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| 2. |
- Bergström, Malin, et al.
(författare)
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Swedish child health nurses treat fathers more equally in 2014 than 2004, but mothers remain their primary focus
- 2017
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 106:8, s. 1302-1308
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Tidskriftsartikel (refereegranskat)abstract
- Aim: This study focused on Swedish child health nurses' attitudes and the support they provided to fathers and mothers, highlighting changes from 2004 to 2014. Method: In 2014, 363 child health nurses in Stockholm County completed a 23-item questionnaire, similar to the questionnaire by Massoudi et al. in 2004, on their attitudes and the support they gave to fathers and mothers. Analyses were completed using chi-square tests of nurses' attitudes and support to fathers and mothers, and the results from the 2004 and 2014 studies were compared. Results: In 2014, the vast majority of nurses fully agreed that it was important to have close contact with both parents, but more than two-thirds did not feel they had the same competencies for mothers and fathers and three quarters found it complicated to support both parents. The majority viewed fathers more equally in 2014 than in 2004 and although they did provide more support to both parents, mothers in 2014 still received more support than fathers. Conclusion: While Swedish child health nurses viewed fathers as more equal to mothers in 2014 than 2004, mothers still received the majority of the parenting support.
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- Johansson, Maude, et al.
(författare)
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Depressive symptoms and parental stress in mothers and fathers 25 month after birth
- 2017
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Ingår i: Journal of Child Health Care. - : SAGE Publications. - 1367-4935 .- 1741-2889. ; 21:1, s. 65-73
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to determine the prevalence of depressive symptoms, feelings of incompetence and spouse relationship problems and their mutual relations. Data from a Swedish parent-infant population-based cohort 25 months after childbirth was used. A questionnaire containing Edinburgh Postnatal Depression Scale (EPDS) and a modified Swedish Parental Stress Questionnaire (SPSQ) regarding depression and parental stress was answered by 646 fathers and 700 mothers. Parents with depressive symptoms experienced more feelings of incompetence and spouse relationship problems than parents without depressive symptoms. The prevalence of depressive symptoms (EPDS >= 12) was more than11% for mothers and nearly 5% for fathers in the sample, 25 months after childbirth. The result indicated that feelings of incompetence and spouse relationship problems could be important constructs for understanding parental stress and depressive symptoms in the parents of young children. In conclusion, it is important that Child Health Care is attentive to both mothers' and fathers' depressive symptoms and parental stress after the first year.
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| 5. |
- Massoudi, Pamela, et al.
(författare)
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Depression and distress in Swedish fathers during the postnatal period.
- 2014
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Ingår i: Marcé International Society International Biennial General Scientific Meeting. Swansea, Wales, UK: 10-12 September 2014. - : Springer Science and Business Media LLC. - 1435-1102.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objective / Background To validate the Swedish version of the EPDS for fathers and to investigate the factor structure of the scale for both mothers and fathers. We also wanted to study the prevalence and corre- lates of depressive symptoms in fathers, and the help-seeking preferences of fathers with depressive symptoms. Methods A population-based sample of 1,014 couples were sent a questionnaire including the EPDS 3 months after the birth of their child. All high-scoring fathers and a random sample of low-scoring fathers were interviewed with a diagnostic interview. Results A factor analysis of the EPDS for fathers implies that the scale picks up more of worry, anxiety and unhappiness than depres- sion. The scale yielded high sensitivity and specificity, but a low PPV when screening for probable majo r depression in fathers. The point prevalence of depressive symptoms (EPDS 12 or more) was 6.3 % in fathers and 12.0 % in mothers. For fathers, the estimated point prevalence of major depression was 1.3 %. The strongest correlates of depressive symptoms in fath ers were: problems in the couple relationship, a history of depression, and experiencing two or more stressful life events during the past year. Conclusion / Discussion The EPDS seems to pick up more of general distress than depression in fathers. It is a valid instrument when screening for probable major depression in fathers, but questionable for minor depression. When signs of partner relationship difficulties are picked up, this should be followed up and appropriate referrals offered.
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| 7. |
- Massoudi, Pamela, et al.
(författare)
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'Everything that's said comes from me': New fathers' experiences of individual conversations with the child health nurse
- 2023
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Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 10:9, s. 6175-6185
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Tidskriftsartikel (refereegranskat)abstract
- Aim: Swedish Child Health Services provide regular health surveillance of children 0-5 years and support to parents, with the aim to contribute to equitable child healthcare and to promote physical, emotional, and social health for children. Individual conversations with the child health nurse, including screening for postnatal depression, have been recommended and well implemented for mothers, whereas routines for a visit specifically for the nonbirthing parent vary and are not well studied. The aim of this study was therefore to explore how nonbirthing parents experienced individual conversations with their child health nurse, held 3 months after the birth of their child. Design: Qualitative interview study. Methods: Semistructured interviews were conducted with 16 fathers who had participated in individual conversations with a nurse at their child health centre, 3 months post--partum. Data were analysed with qualitative content analysis. The study adhered to the COREQ checklist for qualitative studies. Results: The findings are presented in three categories: `Being invited into a supportive context', `Talking about what was important' and `Taking it home', each of them including three subcategories. The individual conversations, without the mother present, made the fathers feel important and allowed for a different type of content, tailored to their own needs. The conversations were validating and led to changes in daily routines with their child for some fathers.
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| 8. |
- Massoudi, Pamela, et al.
(författare)
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Fathers' depressive symptoms in the postnatal period : Prevalence and correlates in a population-based Swedish study
- 2016
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 44:7, s. 688-694
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Tidskriftsartikel (refereegranskat)abstract
- Aims: The aim of this study was to investigate the prevalence and correlates of depression in new fathers. Methods: A population-based sample of 885 Swedish fathers and their partners completed a questionnaire, including the EdinburghPostnatal Depression Scale at three months postpartum. Correlates of depressive symptoms were analysed with univariate andmultiple variable regression models. Results: Symptoms of depression were found in 6.3% of the fathers and 12.0% of themothers, and the point prevalence of major depression in fathers was 1.3%. The strongest correlates of depressive symptoms in fathers were problems in the partner relationship, a low educational level, previous depression, stressful life events and low partner support. The cross-sectional design could affect the magnitude of the results, and causal inferences cannot be made. Conclusions: Although the rate of depressive symptoms is lower in fathers than in mothers at three months postpartum, the associated factors are similar to those found in studies of mothers. The first visits at the childhealth centre could include a discussion with both parents about normal transition problems; balancing work,personal and family needs; and distress. When signs of distress or partner relationship difficulties are picked up,this should be followed up and support interventions offered.
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| 9. |
- Massoudi, Pamela, et al.
(författare)
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Fathers’ involvement in Swedish child health care: nurses’ attitudes and practice.
- 2008
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Ingår i: Poster presented to The Marcé Society Conference..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: To explore how Swedish child health nurses perceived working with fathers, and to what extent they detected and offered support to distressed fathers. Subjects and methods: A random sample of all 2580 nurses in Swedish Child Health Services (CHS), 499 nurses, were asked to complete a postal questionnaire. A response rate of 70% was achieved. Results: A ma-jority of the nurses found working with fathers important and rewarding. Fathers’ participation in CHS activities had increased over the years but many nurses wished for fathers to participate more. Questions reflecting attitudes to fathers as parents, however, revealed that around 50% of the nurses had an ambivalent attitude towards fathers’ innate caring capacities as compared to mothers’. Only one out of four nurses expressed that they attempted to in some way identify fa-thers that were distressed. None of these nurses used systematic methods or screening scales. Almost 90% of the nurses estimated that it only occasionally or practically never came to their at-tention that a father was distressed. Less than one out of five nurses had offered supportive listen-ing visits to distressed fathers in the previous year. The odds of giving supportive listening visits to fathers was three times greater for nurses who had regular supervision in their psychosocial work and six times greater for nurses with paediatric specialization. Conclusion: Despite having good intentions, many child health nurses in Sweden still have traditional views on mothers’ versus fa-thers’ innate caring capacities and do not detect and support distressed fathers to the same extent as they detect and support distressed mothers. Regular supervision and paediatric specialization seem to be important factors that promote nurses’ support to fathers. Adequate methods and rou-tines to increase support to fathers need to be developed.
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