“Dad is feeling blue”: what to know about paternal perinatal depression

Introduction The transition into parenthood is associated with an increased psychopathological vulnerability. Most studies have focused on mothers, although recently, the role of fathers has grown more importance. Paternal perinatal depression (PPD) is an episode of major depressive disorder occurr...

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Main Authors: C. Peixoto, D. Rego, M. Cruz, H. Medeiros
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S092493382201224X/type/journal_article
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author C. Peixoto
D. Rego
M. Cruz
H. Medeiros
author_facet C. Peixoto
D. Rego
M. Cruz
H. Medeiros
author_sort C. Peixoto
collection DOAJ
description Introduction The transition into parenthood is associated with an increased psychopathological vulnerability. Most studies have focused on mothers, although recently, the role of fathers has grown more importance. Paternal perinatal depression (PPD) is an episode of major depressive disorder occurring in new or expectant fathers during the perinatal period. PPD is not widely acknowledged and research are rare. Objectives The authors intend to review the literature about PPD, focusing on its prevalence, risk factors, clinical features, treatment and consequences. Methods Non-systematic review of the literature through PubMed. Results A meta-analysis of PPD estimated a prevalence of 10.4%. Risk factors of PPD are multiple and complex. There are sociodemographic factors, such as marital status, monthly income and social support. Psychological factors, for instance history of depression, maternal prenatal anxiety and maternal depression. Some literature also suggests hormonal changes on men like increase estrogen and lower testosterone levels. PPD can present with symptoms of mood alterations, like irritability and restricted emotions, anxiety, fatigue, insomnia, loss of appetite. Also common are behavioural disturbances such as interpersonal conflicts, impulsivity, violence, avoidance behaviour, and substance abuse. There are no studies to specific treatments to PPD, so the treatment is the same for women, such as antidepressants and psychotherapy. If untreated, PPD can have an adverse influence on the health and wellbeing of the mother and child. Conclusions PPD is still underscreened, underdiagnosed and undertreated. It is fundamental identifying risk factors and the development of specific interventions. Further research on PPD is needed. Disclosure No significant relationships.
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spelling doaj.art-6c14c700838e45e1a141cea1e1711c802023-11-17T05:06:09ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S481S48210.1192/j.eurpsy.2022.1224“Dad is feeling blue”: what to know about paternal perinatal depressionC. Peixoto0D. Rego1M. Cruz2H. Medeiros3Hospital do Divino Espírito Santo de Ponta Delgada, Psychiatry, Ponta Delgada, PortugalHospital do Divino Espírito Santo de Ponta Delgada, Psychiatry, Ponta Delgada, PortugalHospital do Divino Espírito Santo de Ponta Delgada, Psychiatry, Ponta Delgada, PortugalHospital do Divino Espírito Santo de Ponta Delgada, Psychiatry, Ponta Delgada, Portugal Introduction The transition into parenthood is associated with an increased psychopathological vulnerability. Most studies have focused on mothers, although recently, the role of fathers has grown more importance. Paternal perinatal depression (PPD) is an episode of major depressive disorder occurring in new or expectant fathers during the perinatal period. PPD is not widely acknowledged and research are rare. Objectives The authors intend to review the literature about PPD, focusing on its prevalence, risk factors, clinical features, treatment and consequences. Methods Non-systematic review of the literature through PubMed. Results A meta-analysis of PPD estimated a prevalence of 10.4%. Risk factors of PPD are multiple and complex. There are sociodemographic factors, such as marital status, monthly income and social support. Psychological factors, for instance history of depression, maternal prenatal anxiety and maternal depression. Some literature also suggests hormonal changes on men like increase estrogen and lower testosterone levels. PPD can present with symptoms of mood alterations, like irritability and restricted emotions, anxiety, fatigue, insomnia, loss of appetite. Also common are behavioural disturbances such as interpersonal conflicts, impulsivity, violence, avoidance behaviour, and substance abuse. There are no studies to specific treatments to PPD, so the treatment is the same for women, such as antidepressants and psychotherapy. If untreated, PPD can have an adverse influence on the health and wellbeing of the mother and child. Conclusions PPD is still underscreened, underdiagnosed and undertreated. It is fundamental identifying risk factors and the development of specific interventions. Further research on PPD is needed. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S092493382201224X/type/journal_articlepostpartum depressionPaternal perinatal depression
spellingShingle C. Peixoto
D. Rego
M. Cruz
H. Medeiros
“Dad is feeling blue”: what to know about paternal perinatal depression
European Psychiatry
postpartum depression
Paternal perinatal depression
title “Dad is feeling blue”: what to know about paternal perinatal depression
title_full “Dad is feeling blue”: what to know about paternal perinatal depression
title_fullStr “Dad is feeling blue”: what to know about paternal perinatal depression
title_full_unstemmed “Dad is feeling blue”: what to know about paternal perinatal depression
title_short “Dad is feeling blue”: what to know about paternal perinatal depression
title_sort dad is feeling blue what to know about paternal perinatal depression
topic postpartum depression
Paternal perinatal depression
url https://www.cambridge.org/core/product/identifier/S092493382201224X/type/journal_article
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