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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >The prevalence and risk factors for postpartum depression symptoms of fathers at one and 6 months postpartum: an adjunct study of the Japan Environment & Children's Study
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The prevalence and risk factors for postpartum depression symptoms of fathers at one and 6 months postpartum: an adjunct study of the Japan Environment & Children's Study

机译：产后父亲产后抑郁症状的患病率和危险因素：日本环境与儿童研究的辅助研究

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Objective:To survey prevalence and risk factors for paternal postpartum depression symptoms at one and 6 months postpartum in Japan. Material and methods:The study participants enrolled in the prospective birth cohort study of an adjunct study of the Japan Environment and Children's Study. Postpartum depression symptoms were evaluated using the Japanese version of the Edinburgh Postnatal Depression Scale (EPDS-J). The cut-off scores on the paternal EPDS-J were eight and on maternal EPDS-J was nine, respectively. The multivariate logistic regression included an adjustment for paternal age, maternal age, the number of children in the family, family structure, paternal employment, paternal academic history, household income, paternal smoking status, paternal history of mental health disorders, the Kessler 6-item psychological distress scale (K6) score during pregnancy, infertility treatment, paternal mental intimate partner violence (IPV) during pregnancy, paternal physical IPV during pregnancy, the sex of the newborn, congenital anomalies of the newborn, infant disease under medical treatment, returning to the maternal parent's house to give birth or take care of infant, the father's history of disease or injury that required medical treatment, paternity leave, and the EPDS-J for mothers. Results:A total of 1023 and 1330 fathers and their spouse who had a single delivery were assessed at one and 6 months postpartum, respectively. The prevalence of paternal EPDS-J scores >= 8 was 11.2 and 12.0% at one and 6 months postpartum, respectively. In the multiple logistics analysis, paternal EPDS-J scores >= 8 at 1 month postpartum was significantly associated with history of mental health disorders (adjusted odds ratio (AOR) 2.825; 95% confidence interval (CI): 1.047-7.623), K6 score >= 13 during pregnancy (AOR 4.116; 95% CI: 1.598-10.599), household income = 8 at 6 months postpartum was significantly associated with K6 scores >= 13 during pregnancy (AOR 4.621; 95% CI: 2.113-10.107), unemployment (AOR 3.751; 95% CI: 1.739-8.091) and maternal EPDS-J scores >= 9 (AOR 2.460; 95% CI: 1.514-3.996). Conclusion:The prevalence of paternal postpartum depression symptoms were 11.2 and 12.0% at one and 6 months postpartum. Paternal postpartum depression symptoms at 1 month postpartum were associated with the history of mental health disorders, psychological distress during pregnancy, low income, and infant disease under medical treatment. Paternal postpartum depression symptoms at 6 months postpartum were associated with psychological distress during pregnancy, unemployment, and maternal postpartum depression. It is important to consider the paternal postpartum depression symptoms, and further enlightenment regarding these issues is recommended in Japan.
机译：目的：在日本产后产后患者产后抑郁症状的患病率和风险因素。材料与方法：研究参与者参加了日本环境和儿童研究的辅助研究的预期出生队列研究。使用日语版的爱丁堡产后抑郁尺度（EPDS-J）评估产后抑郁症状。父EPDS-J上的截止分数分别为八个和母体EPDS-J。多变量逻辑回归包括父母年龄，孕产妇年龄，家庭中儿童人数，家庭结构，父亲的就业，父目学术史，家庭收入，父亲吸烟状态，父系卫生障碍的父母史，凯勒6-项目心理痛苦（K6）评分在怀孕期间，不孕症治疗，妊娠期间怀孕期间的暴力（IPV），怀孕期间的父IPV，新生儿，新生儿的先天性异常治疗，婴幼儿疾病在医疗下，返回对于母亲家长的房子来分娩或照顾婴儿，父亲的疾病史或受伤的历史，所需的医疗，亲子关系和母亲的EPD-J。结果：分别在产后的一个和6个月内评估了1023和1330个父亲和他们的配偶，分别在产后的一和6个月内评估。 PATTINAL-J分数的患病率分别为产后的1和6个月11.2和12.0％。在多物流分析中，父目-JS-J分数> = 8个月产后与心理健康障碍史有显着相关（调整的赔率比（AOR）2.825; 95％置信区间（CI）：1.047-7.623），K6评分> = 13期间怀孕期间（AOR 4.116; 95％CI：1.598-10.599），产后6个月的家庭收入= 8在怀孕期间与K6分数> = 13显着相关（AOR 4.621; 95％CI：2.113-10.107） ，失业（AOR 3.751; 95％CI：1.739-8.091）和母体EPDS-J分数> = 9（AOR 2.460; 95％CI：1.514-3.996）。结论：产后抑郁症症状的患病率为产后患者11.2和12.0％。产后抑郁症症状在1个月产后症状与心理健康疾病史，怀孕期间的心理困扰，医疗治疗期间的低收入和婴儿病。在妊娠期，失业和产后抑郁症期间，产后抑郁症6个月的父亲抑郁症状与心理困扰有关。重要的是考虑父亲产后抑郁症状，并在日本建议对这些问题进行进一步启示。

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