A randomized controlled trial investigating the impact of coping strategies training for fathers during pregnancy on postnatal depression among couples.

IF 2 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-31 Epub Date: 2025-10-06 DOI:10.1080/0167482X.2025.2566074

Reyhaneh Mozaffari, Nasim Bahrami, Mahmoud Bahramkhani, Mark D Griffiths, Zainab Alimoradi

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引用次数: 0

Abstract

Background: Postpartum depression (PPD) is a significant public health concern affecting both mothers and fathers, with paternal well-being being a crucial yet often neglected factor in family mental health.

Objective: The present study investigated the impact of coping strategies training for fathers during pregnancy on couples' PPD.

Methods: A randomized controlled trial was conducted comprising 86 couples experiencing first-time pregnancy (43 per group) in Qazvin, Iran, in 2024. The intervention group received five virtual sessions (45-60 min each) on coping strategies, while the control group received routine prenatal education through their routine prenatal care visits.

Results: Post-intervention, couples' perceived stress scores decreased significantly at the first and second follow-up in the intervention vs. control group. The training significantly increased problem-focused strategy scores by 2.76 points among mothers (standardized mean difference [SMD] = 1.51) and 1.89 points among fathers (SMD = 0.99) compared to controls at one-month postpartum, while reducing emotion-focused coping among mothers by -2.23 points (SMD = -1.03) and among fathers by -1.71 points (SMD = -0.77). PPD scores were significantly lower in the intervention group (mean difference of -5.51 among women and -4.55 among men; both p < 0.001).

Conclusion: Antenatal coping strategies training for fathers can be an effective intervention to mitigate PPD by reducing their stress.

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一项调查怀孕期间父亲应对策略训练对夫妇产后抑郁症影响的随机对照试验。

背景：产后抑郁症（PPD）是一个影响母亲和父亲的重大公共卫生问题，父亲的幸福是家庭心理健康中一个至关重要但往往被忽视的因素。目的：探讨孕期父亲应对策略训练对夫妻产后抑郁症的影响。方法：一项随机对照试验于2024年在伊朗Qazvin进行，包括86对首次怀孕的夫妇（每组43对）。干预组接受5次虚拟会议（每次45-60分钟）的应对策略，而对照组通过常规产前护理访问接受常规产前教育。结果：干预后，干预组夫妇在第一次和第二次随访时的感知压力得分明显低于对照组。产后一个月，与对照组相比，培训显著提高了母亲的问题关注策略得分2.76分（标准化平均差[SMD] = 1.51）和父亲的问题关注策略得分1.89分（SMD = 0.99），而降低了母亲的情绪关注策略得分-2.23分（SMD = -1.03）和父亲的情绪关注策略得分-1.71分（SMD = -0.77）。干预组的PPD评分明显较低（女性平均差异为-5.51，男性平均差异为-4.55，均p < 0.001）。结论：对父亲进行产前应对策略培训可有效缓解产后障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosomatic Obstetrics & Gynecology 医学-妇产科学

CiteScore

6.10

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.