Predictors and Changes in Paternal Perinatal Depression Profiles—Insights From the DREAM Study
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In contrast to the large body of research on maternal perinatal depression, paternal perinatal mental health has received little attention; and longitudinal studies on paternal perinatal depression, following (expectant) fathers over time, are exceedingly rare. This population-based study aimed to (1) estimate prevalence rates of perinatal depression symptoms among German (expectant) fathers, (2) identify differential profiles of perinatal depression in (expectant) fathers, (3) determine modifiable predictors of latent depression profiles, and (4) estimate how membership in subgroups changes during the perinatal period. Data were derived from the longitudinal cohort study DREAM (Dresden Study on Parenting, Work, and Mental Health), including 1,027 (expectant) fathers responding to the Edinburgh Postnatal Depression Scale (EPDS) during pregnancy and eight weeks postpartum. Unobserved profiles of paternal perinatal depression and movement between profiles were investigated using latent transition analysis. A number of potential predictors with regard to lifestyle and current life situation were included as covariates. We found that rates of paternal depression symptoms decreased with 9% during pregnancy to 5% at eight weeks postpartum. Further, four latent depression profiles emerged: most (expectant) fathers did not exhibit any depression symptoms (not depressed), whereas some reported mainly the absence of joy (anhedonic) and some experienced mainly self-blame and worries (anxious-worried). The depressive profile was characterized by endorsement to most symptoms of perinatal depression. Perceived social support and relationship satisfaction appeared to be protective against paternal depression symptoms. Differential transitioning or stability patterns in profile membership during the perinatal period were found, whereas the depressive profile showed to be the least stable. This prospective population-based cohort study is the first study to identify paternal perinatal depression profiles together with their predictors and changes during the perinatal period. Future research is warranted to examine whether the identified paternal depression profiles have differential outcomes, particularly in the context of person-centered prevention and intervention strategies. Further, longitudinal trajectories of paternal depression ought to be studied, taking into account additional measurement points as well as modifiable risk factors.
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Poorer relationship quality has been linked to paternal depression.
“Finally, contextual factors related to the intimate relationship, namely poorer relationship quality and lack of social support, have been linked to maternal depression and anxiety [13, 15, 40], as well as paternal depression [32, 34, 42].”
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 [42]
Lack of social support has been linked to paternal depression.
“Finally, contextual factors related to the intimate relationship, namely poorer relationship quality and lack of social support, have been linked to maternal depression and anxiety [13, 15, 40], as well as paternal depression [32, 34, 42].”
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 [42]
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Cites
Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2008.08.010 · Cited by 51,384 · see citing works
Estimating the Dimension of a Model
Schwarz, G. (1978) · The Annals of Statistics · doi:10.1214/aos/1176344136 · Cited by 47,033 · see citing works
The REDCap consortium: building an international community of software platform partners
Harris, P. A., Taylor, R., Minor, B. L., Elliott, V., Fernandez, M., O'Neal, L., McLeod, L., Delacqua, G., Delacqua, F., Kirby, J., et al. (2019) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2019.103208 · Cited by 24,013 · see citing works
Information Theory and an Extension of the Maximum Likelihood Principle
Akaike, H. (1998) · Springer series in statistics · doi:10.1007/978-1-4612-1694-0_15 · Cited by 18,384 · see citing works
Detection of Postnatal Depression: Development of the 10-item Edinburgh Postnatal Depression Scale
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987) · British Journal of Psychiatry · doi:10.1192/bjp.150.6.782 · Cited by 13,982 · see citing works
Zhang, Q., Wang, C., Zheng, M., Li, Y., Li, J., Zhang, L., Shang, X., & Yan, C. (2014) · Cerebrovascular Diseases · doi:10.1159/000369778 · Cited by 11,609 · see citing works
Projections of Global Mortality and Burden of Disease from 2002 to 2030
Mathers, C. D., & Loncar, D. (2006) · PLoS Medicine · doi:10.1371/journal.pmed.0030442 · Cited by 11,386 · see citing works
McLachlan, G., & Peel, D. (2000) · Wiley Series in Probability and Statistics · doi:10.1002/0471721182 · Cited by 10,991 · see citing works
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., & Wang, P. S. (2003) · JAMA · doi:10.1001/jama.289.23.3095 · Cited by 7,988 · see citing works
Perinatal Depression: A Systematic Review of Prevalence and Incidence
Gavin, N. I., Gaynes, B. N., Lohr, K. N., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005) · Obstetrics & Gynecology · doi:10.1097/01.aog.0000183597.31630.db · Cited by 3,282 · see citing works
An entropy criterion for assessing the number of clusters in a mixture model
Celeux, G., & Soromenho, G. (1996) · Journal of Classification · doi:10.1007/bf01246098 · Cited by 2,448 · see citing works
Predictors of Postpartum Depression
Beck, C. T. (2001) · Nursing Research · doi:10.1097/00006199-200109000-00004 · Cited by 1,960 · see citing works
Antenatal risk factors for postpartum depression: a synthesis of recent literature
Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2004.02.006 · Cited by 1,886 · see citing works
Grote, N. K., Bridge, J. A., Gavin, A. R., Melville, J. L., Iyengar, S., & Katon, W. J. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2010.111 · Cited by 1,882 · see citing works
Wang, J., & Wang, X. (2012) · Wiley series in probability and statistics · doi:10.1002/9781118356258 · Cited by 1,373 · see citing works
Paulson, J. F., & Bazemore, S. D. (2010) · JAMA · doi:10.1001/jama.2010.605 · Cited by 1,337 · see citing works
Alder, J., Fink, N., Bitzer, J., Hösli, I., & Holzgreve, W. (2007) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767050701209560 · Cited by 872 · see citing works
Paternal depression in the postnatal period and child development: a prospective population study
Ramchandani, P., Stein, A., Evans, J., & O'Connor, T. G. (2005) · The Lancet · doi:10.1016/s0140-6736(05)66778-5 · Cited by 819 · see citing works
New Parents and Mental Disorders: A Population-Based Register Study
Munk-Olsen, T., Laursen, T. M., Pedersen, C. B., Mors, O., & Mortensen, P. B. (2006) · JAMA · doi:10.1001/jama.296.21.2582 · Cited by 727 · see citing works
Goodman, J. H. (2004) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2003.02857.x · Cited by 660 · see citing works
Bridgett, D. J., Burt, N. M., Edwards, E. S., & Deater-Deckard, K. D. (2015) · Psychological Bulletin · doi:10.1037/a0038662 · Cited by 637 · see citing works
Effects of paternal depression on fathers' parenting behaviors: a meta-analytic review
Wilson, S., & Durbin, C. E. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.10.007 · Cited by 603 · see citing works
Prevalence of paternal depression in pregnancy and the postpartum: an updated meta-analysis
Cameron, E. E., Sedov, I. D., & Tomfohr-Madsen, L. M. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.07.044 · Cited by 586 · see citing works
Depression in Men in the Postnatal Period and Later Child Psychopathology: A Population Cohort Study
Ramchandani, P. G., Stein, A. L., O’Connor, T. G., Heron, J., Murray, L., & Evans, J. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e31816429c2 · Cited by 468 · see citing works
Condon, J. T., Boyce, P. M., & Corkindale, C. J. (2004) · Australian & New Zealand Journal of Psychiatry · doi:10.1111/j.1440-1614.2004.01298.x · Cited by 451 · see citing works
Depressive Disorders During Pregnancy: Prevalence and Risk Factors in a Large Urban Sample
Melville, J. L., Gavin, A., Guo, Y., Fan, M.-Y., & Katon, W. J. (2010) · Obstetrics & Gynecology · doi:10.1097/aog.0b013e3181f60b0a · Cited by 329 · cited 3× · see citing works
“Given the clear need for longitudinal studies on paternal perinatal depression, this population-based study aimed to (1) estimate prevalence rates of perinatal depression symptoms among German (expectant) fathers, (2) identify differential profiles of perinatal depression in (expectant) fathers, (3) determinemodifiabl…”
BackgroundDeutschsprachige Fassung und Validierung der »Edinburgh postnatal depression scale«
Bergant, A. M., Nguyen, T., Heim, K., Ulmer, H., & Dapunt, O. (2008) · DMW - Deutsche Medizinische Wochenschrift · doi:10.1055/s-2007-1023895 · Cited by 318 · see citing works
Early parental depression and child language development
Paulson, J. F., Keefe, H. A., & Leiferman, J. A. (2009) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2008.01973.x · Cited by 267 · see citing works
Edmondson, O., Psychogiou, L., Vlachos, H., Netsi, E., & Ramchandani, P. G. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.01.069 · Cited by 262 · see citing works
Condon, J. T., Corkindale, C. J., & Boyce, P. M. (2004) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/000486740403800102 · Cited by 228 · see citing works
Social and Emotional Competence in Children of Depressed Mothers
Goodman, S. H., BROGAN, D. R., Lynch, M. E., & Fielding, B. (1993) · Child Development · doi:10.1111/j.1467-8624.1993.tb02925.x · Cited by 211 · see citing works
Fragebogen zur sozialen Unterstützung (F-SozU): Normierung der Kurzform (K-14)
Fydrich, T., Sommer, G., Tydecks, S., & Brähler, E. (2009) · Zeitschrift für Medizinische Psychologie · doi:10.3233/zmp-2009-18_1_08 · Cited by 178 · see citing works
Ayers, S., Joseph, S., McKenzie‐McHarg, K., Slade, P., & Wijma, K. (2008) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/01674820802034631 · Cited by 164 · see citing works
Longitudinal Model Building Using Latent Transition Analysis: An Example Using School Bullying Data
Ryoo, J. H., Wang, C., Swearer, S. M., Hull, M., & Shi, D. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00675 · Cited by 153 · see citing works
The Impact of Perinatal Depression on Children’s Social-Emotional Development: A Longitudinal Study
Junge, C., Garthus‐Niegel, S., Slinning, K., Polte, C., Simonsen, T. B., & Eberhard‐Gran, M. (2016) · Maternal and Child Health Journal · doi:10.1007/s10995-016-2146-2 · Cited by 143 · see citing works
Self-citationMassoudi, P., Hwang, C. P., & Wickberg, B. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.01.005 · Cited by 137 · see citing works
Goecke, T. W., Voigt, F., Faschingbauer, F., Spangler, G., Beckmann, M. W., & Beetz, A. (2012) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-012-2286-6 · Cited by 131 · see citing works
Tuohy, A. P., & McVey, C. (2008) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.2008.tb00463.x · Cited by 129 · see citing works
Paternal depressive symptoms during pregnancy are related to excessive infant crying
van den Berg, M. P., van der Ende, J., Crijnen, A. A. M., Jaddoe, V. W. V., Moll, H. A., Mackenbach, J. P., Hofman, A., Hengeveld, M. W., Tiemeier, H., & Verhulst, F. C. (2009) · Pediatrics · doi:10.1542/peds.2008-3100 · Cited by 127 · see citing works
Social and Emotional Competence in Children of Depressed Mothers
Goodman, S. H., BROGAN, D. R., Lynch, M. E., et al. (1993) · Child Development · doi:10.2307/1131266 · Cited by 122 · see citing works
The buffering effect of relationship satisfaction on emotional distress in couples
Røsand, G.-M. B., Slinning, K., Eberhard‐Gran, M., Røysamb, E., & Tambs, K. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-66 · Cited by 117 · see citing works
Risks of untreated depression during pregnancy.
Bonari, L., Bennett, H., Einarson, A., & Koren, G. (2004) · Europe PMC (PubMed Central) · Cited by 111 · see citing works
Fredriksen, E., von Soest, T., Smith, L., & Moe, V. (2018) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-018-0428-4 · Cited by 106 · see citing works
Kliem, S., Job, A., Kröger, C. B., Bodenmann, G., Stöbel‐Richter, Y., Hahlweg, K., & Brähler, E. (2012) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000135 · Cited by 100 · see citing works
Hewitt, C. E., Gilbody, S. M., Mann, R., & Brealey, S. (2010) · International Journal of Psychiatry in Clinical Practice · doi:10.3109/13651500903198020 · Cited by 86 · see citing works
Factors related to depression during pregnancy: are there gender differences?
Escribe-Aguir, V., González‐Galarzo, M. C., Barona-Vilar, C., & Artazcoz, L. (2008) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2007.063016 · Cited by 78 · see citing works
Kress, V., Steudte‐Schmiedgen, S., Kopp, M., Förster, A., Altus, C., Schier, C., Wimberger, P., Kirschbaum, C., von Soest, T., Weidner, K., et al. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01273 · Cited by 66 · see citing works
Self-citationEdinburgh Postnatal Depression Scale
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987) · PsycTESTS Dataset · doi:10.1037/t01756-000 · Cited by 61 · see citing works
Massoudi, P., Hwang, C. P., & Wickberg, B. (2016) · Scandinavian Journal of Public Health · doi:10.1177/1403494816661652 · Cited by 59 · see citing works
Depressive Symptom Prevalence and Predictors in the First Half of Pregnancy
Kinser, P. A., Thacker, L. R., Lapato, D. M., Wagner, S., Roberson‐Nay, R., Jobe‐Shields, L., Amstadter, A. B., & York, T. P. (2017) · Journal of Women s Health · doi:10.1089/jwh.2017.6426 · Cited by 36 · see citing works
Self-citationTrajectories of Postpartum Depression in Italian First-Time Fathers
Molgora, S., Fenaroli, V., Malgaroli, M., & Saita, E. (2017) · American Journal of Men s Health · doi:10.1177/1557988316677692 · Cited by 31 · see citing works
Drozd, F., Haga, S. M., Valla, L., & Slinning, K. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.07.081 · Cited by 30 · see citing works
Self-citationDOES FATHERS' PRENATAL MENTAL HEALTH BEAR A RELATIONSHIP TO PARENTING STRESS AT 6 MONTHS?
Skjøthaug, T., Smith, L., Wentzel-Larsen, T., & Moe, V. (2018) · Infant Mental Health Journal · doi:10.1002/imhj.21739 · Cited by 30 · see citing works
Postnatal depression in fathers
Cox, J. (2005) · The Lancet · doi:10.1016/s0140-6736(05)67372-2 · Cited by 28 · see citing works
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Zacher, M., Wollanka, N., Sauer, C., Haßtenteufel, K., Wallwiener, S., Wallwiener, M., & Maatouk, I. (2022) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-022-06612-2 · Cited by 9 · see citing works
Laifer, L. M., Ramsdell, E. L., Stasik-O’Brien, S. M., Martin, R. C. B., & Brock, R. L. (2024) · Depression and Anxiety · doi:10.1155/2024/5164261
- Authors
- Garthus-Niegel, S., Staudt, A., Kinser, P., Haga, S. M., Drozd, F., & Baumann, S.
- Affiliations
- Technische Universität Dresden (DE)
- Virginia Commonwealth University (US)
- Center for Child and Adolescent Mental Health, Eastern and Southern Norway (NO)
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2020-10-29
- Volume
- 11
- Pages
- 563761-563761
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC7658469
- OpenAlex
- W3095601547
- Cited by
- 46
- References
- 54
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 8 · 2023: 8 · 2022: 11 · 2021: 6 · 2020: 1
- FWCI
- 4.87
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Funders
- Deutsche Forschungsgemeinschaft
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Demography › Family Dynamics and Relationships
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- expectant fathers, latent transition analysis, anhedonia, anxiety and worry, depressive symptoms, perceived social support, relationship satisfaction, pregnancy, postpartum period, depression prevalence, predictors of depression, profile stability, DREAM study
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