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Risk Factors for Paternal Perinatal Depression and Anxiety: A Systematic Review and Meta-Analysis

机译：父亲围产期抑郁和焦虑的危险因素：系统评价和荟萃分析

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This article aims to identify the risk factors associated with paternal perinatal depression and anxiety. Studies published between January 1950 and December 2017 that report paternal depression and anxiety in the perinatal period were obtained from 5 different databases. In total. 84 studies were included in the systematic review, and 31,310 participants from 45 studies were included in the final meta-analysis. Risk factors obtained were classified based on the frequency of distribution of factors. Maternal depression is an important risk factor for fathers in the postnatal period (odds ratio [OR] = 3.34, 95% confidence interval [CI; 2.51, 4.46]). Marital distress was also linked to a twofold increase in the likelihood of paternal depression in the postnatal period (OR = 2.16. 95% CI [1.47, 3.19]). Parenting stress as a risk factor was strongly and significantly associated with paternal anxiety in perinatal period (OR = 14.38. 95% CI [7.39, 27.97]). The findings suggest that maternal depression, marital distress, and parental stress are important risk factors for fathers' mental health in the perinatal period. The current meta-analysis also identifies gender role stress. domestic violence, and mismatched expectancies from pregnancy and childbirth as the risk factors that are unique to fathers only in the perinatal period. Future intervention programs should screen and target fathers with no previous children, or a depressed partner, and aim to enhance relationship satisfaction.
机译：本文旨在确定与父亲围产期抑郁症和焦虑相关的危险因素。在1950年1月至2017年12月之间发表的研究表明，从5个不同的数据库中获得了围产期的父亲抑郁和焦虑。总共。系统综述中包括了84项研究，最终荟萃分析中包括45个研究的31,310名参与者。根据因素的分布频率对获得的危险因素进行分类。孕产妇抑郁是父亲在产后期间的重要危险因素（优势比[OR] = 3.34，95％置信区间[CI; 2.51，4.46]）。婚姻困扰还与产后期间父亲抑郁症的可能性增加有关（OR =2.16。95％CI [1.47，3.19]）。育儿压力作为危险因素与围产期的父亲焦虑症密切相关（OR =14.38。95％CI [7.39，27.97]）。研究结果表明，母亲的抑郁，婚姻困扰和父母压力是父亲在围产期心理健康的重要危险因素。当前的荟萃分析还确定了性别角色应力。家庭暴力以及从怀孕和分娩中的期望不匹配，这是仅在围产期时期父亲独有的危险因素。未来的干预计划应筛选和针对父亲，没有以前的孩子或沮丧的伴侣，并旨在提高人际关系满意度。

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