About 10 percent of fathers experience prenatal or postpartum depression, with rates being highest in the 3 to 6 month postpartum period, according to an analysis of previous research appearing in the May 19 issue of JAMA, a theme issue on mental health.
It is well established that maternal prenatal and postpartum depression is prevalent and has negative personal, family, and child developmental outcomes, but the prevalence, risk factors and effects of depression among new fathers is not well understood, and has received little attention from researchers and clinicians, according to background information in the article.
· The overall estimate of paternal depression was 10.4 percent (estimated 12-month prevalence of depression among men in the general population is 4.8 percent).
· Differences were observed across study locations, with higher rates of prenatal and postpartum depression reported in the United States (14.1 percent vs. 8.2 percent internationally).
· There is a moderate correlation between depression in fathers and mothers.
“There are many implications of these findings. The observation that expecting and new fathers disproportionately experience depression suggests that more efforts should be made to improve screening and referral, particularly in light of the mounting evidence that early paternal depression may have substantial emotional, behavioral, and developmental effects on children. The correlation between paternal and maternal depression also suggests a screening rubric—depression in one parent should prompt clinical attention to the other. Likewise, prevention and intervention efforts for depression in parents might be focused on the couple and family rather than the individual,” the authors write.
“Future research in this area should focus on parents together to examine the onset and joint course of depression in new parents. This may increase our capacity for early identification of parental depression, add leverage for prevention and treatment, and increase the understanding of how parental depression conveys risk to infants and young children.”(JAMA. 2010;303:1961-1969.