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Paternal postpartum depression scale: a systematic literature review

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Postpartum depression in fathers has an impact on the harmony of household relationships, children's emotional development disorders, children's behavior disorders, even children can also be 2-4 times at risk of depression before adulthood. This study aims to review several instruments used to assess fathers' PPD (Postpartum Depression). The database used in this literature review is PubMed. Based on 10 studied, there are 9 different father PPD instruments, including EPDS (Edinburgh Postnatal Depression Scale), GMDS (Gotland Male Depression Scale), BDI (Beck Depression Inventory), BDI-II, GHQ-12 (General Health Questionnaire- 12), PHQ-9 (Patient Health Questionnaire - Depression Module) CES-D (Center for Epidemiological Studies Depression), Zung SAS (Zung's Self-rated Anxiety Scale), and HAD-A (Hospital Anxiety and Depression Scale. EPDS is an instrument most frequently used in detecting paternal PPD, appeared in 10 out of 10 studies. This study concludes that there are 9 different instruments for detecting PPD in the father, and the EPDS is the most frequently used instrument in detecting PPD in the father, which consists of 10 questions with a score limit of 10/11.

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  • Wang D, Li Y-L, Qiu D, Xiao S-Y. Factors Influencing Paternal Postpartum Depression: A Systematic Review and Meta-Analysis. J Affect Disord. 2021 Oct;293:51–63.
  • Scarff JR. Postpartum Depression in Men. Innov Clin Neurosci. 2019 May;16(5–6):11–4.
  • Paulson JF, Bazemore SD, Goodman JH, Leiferman JA. The course and interrelationship of maternal and paternal perinatal depression. Arch Womens Ment Health. 2016;19(4):655–63.
  • Philpott LF, Corcoran P. Paternal postnatal depression in Ireland: Prevalence and associated factors. Midwifery. 2018 Jan;56:121–7.
  • Paulson JF, Bazemore SD. Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis. JAMA. 2010 May;303(19):1961–9.
  • Albicker J, Hölzel LP, Bengel J, Domschke K, Kriston L, Schiele MA, et al. Prevalence, symptomatology, risk factors and healthcare services utilization regarding paternal depression in Germany: study protocol of a controlled cross-sectional epidemiological study. BMC Psychiatry. 2019 Sep;19(1):289.
  • Melrose S. Paternal postpartum depression: How can nurses begin to help? Contemp Nurse. 2010;34(2):199–210.
  • Mangialavori S, Terrone G, Cantiano A, Chiara Franquillo A, Di Scalea GL, Ducci G, et al. Dyadic adjustment and prenatal parental depression: a study with expectant mothers and fathers. J Soc Clin Psychol. 2019;38(10):860–81.
  • Berg AR, Ahmed AH. Paternal perinatal depression: Making a case for routine screening. Nurse Pract. 2016 Oct;41(10):1–5.
  • Gallaher KGH, Slyepchenko A, Frey BN, Urstad K, Dørheim SK. The Role of Circadian Rhythms in Postpartum Sleep and Mood. Sleep Med Clin. 2018 Sep;13(3):359–74.
  • Ramchandani PG, Stein A, O’CONNOR TG, Heron JON, 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.
  • Ramchandani PG, Psychogiou L, Vlachos H, Iles J, Sethna V, Netsi E, et al. Paternal depression: an examination of its links with father, child and family functioning in the postnatal period. Depress Anxiety. 2011 Jun;28(6):471–7.
  • Carlberg M, Edhborg M, Lindberg L. 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 [Internet]. 2018/01/19. 2018 Jul;12(4):720–9. Available from: https://pubmed.ncbi.nlm.nih.gov/29350097
  • Lai BPY, Tang AKL, Lee DTS, Yip ASK, Chung TKH. Detecting postnatal depression in Chinese men: a comparison of three instruments. Psychiatry Res. 2010 Dec;180(2–3):80–5.
  • Edmondson OJH, Psychogiou L, Vlachos H, Netsi E, Ramchandani PG. Depression in fathers in the postnatal period: assessment of the Edinburgh Postnatal Depression Scale as a screening measure. J Affect Disord. 2010 Sep;125(1–3):365–8.
  • Nishimura A, Ohashi K. Risk factors of paternal depression in the early postnatal period in Japan. Nurs Health Sci. 2010 Jun;12(2):170–6.
  • Cox JL, Holden JM, Sagovsky R. Detection of Postnatal Depression: Development of the 10-item Edinburgh Postnatal Depression scale. Br J Psychiatry. 1987;150(JUNE):782–6.
  • Loscalzo Y, Giannini M, Contena B, Gori A, Benvenuti P. The Edinburgh Postnatal Depression Scale for Fathers: A contribution to the validation for an Italian sample. Gen Hosp Psychiatry. 2015;37(3):251–6.
  • Zierau F, Bille A, Rutz W, Bech P. The Gotland Male Depression Scale: A validity study in patients with alcohol use disorder. Nord J Psychiatry. 2002;56(4):265–71.
  • Psouni E, Agebjörn J, Linder H. Symptoms of depression in Swedish fathers in the postnatal period and development of a screening tool. Scand J Psychol. 2017;58(6):485–96.
  • Beck a t, Ward c h, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961 Jun;4:561–71.
  • Matthey S, Barnett B, Kavanagh DJ, Howie P. Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners. J Affect Disord. 2001 May;64(2–3):175–84.
  • Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med [Internet]. 2001 Sep;16(9):606–13. Available from: https://pubmed.ncbi.nlm.nih.gov/11556941
  • Zung WW. A rating instrument for anxiety disorders. Psychosomatics. 1971;12(6):371–9.
  • Zung WW, Magruder-Habib K, Velez R, Alling W. The comorbidity of anxiety and depression in general medical patients: a longitudinal study. J Clin Psychiatry. 1990 Jun;51 Suppl:77–80; discussion 81.
  • Tran TD, Tran T, Fisher J. Validation of three psychometric instruments for screening for perinatal common mental disorders in men in the north of Vietnam. J Affect Disord. 2012 Jan;136(1–2):104–9.
  • Jackson C. The general health questionnaire. Occup Med (Chic Ill). 2007;57(1):79.
  • Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, et al. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997 Jan;27(1):191–7.
  • Massoudi P, Hwang CP, Wickberg B. 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 Jul;149(1–3):67–74.
  • Shaheen NA, AlAtiq Y, Thomas A, Alanazi HA, AlZahrani ZE, Younis SAR, Hussein MA. Paternal Postnatal Depression Among Fathers of Newborn in Saudi Arabia. Am J Mens Health. 2019 Jan-Feb;13(1):1557988319831219. doi: 10.1177/1557988319831219. PMID: 30776946; PMCID: PMC6775555.
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How to Cite This

Rosyidah, H., Chayani, S. A. ., & Aisyaroh, N. (2023). Paternal postpartum depression scale: a systematic literature review. Jurnal Kesehatan Ibu Dan Anak, 17(1). https://doi.org/10.29238/kia.v17i1.1664

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