A review of the incidence and influencing factors of perinatal depression in fathers
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摘要: 围产期不仅是母亲抑郁的高发期，父亲在此期间也面临较高的抑郁风险。为了解父亲围产期抑郁发生的特点和原因，本研究拟对2018―2023年国内外父亲围产期抑郁的发生率和影响因素进行综述。结果发现父亲围产期抑郁的发生率较高，尤其在母亲孕早期和产后6个月，且发生率因量表、临界值、研究人群、围产时期以及社会文化背景的差异而不同。父亲围产期抑郁的影响因素主要包括人口学因素、社会家庭因素、心理因素、孕产因素和新生儿相关因素五个方面。因此，为更好地识别、预防和干预父亲围产期抑郁，需从多个角度出发、综合考虑多方面的因素，有针对性地开展研究，以便提供更专业的支持和干预。Abstract: The perinatal period is not only a period of high incidence of depression among women, but fathers also face a high risk to depression during this period. In order to better understand the characteristics and causes of paternal perinatal depression, this study aims to review the incidence and influencing factors of perinatal depression among fathers at home and abroad during 2018-2023. The results showed that the incidence of paternal perinatal depression was relatively high, particularly in early pregnancy and 6 months postpartum. The incidence rates varies due to the different scales, cutoff points, study populations, perinatal periods, as well as cultural and social backgrounds. The influencing factors of paternal perinatal depression could be summarized into five aspects: demographic factors, social and family factors, psychological factors, pregnancy and childbirth-related factors, and newborn-related factors. Therefore, to better identify, prevent and intervene in paternal perinatal depression, it is necessary to conduct targeted research from multiple perspectives and integrate various factors in order to provide more professional support and intervention.
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Key words:
- Father /
- Perinatal depression /
- Incidence /
- Influencing factors
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表 1 相关文献基本信息
Table 1. Basic information of related literature
作者
Author量表(截断值)
Scale(cut-off)测量时间
Time of assessment发生率/%
Incidence/%Zhang等(2021年)[2] Zhang, et al(2021)[2] EPDS(≥10) 孕期During pregnancy 7.93 Kiepura等(2020年)[3] Kiepura, et al(2020)[3] EPDS(≥12) 孕24~37周24-37 weeks gestation 4.00 Kiviruusu等(2020年)[4] Kiviruusu, et al(2020)[4] CES-D(≥10) 孕32周32 weeks gestation 5.10 Maleki等(2018年)[5] Maleki, et al(2018)[5] EPDS(≥10) 孕晚期Third trimester 23.30 Rao等(2020年)[6] Rao, et al(2020)[6] 孕早期First trimester 13.59 孕中期Second trimester 11.31 孕晚期Third trimester 10.12 产后1个月内Within 1 month postpartum 8.98 产后1~3个月1-3 months postpartum 7.82 产后3~6个月3-6 months postpartum 9.23 产后6~12个月6-12 months postpartum 8.40 Zheng等(2022年)[8] Zheng, et al(2022)[8] EPDS(≥13) 产后2~3 d 2-3 days postpartum 4.10 产后6周6 weeks postpartum 8.20 产后3个月3 months postpartum 9.00 产后6个月6 months postpartum 9.00 袁晓红等(2021年)[9] Yuan XH, et al(2021)[9] EPDS(≥9) 产后3个月3 months postpartum 11.95 鲍祎敏等(2019年)[10] Bao YM, et al(2019)[10] EPDS(≥9) 产后1年内Within 1 year postpartum 14.50 周扬等(2021年)[11] Zhou Y, et al(2021)[11] EPDS(≥9) 产后2 d 2 days postpartum 20.10 产后42 d 42 days postpartum 24.30 Gray等(2018年)[12] Gray, et al(2018)[12] EPDS(≥10) 产后1~2 d 1-2 days postpartum 9.10 Howarth等(2020年)[13] Howarth, et al(2020)[13] EPDS(≥10) 产后6个月6 months postpartum 12.00 Da Costa等(2019年)[14] Da Costa, et al(2019)[14] EPDS(≥10) 产后2个月2 months postpartum 13.80 产后6个月6 months postpartum 13.60 Gaillot等(2023年)[15] Gaillot, et al(2023)[15] EPDS(≥10) 产后6个月内Within 6 months postpartum 19.95 Atif等(2022年)[16] Atif, et al(2022)[16] EPDS(≥10) 产后10~12周10-12 weeks postpartum 23.50 Philpott等(2018年)[17] Philpott, et al(2018)[17] EPDS(≥9) 产后1年内Within 1 year postpartum 28.00 Yamakawa等(2023年)[18] Yamakawa, et al(2023)[18] EPDS(≥8) 产后5天5 days postpartum 14.00 产后3个月3 months postpartum 12.10 产后6个月6 months postpartum 23.40 产后1年1 year postpartum 17.80 Bamishigbin等(2020年)[19] Bamishigbin, et al(2020)[19] EPDS(≥9) 产后1个月1 month postpartum 10.34 产后6个月6 months postpartum 14.80 产后12个月12 months postpartum 12.49 注：EPDS，爱丁堡产后抑郁量表；CES-D，流调中心用抑郁量表。
Note：EPDS, Edinburgh postnatal depression scale; CES-D, the center for epidemiologic studies depression scale.
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