Abstract
Transitioning to a parental role can be overwhelming for both the mother and the father.
Historically, most health care focus has been placed on the maternal transition and
not much emphasis on the paternal transition. As a result, paternal postpartum depression
(PPPD) has been underreported, underrecognized, underdiagnosed, and undertreated by
health care practitioners. PPPD can have a devastating effect on the whole family.
An evidence-based awareness project was implemented in a health care setting to determine
whether the use of a prenatal multimodal educational intervention improved the detection
of PPPD for fathers using the Edinburgh Postnatal Depression Scale (EPDS). Fathers
reported that multimodal education improved their detection of PPPD. It is imperative
for advanced practice nurses to increase their awareness of PPPD and to actively seek
opportunities to intervene with fathers during and after pregnancy.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal for Nurse PractitionersAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Paternal postpartum depression: issue brief.J Parent Fam Ment Health. 2016; 1: 1-4https://doi.org/10.7191/parentandfamily.1000
- When fathers begin to falter: a comprehensive review on paternal perinatal depression.Int J Environ Res Public Health. 2020; 17: 1139https://doi.org/10.3390/ijerph17041139
- Prevalence and course of anxiety disorders (and symptom levels) in men across the perinatal period: a systematic review.J Affect Disord. 2016; 190: 675-686https://doi.org/10.1016/j.jad.2015.09.063
- The Edinburgh Postnatal Depression Scale for fathers: a contribution to the validation for an Italian sample.Gen Hosp Psychiatry. 2015; 37: 251-256https://doi.org/10.1016/j.genhosppsych.2015.02.002
- New fathers' perinatal depression and anxiety-treatment options: an integrative review.Am J Mens Health. 2017; 11: 863-876https://doi.org/10.1177/1557988316669047
- Paternal and maternal transition to parenthood: the risk of postpartum depression and parenting stress.Pediatr Rep. 2015; 7: 38-44https://doi.org/10.4081/pr.2015.5872
- The relationship between paternal prenatal depressive symptoms with postnatal depression: the PATH model.Psychiatry Res. 2018; 269: 102-107https://doi.org/10.1016/j.psychres.2018.08.044
- Screening fathers for postpartum depression can be cost-effective: an example from Sweden.J Affect Disord. 2018; 241: 154-163https://doi.org/10.1016/j.jad.2018.07.044
- How well does the Edinburgh Postnatal Depression Scale identify depression and anxiety in fathers? A validation study in a population-based Swedish sample.J Affect Disord. 2013; 149: 67-74https://doi.org/10.1016/j.jad.2013.01.005
- Should men be screened and treated for postnatal depression?.Expert Rev Neurother. 2011; 11: 1-3https://doi.org/10.1586/ern.10.183
- Paternal adjustment and paternal attitudes questionnaire: antenatal and postnatal Portuguese versions.Assessment. 2017; 24: 820-830https://doi.org/10.1177/1073191115621794
- Paternal postpartum depression: what health care providers should know.J Pediatr Health Care. 2013; 27: 479-485https://doi.org/10.1016/j.pedhc.2012.10.001
- A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers.J Affect Disord. 2019; 249: 371-377https://doi.org/10.1016/j.jad.2019.02.033
- Perinatal parenting stress, anxiety, and depression outcomes in first-time mothers and fathers: a 3-to-6-months postpartum follow-up study.Front Psychol. 2016; 7: 938https://doi.org/10.3389/fpsyg.2016.00938
- Improving prenatal health: setting the agenda for increased male involvement.Am J Mens Health. 2013; 7: 523-526https://doi.org/10.1177/2F1557988313490785
- WHO recommends involving men in maternal & newborn health. June 14, 2015.https://familyincluded.com/involvement-men-maternal-newborn-health/Date accessed: September 7, 2022
- Multimodal conception in learning.ISLLAC: Journal of Intensive Studies on Language, Literature, Art, and Culture. 2018; 2: 40-44https://doi.org/10.17977/um006v2i12018p040
- Effects of prenatal childbirth education or partners of pregnant women on paternal postnatal mental health: a systemic review and meta-analysis protocol.Syst Rev. 2016; 5: 115-121https://doi.org/10.1016/j.jad.2016.12.025
- Test-retest reliability of the English version of the Edinburgh Postnatal Depression Scale.Arch Womens Ment Health. 2015; 18: 255-257
- The course and interrelationship of maternal and paternal perinatal depression.Arch Womens Ment Health. 2016; 19: 655-663https://doi.org/10.1007/s00737-016-0598-4
- Validation studies of the Edinburgh Postnatal Depression Scale for the antenatal period.J Affect Disord. 2015; 176: 95-105https://doi.org/10.1016/j.jad.2015.01.044
- Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale.Br J Psychiatry. 1987; 150: 782-786https://doi.org/10.1192/bjp.150.6.782
- Feelings of restriction and incompetence in parenting mediate the link between attachment anxiety and paternal postnatal depression.Psychol Men Masculine. 2020; 21: 416-429https://doi.org/10.1037/men0000233
- Postnatal depression in fathers.Int Rev Psychiatry. 1996; 8: 658https://doi.org/10.3109/09540269609037818
- Depression in fathers in the postnatal period: assessment of the Edinburgh Postnatal Depression Scale as a screening measure.J Affect Disord. 2010; 125: 365-368https://doi.org/10.1016/j.jad.2010.01.069
- Paternal perinatal depression assessed by the Edinburgh Postnatal Depression Scale and the Gotland Male Depression Scale: prevalence and possible risk factors.Am J Mens Health. 2018; 12: 720-729https://doi.org/10.1177/2F1557988317749071
- Live Births by Hospital and Method of Delivery, Pennsylvania Occurrences.https://www.health.pa.gov/topics/HealthStatistics/VitalStatistics/BirthStatistics/Documents/Birth_HospMethod_Cnty_2019.pdfDate: 2019Date accessed: November 23, 2021
- Paternal depression during pregnancy and postpartum: an international Delphi study.J Affect Disord. 2016; 202: 128-136https://doi.org/10.1016/j.jad.2016.05.056
- of Health and Human Services. Substance Abuse and Mental Health Services Administration.https://www.samhsa.gov/Date accessed: February 23, 2021
- Males and mental health stigma.Am J Mens Health. 2020; 1: 1-3https://doi.org/10.1177/2F1557988320949322
- Prenatal parental education from the perspective of fathers with experience as primary caregiver immediately following birth: a phenomenographic study.J Perinat Educ. 2010; 19: 19-28https://doi.org/10.1624/105812410X481537
- Parent education interventions designed to support the transition to parenthood: a realist review.Int J Nurs Stud. 2016; 59: 118-131https://doi.org/10.1016/j.ijnurstu.2016.03.015
- The prenatal triad: the importance of provider-patient communication with expectant fathers throughout the prenatal care process.Patient Educ Couns. 2020; 104: 1826-1830https://doi.org/10.1016/j.pec.2020.11.005
Aksoy Derya Y, Altiparmak S, AkÇa E, Gökbulut N, Yilmaz AN. Pregnancy and birth planning during COVID-19: The effects of tele-education offered to pregnant women on prenatal distress and pregnancy-related anxiety. Midwifery. 2021;92:102877. Published correction appears in Midwifery. 2021;95:102932. https://dx.doi.org/10.1016/2Fj.midw.2020.102877
Biography
Taasha N. Guillemette, DNP, WHNP-BC, Jenny L. Monn, DNP, FNP-BC, who can be contacted at [email protected], and Michele Chronister, DNP, FNP-BC, IBCLC, are affiliated with Millersville University Department of Nursing, Millersville, PA. The authors would like to recognize WellSpan Health for their participation and support of this project.
In compliance with standard ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.
Article info
Publication history
Published online: December 16, 2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Elsevier Inc. All rights reserved.
