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Arch Womens Ment Health. 2021 Oct;24(5):841-848. doi: 10.1007/s00737-021-01171-y. Epub 2021 Aug 24.

Expanding the international conversation with fathers' mental health: toward an era of inclusion in perinatal research and practice.

Archives of women's mental health

Sheehan D Fisher, Jesus Cobo, Barbara Figueiredo, Richard Fletcher, Craig F Garfield, Jane Hanley, Paul Ramchandani, Daniel B Singley

Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA. [email protected].
  2. Psychiatry Department, Corporació Sanitària Parc Taulí - CIBERSAM - I3PT - Universitat Autònoma de Barcelona (Sabadell, Barcelona), Barcelona, Spain.
  3. School of Psychology, University of Minho, Braga, Portugal.
  4. College of Heath, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW, 2308, Australia.
  5. Department of Pediatrics, Ann& Robert H. Lurie Children's Hospital of Chicago and Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
  6. Perinatal MH Training CIC, Carmarthen, Wales, UK.
  7. Swansea University, Swansea, Wales, UK.
  8. PEDAL Research Centre, Faculty of Education, University of Cambridge, Cambridge, UK.
  9. The Center for Men's Excellence, San Diego, CA, USA.

PMID: 34431009 DOI: 10.1007/s00737-021-01171-y

Abstract

Paternal mental health is beginning to be recognized as an essential part of perinatal health. Historically, fathers were not recognized as being at risk for perinatal mental illnesses or relevant to maternal and infant health outcomes. The purpose of this paper is to provide an overview of paternal perinatal mental health, leading tools to assess paternal depression and anxiety, the impact of paternal mental health on mother and child health, and future directions for the field. An international team of paternal perinatal mental health experts summarized the key findings of the field. Fathers have an elevated risk of depression and anxiety disorders during the perinatal period that is associated with maternal depression and can impact their ability to support mothers. Paternal mental health is uniquely associated with child mental health and developmental outcomes starting from infancy and continuing through the child lifespan. Tailored screening approaches for paternal mental health are essential to support fathers early in the perinatal period, which would offset health risks for the family. Recommendations on paternal mental health are provided on four key areas to support father perinatal mental health: (1) intervention research, (2) clinical training, (3) national policy, and (4) the inclusion of fathers in the focus of the International Marcé Society for Perinatal Mental Health.

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.

Keywords: Anxiety; Fathers; Partners; Perinatal mental health; Postpartum depression

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