Couple comorbidity and correlates of postnatal depressive symptoms in mothers and fathers in the first two weeks following delivery
Abstract
Background Postnatal depression affects a significant number of parents; however, its co-occurrence in mothers and fathers has not been studied extensively. Identifying predictors and correlates of postnatal depressive symptoms can help develop effective interventions.Methods Questionnaires on several socio-demographic and psychosocial factors were administered to 276 couples within two weeks after birth. Depressive symptoms in mothers and fathers were assessed using the Edinburgh Postnatal Depression Scale (EPDS). After calculating the correlation coefficient between mothers and fathers' EPDS scores, univariate and multivariate linear regression analyses were performed to identify significant correlates of postnatal depressive symptoms in mothers and fathers.Results Prevalence of maternal and paternal postnatal depressive symptoms was 15.9% (EPDS>12) and 5.4% (EPDS>10), respectively. There was a moderate positive correlation between mothers and fathers' EPDS scores (r=.30, p<.001). Multivariate analyses indicated that parental stress was the strongest predictor for maternal and paternal postnatal depressive symptoms. Pregnancy- and birth-related distress and partners' EPDS scores were also associated with depressive symptoms in both parents. Relationship satisfaction was only inversely related with fathers' EPDS scores, while mothers' EPDS scores were additionally associated with critical life events, history of childhood violence, and birth-related physiological complaints.Limitations Since information about participation rates (those who declined) is unavailable, we cannot rule out sampling bias. Further, some psychosocial factors were assessed using single items.Conclusion Since co-occurrence of depressive symptoms in mothers and fathers is high, developing and evaluating postnatal depression interventions for couples may be beneficial. Interventions to reduce parenting stress may help prevent parental postnatal depression.
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Accumulating evidence suggests that maternal and paternal depressive, anxiety, and stress symptoms are interdependent.
“This represents a limitation, as accumulating evidence suggests that maternal and paternal depressive, anxiety, and stress symptoms are interdependent [19,56–58].”
From Fathers at risk: Effects of threatened and actual preterm birth on the course of paternal peripartum depression and anxiety (2026) · cites this paper as [57]
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Paternal Depression Rates in Prenatal and Postpartum Periods and Affecting Factors
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Pernidaki, V., Schermelleh-Engel, K., Sommerlad, S., Louwen, F., & Oddo-Sommerfeld, S. (2026) · PLOS One · doi:10.1371/journal.pone.0356746
“Given these reciprocal influences between parents [19,56,57,60], as well as the reported associations between parental mental health and child development [e.g., 65], future studies should adopt dyadic approaches that examine both parents or parent–child relationships [66].”
- Authors
- Anding, J. E., Röhrle, B., Grieshop, M., Schücking, B., & Christiansen, H.
- Affiliations
- Philipps University of Marburg (DE)
- Leipzig University (DE)
- Corresponding author
- Anding, Jana Eos
- ORCID
- Christiansen, Hanna
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 190
- Pages
- 300-309
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W1853513794
- Cited by
- 80
- References
- 96
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 11 · 2023: 7 · 2022: 7 · 2021: 3 · 2020: 16 · 2019: 6 · 2018: 6 · 2017: 5 · 2016: 5
- FWCI
- 5.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- postpartum depression, paternal depression, maternal depression, postpartum depressive symptoms, parental stress, relationship satisfaction, childhood violence, critical life events, Edinburgh Postnatal Depression Scale, couple-based interventions
- MeSH terms
- Adult, Emotions, Fathers, Female, Humans, Mothers, Pregnancy, Surveys and Questionnaires, Risk Factors, Comorbidity, Prevalence, Parenting, Depression, Postpartum, Delivery, Obstetric, Young Adult
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