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Postpartum Depression in Fathers

Agebjörn, Johan LU and Linder, Hanne LU (2015) PSPT02 20151
Department of Psychology
Abstract
Background and Aims: Methods for detecting depressed fathers in the healthcare system are lacking. The Edinburgh Postnatal Depression Scale (EPDS) is used to screen mothers for postpartum depression (PPD), however a potential problem using it with fathers is the lack of somatic and atypical/male depression items, since some men tend to express depression with more externalising symptoms than women. The present study had four aims: first, to investigate depressive symptoms in fathers of children aged 0-18 months; second, to investigate if the EPDS can be improved by adding/removing items when measuring new fathers; third, to identify risk factors associated with paternal PPD; fourth, to investigate whether the depressed fathers had received... (More)
Background and Aims: Methods for detecting depressed fathers in the healthcare system are lacking. The Edinburgh Postnatal Depression Scale (EPDS) is used to screen mothers for postpartum depression (PPD), however a potential problem using it with fathers is the lack of somatic and atypical/male depression items, since some men tend to express depression with more externalising symptoms than women. The present study had four aims: first, to investigate depressive symptoms in fathers of children aged 0-18 months; second, to investigate if the EPDS can be improved by adding/removing items when measuring new fathers; third, to identify risk factors associated with paternal PPD; fourth, to investigate whether the depressed fathers had received professional help. Method: A survey consisting of the BDI-II, the EPDS, the Gotland Male Depression Scale (GMDS) and demographic items was answered by 447 fathers online. Results: 27 % of the fathers were classified as depressed with the BDI-II, 83 % of these had not received any professional help. Most depressed fathers had traditional and male depressive symptoms, while some had exclusively traditional or male depressive symptoms. The strongest risk factor was having a partner with mental health problems. A newly constructed scale, combining 5 items from the EPDS and 6 items from the GMDS, showed higher internal consistency reliability and slightly better diagnostic ability than the EPDS. Conclusion: The EPDS and the GMDS measure the same construct; combining them contribute reliability, sensitivity and specificity in measuring postpartum depression in fathers. (Less)
Popular Abstract (Swedish)
Bakgrund: Det saknas metoder för att fånga upp deprimerade nyblivna pappor inom sjukvården. Edinburgh Postnatal Depression Scale (EPDS) används för att screena mammor för postpartum depression men ett potentiellt problem med att använda detta instrument med pappor är bristen på frågor om somatiska och atypiska/manliga depressionssymptom, eftersom en del män tenderar att uttrycka depression med mer utåtagerande symptom. Syfte: Föreliggande studie hade fyra syften: Dels att undersöka depressiva symptom hos pappor till barn i åldern 0-18 månader; dels att undersöka om EPDS kan förbättras för pappor genom att lägga till och ta bort items; dels att identifiera riskfaktorer för faderlig PPD; dels att undersöka om de deprimerade papporna fått... (More)
Bakgrund: Det saknas metoder för att fånga upp deprimerade nyblivna pappor inom sjukvården. Edinburgh Postnatal Depression Scale (EPDS) används för att screena mammor för postpartum depression men ett potentiellt problem med att använda detta instrument med pappor är bristen på frågor om somatiska och atypiska/manliga depressionssymptom, eftersom en del män tenderar att uttrycka depression med mer utåtagerande symptom. Syfte: Föreliggande studie hade fyra syften: Dels att undersöka depressiva symptom hos pappor till barn i åldern 0-18 månader; dels att undersöka om EPDS kan förbättras för pappor genom att lägga till och ta bort items; dels att identifiera riskfaktorer för faderlig PPD; dels att undersöka om de deprimerade papporna fått professionell hjälp. Metod: En enkät bestående av BDI-II, EPDS, Gotland Male Depression Scale (GMDS) och demografiska data besvarades av 447 pappor online. Resultat: 27 % av papporna klassifierades som deprimerade med BDI-II, 83 % av dessa hade inte fått någon professionell hjälp. De flesta deprimerade pappor hade både traditionella och manliga depressionssymptom, medan en del hade enbart traditionella eller enbart manliga depressionssymptom. Den starkaste riskfaktorn var att ha en partner med psykisk ohälsa. En ny skala konstruerades bestående av 5 items från EPDS och 6 items från GMDS. Denna skala hade en något högre intern reliabilitet och marginellt högre diagnostisk förmåga än EPDS. Slutsats: EPDS och GMDS mäter samma konstrukt och kan kombineras till en ny skala med högre reliabilitet, sensitivitet och specificitet. (Less)
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author
Agebjörn, Johan LU and Linder, Hanne LU
supervisor
organization
alternative title
Symptoms, Risk Factors and Development of a Screening Tool
course
PSPT02 20151
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
depression, paternal postpartum depression, postnatal, fathers, male depression, screening, EPDS, Gotland Scale
language
English
id
5462557
date added to LUP
2015-06-03 13:57:47
date last changed
2017-05-19 09:39:52
@misc{5462557,
  abstract     = {Background and Aims: Methods for detecting depressed fathers in the healthcare system are lacking. The Edinburgh Postnatal Depression Scale (EPDS) is used to screen mothers for postpartum depression (PPD), however a potential problem using it with fathers is the lack of somatic and atypical/male depression items, since some men tend to express depression with more externalising symptoms than women. The present study had four aims: first, to investigate depressive symptoms in fathers of children aged 0-18 months; second, to investigate if the EPDS can be improved by adding/removing items when measuring new fathers; third, to identify risk factors associated with paternal PPD; fourth, to investigate whether the depressed fathers had received professional help. Method: A survey consisting of the BDI-II, the EPDS, the Gotland Male Depression Scale (GMDS) and demographic items was answered by 447 fathers online. Results: 27 % of the fathers were classified as depressed with the BDI-II, 83 % of these had not received any professional help. Most depressed fathers had traditional and male depressive symptoms, while some had exclusively traditional or male depressive symptoms. The strongest risk factor was having a partner with mental health problems. A newly constructed scale, combining 5 items from the EPDS and 6 items from the GMDS, showed higher internal consistency reliability and slightly better diagnostic ability than the EPDS. Conclusion: The EPDS and the GMDS measure the same construct; combining them contribute reliability, sensitivity and specificity in measuring postpartum depression in fathers.},
  author       = {Agebjörn, Johan and Linder, Hanne},
  keyword      = {depression,paternal postpartum depression,postnatal,fathers,male depression,screening,EPDS,Gotland Scale},
  language     = {eng},
  note         = {Student Paper},
  title        = {Postpartum Depression in Fathers},
  year         = {2015},
}