Temporal Association Between Maternal Depression and Paternal Postpartum Depression.

IF 4.3 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

American Journal of Preventive Medicine Pub Date : 2025-03-04 DOI:10.1016/j.amepre.2025.02.014

Kris F Wain, Matthew F Daley, Marcelo Coca Perraillon

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引用次数: 0

Abstract

Introduction: Paternal postpartum depression may affect 28% of fathers, but its temporal association with maternal postpartum depression is not well understood. This study aimed to quantify the temporal association between maternal postpartum depression and paternal postpartum depression, considering mother's depression history and other clinical factors.

Methods: Data for this retrospective cohort study were obtained from Kaiser Permanente Colorado health records between 2008 and 2019. The cohort included father-mother dyads having live-birth pregnancies. Diagnostic codes identified postpartum depression during the 12 months after childbirth. Complementary log-log models with inverse probability of treatment weighting estimated the relative risk of paternal postpartum depression by maternal postpartum depression, stratified by maternal depression history. Statistical analyses were performed between 2022 and 2024.

Results: The sample included 15,257 father-mother dyads contributing 19,352 pregnancies, in which neither parent had a history of postpartum depression. Among these pregnancies, 326 paternal postpartum depression diagnoses (1.7%) and 1,731 maternal postpartum depression diagnoses (8.9%) were identified. Paternal postpartum depression was more common in dyads with maternal postpartum depression (3.0%) than in dyads without (1.6%). Maternal postpartum depression was associated with an 81% increase in paternal postpartum depression (relative risk=1.81; 95% CI=1.14, 2.87) if the mother had no history of depression. However, no association was observed if the mother had a history of depression.

Conclusions: Among a cohort of father-mother dyads having live-birth pregnancies, maternal postpartum depression was associated with increased paternal postpartum depression but only if the mother had no history of depression. Study findings highlight the need to develop depression screening tools for fathers that consider risk factors for both parents.

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来源期刊

American Journal of Preventive Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

8.60

自引率

1.80%

发文量

395

审稿时长

32 days

期刊介绍： The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health. Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.