The Effectiveness of Interventions for the Prevention or Treatment of Paternal Perinatal Anxiety: A Systematic Review
<b>Background:</b> The worldwide prevalence of paternal perinatal anxiety (PPA) ranges between 3.4% and 25.0% antenatally, and 2.4% and 51.0% postnatally. Experiencing PPA can adversely impact the individual, partners, and infants. Research concerning PPA is lagging and fragmented compar...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/22/6617 |
| _version_ | 1797464998633537536 |
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| author | Michelle L. Fisher Paul Sutcliffe Charlotte Southern Amy L. Grove Bee K. Tan |
| author_facet | Michelle L. Fisher Paul Sutcliffe Charlotte Southern Amy L. Grove Bee K. Tan |
| author_sort | Michelle L. Fisher |
| collection | DOAJ |
| description | <b>Background:</b> The worldwide prevalence of paternal perinatal anxiety (PPA) ranges between 3.4% and 25.0% antenatally, and 2.4% and 51.0% postnatally. Experiencing PPA can adversely impact the individual, partners, and infants. Research concerning PPA is lagging and fragmented compared to research for new mothers. <b>Objectives:</b> To establish the effectiveness of prevention or treatment interventions for PPA in adults identifying as male. <b>Data sources:</b> We completed searches of Medline, EMBASE, PsycINFO and Web of Science from inception to 2 December 2021, as well as hand searches of references from relevant papers. <b>Search selection and data extraction:</b> Randomised controlled trials delivering prevention or treatment interventions and reporting anxiety outcomes for new/expectant fathers in the perinatal mental health period were included. Our review follows the PRISMA reporting guidelines. One reviewer independently screened 5170 titles/abstracts; second reviewers screened 50%. Two reviewers independently screened full text, extracted data, and conducted risk of bias assessments. <b>Synthesis:</b> Cochrane’s collaboration tool 2 was used to assess quality. Primarily results are synthesised narratively, a post-hoc sub-group analysis was completed on four studies using the same outcome measure. <b>Main results:</b> Twelve of the 5170 studies fulfilled the inclusion criteria. Studies used psychoeducational or practical skills interventions. Interventions mostly involved couple-dyads and three studies assessed PPA as a primary outcome. Included interventions were prevention-based; no treatment interventions were found. Father-only interventions consistently reported a significant reduction of PPA. <b>Conclusions:</b> Systematic searching yielded no treatment interventions, highlighting a substantial gap in the evidence base. Within a limited and heterogenous sample, no studies targeted diagnosed PPA. Evidence suggested father-focused interventions may be effective in preventing PPA, regardless of the intervention delivery mode or intervention content. However, consistency between study design and options within the field are lacking compared to interventions available for mothers. |
| first_indexed | 2024-03-09T18:15:13Z |
| format | Article |
| id | doaj.art-eb47b9d14ed6486da0b73bd2a40d9c76 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T18:15:13Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-eb47b9d14ed6486da0b73bd2a40d9c762023-11-24T08:47:15ZengMDPI AGJournal of Clinical Medicine2077-03832022-11-011122661710.3390/jcm11226617The Effectiveness of Interventions for the Prevention or Treatment of Paternal Perinatal Anxiety: A Systematic ReviewMichelle L. Fisher0Paul Sutcliffe1Charlotte Southern2Amy L. Grove3Bee K. Tan4Division of Health Sciences, Warwick Medical School, Gibbet Hill Campus, University of Warwick, Coventry CV4 7AL, UKDivision of Health Sciences, Warwick Medical School, Gibbet Hill Campus, University of Warwick, Coventry CV4 7AL, UKDivision of Health Sciences, Warwick Medical School, Gibbet Hill Campus, University of Warwick, Coventry CV4 7AL, UKDivision of Health Sciences, Warwick Medical School, Gibbet Hill Campus, University of Warwick, Coventry CV4 7AL, UKDepartment of Cardiovascular Sciences, University of Leicester, Leicester LE1 7RH, UK<b>Background:</b> The worldwide prevalence of paternal perinatal anxiety (PPA) ranges between 3.4% and 25.0% antenatally, and 2.4% and 51.0% postnatally. Experiencing PPA can adversely impact the individual, partners, and infants. Research concerning PPA is lagging and fragmented compared to research for new mothers. <b>Objectives:</b> To establish the effectiveness of prevention or treatment interventions for PPA in adults identifying as male. <b>Data sources:</b> We completed searches of Medline, EMBASE, PsycINFO and Web of Science from inception to 2 December 2021, as well as hand searches of references from relevant papers. <b>Search selection and data extraction:</b> Randomised controlled trials delivering prevention or treatment interventions and reporting anxiety outcomes for new/expectant fathers in the perinatal mental health period were included. Our review follows the PRISMA reporting guidelines. One reviewer independently screened 5170 titles/abstracts; second reviewers screened 50%. Two reviewers independently screened full text, extracted data, and conducted risk of bias assessments. <b>Synthesis:</b> Cochrane’s collaboration tool 2 was used to assess quality. Primarily results are synthesised narratively, a post-hoc sub-group analysis was completed on four studies using the same outcome measure. <b>Main results:</b> Twelve of the 5170 studies fulfilled the inclusion criteria. Studies used psychoeducational or practical skills interventions. Interventions mostly involved couple-dyads and three studies assessed PPA as a primary outcome. Included interventions were prevention-based; no treatment interventions were found. Father-only interventions consistently reported a significant reduction of PPA. <b>Conclusions:</b> Systematic searching yielded no treatment interventions, highlighting a substantial gap in the evidence base. Within a limited and heterogenous sample, no studies targeted diagnosed PPA. Evidence suggested father-focused interventions may be effective in preventing PPA, regardless of the intervention delivery mode or intervention content. However, consistency between study design and options within the field are lacking compared to interventions available for mothers.https://www.mdpi.com/2077-0383/11/22/6617fatherpaternalanxietyperinatalinterventionsystematic review |
| spellingShingle | Michelle L. Fisher Paul Sutcliffe Charlotte Southern Amy L. Grove Bee K. Tan The Effectiveness of Interventions for the Prevention or Treatment of Paternal Perinatal Anxiety: A Systematic Review Journal of Clinical Medicine father paternal anxiety perinatal intervention systematic review |
| title | The Effectiveness of Interventions for the Prevention or Treatment of Paternal Perinatal Anxiety: A Systematic Review |
| title_full | The Effectiveness of Interventions for the Prevention or Treatment of Paternal Perinatal Anxiety: A Systematic Review |
| title_fullStr | The Effectiveness of Interventions for the Prevention or Treatment of Paternal Perinatal Anxiety: A Systematic Review |
| title_full_unstemmed | The Effectiveness of Interventions for the Prevention or Treatment of Paternal Perinatal Anxiety: A Systematic Review |
| title_short | The Effectiveness of Interventions for the Prevention or Treatment of Paternal Perinatal Anxiety: A Systematic Review |
| title_sort | effectiveness of interventions for the prevention or treatment of paternal perinatal anxiety a systematic review |
| topic | father paternal anxiety perinatal intervention systematic review |
| url | https://www.mdpi.com/2077-0383/11/22/6617 |
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