Paternal postnatal and subsequent mental health symptoms and child socio‐emotional and behavioural problems at school entry
Abstract
Research on the effect of paternal mental health problems, particularly on young children, is based predominantly on clinical levels of depression. Furthermore, potential mediators such as marital discord have often been overlooked. This longitudinal community study assessed the association between paternal mental health symptoms in a community sample (N = 705) assessed at 3 months postnatally (Edinburgh Postnatal Depression Scale) and 36 months (General Health Questionnaire) and children's socio‐emotional and behavioural problems at 51 months (Strengths and Difficulties Questionnaire) as reported by mother, father and teacher. Controlling for socioeconomic status and maternal mental health symptoms at 3 and 36 months, paternal postnatal depressive symptoms predicted more father‐reported child problems at 51 months but, in contrast to previous findings, not mother‐reported problems. Paternal mental health symptoms at 36 months predicted both maternal and paternal reports of child problems at 51 months controlling for both paternal and maternal postnatal symptoms. Paternal mental health symptoms at 3 and 36 months were not significant predictors of teacher‐reported child problems. Postnatal marital discord and paternal mental health problems at 36 months both mediated the relationship between paternal postnatal symptoms and later child emotional and behavioural problems. Child gender did not moderate the relationship. Implications for interventions are discussed. Copyright © 2013 John Wiley & Sons, Ltd.
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Only one study conducted a power analysis while also having a sufficiently large sample to detect a clinically significant difference of 5%.
“The most common methodological issues arose in relation to justification of sample size, with only a single study conducting a power analysis whilst also having a sufficiently large sample size to detect a clinically significant difference of 5% (Smith et al. 2013).”
From The effects of paternal depression on child and adolescent outcomes: A systematic review (2016) · cites this paper as Smith et al. 2013
Marital conflict strongly mediated the formation of complex associations between paternal depression and child emotional and behavioural difficulties.
“Marital conflict also strongly mediated the formation of complex associations between paternal depression and child emotional and behavioural difficulties (Keller et al. 2009;Shelton andHarold, 2008 Smith et al. 2013).”
From The effects of paternal depression on child and adolescent outcomes: A systematic review (2016) · cites this paper as Smith et al. 2013
The highest quality rating was 18 points, achieved by Ramchandani et al. 2008b and Smith et al. 2013, suggesting these are strongest methodologically.
“The highest rating achieved was 18 points (Ramchandani et al. 2008b;Smith et al. 2013), suggesting that these two studies are strongest methodologically.”
From The effects of paternal depression on child and adolescent outcomes: A systematic review (2016) · cites this paper as Smith et al. 2013
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- Authors
- Smith, H. R., Eryigit‐Madzwamuse, S., & Barnes, J.
- Affiliations
- Goldsmiths University of London (GB)
- University of London (GB)
- Corresponding author
- Barnes, Jacqueline
- Venue
- Infant and Child Development
- Publisher
- Wiley
- Published
- 2013-05-27
- Volume
- 22
- Issue
- 4
- Pages
- 335-348
- ISSN
- 1522-7219 (ISSN-L)
- 1522-7227
- OpenAlex
- W1932100830
- Cited by
- 26
- References
- 41
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 2 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 1
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Infant and Child Development (publishedVersion)
- BIROn (Birkbeck, University of London) (acceptedVersion)
- University of Brighton Repository (University of Brighton) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Demography › Family Dynamics and Relationships
- Keywords
- paternal mental health, postpartum depression, child behavior problems, school entry, marital conflict, mediation, maternal mental health, child gender
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