Dads Are Not Receiving Needed Care for Postnatal Depression

Although depression among new mothers is a well-identified condition, experts have only recently understood that some new fathers are also at risk.

A new Swedish study shows that depression among new fathers may be even more common than previously believed. Investigators also determined that today’s screening instruments often fail to detect this depression, placing new fathers at risk because they do not receive the help they need.

It is important to detect depression in new parents not only for their own sake, but also because depressed parents often become less perceptive to the needs of their child — particularly if the child cries a lot.

Lund University researchers explain that babies of depressed parents tend to receive less stimulation which, eventually, could lead to slower development. In some cases, depression may lead to neglect of the child or inappropriately forceful behaviors.

“These behaviors are not unusual — depression does not only involve major suffering for the parent, but also a risk for the child”, says Elia Psouni, associate professor of developmental psychology and co-author of the study. Additional coauthors include psychologists Johan Agebj√∂rn and Hanne Linder.

In Sweden, all new mothers are screened for depression. This detection efforts reveal that an estimated 10-12 percent of women become depressed during their first year after giving birth. Fathers, however, are not screened, but previous international studies suggest that the proportion of depressed fathers amounts to just over eight percent.

The new study of 447 new fathers showed that the established method of detecting depression by using the Edinburgh Postnatal Depression Scale or EPDS, failed to detect many depression symptoms.

“This means that current statistics may not tell the whole truth when it comes to depression in new fathers”, says Elia Psouni.

“The screening method does not capture symptoms which are particularly common in men, such as irritation, restlessness, low stress tolerance, and lack of self-control.”

Although one-third of the depressed fathers in the study had thoughts of hurting themselves, very few were in contact with the healthcare system.

Among those who were classified being moderately to severely depressed, 83 percent had not shared their suffering with anyone. Although difficult to know, the corresponding figure for new mothers is believed to be 20-50 percent.

“Telling people you feel depressed is taboo; as a new parent, you are expected to be happy. On top of that, previous research has shown that men are often reluctant to seeking help for mental health issues, especially depression; therefore, it’s doubtful that they would reveal their suffering to a pediatric nurse”, says Elia Psouni.

For the study, a new questionnaire was developed that the researchers believe will lead to improved screening methods for all fathers. The method they developed, which combines questions from EPDS and GMDS (Gotland Male Depression Scale), proved to be well-suited for capturing dads with multiple symptoms of depression.

When it comes to screening depression in fathers, Psouni thinks that the period to consider should be longer than the 12 months currently applied in studies of new mothers.

“Among dads, depression is common even at the end of the first year, which may be due to the fact that they rarely get help, but there may be other explanations.

Whatever the reason, it is important to monitor dads’ wellbeing as their part of the parental leave usually occurs towards the end of the child’s first year of life.”

Source: University of Lund/EurekAlert