected women.

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Section: Discussionmentioning

confidence: 99%

Stigma associated with mental stress and reduced quality of life among HIV-infected women in western China:a cross-sectional study

Feng

Xia

Guo

et al. 2023

Preprint

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“…Although perceived support and marital satisfaction have been seen as strong predictors of maternal depressive symptoms [2,10], few studies examined the effect of marital satisfaction and perceived support on fathers' depressed mood while controlling the effect of financial stress. Previous studies suggested that paternal depression and maternal depression are correlated, and the correlation can partially be explained by marital quality [35,36]. More dyadic studies of paternal and maternal depressed moods are needed to understand if marital satisfaction is only related to paternal depressed mood when maternal depression is present in the relationship.…”

Section: Discussionmentioning

confidence: 99%

Differential Trajectories of Fathers’ Postpartum Depressed Mood: A Latent Class Growth Analysis Approach

Nieh

Chang

Chou

2022

IJERPH

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Parental psychological well-being is essential to the wellness of the family. However, longitudinal investigations into fathers’ postpartum depressed mood are limited. This study aimed to identify the typologies of depressed mood trajectories over the first year postpartum among Taiwanese fathers and to examine the factors associated with such typologies. We retrieved data from a nationwide longitudinal study on child development and care in Taiwan. A total of 396 fathers, who completed at least one of the three interviews when their children were 3, 6, and 12 months old between 2016 and 2017, were included in this analysis. Conditional latent class growth analysis was conducted to identify the classifications of the fathers’ depressed mood trajectories in the first year postpartum and to estimate the effects of covariates on individuals’ membership of a trajectory class. Three classes of depressed mood trajectories were identified. The high increasing group consisted of 11% of the participants; the moderate increasing and the low decreasing groups consisted of 28% and 61% of the participants, respectively. Financial stress was associated with the fathers’ likelihood of being in the high increasing group compared with their likelihood of being in the low decreasing group (OR = 2.28, CI = 1.16–4.47). The result may be related to the difference in gender roles and social expectations.

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“…Longitudinal studies investigating factors associated with PPD involving both parents are needed to construct effective preventive strategies. Previous longitudinal studies that included both parents have shown that mother‐in‐law and daughter‐in‐law relationship satisfaction, mutual depression, and marital relationship satisfaction are related to PPD 27,28 . A previous study of married couples in Japan reported that history of mental health disorders, household income, infant disease under medical treatment, partner depression, and marital satisfaction were associated with PPD in fathers 17,29 .…”

Section: Introductionmentioning

confidence: 99%

“…Previous longitudinal studies that included both parents have shown that mother-in-law and daughter-in-law relationship satisfaction, mutual depression, and marital relationship satisfaction are related to PPD. 27,28 A previous study of married couples in Japan reported that history of mental health disorders, household income, infant disease under medical treatment, partner depression, and marital satisfaction were associated with PPD in fathers. 17,29 However, their study conducted in Japan investigated only one (after 4 months) or two (after 1 month and 6 months) time periods between 1 and 6 months postpartum.…”

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confidence: 99%

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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Postpartum depression in mothers and fathers: a structural equation model

Cited by 25 publications

References 35 publications

Stigma associated with mental stress and reduced quality of life among HIV-infected women in western China:a cross-sectional study

Stigma associated with mental stress and reduced quality of life among HIV-infected women in western China:a cross-sectional study

Differential Trajectories of Fathers’ Postpartum Depressed Mood: A Latent Class Growth Analysis Approach

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

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