Trajectories of mothers’ and fathers’ depressive symptoms from pregnancy to 24 months postpartum
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OBJECTIVES: This study investigated trajectories of mothers' and fathers' depressive symptoms from prenatal to 24 months postpartum. Prenatal correlates of the trajectories were also examined. METHODS: Mothers (N = 1670) and fathers (N = 1604) from the Finnish CHILD-SLEEP birth cohort, reported depressive symptoms at 32nd pregnancy week and 3, 8, and 24 months postpartum using the Center for Epidemiologic Studies Depression Scale (CES-D, 10-item). Profile analysis was used to group participants according to their longitudinal patterns of depressive symptoms. Prenatal predictors (sociodemographic, health, substance use, sleep, and stress related factors, family atmosphere) of depressive symptom trajectories as well as association between parents' trajectories were analyzed using multinomial logistic regression. RESULTS: For both mothers and fathers, a solution with three stable depressive symptom trajectories (low: 63.1% mothers and 74.9% fathers; moderate: 28.1% and 22.6%; high: 8.8% and 2.6%) was considered the best fitting and most informative. Insomnia, earlier depression, anxiousness, stressfulness, and poor family atmosphere predicted the moderate and high (compared to low) depressive symptom trajectories among both mothers and fathers in multivariate analyses. Mother's higher depressive symptom trajectory was significantly associated with father's higher symptom trajectory (p < 0.001). LIMITATIONS: Number of cases in the high depressive symptom trajectory group among fathers was low. CONCLUSIONS: Maternal and paternal depressive symptom trajectories from prenatal period up to two years postpartum seem stable, indicating the chronic nature of perinatal depressive symptoms. Mothers' and fathers' trajectories are associated with each other and their strongest predictors are common to both.
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Fathers experience similar rates of perinatal depression as mothers.
“evidence suggests that fathers experience similar rates of perinatal depression as mothers and that depressive symptoms remain relatively stable up to 2 years postpartum [18].”
From Trajectories of Maternal and Paternal Internalizing Symptoms from Pregnancy to 2 Years Postpartum: Identifying Modifiable Risk and Protective Factors (2024) · cites this paper as [18]
The Results (page unavailable) report lower rates of self-reported depression among fathers than mothers at every measurement: 5.1% versus 11.0% prenatally and 10.2% versus 14.5% at 24 months postpartum. The study finds relatively stable symptom trajectories for both parents, but that does not establish similar rates of depression. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredPaternal depressive symptoms remain relatively stable up to 2 years postpartum.
“evidence suggests that fathers experience similar rates of perinatal depression as mothers and that depressive symptoms remain relatively stable up to 2 years postpartum [18].”
From Trajectories of Maternal and Paternal Internalizing Symptoms from Pregnancy to 2 Years Postpartum: Identifying Modifiable Risk and Protective Factors (2024) · cites this paper as [18]
Research showed a high prevalence of parental symptomatology after birth, which extends in a more chronic level of sub-clinical symptomatology for about 20-30% of parents during the first postpartum years.
“This is important because research showed a high prevalence of parental symptomatology after birth, which extends in a more chronic level of sub-clinical symptomatology for about 20–30% of parents during the first postpartum years [52, 59].”
The gender differences in depression, anxiety, and sleep at 6 weeks postpartum are in line with earlier research.
“This is in line with earlier research [59, 101].”
Previous research into depression suggested that the rise in symptomatology fathers experience after birth takes place later in the first year and develops more slowly than is the case for mothers.
“Previous research into depression suggested that the rise in symptomatology fathers experience after birth takes place later in the first year and develops more slowly than is the case for mothers [59].”
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- Authors
- Kiviruusu, O., Pietikäinen, J. T., Kylliäinen, A., Pölkki, P., Saarenpää-Heikkilä, O., Marttunen, M., Paunio, T., & Paavonen, E. J.
- Affiliations
- University of Helsinki (FI)
- Tampere University (FI)
- University of Eastern Finland (FI)
- Corresponding author
- Kiviruusu, Olli
- ORCID
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2020-01
- Volume
- 260
- Pages
- 629-637
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2972737000
- Cited by
- 143
- References
- 52
- Citations by year
- 2026: 15 · 2025: 17 · 2024: 31 · 2023: 31 · 2022: 20 · 2021: 14 · 2020: 14 · 2019: 1
- FWCI
- 11.34
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Affective Disorders (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Työväentutkimus Vuosikirja (submittedVersion)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion, other-oa)
- Funders
- Yrjö Jahnssonin Säätiö
- Signe ja Ane Gyllenbergin Säätiö
- Suomen Kulttuurirahasto
- Lastentautien Tutkimussäätiö
- Emil Aaltosen Säätiö
- Academy of Finland (308588, 309117, 134880, 277557, 253346, 317080 AK)
- 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
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- perinatal depression, maternal depressive symptoms, paternal depressive symptoms, depressive symptom trajectories, prenatal predictors, insomnia, anxiety, stress, family climate, postpartum depression
- MeSH terms
- Adult, Depression, Fathers, Female, Finland, Gestational Age, Humans, Male, Mothers, Pregnancy, Risk Factors, Stress, Psychological, Cohort Studies, Depression, Postpartum
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