New research suggests postpartum depression is not limited to new moms as new dads may also develop depression. Unfortunately, a lack of information on male postpartum depression (PPD) has led to issues regarding detection and treatment of the little-known phenomenon among men.
Although PPD is very common with more than 3 millions cases a year in America, the condition is not insignificant as individuals diagnosed with PPD are at greater risk of developing major depression later on in life. PPD can also cause a host of problems including diminished parenting skills, substance abuse and domestic violence.
In the new study, University of Nevada Las Vegas researchers explored the issues fathers’ encounter and how they can move beyond barriers they face in receiving diagnoses and treatment. Their findings, which appear in the Journal of Family Issues, provide an in-depth view of new fathers’ experiences with postpartum depression (PPD).
Between 5 and 10 percent of new fathers in the United States suffer from PPD, according to U.S. Centers for Disease Control and Prevention data. One study shows that the risk goes up to 24 to 50 percent for men whose partners suffer from PPD.
The UNLV research team, led by Couple and Family Therapy professor Dr. Brandon Eddy, scoured blogs, websites, forums, and chat rooms for first-hand accounts from new dads. Six themes emerged:
- Needing education. Fathers didn’t know men could suffer from PPD and were surprised to learn others experienced it. Women who saw PPD in men were unsure of what to call it. Men complained about pushback or not receiving information from doctors or therapists, or frustration that the PPD resources they did manage to find focused solely on how to help their wives.
- Adhering to gender expectations. Many dads felt pressured to espouse traditional “tough guy” stereotypes. In fact, one man who told another father to “suck it up” said he knew it was bad advice but explained that it’s what’s expected of men.
- Repressing feelings. Men were reluctant to share their feelings for fear of sounding ridiculous or looking weak to their wives, who were the primary caregivers.
- Overwhelmed. Many of the new dads found it difficult to express their emotions of confusion, exhaustion, helplessness, loneliness, and feeling trapped. Parents often suffer from lack of sleep after birth, which can exacerbate stress and depressive symptoms — making them more irritable to their children’s crying.
- Resentment of baby. While many fathers expressed joy and excitement for the arrival of their children, others resented their baby’s constant needs and attention. A few talked about suppressing urges to hurt the baby or themselves.
- Experience of neglect. The dads felt lost, forgotten, and neglected — by their wives, the health care system, and society. One father described “uncomfortably laughing” while reading PPD screening questions typically asked of women during routine checkups: “I began to feel like someone should be asking me the same questions.” Another said men, who must simply wait while women do the hard work of pregnancy and labor and lack an umbilical cord connection to their children, had often shared with him similar stories of struggling with PPD.
“There’s no truly acceptable place or context for men to publicly reveal being challenged, much less rocked to the core, by what I call ‘sudden parenthood’.”
Overall, the findings complement previous studies on barriers for fathers suffering from PPD. UNLV researchers said encountering a lack of information and stigma often causes dads to distance themselves from their child and has been associated with marital difficulties.
Previous research has found having both parents involved with child-raising has many positive outcomes. It is well documented that active involvement by both parents help boys display less hostile behavior and reduces delinquency for both sexes. Moreover, co-parented children present considerably higher IQ scores in their early development years, and lower levels of emotional distress.
These findings are on top of studies showing fathers who suffer from PPD report lower levels of communication with their partners, as well as increased rates of substance abuse and domestic violence.
“The expectations society gives to men of what they are supposed to be, what they are supposed to do, and how they do it was a significant factor on how many of these men chose to cope with life stressors,” the UNLV researchers wrote.
“Because men are already less likely than women to seek professional help for depression, it is vital that the stigma of PPD decreases,” they added.
“Because paternal involvement is a significant factor in the healthy development of children, it would seem wise to make information about paternal PPD more available in order to combat its negative impact on families.”
The U.S. Preventative Services Task Force, an independent coalition of national experts, recently recommended that all women be screened for depression before and after giving birth. There is no current assessment designed to specifically screen men for PPD.
“With the vast amount of research conducted on the importance of paternal involvement and the rising rates of PPD in fathers,” researchers wrote, “it seems logical that fathers should also be included in this recommendation.”
Source: University of Nevada, Las Vegas