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- 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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- 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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- 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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- Massoudi, Pamela, et al.
(författare)
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Fathers' involvement in Swedish child health care - the role of nurses' practices and attitudes
- 2011
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Ingår i: Acta Paediatrica. - 0803-5253. ; 100:3, s. 396-401
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To investigate how nurses in Swedish child health care perceived working with fathers, and to what extent they offered support to, and included fathers in clinical encounters. METHODS: A random sample of all nurses in Swedish child health care, 499 nurses, were asked to complete a postal questionnaire. The response rate was 70%. Data were analysed with content analysis, the chi-square test and logistic regression models. RESULTS: Almost all of the nurses found working with fathers positive. Fathers' participation in child health care was much lower than that of mothers'. Almost 90% of the nurses estimated that it rarely came to their attention that a father was distressed, and less than one of five nurses had offered supportive counselling to any distressed father in the previous year. Nurses with regular supervision on mental health issues and nurses with a paediatric specialization were more likely to offer supportive counselling to fathers. Approximately 50% of the nurses had an ambivalent attitude towards fathers' caring capacity when compared to that of mothers. CONCLUSIONS: Fathers received less support from child health nurses, and many nurses were ambivalent about fathers' caring abilities. Methods need to be developed to involve both parents in child health care.
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- Massoudi, P., et al.
(författare)
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How well does the Edinburgh Postnatal Depression Scale identify depression and anxiety in fathers? A validation study in a population based Swedish sample
- 2013
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Ingår i: Journal of Affective Disorders. - : Elsevier BV. - 0165-0327. ; 149:1-3, s. 67-74
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Tidskriftsartikel (refereegranskat)abstract
- Background: Fathers are increasingly involved in infant care, and depression in postnatal fathers as well as mothers may have negative effects on child development and behaviour. The EPDS has been validated to identify depression in new mothers, but few validation studies have involved fathers and there is doubt as to whether the EPDS measures the same constructs in men as in women. Subjects and methods: A population-based sample of 1014 couples were sent the EPDS and the HAD-A subscale 3 months postnatally. All high-scoring fathers and a random sample of fathers scoring low were invited for a diagnostic interview to assess the presence of any depression or anxiety disorder. A factor analysis of the EPDS data was conducted for mothers and fathers. Findings: A factor analysis of the EPDS data revealed a different factor structure for fathers, implying that the scale picks up more worry, anxiety and unhappiness than depression. The EPDS yields high sensitivity and specificity, but low positive predictive value when screening for probable major depression at the optimal cut-off score of 12 or more. The accuracy of the EPDS, however, is modest for minor depression, and low for anxiety disorders. Neither the EPDS-3A score nor the HAD-A subscale reached acceptable validity in this study. Conclusions: The EPDS seems to pick up more distress than pure depression in new fathers. It is a valid instrument for screening for probable major depression, but it is questionable if it should be used to screen for minor depression. Neither the EPDS nor the HAD-A subscale can be recommended for screening for anxiety in postnatal fathers. Limitations: Confidence intervals around the estimates are wide and the interviewed fathers were selected preferentially.
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