References

, 5th edn. Washington: American Psychiatric Association; 2013

Baker P, Dworkin SL, Tong S, Banks I, Shand T, Yamey G The men's health gap: men must be included in the global health equity agenda. Bull World Health Organ. 2014; 92:(8)618-20 https://doi.org/10.2471/BLT.13.132795

Ballard CG, Davis R, Cullen PC, Mohan RN, Dean C Prevalence of postnatal psychiatric morbidity in mothers and fathers. Br J Psychiatry. 1994; 164:(6)782-8

Bielawska-Batorowicz E, Kossakowska-Petrycka K Depressive mood in men after the birth of their offspring in relation to a partner's depression, social support, fathers' personality and prenatal expectations. J Reprod Infant Psychol. 2006; 24:(1)21-9 https://doi.org/10.1080/02646830500475179

Boyce P, Condon J, Barton J, Corkindale C First-Time Fathers' Study: psychological distress in expectant fathers during pregnancy. Aust N Z J Psychiatry. 2007; 41:(9)718-25

Buist A, Morse CA, Durkin S Men's adjustment to fatherhood: implications for obstetric health care. J Obstet Gynecol Neonatal Nurs. 2003; 32:(2)172-80

Condon JT, Boyce P, Corkindale CJ The First-Time Fathers Study: a prospective study of the mental health and wellbeing of men during the transition to parenthood. Aust N Z J Psychiatry. 2004; 38:(1–2)56-64

Cox JL, Holden JLondon: Gaskell; 2003

Deater-Deckard K, Pickering K, Dunn JF, Golding J Family structure and depressive symptoms in men preceding and following the birth of a child. The Avon Longitudinal Study of Pregnancy and Childhood Study Team. Am J Psychiatry. 1998; 155:(6)818-23

Dublin: The Stationery Office; 2008

Duvander AZ, Johansson M What are the effects of reforms promoting fathers' parental leave use?. Journal of European Social Policy. 2012; 22:(3)319-30 https://doi.org/10.1177/0958928712440201

Eaton NR, Keyes KM, Krueger RF, Balsis S, Skodol AE, Markon KE, Grant BF, Hasin DS An invariant dimensional liability model of gender differences in mental disorder prevalence: evidence from a national sample. J Abnorm Psychol. 2012; 121:(1)282-8 https://doi.org/10.1037/a0024780

Eisenberg ML, Park Y, Hollenbeck AR, Lipshultz LI, Schatzkin A, Pletcher MJ Fatherhood and the risk of cardiovascular mortality in the NIH-AARP Diet and Health Study. Hum Reprod. 2011; 26:(12)3479-85 https://doi.org/10.1093/humrep/der305

Feldman R, Sussmand AL, Zigler E Parental leave and work adaptation at the transition to parenthood: Individual, marital, and social correlates. J Appl Dev Psychol. 2004; 25:(4)459-79

Garfield CF, Isacco A, Bartlo WD Men's Health and Fatherhood in the Urban Midwestern United States. Int J Mens Health. 2010; 9:(3)161-74 https://doi.org/10.3149/jmh.0903.161

Gawlik S, Muller M, Hoffmann L, Dienes A, Wallwiener M, Sohn C, Schlehe B, Reck C Prevalence of paternal perinatal depressiveness and its link to partnership satisfaction and birth concerns. Arch Womens Ment Health. 2014; 17:(1)49-56

Goodman JH Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health. J Adv Nurs. 2004; 45:(1)26-35

Goodman JH Influences of maternal postpartum depression on fathers and on father–infant interaction. Infant Ment Health J. 2008; 29:(6)624-43 https://doi.org/10.1002/imhj.20199

Kim P, Swain JE Sad dads: paternal postpartum depression. Psychiatry (Edgmont). 2007; 4:(2)35-47

Lane A, Keville R, Morris M, Kinsella A, Turner M, Barry S Postnatal depression and elation among mothers and their partners: prevalence and predictors. Br J Psychiatry. 1997; 171:550-5

Lara MA, Navarro C, Navarrete L Outcome results of a psycho-educational intervention in pregnancy to prevent PPD: a randomized control trial. J Affect Disord. 2010; 122:(1–2)109-17 https://doi.org/10.1016/j.jad.2009.06.024

Månsdotter A, Lindholm L, Winkvist A Paternity leave in Sweden: costs, savings and health gains. Health Policy. 2007; 82:(1)102-15

Månsdotter A, Lundin A How do masculinity, paternity leave, and mortality associate? A study of fathers in the Swedish parental & child cohort of 1988/89. Soc Sci Med. 2010; 71:(3)576-83 https://doi.org/10.1016/j.socscimed.2010.05.008

Markey CN, Markey PM, Schneider C, Brownlee S Marital status and health beliefs: different relations for men and women. Sex Roles. 2005; 53:(5)443-51

2013. http://tinyurl.com/jjztvc3 (accessed 2 June 2016)

Postpartum depression in men. 2012. http://tinyurl.com/jbavrmb (accessed 2 June 2016)

McKellar L, Pincombe J, Henderson A ‘Coming ready or not!’ Preparing parents for parenthood. British Journal of Midwifery. 2009; 17:(3)160-7 https://doi.org/10.12968/bjom.2009.17.3.40078

Musser AK, Ahmed AH, Foli KJ, Coddington JA Paternal postpartum depression: what health care providers should know. J Pediatr Health Care. 2013; 27:(6)479-85 https://doi.org/10.1016/j.pedhc.2012.10.001

Nishimura A, Ohashi K Risk factors of paternal depression in the early postnatal period in Japan. Nurs Health Sci. 2010; 12:(2)170-6 https://doi.org/10.1111/j.1442-2018.2010.00513.x

O'Brien M Fathers, parental leave policies, and infant quality of life: International perspectives and policy impact. Ann Am Acad Pol Soc Sci. 2009; 624:(1)190-213 https://doi.org/10.1177/0002716209334349

Paternal postnatal depression. 2012. http://tinyurl.com/h73pgr4 (accessed 2 June 2016)

Paris: OECD Publishing; 2011

Paulson JF, Bazemore SD Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis. JAMA. 2010; 303:(19)1961-9 https://doi.org/10.1001/jama.2010.605

Radcliffe LS, Cassell C Flexible working, work–family conflict, and maternal gatekeeping: The daily experiences of dual-earner couples. J Occup Organ Psychol. 2015; 88:(4)835-55 https://doi.org/10.1111/joop.12100

Ramchandani PG, Stein A, O'Connor TG, Heron J, Murray L, Evans J Depression in men in the postnatal period and later child psychopathology: a population cohort study. J Am Acad Child Adolesc Psychiatry. 2008; 47:(4)390-8 https://doi.org/10.1097/CHI.0b013e31816429c2

Ramchandani PG, Domoney J, Sethna V, Psychogiou L, Vlachos H, Murray L Do early father-infant interactions predict the onset of externalising behaviours in young children? Findings from a longitudinal cohort study. J Child Psychol Psychiatry. 2013; 54:(1)56-64 https://doi.org/10.1111/j.1469-7610.2012.02583.x

Richardson N Building momentum, gaining traction: Ireland's national men's health policy – 5 years on. New Male Studies. 2013; 2:(3)93-103

Romero-Balsas P Consequences paternity leave on allocation of childcare and domestic tasks. Revista Española de Investigaciones Sociológicas. 2015; 149:87-108 https://doi.org/10.5477/cis/reis.149.87

Salonen AH, Kaunonen M, Astedt-Kurki P, Järvenpää AL, Isoaho H, Tarkka MT Parenting self-efficacy after childbirth. J Adv Nurs. 2009; 65:(11)2324-36 https://doi.org/10.1111/j.1365-2648.2009.05113.x

Schumacher M, Zubaran C, White G Bringing birth-related paternal depression to the fore. Women Birth. 2008; 21:(2)65-70 https://doi.org/10.1016/j.wombi.2008.03.008

Sheng X, Le HN, Perry D Perceived satisfaction with social support and depressive symptoms in perinatal Latinas. J Transcult Nurs. 2010; 21:(1)35-44 https://doi.org/10.1177/1043659609348619

Ugreninov E Can family policy reduce mothers' sick leave absence? a causal analysis of the norwegian paternity leave reform. Journal of Family and Economic Issues. 2013; 34:(4)435-46

New York: UN; 2011

Veskrna L Peripartum depression – does it occur in fathers and does it matter?. Journal of Men's Health. 2010; 7:(4)420-30

Wall K, Escobedo A Parental leave policies, gender equity and family well-being in Europe: a comparative perspective. In: Moreno Minguez A (ed). Dordrecht: Springer; 2013

Wee KY, Skouteris H, Pier C, Richardson B, Milgrom J Correlates of ante- and postnatal depression in fathers: a systematic review. J Affect Disord. 2011; 130:(3)358-77 https://doi.org/10.1016/j.jad.2010.06.019

Wilkins C A qualitative study exploring the support needs of first-time mothers on their journey towards intuitive parenting. Midwifery. 2006; 22:(2)169-80

Paternal Postpartum Distress: A discourse analytic study. 2008. https://hydra.hull.ac.uk/assets/hull:5742a/content (accessed 2 June 2016)

Wilson S, Durbin CE Effects of paternal depression on fathers' parenting behaviors: a meta-analytic review. Clin Psychol Rev. 2010; 30:(2)167-80 https://doi.org/10.1016/j.cpr.2009.10.007

Wisner KL, Moses-Kolko EL, Sit DK Postpartum depression: a disorder in search of a definition. Arch Womens Ment Health. 2010; 13:(1)37-40 https://doi.org/10.1007/s00737-009-0119-9

Paternal postnatal depression: How midwives can support families

02 July 2016
11 min read
Volume 24 · Issue 7

Abstract

Over the past 3 decades, there has been a growing awareness and concern about the burden of ill health experienced by men, and research has shown that fatherhood has a protective effect on men's health. However, there is also evidence that the transition to fatherhood can be complex and demanding, with many fathers feeling inadequately equipped as they begin their journey. This can cause distress, anxiety and increased risk of depression. With a prevalence of approximately 10%, paternal postnatal depression (PPND) is a real and significant public health issue. However, PPND is not widely acknowledged nor well researched. In general, the mental health of fathers in the postnatal period is often not considered. This has resulted in men being underscreened, underdiagnosed and undertreated for PPND and other postnatal mental health problems. The need to address the problem is highlighted by the detrimental effects that PPND can have on a father's health, as well as the numerous potential negative effects on the health and wellbeing of the woman and child. Key findings from research undertaken in relation to PPND have identified maternal depression, poor social support and a lack of education as contributing factors.

Men's health is an important public health issue (Baker et al, 2014). Over the past 3 decades, the issue of men's health has moved from the margins to the centre of health discourse (Richardson, 2013). During this period, there has been a growing awareness and concern about the burden of ill health experienced by men (Department of Health and Children, 2008). Men's health has the potential to be influenced by the transition to fatherhood. Becoming a father, for many men, signals a shift away from individualism and leads to an increasing sense of personal responsibility and self-reflection that initiates positive behaviour changes (Garfield et al, 2010). Research has shown that fatherhood has a protective effect on men's health (Markey et al, 2005; Garfield et al, 2010). Notably, chronic pain, insomnia, gastrointestinal problems and fatigue are less problematic for fathers than for other male subsets of the population, and fathers have a lower risk of dying from cardiovascular disease (Eisenberg et al, 2011). However, there is also evidence that the transition to fatherhood can be complex and demanding, and may have a negative impact on men's health (Kim and Swain, 2007; Lara et al, 2010; Sheng et al, 2010).

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