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Subject:
From:
"Kermaline J. Cotterman" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 5 Mar 2004 15:34:26 -0500
Content-Type:
text/plain
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text/plain (53 lines)
Seen on Medscape: Slightly OT, but good information for LNetters:
J Adv Nurs 2004 Jan;45(1):26-35     (ISSN: 0309-2402)
Goodman JH
Doctoral Candidate, Boston College Connell School of Nursing, Chestnut
Hill, Massachusetts, USA.
BACKGROUND: Much attention has been paid to the problem of postpartum
depression in women. However, there is some indication that men also
experience depression after the birth of a child, and that paternal
depression is linked to maternal depression. AIMS: The purpose of this
integrative review was to examine current knowledge about postpartum
depression in fathers. Specific aims were (1) to examine the incidence of
paternal depression in the first year after the birth of a child, (2) to
identify the characteristics and predictors of paternal postpartum
depression, (3) to describe the relationship between maternal and
paternal postpartum depression, and (4) to discuss the influence of
paternal depression on the family and infant. METHODS: A literature
search from 1980 to 2002 was carried out using the CINAHL, PsychInfo, and
Medline electronic databases. Twenty research studies were identified
that included incidence rates of paternal depression during the first
year postpartum. These were further examined and synthesized regarding
onset, severity, duration, and predictors of paternal depressive
symptoms, and for information about the relationship between maternal and
paternal depression. FINDINGS: During the first postpartum year, the
incidence of paternal depression ranged from 1.2% to 25.5% in community
samples, and from 24% to 50% among men whose partners were experiencing
postpartum depression. Maternal depression was identified as the
strongest predictor of paternal depression during the postpartum period.
The implications of parental depression for family health were discussed.
CONCLUSIONS: Postpartum depression in men is a significant problem. The
strong correlation of paternal postpartum depression with maternal
postpartum depression has important implications for family health and
well-being. Consideration of postpartum depression in fathers as well as
mothers, and consideration of co-occurrence of depression in couples, is
an important next step in research and practice involving childbearing
families.

Jean
************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA

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