Psychosocial factors associated with paternal postnatal depression

deMontigny, Francine; Girard, Marie-Eve; Lacharité, Carl; Dubeau, Diane; Devault, Annie

doi:10.1016/j.jad.2013.01.048

Cited by 104 publications

(103 citation statements)

References 37 publications

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“…Low parenting efficacy has also been associated with parental depression (Gauthier et al, 2010, Demontigny et al, 2013) and children with overly concerned parents due to a real or perceived vulnerability may have restricted social development and behavioral problems (Pearson and Boyce, 2004). As more infants survive the initial NICU course, finding ways to train, support, and empower parents that are efficient, timely, and draw minimally on healthcare resources is essential.…”

Section: Discussionmentioning

confidence: 99%

Supporting parents of premature infants transitioning from the NICU to home: A pilot randomized control trial of a smartphone application

Garfield

Lee

Kim

et al. 2016

Internet Interventions

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ObjectiveTo determine whether parents of Very Low Birth Weight (VLBW) infants in the Neonatal Intensive Care Unit (NICU) transitioning home with the NICU-2-Home smartphone application have greater parenting self-efficacy, are better prepared for discharge and have shorter length of stay (LOS) than control parents.MethodsA four-week pilot randomized controlled trial during the transition home with 90 VLBW parents randomized to usual care (n = 44) or usual care plus NICU-2-Home (n = 46), a smartphone application designed for VLBW parents. Parenting Sense of Competence Scale (PSOC) was assessed at baseline, day after discharge, and two weeks post-discharge. Preparedness for discharge and length of stay (LOS) were secondary outcomes. Analyses by usage were also included.ResultsWhile parents of VLBW infants in the intervention group did not show an improvement in PSOC during the transition when compared directly to controls, after accounting for actual mean app usage, PSOC improved 7% (2.71 points/time greater; 95% CI = 1.45, 6.27) for intervention versus controls. Compared to controls, above-average users increased their PSOC score by 14% (6.84 points/time; 95% CL = 5.02, 8.67), average users by 11% (4.58 points/time; 95% CL = 2.89, 6.27) and below-average users by 6% (2.41 points/time; 95% CL = 0.04, 4.79). Moderate evidence showed LOS was shorter for above-average users compared to the control group (β = 12.2. SE = 6.9, p = 0.085).ConclusionA smartphone application used by parents of VLBW infants during the transition home from the NICU can improve parenting self-efficacy, discharge preparedness, and LOS with improved benefits based on usage.

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Section: Discussionmentioning

confidence: 99%

Supporting parents of premature infants transitioning from the NICU to home: A pilot randomized control trial of a smartphone application

Garfield

Lee

Kim

et al. 2016

Internet Interventions

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“…Mothers will usually turn to their partner for emotional support after the birth of their infant and those fathers with depression may have difficulty in providing family support to mothers for the care of their children. 40,41 On the other hand, fathers with depression during the postnatal period have reported higher levels of parenting distress and a lower sense of parenting efficacy 42 and these psychosocial factors have been shown to predispose mothers to depression. 41,43 We had previously reported that couple conflict partially mediated the relationship between depression in fathers postnatally and child outcomes.…”

Section: Discussionmentioning

confidence: 99%

Paternal Depression in the Postnatal Period and Child Development: Mediators and Moderators

et al. 2015

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OBJECTIVE: To explore potential mediating and moderating factors that influence the association between paternal depression in the postnatal period and subsequent child behavioral and emotional problems.METHODS: A population-based cohort (N = 13 822) from the Avon Longitudinal Study of Parents and Children (ALSPAC) was recruited during pregnancy. Paternal and maternal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale at 8 weeks after the birth of the child. Child outcomes were assessed at 3.5 years by using the Rutter revised preschool scales and at 7 years by using the Strengths and Difficulties Questionnaire. Path analysis was used to assess hypothesized mediators (ie, depression in the other parent, couple conflict, and paternal noninvolvement) of the associations between both paternal and maternal depression and child outcomes. We also tested for hypothesized moderators (ie, paternal education and antisocial traits).RESULTS: Family factors (maternal depression and couple conflict) mediated two-thirds of the overall association between paternal depression and child outcomes at 3.5 years. Similar findings were seen when children were 7 years old. In contrast, family factors mediated less than one-quarter of the association between maternal depression and child outcomes. There was no evidence of moderating effects of either parental education or antisocial traits. CONCLUSIONS:The majority of the association between depression in fathers postnatally and subsequent child behavior is explained by the mediating role of family environment, whereas the association between depression in mothers and child outcomes appears to be better explained by other factors, perhaps including direct mother-infant interaction. WHAT'S KNOWN ON THIS SUBJECT:Parental depression is associated with adverse child outcomes. It is important to understand possible mediators and moderators. Several studies suggest that the family environment or parenting style may be potential pathways for transmission of risk from parents to children. WHAT THIS STUDY ADDS:Paternal depression appears to exert its influence on children' s outcomes through an effect on family functioning (couple conflict and maternal depression), whereas maternal postnatal depression appears to affect children through other mechanisms, potentially including direct mother-infant interaction and care. Dr Gutierrez-Galve developed the hypotheses for the current study, carried out the statistical analysis, drafted the initial manuscript, and serves as guarantor for the contents of this article; Mr Stein, Dr Hanington, and Dr Heron developed the hypotheses for the current study and critically reviewed the manuscript; Dr Ramchandani developed the hypotheses for this study, supervised the statistical analysis, and reviewed and revised the manuscript; and all authors approved the final manuscript as submitted. A recent meta-analysis reported that the incidence of depression during the postnatal period is ∼9.8% in mothers and 4.8% in fathers. 3 Dep...

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“…Postpartum depression in fathers can increase suicide risk (Quevedo et al, ) and is associated with poor parenting behaviors, parenting distress or inefficacy, and reduced parent–infant interaction (Buist, Morse, & Durkin, ; Demontigny, Girard, Lacharite, Dubeau, & Devault, ; Parfitt, Pike, & Ayers, ). These impaired parenting practices may lead to difficult child temperament, including excessive infant crying (Hanington, Ramchandani, & Stein, ; Kvalevaag et al, ; Perren, von Wyl, Burgin, Simoni, & von Klitzing, ), and problems in children's emotional and behavioral development (Kvalevaag et al, ; Ramchandani, O'Connor, et al, ), and language development (Paulson, Keefe, & Leiferman, ), as well as to psychiatric disorders (Ramchandani, Stein, et al, ).…”

Section: Correlates and Potential Consequences Of Paternal Depressionmentioning

confidence: 99%

“…In addition, parenting-related factors, including parenting distress, parenting efficacy (Demontigny et al, 2013;Giallo et al, 2013), parental attachment (Buist et al, 2003;Fang & Hung, 2012), and birthing concerns during pregnancy (Gawlik et al, 2014), have been linked to fathers' depression. The quality of the marital relationship (Gawlik et al, 2014;Matthey, Barnett, Ungerer, & Waters, 2000;Nishimura, Fujita, Katsuta, Ishihara, & Ohashi, 2015), maternal depression (Areias et al, 1996;Goodman, 2004;Ngai & Ngu, 2015) and low social support (Gao et al, 2009;Kamalifard et al, 2014;Mao et al, 2011) also are significantly associated with paternal depression in the postpartum period.…”

Section: Correlates and Potential Consequences Of Paternal Depressionmentioning

confidence: 99%

Prevalence and Factors Associated With Postpartum Depression in Fathers: A Regional, Longitudinal Study in Japan

Suto

Isogai

Mizutani

et al. 2016

Research in Nursing & Health

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Paternal postpartum depression may affect not only the mental health and wellbeing of fathers but their partners and children. We investigated the point and period prevalence of paternal postpartum depression and its association with factors measured during pregnancy in a regional longitudinal study in Nishio City, Aichi Prefecture, Japan, between December 1, 2012, and April 30, 2013. Data were collected once in pregnancy and five times in the first three months postpartum. The Edinburgh Postnatal Depression Scale was used to assess paternal depression, and data were collected in pregnancy on demographic and psychosocial factors. Of 215 fathers who returned at least one of the five postpartum assessments, 36 (17%) reported symptoms of depression in the first three months after birth. In logistic regression analyses, among a number of demographic and psychosocial characteristics that previously had been linked to paternal postpartum depression, only fathers' history of psychiatric treatment and depressive symptoms during pregnancy were associated with paternal depressive symptoms in the postnatal period. The results add to the growing body of evidence on prevalence of paternal postnatal depression and indicate that assessment and support for fathers are important starting in pregnancy. © 2016 Wiley Periodicals, Inc.

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Psychosocial factors associated with paternal postnatal depression

Cited by 104 publications

References 37 publications

Supporting parents of premature infants transitioning from the NICU to home: A pilot randomized control trial of a smartphone application

Supporting parents of premature infants transitioning from the NICU to home: A pilot randomized control trial of a smartphone application

Paternal Depression in the Postnatal Period and Child Development: Mediators and Moderators

Prevalence and Factors Associated With Postpartum Depression in Fathers: A Regional, Longitudinal Study in Japan

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